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Artificial Intelligence in Gastrointestinal Endoscopy.
Artificial intelligence (AI) is rapidly integrating into modern technology and clinical practice. Although in its nascency, AI has become a hot topic of investigation for applications in clinical practice. Multiple fields of medicine have embraced the possibility of a future with AI assisting in diagnosis and pathology applications. In the field of gastroenterology, AI has been studied as a tool to assist in risk stratification, diagnosis, and pathologic identification. Specifically, AI has become of great interest in endoscopy as a technology with substantial potential to revolutionize the practice of a modern gastroenterologist. From cancer screening to automated report generation, AI has touched upon all aspects of modern endoscopy. Here, we review landmark AI developments in endoscopy. Starting with broad definitions to develop understanding, we will summarize the current state of AI research and its potential applications. With innovation developing rapidly, this article touches upon the remarkable advances in AI-assisted endoscopy since its initial evaluation at the turn of the millennium, and the potential impact these AI models may have on the modern clinical practice. As with any discussion of new technology, its limitations must also be understood to apply clinical AI tools successfully
ΠΡΠΊΡΡΡΡΠ²Π΅Π½Π½ΡΠΉ ΠΈΠ½ΡΠ΅Π»Π»Π΅ΠΊΡ ΠΏΡΠΈ ΠΊΠΎΠ»ΠΎΡΠ΅ΠΊΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΠ°ΠΊΠ΅: ΠΎΠ±Π·ΠΎΡ
The study objective: the study objective is to examine the use of artificial intelligence (AI) in the diagnosis, treatment, and prognosis of Colorectal Cancer (CRC) and discuss the future potential of AI in CRC. Material and Methods. The Web of Science, Scopus, PubMed, Medline, and eLIBRARY databases were used to search for the publications. A study on the application of Artificial Intelligence (AI) to the diagnosis, treatment, and prognosis of Colorectal Cancer (CRC) was discovered in more than 100 sources. In the review, data from 83 articles were incorporated. Results. The review article explores the use of artificial intelligence (AI) in medicine, specifically focusing on its applications in colorectal cancer (CRC). It discusses the stages of AI development for CRC, including molecular understanding, image-based diagnosis, drug design, and individualized treatment. The benefits of AI in medical image analysis are highlighted, improving diagnosis accuracy and inspection quality. Challenges in AI development are addressed, such as data standardization and the interpretability of machine learning algorithms. The potential of AI in treatment decision support, precision medicine, and prognosis prediction is discussed, emphasizing the role of AI in selecting optimal treatments and improving surgical precision. Ethical and regulatory considerations in integrating AI are mentioned, including patient trust, data security, and liability in AI-assisted surgeries. The review emphasizes the importance of an AI standard system, dataset standardization, and integrating clinical knowledge into AI algorithms. Overall, the article provides an overview of the current research on AI in CRC diagnosis, treatment, and prognosis, discussing its benefits, challenges, and future prospects in improving medical outcomes.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ - ΠΎΡΠ΅Π½ΠΊΠ° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠ΅ΠΉ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΈΡΠΊΡΡΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΠΈΠ½ΡΠ΅Π»Π»Π΅ΠΊΡΠ° (ΠΠ) Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅, Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΈ ΠΏΡΠΎΠ³Π½ΠΎΠ·ΠΈΡΠΎΠ²Π°Π½ΠΈΠΈ ΠΊΠΎΠ»ΠΎΡΠ΅ΠΊΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠ°ΠΊΠ° (ΠΠ Π ), Π° ΡΠ°ΠΊΠΆΠ΅ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅ ΠΏΠΎΡΠ΅Π½ΡΠΈΠ°Π»Π° ΠΠ Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΠ Π . ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ ΠΏΠΎΠΈΡΠΊ Π½Π°ΡΡΠ½ΡΡ
ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΉ Π² ΠΏΠΎΠΈΡΠΊΠΎΠ²ΡΡ
ΡΠΈΡΡΠ΅ΠΌΠ°Ρ
