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19 pages, 620 KiB  
Article
Software-Based Transformation of White Light Endoscopy Images to Hyperspectral Images for Improved Gastrointestinal Disease Detection
by Chien-Wei Huang, Chang-Chao Su, Chu-Kuang Chou, Arvind Mukundan, Riya Karmakar, Tsung-Hsien Chen, Pranav Shukla, Devansh Gupta and Hsiang-Chen Wang
Diagnostics 2025, 15(13), 1664; https://doi.org/10.3390/diagnostics15131664 - 30 Jun 2025
Viewed by 478
Abstract
Background/Objectives: Gastrointestinal diseases (GID), such as oesophagitis, polyps, and ulcerative colitis, contribute significantly to global morbidity and mortality. Conventional diagnostic methods employing white light imaging (WLI) in wireless capsule endoscopy (WCE) provide limited spectrum information, therefore influencing classification performance. Methods: A new technique [...] Read more.
Background/Objectives: Gastrointestinal diseases (GID), such as oesophagitis, polyps, and ulcerative colitis, contribute significantly to global morbidity and mortality. Conventional diagnostic methods employing white light imaging (WLI) in wireless capsule endoscopy (WCE) provide limited spectrum information, therefore influencing classification performance. Methods: A new technique called Spectrum Aided Vision Enhancer (SAVE), which converts traditional WLI images into hyperspectral imaging (HSI)-like representations, hence improving diagnostic accuracy. HSI involves the acquisition of image data across numerous wavelengths of light, extending beyond the visible spectrum, to deliver comprehensive information regarding the material composition and attributes of the imaged objects. This technique facilitates improved tissue characterisation, rendering it especially effective for identifying abnormalities in medical imaging. Using a carefully selected dataset consisting of 6000 annotated photos taken from the KVASIR and ETIS-Larib Polyp Database, this work classifies normal, ulcers, polyps, and oesophagitis. The performance of both the original WLI and SAVE transformed images was assessed using advanced deep learning architectures. The principal outcome was the overall classification accuracy for normal, ulcer, polyp, and oesophagitis categories, contrasting SAVE-enhanced images with standard WLI across five deep learning models. Results: The principal outcome of this study was the enhancement of diagnostic accuracy for gastrointestinal disease classification, assessed through classification accuracy, precision, recall, and F1 score. The findings illustrate the efficacy of the SAVE method in improving diagnostic performance without requiring specialised equipment. With the best accuracy of 98% attained using EfficientNetB7, compared to 97% with WLI, experimental data show that SAVE greatly increases classification metrics across all models. With relative improvement from 85% (WLI) to 92% (SAVE), VGG16 showed the highest accuracy. Conclusions: These results confirm that the SAVE algorithm significantly improves the early identification and classification of GID, therefore providing a potential development towards more accurate, non-invasive GID diagnostics with WCE. Full article
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18 pages, 4436 KiB  
Article
QRNet: A Quaternion-Based Retinex Framework for Enhanced Wireless Capsule Endoscopy Image Quality
by Vladimir Frants and Sos Agaian
Bioengineering 2025, 12(3), 239; https://doi.org/10.3390/bioengineering12030239 - 26 Feb 2025
Viewed by 667
Abstract
Wireless capsule endoscopy (WCE) offers a non-invasive diagnostic alternative for the gastrointestinal tract using a battery-powered capsule. Despite advantages, WCE encounters issues with video quality and diagnostic accuracy, often resulting in missing rates of 1–20%. These challenges stem from weak texture characteristics due [...] Read more.
