Intelligent Hemorrhage Identification in Wireless Capsule Endoscopy Pictures Using AI Techniques.

Image segmentation in medical images is performed to extract valuable information from the images by concentrating on the region of interest. Mostly, the number of medical images generated from a diagnosis is large and not ideal to treat with traditional ways of segmentation using machine learning models due to their numerous and complex features. To obtain crucial features from this large set of images, deep learning is a good choice over traditional machine learning algorithms. Wireless capsule endoscopy images comprise normal and sick frames and often suffers with a big data imbalance ratio which is sometimes 1000:1 for normal and sick classes. They are also special type of confounding images due to movement of the (capsule) camera, organs and variations in luminance to capture the site texture inside the body. So, we have proposed an automatic deep learning model based to detect bleeding frames out of the WCE images. The proposed model is based on Convolutional Neural Network (CNN) and its performance is compared with state-of- the-art methods including Logistic Regression, Support Vector Machine, Artificial Neural Network and Random Forest. The proposed model reduces the computational burden by offering the automatic feature extraction. It has promising accuracy with an F1 score of 0.76

Deep Learning-based Polyp Detection in Wireless Capsule Endoscopy Images

Gastrointestinal (GI) system diseases have increased significantly, where colon and rectum cancer is considered the second cause of death in 2020. Wireless Capsule Endoscopy (WCE) is a revolutionary procedure for detecting Colorectal lesions. It was automatically used to detect the polyps, multiple SB lesions, bleeding, and Ulcer. The acquired video by the WCE can be processed using a Computer-Aided Diagnosis (CAD) system. However, such videos suffer several problems, including burling, high illumination. and distortion. These effects obligate the development of image processing techniques of high accuracy in detection using deep learning-based segmentation. In this paper, a transfer learning-based U-Net was proposed to transfer the knowledge between the medical images in the training phase and the subsequent segmentation using transfer learning to achieve better results and high accuracy results compared to other related studies. The improvement is done by using an algorism written in python code The results showed average segmentation accuracy of 98.67

Explainable Information Retrieval using Deep Learning for Medical images

Image segmentation is useful to extract valuable information for an efficient analysis on the region of interest. Mostly, the number of images generated from a real life situation such as streaming video, is large and not ideal for traditional segmentation with machine learning algorithms. This is due to the following factors (a) numerous image features (b) complex distribution of shapes, colors and textures (c) imbalance data ratio of underlying classes (d) movements of the camera, objects and (e) variations in luminance for site capture. So, we have proposed an efficient deep learning model for image classification and the proof-of-concept has been the case studied on gastrointestinal images for bleeding detection. The Explainable Artificial Intelligence (XAI) module has been utilised to reverse engineer the test results for the impact of features on a given test dataset. The architecture is generally applicable in other areas of image classification. The proposed method has been compared with state-of-the-art including Logistic Regression, Support Vector Machine, Artificial Neural Network and Random Forest. It has reported F1 score of 0.76 on the real world streaming dataset which is comparatively better than traditional methods

