Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease Diagnosis

Background: Coeliac disease affects approximately 1% of the global population with the diagnosis often relying on invasive and time-demanding methods. Deep learning, a powerful tool in medical science, shows potential for non-invasive, accurate coeliac disease diagnosis, though challenges remain. Ob...

Full description

Bibliographic Details
Main Authors: Kassem Sharif, Paula David, Mahmud Omar, Yousra Sharif, Yonatan Shneor Patt, Eyal Klang, Adi Lahat
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/23/7386
_version_ 1797399973560582144
author Kassem Sharif
Paula David
Mahmud Omar
Yousra Sharif
Yonatan Shneor Patt
Eyal Klang
Adi Lahat
author_facet Kassem Sharif
Paula David
Mahmud Omar
Yousra Sharif
Yonatan Shneor Patt
Eyal Klang
Adi Lahat
author_sort Kassem Sharif
collection DOAJ
description Background: Coeliac disease affects approximately 1% of the global population with the diagnosis often relying on invasive and time-demanding methods. Deep learning, a powerful tool in medical science, shows potential for non-invasive, accurate coeliac disease diagnosis, though challenges remain. Objective: This systematic review aimed to evaluate the current state of deep-learning applications in coeliac disease diagnosis and identify potential areas for future research that could enhance diagnostic accuracy, sensitivity, and specificity. Methods: A systematic review was conducted using the following databases: PubMed, Embase, Web of Science, and Scopus. PRISMA guidelines were applied. Two independent reviewers identified research articles using deep learning for coeliac disease diagnosis and severity assessment. Only original research articles with performance metrics data were included. The quality of the diagnostic accuracy studies was assessed using the QUADAS-2 tool, categorizing studies based on risk of bias and concerns about applicability. Due to heterogeneity, a narrative synthesis was conducted to describe the applications and efficacy of the deep-learning techniques (DLT) in coeliac disease diagnosis. Results: The initial search across four databases yielded 417 studies with 195 being removed due to duplicity. Finally, eight studies were found to be suitable for inclusion after rigorous evaluation. They were all published between 2017 and 2023 and focused on using DLT for coeliac disease diagnosis or assessing disease severity. Different deep-learning architectures were applied. Accuracy levels ranged from 84% to 95.94% with the GoogLeNet model achieving 100% sensitivity and specificity for video capsule endoscopy images. Conclusions: DLT hold substantial potential in coeliac disease diagnosis. They offer improved accuracy and the prospect of mitigating clinician bias. However, key challenges persist, notably the requirement for more extensive and diverse datasets, especially to detect milder forms of coeliac disease. These methods are in their nascent stages, underscoring the need of integrating multiple data sources to achieve comprehensive coeliac disease diagnosis.
first_indexed 2024-03-09T01:47:50Z
format Article
id doaj.art-591592134be44fe98877eaef1e94849a
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-09T01:47:50Z
publishDate 2023-11-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-591592134be44fe98877eaef1e94849a2023-12-08T15:19:43ZengMDPI AGJournal of Clinical Medicine2077-03832023-11-011223738610.3390/jcm12237386Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease DiagnosisKassem Sharif0Paula David1Mahmud Omar2Yousra Sharif3Yonatan Shneor Patt4Eyal Klang5Adi Lahat6Department of Gastroenterology, Sheba Medical Centre, Ramat Gan 52621, IsraelDepartment of Internal Medicine B, Sheba Medical Centre, Ramat Gan 52621, IsraelFaculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Internal Medicine C, Haddasah Medical Centre, Hebrew University of Jerusalem, Jerusalem 9112102, IsraelDepartment of Internal Medicine B, Sheba Medical Centre, Ramat Gan 52621, IsraelFaculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartment of Gastroenterology, Sheba Medical Centre, Ramat Gan 52621, IsraelBackground: Coeliac disease affects approximately 1% of the global population with the diagnosis often relying on invasive and time-demanding methods. Deep learning, a powerful tool in medical science, shows potential for non-invasive, accurate coeliac disease diagnosis, though challenges remain. Objective: This systematic review aimed to evaluate the current state of deep-learning applications in coeliac disease diagnosis and identify potential areas for future research that could enhance diagnostic accuracy, sensitivity, and specificity. Methods: A systematic review was conducted using the following databases: PubMed, Embase, Web of Science, and Scopus. PRISMA guidelines were applied. Two independent reviewers identified research articles using deep learning for coeliac disease diagnosis and severity assessment. Only original research articles with performance metrics data were included. The quality of the diagnostic accuracy studies was assessed using the QUADAS-2 tool, categorizing studies based on risk of bias and concerns about applicability. Due to heterogeneity, a narrative synthesis was conducted to describe the applications and efficacy of the deep-learning techniques (DLT) in coeliac disease diagnosis. Results: The initial search across four databases yielded 417 studies with 195 being removed due to duplicity. Finally, eight studies were found to be suitable for inclusion after rigorous evaluation. They were all published between 2017 and 2023 and focused on using DLT for coeliac disease diagnosis or assessing disease severity. Different deep-learning architectures were applied. Accuracy levels ranged from 84% to 95.94% with the GoogLeNet model achieving 100% sensitivity and specificity for video capsule endoscopy images. Conclusions: DLT hold substantial potential in coeliac disease diagnosis. They offer improved accuracy and the prospect of mitigating clinician bias. However, key challenges persist, notably the requirement for more extensive and diverse datasets, especially to detect milder forms of coeliac disease. These methods are in their nascent stages, underscoring the need of integrating multiple data sources to achieve comprehensive coeliac disease diagnosis.https://www.mdpi.com/2077-0383/12/23/7386coeliac diseasedeep learningmachine learninginnovationdiagnosis
spellingShingle Kassem Sharif
Paula David
Mahmud Omar
Yousra Sharif
Yonatan Shneor Patt
Eyal Klang
Adi Lahat
Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease Diagnosis
Journal of Clinical Medicine
coeliac disease
deep learning
machine learning
innovation
diagnosis
title Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease Diagnosis
title_full Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease Diagnosis
title_fullStr Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease Diagnosis
title_full_unstemmed Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease Diagnosis
title_short Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic Approaches to Disease Diagnosis
title_sort deep learning in coeliac disease a systematic review on novel diagnostic approaches to disease diagnosis
topic coeliac disease
deep learning
machine learning
innovation
diagnosis
url https://www.mdpi.com/2077-0383/12/23/7386
work_keys_str_mv AT kassemsharif deeplearningincoeliacdiseaseasystematicreviewonnoveldiagnosticapproachestodiseasediagnosis
AT pauladavid deeplearningincoeliacdiseaseasystematicreviewonnoveldiagnosticapproachestodiseasediagnosis
AT mahmudomar deeplearningincoeliacdiseaseasystematicreviewonnoveldiagnosticapproachestodiseasediagnosis
AT yousrasharif deeplearningincoeliacdiseaseasystematicreviewonnoveldiagnosticapproachestodiseasediagnosis
AT yonatanshneorpatt deeplearningincoeliacdiseaseasystematicreviewonnoveldiagnosticapproachestodiseasediagnosis
AT eyalklang deeplearningincoeliacdiseaseasystematicreviewonnoveldiagnosticapproachestodiseasediagnosis
AT adilahat deeplearningincoeliacdiseaseasystematicreviewonnoveldiagnosticapproachestodiseasediagnosis