ASGE DDW Videos from Around the World | 2026-YOUR MISSION- SAFE APPOSITION. DEVELOPMENT AND DEPLOYMENT OF AN EUS-GUIDED DRAINAGE COPILOT AI

YOUR MISSION- SAFE APPOSITION. DEVELOPMENT AND DEPLOYMENT OF AN EUS-GUIDED DRAINAGE COPILOT AI

Video Transcription

Video Summary

This study developed an AI “co-pilot” for endoscopic ultrasound-guided gallbladder drainage to help identify safe treatment windows for lumen-apposing metal stent placement. Using 59 videos and expert grading (A–F), a ResNet50v2 model was trained to classify windows as favorable, borderline, or unfavorable. On a test set, the system achieved 87.5% sensitivity, 90.8% specificity, and 89.2% accuracy. It was also deployed in real time on a separate monitor without altering the clinical system. The AI performed well in retrospective and live cases and may help reduce technical difficulty and improve safety.

Asset Subtitle

Video Plenary II
Prashanth Rau

Keywords

endoscopic ultrasound-guided gallbladder drainage

lumen-apposing metal stent

AI co-pilot

ResNet50v2

real-time classification