Scoring endoscopic disease activity in IBD: artificial intelligence sees more and better than we do

To give an example: when using a simple scoring system like the four scale Mayo endoscopic sub-score low interobserver agreement has been observed.2 3 Training programmes or standardised scoring conventions can improve this but will never overcome the disagreement.4 5 The Picasso score is an elegant example of a new UC activity score that optimally exploits the potential of the advanced imaging techniques.6 It discriminates subtle endoscopic features like crypt architecture and (sub)-mucosal vascular structures. Training Programs on Endoscopic Scoring Systems for Inflammatory Bowel Disease Lead to a Significant Increase in Interobserver Agreement Among Community Gastroenterologists. Novel computer-assisted diagnosis system for endoscopic disease activity in patients with ulcerative colitis.