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David Vazquez, Jorge Bernal, F. Javier Sanchez, Gloria Fernandez Esparrach, Antonio Lopez, Adriana Romero, et al. (2017). A Benchmark for Endoluminal Scene Segmentation of Colonoscopy Images. JHCE - Journal of Healthcare Engineering, , 2040–2295.
Abstract: Colorectal cancer (CRC) is the third cause of cancer death world-wide. Currently, the standard approach to reduce CRC-related mortality is to perform regular screening in search for polyps and colonoscopy is the screening tool of choice. The main limitations of this screening procedure are polyp miss- rate and inability to perform visual assessment of polyp malignancy. These drawbacks can be reduced by designing Decision Support Systems (DSS) aim- ing to help clinicians in the different stages of the procedure by providing endoluminal scene segmentation. Thus, in this paper, we introduce an extended benchmark of colonoscopy image segmentation, with the hope of establishing a new strong benchmark for colonoscopy image analysis research. The proposed dataset consists of 4 relevant classes to inspect the endolumninal scene, tar- geting different clinical needs. Together with the dataset and taking advantage of advances in semantic segmentation literature, we provide new baselines by training standard fully convolutional networks (FCN). We perform a compar- ative study to show that FCN significantly outperform, without any further post-processing, prior results in endoluminal scene segmentation, especially with respect to polyp segmentation and localization.
Keywords: Colonoscopy images; Deep Learning; Semantic Segmentation
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Jorge Bernal, Nima Tajkbaksh, F. Javier Sanchez, Bogdan J. Matuszewski, Hao Chen, Lequan Yu, et al. (2017). Comparative Validation of Polyp Detection Methods in Video Colonoscopy: Results from the MICCAI 2015 Endoscopic Vision Challenge. TMI - IEEE Transactions on Medical Imaging, 36(6), 1231–1249.
Abstract: Colonoscopy is the gold standard for colon cancer screening though still some polyps are missed, thus preventing early disease detection and treatment. Several computational systems have been proposed to assist polyp detection during colonoscopy but so far without consistent evaluation. The lack
of publicly available annotated databases has made it difficult to compare methods and to assess if they achieve performance levels acceptable for clinical use. The Automatic Polyp Detection subchallenge, conducted as part of the Endoscopic Vision Challenge (http://endovis.grand-challenge.org) at the international conference on Medical Image Computing and Computer Assisted
Intervention (MICCAI) in 2015, was an effort to address this need. In this paper, we report the results of this comparative evaluation of polyp detection methods, as well as describe additional experiments to further explore differences between methods. We define performance metrics and provide evaluation databases that allow comparison of multiple methodologies. Results show that convolutional neural networks (CNNs) are the state of the art. Nevertheless it is also demonstrated that combining different methodologies can lead to an improved overall performance.
Keywords: Endoscopic vision; Polyp Detection; Handcrafted features; Machine Learning; Validation Framework
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F. Javier Sanchez, Jorge Bernal, Cristina Sanchez Montes, Cristina Rodriguez de Miguel, & Gloria Fernandez Esparrach. (2017). Bright spot regions segmentation and classification for specular highlights detection in colonoscopy videos. MVAP - Machine Vision and Applications, , 1–20.
Abstract: A novel specular highlights detection method in colonoscopy videos is presented. The method is based on a model of appearance de ning specular
highlights as bright spots which are highly contrasted with respect to adjacent regions. Our approach proposes two stages; segmentation, and then classi cation
of bright spot regions. The former de nes a set of candidate regions obtained through a region growing process with local maxima as initial region seeds. This process creates a tree structure which keeps track, at each growing iteration, of the region frontier contrast; nal regions provided depend on restrictions over contrast value. Non-specular regions are ltered through a classi cation stage performed by a linear SVM classi er using model-based features from each region. We introduce a new validation database with more than 25; 000 regions along with their corresponding pixel-wise annotations. We perform a comparative study against other approaches. Results show that our method is superior to other approaches, with our segmented regions being
closer to actual specular regions in the image. Finally, we also present how our methodology can also be used to obtain an accurate prediction of polyp histology.
Keywords: Specular highlights; bright spot regions segmentation; region classification; colonoscopy
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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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