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Artificial intelligence versus expert endoscopists for diagnosis of gastric cancer in patients who have undergone upper gastrointestinal endoscopy.


ABSTRACT:

Aims

To compare endoscopy gastric cancer images diagnosis rate between artificial intelligence (AI) and expert endoscopists.

Patients and methods

We used the retrospective data of 500 patients, including 100 with gastric cancer, matched 1:1 to diagnosis by AI or expert endoscopists. We retrospectively evaluated the noninferiority (prespecified margin 5 %) of the per-patient rate of gastric cancer diagnosis by AI and compared the per-image rate of gastric cancer diagnosis.

Results

Gastric cancer was diagnosed in 49 of 49 patients (100 %) in the AI group and 48 of 51 patients (94.12 %) in the expert endoscopist group (difference 5.88, 95 % confidence interval: -0.58 to 12.3). The per-image rate of gastric cancer diagnosis was higher in the AI group (99.87 %, 747 /748 images) than in the expert endoscopist group (88.17 %, 693 /786 images) (difference 11.7 %).

Conclusions

Noninferiority of the rate of gastric cancer diagnosis by AI was demonstrated but superiority was not demonstrated.

SUBMITTER: Niikura R 

PROVIDER: S-EPMC9329064 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Publications

Artificial intelligence versus expert endoscopists for diagnosis of gastric cancer in patients who have undergone upper gastrointestinal endoscopy.

Niikura Ryota R   Aoki Tomonori T   Shichijo Satoki S   Yamada Atsuo A   Kawahara Takuya T   Kato Yusuke Y   Hirata Yoshihiro Y   Hayakawa Yoku Y   Suzuki Nobumi N   Ochi Masanori M   Hirasawa Toshiaki T   Tada Tomohiro T   Kawai Takashi T   Koike Kazuhiko K  

Endoscopy 20220504 8


<h4>Aims</h4>To compare endoscopy gastric cancer images diagnosis rate between artificial intelligence (AI) and expert endoscopists.<h4>Patients and methods</h4>We used the retrospective data of 500 patients, including 100 with gastric cancer, matched 1:1 to diagnosis by AI or expert endoscopists. We retrospectively evaluated the noninferiority (prespecified margin 5 %) of the per-patient rate of gastric cancer diagnosis by AI and compared the per-image rate of gastric cancer diagnosis.<h4>Resul  ...[more]

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