Evidence map›Paper›PMID 40902624›Full record

Trial reportEndoscopy2026

Colorectal mucosal exposure area assessment using artificial intelligence: a multicenter prospective observational study.

Jialing Li, Li Huang, Chaijie Luo, Xiaoquan Zeng, Ying Li, Jianping Fan, Liwen Yao, Jing Wang, Shuzhe Tan, Xueying Wang and 8 more

Abstract readObservational StudyMulticenter StudyClinical Trial
In one paragraph

Trial report in Endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Jialing Li *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Li Huang *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Chaijie LuoDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Xiaoquan ZengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Ying LiDepartment of Endoscopy, The Eighth Hospital of Wuhan, Wuhan, China.
Jianping FanEndoscopy Center, JingXing County Hospital, Hebei, China.
Liwen YaoDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Jing WangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Shuzhe TanDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Xueying WangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Wei ZhouDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Lianlian WuDepartment of Gastroenterology, Wuhan University Renmin Hospital, Wuhan, China.
Dexin GongDepartment of Gastroenterology, Zhejiang University School of Medicine First Affiliated Hospital, Hangzhou, China.
Yuliang XuEndoscopy Center, JingXing County Hospital, Hebei, China.
Muqiu LiEndoscopy Center, JingXing County Hospital, Hebei, China.
Ningning WangEndoscopy Center, JingXing County Hospital, Hebei, China.
Huafen GaoEndoscopy Center, JingXing County Hospital, Hebei, China.
Honggang YuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.ORCID 0000-0001-5986-1284

Funding

Key Research and Development Program of Hubei Province 2023BCB153National Key Research and Development Program of China 2022YFC2505100National Natural Science Foundation of China-Youth Science Fund 82202257,82303949Project of Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision 2024CCB007
6 · The paper itself

Abstract

Background: This study proposed a new quality control indicator for colonoscopy, the cumulative colorectal mucosal exposure area (CCMEA), to assess mucosal exposure, constructed a CCMEA system based on deep learning, and validated the indicator in a multicenter prospective observational study. Methods: The CCMEA system was based on ResNet50 and UNet++. A CCMEA threshold was determined on the basis of an adenoma detection rate (ADR) of 25%. A multicenter prospective observational study was conducted to evaluate the system and the threshold in clinical practice. Based on the CCMEA threshold, patients were divided into qualified and unqualified colonoscopy groups. The ADR and other lesion detection rates were then compared between the two groups. Results: 510 participants who underwent colonoscopy were evaluated, being grouped as having qualified (n = 270) or unqualified (n = 240) colonoscopies based on a CCMEA qualification threshold of 2000. The ADR was 39.5 percentage points higher in the qualified group than in the unqualified group (53.7% vs. 14.2%; adjusted odds ratio [aOR] 8.0, 95%CI 5.0–12.8; P < 0.001), and notably was higher for lesions ≤5 mm (42.2% vs. 10.0%; aOR 6.9, 95%CI 4.1–11.5; P < 0.001). The qualified group also had a significantly higher polyp detection rate (89.6% vs. 40.0%; aOR 13.1, 95%CI 7.8–21.8; P < 0.001) and higher mean numbers of both adenomas (1.0 vs. 0.2; adjusted incident rate ratio [aIRR] 5.9, 95%CI 4.3–8.4; P < 0.001) and polyps (5.8 vs. 1.3; aIRR 4.0, 95%CI 3.5–4.5; P < 0.001). Conclusions: The CCMEA qualified group, based on a CCMEA threshold of 2000, showed a higher ADR than the unqualified group, indicating CCMEA could be a promising colonoscopy quality indicator.

Indexed as

AdenomaArtificial IntelligenceColonoscopyColorectal NeoplasmsDeep LearningIntestinal MucosaAgedFemaleHumansMaleMiddle AgedProspective StudiesQuality Indicators, Health Care

Identifiers

PMID40902624
PMCPMC13077554

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.