TY - JOUR A1 - Scharfenberg, Georg A1 - Mottok, Jürgen A1 - Artmann, Christina A1 - Hobelsberger, Martin A1 - Paric, Ivan A1 - Großmann, Benjamin A1 - Pohlt, Clemens A1 - Wackerbarth, Alena A1 - Pausch, Uli A1 - Heidrich, Christiane A1 - Fadanelli, Martin A1 - Elsner, Michael A1 - Pöcher, Daniel A1 - Pittroff, Lenz A1 - Beer, Stefan A1 - Brückl, Oliver A1 - Haslbeck, Matthias A1 - Sterner, Michael A1 - Thema, Martin A1 - Muggenthaler, Nicole A1 - Lenck, Thorsten A1 - Götz, Philipp A1 - Eckert, Fabian A1 - Deubzer, Michael A1 - Stingl, Armin A1 - Simsek, Erol A1 - Krämer, Stefan A1 - Großmann, Benjamin A1 - Schlegl, Thomas A1 - Niedersteiner, Sascha A1 - Berlehner, Thomas A1 - Joblin, Mitchell A1 - Mauerer, Wolfgang A1 - Apel, Sven A1 - Siegmund, Janet A1 - Riehle, Dirk A1 - Weber, Joachim A1 - Palm, Christoph A1 - Zobel, Martin A1 - Al-Falouji, Ghassan A1 - Prestel, Dietmar A1 - Scharfenberg, Georg A1 - Mandl, Roland A1 - Deinzer, Arnulf A1 - Halang, W. A1 - Margraf-Stiksrud, Jutta A1 - Sick, Bernhard A1 - Deinzer, Renate A1 - Scherzinger, Stefanie A1 - Klettke, Meike A1 - Störl, Uta A1 - Wiech, Katharina A1 - Kubata, Christoph A1 - Sindersberger, Dirk A1 - Monkman, Gareth J. A1 - Dollinger, Markus A1 - Dembianny, Sven A1 - Kölbl, Andreas A1 - Welker, Franz A1 - Meier, Matthias A1 - Thumann, Philipp A1 - Swidergal, Krzysztof A1 - Wagner, Marcus A1 - Haug, Sonja A1 - Vernim, Matthias A1 - Seidenstücker, Barbara A1 - Weber, Karsten A1 - Arsan, Christian A1 - Schone, Reinhold A1 - Münder, Johannes A1 - Schroll-Decker, Irmgard A1 - Dillinger, Andrea Elisabeth A1 - Fuchshofer, Rudolf A1 - Monkman, Gareth J. A1 - Shamonin (Chamonine), Mikhail A1 - Geith, Markus A. A1 - Koch, Fabian A1 - Ühlin, Christian A1 - Schratzenstaller, Thomas A1 - Saßmannshausen, Sean Patrick A1 - Auchter, Eberhard A1 - Kriz, Willy A1 - Springer, Othmar A1 - Thumann, Maria A1 - Kusterle, Wolfgang A1 - Obermeier, Andreas A1 - Udalzow, Anton A1 - Schmailzl, Anton A1 - Hierl, Stefan A1 - Langer, Christoph A1 - Schreiner, Rupert ED - Baier, Wolfgang T1 - Forschungsbericht 2015 T3 - Forschungsberichte der OTH Regensburg - 2015 Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-13867 SN - 978-3-00-048589-3 CY - Regensburg ER - TY - JOUR A1 - Mauerer, Wolfgang A1 - Rexhepaj, Tanja A1 - Monkman, Gareth J. A1 - Sindersberger, Dirk A1 - Diermeier, Andreas A1 - Neidhart, Thomas A1 - Wolfrum, Dominik A1 - Sterner, Michael A1 - Heberl, Michael A1 - Nusko, Robert A1 - Maier, Georg A1 - Nagl, Klaus A1 - Reuter, Monika A1 - Hofrichter, Andreas A1 - Lex, Thomas A1 - Lesch, Florian A1 - Kieninger, Bärbel A1 - Szalo, Alexander Eduard A1 - Zehner, Alexander A1 - Palm, Christoph A1 - Joblin, Mitchell A1 - Apel, Sven A1 - Ramsauer, Ralf A1 - Lohmann, Daniel A1 - Westner, Markus A1 - Strasser, Artur A1 - Munndi, Maximilian A1 - Ebner, Lena A1 - Elsner, Michael A1 - Weiß, Nils A1 - Segerer, Matthias A1 - Hackenberg, Rudolf A1 - Steger, Sebastian A1 - Schmailzl, Anton A1 - Dostalek, Michael A1 - Armbruster, Dominik A1 - Koch, Fabian A1 - Hierl, Stefan A1 - Thumann, Philipp A1 - Swidergal, Krzysztof A1 - Wagner, Marcus A1 - Briem, Ulrich A1 - Diermeier, Andreas A1 - Spreitzer, Stefan A1 - Beiderbeck, Sabrina A1 - Hook, Christian A1 - Zobel, Martin A1 - Weber, Tim A1 - Groß, Simon A1 - Penzkofer, Rainer A1 - Dendorfer, Sebastian A1 - Schillitz, Ingo A1 - Bauer, Thomas A1 - Rudolph, Clarissa A1 - Schmidt, Katja A1 - Liebetruth, Thomas A1 - Hamer, Markus A1 - Haug, Sonja A1 - Vernim, Matthias A1 - Weber, Karsten A1 - Saßmannshausen, Sean Patrick A1 - Books, Sebastian A1 - Neuleitner, Nikolaus A1 - Rechenauer, Christian A1 - Steffens, Oliver A1 - Kusterle, Wolfgang A1 - Gömmel, Roland A1 - Wellnitz, Felix A1 - Stierstorfer, Johannes A1 - Stadler, Dominik A1 - Hofmann, Matthias J. A1 - Motschmann, Hubert A1 - Shamonin (Chamonine), Mikhail A1 - Bleicher, Veronika A1 - Fischer, Sebastian A1 - Hackenberg, Rudolf A1 - Horn, Anton A1 - Kawasch, Raphael A1 - Petzenhauser, Michael A1 - Probst, Tobias A1 - Udalzow, Anton A1 - Dams, Florian A1 - Schreiner, Rupert A1 - Langer, Christoph A1 - Prommesberger, Christian A1 - Ławrowski, Robert Damian ED - Baier, Wolfgang T1 - Forschungsbericht 2016 T3 - Forschungsberichte der OTH Regensburg - 2016 Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-13840 CY - Regensburg ER - TY - JOUR A1 - Lautenschläger, Toni A1 - Leis, Alexander A1 - Dendorfer, Sebastian A1 - Palm, Christoph A1 - Schreiner, Rupert A1 - Langer, Christoph A1 - Prommesberger, Christian A1 - Ławrowski, Robert Damian A1 - Dams, Florian A1 - Bornmann, Benjamin A1 - Navitski, Aliaksandr A1 - Serbun, Pavel A1 - Müller, Günter A1 - Liebetruth, Thomas A1 - Kohlert, Dieter A1 - Pernsteiner, Jochen A1 - Schreier, Franz A1 - Heerklotz, Sabrina A1 - Heerklotz, Allwin A1 - Boos, Alexander A1 - Herwald, Dominik A1 - Monkman, Gareth J. A1 - Treiber, Daniel A1 - Mayer, Matthias A1 - Hörner, Eva A1 - Bentz, Alexander A1 - Shamonin (Chamonine), Mikhail A1 - Johansen, Søren Peter A1 - Reichel, Marco A1 - Stoll, Andrea A1 - Briem, Ulrich A1 - Dullien, Silvia A1 - Renkawitz, Tobias A1 - Weber, Tim A1 - Dendorfer, Sebastian A1 - Grifka, Joachim A1 - Penzkofer, Rainer A1 - Barnsteiner, K. A1 - Jovanovik, M. A1 - Wernecke, P. A1 - Vögele, A. A1 - Bachmann, T. A1 - Plötz, Martin A1 - Schliekmann, Claus A1 - Wels, Harald A1 - Helmberger, Paul A1 - Kaspar, Marcel A1 - Hönicka, M. A1 - Schrammel, Siegfried A1 - Enser, Markus A1 - Schmidmeier, Monika A1 - Schroll-Decker, Irmgard A1 - Haug, Sonja A1 - Gelfert, Verena A1 - Vernim, Matthias ED - Baier, Wolfgang T1 - Forschungsbericht 2012 T3 - Forschungsberichte der OTH Regensburg - 2012 Y1 - 2012 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-7834 CY - Regensburg ER - TY - JOUR A1 - Appelhans, Marie-Luise A1 - Kampmann, Matthias A1 - Mottok, Jürgen A1 - Riederer, Michael A1 - Nagl, Klaus A1 - Steffens, Oliver A1 - Dünnweber, Jan A1 - Wildgruber, Markus A1 - Roth, Julius A1 - Stadler, Timo A1 - Palm, Christoph A1 - Weiß, Martin Georg A1 - Rochholz, Sandra A1 - Bierl, Rudolf A1 - Gschossmann, Andreas A1 - Haug, Sonja A1 - Schmidbauer, Simon A1 - Koch, Anna A1 - Westner, Markus A1 - Bary, Benedikt von A1 - Ellermeier, Andreas A1 - Vögele, Daniel A1 - Maiwald, Frederik A1 - Hierl, Stefan A1 - Schlamp, Matthias A1 - Ehrlich, Ingo A1 - Siegl, Marco A1 - Hüntelmann, Sven A1 - Wildfeuer, Matthias A1 - Brückl, Oliver A1 - Sterner, Michael A1 - Hofrichter, Andreas A1 - Eckert, Fabian A1 - Bauer, Franz A1 - Dawoud, Belal A1 - Rabl, Hans-Peter