Wireless capsule endoscopy (WCE) offers a non-invasive diagnostic alternative for the gastrointestinal tract using a battery-powered capsule. Despite advantages, WCE encounters issues with video quality and diagnostic accuracy, often resulting in missing rates of 1–20%. These challenges stem from weak texture characteristics due to non-Lambertian tissue reflections, uneven illumination, and the necessity of color fidelity. Traditional Retinex-based methods used for image enhancement are suboptimal for endoscopy, as they frequently compromise anatomical detail while distorting color. To address these limitations, we introduce QRNet, a novel quaternion-based Retinex framework. QRNet performs image decomposition into reflectance and illumination components within hypercomplex space, maintaining inter-channel relationships that preserve color fidelity. A quaternion wavelet attention mechanism refines essential features while suppressing noise, balancing enhancement and fidelity through an innovative loss function. Experiments on Kvasir-Capsule and Red Lesion Endoscopy datasets demonstrate notable improvements in metrics such as PSNR (+2.3 dB), SSIM (+0.089), and LPIPS (−0.126). Moreover, lesion segmentation accuracy increases by up to 5%, indicating the framework’s potential for improving early-stage lesion detection. Ablation studies highlight the quaternion representation’s pivotal role in maintaining color consistency, confirming the promise of this advanced approach for clinical settings. Full article
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20 pages, 2857 KiB  
Article
SCAGAN: Wireless Capsule Endoscopy Lesion Image Generation Model Based on GAN
by Zhiguo Xiao, Dong Zhang, Xianqing Chen and Dongni Li
Electronics 2025, 14(3), 428; https://doi.org/10.3390/electronics14030428 - 22 Jan 2025
Viewed by 1074
Abstract
The wireless capsule endoscope (WCE) has been utilized for human digestive tract examinations for over 20 years. Given the complex environment of the digestive tract and the challenge of detecting multi-category lesion images, enhancing model generalization ability is crucial. However, traditional data augmentation [...] Read more.
The wireless capsule endoscope (WCE) has been utilized for human digestive tract examinations for over 20 years. Given the complex environment of the digestive tract and the challenge of detecting multi-category lesion images, enhancing model generalization ability is crucial. However, traditional data augmentation methods struggle to generate sufficiently diverse data. In this study, we propose a novel generative adversarial network, Special Common Attention Generative Adversarial Network (SCAGAN), to generate lesion images for capsule endoscopy. The SCAGAN model can adaptively integrate both the internal features and external global dependencies of the samples, enabling the generator to not only accurately capture the key structures and features of capsule endoscopic images, but also enhance the modeling of lesion complexity. Additionally, SCAGAN incorporates global context information to improve the overall consistency and detail of the generated images. To further enhance adaptability, self-modulation normalization is used, along with the Structural Similarity Index (SSIM) loss function to ensure structural authenticity. The Differentiable Data Augmentation (DiffAug) technique is employed to improve the model’s performance in small sample environments and balance the training process by adjusting learning rates to address issues of slow learning due to discriminator regularization. Experimental results show that SCAGAN significantly improves image quality and diversity, achieving state-of-the-art (SOTA) performance in the Frechet Inception Distance (FID) index. Moreover, when the generated lesion images were added to the dataset, the mean average precision (mAP) of the YOLOv9-based lesion detection model increased by 1.495%, demonstrating SCAGAN’s effectiveness in optimizing lesion detection. SCAGAN effectively addresses the challenges of lesion image generation for capsule endoscopy, improving both image quality and detection model performance. The proposed approach offers a promising solution for enhancing the training of lesion detection models in the context of capsule endoscopy. Full article
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23 pages, 3424 KiB  
Article
Automated Detection of Gastrointestinal Diseases Using Resnet50*-Based Explainable Deep Feature Engineering Model with Endoscopy Images
by Veysel Yusuf Cambay, Prabal Datta Barua, Abdul Hafeez Baig, Sengul Dogan, Mehmet Baygin, Turker Tuncer and U. R. Acharya
Sensors 2024, 24(23), 7710; https://doi.org/10.3390/s24237710 - 2 Dec 2024
Cited by 5 | Viewed by 2050
Abstract
This work aims to develop a novel convolutional neural network (CNN) named ResNet50* to detect various gastrointestinal diseases using a new ResNet50*-based deep feature engineering model with endoscopy images. The novelty of this work is the development of ResNet50*, a new variant of [...] Read more.
