ArticleFrontiers in gastroenterology (Lausanne, Switzerland)2026
Limited discriminative performance of endoscopic deep learning for
Article in Frontiers in gastroenterology (Lausanne, Switzerland), 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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Abstract
Objectives: Methods: We retrospectively collected 602 endoscopic images from 337 patients with gastric cancer treated at a tertiary cancer center. After preprocessing and quality control, 576 images from 329 patients were retained for model development and evaluation. Results: Model discrimination was limited. The best-performing approach achieved a median test AUC of 0.6255, with sensitivity of 0.7308, specificity of 0.3714, accuracy of 0.6092, and F1 score of 0.6800. Fine-tuning showed a higher median AUC than retraining, but discrimination remained limited in both strategies. Conclusions: In this retrospective gastric cancer cohort, endoscopic image-based classification showed limited ability to discriminate
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