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George et al. Mini-invasive Surg 2024;8:4  https://dx.doi.org/10.20517/2574-1225.2023.102  Page 17 of 23

               Table 6. Table of AI applications in capsule endoscopy for coeliac disease
                               Year of   Study    Study                Training/Validation
                Ref.  Application                         Aim and goals                   AI type  Results
                               publication design  location            dataset
                Zhou   Coeliac   2017    Retrospective China  Develop CNN-  Training: 6 coeliac disease   CNN  Sensitivity of
                et al. [93]  disease                      based methodology  patient CE videos, 5 control   100%,
                                                          for coeliac disease  patient CE videos   specificity of
                                                          identification  Testing: 5 coeliac disease   100%
                                                                       patient CE videos, 5 control
                                                                       patient CE videos
                Wang   Coeliac   2020    Retrospective China  Construct novel   Database of 1,100 normal   CNN   Sensitivity of
                et al. [94]  disease                      deep learning   mucosa images, 1,040 CD   SVM   97.20%,
                                                          recalibration   mucosa images used for   KNN   specificity of
                                                          module for the   training and testing  LDA  95.63%
                                                          diagnosis of coeliac
                                                          disease on VCE
                                                          images
                Li    Coeliac   2021     Retrospective China  Utilise novel SPCA  Training: 184 images   KNN   No
                et al. [95]  disease                      method for image   Testing: 276 images  SVMCNN Sensitivity or
                                                          processing to                          specificity
                                                          detect coeliac                         given,
                                                          disease                                accuracy of
                                                                                                 93.9%
                Chetcuti  Coeliac   2023  Retrospective United   Evaluate and   Training: 444,659 images   MLA  No
                Zammit  disease                   Kingdom/  compare coeliac   Testing: 63 VCE videos  Sensitivity or
                et al. [96]                       United   disease severity                      specificity
                                                  States of   assessment of AI                   given
                                                  America  tool and human
                                                          readers

               AI: Artificial intelligence; CNN: convolutional neural network; CE: capsule endoscopy; VCE: video capsule endoscopy; SVM: support vector
               machine; KNN: K nearest neighbour; LDA: linear discriminant analysis; SPCA: strip principal component analysis; MLA: machine learning
               algorithm.


               Table 7. Table of AI applications in capsule endoscopy for hookworm detection
                              Year of   Study     Study                  Training/Validation   AI
                Ref.  Application                        Aim and goals                          Results
                              publication  design  location              dataset           type
                Wu   Hookworm   2016    Retrospective China  Automatically detect   440,000 images from 11   MLA Sensitivity of
                  [97]
                et al.  detection                        hookworm on WCE   patients used for training   77.3%,
                                                         images          and testing            specificity of
                                                                                                77.9%
                He   Hookworm   2018    Retrospective China  Utilise deep learning for  440,000 images from 11   CNN Sensitivity of
                et al. [98]  detection                   automatic hookworm   patients used for training   84.6%,
                                                         detection       and testing            specificity of
                                                                                                88.6%
                Gan   Hookworm   2021   Retrospective China  Construct CNN for the  Training: 11,236 images of   CNN Sensitivity of
                et al. [99]  detection                   automatic detection of  hookworm       92.2%,
                                                         hookworm on CE   Testing: 531 hookworm   specificity of
                                                         images          images, 9,998 normal   91.1%
                                                                         images

               AI: Artificial intelligence; WCE: wireless capsule endoscopy; MLA: machine learning algorithm; CNN: convolutional neural network; CE: capsule
               endoscopy.

               positives such as in those with haemorrhoids or who do not wish to partake in FOBT-based screening
               programs. Furthermore, the non-invasiveness and cost-effectiveness of AI Capsule colonoscopy offer
               advantages over traditional procedures, making it a promising option for mass screening in the near future.
               It is expected that AI tools will replace parts of the endoscopy procedure after undergoing further clinical
               evaluation, especially with examples such as AnX Robotica’s ProScan receiving FDA approval in 2024.
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