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Efficacy and Safety of Herbal Medicine Yun-Cai Tea in the Treatment of Hyperlipidemia:A Double-Blind Placebo-Controlled Clinical Trial

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Chinese Journal of Integrative Medicine 2015年第8期21卷 587-593页

作者： Chien-Ying Lee Min-Chien Yu chun-che lin Ming-Yung Lee James cheng-chung Wei Hung-che Shih Institute of Medicine Chung Shan Medical University Department of Pharmacy Chung Shan Medical University Hospital Department of Internal Medicine Chung Shan Medical University Hospital Department of Integrated Chinese and Western Medicine Chung Shan MedicalUniversity Hospital Division of Hepatogastroenterology Department of Internal MedicineChung Shan Medical University Hospital Department of Statistics and Informatics Science Providence University Graduate Institute of Integrated Medicine China Medical University Department of Pharmacology Chung Shan Medical University

Objective： Animal studies have demonstrated a lipid-modulating effect of yun-cai tea. However, little is known about the lipid-lowering effect in *** aim of this study was to evaluate the lipid lowering effects and safety of yun-cai tea in patients with elevated lipid levels in a human clinical trial. Methods： This was a 12-week, randomly assigned, parallel-group, double-blind, and placebo-controlled pilot clinical study. Sixty primary hyperlipidemia patients were included and randomly assigned to the yun-cai tea group （30 patients） and the placebo group （30 patients）, for 8 weeks of treatment and 4 weeks of follow-up. The primary endpoint was changes in plasma low-density lipoprotein-cholesterol （LDL-C） at 8 weeks. The secondary endpoints included total cholesterol （TC） and triglycerides （TG）. Results： Our results revealed no statistically significant differences in LDL-C and TC between the two groups. Despite the lack of a statistically significant difference in the level of TG between the two groups, a declining trend was noted. A significant reduction of TG was observed in the yun-cai tea group at week 8, compared to baseline （P=0.048）. The incidence of stomach discomfort, gastroesophageal reflux, diarrhea, and constipation was slightly higher in the yun-cai tea group. No other significant adverse events were found. Conclusions： It is unlikely that yun-cai tea used had a blood lipid reduction effect. Further larger scale clinical trials with a longer duration and larger dose are necessary.

关键词： yun-cai tea low-density lipoprotein-cholesterol total cholesterol triglycerides

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Health disparities are associated with gastric cancer mortality-to-incidence ratios in 57 countries

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World Journal of Gastroenterology 2017年第44期23卷 7881-7887页

作者： Ming-Chang Tsai Chi-Chih Wang Hsiang-lin Lee cheng-Ming Peng Tzu-Wei Yang Hsuan-Yi chen Wen-Wei Sung chun-che lin Division of Gastroenterology and Hepatology Department of Internal MedicineChung Shan Medical University Hospital School of Medicine Chung Shan Medical University Institute of Medicine Chung Shan Medical University Department of Surgery Chung Shan Medical University Hospital Institute and Department of Biological Science and Technology National Chiao Tung University Department of Urology Chung Shan Medical University Hospital Department of Medical Education Chung Shan Medical University Hospital Department of Medical Technology Jen-Teh Junior College of MedicineNursing and Management

AIM To evaluate the association between mortality-to-incidence ratios(MIRs) and health *** In this study, we used the GLOBOCAN 2012 database to obtain the cancer incidence and mortality data for 57 countries, and combined this information with the World Health Organization(WHO) rankings and total expenditures on health/gross domestic product(e/GDP). The associations between variables and MIRs were analyzed by linear regression analyses and the 57 countries were selected according to their data quality. RESULTS The more developed regions showed high gastric cancer incidence and mortality crude rates, but lower MIR values than the less developed regions(0.64 vs 0.80, respectively). Among six continents, Oceania had the lowest(0.60) and Africa had the highest(0.91) MIR. A good WHO ranking and a high e/GDP were significantly associated with low MIRs(P = 0.001 and P = 0.001, respectively).CONCLUSION The MIR variation for gastric cancer would predict regional health disparities.