A1 - Gamisch, Bernd A1 - Schmidt, Ottfried A1 - Heberl, Michael A1 - Thema, Martin A1 - Mayer, Ulrike A1 - Eller, Johannes A1 - Sippenauer, Thomas A1 - Adelt, Christian A1 - Haslbeck, Matthias A1 - Vogl, Bettina A1 - Mauerer, Wolfgang A1 - Ramsauer, Ralf A1 - Lohmann, Daniel A1 - Sax, Irmengard A1 - Gabor, Thomas A1 - Feld, Sebastian A1 - Linnhoff-Popien, Claudia A1 - Ławrowski, Robert Damian A1 - Langer, Christoph A1 - Schreiner, Rupert A1 - Sellmair, Josef ED - Baier, Wolfgang T1 - Forschung 2019 BT - Thema: Künstliche Intelligenz N2 - Bericht mit Forschungsprojekten aus verschiedenen Bereichen der OTH Regensburg mit dem Schwerpunktthema "Künstliche Intelligenz" und einem Gespräch zur "Medizin der Zukunft" T3 - Forschungsberichte der OTH Regensburg - 2019 KW - Forschung KW - Forschungsbericht KW - Künstliche Intelligenz Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-7890 SN - 978-3-9818209-7-3 CY - Regensburg ER - TY - JOUR A1 - Weber, Karsten A1 - Dendorfer, Sebastian A1 - Süß, Franz A1 - Kubowitsch, Simone A1 - Schratzenstaller, Thomas A1 - Haug, Sonja A1 - Mohr, Christa A1 - Kiesl, Hans A1 - Drechsler, Jörg A1 - Westner, Markus A1 - Kobus, Jörn A1 - Schubert, Martin J. W. A1 - Zenger, Stefan A1 - Pietsch, Alexander A1 - Weiß, Josef A1 - Hinterseer, Sebastian A1 - Schieck, Roland A1 - Scherzinger, Stefanie A1 - Klettke, Meike A1 - Ringlstetter, Andreas A1 - Störl, Uta A1 - Bissyandé, Tegawendé F. A1 - Seeburger, Achim A1 - Schindler, Timo A1 - Ramsauer, Ralf A1 - Kiszka, Jan A1 - Kölbl, Andreas A1 - Lohmann, Daniel A1 - Mauerer, Wolfgang A1 - Maier, Johannes A1 - Scorna, Ulrike A1 - Palm, Christoph A1 - Soska, Alexander A1 - Mottok, Jürgen A1 - Ellermeier, Andreas A1 - Vögele, Daniel A1 - Hierl, Stefan A1 - Briem, Ulrich A1 - Buschmann, Knut A1 - Ehrlich, Ingo A1 - Pongratz, Christian A1 - Pielmeier, Benjamin A1 - Tyroller, Quirin A1 - Monkman, Gareth J. A1 - Gut, Franz A1 - Roth, Carina A1 - Hausler, Peter A1 - Bierl, Rudolf A1 - Prommesberger, Christian A1 - Ławrowski, Robert Damian A1 - Langer, Christoph A1 - Schreiner, Rupert A1 - Huang, Yifeng A1 - She, Juncong A1 - Ottl, Andreas A1 - Rieger, Walter A1 - Kraml, Agnes A1 - Poxleitner, Thomas A1 - Hofer, Simon A1 - Heisterkamp, Benjamin A1 - Lerch, Maximilian A1 - Sammer, Nike A1 - Golde, Olivia A1 - Wellnitz, Felix A1 - Schmid, Sandra A1 - Muntschick, Claudia A1 - Kusterle, Wolfgang A1 - Paric, Ivan A1 - Brückl, Oliver A1 - Haslbeck, Matthias A1 - Schmidt, Ottfried A1 - Schwanzer, Peter A1 - Rabl, Hans-Peter A1 - Sterner, Michael A1 - Bauer, Franz A1 - Steinmann, Sven A1 - Eckert, Fabian A1 - Hofrichter, Andreas ED - Baier, Wolfgang T1 - Forschungsbericht 2017 T3 - Forschungsberichte der OTH Regensburg - 2017 KW - Forschung KW - Forschungsbericht Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-13835 SN - 978-3-9818209-3-5 CY - Regensburg ER - TY - JOUR A1 - Ebigbo, Alanna A1 - Mendel, Robert A1 - Scheppach, Markus W. A1 - Probst, Andreas A1 - Shahidi, Neal A1 - Prinz, Friederike A1 - Fleischmann, Carola A1 - Römmele, Christoph A1 - Gölder, Stefan Karl A1 - Braun, Georg A1 - Rauber, David A1 - Rückert, Tobias A1 - Souza Jr., Luis Antonio de A1 - Papa, João Paulo A1 - Byrne, Michael F. A1 - Palm, Christoph A1 - Messmann, Helmut T1 - Vessel and tissue recognition during third-space endoscopy using a deep learning algorithm JF - Gut N2 - In this study, we aimed to develop an artificial intelligence clinical decision support solution to mitigate operator-dependent limitations during complex endoscopic procedures such as endoscopic submucosal dissection and peroral endoscopic myotomy, for example, bleeding and perforation. A DeepLabv3-based model was trained to delineate vessels, tissue structures and instruments on endoscopic still images from such procedures. The mean cross-validated Intersection over Union and Dice Score were 63% and 76%, respectively. Applied to standardised video clips from third-space endoscopic procedures, the algorithm showed a mean vessel detection rate of 85% with a false-positive rate of 0.75/min. These performance statistics suggest a potential clinical benefit for procedure safety, time and also training. KW - Artificial Intelligence KW - Endoscopy KW - Medical Image Computing Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-54293 VL - 71 IS - 12 SP - 2388 EP - 2390 PB - BMJ CY - London ER - TY - JOUR A1 - Ott, Tankred A1 - Palm, Christoph A1 - Vogt, Robert A1 - Oberprieler, Christoph T1 - GinJinn: An object-detection pipeline for automated feature extraction from herbarium specimens JF - Applications in Plant Sciences N2 - PREMISE: The generation of morphological data in evolutionary, taxonomic, and ecological studies of plants using herbarium material has traditionally been a labor-intensive task. Recent progress in machine learning using deep artificial neural networks (deep learning) for image classification and object detection has facilitated the establishment of a pipeline for the automatic recognition and extraction of relevant structures in images of herbarium specimens. METHODS AND RESULTS: We implemented an extendable pipeline based on state-of-the-art deep-learning object-detection methods to collect leaf images from herbarium specimens of two species of the genus Leucanthemum. Using 183 specimens as the training data set, our pipeline extracted one or more intact leaves in 95% of the 61 test images. CONCLUSIONS: We establish GinJinn as a deep-learning object-detection tool for the automatic recognition and extraction of individual leaves or other structures from herbarium specimens. Our pipeline offers greater flexibility and a lower entrance barrier than previous image-processing approaches based on hand-crafted features. KW - Deep Learning KW - herbarium specimens KW - object detection KW - visual recognition KW - Deep Learning KW - Objekterkennung KW - Maschinelles Sehen KW - Pflanzen Y1 - 2020 U6 - https://doi.org/10.1002/aps3.11351 SN - 2168-0450 VL - 8 IS - 6 SP - e11351 PB - Wiley, Botanical Society of America ER - TY - JOUR A1 - Meinikheim, Michael A1 - Mendel, Robert A1 - Palm, Christoph A1 - Probst, Andreas A1 - Muzalyova, Anna A1 - Scheppach, Markus W. A1 - Nagl, Sandra A1 - Schnoy, Elisabeth A1 - Römmele, Christoph A1 - Schulz, Dominik Andreas Helmut Otto A1 - Schlottmann, Jakob A1 - Prinz, Friederike A1 - Rauber, David A1 - Rückert, Tobias A1 - Matsumura, Tomoaki A1 - Fernández-Esparrach, Glòria A1 - Parsa, Nasim A1 - Byrne, Michael F. A1 - Messmann, Helmut A1 - Ebigbo, Alanna