Expert driven semi-supervised elucidation tool for medical endoscopic videos

In this paper, we present a novel application for elucidating all kind of videos that require expert knowledge, e.g., sport videos, medical videos etc., focusing on endoscopic surgery and video capsule endoscopy. In the medical domain, the knowledge of experts for tagging and interpretation of videos is of high value. As a result of the stressful working environment of medical doctors, they often simply do not have time for extensive annotations. We therefore present a semi-supervised method to gather the annotations in a very easy and time saving way for the experts and we show how this information can be used later on

Automatic Detection of Intestinal Content to Evaluate Visibility in Capsule Endoscopy

In capsule endoscopy (CE), preparation of the small bowel before the procedure is believed to increase visibility of the mucosa for analysis. However, there is no consensus on the best method of preparation, while comparison is difficult due to the absence of an objective automated evaluation method. The method presented here aims to fill this gap by automatically detecting regions in frames of CE videos where the mucosa is covered by bile, bubbles and remainders of food. We implemented two different machine learning techniques for supervised classification of patches: one based on hand-crafted feature extraction and Support Vector Machine classification and the other based on fine-tuning different convolutional neural network (CNN) architectures, concretely VGG-16 and VGG-19. Using a data set of approximately 40,000 image patches obtained from 35 different patients, our best model achieved an average detection accuracy of 95.15% on our test patches, which is similar to significantly more complex detection methods used for similar purposes. We then estimate the probabilities at a pixel level by interpolating the patch probabilities and extract statistics from these, both on per-frame and per-video basis, intended for comparison of different videos.This work was funded by the European Union’s H2020: MSCA: ITN program for the “Wireless In-body Environment Communication – WiBEC” project under the grant agreement no. 675353.Noorda, R.; Nevárez, A.; Colomer, A.; Naranjo, V.; Pons Beltrán, V. (2020). Automatic Detection of Intestinal Content to Evaluate Visibility in Capsule Endoscopy. IEEE. 163-168. https://doi.org/10.1109/ISMICT.2019.8743878S16316

Automatic evaluation of degree of cleanliness in capsule endoscopy based on a novel CNN architecture

[EN] Capsule endoscopy (CE) is a widely used, minimally invasive alternative to traditional endoscopy that allows visualisation of the entire small intestine. Patient preparation can help to obtain a cleaner intestine and thus better visibility in the resulting videos. However, studies on the most effective preparation method are conflicting due to the absence of objective, automatic cleanliness evaluation methods. In this work, we aim to provide such a method capable of presenting results on an intuitive scale, with a relatively light-weight novel convolutional neural network architecture at its core. We trained our model using 5-fold cross-validation on an extensive data set of over 50,000 image patches, collected from 35 different CE procedures, and compared it with state-of-the-art classification methods. From the patch classification results, we developed a method to automatically estimate pixel-level probabilities and deduce cleanliness evaluation scores through automatically learnt thresholds. We then validated our method in a clinical setting on 30 newly collected CE videos, comparing the resulting scores to those independently assigned by human specialists. We obtained the highest classification accuracy for the proposed method (95.23%), with significantly lower average prediction times than for the second-best method. In the validation of our method, we found acceptable agreement with two human specialists compared to interhuman agreement, showing its validity as an objective evaluation method.This work was funded by the European Union's H2020: MSCA: ITN program for the "Wireless In-body Environment Communication - WiBEC" project under the grant agreement no. 675353. 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