Evidence map›Paper›PMID 40993107›Full record

ArticleNature communications2025

Development of deep learning-based narrow-band imaging endocytoscopic classification for predicting colorectal lesions from a retrospective study.

Jie Wang, Mingqing Liu, Haiming Liao, Jiawei Fan, He Zhu, Tantan Ma, Dong Yang, Fengming Ni, Fan Zhang, Guohua Jin and 6 more

Abstract readValidation Study
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. 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

16 authors.

Jie Wang *Department of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
Mingqing Liu *Department of Gastroenterology, The First Hospital of Jilin University, Changchun, China.ORCID http://orcid.org/0000-0001-6633-1580
Haiming LiaoBoluo County Health Bureau, Huizhou, China.
Jiawei FanDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
He ZhuDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
Tantan MaDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
Dong YangDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
Fengming NiDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
Fan ZhangDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
Guohua JinDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China.
Juan YuDepartment of Radiology, The First Affiliated Hospital of Shenzhen University, Shenzhen, China.
Jiahui HeSchool of Computer Science, University of Nottingham Ningbo China, Ningbo, China.
Xiaokun LiangShenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.ORCID http://orcid.org/0000-0002-1207-5726
Nan ZhangDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China. zhangnan@jlu.edu.cn.ORCID http://orcid.org/0000-0003-2152-6274
Hong XuDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China. x_hong@jlu.edu.cn.ORCID http://orcid.org/0000-0003-2798-2078
Zhicheng ZhangDepartment of Gastroenterology, The First Hospital of Jilin University, Changchun, China. zhangzhicheng13@mails.ucas.edu.cn.ORCID http://orcid.org/0000-0002-5333-1394

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data-driven approaches have advanced colorectal lesion diagnosis in digestive endoscopy, yet their application in endocytoscopy (EC)-a high-magnification imaging technique-remains limited, with most studies relying on conventional machine learning methods like support vector machines. Inspired by the success of large-scale language models that leverage progressive pre-training, we develop a computer-aided diagnosis (CAD) model using narrow-band imaging endocytoscopy (EC-NBI) to classify colorectal lesions (non-neoplastic lesions, adenomas, and invasive cancers). Here, we show that our model, trained through a multi-stage pre-training strategy combined with supervised deep clustering, outperforms state-of-the-art supervised methods in a multi-center retrospective cohort. Notably, it surpasses endoscopists' diagnostic accuracy in human-machine competitions and enhances their performance when used as an assistive tool. This EC-NBI CAD model significantly improves the accuracy and consistency of diagnosing colorectal lesions, laying a foundation for future early cancer screening, particularly for distinguishing superficial and deep submucosal invasive cancers, pending further expansive multi-center data.

Indexed as

AdenomaColonoscopyColorectal NeoplasmsDeep LearningNarrow Band ImagingAgedDiagnosis, Computer-AssistedEarly Detection of CancerFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID40993107
PMCPMC12460646

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.