Published online Jun 14, 2023. doi: 10.3748/wjg.v29.i22.3561
Peer-review started: March 4, 2023
First decision: March 28, 2023
Revised: April 3, 2023
Accepted: May 4, 2023
Article in press: May 4, 2023
Published online: June 14, 2023
Processing time: 95 Days and 4.5 Hours
Recently, artificial intelligence (AI) has been widely used in gastrointestinal endoscopy examinations.
To comprehensively evaluate the application of AI-assisted endoscopy in detecting different digestive diseases using bibliometric analysis.
Relevant publications from the Web of Science published from 1990 to 2022 were extracted using a combination of the search terms “AI” and “endoscopy”. The following information was recorded from the included publications: Title, author, institution, country, endoscopy type, disease type, performance of AI, publication, citation, journal and H-index.
A total of 446 studies were included. The number of articles reached its peak in 2021, and the annual citation numbers increased after 2006. China, the United States and Japan were dominant countries in this field, accounting for 28.7%, 16.8%, and 15.7% of publications, respectively. The Tada Tomohiro Institute of Gastroenterology and Proctology was the most influential institution. “Cancer” and “polyps” were the hotspots in this field. Colorectal polyps were the most concerning and researched disease, followed by gastric cancer and gastrointestinal bleeding. Conventional endoscopy was the most common type of examination. The accuracy of AI in detecting Barrett’s esophagus, colorectal polyps and gastric cancer from 2018 to 2022 is 87.6%, 93.7% and 88.3%, respectively. The detection rates of adenoma and gastrointestinal bleeding from 2018 to 2022 are 31.3% and 96.2%, respectively.
AI could improve the detection rate of digestive tract diseases and a convolutional neural network-based diagnosis program for endoscopic images shows promising results.
Core Tip: Gastrointestinal tumors diagnosed at an early stage had a better prognosis than those diagnosed at a late stage, and performing endoscopy is the most effective approach to detect gastrointestinal tumors. In recent years, artificial intelligence (AI) has been widely used in gastrointestinal endoscopy examinations and it represents a fundamental breakthrough in the field of diagnostic endoscopy by assisting endoscopists with the detection of gastrointestinal tumors. This study aimed to provide a comprehensive analysis of AI applied in diagnostic endoscopy. A basic literature analysis was performed, as well as a subgroup analysis of AI-assisted digestive endoscopy in diagnosing various diseases.