Evidence map›Paper›PMID 41904204›Full record

ArticleNPJ digital medicine2026

Domain specific multimodal large language model for automated endoscopy reporting with multicenter prospective validation.

Ruiqing Jiang, Boru Chen, Zehua Dong, Xiaoquan Zeng, Hang You, Yanxia Li, Yunchao Deng, Ganggang Mu, Jing Wang, Li Huang and 4 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

14 authors.

Ruiqing Jiang *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Boru Chen *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Zehua Dong *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Xiaoquan ZengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Hang YouDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Yanxia LiDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Yunchao DengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Ganggang MuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Jing WangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Li HuangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Jia LiDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Du ChengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
Wei ZhouDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China. zhouwei5352877@163.com.
Honggang YuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China. yuhonggang1968@163.com.

Funding

Hubei Provincial Key Laboratory Open Project 2024KFZ005Key Research and Development Program of Hubei Province 2023BCB153National Key Research and Development Program of China 2022YFC2505105Natural Science Foundation of Wuhan 2025040601020197
6 · The paper itself

Abstract

Accurate endoscopy reports are crucial for the diagnosis and management of patients with upper gastrointestinal (UGI) diseases, yet errors and omissions are common. The preparation of routine reports for common diseases is labor-intensive and time-consuming. To address this, here we developed Report-Angel, an integrated AI system based on a multi-modal large language model (MLLM) and conventional deep learning models and trained it on 20,617 image-text pairs to automatically generate detailed draft reports for UGI endoscopy. Report-Angel achieved a clinically acceptable report rate of 79.3% (95% CI: 74.4-83.5%) in the prospective internal and 83.3% (95% CI: 78.7-87.3%) in the prospective external cohort. At the case level, Report-Angel achieved a report completeness of 88.51% (95% CI: 84.64-92.38%) and a report accuracy of 78.93% (95% CI: 73.98-83.88%), with average processing time of 1.5 s per lesion in the internal prospective video dataset. Lesion-level reporting accuracies were 91.92% (95% CI: 90.58-93.25%), 89.07% (95% CI: 87.57-90.57%), and 83.94% (95% CI: 81.58-86.31%) on retrospective image and prospective single- and multi-center video datasets, respectively. Report-Angel generates expert-level draft endoscopy reports and demonstrates robust generalizability. By providing reliable foundation draft reports, this system has the potential to effectively standardize reporting and reduce endoscopists' workloads.

Identifiers

PMID41904204
PMCPMC13194698

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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.