Artificial intelligence in gastrointestinal endoscopy

Rahul Pannala, Kumar Krishnan, Joshua Melson, Mansour A. Parsi, Allison R. Schulman, Shelby Sullivan, Guru Trikudanathan, Arvind J. Trindade, Rabindra R. Watson, John T. Maple, David R. Lichtenstein

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Aims: Artificial intelligence (AI)-based applications have transformed several industries and are widely used in various consumer products and services. In medicine, AI is primarily being used for image classification and natural language processing and has great potential to affect image-based specialties such as radiology, pathology, and gastroenterology (GE). This document reviews the reported applications of AI in GE, focusing on endoscopic image analysis. Methods: The MEDLINE database was searched through May 2020 for relevant articles by using key words such as machine learning, deep learning, artificial intelligence, computer-aided diagnosis, convolutional neural networks, GI endoscopy, and endoscopic image analysis. References and citations of the retrieved articles were also evaluated to identify pertinent studies. The manuscript was drafted by 2 authors and reviewed in person by members of the American Society for Gastrointestinal Endoscopy Technology Committee and subsequently by the American Society for Gastrointestinal Endoscopy Governing Board. Results: Deep learning techniques such as convolutional neural networks have been used in several areas of GI endoscopy, including colorectal polyp detection and classification, analysis of endoscopic images for diagnosis of Helicobacter pylori infection, detection and depth assessment of early gastric cancer, dysplasia in Barrett's esophagus, and detection of various abnormalities in wireless capsule endoscopy images. Conclusions: The implementation of AI technologies across multiple GI endoscopic applications has the potential to transform clinical practice favorably and improve the efficiency and accuracy of current diagnostic methods.

Original languageEnglish (US)
Pages (from-to)598-613
Number of pages16
JournalVideoGIE
Volume5
Issue number12
DOIs
StatePublished - Dec 2020

Bibliographical note

Funding Information:
Disclosure: Dr Pannala is a consultant for HCL Technologies and has received travel compensation from Boston Scientific Corporation. Dr Krishnan is a consultant for Olympus Medical. Dr Melson received an investigator-initiated grant from Boston Scientific and has stock options with Virgo Imaging. Dr Schulman is a consultant for Boston Scientific, Apollo Endosurgery, and MicroTech and has research funding from GI Dynamics. Dr Sullivan is a consultant and performs contracted research for Allurion Technologies, Aspire Bariatrics, Baronova, Obalon Therapeutics; is a consultant, performs contracted research, and has stock in Elira; is a consultant for USGI Medical, GI Dynamics, Phenomix Sciences Nitinotes, Spatz FGIA, and Endotools; and performs contracted research for Finch Therapeutics and ReBiotix. Dr Trikudanathan is a speaker and has received honorarium and travel from Boston Scientific, and is on the advisory board for Abbvie. Dr Trindade is a consultant for Olympus Corporation of the Americas and PENTAX of America, Inc., has received food and beverage from Boston Scientific, and has a research grant from NinePoint Medical, Inc. Dr Watson is a consultant and speaker for Apollo Endosurgery and Boston Scientific and a consultant for Medtronic and Neptune Medical Inc. Dr Lichtenstein is a consultant for Allergan Inc. and Augmenix; a speaker for Aries Pharmaceutical; a consultant and speaker for Gyrus ACMI, Inc., and Olympus Corporation of the Americas; and has received a tuition payment from Erbe USA Inc. All other authors disclosed no financial relationships.

Funding Information:
Disclosure: Dr Pannala is a consultant for HCL Technologies and has received travel compensation from Boston Scientific Corporation. Dr Krishnan is a consultant for Olympus Medical. Dr Melson received an investigator-initiated grant from Boston Scientific and has stock options with Virgo Imaging. Dr Schulman is a consultant for Boston Scientific, Apollo Endosurgery, and MicroTech and has research funding from GI Dynamics. Dr Sullivan is a consultant and performs contracted research for Allurion Technologies, Aspire Bariatrics, Baronova, Obalon Therapeutics; is a consultant, performs contracted research, and has stock in Elira; is a consultant for USGI Medical, GI Dynamics, Phenomix Sciences Nitinotes, Spatz FGIA, and Endotools; and performs contracted research for Finch Therapeutics and ReBiotix. Dr Trikudanathan is a speaker and has received honorarium and travel from Boston Scientific, and is on the advisory board for Abbvie. Dr Trindade is a consultant for Olympus Corporation of the Americas and PENTAX of America, Inc., has received food and beverage from Boston Scientific, and has a research grant from NinePoint Medical, Inc. Dr Watson is a consultant and speaker for Apollo Endosurgery and Boston Scientific and a consultant for Medtronic and Neptune Medical Inc. Dr Lichtenstein is a consultant for Allergan Inc. and Augmenix; a speaker for Aries Pharmaceutical; a consultant and speaker for Gyrus ACMI, Inc., and Olympus Corporation of the Americas; and has received a tuition payment from Erbe USA Inc. All other authors disclosed no financial relationships.

Publisher Copyright:
© 2020 American Society for Gastrointestinal Endoscopy

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