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<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2025-48-4-520-535</article-id><article-id pub-id-type="publisher-id">270</article-id><article-categories><subj-group subj-group-type="heading"><subject>SURGERY</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Neural Network Classification of the Type of Ulcerative Gastroduodenal Bleeding According to Endoscopic Images&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Neural Network Classification of the Type of Ulcerative Gastroduodenal Bleeding According to Endoscopic Images&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Barannikov</surname><given-names>Sergey V.</given-names></name><name xml:lang="en"><surname>Barannikov</surname><given-names>Sergey V.</given-names></name></name-alternatives><email>svbarannikov@rambler.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Kashirina</surname><given-names>Irina L.</given-names></name><name xml:lang="en"><surname>Kashirina</surname><given-names>Irina L.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Cherednikov</surname><given-names>Evgeniy F.</given-names></name><name xml:lang="en"><surname>Cherednikov</surname><given-names>Evgeniy F.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Parkhisenkо</surname><given-names>Yury A.</given-names></name><name xml:lang="en"><surname>Parkhisenkо</surname><given-names>Yury A.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Vorotilina</surname><given-names>Anastasia I.</given-names></name><name xml:lang="en"><surname>Vorotilina</surname><given-names>Anastasia I.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2025</year></pub-date><volume>48</volume><issue>4</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2025/4/АПМ_2025_Том_48__4_520-535.pdf" /><abstract xml:lang="ru"><p>Ulcerative gastroduodenal bleeding remains a serious problem in modern medicine. To determine the type of ulcerative bleeding, the Forrest classification is used worldwide, defining the tactics of treating patients with bleeding gastroduodenal ulcers. The ability to correctly classify the type of bleeding depends primarily on the experience of an endoscopist. With the development of artificial intelligence technologies, there are high expectations in improving the diagnosis and treatment of surgical diseases. This article discusses the possibility of developing an algorithm for recognizing the type of ulcerative bleeding from endoscopic images using machine learning models and integrating it into an expert medical decision support system. In the course of this study, the first Russian neural network classification was developed, which makes it possible to determine the type of ulcerative gastroduodenal bleeding with 75,56&amp;nbsp;% accuracy. The developed algorithm for recognizing the type of ulcerative bleeding is integrated into a mobile application as a tool to help in making medical decisions, which in the future will improve the quality of diagnosis and medical care for patients with gastrointestinal bleeding of ulcerative etiology.</p></abstract><trans-abstract xml:lang="en"><p>Ulcerative gastroduodenal bleeding remains a serious problem in modern medicine. To determine the type of ulcerative bleeding, the Forrest classification is used worldwide, defining the tactics of treating patients with bleeding gastroduodenal ulcers. The ability to correctly classify the type of bleeding depends primarily on the experience of an endoscopist. With the development of artificial intelligence technologies, there are high expectations in improving the diagnosis and treatment of surgical diseases. This article discusses the possibility of developing an algorithm for recognizing the type of ulcerative bleeding from endoscopic images using machine learning models and integrating it into an expert medical decision support system. In the course of this study, the first Russian neural network classification was developed, which makes it possible to determine the type of ulcerative