AIMC Topic: Endoscopic Mucosal Resection

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Robotics in therapeutic endoscopy (with video).

Gastrointestinal endoscopy
Since its inception, endoscopy has evolved from a solely diagnostic procedure to an expanding therapeutic field within gastroenterology. The incorporation of robotics in gastroenterology initially addressed shortcomings of flexible endoscopes in natu...

A novel flexible auxiliary single-arm transluminal endoscopic robot facilitates endoscopic submucosal dissection of gastric lesions (with video).

Surgical endoscopy
BACKGROUND: Using conventional endoscope to perform endoscopic submucosal dissection (ESD) is difficult because of the one-handed operation and blind dissection caused by gravity. Poor visualization of the submucosal plane causes ESD to be associated...

Simplified robot-assisted endoscopic submucosal dissection for esophageal and gastric lesions: a randomized controlled porcine study (with videos).

Gastrointestinal endoscopy
BACKGROUND AND AIMS: Effective countertraction is a main challenging issue in endoscopic submucosal dissection (ESD). Several countertraction methods have been developed to address this issue. The aim of this study was to compare the efficacy of ESD ...

Combination of artificial intelligence-based endoscopy and miR148a methylation for gastric indefinite dysplasia diagnosis.

Journal of clinical laboratory analysis
BACKGROUND AND AIM: Gastrointestinal endoscopy and biopsy-based pathological findings are needed to diagnose early gastric cancer. However, the information of biopsy specimen is limited because of the topical procedure; therefore, pathology doctors s...

Endoscopic submucosal dissection using a detachable assistant robot: a comparative in vivo feasibility study (with video).

Surgical endoscopy
BACKGROUND: Appropriate tissue tension and clear visibility of the dissection area using traction are essential for effective and safe endoscopic submucosal dissection (ESD). We developed a robotic assistive traction device for flexible endoscopy and...

A deep learning method for delineating early gastric cancer resection margin under chromoendoscopy and white light endoscopy.

Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
BACKGROUND: Accurate delineation of cancer margins is critical for endoscopic curative resection. This study aimed to train and validate real-time fully convolutional networks for delineating the resection margin of early gastric cancer (EGC) under i...

Application of convolutional neural network in the diagnosis of the invasion depth of gastric cancer based on conventional endoscopy.

Gastrointestinal endoscopy
BACKGROUND AND AIMS: According to guidelines, endoscopic resection should only be performed for patients whose early gastric cancer invasion depth is within the mucosa or submucosa of the stomach regardless of lymph node involvement. The accurate pre...

Surveillance and Surgical Salvage Treatment for Endoscopically Removed T1 Colorectal Cancers.

Gut and liver
Endoscopic submucosal dissection (ESD) enables en-bloc resection of large lesions more than 20 mm in size. Therefore, the use of ESD has gained broader acceptance for clinical applications globally. Previous reports on long-term outcomes after ESD, w...

Learning dissection trajectories from expert surgical videos via imitation learning with equivariant diffusion.

Medical image analysis
Endoscopic Submucosal Dissection (ESD) constitutes a firmly well-established technique within endoscopic resection for the elimination of epithelial lesions. Dissection trajectory prediction in ESD videos has the potential to strengthen surgical skil...