Diagnosis using deep-learning artificial intelligence based on the endocytoscopic observation of the esophagus.

Journal: Esophagus : official journal of the Japan Esophageal Society
Published Date:

Abstract

BACKGROUND AND AIMS: The endocytoscopic system (ECS) helps in virtual realization of histology and can aid in confirming histological diagnosis in vivo. We propose replacing biopsy-based histology for esophageal squamous cell carcinoma (ESCC) by using the ECS. We applied deep-learning artificial intelligence (AI) to analyse ECS images of the esophagus to determine whether AI can support endoscopists for the replacement of biopsy-based histology.

Authors

  • Youichi Kumagai
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
  • Kaiyo Takubo
    Research Team for Geriatric Pathology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
  • Kenro Kawada
    Department of Esophageal and General Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
  • Kazuharu Aoyama
    AI Medical Service Inc Tokyo Japan.
  • Yuma Endo
    AI Medical Service Inc., Tokyo, Japan.
  • Tsuyoshi Ozawa
    Tada Tomohiro Institute of Gastroenterology and Proctology, Saitama, Japan.
  • Toshiaki Hirasawa
    Department of Gastroenterology, Cancer Institute Hospital Ariake, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan. toshiaki.hirasawa@jfcr.or.jp.
  • Toshiyuki Yoshio
    Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan; Tada Tomohiro Institute of Gastroenterology and Proctology, Saitama, Japan.
  • Soichiro Ishihara
    Tada Tomohiro Institute of Gastroenterology and Proctology, Saitama, Japan; Surgery Department, Sanno Hospital, International University of Health and Welfare, Tokyo, Japan; Department of Surgical Oncology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Mitsuhiro Fujishiro
    Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan.
  • Jun-Ichi Tamaru
    Department of Pathology, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
  • Erito Mochiki
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.
  • Hideyuki Ishida
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.
  • Tomohiro Tada
    AI Medical Service Inc Tokyo Japan.