Abstract: Intestinal motility assessment with video capsule endoscopy arises as a novel and challenging clinical fieldwork. This technique is based on the analysis of the patterns of intestinal contractions obtained by labelling all the motility events present in a video provided by a capsule with a wireless micro-camera, which is ingested by the patient. However, the visual analysis of these video sequences presents several im- portant drawbacks, mainly related to both the large amount of time needed for the visualization process, and the low prevalence of intestinal contractions in video.
In this work we propose a machine learning system to automatically detect the intestinal contractions in video capsule endoscopy, driving a very useful but not fea- sible clinical routine into a feasible clinical procedure. Our proposal is divided into two different parts: The first part tackles the problem of the automatic detection of phasic contractions in capsule endoscopy videos. Phasic contractions are dynamic events spanning about 4-5 seconds, which show visual patterns with a high variability. Our proposal is based on a sequential design which involves the analysis of textural, color and blob features with powerful classifiers such as SVM. This approach appears to cope with two basic aims: the reduction of the imbalance rate of the data set, and the modular construction of the system, which adds the capability of including domain knowledge as new stages in the cascade. The second part of the current work tackles the problem of the automatic detection of tonic contractions. Tonic contrac- tions manifest in capsule endoscopy as a sustained pattern of the folds and wrinkles of the intestine, which may be prolonged for an undetermined span of time. Our proposal is based on the analysis of the wrinkle patterns, presenting a comparative study of diverse features and classification methods, and providing a set of appro- priate descriptors for their characterization. We provide a detailed analysis of the performance achieved by our system both in a qualitative and a quantitative way.

Abstract: Small Bowel Motility Assessment by means of Wireless Capsule Video Endoscopy constitutes a novel clinical methodology in which a capsule with a micro-camera attached to it is swallowed by the patient, emitting a RF signal which is recorded as a video of its trip throughout the gut. In order to overcome the main drawbacks associated with this technique -mainly related to the large amount of visualization time required-, our efforts have been focused on the development of a machine learning system, built up in sequential stages, which provides the specialists with the useful part of the video, rejecting those parts not valid for analysis. We successfully used Self Organized Maps in a general semi-supervised framework with the aim of tackling the different learning stages of our system. The analysis of the diverse types of images and the automatic detection of intestinal contractions is performed under the perspective of intestinal motility assessment in a clinical environment.

Abstract: Wireless capsule video endoscopy is a novel and challenging clinical technique, whose major reported drawback relates to the high amount of time needed for video visualization. In this paper, we propose a method for the rejection of the parts of the video resulting not valid for analysis by means of automatic detection of intestinal juices. We applied Gabor filters for the characterization of the bubble-like shape of intestinal juices in fasting patients. Our method achieves a significant reduction in visualization time, with no relevant loss of valid frames. The proposed approach is easily extensible to other image analysis scenarios where the described pattern of bubbles can be found.

Abstract: Wireless endoscopy is a very recent and at the same time unique technique allowing to visualize and study the occurrence of con- tractions and to analyze the intestine motility. Feature extraction is es- sential for getting efficient patterns to detect contractions in wireless video endoscopy of small intestine. We propose a novel method based on anisotropic image filtering and efficient statistical classification of con- traction features. In particular, we apply the image gradient tensor for mining informative skeletons from the original image and a sequence of descriptors for capturing the characteristic pattern of contractions. Fea- tures extracted from the endoluminal images were evaluated in terms of their discriminatory ability in correct classifying images as either belong- ing to contractions or not. Classification was performed by means of a support vector machine classifier with a radial basis function kernel. Our classification rates gave sensitivity of the order of 90.84% and specificity of the order of 94.43% respectively. These preliminary results highlight the high efficiency of the selected descriptors and support the feasibility of the proposed method in assisting the automatic detection and analysis of contractions.