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The diagnosis of autoimmune pancreatitis (AIP) is often challenging and distinguishing it from chronic pancreatitis or pancreatic cancer (PC) could be very difficult. In particular, AIP can present at CT scan, MRI or endoscopic ultrasound (EUS) as a focal mass, sometimes with no other specific peculiarities. Furthermore, current international guidelines1 2 consider EUS only as a way to obtain cyto-histological specimens to exclude malignancy, regardless to its diagnostic capacity based on morphologic aspects.
For these reasons, we read with great interest the paper by Marya et al 3 about the possible role of a new EUS-convolutional neural network (EUS-CNN) model for the diagnosis of AIP. In this model, videos and pictures of EUS, accurately preselected by the endosonographers, were …
Contributors All the authors collaborated on the elaboration and revision of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.