T1 - Influence of artificial intelligence on the diagnostic performance of endoscopists in the assessment of Barrett’s esophagus: a tandem randomized and video trial JF - Endoscopy N2 - Background This study evaluated the effect of an artificial intelligence (AI)-based clinical decision support system on the performance and diagnostic confidence of endoscopists in their assessment of Barrett’s esophagus (BE). Methods 96 standardized endoscopy videos were assessed by 22 endoscopists with varying degrees of BE experience from 12 centers. Assessment was randomized into two video sets: group A (review first without AI and second with AI) and group B (review first with AI and second without AI). Endoscopists were required to evaluate each video for the presence of Barrett’s esophagus-related neoplasia (BERN) and then decide on a spot for a targeted biopsy. After the second assessment, they were allowed to change their clinical decision and confidence level. Results AI had a stand-alone sensitivity, specificity, and accuracy of 92.2%, 68.9%, and 81.3%, respectively. Without AI, BE experts had an overall sensitivity, specificity, and accuracy of 83.3%, 58.1%, and 71.5%, respectively. With AI, BE nonexperts showed a significant improvement in sensitivity and specificity when videos were assessed a second time with AI (sensitivity 69.8% [95%CI 65.2%–74.2%] to 78.0% [95%CI 74.0%–82.0%]; specificity 67.3% [95%CI 62.5%–72.2%] to 72.7% [95%CI 68.2%–77.3%]). In addition, the diagnostic confidence of BE nonexperts improved significantly with AI. Conclusion BE nonexperts benefitted significantly from additional AI. BE experts and nonexperts remained significantly below the stand-alone performance of AI, suggesting that there may be other factors influencing endoscopists’ decisions to follow or discard AI advice. KW - Artificial Intelligence KW - Endoscopy KW - Medical Image Computing Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:898-opus4-72818 VL - 56 SP - 641 EP - 649 PB - Georg Thieme Verlag CY - Stuttgart ER - TY - GEN A1 - Ebigbo, Alanna A1 - Rauber, David A1 - Ayoub, Mousa A1 - Birzle, Lisa A1 - Matsumura, Tomoaki A1 - Probst, Andreas A1 - Steinbrück, Ingo A1 - Nagl, Sandra A1 - Römmele, Christoph A1 - Meinikheim, Michael A1 - Scheppach, Markus W. A1 - Palm, Christoph A1 - Messmann, Helmut T1 - Early Esophageal Cancer and the Generalizability of Artificial Intelligence T2 - Endoscopy N2 - Aims Artificial Intelligence (AI) systems in gastrointestinal endoscopy are narrow because they are trained to solve only one specific task. Unlike Narrow-AI, general AI systems may be able to solve multiple and unrelated tasks. We aimed to understand whether an AI system trained to detect, characterize, and segment early Barrett’s neoplasia (Barrett’s AI) is only capable of detecting this pathology or can also detect and segment other diseases like early squamous cell cancer (SCC). Methods 120 white light (WL) and narrow-band endoscopic images (NBI) from 60 patients (1 WL and 1 NBI image per patient) were extracted from the endoscopic database of the University Hospital Augsburg. Images were annotated by three expert endoscopists with extensive experience in the diagnosis and endoscopic resection of early esophageal