Abstract:
:Endoscopic resection is recommended for gastric neoplasms confined to mucosa or superficial submucosa. The determination of invasion depth is based on gross morphology assessed in endoscopic images, or on endoscopic ultrasound. These methods have limited accuracy and pose an inter-observer variability. Several studies developed deep-learning (DL) algorithms classifying invasion depth of gastric cancers. Nevertheless, these algorithms are intended to be used after definite diagnosis of gastric cancers, which is not always feasible in various gastric neoplasms. This study aimed to establish a DL algorithm for accurately predicting submucosal invasion in endoscopic images of gastric neoplasms. Pre-trained convolutional neural network models were fine-tuned with 2899 white-light endoscopic images. The prediction models were subsequently validated with an external dataset of 206 images. In the internal test, the mean area under the curve discriminating submucosal invasion was 0.887 (95% confidence interval: 0.849-0.924) by DenseNet-161 network. In the external test, the mean area under the curve reached 0.887 (0.863-0.910). Clinical simulation showed that 6.7% of patients who underwent gastrectomy in the external test were accurately qualified by the established algorithm for potential endoscopic resection, avoiding unnecessary operation. The established DL algorithm proves useful for the prediction of submucosal invasion in endoscopic images of gastric neoplasms.
journal_name
J Clin Medjournal_title
Journal of clinical medicineauthors
Cho BJ,Bang CS,Lee JJ,Seo CW,Kim JHdoi
10.3390/jcm9061858subject
Has Abstractpub_date
2020-06-15 00:00:00issue
6issn
2077-0383pii
jcm9061858journal_volume
9pub_type
杂志文章abstract::Adjustment disorders (AjD) with depressive symptoms following an acquired brain injury (ABI) is a common phenomenon. Although brain injuries are increasing more and more, research on psychological therapies is comparably scarce. The present study compared, by means of a randomized controlled trial (RCT), a newly devel...
journal_title:Journal of clinical medicine
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abstract:BACKGROUND:Invasive fungal disease (IFD) is common in solid organ transplant (SOT) recipients and contributes to high morbidity and mortality. Although kidney transplantation (KT) is a commonly performed SOT, data on the risk factors for IFD-related mortality are limited. METHODS:A 1:2 retrospective case-control study...
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journal_title:Journal of clinical medicine
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journal_title:Journal of clinical medicine
pub_type: 杂志文章
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更新日期:2019-05-10 00:00:00
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journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9020322
更新日期:2020-01-23 00:00:00
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journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm9072150
更新日期:2020-07-08 00:00:00
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journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
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更新日期:2019-08-05 00:00:00
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journal_title:Journal of clinical medicine
pub_type: 杂志文章
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更新日期:2020-05-02 00:00:00
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doi:10.3390/jcm10030424
更新日期:2021-01-22 00:00:00
abstract::The superiority of distinct anesthesia methods for geriatric hip fracture surgery remains unclear. We evaluated high mobility group box-1 (HMGB1) and interleukin-6 (IL-6) with three different anesthesia methods in elderly patients undergoing hip fracture surgery. Routine blood test findings, postoperative morbidity, a...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9061605
更新日期:2020-05-26 00:00:00
abstract::Differing beliefs about the acceptability of living-donor kidney transplants (LDKTs) have been proposed as explaining age, ethnic and socioeconomic disparities in their uptake. We investigated whether certain patient groups hold beliefs incompatible with LDKTs. This questionnaire-based case-control study was based at ...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9010031
更新日期:2019-12-21 00:00:00
abstract::Access to in vitro fertilization (IVF) for obese women varies across centers, and the impact of obesity on IVF outcomes is widely discussed. We assessed the impact of obesity and its severity on live birth rate (LBR) after IVF. We included women treated for IVF in our center. Data were prospectively collected in the B...
journal_title:Journal of clinical medicine
pub_type: 杂志文章
doi:10.3390/jcm9082414
更新日期:2020-07-28 00:00:00
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journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
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更新日期:2020-08-07 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2020-12-15 00:00:00
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更新日期:2021-01-14 00:00:00
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更新日期:2018-04-02 00:00:00
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journal_title:Journal of clinical medicine
pub_type: 社论
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更新日期:2020-07-27 00:00:00
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journal_title:Journal of clinical medicine
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更新日期:2020-02-13 00:00:00
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更新日期:2018-12-17 00:00:00
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更新日期:2020-06-01 00:00:00
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