Web of Science, Scopus, PubMed, Medline ΠΈ eLIBRARY. ΠΡΠ»ΠΎ ΠΏΡΠΎΡΠΌΠΎΡΡΠ΅Π½ΠΎ Π±ΠΎΠ»Π΅Π΅ 100 ΠΈΡΡΠΎΡΠ½ΠΈΠΊΠΎΠ² ΠΏΠΎ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΠ Π΄Π»Ρ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ, Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ ΠΏΡΠΎΠ³Π½ΠΎΠ·ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΠ Π . Π ΠΎΠ±Π·ΠΎΡ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ Π΄Π°Π½Π½ΡΠ΅ ΠΈΠ· 83 ΡΡΠ°ΡΠ΅ΠΉ. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ, ΠΏΠΎΡΠ²ΡΡΠ΅Π½Π½ΠΎΠΉ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΈΡΠΊΡΡΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΠΈΠ½ΡΠ΅Π»Π»Π΅ΠΊΡΠ° Π² ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Π΅, ΠΎΡΠΎΠ±ΠΎΠ΅ Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ ΡΠ΄Π΅Π»Π΅Π½ΠΎ Π΅Π³ΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΏΡΠΈ ΠΊΠΎΠ»ΠΎΡΠ΅ΠΊΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΠ°ΠΊΠ΅. ΠΠ±ΡΡΠΆΠ΄Π°ΡΡΡΡ ΡΡΠ°ΠΏΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΠ ΠΏΡΠΈ ΠΠ Π , Π²ΠΊΠ»ΡΡΠ°Ρ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΡΡ Π²Π΅ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ, Π»ΡΡΠ΅Π²ΡΡ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΡ, ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΡ Π»Π΅ΠΊΠ°ΡΡΡΠ² ΠΈ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»ΡΠ½ΠΎΠ΅ Π»Π΅ΡΠ΅Π½ΠΈΠ΅. ΠΠΎΠ΄ΡΠ΅ΡΠΊΠ½ΡΡΡ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π° ΠΠ Π² Π°Π½Π°Π»ΠΈΠ·Π΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ
ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠΉ, ΡΠ°ΠΊΠΈΡ
ΠΊΠ°ΠΊ ΠΠ’, ΠΠ Π’ ΠΈ ΠΠΠ’, ΡΡΠΎ ΠΏΠΎΠ²ΡΡΠ°Π΅Ρ ΡΠΎΡΠ½ΠΎΡΡΡ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ. Π Π°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡΡΡ ΡΠ°ΠΊΠΈΠ΅ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΠ, ΠΊΠ°ΠΊ ΡΡΠ°Π½Π΄Π°ΡΡΠΈΠ·Π°ΡΠΈΡ Π΄Π°Π½Π½ΡΡ
ΠΈ ΠΈΠ½ΡΠ΅ΡΠΏΡΠ΅ΡΠΈΡΡΠ΅ΠΌΠΎΡΡΡ Π°Π»Π³ΠΎΡΠΈΡΠΌΠΎΠ² ΠΌΠ°ΡΠΈΠ½Π½ΠΎΠ³ΠΎ ΠΎΠ±ΡΡΠ΅Π½ΠΈΡ. ΠΠΎΠ΄ΡΠ΅ΡΠΊΠΈΠ²Π°Π΅ΡΡΡ ΡΠΎΠ»Ρ ΠΠ Π² Π²ΡΠ±ΠΎΡΠ΅ ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°. Π£ΡΠΈΡΡΠ²Π°ΡΡΡΡ ΡΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ Π½ΠΎΡΠΌΠ°ΡΠΈΠ²Π½ΡΠ΅ Π°ΡΠΏΠ΅ΠΊΡΡ ΠΠ, Π²ΠΊΠ»ΡΡΠ°Ρ Π΄ΠΎΠ²Π΅ΡΠΈΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΡ Π΄Π°Π½Π½ΡΡ
ΠΈ ΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎΡΡΡ Π² ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΠ. ΠΠ±ΡΡΠΆΠ΄Π°ΡΡΡΡ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π° ΠΠ Π² Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅, Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΈ ΠΏΡΠΎΠ³Π½ΠΎΠ·ΠΈΡΠΎΠ²Π°Π½ΠΈΠΈ ΠΊΠΎΠ»ΠΎΡΠ΅ΠΊΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠ°ΠΊΠ°, ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ ΠΈ ΠΏΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Ρ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π»Π΅ΡΠ΅Π½ΠΈΡ
Artificial intelligence and computer-aided diagnosis in colonoscopy: current evidence and future directions
Computer-aided diagnosis offers a promising solution to reduce variation in colonoscopy performance. Pooled miss rates for polyps are as high as 22%, and associated interval colorectal cancers after colonoscopy are of concern. Optical biopsy, whereby in-vivo classification of polyps based on enhanced imaging replaces histopathology, has not been incorporated into routine practice because it is limited by interobserver variability and generally only meets accepted standards in expert settings. Real-time decision-support software has been developed to detect and characterise polyps, and also to offer feedback on the technical quality of inspection. Some of the current algorithms, particularly with recent advances in artificial intelligence techniques, match human expert performance for optical biopsy. In this Review, we summarise the evidence for clinical applications of computer-aided diagnosis and artificial intelligence in colonoscopy
Decomposition of color wavelet with higher order statistical texture and convolutional neural network features set based classification of colorectal polyps from video endoscopy