This work aims to develop a novel convolutional neural network (CNN) named ResNet50* to detect various gastrointestinal diseases using a new ResNet50*-based deep feature engineering model with endoscopy images. The novelty of this work is the development of ResNet50*, a new variant of the ResNet model, featuring convolution-based residual blocks and a pooling-based attention mechanism similar to PoolFormer. Using ResNet50*, a gastrointestinal image dataset was trained, and an explainable deep feature engineering (DFE) model was developed. This DFE model comprises four primary stages: (i) feature extraction, (ii) iterative feature selection, (iii) classification using shallow classifiers, and (iv) information fusion. The DFE model is self-organizing, producing 14 different outcomes (8 classifier-specific and 6 voted) and selecting the most effective result as the final decision. During feature extraction, heatmaps are identified using gradient-weighted class activation mapping (Grad-CAM) with features derived from these regions via the final global average pooling layer of the pretrained ResNet50*. Four iterative feature selectors are employed in the feature selection stage to obtain distinct feature vectors. The classifiers k-nearest neighbors (kNN) and support vector machine (SVM) are used to produce specific outcomes. Iterative majority voting is employed in the final stage to obtain voted outcomes using the top result determined by the greedy algorithm based on classification accuracy. The presented ResNet50* was trained on an augmented version of the Kvasir dataset, and its performance was tested using Kvasir, Kvasir version 2, and wireless capsule endoscopy (WCE) curated colon disease image datasets. Our proposed ResNet50* model demonstrated a classification accuracy of more than 92% for all three datasets and a remarkable 99.13% accuracy for the WCE dataset. These findings affirm the superior classification ability of the ResNet50* model and confirm the generalizability of the developed architecture, showing consistent performance across all three distinct datasets. Full article
(This article belongs to the Special Issue AI-Based Automated Recognition and Detection in Healthcare)
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32 pages, 6598 KiB  
Article
An Accurate Deep Learning-Based Computer-Aided Diagnosis System for Gastrointestinal Disease Detection Using Wireless Capsule Endoscopy Image Analysis
by Sameh Abd El-Ghany, Mahmood A. Mahmood and A. A. Abd El-Aziz
Appl. Sci. 2024, 14(22), 10243; https://doi.org/10.3390/app142210243 - 7 Nov 2024
Cited by 6 | Viewed by 2291
Abstract
Peptic ulcers and stomach cancer are common conditions that impact the gastrointestinal (GI) system. Wireless capsule endoscopy (WCE) has emerged as a widely used, noninvasive technique for diagnosing these issues, providing valuable insights through the detailed imaging of the GI tract. Therefore, an [...] Read more.
Peptic ulcers and stomach cancer are common conditions that impact the gastrointestinal (GI) system. Wireless capsule endoscopy (WCE) has emerged as a widely used, noninvasive technique for diagnosing these issues, providing valuable insights through the detailed imaging of the GI tract. Therefore, an early and accurate diagnosis of GI diseases is crucial for effective treatment. This paper introduces the Intelligent Learning Rate Controller (ILRC) mechanism that optimizes the training of deep learning (DL) models by adaptively adjusting the learning rate (LR) based on training progress. This helps improve convergence speed and reduce the risk of overfitting. The ILRC was applied to four DL models: EfficientNet-B0, ResNet101v2, InceptionV3, and InceptionResNetV2. These models were further enhanced using transfer learning, freezing layers, fine-tuning techniques, residual learning, and modern regularization methods. The models were evaluated on two datasets, the Kvasir-Capsule and KVASIR v2 datasets, which contain WCE images. The results demonstrated that the models, particularly when using ILRC, outperformed existing state-of-the-art methods in accuracy. On the Kvasir-Capsule dataset, the models achieved accuracies of up to 99.906%, and on the Kvasir-v2 dataset, they achieved up to 98.062%. This combination of techniques offers a robust solution for automating the detection of GI abnormalities in WCE images, significantly enhancing diagnostic efficiency and accuracy in clinical settings. Full article
(This article belongs to the Special Issue Applications of Artificial Intelligence in Biomedical Data Analysis)
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17 pages, 4791 KiB  
Article
Capsule Endoscopy Image Enhancement for Small Intestinal Villi Clarity
by Shaojie Zhang, Yinghui Wang, Peixuan Liu, Yukai Wang, Liangyi Huang, Mingfeng Wang and Ibragim Atadjanov
Mathematics 2024, 12(21), 3317; https://doi.org/10.3390/math12213317 - 23 Oct 2024
Cited by 1 | Viewed by 1510
Abstract
Wireless capsule endoscopy (WCE) has become an important tool for gastrointestinal examination due to its non-invasive nature and minimal patient discomfort. However, the quality of WCE images is often limited by built-in lighting and the complex gastrointestinal environment, particularly in the region filled [...] Read more.
