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Validation of Artificial Intelligence Computer-Aided Detection on Gastric Neoplasm in Upper Gastrointestinal Endoscopy.

作者信息

Lee Hannah, Chung Jun-Won, Yun Sung-Cheol, Jung Sung Woo, Yoon Yeong Jun, Kim Ji Hee, Cha Boram, Kayasseh Mohd Azzam, Kim Kyoung Oh

机构信息

Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon 21565, Republic of Korea.

Division of Biostatistics, Center for Medical Research and Information, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea.

出版信息

Diagnostics (Basel). 2024 Nov 30;14(23):2706. doi: 10.3390/diagnostics14232706.


DOI:10.3390/diagnostics14232706
PMID:39682614
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11639788/
Abstract

BACKGROUND/OBJECTIVES: Gastric cancer ranks fifth for incidence and fourth in the leading causes of mortality worldwide. In this study, we aimed to validate previously developed artificial intelligence (AI) computer-aided detection (CADe) algorithm, called ALPHAON in detecting gastric neoplasm. METHODS: We used the retrospective data of 500 still images, including 5 benign gastric ulcers, 95 with gastric cancer, and 400 normal images. Thereby we validated the CADe algorithm measuring accuracy, sensitivity, and specificity with the result of receiver operating characteristic curves (ROC) and area under curve (AUC) in addition to comparing the diagnostic performance status of four expert endoscopists, four trainees, and four beginners from two university-affiliated hospitals with CADe algorithm. After a washing-out period of over 2 weeks, endoscopists performed gastric detection on the same dataset of the 500 endoscopic images again marked by ALPHAON. RESULTS: The CADe algorithm presented high validity in detecting gastric neoplasm with accuracy (0.88, 95% CI: 0.85 to 0.91), sensitivity (0.93, 95% CI: 0.88 to 0.98), specificity (0.87, 95% CI: 0.84 to 0.90), and AUC (0.962). After a washing-out period of over 2 weeks, overall validity improved in the trainee and beginner groups with the assistance of ALPHAON. Significant improvement was present, especially in the beginner group (accuracy 0.94 (0.93 to 0.96) < 0.001, sensitivity 0.87 (0.82 to 0.92) < 0.001, specificity 0.96 (0.95 to 0.97) < 0.001). CONCLUSIONS: The high validation performance state of the CADe algorithm system was verified. Also, ALPHAON has demonstrated its potential to serve as an endoscopic educator for beginners improving and making progress in sensitivity and specificity.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/c9bdd36c5b0a/diagnostics-14-02706-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/230238dca81f/diagnostics-14-02706-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/594e51cea4b3/diagnostics-14-02706-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/ca39a3d54917/diagnostics-14-02706-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/570eb6aeb25d/diagnostics-14-02706-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/da8938295d35/diagnostics-14-02706-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/c9bdd36c5b0a/diagnostics-14-02706-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/230238dca81f/diagnostics-14-02706-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/594e51cea4b3/diagnostics-14-02706-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/ca39a3d54917/diagnostics-14-02706-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/570eb6aeb25d/diagnostics-14-02706-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/da8938295d35/diagnostics-14-02706-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff2/11639788/c9bdd36c5b0a/diagnostics-14-02706-g006.jpg

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引用本文的文献

[1]
Edge Artificial Intelligence Device in Real-Time Endoscopy for Classification of Gastric Neoplasms: Development and Validation Study.

Biomimetics (Basel). 2024-12-22

本文引用的文献

[1]
Artificial intelligence enhances the management of esophageal squamous cell carcinoma in the precision oncology era.

World J Gastroenterol. 2024-10-21

[2]
In Pursuit of Novel Markers: Unraveling the Potential of miR-106, CEA and CA 19-9 in Gastric Adenocarcinoma Diagnosis and Staging.

Int J Mol Sci. 2024-7-19

[3]
Uncommon Presentation of Gastric Duplication Cyst with Left-Sided Portal Hypertension: A Case Report and Literature Review.

Diagnostics (Basel). 2024-3-22

[4]
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.

CA Cancer J Clin. 2024

[5]
An artificial intelligence prediction model outperforms conventional guidelines in predicting lymph node metastasis of T1 colorectal cancer.

Front Oncol. 2023-10-24

[6]
The Role of Artificial Intelligence in Gastric Cancer: Surgical and Therapeutic Perspectives: A Comprehensive Review.

J Gastric Cancer. 2023-7

[7]
Artificial intelligence-based model for lymph node metastases detection on whole slide images in bladder cancer: a retrospective, multicentre, diagnostic study.

Lancet Oncol. 2023-4

[8]
Mining whole-lung information by artificial intelligence for predicting EGFR genotype and targeted therapy response in lung cancer: a multicohort study.

Lancet Digit Health. 2022-5

[9]
Development and validation of a real-time artificial intelligence-assisted system for detecting early gastric cancer: A multicentre retrospective diagnostic study.

EBioMedicine. 2020-12

[10]
Identifying early gastric cancer under magnifying narrow-band images with deep learning: a multicenter study.

Gastrointest Endosc. 2021-6

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