Evidence map›Paper›PMID 41345528›Full record

Trial reportSurgical endoscopy2026

Artificial intelligence assistance narrows the experience gap in endoscopic reporting of gastric lesions: a prospective clinical trial.

Hang You, Xiao Tao, Zehua Dong, Yanxia Li, Li Huang, Jia Li, Hongliu Du, Mei Deng, Zhifeng Wu, Xia Tan and 3 more

Abstract readValidation StudyClinical Trial
In one paragraph

Trial report in Surgical 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. 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

13 authors.

Hang YouDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Xiao TaoDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Zehua DongDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Yanxia LiDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Li HuangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Jia LiDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Hongliu DuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Mei DengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Zhifeng WuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Xia TanDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Ting YangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China.
Jun LiuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China. 2451938436@qq.com.
Honggang YuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, 99 Zhangzhidong Road, Wuhan, 430060, Hubei Province China, China. yuhonggang@whu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-quality endoscopic reports are crucial for clinical decision-making in gastric lesions. However, manually generated reports often suffer from inconsistencies, resulting in incomplete lesion documentation and insufficient descriptions. The objective is to validate an artificial intelligence (AI) reporting system for improving the quality of gastric lesion documentation with a particular focus on narrowing the experience gap among endoscopists.

methodsWe retrospectively collected gastric images to develop a reporting system for gastric lesions. The system comprises several deep learning models for lesion detection, classification, and feature recognition, and was validated using 276 video clips. Both retrospective and prospective case validations were conducted to evaluate the system's clinical effectiveness, comparing the completeness of reports with and without AI assistance, particularly in describing features of suspicious lesions.

resultsIn video validation, the system identified 99.27% (274/276) of lesions, with 88.97% accuracy in neoplasm detection, achieving 93.75% sensitivity and 86.98% specificity. Retrospective analyses showed that junior endoscopists using AI reported significantly more complete lesion documentation than original reports (74.75% vs 58.08%, P < 0.001). In the prospective trial, the AI-assisted group demonstrated superior lesion reporting completeness (86.50% vs 75.11%, P = 0.001). Notably, the AI group reported all 18 identified suspicious neoplasms, while the routine group reported only 16.

conclusionsThis study confirms the efficacy of an AI reporting system in documenting gastric focal lesions, highlighting significant improvements in the completeness and accuracy of reports generated by endoscopists.

Indexed as

Artificial IntelligenceClinical CompetenceDocumentationGastroscopyStomach NeoplasmsAgedDeep LearningFemaleHumansMaleMiddle AgedProspective StudiesRetrospective StudiesArtificial intelligenceEndoscopy reportingGastric lesions

Identifiers

PMID41345528
PMCPMC12881095

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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.