neoplasias. An AI system based on DeepLabV3+architecture dedicated to early Barrett’s neoplasia was tested on these images. The AI system was neither trained with SCC images nor had it seen the test images prior to evaluation. The overlap between the three expert annotations („expert-agreement“) was the ground truth for evaluating AI performance. Results Barrett’s AI detected early SCC with a mean intersection over reference (IoR) of 92% when at least 1 pixel of the AI prediction overlapped with the expert-agreement. When the threshold was increased to 5%, 10%, and 20% overlap with the expert-agreement, the IoR was 88%, 85% and 82%, respectively. The mean Intersection Over Union (IoU) – a metric according to segmentation quality between the AI prediction and the expert-agreement – was 0.45. The mean expert IoU as a measure of agreement between the three experts was 0.60. Conclusions In the context of this pilot study, the predictions of SCC by a Barrett’s dedicated AI showed some overlap to the expert-agreement. Therefore, features learned from Barrett’s cancer-related training might be helpful also for SCC prediction. Our results allow different possible explanations. On the one hand, some Barrett’s cancer features generalize toward the related task of assessing early SCC. On the other hand, the Barrett’s AI is less specific to Barrett’s cancer than a general predictor of pathological tissue. However, we expect to enhance the detection quality significantly by extending the training to SCC-specific data. The insight of this study opens the way towards a transfer learning approach for more efficient training of AI to solve tasks in other domains. Y1 - 2024 U6 - https://doi.org/10.1055/s-0044-1783775 VL - 56 IS - S 02 SP - S428 PB - Thieme CY - Stuttgart ER - TY - GEN A1 - Scheppach, Markus W. A1 - Mendel, Robert A1 - Rauber, David A1 - Probst, Andreas A1 - Nagl, Sandra A1 - Römmele, Christoph A1 - Meinikheim, Michael A1 - Palm, Christoph A1 - Messmann, Helmut A1 - Ebigbo, Alanna T1 - Artificial Intelligence (AI) improves endoscopists’ vessel detection during endoscopic submucosal dissection (ESD) T2 - Endoscopy N2 - Aims While AI has been successfully implemented in detecting and characterizing colonic polyps, its role in therapeutic endoscopy remains to be elucidated. Especially third space endoscopy procedures like ESD and peroral endoscopic myotomy (POEM) pose a technical challenge and the risk of operator-dependent complications like intraprocedural bleeding and perforation. Therefore, we aimed at developing an AI-algorithm for intraprocedural real time vessel detection during ESD and POEM. Methods A training dataset consisting of 5470 annotated still images from 59 full-length videos (47 ESD, 12 POEM) and 179681 unlabeled images was used to train a DeepLabV3+neural network with the ECMT semi-supervised learning method. Evaluation for vessel detection rate (VDR) and time (VDT) of 19 endoscopists with and without AI-support was performed using a testing dataset of 101 standardized video clips with 200 predefined blood vessels. Endoscopists were stratified into trainees and experts in third space endoscopy. Results The AI algorithm had a mean VDR of 93.5% and a median VDT of 0.32 seconds. AI support