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32] vs. 9.82 [SD 4.98];   0.001) and longer inspection time (5.40 [SD 3.82] vs. 4.38 [SD 3.91] minutes;   0.001). In the ENDOANGEL group, 196 gastric lesions with pathological results were identified. ENDOANGEL correctly predicted all three EGCs (one mucosal carcinoma and two high grade neoplasias) and two advanced gastric cancers, with a per-lesion accuracy of 84.7 %, sensitivity of 100 %, and specificity of 84.3 % for detecting gastric cancer. In this multicenter study, ENDOANGEL was an effective and robust system to improve the