Artificial intelligence diagnosis of infection using blue laser imaging-bright and linked color imaging: a single-center prospective study.

BACKGROUND

Deep learning is a type of artificial intelligence (AI) that imitates the neural network in the brain. We generated an AI to diagnose () infection using blue laser imaging (BLI)-bright and linked color imaging (LCI). The aim of this pilot study was to establish an AI diagnosing system that predicts infection status using endoscopic images to improve the accuracy and productivity of endoscopic examination.

METHODS

A total of 222 enrolled subjects (105 -positive) underwent esophagogastroduodenoscopy and a serum test for IgG antibodies. During esophagogastroduodenoscopy, an endoscopist sequentially took 3 still images of the lesser curvature of the stomach using white light imaging (WLI), BLI-bright, and LCI. EG-L580NW endoscopic equipment (FUJIFILM Co., Japan) was used for the study. The specifications of the AI were as follows: operating system, Linux; neural network, GoogLeNet; framework, Caffe; graphic processor unit, Geforce GTX TITAN X (NVIDIA Co., USA).

RESULTS

The area under the curve (AUC) on receiver operating characteristics analysis was 0.66 for WLI. In contrast, the AUCs of BLI-bright and LCI were 0.96 and 0.95, respectively. The AUCs obtained for BLI-bright and LCI were significantly larger than those for WLI (P<0.01).

CONCLUSIONS

The results demonstrate that the developed AI has an excellent ability to diagnose infection using BLI-bright and LCI. AI technology with image-enhanced endoscopy is likely to become a useful image diagnostic tool.