Wireless capsule endoscopy (WCE) has become an important tool for gastrointestinal examination due to its non-invasive nature and minimal patient discomfort. However, the quality of WCE images is often limited by built-in lighting and the complex gastrointestinal environment, particularly in the region filled with small intestinal villi. Additionally, the morphology of these villi usually serves as a crucial indicator for related diseases. To address this, we propose a novel method to enhance the clarity of small intestinal villi in WCE images. Our method uses a guided filter to separate the low- and high-frequency components of WCE images. Illumination gain factors are calculated from the low-frequency components, while gradient gain factors are derived from Laplacian convolutions on different regions. These factors enhance the high-frequency components, combined with the original image. This approach improves edge detail while suppressing noise and avoiding edge overshoot, providing clearer images for diagnosis. Experimental results show that our proposed method achieved a 45.47% increase in PSNR compared to classical enhancement algorithms, a 12.63% improvement in IRMLE relative to the original images, and a 31.84% reduction in NIQE with respect to the original images. Full article
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12 pages, 4434 KiB  
Article
Agronomic and Technical Evaluation of Herbicide Spot Spraying in Maize Based on High-Resolution Aerial Weed Maps—An On-Farm Trial
by Alicia Allmendinger, Michael Spaeth, Marcus Saile, Gerassimos G. Peteinatos and Roland Gerhards
Plants 2024, 13(15), 2164; https://doi.org/10.3390/plants13152164 - 5 Aug 2024
Cited by 6 | Viewed by 1918
Abstract
Spot spraying can significantly reduce herbicide use while maintaining equal weed control efficacy as a broadcast application of herbicides. Several online spot-spraying systems have been developed, with sensors mounted on the sprayer or by recording the RTK-GNSS position of each crop seed. In [...] Read more.
Spot spraying can significantly reduce herbicide use while maintaining equal weed control efficacy as a broadcast application of herbicides. Several online spot-spraying systems have been developed, with sensors mounted on the sprayer or by recording the RTK-GNSS position of each crop seed. In this study, spot spraying was realized offline based on georeferenced unmanned aerial vehicle (UAV) images with high spatial resolution. Studies were conducted in four maize fields in Southwestern Germany in 2023. A randomized complete block design was used with seven treatments containing broadcast and spot applications of pre-emergence and post-emergence herbicides. Post-emergence herbicides were applied at 2–4-leaf and at 6–8-leaf stages of maize. Weed and crop density, weed control efficacy (WCE), crop losses, accuracy of weed classification in UAV images, herbicide savings and maize yield were measured and analyzed. On average, 94% of all weed plants were correctly identified in the UAV images with the automatic classifier. Spot-spraying achieved up to 86% WCE, which was equal to the broadcast herbicide treatment. Early spot spraying saved 47% of herbicides compared to the broadcast herbicide application. Maize yields in the spot-spraying plots were equal to the broadcast herbicide application plots. This study demonstrates that spot-spraying based on UAV weed maps is feasible and provides a significant reduction in herbicide use. Full article
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14 pages, 7028 KiB  
Article
Deep Learning-Based Real-Time Organ Localization and Transit Time Estimation in Wireless Capsule Endoscopy
by Seung-Joo Nam, Gwiseong Moon, Jung-Hwan Park, Yoon Kim, Yun Jeong Lim and Hyun-Soo Choi
Biomedicines 2024, 12(8), 1704; https://doi.org/10.3390/biomedicines12081704 - 31 Jul 2024
Cited by 2 | Viewed by 1823
Abstract
Background: Wireless capsule endoscopy (WCE) has significantly advanced the diagnosis of gastrointestinal (GI) diseases by allowing for the non-invasive visualization of the entire small intestine. However, machine learning-based methods for organ classification in WCE often rely on color information, leading to decreased performance [...] Read more.
