ArticleiGIE : innovation, investigation and insights2026
Usefulness of artificial intelligence in diagnosing early gastric cancer using magnifying endoscopy with narrow-band imaging.
Article in iGIE : innovation, investigation and insights, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
16 authors.
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Abstract
Background and Aims: In this study, we developed an artificial intelligence (AI) system to support the diagnosis of early gastric cancer using magnifying endoscopy with narrow-band imaging (NBI), with the goal of improving the diagnostic accuracy of upper gastrointestinal endoscopy. This study aimed to evaluate the diagnostic performance of the AI-based system compared with endoscopists. Methods: A total of 500 cases, including early gastric cancer and noncancer cases, were used to develop the diagnostic support AI system. We evaluated the AI system with models created using Results: The median (interquartile range [IQR]) sensitivity for the AI system and all endoscopists was 100% (100%-100%) and 76.8% (65.5%-78.9%), respectively. The sensitivity of the AI system was significantly higher than that of the endoscopists ( Conclusions: This study demonstrates the feasibility of applying the diagnostic support AI system during magnified observation with NBI and suggests that it could enhance the diagnostic accuracy of upper gastrointestinal endoscopy for early gastric cancer.
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