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

2D Reconstruction of Small Intestine's Interior Wall

Examining and interpreting of a large number of wireless endoscopic images from the gastrointestinal tract is a tiresome task for physicians. A practical solution is to automatically construct a two dimensional representation of the gastrointestinal tract for easy inspection. However, little has been done on wireless endoscopic image stitching, let alone systematic investigation. The proposed new wireless endoscopic image stitching method consists of two main steps to improve the accuracy and efficiency of image registration. First, the keypoints are extracted by Principle Component Analysis and Scale Invariant Feature Transform (PCA-SIFT) algorithm and refined with Maximum Likelihood Estimation SAmple Consensus (MLESAC) outlier removal to find the most reliable keypoints. Second, the optimal transformation parameters obtained from first step are fed to the Normalised Mutual Information (NMI) algorithm as an initial solution. With modified Marquardt-Levenberg search strategy in a multiscale framework, the NMI can find the optimal transformation parameters in the shortest time. The proposed methodology has been tested on two different datasets - one with real wireless endoscopic images and another with images obtained from Micro-Ball (a new wireless cubic endoscopy system with six image sensors). The results have demonstrated the accuracy and robustness of the proposed methodology both visually and quantitatively.Comment: Journal draf

Artificial neural network and its applications in quality process control, document recognition and biomedical imaging

In computer-vision based system a digital image obtained by a digital camera would usually have 24-bit color image. The analysis of an image with that many levels might require complicated image processing techniques and higher computational costs. But in real-time application, where a part has to be inspected within a few milliseconds, either we have to reduce the image to a more manageable number of gray levels, usually two levels (binary image), and at the same time retain all necessary features of the original image or develop a complicated technique. A binary image can be obtained by thresholding the original image into two levels. Therefore, thresholding of a given image into binary image is a necessary step for most image analysis and recognition techniques. In this thesis, we have studied the effectiveness of using artificial neural network (ANN) in pharmaceutical, document recognition and biomedical imaging applications for image thresholding and classification purposes. Finally, we have developed edge-based, ANN-based and region-growing based image thresholding techniques to extract low contrast objects of interest and classify them into respective classes in those applications. Real-time quality inspection of gelatin capsules in pharmaceutical applications is an important issue from the point of view of industry\u27s productivity and competitiveness. Computer vision-based automatic quality inspection and controller system is one of the solutions to this problem. Machine vision systems provide quality control and real-time feedback for industrial processes, overcoming physical limitations and subjective judgment of humans. In this thesis, we have developed an image processing system using edge-based image thresholding techniques for quality inspection that satisfy the industrial requirements in pharmaceutical applications to pass the accepted and rejected capsules. In document recognition application, success of OCR mostly depends on the quality of the thresholded image. Non-uniform illumination, low contrast and complex background make it challenging in this application. In this thesis, optimal parameters for ANN-based local thresholding approach for gray scale composite document image with non-uniform background is proposed. An exhaustive search was conducted to select the optimal features and found that pixel value, mean and entropy are the most significant features at window size 3x3 in this application. For other applications, it might be different, but the procedure to find the optimal parameters is same. The average recognition rate 99.25% shows that the proposed 3 features at window size 3x3 are optimal in terms of recognition rate and PSNR compare to the ANN-based thresholding technique with different parameters presented in the literature. In biomedical imaging application, breast cancer continues to be a public health problem. In this thesis we presented a computer aided diagnosis (CAD) system for mass detection and classification in digitized mammograms, which performs mass detection on regions of interest (ROI) followed by the benign-malignant classification on detected masses. Three layers ANN with seven features is proposed for classifying the marked regions into benign and malignant and 90.91% sensitivity and 83.87% specificity is achieved that is very much promising compare to the radiologist\u27s sensitivity 75%

