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Ana Garcia Rodriguez, Yael Tudela, Henry Cordova, S. Carballal, I. Ordas, L. Moreira, et al. (2022). In vivo computer-aided diagnosis of colorectal polyps using white light endoscopy. ENDIO - Endoscopy International Open, 10(9), E1201–E1207.
Abstract: Background and study aims Artificial intelligence is currently able to accurately predict the histology of colorectal polyps. However, systems developed to date use complex optical technologies and have not been tested in vivo. The objective of this study was to evaluate the efficacy of a new deep learning-based optical diagnosis system, ATENEA, in a real clinical setting using only high-definition white light endoscopy (WLE) and to compare its performance with endoscopists. Methods ATENEA was prospectively tested in real life on consecutive polyps detected in colorectal cancer screening colonoscopies at Hospital Clínic. No images were discarded, and only WLE was used. The in vivo ATENEA's prediction (adenoma vs non-adenoma) was compared with the prediction of four staff endoscopists without specific training in optical diagnosis for the study purposes. Endoscopists were blind to the ATENEA output. Histology was the gold standard. Results Ninety polyps (median size: 5 mm, range: 2-25) from 31 patients were included of which 69 (76.7 %) were adenomas. ATENEA correctly predicted the histology in 63 of 69 (91.3 %, 95 % CI: 82 %-97 %) adenomas and 12 of 21 (57.1 %, 95 % CI: 34 %-78 %) non-adenomas while endoscopists made correct predictions in 52 of 69 (75.4 %, 95 % CI: 60 %-85 %) and 20 of 21 (95.2 %, 95 % CI: 76 %-100 %), respectively. The global accuracy was 83.3 % (95 % CI: 74%-90 %) and 80 % (95 % CI: 70 %-88 %) for ATENEA and endoscopists, respectively. Conclusion ATENEA can accurately be used for in vivo characterization of colorectal polyps, enabling the endoscopist to make direct decisions. ATENEA showed a global accuracy similar to that of endoscopists despite an unsatisfactory performance for non-adenomatous lesions.
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Ana Garcia Rodriguez, Yael Tudela, Henry Cordova, S. Carballal, I. Ordas, L. Moreira, et al. (2022). First in Vivo Computer-Aided Diagnosis of Colorectal Polyps using White Light Endoscopy. END - Endoscopy, 54.
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O.F.Ahmad, Y.Mori, M.Misawa, S.Kudo, J.T.Anderson, & Jorge Bernal. (2021). Establishing key research questions for the implementation of artificial intelligence in colonoscopy: a modified Delphi method. END - Endoscopy, 53(9), 893–901.
Abstract: BACKGROUND : Artificial intelligence (AI) research in colonoscopy is progressing rapidly but widespread clinical implementation is not yet a reality. We aimed to identify the top implementation research priorities. METHODS : An established modified Delphi approach for research priority setting was used. Fifteen international experts, including endoscopists and translational computer scientists/engineers, from nine countries participated in an online survey over 9 months. Questions related to AI implementation in colonoscopy were generated as a long-list in the first round, and then scored in two subsequent rounds to identify the top 10 research questions. RESULTS : The top 10 ranked questions were categorized into five themes. Theme 1: clinical trial design/end points (4 questions), related to optimum trial designs for polyp detection and characterization, determining the optimal end points for evaluation of AI, and demonstrating impact on interval cancer rates. Theme 2: technological developments (3 questions), including improving detection of more challenging and advanced lesions, reduction of false-positive rates, and minimizing latency. Theme 3: clinical adoption/integration (1 question), concerning the effective combination of detection and characterization into one workflow. Theme 4: data access/annotation (1 question), concerning more efficient or automated data annotation methods to reduce the burden on human experts. Theme 5: regulatory approval (1 question), related to making regulatory approval processes more efficient. CONCLUSIONS : This is the first reported international research priority setting exercise for AI in colonoscopy. The study findings should be used as a framework to guide future research with key stakeholders to accelerate the clinical implementation of AI in endoscopy.
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Wenwen Fu, Zhihong An, Wendong Huang, Haoran Sun, Wenjuan Gong, & Jordi Gonzalez. (2023). A Spatio-Temporal Spotting Network with Sliding Windows for Micro-Expression Detection. ELEC - Electronics, 12(18), 3947.
Abstract: Micro-expressions reveal underlying emotions and are widely applied in political psychology, lie detection, law enforcement and medical care. Micro-expression spotting aims to detect the temporal locations of facial expressions from video sequences and is a crucial task in micro-expression recognition. In this study, the problem of micro-expression spotting is formulated as micro-expression classification per frame. We propose an effective spotting model with sliding windows called the spatio-temporal spotting network. The method involves a sliding window detection mechanism, combines the spatial features from the local key frames and the global temporal features and performs micro-expression spotting. The experiments are conducted on the CAS(ME)2 database and the SAMM Long Videos database, and the results demonstrate that the proposed method outperforms the state-of-the-art method by 30.58% for the CAS(ME)2 and 23.98% for the SAMM Long Videos according to overall F-scores.
Keywords: micro-expression spotting; sliding window; key frame extraction
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Jordi Gonzalez, J. Varona, Xavier Roca, & Juan J. Villanueva. (2005). A Comparison Framework for Walking Performances using aSpaces. Electronic Letters on Computer Vision and Image Analysis, Special Issue on articulated Motion, 5(3):105–116 (Electronic Letters: IF: 1.016).
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