Gastric Intestinal Metaplasia
Conditions
Brief summary
This prospective randomized controlled trial with a crossover design incorporated image-enhanced endoscopy (IEE) videos demonstrating complete standardized examinations of five standard gastric areas (antrum greater curvature, antrum lesser curvature, incisura, corpus lesser curvature, and corpus greater curvature). Endoscopists were stratified by experience level and randomly assigned to either the AI-assisted scoring first group, which performed EGGIM scoring with AI assistance in the initial phase followed by conventional scoring after a washout period, or the conventional scoring first group, which completed the assessments in reverse order. The study primarily evaluated the training efficacy of the EGGIM-AI system for improving endoscopists' EGGIM scoring performance by comparing diagnostic accuracy metrics, including the area under the receiver operating characteristic curve (AUC), sensitivity, and specificity between groups at different study phases.
Interventions
DIAGNOSTIC_TESTAI-assisted EGGIM scoring
Endoscopists will evaluate the videos with the assistance of the AI system via EGGIM score.
DIAGNOSTIC_TESTConventional EGGIM scoring
Endoscopists will evaluate the videos without the assistance of the AI system via EGGIM score.
Sponsors
Qilu Hospital of Shandong University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Endoscopists who have performed ≥50 image-enhanced endoscopy (IEE) procedures per year and demonstrated competency in performing standardized IEE.
Exclusion criteria
Endoscopists who participated in data acquisition or were unblinded to patients' identifiable information and clinical data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of the EGGIM-AI system for improving endoscopists' EGGIM scoring performance | Through study completion, an average of 3 months | Diagnostic accuracy metrics, including the area under the receiver operating characteristic curve (AUC), sensitivity, and specificity between groups at different study phases. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Performance of EGGIM scoring by endoscopists with varying experience levels | Through study completion, an average of 3 months | Differences in AUC, sensitivity, and specificity of EGGIM scores between experienced and inexperienced endoscopists within each group at different phases. |
Countries
China
Contacts
CONTACTZhen Li
Outcome results
None listed