Use of artificial intelligence in submucosal vessel detection during third-space endoscopy.
Markus W Scheppach, Robert Mendel, Anna Muzalyova...
https://pubmed.ncbi.nlm.nih.gov/39909396Actively Recruiting
Led by Asian Institute of Gastroenterology, India · Updated on 2026-04-15
20
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating a new artificial intelligence (AI) tool designed to assist during third space endoscopic procedures, such as Endoscopic Submucosal Dissection (ESD) and Peroral Endoscopic Myotomy (POEM). These procedures treat gastrointestinal tumors and motility disorders but carry risks of bleeding and perforation if blood vessels under the mucosa are not properly identified and managed. This study aims to see if the AI can help endoscopists detect and outline blood vessels more accurately and quickly during live procedures, building on previous retrospective studies. The study uses an AI system integrated into the Olympus EVIS X1 endoscopy equipment to provide real-time visual overlays that highlight submucosal blood vessels. Participants will be randomly assigned to two groups: one where the endoscopist sees the AI-generated vessel segmentation mask during the procedure, and another where the endoscopist performs the procedure without AI assistance. The performance of vessel detection and timing will be recorded and compared with expert reviews after the procedure. Participants diagnosed with Achalasia Cardia or tumors will take part in this prospective trial. Researchers will evaluate how well the AI improves the Vessel Detection Rate (VDR) and Vessel Detection Time (VDT) during the first three months. Safety monitoring will focus on procedural outcomes related to vessel identification. The total participation time and detailed follow-up procedures are aligned with the study design to ensure comprehensive evaluation of the AI tool during these complex endoscopic procedures.
CONDITIONS
Artificial Intelligence-Guided Detection of Blood Vessels to Enhance Safety in Third-Space Endoscopic Procedures
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Procedure duration as per clinical care
Participants undergo third-space endoscopy procedures where an AI device provides real-time visual segmentation masks highlighting blood vessels during the procedure.
1 procedure visit (in-person)
Duration - 3 months
Participants are monitored post-procedure to assess vessel detection rates and detection times over a 3-month period.
Periodic follow-up visits during 3 months
Total: 1 location
1
Asian Institute of Gastroenterology
Hyderabad, Telangana, India, 500032
Actively Recruiting
A
Abhishek Tyagi, M.S.
M
Mohan Ramchandani, M.D.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
DEVICE_FEASIBILITY
Number of Arms
2
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Markus W Scheppach, Robert Mendel, Anna Muzalyova...
https://pubmed.ncbi.nlm.nih.gov/39909396Alanna Ebigbo, Robert Mendel, Markus W Scheppach...
https://pubmed.ncbi.nlm.nih.gov/36109151