Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-Analysis

Background: Wireless capsule endoscopy allows the identification of small intestinal protruded lesions, such as polyps, tumors, or venous structures. However, reading wireless capsule endoscopy images or movies is time-consuming, and minute lesions are easy to miss. Computer-aided diagnosis (CAD) ha...

Full description

Bibliographic Details
Main Authors: Hye Jin Kim, Eun Jeong Gong, Chang Seok Bang, Jae Jun Lee, Ki Tae Suk, Gwang Ho Baik
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/4/644
_version_ 1797410518891233280
author Hye Jin Kim
Eun Jeong Gong
Chang Seok Bang
Jae Jun Lee
Ki Tae Suk
Gwang Ho Baik
author_facet Hye Jin Kim
Eun Jeong Gong
Chang Seok Bang
Jae Jun Lee
Ki Tae Suk
Gwang Ho Baik
author_sort Hye Jin Kim
collection DOAJ
description Background: Wireless capsule endoscopy allows the identification of small intestinal protruded lesions, such as polyps, tumors, or venous structures. However, reading wireless capsule endoscopy images or movies is time-consuming, and minute lesions are easy to miss. Computer-aided diagnosis (CAD) has been applied to improve the efficacy of the reading process of wireless capsule endoscopy images or movies. However, there are no studies that systematically determine the performance of CAD models in diagnosing gastrointestinal protruded lesions. Objective: The aim of this study was to evaluate the diagnostic performance of CAD models for gastrointestinal protruded lesions using wireless capsule endoscopic images. Methods: Core databases were searched for studies based on CAD models for the diagnosis of gastrointestinal protruded lesions using wireless capsule endoscopy, and data on diagnostic performance were presented. A systematic review and diagnostic test accuracy meta-analysis were performed. Results: Twelve studies were included. The pooled area under the curve, sensitivity, specificity, and diagnostic odds ratio of CAD models for the diagnosis of protruded lesions were 0.95 (95% confidence interval, 0.93–0.97), 0.89 (0.84–0.92), 0.91 (0.86–0.94), and 74 (43–126), respectively. Subgroup analyses showed robust results. Meta-regression found no source of heterogeneity. Publication bias was not detected. Conclusion: CAD models showed high performance for the optical diagnosis of gastrointestinal protruded lesions based on wireless capsule endoscopy.
first_indexed 2024-03-09T04:31:12Z
format Article
id doaj.art-cc3de66db4fd491a94c7c7e53b750729
institution Directory Open Access Journal
issn 2075-4426
language English
last_indexed 2024-03-09T04:31:12Z
publishDate 2022-04-01
publisher MDPI AG
record_format Article
series Journal of Personalized Medicine
spelling doaj.art-cc3de66db4fd491a94c7c7e53b7507292023-12-03T13:35:41ZengMDPI AGJournal of Personalized Medicine2075-44262022-04-0112464410.3390/jpm12040644Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-AnalysisHye Jin Kim0Eun Jeong Gong1Chang Seok Bang2Jae Jun Lee3Ki Tae Suk4Gwang Ho Baik5Department of Internal Medicine, Hallym University College of Medicine, Chuncheon 24253, KoreaDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon 24253, KoreaDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon 24253, KoreaInstitute of New Frontier Research, Hallym University College of Medicine, Chuncheon 24253, KoreaDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon 24253, KoreaDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon 24253, KoreaBackground: Wireless capsule endoscopy allows the identification of small intestinal protruded lesions, such as polyps, tumors, or venous structures. However, reading wireless capsule endoscopy images or movies is time-consuming, and minute lesions are easy to miss. Computer-aided diagnosis (CAD) has been applied to improve the efficacy of the reading process of wireless capsule endoscopy images or movies. However, there are no studies that systematically determine the performance of CAD models in diagnosing gastrointestinal protruded lesions. Objective: The aim of this study was to evaluate the diagnostic performance of CAD models for gastrointestinal protruded lesions using wireless capsule endoscopic images. Methods: Core databases were searched for studies based on CAD models for the diagnosis of gastrointestinal protruded lesions using wireless capsule endoscopy, and data on diagnostic performance were presented. A systematic review and diagnostic test accuracy meta-analysis were performed. Results: Twelve studies were included. The pooled area under the curve, sensitivity, specificity, and diagnostic odds ratio of CAD models for the diagnosis of protruded lesions were 0.95 (95% confidence interval, 0.93–0.97), 0.89 (0.84–0.92), 0.91 (0.86–0.94), and 74 (43–126), respectively. Subgroup analyses showed robust results. Meta-regression found no source of heterogeneity. Publication bias was not detected. Conclusion: CAD models showed high performance for the optical diagnosis of gastrointestinal protruded lesions based on wireless capsule endoscopy.https://www.mdpi.com/2075-4426/12/4/644artificial intelligencecomputer-aided diagnosiscapsule endoscopypolyptumorprotruded
spellingShingle Hye Jin Kim
Eun Jeong Gong
Chang Seok Bang
Jae Jun Lee
Ki Tae Suk
Gwang Ho Baik
Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-Analysis
Journal of Personalized Medicine
artificial intelligence
computer-aided diagnosis
capsule endoscopy
polyp
tumor
protruded
title Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-Analysis
title_full Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-Analysis
title_fullStr Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-Analysis
title_full_unstemmed Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-Analysis
title_short Computer-Aided Diagnosis of Gastrointestinal Protruded Lesions Using Wireless Capsule Endoscopy: A Systematic Review and Diagnostic Test Accuracy Meta-Analysis
title_sort computer aided diagnosis of gastrointestinal protruded lesions using wireless capsule endoscopy a systematic review and diagnostic test accuracy meta analysis
topic artificial intelligence
computer-aided diagnosis
capsule endoscopy
polyp
tumor
protruded
url https://www.mdpi.com/2075-4426/12/4/644
work_keys_str_mv AT hyejinkim computeraideddiagnosisofgastrointestinalprotrudedlesionsusingwirelesscapsuleendoscopyasystematicreviewanddiagnostictestaccuracymetaanalysis
AT eunjeonggong computeraideddiagnosisofgastrointestinalprotrudedlesionsusingwirelesscapsuleendoscopyasystematicreviewanddiagnostictestaccuracymetaanalysis
AT changseokbang computeraideddiagnosisofgastrointestinalprotrudedlesionsusingwirelesscapsuleendoscopyasystematicreviewanddiagnostictestaccuracymetaanalysis
AT jaejunlee computeraideddiagnosisofgastrointestinalprotrudedlesionsusingwirelesscapsuleendoscopyasystematicreviewanddiagnostictestaccuracymetaanalysis
AT kitaesuk computeraideddiagnosisofgastrointestinalprotrudedlesionsusingwirelesscapsuleendoscopyasystematicreviewanddiagnostictestaccuracymetaanalysis
AT gwanghobaik computeraideddiagnosisofgastrointestinalprotrudedlesionsusingwirelesscapsuleendoscopyasystematicreviewanddiagnostictestaccuracymetaanalysis