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Jorge Bernal, Aymeric Histace, Marc Masana, Quentin Angermann, Cristina Sanchez Montes, Cristina Rodriguez de Miguel, et al. (2019). GTCreator: a flexible annotation tool for image-based datasets. IJCAR - International Journal of Computer Assisted Radiology and Surgery, 14(2), 191–201.
Abstract: Abstract Purpose: Methodology evaluation for decision support systems for health is a time consuming-task. To assess performance of polyp detection
methods in colonoscopy videos, clinicians have to deal with the annotation
of thousands of images. Current existing tools could be improved in terms of
exibility and ease of use. Methods:We introduce GTCreator, a exible annotation tool for providing image and text annotations to image-based datasets.
It keeps the main basic functionalities of other similar tools while extending
other capabilities such as allowing multiple annotators to work simultaneously
on the same task or enhanced dataset browsing and easy annotation transfer aiming to speed up annotation processes in large datasets. Results: The
comparison with other similar tools shows that GTCreator allows to obtain
fast and precise annotation of image datasets, being the only one which offers
full annotation editing and browsing capabilites. Conclusions: Our proposed
annotation tool has been proven to be efficient for large image dataset annota-
tion, as well as showing potential of use in other stages of method evaluation
such as experimental setup or results analysis.
Keywords: Annotation tool; Validation Framework; Benchmark; Colonoscopy; Evaluation
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Cristina Sanchez Montes, F. Javier Sanchez, Jorge Bernal, Henry Cordova, Maria Lopez Ceron, Miriam Cuatrecasas, et al. (2019). Computer-aided Prediction of Polyp Histology on White-Light Colonoscopy using Surface Pattern Analysis. END - Endoscopy, 51(3), 261–265.
Abstract: Background and study aims: To evaluate a new computational histology prediction system based on colorectal polyp textural surface patterns using high definition white light images.
Patients and methods: Textural elements (textons) were characterized according to their contrast with respect to the surface, shape and number of bifurcations, assuming that dysplastic polyps are associated with highly contrasted, large tubular patterns with some degree of bifurcation. Computer-aided diagnosis (CAD) was compared with pathological diagnosis and the diagnosis by the endoscopists using Kudo and NICE classification.
Results: Images of 225 polyps were evaluated (142 dysplastic and 83 non-dysplastic). CAD system correctly classified 205 (91.1%) polyps, 131/142 (92.3%) dysplastic and 74/83 (89.2%) non-dysplastic. For the subgroup of 100 diminutive (<5 mm) polyps, CAD correctly classified 87 (87%) polyps, 43/50 (86%) dysplastic and 44/50 (88%) non-dysplastic. There were not statistically significant differences in polyp histology prediction based on CAD system and on endoscopist assessment.
Conclusion: A computer vision system based on the characterization of the polyp surface in the white light accurately predicts colorectal polyp histology.
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Ana Garcia Rodriguez, Jorge Bernal, F. Javier Sanchez, Henry Cordova, Rodrigo Garces Duran, Cristina Rodriguez de Miguel, et al. (2020). Polyp fingerprint: automatic recognition of colorectal polyps’ unique features. SEND - Surgical Endoscopy and other Interventional Techniques, 34(4), 1887–1889.
Abstract: BACKGROUND:
Content-based image retrieval (CBIR) is an application of machine learning used to retrieve images by similarity on the basis of features. Our objective was to develop a CBIR system that could identify images containing the same polyp ('polyp fingerprint').
METHODS:
A machine learning technique called Bag of Words was used to describe each endoscopic image containing a polyp in a unique way. The system was tested with 243 white light images belonging to 99 different polyps (for each polyp there were at least two images representing it in two different temporal moments). Images were acquired in routine colonoscopies at Hospital Clínic using high-definition Olympus endoscopes. The method provided for each image the closest match within the dataset.
RESULTS:
The system matched another image of the same polyp in 221/243 cases (91%). No differences were observed in the number of correct matches according to Paris classification (protruded: 90.7% vs. non-protruded: 91.3%) and size (< 10 mm: 91.6% vs. > 10 mm: 90%).
CONCLUSIONS:
A CBIR system can match accurately two images containing the same polyp, which could be a helpful aid for polyp image recognition.
KEYWORDS:
Artificial intelligence; Colorectal polyps; Content-based image retrieval
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Cristina Sanchez Montes, Jorge Bernal, Ana Garcia Rodriguez, Henry Cordova, & Gloria Fernandez Esparrach. (2020). Revisión de métodos computacionales de detección y clasificación de pólipos en imagen de colonoscopia. GH - Gastroenterología y Hepatología, 43(4), 222–232.
Abstract: Computer-aided diagnosis (CAD) is a tool with great potential to help endoscopists in the tasks of detecting and histologically classifying colorectal polyps. In recent years, different technologies have been described and their potential utility has been increasingly evidenced, which has generated great expectations among scientific societies. However, most of these works are retrospective and use images of different quality and characteristics which are analysed off line. This review aims to familiarise gastroenterologists with computational methods and the particularities of endoscopic imaging, which have an impact on image processing analysis. Finally, the publicly available image databases, needed to compare and confirm the results obtained with different methods, are presented.
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Carolina Malagelada, Michal Drozdzal, Santiago Segui, Sara Mendez, Jordi Vitria, Petia Radeva, et al. (2015). Classification of functional bowel disorders by objective physiological criteria based on endoluminal image analysis. AJPGI - American Journal of Physiology-Gastrointestinal and Liver Physiology, 309(6), G413–G419.
Abstract: We have previously developed an original method to evaluate small bowel motor function based on computer vision analysis of endoluminal images obtained by capsule endoscopy. Our aim was to demonstrate intestinal motor abnormalities in patients with functional bowel disorders by endoluminal vision analysis. Patients with functional bowel disorders (n = 205) and healthy subjects (n = 136) ingested the endoscopic capsule (Pillcam-SB2, Given-Imaging) after overnight fast and 45 min after gastric exit of the capsule a liquid meal (300 ml, 1 kcal/ml) was administered. Endoluminal image analysis was performed by computer vision and machine learning techniques to define the normal range and to identify clusters of abnormal function. After training the algorithm, we used 196 patients and 48 healthy subjects, completely naive, as test set. In the test set, 51 patients (26%) were detected outside the normal range (P < 0.001 vs. 3 healthy subjects) and clustered into hypo- and hyperdynamic subgroups compared with healthy subjects. Patients with hypodynamic behavior (n = 38) exhibited less luminal closure sequences (41 ± 2% of the recording time vs. 61 ± 2%; P < 0.001) and more static sequences (38 ± 3 vs. 20 ± 2%; P < 0.001); in contrast, patients with hyperdynamic behavior (n = 13) had an increased proportion of luminal closure sequences (73 ± 4 vs. 61 ± 2%; P = 0.029) and more high-motion sequences (3 ± 1 vs. 0.5 ± 0.1%; P < 0.001). Applying an original methodology, we have developed a novel classification of functional gut disorders based on objective, physiological criteria of small bowel function.
Keywords: capsule endoscopy; computer vision analysis; functional bowel disorders; intestinal motility; machine learning
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