Machine Learning Achieves Pathologist-Level Celiac Disease Diagnosis

Publication New England Journal of Medicine

Florian Jaeckle, James Denholm, Benjamin Schreiber, Shelley C. Evans, Mike N. Wicks, James Y. H. Chan, Adrian C. Bateman, Sonali Natu, Mark J. Arends, Elizabeth Soilleux

27 March 2025

Diagnosing coeliac disease (CD), an autoimmune disorder that has an estimated global prevalence of around 1%, mainly relies on examination of biopsies of the duodenum under a microscope – called histologic examination. However when pathologists look at the same sample, only 80% of the time do they agree on a CD diagnosis. Jaeckle et al aimed to improve the CD diagnosis by developing an accurate, machine-learning-based diagnostic classifier. Initial results revealed that the model was able to diagnose samples with an accuracy, sensitivity and specificity exceeding 95%. It was concluded that the tool may be able to assist  pathologists in making a CD diagnosis, reducing the time required to make a diagnosis.

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