关键词： Gastric cancer Mortality Incidence Mortality-to-incidence ratio Gross domestic product Expenditure World Health Organization

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Favorable clinical outcome of nonalcoholic liver cirrhosis patients with coronary artery disease:A population-based study

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World Journal of Gastroenterology 2018年第31期24卷 3547-3555页

作者： Ming-Chang Tsai Tzu-Wei Yang Chi-Chih Wang Yao-Tung Wang Wen-Wei Sung Ming-Hseng Tseng chun-che lin Division of Gastroenterology and Hepatology Department of Internal MedicineChung Shan Medical University HospitalTaichung 402Taiwan Institute of Medicine Chung Shan Medical UniversityTaichung 402Taiwan School of Medicine Chung Shan Medical UniversityTaichung 402Taiwan Institute and Department of Biological Science and Technology National Chiao Tung UniversityHsinchu 300Taiwan Division of Pulmonary Medicine Chung Shan Medical University HospitalTaichung 402Taiwan Department of Urology Chung Shan Medical University HospitalTaichung 402Taiwan Department of Medical Informatics Chung Shan Medical UniversityTaichung 402Taiwan

AIM To elucidate the prevalence and risk of mortality of nonalcoholic liver cirrhosis(LC) patients with coronary artery disease(CAD).METHODS The study cohort included newly diagnosed nonalcoholic LC patients age ≥ 40 years old without a diagnosis of CAD from 2006 until 2011 from a longitudinal health insurance database. The mean follow-up period for the study cohort was 1152 ± 633 d. The control cohort was matched by sex, age, residence, and index date. Hazard ratios(HRs) were calculated using the Cox proportional hazard model and the Kaplan-Meier method. RESULTS After exclusion, a total of 3409 newly diagnosed nonalcoholic cirrhotic patients were identified from one million samples from the health insurance database. We found that CAD(5.1% vs 17.4%) and hyperlipidemia(20.6% vs 24.1%) were less prevalent in nonalcoholic LC patients than in normal subjects(all P < 0.001), whereas other comorbidities exhibited an increased prevalence. Among the comorbidities, chronic kidney disease exhibited the highest risk for mortality(adjusted HR(AHR) = 1.76; 95%CI: 1.55-2.00, P < 0.001). Ascites or peritonitis exhibited the highest risk of mortality among nonalcoholic cirrhotic patients(AHR = 2.34; 95%CI: 2.06-2.65, P < 0.001). Finally, a total of 170 patients developed CAD after a diagnosis of nonalcoholic LC. The AHR of CAD in nonalcoholic LC patients was 0.56(95%CI: 0.43-0.74, P < 0.001). The six-year survival rates for nonalcoholic LC patients with and without CAD were 52% and 50%, respectively(P = 0.012). CONCLUSION We conclude that CAD was less prevalent and associated with a reduced risk of mortality in nonalcoholic cirrhotic patients.

关键词： Nonalcoholic liver cirrhosis Coronary artery disease Population-based study

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No Additional Cholesterol-Lowering Effect Observed in the Combined Treatment of Red Yeast Rice and Lactobacillus Casei in Hyperlipidemic Patients：A Double-Blind Randomized Controlled Clinical Trial

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Chinese Journal of Integrative Medicine 2017年第8期23卷 581-588页

作者： Chien-Ying Lee Min-Chien Yu Wu-Tsun Perng chun-che lin Ming-Yung Lee Ya-Lan Chang Ya-Yun Lai Yi-Ching Lee Yu-Hsiang Kuan James cheng-chung Wei Hung-che Shih Institute of Medicine Chung Shan Medical University Taichung Taiwan 40201 China Department of Pharmacy Chung Shah Medical University Hospital Taichung Taiwan 40201 China Department of Pharmacology Chung Shan Medical University Taichung Taiwan 40201 China Department of Integrated Chinese and Western Medicine Chung Shan Medical University Hospital Taichung Taiwan 40201 China Department of Recreation Sport & Health Promotion National Pingtung University of Science and Technology Taiwan 91201 China Division of Hepatogastroenterology Department of Internal Medicine Chung Shan Medical University Hospital Taichung Taiwan 40201 China Department of Statistics and Informatics Science Providence University Taiwan 43301 China Department of Applied Cosmetology National Tainan Junior College of Nursing China Taiwan 700 Department of Internal Medicine Chung Shan Medical University HospitalGraduate Institute of Integrated Medicine China Medical University Taichung Taiwan 40201 China

