Technology of swallowable capsule for medical applications

Medical technology has undergone major breakthroughs in recent years, especially in the area of the examination tools for diagnostic purposes. This paper reviews the swallowable capsule technology in the examination of the gastrointestinal system for various diseases. The wireless camera pill has created a more advanced method than many traditional examination methods for the diagnosis of gastrointestinal diseases such as gastroscopy by the use of an endoscope. After years of great innovation, commercial swallowable pills have been produced and applied in clinical practice. These smart pills can cover the examination of the gastrointestinal system and not only provide to the physicians a lot more useful data that is not available from the traditional methods, but also eliminates the use of the painful endoscopy procedure. In this paper, the key state-of-the-art technologies in the existing Wireless Capsule Endoscopy (WCE) systems are fully reported and the recent research progresses related to these technologies are reviewed. The paper ends by further discussion on the current technical bottlenecks and future research in this area

Automatic Bleeding Frame and Region Detection for GLCM Using Artificial Neural Network

 Wireless capsule endoscopy is a device that inspects the direct visualization of patient’s gastrointestinal tract without invasiveness. Analyzing the WCE video is a time- consuming task hence computer aided technique is used to reduce the burden of medical clinicians. This paper proposes a novel color feature extraction method to detect the bleeding frame. First, we perform word based histogram for rapid bleeding detection in WCE images. Classification of bleeding WCE frame is performed by applying for glcm using  Artificial Neural Network and K-nearest neighbour method. Second we propose a two-stage saliency map extraction method. In first stage saliency, we inspect the bleeding images under different color components to highlight the bleeding regions. From second stage saliency red color in the bleeding frame reveals that the region is affected. Then, by using algorithm we fuse the two-stage of saliency to detect the bleeding area. Experimental results show that the proposed method is very efficient in detecting the bleeding frames and the region

A Robust Deep Model for Classification of Peptic Ulcer and Other Digestive Tract Disorders Using Endoscopic Images

Accurate patient disease classification and detection through deep-learning (DL) models are increasingly contributing to the area of biomedical imaging. The most frequent gastrointestinal (GI) tract ailments are peptic ulcers and stomach cancer. Conventional endoscopy is a painful and hectic procedure for the patient while Wireless Capsule Endoscopy (WCE) is a useful technology for diagnosing GI problems and doing painless gut imaging. However, there is still a challenge to investigate thousands of images captured during the WCE procedure accurately and efficiently because existing deep models are not scored with significant accuracy on WCE image analysis. So, to prevent emergency conditions among patients, we need an efficient and accurate DL model for real-time analysis. In this study, we propose a reliable and efficient approach for classifying GI tract abnormalities using WCE images by applying a deep Convolutional Neural Network (CNN). For this purpose, we propose a custom CNN architecture named GI Disease-Detection Network (GIDD-Net) that is designed from scratch with relatively few parameters to detect GI tract disorders more accurately and efficiently at a low computational cost. Moreover, our model successfully distinguishes GI disorders by visualizing class activation patterns in the stomach bowls as a heat map. The Kvasir-Capsule image dataset has a significant class imbalance problem, we exploited a synthetic oversampling technique BORDERLINE SMOTE (BL-SMOTE) to evenly distribute the image among the classes to prevent the problem of class imbalance. The proposed model is evaluated against various metrics and achieved the following values for evaluation metrics: 98.9%, 99.8%, 98.9%, 98.9%, 98.8%, and 0.0474 for accuracy, AUC, F1-score, precision, recall, and loss, respectively. From the simulation results, it is noted that the proposed model outperforms other state-of-the-art models in all the evaluation metrics

New Techniques in Gastrointestinal Endoscopy

As result of progress, endoscopy has became more complex, using more sophisticated devices and has claimed a special form. In this moment, the gastroenterologist performing endoscopy has to be an expert in macroscopic view of the lesions in the gut, with good skills for using standard endoscopes, with good experience in ultrasound (for performing endoscopic ultrasound), with pathology experience for confocal examination. It is compulsory to get experience and to have patience and attention for the follow-up of thousands of images transmitted during capsule endoscopy or to have knowledge in physics necessary for autofluorescence imaging endoscopy. Therefore, the idea of an endoscopist has changed. Examinations mentioned need a special formation, a superior level of instruction, accessible to those who have already gained enough experience in basic diagnostic endoscopy. This is the reason for what these new issues of endoscopy are presented in this book of New techniques in Gastrointestinal Endoscopy

Advancing Artificial Intelligence in Sensors, Signals, and Imaging Informatics.