A Study on Inspection of Defective Tablet Blister Using Image Segmentation Techniques

humansareaffectedfrom many kind ofdiseases. Proper Medicationistheonlywaytoovercome fromsuchdiseases.Somedicinesbecome most important part of human life.Manufacturing of medicines is done in very large scale. Duringmanufacturing, thereare many kind of defects in tablet blister, defects are likebreakage, cracksetcpresentin tablets or capsules.There may be side-effects of these defected tablets or capsules due to variation in dosage when consumed. The manufactured tablets should be properly inspected before reaching to the public, so that they do not cause any side-effects.Manual inspection of such defects in tablet blister may be very challenging task.Image segmentation is an important technique for automation of visual inspection. Hence, it is important to propose some approaches to detect these defects in tablet blister. In literaturesurvey many researchers have proposed multiple procedures for identifying defects in tablet blister. In this research work we review allthe methods used to identify defects in tablets blister

Automated Teeth Extraction and Dental Caries Detection in Panoramic X-ray

Dental caries is one of the most chronic diseases that involves the majority of people at least once during their lifetime. This expensive disease accounts for 5-10% of the healthcare budget in developing countries. Caries lesions appear as the result of dental biofi lm metabolic activity, caused by bacteria (most prominently Streptococcus mutans) feeding on uncleaned sugars and starches in oral cavity. Also known as tooth decay, they are primarily diagnosed by general dentists solely based on clinical assessments. Since in many cases dental problems cannot be detected with simple observations, dental x-ray imaging is introduced as a standard tool for domain experts, i.e. dentists and radiologists, to distinguish dental diseases, such as proximal caries. Among different dental radiography methods, Panoramic or Orthopantomogram (OPG) images are commonly performed as the initial step toward assessment. OPG images are captured with a small dose of radiation and can depict the entire patient dentition in a single image. Dental caries can sometimes be hard to identify by general dentists relying only on their visual inspection using dental radiography. Tooth decays can easily be misinterpreted as shadows due to various reasons, such as low image quality. Besides, OPG images have poor quality and structures are not presented with strong edges due to low contrast, uneven exposure, etc. Thus, disease detection is a very challenging task using Panoramic radiography. With the recent development of Artificial Intelligence (AI) in dentistry, and with the introduction of Convolutional Neural Network (CNN) for image classification, developing medical decision support systems is becoming a topic of interest in both academia and industry. Providing more accurate decision support systems using CNNs to assist dentists can enhance their diagnosis performance, resulting in providing improved dental care assistance for patients. In the following thesis, the first automated teeth extraction system for Panoramic images, using evolutionary algorithms, is proposed. In contrast to other intraoral radiography methods, Panoramic is captured with x-ray film outside the patient mouth. Therefore, Panoramic x-rays contain regions outside of the jaw, which make teeth segmentation extremely difficult. Considering that we solely need an image of each tooth separately to build a caries detection model, segmentation of teeth from the OPG image is essential. Due to the absence of significant pixel intensity difference between different regions in OPG radiography, teeth segmentation becomes very hard to implement. Consequently, an automated system is introduced to get an OPG as input and gives images of single teeth as the output. Since only a few research studies are utilizing similar task for Panoramic radiography, there is room for improvement. A genetic algorithm is applied along with different image processing methods to perform teeth extraction by jaw extraction, jaw separation, and teeth-gap valley detection, respectively. The proposed system is compared to the state-of-the-art in teeth extraction on other image types. After teeth are segmented from each image, a model based on various untrained and pretrained CNN-based architectures is proposed to detect dental caries for each tooth. Autoencoder-based model along with famous CNN architectures are used for feature extraction, followed by capsule networks to perform classification. The dataset of Panoramic x-rays is prepared by the authors, with help from an expert radiologist to provide labels. The proposed model has demonstrated an acceptable detection rate of 86.05%, and an increase in caries detection speed. Considering the challenges of performing such task on low quality OPG images, this work is a step towards developing a fully automated efficient caries detection model to assist domain experts