Objective：To observe the effect of combining red yeast rice and Lactobacillus casei（***）in lowering cholesterol in patients with primary hyperlipidemia,the later has also been shown to remove cholesterol in in vitro ***：A double-blind clinical trial was conducted to evaluate the cholesterol-lowering effect of the combination of red yeast rice and *** patients with primary hyperlipidemia were recruited and randomized equal y to either the treatment group（red yeast rice＋***）or the control group（red yeast rice＋placebo）.One red yeast rice capsule and two *** capsules were taken twice a *** treatment lasted for 8 weeks,with an extended follow-up period of 4 *** primary endpoint was a difference of serum low-density lipoprotein cholesterol（LDL-C）level at week ***：At week 8,the LDL-C serum level in both groups was lower than that at baseline,with a decrease of 33.85±26.66 mg/dL in the treatment group and 38.11±30.90 mg/dL in the control group;however,there was no statistical difference between the two groups（P〉0.05）.The total cholesterol was also lower than the baseline in both groups,yet without a statistical difference between the two *** only statistical y significant difference between the two groups was the average diastolic pressure at week 12,which dropped by 2.67 mm Hg in the treatment group and increased by 4.43 mm Hg in the placebo group（P〈0.05）.The antihypertensive activity may be associated with *** yeast rice can significantly reduce LDL-C,total cholesterol and ***：The combination of red yeast rice and *** did not have an additional effect on lipid profiles.

关键词： red yeast rice Lactobacillus casei,low-density lipoprotein cholesterol randomizedcontrolled trial

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Risk of cholangiocarcinoma in patients undergoing therapeutic endoscopic retrograde cholangiopancre-atography or cholecystectomy: A population based study

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World Journal of Gastrointestinal Oncology 2019年第3期11卷 238-249页

作者： Chi-Chih Wang Ming-Chang Tsai Wen-Wei Sung Tzu-Wei Yang Hsuan-Yi chen Yao-Tung Wang Chang-cheng Su Ming-Hseng Tseng chun-che lin Institute of Medicine Chung Shan Medical University School of Medicine Chung Shan Medical University Division of Gastroenterology and Hepatology Department of Internal Medicine Chung Shan Medical University Hospital Department of Urology Chung Shan Medical University Hospital Institute and Department of Biological Science and Technology National Chiao Tung University Division of Pulmonary Medicine Department of Internal Medicine Chung Shan Medical University Hospital Department of Medical Informatics Chung Shan Medical University Information Technology Office Chung Shan Medical University Hospital

BACKGROUND Cholangiocarcinoma is a highly lethal disease that had been underestimated in the past two decades. Many risk factors are well documented for in cholangiocarcinoma, but the impacts of advanced biliary interventions, like endoscopic sphincterotomy(ES), endoscopic papillary balloon dilatation(EPBD),and cholecystectomy, are inconsistent in the previous *** To clarify the risks of cholangiocarcinoma after ES/EPBD, cholecystectomy or no intervention for cholelithiasis using the National Health Insurance Research Database(NHIRD).METHODS From data of NHIRD 2004-2011 in Taiwan, we selected 7938 cholelithiasis cases as well as 23814 control group cases(matched by sex and age in a 1:3 ratio). We compared the previous risk factors of cholangiocarcinoma and cholangiocarcinoma rate in the cholelithiasis and control groups. The incidences of total and subsequent cholangiocarcinoma were calculated in ES/EPBD patients, cholecystectomy patients, cholelithiasis patients without intervention,and groups from the normal *** In total, 537 cases underwent ES/EPBD, 1743 cases underwent cholecystectomy,and 5658 cholelithiasis cases had no intervention. Eleven(2.05%), 37(0.65%), and7(0.40%) subsequent cholangiocarcinoma cases were diagnosed in the ES/EPBD,no intervention, and cholecystectomy groups, respectively, and the odds ratio for subsequent cholangiocarcinoma was 3.13 in the ES/EPBD group and 0.61 in the cholecystectomy group when compared with the no intervention *** In conclusion, symptomatic cholelithiasis patients who undergo cholecystectomy can reduce the incidence of subsequent cholangiocarcinoma, while cholelithiasis patients who undergo ES/EPBD are at a great risk of subsequent cholangiocarcinoma according to our findings.