Background: Wireless capsule endoscopy (WCE) has significantly advanced the diagnosis of gastrointestinal (GI) diseases by allowing for the non-invasive visualization of the entire small intestine. However, machine learning-based methods for organ classification in WCE often rely on color information, leading to decreased performance when obstacles such as food debris are present. This study proposes a novel model that integrates convolutional neural networks (CNNs) and long short-term memory (LSTM) networks to analyze multiple frames and incorporate temporal information, ensuring that it performs well even when visual information is limited. Methods: We collected data from 126 patients using PillCam™ SB3 (Medtronic, Minneapolis, MN, USA), which comprised 2,395,932 images. Our deep learning model was trained to identify organs (stomach, small intestine, and colon) using data from 44 training and 10 validation cases. We applied calibration using a Gaussian filter to enhance the accuracy of detecting organ boundaries. Additionally, we estimated the transit time of the capsule in the gastric and small intestine regions using a combination of a convolutional neural network (CNN) and a long short-term memory (LSTM) designed to be aware of the sequence information of continuous videos. Finally, we evaluated the model’s performance using WCE videos from 72 patients. Results: Our model demonstrated high performance in organ classification, achieving an accuracy, sensitivity, and specificity of over 95% for each organ (stomach, small intestine, and colon), with an overall accuracy and F1-score of 97.1%. The Matthews Correlation Coefficient (MCC) and Geometric Mean (G-mean) were used to evaluate the model’s performance on imbalanced datasets, achieving MCC values of 0.93 for the stomach, 0.91 for the small intestine, and 0.94 for the colon, and G-mean values of 0.96 for the stomach, 0.95 for the small intestine, and 0.97 for the colon. Regarding the estimation of gastric and small intestine transit times, the mean time differences between the model predictions and ground truth were 4.3 ± 9.7 min for the stomach and 24.7 ± 33.8 min for the small intestine. Notably, the model’s predictions for gastric transit times were within 15 min of the ground truth for 95.8% of the test dataset (69 out of 72 cases). The proposed model shows overall superior performance compared to a model using only CNN. Conclusions: The combination of CNN and LSTM proves to be both accurate and clinically effective for organ classification and transit time estimation in WCE. Our model’s ability to integrate temporal information allows it to maintain high performance even in challenging conditions where color information alone is insufficient. Including MCC and G-mean metrics further validates the robustness of our approach in handling imbalanced datasets. These findings suggest that the proposed method can significantly improve the diagnostic accuracy and efficiency of WCE, making it a valuable tool in clinical practice for diagnosing and managing GI diseases. Full article
(This article belongs to the Special Issue Artificial Intelligence Applications in Cancer and Other Diseases)
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18 pages, 3846 KiB  
Article
Metabolic Insight into Glioma Heterogeneity: Mapping Whole Exome Sequencing to In Vivo Imaging with Stereotactic Localization and Deep Learning
by Mahsa Servati, Courtney N. Vaccaro, Emily E. Diller, Renata Pellegrino Da Silva, Fernanda Mafra, Sha Cao, Katherine B. Stanley, Aaron A. Cohen-Gadol and Jason G. Parker
Metabolites 2024, 14(6), 337; https://doi.org/10.3390/metabo14060337 - 16 Jun 2024
Viewed by 2260
Abstract
Intratumoral heterogeneity (ITH) complicates the diagnosis and treatment of glioma, partly due to the diverse metabolic profiles driven by underlying genomic alterations. While multiparametric imaging enhances the characterization of ITH by capturing both spatial and functional variations, it falls short in directly assessing [...] Read more.
Intratumoral heterogeneity (ITH) complicates the diagnosis and treatment of glioma, partly due to the diverse metabolic profiles driven by underlying genomic alterations. While multiparametric imaging enhances the characterization of ITH by capturing both spatial and functional variations, it falls short in directly assessing the metabolic activities that underpin these phenotypic differences. This gap stems from the challenge of integrating easily accessible, colocated pathology and detailed genomic data with metabolic insights. This study presents a multifaceted approach combining stereotactic biopsy with standard clinical open-craniotomy for sample collection, voxel-wise analysis of MR images, regression-based GAM, and whole-exome sequencing. This work aims to demonstrate the potential of machine learning algorithms to predict variations in cellular and molecular tumor characteristics. This retrospective study enrolled ten treatment-naïve patients with radiologically confirmed glioma. Each patient underwent a multiparametric MR scan (T1W, T1W-CE, T2W, T2W-FLAIR, DWI) prior to surgery. During standard craniotomy, at least 1 stereotactic biopsy was collected from each patient, with screenshots of the sample locations saved for spatial registration to pre-surgical MR data. Whole-exome sequencing was performed on flash-frozen tumor samples, prioritizing the signatures of five glioma-related genes: IDH1, TP53, EGFR, PIK3CA, and NF1. Regression was implemented with a GAM using a univariate shape function for each predictor. Standard receiver operating characteristic (ROC) analyses were used to evaluate detection, with AUC (area under curve) calculated for each gene target and MR contrast combination. Mean AUC for five gene targets and 31 MR contrast combinations was 0.75 ± 0.11; individual AUCs were as high as 0.96 for both IDH1 and TP53 with T2W-FLAIR and ADC, and 0.99 for EGFR with T2W and ADC. These results suggest the possibility of predicting exome-wide mutation events from noninvasive, in vivo imaging by combining stereotactic localization of glioma samples and a semi-parametric deep learning method. The genomic alterations identified, particularly in IDH1, TP53, EGFR, PIK3CA, and NF1, are known to play pivotal roles in metabolic pathways driving glioma heterogeneity. Our methodology, therefore, indirectly sheds light on the metabolic landscape of glioma through the lens of these critical genomic markers, suggesting a complex interplay between tumor genomics and metabolism. This approach holds potential for refining targeted therapy by better addressing the genomic heterogeneity of glioma tumors. Full article
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18 pages, 10168 KiB  
Article
Single-Image-Based 3D Reconstruction of Endoscopic Images
by Bilal Ahmad, Pål Anders Floor, Ivar Farup and Casper Find Andersen
J. Imaging 2024, 10(4), 82; https://doi.org/10.3390/jimaging10040082 - 28 Mar 2024
Cited by 6 | Viewed by 7554
Abstract
A wireless capsule endoscope (WCE) is a medical device designed for the examination of the human gastrointestinal (GI) tract. Three-dimensional models based on WCE images can assist in diagnostics by effectively detecting pathology. These 3D models provide gastroenterologists with improved visualization, particularly in [...] Read more.