gastroduodenal bleeding with 75,56&amp;nbsp;% accuracy. The developed algorithm for recognizing the type of ulcerative bleeding is integrated into a mobile application as a tool to help in making medical decisions, which in the future will improve the quality of diagnosis and medical care for patients with gastrointestinal bleeding of ulcerative etiology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ulcerative gastroduodenal bleeding</kwd><kwd>artificial intelligence</kwd><kwd>machine learning</kwd><kwd>clinical solutions</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ulcerative gastroduodenal bleeding</kwd><kwd>artificial intelligence</kwd><kwd>machine learning</kwd><kwd>clinical solutions</kwd></kwd-group></article-meta></front><back><ack><p>Funding: the work was carried out with the funds of the Grant of the President of the Russian Federation for state support of young Russian scientists &amp;ndash; Candidates of Sciences Grant No. MK-1069.2020.7 (MK-2020 Competition) and the award of the Government of the Voronezh Region among young scientists (Decree of the Government of the Voronezh Region 18.12.2023, No. 924).</p></ack><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Barannikov S.V., Cherednikov E.F., Banin I.N, Sudakov D.V., Bavykina I.A. 2025. Mobile Application &amp;laquo;Prevention of Gastroduodenal Bleeding: An Individualized Risk Assessment Scheme, the Formation of Recommendations on Patient Management Tactics&amp;raquo;. Challenges in Modern Medicine, 48(3): 390&amp;ndash;398 (in Russian). doi: 10.52575/2687-0940-2025-48-3-390-398</mixed-citation></ref><ref id="B2"><mixed-citation>Barannikov S.V., Cherednikov E.F., Banin I.N., Choporov O.N., Sudakov D.V., Bolkhovitinov A.E., Kashirina I.L, Vorotilina A.I. 2025. Mobile Application: Expert Digital Medical Decision Support System &amp;laquo;Endoscopic Hemostasis of Ulcerative Gastroduodenal Bleeding&amp;raquo; Humans and their Health, 28(1): 21&amp;ndash;30 (in Russian). doi: 10.21626/vestnik/2025-1/03</mixed-citation></ref><ref id="B3"><mixed-citation>Bedin V.V., Korzheva I.Yu., Vlasenko A.V., Mikhailyants G.S., Turkan V.A., Bocharnikov D.S., Sokolov&amp;nbsp;K.A. 2025. Ulcerative Gastroduodenal Bleeding with a High Risk of Recurrence. Treatment Tactics. Moscow Surgical Journal, (2): 200&amp;ndash;212 (in Russian). doi: 10.17238/2072-3180-2025-2-200-212</mixed-citation></ref><ref id="B4"><mixed-citation>Bezaltynykh E.D., Bezaltynykh V.A., Zebzeev A.A. 2025. Analysis of the Prevalence of Complications of Gastric Ulcer. Smolenskiy Medical Almanac, 1&amp;ndash;2: 19&amp;ndash;21 (in Russian). doi: 10.37903/SMA.2025.1.53</mixed-citation></ref><ref id="B5"><mixed-citation>Hasanov A.F., Galikhanov R.I., Akhmarov N.V., Babayeva G., Maslyaninova A.E. 2025. The Role of Endoscopy in the Diagnosis and Treatment of Gastrointestinal Bleeding. International Scientific Research Journal, 3(153) (in Russian). doi: 10.60797/IRJ.2025.153.55</mixed-citation></ref><ref id="B6"><mixed-citation>Heinrich S.R., Durleshter V.M., Kalachev A.G., Bedanokov K.M. 2025. Choosing the Optimal Surgical Method for Duodenal Ulcer Complicated by Bleeding. Pirogov Russian Journal of Surgery, 2:111 118 (in Russian). doi: 10.17116/hirurgia2025021111</mixed-citation></ref><ref id="B7"><mixed-citation>Ivashkin V.Т., Mayev I.V., Tsarkov Р.V., Korolev М.Р., Andreev D.N., Baranskaya Е.К., Bordin D.S., Burkov&amp;nbsp;S.G., Derinov А.А., Efetov S.К., Lapina Т.L., Pavlov Р.V., Pirogov S.S., Poluektova Е.А., Tkachev А.V., Trukhmanov А.S., Uljanin А.I., Fedorov Е.D., Sheptulin А.А. 2024. Diagnostics and Treatment of Peptic Ulcer in Adults (Clinical Guidelines of the Russian Gastroenterological Association, the Russian Society of Colorectal Surgeons, the Russian Endoscopic Society and the Scientific Society for the Clinical Study of Human Microbiome). Russian Journal of Gastroenterology, Hepatology, Coloproctology, 34(2): 101&amp;ndash;131 (in Russian). doi: 10.22416/1382-4376-2024-34-2-101-131</mixed-citation></ref><ref id="B8"><mixed-citation>Kashirina I.L., Vorotilina A.I., Barannikov S.V., Cherednikov E.F., Choporov O.N. 2025. Neural Network Classification of the Type of Ulcerative Gastroduodenal Bleeding According to Endoscopic Images. Certificate of State Registration of the Computer Program N 2025681146 (in Russian).