ObjectiveTo identify research works that exemplify recent developments in the field of sensors, signals, and imaging informatics.MethodA broad literature search was conducted using PubMed and Web of Science, supplemented with individual papers that were nominated by section editors. A predefined query made from a combination of Medical Subject Heading (MeSH) terms and keywords were used to search both sources. Section editors then filtered the entire set of retrieved papers with each paper having been reviewed by two section editors. Papers were assessed on a three-point Likert scale by two section editors, rated from 0 (do not include) to 2 (should be included). Only papers with a combined score of 2 or above were considered.ResultsA search for papers was executed at the start of January 2019, resulting in a combined set of 1,459 records published in 2018 in 119 unique journals. Section editors jointly filtered the list of candidates down to 14 nominations. The 14 candidate best papers were then ranked by a group of eight external reviewers. Four papers, representing different international groups and journals, were selected as the best papers by consensus of the International Medical Informatics Association (IMIA) Yearbook editorial board.ConclusionsThe fields of sensors, signals, and imaging informatics have rapidly evolved with the application of novel artificial intelligence/machine learning techniques. Studies have been able to discover hidden patterns and integrate different types of data towards improving diagnostic accuracy and patient outcomes. However, the quality of papers varied widely without clear reporting standards for these types of models. Nevertheless, a number of papers have demonstrated useful techniques to improve the generalizability, interpretability, and reproducibility of increasingly sophisticated models

Detection of Intestinal Bleeding in Wireless Capsule Endoscopy using Machine Learning Techniques

Gastrointestinal (GI) bleeding is very common in humans, which may lead to fatal consequences. GI bleeding can usually be identified using a flexible wired endoscope. In 2001, a newer diagnostic tool, wireless capsule endoscopy (WCE) was introduced. It is a swallow-able capsule-shaped device with a camera that captures thousands of color images and wirelessly sends those back to a data recorder. After that, the physicians analyze those images in order to identify any GI abnormalities. But it takes a longer screening time which may increase the danger of the patients in emergency cases. It is therefore necessary to use a real-time detection tool to identify bleeding in the GI tract. Each material has its own spectral ‘signature’ which shows distinct characteristics in specific wavelength of light [33]. Therefore, by evaluating the optical characteristics, the presence of blood can be detected. In the study, three main hardware designs were presented: one using a two-wavelength based optical sensor and others using two six-wavelength based spectral sensors with AS7262 and AS7263 chips respectively to determine the optical characteristics of the blood and non-blood samples. The goal of the research is to develop a machine learning model to differentiate blood samples (BS) and non-blood samples (NBS) by exploring their optical properties. In this experiment, 10 levels of crystallized bovine hemoglobin solutions were used as BS and 5 food colors (red, yellow, orange, tan and pink) with different concentrations totaling 25 non-blood samples were used as NBS. These blood and non-blood samples were also combined with pig’s intestine to mimic in-vivo experimental environment. The collected samples were completely separated into training and testing data. Different spectral features are analyzed to obtain the optical information about the samples. Based on the performance on the selected most significant features of the spectral wavelengths, k-nearest neighbors algorithm (k-NN) is finally chosen for the automated bleeding detection. The proposed k-NN classifier model has been able to distinguish the BS and NBS with an accuracy of 91.54% using two wavelengths features and around 89% using three combined wavelengths features in the visible and near-infrared spectral regions. The research also indicates that it is possible to deploy tiny optical detectors to detect GI bleeding in a WCE system which could eliminate the need of time-consuming image post-processing steps