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Classification of Epithelial Tissues: Overview01:22

Classification of Epithelial Tissues: Overview

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Epithelial tissues are classified according to the shape of the cells and the number of cell layers formed. Cell shapes can be squamous (flattened and thin), cuboidal (square-like, as wide as it is tall), or columnar (rectangular, taller than it is wide). Additionally, the nucleus shape helps identify the type of epithelial cells. Squamous cells have flattened disc-shaped nuclei, cuboidal cells have spherical nuclei, and columnar cells have elongated nuclei.
Based on the number of cell layers,...
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Related Experiment Video

Updated: Sep 11, 2025

Industrialized, Artificial Intelligence-guided Laser Microdissection for Microscaled Proteomic Analysis of the Tumor Microenvironment
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Multimodal artificial intelligence for subepithelial lesion classification and characterization: a multicenter

Jiao Li1,2, Xiaojuan Jing3, Qin Zhang4

  • 1Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Linjiang Road 76#, Chongqing, Yuzhong District, China.

BMC Medical Informatics and Decision Making
|August 15, 2025
PubMed
Summary

A new AI model, ECMAI-WME, integrates endoscopy and ultrasound to accurately classify gastrointestinal subepithelial lesions. This deep learning tool significantly outperforms human endoscopists in diagnosis and treatment decisions.

Keywords:
Artificial intelligenceEndoscopic ultrasoundGastrointestinal stromal tumorsGastrointestinal subepithelial lesionsNeuroendocrine tumors

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Area of Science:

  • Gastroenterology
  • Artificial Intelligence
  • Medical Imaging

Background:

  • Gastrointestinal subepithelial lesions (SELs) pose diagnostic challenges, especially distinguishing malignant from benign types.
  • Misdiagnosis of SELs can lead to inappropriate interventions or delayed treatment.
  • Accurate characterization of SELs is crucial for effective patient management.

Purpose of the Study:

  • To develop and evaluate ECMAI-WME, a parallel fusion deep learning model integrating white light endoscopy (WLE) and microprobe endoscopic ultrasonography (EUS).
  • To improve the classification and characterization of gastrointestinal subepithelial lesions.
  • To enhance diagnostic accuracy and support clinical decision-making in SEL management.

Main Methods:

  • Developed serial and parallel fusion AI models using data from 523 SELs across four hospitals.
  • Designated the superior performing model as ECMAI-WME (a parallel fusion model).
  • Validated ECMAI-WME on external (n=88) and multicenter (n=274) cohorts, comparing its performance against endoscopists.

Main Results:

  • ECMAI-WME significantly outperformed endoscopists in diagnostic accuracy (96.35% vs. 63.87-86.13%) and treatment decision accuracy (96.35% vs. 78.47-86.13%).
  • Achieved high accuracy in multiclass SEL classification and characterization (94.81% mean accuracy).
  • Demonstrated robust performance and generalizability across validation cohorts and subgroup analyses.

Conclusions:

  • The ECMAI-WME model shows excellent diagnostic performance and robustness for multiclass SEL classification and characterization.
  • Supports potential for real-time deployment to improve diagnostic consistency.
  • Aids in guiding clinical decision-making for gastrointestinal subepithelial lesions.