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Artificial intelligence‐assisted endoscopy changes the definition of mucosal healing in ulcerative colitis
Author(s) -
Nakase Hiroshi,
Hirano Takehiro,
Wagatsuma Kohei,
Ichimiya Tadashi,
Yamakawa Tsukasa,
Yokoyama Yoshihiro,
Hayashi Yuki,
Hirayama Daisuke,
Kazama Tomoe,
Yoshii Shinji,
Yamano Hiroo
Publication year - 2021
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.13825
Subject(s) - medicine , ulcerative colitis , endoscopy , gastroenterology , clinical practice , clinical trial , disease , physical therapy
The relevance of endoscopic monitoring of ulcerative colitis (UC) has been translated into the new concept of “mucosal healing (MH)” as the therapeutic goal to achieve because a large amount of scientific data have revealed the favorable prognostic value of a healed mucosa in determining the clinical outcome of UC. Recent interest in MH has skewed toward not only endoscopic remission but also histological improvement (so called histological MH). However, we should recognize that there have been no prospectively validated endoscopic scoring systems of UC activity in previous clinical trials. Artificial intelligence (AI)‐assisted endoscopy has been developed for gastrointestinal cancer surveillance. Recently, several AI‐assisted endoscopic systems have been developed for assessment of MH in UC. In the future, the development of a new endoscopic scoring system based on AI might standardize the definition of MH. Therefore, “The road to an exact definition of MH in the treatment of UC has begun only now”.