关键词： Cholangiocarcinoma Endoscopic sphincterotomy Endoscopic papillary balloon dilatation Cholecystectomy

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Cholecystectomy reduces subsequent cholangiocarcinoma risk in choledocholithiasis patients undergoing endoscopic intervention

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World Journal of Gastrointestinal Oncology 2020年第12期12卷 1381-1393页

作者： Chi-Chih Wang Ming-Hseng Tseng Sheng-Wen Wu Tzu-Wei Yang Hsuan-Yi chen Wen-Wei Sung Chang-cheng Su Yao-Tung Wang chun-che lin Ming-Chang Tsai Division of Gastroenterology and Hepatology Department of Internal MedicineChung Shan Medical University Hospitaland Institute of MedicineSchool of MedicineChung Shan Medical UniversityTaichung 40201Taiwan Department of Medical Informatics Chung Shan Medical UniversityTaichung 402Taiwan Department of Internal Medicine Chung Shan Medical University Hospital and School of MedicineChung Shan Medical UniversityTaichung 402Taiwan Department of Urology Chung Shan Medical University Hospitaland Institute of MedicineSchool of MedicineChung Shan Medical UniversityTaichung 40201Taiwan Division of Pulmonary Medicine Chung Shan Medical University Hospitaland Institute of MedicineSchool of MedicineChung Shan Medical UniversityTaichung 402Taiwan Department of Internal Medicine China Medical University Hospital and School of MedicineChina Medical UniversityTaichung 402Taiwan

BACKGROUND Cholangiocarcinoma is a disease with a high mortality *** previous study revealed that cholelithiasis patients who undergo endoscopic sphincterotomy(ES)/endoscopic papillary balloon dilatation are at a higher risk for subsequent cholangiocarcinoma than cholelithiasis patients who undergo *** To clarify the relationship between recurrent biliary events and subsequent cholangiocarcinoma risk in choledocholithiasis *** From one million random cases in the Taiwan National Health Insurance Research Database 2004–2011,we selected symptomatic choledocholithiasis patients older than 18 years who were admitted from January 2005 to December 2009(study group).Cases for a control group were defined as individuals who had never been diagnosed with cholelithiasis,matched by sex and age in a 1:3 *** study group was further divided into ES/endoscopic papillary balloon dilatation,both ES/endoscopic papillary balloon dilatation and cholecystectomy,and no intervention *** We included 2096 choledocholithiasis patients without previous intervention or cholangiocarcinoma.A total of 12(2.35%),11(0.74%),and 1(1.00%)subsequent cholangiocarcinoma cases were diagnosed among 511 ES/endoscopic papillary balloon dilatation patients,1485 patients with no intervention,and 100 ES/endoscopic papillary balloon dilatation and cholecystectomy patients,*** incidence rates of recurrent biliary event were 527.79/1000 person-years and 286.69/1000 person-years in the subsequent cholangiocarcinoma and no cholangiocarcinoma group,showing a high correlation between subsequent cholangiocarcinoma risk and recurrent biliary *** Choledocholithiasis patients who undergo further cholecystectomy after ES/endoscopic papillary balloon dilatation have decreased subsequent cholangiocarcinoma risk due to reduced recurrent biliary events.

关键词： Cholangiocarcinoma Endoscopic sphincterotomy Endoscopic papillary balloon dilatation Cholecystectomy Recurrent biliary events

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Evaluation of the Potential Inhibitory Activity of A Combination of ***,*** and *** on Helicobacter Pylori：A Randomized Double-Blind Placebo-Controlled Clinical Trial

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Chinese Journal of Integrative Medicine 2017年第3期23卷 176-182页

作者： Chien-Ying Lee Hung-che Shih Min-Chien Yu Ming-Yung Lee Ya-Lan Chang Ya-Yun Lai Yi-Ching Lee Yu-Hsiang Kuan chun-che lin Institute of Medicine Chung Shan Medical UniversityTaichungTaiwan 40201China Department of Pharmacy Chung Shan Medical University HospitalTaichungTaiwan 40201China Department of Medicine Chung Shan Medical UniversityTaichungTaiwanChina Department of Integrated Chinese and Western Medicine Chung Shan Medical University HospitalTaichungTaiwan 40201China Department of Statistics and Informatics Science Providence UniversityChina 43301 Department of Applied Cosmetology National Tainan Junior College of NursingTaiwan 700 China Division of Hepatogastroent erology Department of Internal MedicineChung Shan Medical University HospitalTaichungTaiwan 40201China

