Evidence map›Paper›PMID 41254127›Full record

ArticleNPJ digital medicine2025

An artificial intelligence system for qualified mucosal observation time during colonoscopic withdrawal.

Wu-Jun Li, Peng Yan, Muhan Ni, Jin-Dong Zhou, Lin Zhou, Xiang Zhang, Zhenyu Zhang, Ningjing Gao, Zhanwen Ji, Duanming Zhuang and 7 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. 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. Review
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

17 authors.

Wu-Jun Li *Department of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. liwujun@nju.edu.cn.
Peng Yan *Department of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Muhan Ni *Department of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Jin-Dong Zhou *National Institute of Healthcare Data Science at Nanjing University, Nanjing, China.
Lin ZhouDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Xiang ZhangDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Zhenyu ZhangDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Ningjing GaoDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Zhanwen JiDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Duanming ZhuangDepartment of Gastroenterology, Nanjing Gaochun People's Hospital, Nanjing, China.
Hao ZhuDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Min ChenDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Guifang XuDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Xiaoping ZouDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
Chunyan PengDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. springpcy@aliyun.com.
Dehua TangDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. tangdh@nju.edu.cn.
Lei WangDepartment of Gastroenterology, Jiangsu Provincial Gastrointestinal Medical Innovation Center, Nanjing Drum Tower Hospital, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. leiwang9631@nju.edu.cn.

Funding

Jiangsu Provincial Key Research and Development Program BE2021601Jiangsu Provincial Key Research and Development Program BE2023655Key Project of Medical Science and Technology Development of Nanjing Municipal Health Commission ZKX21032Nanjing Drum Tower Hospital 2021-LCYJ-MS-06National Natural Science Foundation of China 62006113National Natural Science Foundation of China 62306136
6 · The paper itself

Abstract

Colonoscopic withdrawal time is crucial for achieving a high adenoma detection rate (ADR) and reducing post-colonoscopy colorectal cancer risk. Enhanced qualified mucosal observation improves ADR, but manual quantification of qualified mucosal observation time (QMOT) in routine is challenging. We developed an artificial intelligence (AI) system, QAMaster, for automatic QMOT calculation during colonoscopy withdrawal. QAMaster comprises two models: Model I for image quality analysis (trained with 57,235 images from 64 patients) and Model II for anatomical landmark identification (trained with 7712 images from 3013 patients). Patients were stratified by QMOT, and ADR was compared. The areas under the curve (AUC) of Model I were 0.980-0.991, and Model II were 0.977-0.997. Among 482 patients, ADR was 36.54% (57/156) vs. 19.94% (65/326) in high-QMOT group (≥90 s) vs. low-QMOT group (<90 s) (adjusted OR 2.02; 95% CI 1.23-3.33). QAMaster provides a promising tool for assessing colonoscopy withdrawal quality.

Identifiers

PMID41254127
PMCPMC12627440

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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.