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George et al. Mini-invasive Surg 2024;8:4  https://dx.doi.org/10.20517/2574-1225.2023.102  Page 7 of 23


 Table 2. Table of AI applications in capsule endoscopy for erosions and ulcers

 Year of   Study
 Ref.  Application  Study design  Aim and goals  Training/Validation dataset  AI type  Results
 publication  location
 [24]
 Li and Meng  Erosions and   2009  Retrospective  China  Utilising chromaticity moment to   Training: 1,350 normal samples and   MLP  Bleeding: sensitivity of 87.81%,
 ulcers  discriminate normal regions and   1,350 abnormal samples   specificity of 88.62%
 abnormal region  Testing: 450 normal samples and               Ulcer: sensitivity of 84.68%,
                  450 abnormal samples                          specificity of 92.97%
 [23]
 Charisis et al.  Erosions and   2010  Retrospective  Greece  Using BEEMD to extract intrinsic   Dataset: 40 normal and 40 ulcerous   SVM  Sensitivity of 95%, specificity
 ulcers  mode functions  images                                 of 96.5%
                  90% for training, 10% for testing
 [25]
 Charisis et al.  Erosions and   2012  Retrospective  Greece  Associate colour with structure   87 normal images, 50 “easy ulcer case”   MLP and   SVM: sensitivity of 98.9%,
 ulcers  information in order to discriminate  images, 37 “hard ulcer case” images   SVM  specificity of 96.9%, for “easy
 between healthy and ulcerous   90% was used for training, 10% for   ulcer”; sensitivity of 95.2%,
 tissue           testing                                       specificity of 88.9%, for “hard
                                                                ulcer”
                                                                MLP: sensitivity of 94.6%,
                                                                specificity of 98.2%, for “easy
                                                                ulcer”; sensitivity of 82%,
                                                                specificity of 95.1%, for “hard
                                                                ulcer”
 Iakovidis and   Erosions and   2014  Retrospective  Greece/   Derive colour feature-based pattern  Training: 1,233 images   SVM  Sensitivity of 95.4%, specificity
 [26]
 Koulaouzidis  ulcers  United   recognition method  Testing: 137 images  of 82.9%
 Kingdom
 [27]
 Fan et al.  Erosions and   2018  Retrospective  China  Automatic erosion detection via   Ulcer training: 2,000 ulcer images,   CNN  Ulcers: sensitivity of 96.8%,
 ulcers  deep neural network  2,400 normal images               specificity of 94.79%
                  Ulcer testing: 500 ulcer images,              Erosions: sensitivity of 93.67%,
                  600 normal images                             specificity of 95.98%
                  Erosion training: 2,720 ulcer images,
                  3,200 normal images
                  Erosion testing: 690 ulcer images,
                  800 normal images
 [28]
 Khan et al.  Erosions and   2019  Retrospective  Pakistan  Utilising DenseNet CNN for   Training: 2,800 ulcers, 2,800 bleeding,   MLP  Sensitivity of 99.40%,
 ulcers  stomach abnormality classification  and 2,800 healthy regions   specificity of 99.20%
                  Testing: 1,200 ulcers, 1,200 bleeding,
                  and 1,200 healthy regions
 [30]
 Wang et al.  Erosions and   2019  Retrospective  China  Use deep convolutional neural   Training: 15,781 ulcer frames and   CNN  Sensitivity of 89.71%,
 ulcers  networks to provide classification   17,138 normal frames   specificity of 90.48%
 confidence score and bounding box  Testing: 4,917 ulcer frames and
 marking area of suspected lesion  5,007 normal frames
 [31]
 Aoki et al.  Erosions and   2019  Retrospective  Japan  Develop CNN system based on a   Training: 5,360 ulcer and erosion images  CNN  Sensitivity of 88.2%, specificity
 ulcers  single shot multibox detector  Testing: 440 ulcer and erosion images,   of 90.9%
                  10,000 normal images
 [32]
 Ding et al.  Erosions and   2019  Retrospective  China  Characterise SB-CE images as   Training: 158,235 images from   CNN  Sensitivity of 99.90%,
 ulcers  multiple lesion types  1,970 patients                  specificity of 100%
                  Testing: 113, 268, 334 images from
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