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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Appendicitis-II: Diagnostic Studies and Management

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Related Experiment Video

Updated: Jun 27, 2026

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
04:01

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Published on: September 8, 2022

AI-Based Prediction of Post-ERCP Pancreatitis: A Comparative Study Using Tabular, Image, and Multimodal Data.

Anum Jamil1,2, Waseemullah Nazir1, Abeer Altaf2

  • 1Department of Computer Science and Information Technology, NED University of Engineering and Technology, Main University Road, Karachi 75270, Sindh, Pakistan.

Diagnostics (Basel, Switzerland)
|June 26, 2026
PubMed
Summary

Predicting Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis (PEP) is crucial for patient care. Structured clinical data showed the strongest predictive signals for PEP risk, outperforming image and multimodal approaches in this study.

Keywords:
PEP predictionclass imbalancedata augmentationendoscopic image analysismultimodal fusionpost-ERCP pancreatitis

Related Experiment Videos

Last Updated: Jun 27, 2026

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
04:01

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Published on: September 8, 2022

Area of Science:

  • Gastroenterology and Endoscopy
  • Medical Informatics and Machine Learning
  • Clinical Prediction Modeling

Background:

  • Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis (PEP) is a significant complication of ERCP, affecting 2-10% of patients.
  • Early prediction of PEP risk is vital for timely intervention and improved patient outcomes.
  • This study evaluated the predictive capabilities of clinical data, endoscopic images, and multimodal approaches for PEP.

Purpose of the Study:

  • To comparatively assess the performance of machine learning models using tabular clinical data, endoscopic images, and multimodal fusion for predicting PEP.
  • To identify key clinical and imaging features associated with PEP risk.
  • To explore the potential of advanced AI techniques in managing ERCP complications.

Main Methods:

  • Retrospective analysis of clinical and endoscopic data from a single center.
  • Application of XGBoost for tabular data and EfficientNet-B0, ResNet50, DenseNet201 for image data.
  • Development of a multimodal contrastive learning framework combining image and tabular features.
  • Implementation of class imbalance mitigation techniques and performance evaluation using AUC, sensitivity, and F1-score.

Main Results:

  • The XGBoost model using tabular clinical data achieved the highest predictive performance (AUC 0.95).
  • Image-based models, particularly ResNet50, showed moderate performance (AUC 0.76).
  • The multimodal model demonstrated lower predictive power (AUC 0.57). Key predictors included cannulation time, ampulla type, and patient age.

Conclusions:

  • Structured clinical data currently offer the most robust predictive signals for PEP compared to endoscopic images or multimodal fusion in this cohort.
  • Class imbalance due to the low incidence of PEP remains a challenge.
  • Future multicenter studies with larger datasets and advanced techniques are needed to enhance predictive accuracy and clinical utility.