was associated with a statistically significant increase in VDR from 54.9% to 73.0% and from 59.0% to 74.1% for trainees and experts, respectively. VDT significantly decreased from 7.21 sec to 5.09 sec for trainees and from 6.10 sec to 5.38 sec for experts in the AI-support group. False positive (FP) readings occurred in 4.5% of frames. FP structures were detected significantly shorter than true positives (0.71 sec vs. 5.99 sec). Conclusions AI improved VDR and VDT of trainees and experts in third space endoscopy and may reduce performance variability during training. Further research is needed to evaluate the clinical impact of this new technology. Y1 - 2024 U6 - https://doi.org/10.1055/s-0044-1782891 VL - 56 IS - S 02 SP - S93 PB - Thieme CY - Stuttgart ER - TY - GEN A1 - Zellmer, Stephan A1 - Rauber, David A1 - Probst, Andreas A1 - Weber, Tobias A1 - Braun, Georg A1 - Römmele, Christoph A1 - Nagl, Sandra A1 - Schnoy, Elisabeth A1 - Messmann, Helmut A1 - Ebigbo, Alanna A1 - Palm, Christoph T1 - Artificial intelligence as a tool in the detection of the papillary ostium during ERCP T2 - Endoscopy N2 - Aims Endoscopic retrograde cholangiopancreaticography (ERCP) is the gold standard in the diagnosis as well as treatment of diseases of the pancreatobiliary tract. However, it is technically complex and has a relatively high complication rate. In particular, cannulation of the papillary ostium remains challenging. The aim of this study is to examine whether a deep-learning algorithm can be used to detect the major duodenal papilla and in particular the papillary ostium reliably and could therefore be a valuable tool for inexperienced endoscopists, particularly in training situation. Methods We analyzed a total of 654 retrospectively collected images of 85 patients. Both the major duodenal papilla and the ostium were then segmented. Afterwards, a neural network was trained using a deep-learning algorithm. A 5-fold cross-validation was performed. Subsequently, we ran the algorithm on 5 prospectively collected videos of ERCPs. Results 5-fold cross-validation on the 654 labeled data resulted in an F1 value of 0.8007, a sensitivity of 0.8409 and a specificity of 0.9757 for the class papilla, and an F1 value of 0.5724, a sensitivity of 0.5456 and a specificity of 0.9966 for the class ostium. Regardless of the class, the average F1 value (class papilla and class ostium) was 0.6866, the sensitivity 0.6933 and the specificity 0.9861. In 100% of cases the AI-detected localization of the papillary ostium in the prospectively collected videos corresponded to the localization of the cannulation performed by the endoscopist. Conclusions In the present study, the neural network was able to identify the major duodenal papilla with a high sensitivity and high specificity. In detecting the papillary ostium, the sensitivity was notably lower. However, when used on videos, the AI was able to identify the location of the subsequent cannulation with 100% accuracy. In the future, the neural network will be trained with more data. Thus, a suitable tool for ERCP could be established, especially in the training situation. Y1 - 2024 U6 - https://doi.org/10.1055/s-0044-1783138 VL - 56 IS - S 02 SP - S198 PB - Thieme CY - Stuttgart ER -