A wireless capsule endoscope (WCE) is a medical device designed for the examination of the human gastrointestinal (GI) tract. Three-dimensional models based on WCE images can assist in diagnostics by effectively detecting pathology. These 3D models provide gastroenterologists with improved visualization, particularly in areas of specific interest. However, the constraints of WCE, such as lack of controllability, and requiring expensive equipment for operation, which is often unavailable, pose significant challenges when it comes to conducting comprehensive experiments aimed at evaluating the quality of 3D reconstruction from WCE images. In this paper, we employ a single-image-based 3D reconstruction method on an artificial colon captured with an endoscope that behaves like WCE. The shape from shading (SFS) algorithm can reconstruct the 3D shape using a single image. Therefore, it has been employed to reconstruct the 3D shapes of the colon images. The camera of the endoscope has also been subjected to comprehensive geometric and radiometric calibration. Experiments are conducted on well-defined primitive objects to assess the method’s robustness and accuracy. This evaluation involves comparing the reconstructed 3D shapes of primitives with ground truth data, quantified through measurements of root-mean-square error and maximum error. Afterward, the same methodology is applied to recover the geometry of the colon. The results demonstrate that our approach is capable of reconstructing the geometry of the colon captured with a camera with an unknown imaging pipeline and significant noise in the images. The same procedure is applied on WCE images for the purpose of 3D reconstruction. Preliminary results are subsequently generated to illustrate the applicability of our method for reconstructing 3D models from WCE images. Full article
(This article belongs to the Special Issue Geometry Reconstruction from Images (2nd Edition))
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16 pages, 5375 KiB  
Article
The Utility of Spectroscopic MRI in Stereotactic Biopsy and Radiotherapy Guidance in Newly Diagnosed Glioblastoma
by Abinand C. Rejimon, Karthik K. Ramesh, Anuradha G. Trivedi, Vicki Huang, Eduard Schreibmann, Brent D. Weinberg, Lawrence R. Kleinberg, Hui-Kuo G. Shu, Hyunsuk Shim and Jeffrey J. Olson
Tomography 2024, 10(3), 428-443; https://doi.org/10.3390/tomography10030033 - 20 Mar 2024
Cited by 4 | Viewed by 2819
Abstract
Current diagnostic and therapeutic approaches for gliomas have limitations hindering survival outcomes. We propose spectroscopic magnetic resonance imaging as an adjunct to standard MRI to bridge these gaps. Spectroscopic MRI is a volumetric MRI technique capable of identifying tumor infiltration based on its [...] Read more.