Objective： To investigate whether three strains of probiotics, L. acidophilus, L. rhamnosus, and L. sporogenes, had significant inhibitive effects on Helicobacter pylori（H. pylori）. Methods： This is a 4-week, randomly assigned, parallel-group, doubled-blind, and placebo-controlled study. Fifty patients with a positive H. pylori infection urea breath test（△UBT） result 〉 10% and without ulcer symptoms were randomized into a treatment group and a placebo group by a computer generated allocation sheet with 1：1. These subjects took one capsule of probiotics or placebo twice daily. The primary measurement was the change in △UBT values. Results： The △UBT values during the 4-week treatment period and the 2-week follow-up period were not significantly different between the treatment group and the placebo group, indicating that the inhibitive effects on H. pylori were comparable between both groups. The monocyte count（%） was 5.77±1.11 in the treatment group versus 5.09±1.12 in the placebo group（P=0.044）, and the basophile count was 0.55±0.32 in the treatment group versus 0.36±0.23 in the placebo group（P=0.024） at week 2 of the treatment period, both of which reached statistical significance. The monocyte count was 5.75±1.26 in the treatment group and 4.72±0.99 in the placebo group at the end of the follow-up period（P=0.003）. Conclusions： There was no significant inhibitive effects of the three probiotic strains（L. acidophilus, L. rhamnosus, and L. sporogenes） on H. pylori. Probiotics can not play the same role as antibiotics in the eradication of H. pylori, the role of probiotics is likely to be important as adjuvant to the triple or quadruple therapy for H. pylori, especially in resistance cases.

关键词： probiotics Helicobacter pylori urea breath test randomized double-blind placebo-controlled trial

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IDS-INT:Intrusion detection system using transformer-based transfer learning for imbalanced network traffic

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Digital Communications and Networks 2024年第1期10卷 190-204页

作者： Farhan Ullah Shamsher Ullah Gautam Srivastava Jerry chun-Wei lin School of Software Northwestern Polytechnical UniversityXian710072ShaanxiChina Knowledge Unit of Systems and Technology University of Management and TechnologySialkot 51040Pakistan Department of Math and Computer Science Brandon UniversityBrandonMB R7A 6A9Canada Department of Computer Science and Math Lebanese American UniversityBeirut1102Lebanon Western Norway University of Applied Sciences BergenNorway Research Centre for Interneural Computing China Medical UniversityTaichungTaiwanChina

A network intrusion detection system is critical for cyber security against llegitimate *** terms of feature perspectives,network traffic may include a variety of elements such as attack reference,attack type,a subcategory of attack,host information,malicious scripts,*** terms of network perspectives,network traffic may contain an imbalanced number of harmful attacks when compared to normal *** is challenging to identify a specific attack due to complex features and data imbalance *** address these issues,this paper proposes an Intrusion Detection System using transformer-based transfer learning for Imbalanced Network Traffic(IDS-INT).IDS-INT uses transformer-based transfer learning to learn feature interactions in both network feature representation and imbalanced ***,detailed information about each type of attack is gathered from network interaction descriptions,which include network nodes,attack type,reference,host information,***,the transformer-based transfer learning approach is developed to learn detailed feature representation using their semantic ***,the Synthetic Minority Oversampling Technique(SMOTE)is implemented to balance abnormal traffic and detect minority ***,the Convolution Neural Network(CNN)model is designed to extract deep features from the balanced network ***,the hybrid approach of the CNN-Long Short-Term Memory(CNN-LSTM)model is developed to detect different types of attacks from the deep *** experiments are conducted to test the proposed approach using three standard datasets,i.e.,UNsWNB15,CIC-IDS2017,and *** explainable AI approach is implemented to interpret the proposed method and develop a trustable model.

关键词： Network intrusion detection Transfer learning Features extraction Imbalance data Explainable AI Cybersecurity

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Coupling Analysis of Multiple Machine Learning Models for Human Activity Recognition

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Computers, Materials & Continua 2024年第6期79卷 3783-3803页

作者： Yi-chun Lai Shu-Yin Chiang Yao-Chiang Kan Hsueh-chun lin Department of Public Health China Medical UniversityTaichung406040Taiwan Department of Information and Telecommunications Engineering Ming Chuan UniversityGui-ShanTaoyuan333Taiwan Department of Electrical Engineering Yuan Ze UniversityChung-Li32003Taiwan Department and Institute of Health Service Administrations China Medical UniversityTaichung406040Taiwan

