Evidence map›Paper›PMID 41696043›Full record

SynthesisFrontiers in artificial intelligence2026

Deep learning for detecting early gastric cancer with white-light endoscopy: a systematic review and meta-analysis.

Jixiang Liu, Danyan Li, Yudi Zhuo, Shengsheng Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in artificial intelligence, 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

4 authors.

Jixiang LiuDepartment of Gastroenterology, Beijing Traditional Chinese Medicine Hospital, Capital Medical University, Beijing, China.
Danyan LiDepartment of Gastroenterology, Beijing Traditional Chinese Medicine Hospital, Capital Medical University, Beijing, China.
Yudi ZhuoDepartment of Gastroenterology, Beijing Traditional Chinese Medicine Hospital, Capital Medical University, Beijing, China.
Shengsheng ZhangDepartment of Gastroenterology, Beijing Traditional Chinese Medicine Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives: The aim of this study is to evaluate the performance of DL algorithms in diagnosing early gastric cancer (EGC) using white light endoscopic images. Methods: A systematic literature search was conducted in PubMed, Embase, Cochrane Library, and Web of Science up to July 25, 2025. Sensitivity and specificity were pooled for internal and external validation sets. The comparison between DL algorithms and expert endoscopists was performed using paired forest plots. Meta-regression was used to identify sources of heterogeneity. Results: In the internal validation, 15 studies comprising 37,037 images (range: 433-9,650) were included. Pooled sensitivity and specificity were 0.91 (95% CI: 0.82-0.95) and 0.93 (95% CI: 0.87-0.97), respectively. Meta-regression showed that heterogeneity in sensitivity and specificity was significantly associated with training dataset size. For external validation, 4 studies with 3,579 images (range: 200-1,514) were included, yielding pooled sensitivity and specificity of 0.82 (95% CI: 0.61-0.93) and 0.83 (95% CI: 0.74-0.90), respectively. No significant difference was observed between deep learning models and expert endoscopists in diagnostic sensitivity and specificity. Conclusion: Deep learning algorithms exhibit high diagnostic performance in detecting early gastric cancer using white-light endoscopy. The diagnostic accuracy of DL models is comparable to that of expert endoscopists, supporting their potential role as a clinical decision-support tool. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251112418, identifier CRD420251112418.

Indexed as

artificial intelligencedeep learningdetectionearly gastric cancerendoscopy

Identifiers

PMID41696043
PMCPMC12894240

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.