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Advanced imaging and artificial intelligence for Barrett's esophagus:What we should and soon will do

World Journal of Gastroenterology 2022年第11期28卷 1113-1122页

作者： Marco Spadaccini Edoardo Vespa Viveksandeep Thoguluva Chandrasekar Madhav Desai Harsh K Patel Roberta Maselli Alessandro Fugazza Silvia Carrara Andrea Anderloni gianluca franchellucci Alessandro De Marco Cesare Hassan Pradeep Bhandari Prateek Sharma Alessandro Repici Department of Endoscopy Humanitas Research HospitalIRCCSRozzano 20089Italy Department of Biomedical Sciences Humanitas UniversityRozzano 20089Italy Department of Gastroenterology and Hepatology Mayo ClinicPhoenixAZ 85054United States Department of Gastroenterology and Hepatology Kansas City VA Medical CenterKansas CityMO 66045United States Department of Internal Medicine Ochsner Clinic FoundationNew OrleansLA 70124United States Endoscopy Unit Nuovo Regina Margherita HospitalRoma 00153Italy Department of Gastroenterology Portsmouth Hospitals University NHS TrustPortsmouth PO63LYUnited Kingdom School of Pharmacy and Biomedical Sciences University of PortsmouthPortsmouth PO63LYUnited Kingdom

Barrett’s esophagus(BE)is a well-established risk factor for esophageal *** is recommended that patients have regular endoscopic surveillance,with the ultimate goal of detecting early-stage neoplastic lesions before they can progress to invasive *** of both dysplasia or early adenocarcinoma permits curative endoscopic treatments,and with this aim,thorough endoscopic assessment is crucial and improves *** burden of missed neoplasia in BE is still far from being negligible,likely due to inappropriate endoscopic *** the last two decades,advanced imaging techniques,moving from traditional dye-spray chromoendoscopy to more practical virtual chromoendoscopy technologies,have been introduced with the aim to enhance neoplasia detection in *** witnessed in other fields,artificial intelligence(AI)has revolutionized the field of diagnostic endoscopy and is set to cover a pivotal role in BE as *** aim of this commentary is to comprehensively summarize present evidence,recent research advances,and future perspectives regarding advanced imaging technology and AI in BE;the combination of computer-aided diagnosis to a widespread adoption of advanced imaging technologies is eagerly *** will also provide a useful step-by-step approach for performing high-quality endoscopy in BE,in order to increase the diagnostic yield of endoscopy in clinical practice.

关键词： Barrett’s esophagus Endoscopy Artificial intelligence Surveillance Advanced imaging Neoplasia

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Artificial intelligence and inflammatory bowel disease: Where are we going?

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World Journal of Gastroenterology 2023年第3期29卷 508-520页

作者： Leonardo Da Rio Marco Spadaccini Tommaso Lorenzo Parigi Roberto Gabbiadini Arianna Dal Buono Anita Busacca Roberta Maselli Alessandro Fugazza Matteo Colombo Silvia Carrara gianluca franchellucci Ludovico Alfarone Antonio Facciorusso Cesare Hassan Alessandro Repici Alessandro Armuzzi Department of Endoscopy Humanitas Research HospitalIRCCSRozzano 20089MilanoItaly Department of Biomedical Sciences Humanitas UniversityRozzano 20089MilanoItaly IBD Center Humanitas Research HospitalIRCCSRozzano 20089MilanoItaly Gastroenterology Unit Department of Medical SciencesUniversity of FoggiaFoggia 71122FoggiaItaly

Inflammatory bowel diseases,namely ulcerative colitis and Crohn’s disease,are chronic and relapsing conditions that pose a growing burden on healthcare systems *** of their complex and partly unknown etiology and pathogenesis,the management of ulcerative colitis and Crohn’s disease can prove challenging not only from a clinical point of view but also for resource *** intelligence,an umbrella term that encompasses any cognitive function developed by machines for learning or problem solving,and its subsets machine learning and deep learning are becoming ever more essential tools with a plethora of applications in most medical *** this regard gastroenterology is no exception,and due to the importance of endoscopy and imaging numerous clinical studies have been gradually highlighting the relevant role that artificial intelligence has in inflammatory bowel diseases as *** aim of this review was to summarize the most recent evidence on the use of artificial intelligence in inflammatory bowel diseases in various contexts such as diagnosis,follow-up,treatment,prognosis,cancer surveillance,data collection,and ***,insights into the potential further developments in this field and their effects on future clinical practice were discussed.

关键词： Inflammatory bowel disease Artificial intelligence Machine learning Crohn’s disease Ulcerative colitis Computer-aided diagnosis

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Endoscopic resection of non-ampullary duodenal adenomas: Is cold snaring the promised land?

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World Journal of Gastrointestinal Endoscopy 2023年第4期15卷 248-258页

作者： Ludovico Alfarone Marco Spadaccini gianluca franchellucci Kareem Khalaf Davide Massimi Alessandro De Marco Silvia Ferretti Valeria Poletti Antonio Facciorusso Roberta Maselli Alessandro Fugazza Matteo Colombo Antonio Capogreco Silvia Carrara Cesare Hassan Alessandro Repici Department of Biomedical Sciences Humanitas UniversityRozzano 20089Italy Department of Gastroenterology Division of Gastroenterology and Digestive EndoscopyHumanitas Research HospitalIRCCSRozzano 20089MilanItaly Division of Gastroenterology St.Michael's HospitalUniversity of TorontoToronto M5B 1W8Canada Gastroenterology Unit Department of Medical SciencesUniversity of FoggiaFoggia 71100Italy

Due to the high risk of morbidity and mortality associated with surgical resection in this tract,endoscopic resection(ER)has taken the place of surgical resection as the first line treatment for non-ampullary duodenal ***,due to the anatomical characteristics of this area,which enhance the risk of post-ER problems,ER in the duodenum is particularly *** to a lack of data,no ER technique for superficial non-ampullary duodenal epithelial tumours(SNADETs)has yet been backed by strong,high-quality evidence;yet,traditional hot snare-based techniques are still regarded as the standard *** having a favourable efficiency profile,adverse events during duodenal hot snare polypectomy(HSP)and hot endoscopic mucosal resection,such as delayed bleeding and perforation,have been reported to be *** events are primarily caused by electrocautery-induced ***,ER techniques with a better safety profile are needed to overcome these *** snare polypectomy,which has already been shown as a safer,equally effective pro-cedure compared to HSP for treatment of small colorectal polyps,is being increasingly evaluated as a potential therapeutic option for non-ampullary duodenal *** aim of this review is to report and discuss the early outcomes of the first experiences with cold snaring for SNADETs.

关键词： Non-ampullary duodenal adenomas Endoscopic resection Cold snare polypectomy Hot snare polypectomy Safety Efficacy

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