Multi-step validation of a deep learning-based system for the quantification of bowel preparation: a prospective, observational study.

Journal: The Lancet. Digital health
Published Date:

Abstract

BACKGROUND: Inadequate bowel preparation is associated with a decrease in adenoma detection rate (ADR). A deep learning-based bowel preparation assessment system based on the Boston bowel preparation scale (BBPS) has been previously established to calculate the automatic BBPS (e-BBPS) score (ranging 0-20). The aims of this study were to investigate whether there was a statistically inverse relationship between the e-BBPS score and the ADR, and to determine the threshold of e-BBPS score for adequate bowel preparation in colonoscopy screening.

Authors

  • Wei Zhou
    Department of Eye Function Laboratory, Eye Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
  • Liwen Yao
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China; Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China; Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China.
  • Huiling Wu
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China; Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China; Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China.
  • Biqing Zheng
    Wuhan EndoAngel Medical Technology Company, Wuhan, China.
  • Shan Hu
    School of Resources and Environmental Sciences of Wuhan University, Wuhan, China.
  • Lihui Zhang
    College of Civil Engineering and Architecture, Zhejiang University, 866, Yuhangtang Road, Hangzhou, 310058, China.
  • Xun Li
    Department of Laboratory Medicine, The First Affiliated Hospital of Xiamen University, Xiamen, China.
  • Chunping He
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China; Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China; Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China.
  • Zhengqiang Wang
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
  • Yanxia Li
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China; Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China; Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China.
  • Chao Huang
    University of North Carolina, Chapel Hill, NC, USA.
  • Mingwen Guo
    Department of Gastroenterology, The first hospital of Yichang, Yichang, China.
  • Xiaoqing Zhang
    a College of Information Science and Technology , Donghua University , Shanghai , China.
  • Qingxi Zhu
    Department of Gastroenterology, Third Hospital of Wuhan, Wuhan, China.
  • Lianlian Wu
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
  • Yunchao Deng
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.
  • Jun Zhang
    First School of Clinical Medicine, Shandong University of Traditional Chinese Medicine, Jinan, China.
  • Wei Tan
    Weifang People's Hospital, Guang Wen Road, Weifang 261000, China.
  • Chao Li
    McGill University Health Centre, McGill Adult Unit for Congenital Heart Disease Excellence, Montreal, Québec, Canada.
  • Chenxia Zhang
    Department of Gastroenterology, Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, and Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China.
  • Rongrong Gong
    Department of Gastroenterology, Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, and Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China.
  • Hongliu Du
    Department of Gastroenterology, Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, and Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, Wuhan, China.
  • Jie Zhou
    Departments of Ultrasound, Jiading District Central Hospital Affiliated Shanghai University of Medicine &Health Sciences, Shanghai, China.
  • Prateek Sharma
    Department of Gastroenterology and Hepatology, Kansas City VA Medical Center, Kansas City, Kansas, USA.
  • Honggang Yu
    Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, China.