Artificial intelligence in endoscopy: Overview, applications, and future directions

Saudi J Gastroenterol. 2023 Sep-Oct;29(5):269-277. doi: 10.4103/sjg.sjg_286_23. Epub 2023 Sep 6.

Abstract

Since the emergence of artificial intelligence (AI) in medicine, endoscopy applications in gastroenterology have been at the forefront of innovations. The ever-increasing number of studies necessitates the need to organize and classify applications in a useful way. Separating AI capabilities by computer aided detection (CADe), diagnosis (CADx), and quality assessment (CADq) allows for a systematic evaluation of each application. CADe studies have shown promise in accurate detection of esophageal, gastric and colonic neoplasia as well as identifying sources of bleeding and Crohn's disease in the small bowel. While more advanced CADx applications employ optical biopsies to give further information to characterize neoplasia and grade inflammatory disease, diverse CADq applications ensure quality and increase the efficiency of procedures. Future applications show promise in advanced therapeutic modalities and integrated systems that provide multimodal capabilities. AI is set to revolutionize clinical decision making and performance of endoscopy.

Keywords: Artificial intelligence; Barrett's; IBD; capsule endoscopy; endoscopy; polyp.

Publication types

  • Review

MeSH terms

  • Artificial Intelligence
  • Barrett Esophagus / diagnostic imaging
  • Colonic Neoplasms* / diagnostic imaging
  • Crohn Disease* / diagnostic imaging
  • Endoscopy
  • Endoscopy, Gastrointestinal*
  • Gastroenterology
  • Humans