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Peer-Reviewed Publication
Inflamm Bowel Dis2026July 17, 2026Journal Article

Artificial intelligence assessment of endoscopic severity and extent: A machine learning approach to continuous evaluation of endoscopic inflammation in ulcerative colitis.

Alvin T George1, Klaus Gottlieb2, Daniel R Colucci3, William J Eastman2, Shrujal Baxi3, Chakib Battioui2, Julian Lehrer3, Evan Yu3, Pavel Brodskiy3, Yeli Wang3, Darren Thomason3, Mohammad Haft-Javaherian3, David T Rubin1
1Section of Gastroenterology, Hepatology, and Nutrition, University of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL 60637,United States.
2Eli Lilly and Company, Clinical Research, Indianapolis, IN 46285, United States.
3Iterative Health Inc., Life Sciences, Cambridge, MA 02138, United States.

Abstract

BACKGROUND: The endoscopy subscore is a therapeutic endpoint in ulcerative colitis trials but is limited by reader variability and inability to fully capture the degree of inflammation across the colon. We developed the artificial intelligence assessment of endoscopic severity and extent (AI-ESe), a continuous, more granular assessment of inflammation throughout the colon to better capture the tot…

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