</mixed-citation></ref><ref id="B9"><mixed-citation>Revishvili A.Sh., Olovyannyj V.E., Gogiya B.Sh., Ruchkin D.V., Markov P.V., Gurmikov B.N., Mamoshin&amp;nbsp;A.V., Chililov A.M., Kuznecov A.V., Shelina N.V. 2025. Surgical Care in the Russian Federation, Moscow: 192 (in Russian).</mixed-citation></ref><ref id="B10"><mixed-citation>Sheptulin A.A., Rabotyagova Y.S. 2025. Etiological Factors and Peculiarities of Diff Erential Diagnosis of Multiple Gastric Ulcers. Clinical Medicine (Russian Journal), 03(3): 223&amp;ndash;227 (in Russian). doi: 10.30629/0023-2149-2025-103-3-223-227</mixed-citation></ref><ref id="B11"><mixed-citation>Alhajlah M., Noor M.N., Nazir M., Mahmood A., Ashra, I., Karamat T. 2023. Gastrointestinal Diseases Classification using Deep Transfer Learning and Features Optimization. Comput. Mater. Contin, 75(1), 2227&amp;ndash;2245. doi: 10.32604/cmc.2023.031890</mixed-citation></ref><ref id="B12"><mixed-citation>Bindra S., Jain R. 2024. Artificial Intelligence in Medical Science: A Review. Ir J Med Sci.,193(3): 1419&amp;ndash;1429. doi: 10.1007/s11845-023-03570-9</mixed-citation></ref><ref id="B13"><mixed-citation>Borgli H., Thambawita V., Smedsrud P.H., Hicks S., Jha D., Eskeland S.L., Randel K.R., Pogorelov K., Lux M., Nguyen D.T.D., Johansen D., Griwodz C., Stensland H.K., Garcia-Ceja E., Schmid, P.T., Hammer H.L., Riegler M. A., Halvorsen P., de Lange T. 2020. HyperKvasir, a Comprehensive Multi-Class Image and Video Dataset for Gastrointestinal Endoscopy. Scientific data, 7(1), 283. doi: 10.1038/s41597-020-00622-y</mixed-citation></ref><ref id="B14"><mixed-citation>Cherednikov E.F., Barannikov S.V., Yuzefovich I.S., Chernykh A.V., Berezhnova T.A., Polubkova G.V., Banin I.N., Maleev Yu.V., Ovsyannikov E.S., Shkurina I.A. 2022. Modern Technologies of Endoscopic Hemostasis in the Treatment of Ulcer Gastroduodenal Bleeding: A Literature Review. International Journal of Biomedicine, 12(1): 9&amp;ndash;18. doi:&amp;nbsp;10.21103/Article12(1)_RA1</mixed-citation></ref><ref id="B15"><mixed-citation>Liu Y., Jiang T., Li R., Yuan L., Grzegorzek M., Li C., Li X. 2025. A State of the Art Review of Diffusion Model Applications for Microscopic Image and Micro-Alike Image Analysis. Frontiers in Medicine, 12: 1551894. doi: 10.3389/fmed.2025.1551894</mixed-citation></ref><ref id="B16"><mixed-citation>Lobanovs S., Aleksejeva J., Rūtiņa A. K., Krustiņ&amp;scaron; E., Čižovs, J., Bļizņuks D. 2025. Machine Learning in Gastrointestinal Endoscopy: Challenges and Opportunities. BMJ Open Gastroenterology, 12(1): e001923. doi: 10.1136/bmjgast-2025-001923</mixed-citation></ref><ref id="B17"><mixed-citation>Shen H., Zhang, J., Xiong, B., Hu, R., Chen, S., Wan, Z., Wang, X., Zhang, Y., Gong, Z., Bao, G. 2025. Efficient Diffusion Models: A Survey. Transactions on Machine Learning Research (TMLR). doi: 10.48550/arXiv.2502.06805</mixed-citation></ref><ref id="B18"><mixed-citation>Shung D.L. Advancing Care for Acute Gastrointestinal Bleeding using Artificial Intelligence. 2021 Journal of Gastroenterology and Hepatology, 36(5): 273&amp;ndash;278. doi: 10.1111/jgh.15372</mixed-citation></ref><ref id="B19"><mixed-citation>Tasci B., Dogan S., Tuncer T. 2025. Artificial Intelligence in Gastrointestinal Surgery: A Systematic Review. World J Gastrointest Surg., 17(8): 109463. doi:10.4240/wjgs.v17.i8.109463</mixed-citation></ref><ref id="B20"><mixed-citation>Yen H.H., Wu P.Y., Chen M.F., Lin W.C., Tsai C.L., Lin K.P. 2021. Current Status and Future Perspective of Artificial Intelligence in the Management of Peptic Ulcer Bleeding: A Review of Recent Literature. Journal of Clinical Medicine, 10(16), 3527. doi: 10.3390/jcm10163527</mixed-citation></ref></ref-list></back></article>