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11/3/2026 3:34:08 AM | Browse: 1 | Download: 7
Publication Name Artificial Intelligence in Gastroenterology
Manuscript ID 125015
Country Kenya
Received
2026-07-07 08:15
Peer-Review Started
2026-07-07 08:16
First Decision by Editorial Office Director
Return for Revision
2026-08-04 08:54
Revised
2026-08-14 11:13
Publication Fee Transferred
Second Decision by Editor
2026-10-15 03:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-10-16 09:22
Articles in Press
2026-10-16 09:22
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-10-21 06:50
Publish the Manuscript Online
2026-11-03 03:34
ISSN 2644-3236 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Meta-Analysis
Article Title Predicting pathological complete response to neoadjuvant chemoradiotherapy in rectal cancer via artificial intelligence: A systematic review and meta-analysis
Manuscript Source Invited Manuscript
All Author List Felix Pius Omullo, Thomas Kimanzi Kitheghe, Ismail Abdi Sheikh, Abel Mwangi Gakuya, Joshua Macharia Gitumu, Mohamed Ahmed Shiekh, Wilson Owuor Agai, Wendy Bitengo Orenge and Harambee Moses Gogo
ORCID
Author(s) ORCID Number
Felix Pius Omullo http://orcid.org/0009-0007-7431-1310
Thomas Kimanzi Kitheghe http://orcid.org/0009-0003-2745-1792
Ismail Abdi Sheikh http://orcid.org/0009-0006-5304-3313
Abel Mwangi Gakuya http://orcid.org/0009-0003-8871-9123
Joshua Macharia Gitumu http://orcid.org/0009-0009-6496-1824
Mohamed Ahmed Shiekh http://orcid.org/0009-0001-1011-7291
Wilson Owuor Agai http://orcid.org/0009-0001-7054-5204
Wendy Bitengo Orenge http://orcid.org/0009-0006-8097-5773
Harambee Moses Gogo http://orcid.org/0009-0006-7585-3421
Funding Agency and Grant Number
Corresponding Author Felix Pius Omullo, MD, Senior Researcher, Department of Clinical Research, St. Teresa Hospital, Off Kikuyu Thogoto Road, Kikuyu 1370, Kiambu, Kenya. piuskirasia@gmail.com
Key Words Locally advanced rectal cancer; Neoadjuvant chemoradiotherapy; Pathological complete response; Artificial intelligence; Machine learning; Deep learning; Radiomics; Diagnostic accuracy; Magnetic resonance imaging; Meta-analysis
Core Tip Artificial intelligence (AI) and radiomics models demonstrate pooled accuracy of 0.889 with low between-study heterogeneity (I² = 11.3%). Performance was consistent across internal, temporal, and external validation cohorts (area under the curve: 0.877-0.901) and between low and high risk-of-bias studies. However, the positive predictive value (54.4%) remains insufficient for artificial intelligence to confirm pathological complete response independently. Prospective validation with standardized reporting is required before implementation. AI should be integrated with, rather than replace, multidisciplinary assessment.
Publish Date 2026-11-03 03:34
Citation

Omullo FP, Kitheghe TK, Sheikh IA, Gakuya AM, Gitumu JM, Shiekh MA, Agai WO, Orenge WB, Gogo HM. Predicting pathological complete response to neoadjuvant chemoradiotherapy in rectal cancer via artificial intelligence: A systematic review and meta-analysis. Artif Intell Gastroenterol 2026; 7(3): 125015

URL https://www.wjgnet.com/2644-3236/full/v7/i3/125015.htm
DOI https://doi.org/10.35712/aig.125015
Full Article (PDF) AIG-7-125015-with-cover.pdf
PRISMA 2009 Checklist 125015-PRISMA-2009-Checklist.pdf
Manuscript File 125015_Auto_Edited_013814.docx
Answering Reviewers 125015-answering-reviewers.pdf
Audio Core Tip 125015-audio.aac
Biostatistics Review Certificate 125015-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 125015-conflict-of-interest-statement.pdf
Copyright License Agreement 125015-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 125015-non-native-speakers.pdf
Supplementary Material 125015-supplementary-material.pdf
Peer-review Report 125015-peer-reviews.pdf
Scientific Misconduct Check 125015-scientific-misconduct-check.png
CrossCheck Report 125015-crosscheck-report.pdf