Deep Learning-based Solutions to Improve Diagnosis in Wireless Capsule Endoscopy

[eng] Deep Learning (DL) models have gained extensive attention due to their remarkable performance in a wide range of real-world applications, particularly in computer vision. This achievement, combined with the increase in available medical records, has made it possible to open up new opportunities for analyzing and interpreting healthcare data. This symbiotic relationship can enhance the diagnostic process by identifying abnormalities, patterns, and trends, resulting in more precise, personalized, and effective healthcare for patients. Wireless Capsule Endoscopy (WCE) is a non-invasive medical imaging technique used to visualize the entire Gastrointestinal (GI) tract. Up to this moment, physicians meticulously review the captured frames to identify pathologies and diagnose patients. This manual process is time- consuming and prone to errors due to the challenges of interpreting the complex nature of WCE procedures. Thus, it demands a high level of attention, expertise, and experience. To overcome these drawbacks, shorten the screening process, and improve the diagnosis, efficient and accurate DL methods are required. This thesis proposes DL solutions to the following problems encountered in the analysis of WCE studies: pathology detection, anatomical landmark identification, and Out-of-Distribution (OOD) sample handling. These solutions aim to achieve robust systems that minimize the duration of the video analysis and reduce the number of undetected lesions. Throughout their development, several DL drawbacks have appeared, including small and imbalanced datasets. These limitations have also been addressed, ensuring that they do not hinder the generalization of neural networks, leading to suboptimal performance and overfitting. To address the previous WCE problems and overcome the DL challenges, the proposed systems adopt various strategies that utilize the power advantage of Triplet Loss (TL) and Self-Supervised Learning (SSL) techniques. Mainly, TL has been used to improve the generalization of the models, while SSL methods have been employed to leverage the unlabeled data to obtain useful representations. The presented methods achieve State-of-the-art results in the aforementioned medical problems and contribute to the ongoing research to improve the diagnostic of WCE studies.[cat] Els models d’aprenentatge profund (AP) han acaparat molta atenció a causa del seu rendiment en una àmplia gamma d'aplicacions del món real, especialment en visió per ordinador. Aquest fet, combinat amb l'increment de registres mèdics disponibles, ha permès obrir noves oportunitats per analitzar i interpretar les dades sanitàries. Aquesta relació simbiòtica pot millorar el procés de diagnòstic identificant anomalies, patrons i tendències, amb la conseqüent obtenció de diagnòstics sanitaris més precisos, personalitzats i eficients per als pacients. La Capsula endoscòpica (WCE) és una tècnica d'imatge mèdica no invasiva utilitzada per visualitzar tot el tracte gastrointestinal (GI). Fins ara, els metges revisen minuciosament els fotogrames capturats per identificar patologies i diagnosticar pacients. Aquest procés manual requereix temps i és propens a errors. Per tant, exigeix un alt nivell d'atenció, experiència i especialització. Per superar aquests inconvenients, reduir la durada del procés de detecció i millorar el diagnòstic, es requereixen mètodes eficients i precisos d’AP. Aquesta tesi proposa solucions que utilitzen AP per als següents problemes trobats en l'anàlisi dels estudis de WCE: detecció de patologies, identificació de punts de referència anatòmics i gestió de mostres que pertanyen fora del domini. Aquestes solucions tenen com a objectiu aconseguir sistemes robustos que minimitzin la durada de l'anàlisi del vídeo i redueixin el nombre de lesions no detectades. Durant el seu desenvolupament, han sorgit diversos inconvenients relacionats amb l’AP, com ara conjunts de dades petits i desequilibrats. Aquestes limitacions també s'han abordat per assegurar que no obstaculitzin la generalització de les xarxes neuronals, evitant un rendiment subòptim. Per abordar els problemes anteriors de WCE i superar els reptes d’AP, els sistemes proposats adopten diverses estratègies que aprofiten l'avantatge de la Triplet Loss (TL) i les tècniques d’auto-aprenentatge. Principalment, s'ha utilitzat TL per millorar la generalització dels models, mentre que els mètodes d’autoaprenentatge s'han emprat per aprofitar les dades sense etiquetar i obtenir representacions útils. Els mètodes presentats aconsegueixen bons resultats en els problemes mèdics esmentats i contribueixen a la investigació en curs per millorar el diagnòstic dels estudis de WCE

Towards real-world clinical colonoscopy deep learning models for video-based bowel preparation and generalisable polyp segmentation

Colorectal cancer is the most prevalence type of cancers within the digestive system. Early screening and removal of precancerous growths in the colon decrease mortality rate. The golden standard screening type for colon is colonoscopy which is conducted by a medical expert (i.e., colonoscopist). Nevertheless, due to human biases, fatigue, and experience level of the colonoscopist, colorectal cancer missing rate is negatively affected. Artificial intelligence (AI) methods hold immense promise not just in automating colonoscopy tasks but also enhancing the performance of colonoscopy screening in general. The recent development of intense computational GPUs enabled a computational-demanding AI method (i.e., deep learning) to be utilised in various medical applications. However, given the gap between the clinical-practice and the proposed deep learning models in the literature, the actual effectiveness of such methods is questionable. Hence, this thesis highlights such gaps that arises from the separation between the theoretical and practical aspect of deep learning methods applied to colonoscopy. The aim is to evaluate the current state of deep learning models applied in colonoscopy from a clinical angle, and accordingly propose better evaluation strategies and deep learning models. The aim is translated into three distinct objectives. The first objective is to develop a systematic evaluation method to assess deep learning models from a clinical perspective. The second objective is to develop a novel deep learning architecture that leverages spatial information within colonoscopy videos to enhance the effectiveness of deep learning models on real-clinical environments. The third objective is to enhance the generalisability of deep learning models on unseen test images by developing a novel deep learning framework. To translate these objectives into practice, two critical colonoscopy tasks, namely, automatic bowel preparation and polyp segmentation are attacked. In both tasks, subtle overestimations are found in the literature and discussed in the thesis theoretically and demonstrated empirically. These overestimations are induced by improper validation sets that would not appear or represent the real-world clinical environment. Arbitrary dividing colonoscopy datasets to do deep learning evaluation can result in producing similar distributions, hence, achieving unrealistic results. Accordingly, these factors are considered in the thesis to avoid such subtle overestimation. For the automatic bowel preparation task, colonoscopy videos that closely resemble clinical settings are considered as input and accordingly it necessitates the design of the proposed model as well as evaluation experiments. The proposed model’s architecture is designed to utilise both temporal and spatial information within colonoscopy videos using Gated Recurrent Unit (GRU) and a proposed Multiplexer unit, respectively. Meanwhile for the polyp segmentation task, the efficiency of current deep learning models is tested in terms of their generalisation capabilities using unseen test sets from different medical centres. The proposed framework consists of two connected models. The first model is responsible for gradually transforming textures of input images and arbitrary change their colours. Meanwhile the second model is a segmentation model that outlines polyp regions. Exposing the segmentation model to such transformed images acquires the segmentation model texture/colour invariant properties, hence, enhances the generalisability of the segmentation model. In this thesis, rigorous experiments are conducted to evaluate the proposed models against the state-of-the-art models. The yielded results indicate that the proposed models outperformed the state-of-the-art models under different settings