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Gastroenterology, Mar 03 2025, S0016-5085(25)00471-8 | https://doi.org/10.1053/j.gastro.2025.01.253 Artificial Intelligence Applications in Image-Based Diagnosis of Early Esophageal and Gastric Neoplasms

Alanna Ebigbo ¹, Helmut Messmann ¹, Sung Hak Lee ²

¹Department of Gastroenterology; University Hospital Augsburg; Stenglinstr. 2, 86156 Augsburg, Germany
²Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul 06591, South Korea

Correspondence: Alanna Ebigbo, Helmut Messmann, Sung Hak Lee

Abstract

Artificial intelligence (AI) holds the potential to transform the management of upper gastrointestinal (GI) conditions, such as Barrett's esophagus, esophageal squamous cell cancer, and early gastric cancer. Advancements in deep learning (DL) and convolutional neural networks offer improved diagnostic accuracy and reduced diagnostic variability across different clinical settings, particularly where human error or fatigue may impair diagnostic precision. DL models have shown the potential to improve early cancer detection and lesion characterization, predict invasion depth, and delineate lesion margins with remarkable accuracy, all contributing to effective treatment planning. Several challenges, however, limit the broad application of AI in GI endoscopy, particularly in the upper GI tract. Subtle lesion morphology and restricted diversity in training datasets, which are often sourced from specialized centers, may constrain the generalizability of AI models in various clinical settings. Furthermore, the "black box" nature of some AI systems can impede explainability and clinician trust. To address these issues, efforts are underway to incorporate multimodal data, such as combining endoscopic and histopathological imaging, to bolster model robustness and transparency. In the future, AI promises substantial advancements in automated real-time endoscopic guidance, personalized risk assessment, and optimized biopsy decision-making. As it evolves, it would substantially impact not only early diagnosis and prognosis but also the cost-effectiveness of managing upper GI diseases, ultimately leading to improved patient outcomes and more efficient healthcare delivery.

논문정보

형식Research article
게재일2025년 03월 (BRIC 등록일 2025-03-07)
연구진국내(교신)+국외 연구진
분야 의약학 > 종양의학

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