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.

Abstract: Recent advances in single image super-resolution (SISR) explore the power of deep convolutional neural networks (CNNs) to achieve better performance. However, most of the progress has been made by scaling CNN architectures, which usually raise computational demands and memory consumption. This makes modern architectures less applicable in practice. In addition, most CNN-based SR methods do not fully utilize the informative hierarchical features that are helpful for final image recovery. In order to address these issues, we propose a directional variance attention network (DiVANet), a computationally efficient yet accurate network for SISR. Specifically, we introduce a novel directional variance attention (DiVA) mechanism to capture long-range spatial dependencies and exploit inter-channel dependencies simultaneously for more discriminative representations. Furthermore, we propose a residual attention feature group (RAFG) for parallelizing attention and residual block computation. The output of each residual block is linearly fused at the RAFG output to provide access to the whole feature hierarchy. In parallel, DiVA extracts most relevant features from the network for improving the final output and preventing information loss along the successive operations inside the network. Experimental results demonstrate the superiority of DiVANet over the state of the art in several datasets, while maintaining relatively low computation and memory footprint. The code is available at https://github.com/pbehjatii/DiVANet.