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©The Author(s) 2025.
World J Gastroenterol. Sep 28, 2025; 31(36): 111137
Published online Sep 28, 2025. doi: 10.3748/wjg.v31.i36.111137
Table 4 Convolutional neural network-based real-time artificial intelligence support and workflow integration in gastrointestinal endoscopy
Data
Architecture
Application
Key findings
Ref.
Gastroscopy imagesReal-time anatomical classification with CNNReal-time anatomical recognition during gastroscopy proceduresCNN accurately classified anatomical positions in real-time, reducing mislabeling and improving procedural documentation. Enabled smoother workflow integration with minimal latency[150]
Gastroscopy videosFrame-wise CNN classificationAutomated disease detection during endoscopy video reviewThe system provided real-time frame classification, improving detection of GI abnormalities in long video sequences and assisting in efficient case triage[151]
White-light endoscopyCNN for real-time Helicobacter pylori statusImmediate assessment of Helicobacter pylori infection during endoscopyReal-time feedback from the CNN allowed on-the-spot therapeutic decision-making and eliminated delays caused by biopsy processing[113]
Esophagogastroduodenoscopy videosCNN-based detection system integrated with endoscopeReal-time detection of gastroesophageal varicesThe system was validated across multiple centers and significantly reduced miss rates of varices in real-time, enhancing early intervention[152]
Colonoscopic imagesDeep CNN classifier for anatomical site recognitionAutomated real-time anatomical classification of colon imagesCNN correctly labeled anatomical sites, reducing reliance on user memory and ensuring consistent documentation. Improved novice performance[153]
Upper GI endoscopyCNN detection assistant in randomised controlled trialDetection of gastric neoplasms during routine proceduresA deep learning-based system reduced miss rate of gastric neoplasms significantly in a randomized controlled trial. Validated real-world clinical benefit[154]
Upper GI anatomy imagesMulti-task CNN modelSimultaneous detection of anatomical landmarks and structuresModel performed both classification and segmentation, improving navigation and assisting less experienced users in orientation[155]
Esophagogastroduodenoscopy imagesCNN trained on large anatomical datasetReal-time classification of esophagogastroduodenoscopy anatomyCNN classified images with expert-level accuracy, aiding report generation and training in real-time[141]
GI endoscopy videosCNN vs global feature comparisonReal-time disease detection efficiency benchmarkingCNNs proved significantly more accurate than traditional global features. Demonstrated readiness for real-time clinical deployment[156]
GI tract videosCNN with automated reporting moduleEnd-to-end disease detection and report generationAutomatically generated reports based on real-time CNN classification, reducing documentation time and enhancing standardization[157]


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