Gastrointestinal cancer is one of the leading causes of death across the world. The gastrointestinal polyps are considered as the precursors of developing this malignant cancer. In order to condense the probability of cancer, early detection and removal of colorectal polyps can be cogitated. The most used diagnostic modality for colorectal polyps is video endoscopy. But the accuracy of diagnosis mostly depends on doctors' experience that is crucial to detect polyps in many cases. Computer-aided polyp detection is promising to reduce the miss detection rate of the polyp and thus improve the accuracy of diagnosis results. The proposed method first detects polyp and non-polyp then illustrates an automatic polyp classification technique from endoscopic video through color wavelet with higher-order statistical texture feature and Convolutional Neural Network (CNN). Gray Level Run Length Matrix (GLRLM) is used for higher-order statistical texture features of different directions (Ζ = 0o, 45o, 90o, 135o). The features are fed into a linear support vector machine (SVM) to train the classifier. The experimental result demonstrates that the proposed approach is auspicious and operative with residual network architecture, which triumphs the best performance of accuracy, sensitivity, and specificity of 98.83%, 97.87%, and 99.13% respectively for classification of colorectal polyps on standard public endoscopic video databases
Enhancing endoscopic navigation and polyp detection using artificial intelligence
Colorectal cancer (CRC) is one most common and deadly forms of cancer. It has a very high mortality rate if the disease advances to late stages however early diagnosis and treatment can be curative is hence essential to enhancing disease management. Colonoscopy is considered the gold standard for CRC screening and early therapeutic treatment. The effectiveness of colonoscopy is highly dependent on the operatorβs skill, as a high level of hand-eye coordination is required to control the endoscope and fully examine the colon wall. Because of this, detection rates can vary between different gastroenterologists and technology have been proposed as solutions to assist disease detection and standardise detection rates. This thesis focuses on developing artificial intelligence algorithms to assist gastroenterologists during colonoscopy with the potential to ensure a baseline standard of quality in CRC screening. To achieve such assistance, the technical contributions develop deep learning methods and architectures for automated endoscopic image analysis to address both the detection of lesions in the endoscopic image and the 3D mapping of the endoluminal environment. The proposed detection models can run in real-time and assist visualization of different polyp types. Meanwhile the 3D reconstruction and mapping models developed are the basis for ensuring that the entire colon has been examined appropriately and to support quantitative measurement of polyp sizes using the image during a procedure. Results and validation studies presented within the thesis demonstrate how the developed algorithms perform on both general scenes and on clinical data. The feasibility of clinical translation is demonstrated for all of the models on endoscopic data from human participants during CRC screening examinations
Multi-level feature fusion network combining attention mechanisms for polyp segmentation
Clinically, automated polyp segmentation techniques have the potential to
significantly improve the efficiency and accuracy of medical diagnosis, thereby
reducing the risk of colorectal cancer in patients. Unfortunately, existing
methods suffer from two significant weaknesses that can impact the accuracy of
segmentation. Firstly, features extracted by encoders are not adequately
filtered and utilized. Secondly, semantic conflicts and information redundancy
caused by feature fusion are not attended to. To overcome these limitations, we
propose a novel approach for polyp segmentation, named MLFF-Net, which
leverages multi-level feature fusion and attention mechanisms. Specifically,
MLFF-Net comprises three modules: Multi-scale Attention Module (MAM),
High-level Feature Enhancement Module (HFEM), and Global Attention Module
(GAM). Among these, MAM is used to extract multi-scale information and polyp
details from the shallow output of the encoder. In HFEM, the deep features of
the encoders complement each other by aggregation. Meanwhile, the attention
mechanism redistributes the weight of the aggregated features, weakening the
conflicting redundant parts and highlighting the information useful to the
task. GAM combines features from the encoder and decoder features, as well as
computes global dependencies to prevent receptive field locality. Experimental
results on five public datasets show that the proposed method not only can
segment multiple types of polyps but also has advantages over current
state-of-the-art methods in both accuracy and generalization ability
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