Artificial intelligence(AI)technology has become integral in the realm of medicine and healthcare,particularly in human activity recognition(HAR)applications such as fitness and rehabilitation *** study introduces a robust coupling analysis framework that integrates four AI-enabled models,combining both machine learning(ML)and deep learning(DL)approaches to evaluate their effectiveness in *** analytical dataset comprises 561 features sourced from the UCI-HAR database,forming the foundation for training the ***,the MHEALTH database is employed to replicate the modeling process for comparative purposes,while inclusion of the WISDM database,renowned for its challenging features,supports the framework’s resilience and *** ML-based models employ the methodologies including adaptive neuro-fuzzy inference system(ANFIS),support vector machine(SVM),and random forest(RF),for data *** contrast,a DL-based model utilizes one-dimensional convolution neural network(1dCNN)to automate feature ***,the recursive feature elimination(RFE)algorithm,which drives an ML-based estimator to eliminate low-participation features,helps identify the optimal features for enhancing model *** best accuracies of the ANFIS,SVM,RF,and 1dCNN models with meticulous featuring process achieve around 90%,96%,91%,and 93%,*** analysis using the MHEALTH dataset showcases the 1dCNN model’s remarkable perfect accuracy(100%),while the RF,SVM,and ANFIS models equipped with selected features achieve accuracies of 99.8%,99.7%,and 96.5%,***,when applied to the WISDM dataset,the DL-based and ML-based models attain accuracies of 91.4%and 87.3%,respectively,aligning with prior research *** conclusion,the proposed framework yields HAR models with commendable performance metrics,exhibiting its suitability for integration into the healthcare services system through AI-driven applications.

关键词： Human activity recognition artificial intelligence support vector machine random forest adaptive neuro-fuzzy inference system convolution neural network recursive feature elimination

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Artificial intelligence system for the detection of Barrett’s esophagus

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World Journal of Gastroenterology 2023年第48期29卷 6198-6207页

作者： Ming-Chang Tsai Hsu-Heng Yen Hui-Yu Tsai Yu-Kai Huang Yu-Sin Luo Edy Kornelius Wen-Wei Sung chun-che lin Ming-Hseng Tseng Chi-Chih Wang Division of Gastroenterology and Hepatology Department of Internal MedicineChung Shan Medical University HospitalTaichung 402TaiwanChina School of Medicine Chung Shan Medical UniversityTaichung 402TaiwanChina Division of Gastroenterology Changhua Christian HospitalChanghua 500TaiwanChina Artificial Intelligence Development Center Changhua Christian HospitalChanghua 500TaiwanChina Department of Post-Baccalaureate Medicine College of MedicineNational Chung Hsing UniversityTaichung 400TaiwanChina Department of Medical Informatics Chung Shan Medical UniversityTaichung 402TaiwanChina Department of Internal Medicine Chung Shan Medical University HospitalTaichung 402TaiwanChina Department of Endocrinology and Metabolism Chung-Shan Medical University HospitalTaichung 402TaiwanChina Department of Urology Chung Shan Medical University HospitalTaichung 402TaiwanChina Information Technology Office Chung Shan Medical University HospitalTaichung 402TaiwanChina

BACKGROUND Barrett’s esophagus(BE),which has increased in prevalence worldwide,is a precursor for esophageal *** there is a gap in the detection rates between endoscopic BE and histological BE in current research,we trained our artificial intelligence(AI)system with images of endoscopic BE and tested the system with images of histological *** To assess whether an AI system can aid in the detection of BE in our *** Endoscopic narrow-band imaging(NBI)was collected from chung Shan Medical University Hospital and Changhua Christian Hospital,resulting in 724 cases,with 86 patients having pathological *** senior endoscopists,who were instructing physicians of the Digestive Endoscopy Society of Taiwan,independently annotated the images in the development set to determine whether each image was classified as an endoscopic *** test set consisted of 160 endoscopic images of 86 cases with histological *** Six pre-trained models were compared,and EfficientNetV2B2(accuracy[ACC]:0.8)was selected as the backbone architecture for further evaluation due to better ACC *** the final test,the AI system correctly identified 66 of 70 cases of BE and 85 of 90 cases without BE,resulting in an ACC of 94.37%.CONCLUSION Our AI system,which was trained by NBI of endoscopic BE,can adequately predict endoscopic images of histological *** ACC,sensitivity,and specificity are 94.37%,94.29%,and 94.44%,respectively.

关键词： Barrett’s esophagus Artificial intelligence system Endoscopy Narrow-band imaging Gastroesophageal reflux disease

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