Current diagnostic and therapeutic approaches for gliomas have limitations hindering survival outcomes. We propose spectroscopic magnetic resonance imaging as an adjunct to standard MRI to bridge these gaps. Spectroscopic MRI is a volumetric MRI technique capable of identifying tumor infiltration based on its elevated choline (Cho) and decreased N-acetylaspartate (NAA). We present the clinical translatability of spectroscopic imaging with a Cho/NAA ≥ 5x threshold for delineating a biopsy target in a patient diagnosed with non-enhancing glioma. Then, we describe the relationship between the undertreated tumor detected with metabolite imaging and overall survival (OS) from a pilot study of newly diagnosed GBM patients treated with belinostat and chemoradiation. Each cohort (control and belinostat) were split into subgroups using the median difference between pre-radiotherapy Cho/NAA ≥ 2x and the treated T1-weighted contrast-enhanced (T1w-CE) volume. We used the Kaplan–Meier estimator to calculate median OS for each subgroup. The median OS was 14.4 months when the difference between Cho/NAA ≥ 2x and T1w-CE volumes was higher than the median compared with 34.3 months when this difference was lower than the median. The T1w-CE volumes were similar in both subgroups. We find that patients who had lower volumes of undertreated tumors detected via spectroscopy had better survival outcomes. Full article
(This article belongs to the Special Issue Progress in the Use of Advanced Imaging for Radiation Oncology)
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19 pages, 10889 KiB  
Article
Color-Transfer-Enhanced Data Construction and Validation for Deep Learning-Based Upper Gastrointestinal Landmark Classification in Wireless Capsule Endoscopy
by Hyeon-Seo Kim, Byungwoo Cho, Jong-Oh Park and Byungjeon Kang
Diagnostics 2024, 14(6), 591; https://doi.org/10.3390/diagnostics14060591 - 11 Mar 2024
Cited by 4 | Viewed by 2164
Abstract
While the adoption of wireless capsule endoscopy (WCE) has been steadily increasing, its primary application remains limited to observing the small intestine, with relatively less application in the upper gastrointestinal tract. However, there is a growing anticipation that advancements in capsule endoscopy technology [...] Read more.
While the adoption of wireless capsule endoscopy (WCE) has been steadily increasing, its primary application remains limited to observing the small intestine, with relatively less application in the upper gastrointestinal tract. However, there is a growing anticipation that advancements in capsule endoscopy technology will lead to a significant increase in its application in upper gastrointestinal examinations. This study addresses the underexplored domain of landmark identification within the upper gastrointestinal tract using WCE, acknowledging the limited research and public datasets available in this emerging field. To contribute to the future development of WCE for gastroscopy, a novel approach is proposed. Utilizing color transfer techniques, a simulated WCE dataset tailored for the upper gastrointestinal tract is created. Using Euclidean distance measurements, the similarity between this color-transferred dataset and authentic WCE images is verified. Pioneering the exploration of anatomical landmark classification with WCE data, this study integrates similarity evaluation with image preprocessing and deep learning techniques, specifically employing the DenseNet169 model. As a result, utilizing the color-transferred dataset achieves an anatomical landmark classification accuracy exceeding 90% in the upper gastrointestinal tract. Furthermore, the application of sharpen and detail filters demonstrates an increase in classification accuracy from 91.32% to 94.06%. Full article
(This article belongs to the Special Issue Endoscopy in Diagnosis of Gastrointestinal Disorders)
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24 pages, 33015 KiB  
Article
An Extended Polar Format Algorithm for Joint Envelope and Phase Error Correction in Widefield Staring SAR with Maneuvering Trajectory
by Yujie Liang, Yi Liang, Xiaoge Wang, Junhui Li and Mengdao Xing
Remote Sens. 2024, 16(5), 856; https://doi.org/10.3390/rs16050856 - 29 Feb 2024
Cited by 1 | Viewed by 1642
Abstract
Polar format algorithm (PFA) is a widely used high-resolution SAR imaging algorithm that can be implemented in advanced widefield staring synthetic aperture radar (WFS-SAR). However, existing algorithms have limited analysis in wavefront curvature error (WCE) and are challenging to apply to WFS-SAR with [...] Read more.
Polar format algorithm (PFA) is a widely used high-resolution SAR imaging algorithm that can be implemented in advanced widefield staring synthetic aperture radar (WFS-SAR). However, existing algorithms have limited analysis in wavefront curvature error (WCE) and are challenging to apply to WFS-SAR with high-resolution and large-swath scenes. This paper proposes an extended polar format algorithm for joint envelope and phase error correction in WFS-SAR imaging with maneuvering trajectory. The impact of the WCE and residual acceleration error (RAE) are analyzed in detail by deriving the specific wavenumber domain signal based on the mapping relationship between the geometry space and wavenumber space. Subsequently, this paper improves the traditional WCE compensation function and introduces a new range cell migration (RCM) recalibration function for joint envelope and phase error correction. The 2D precisely focused SAR image is acquired based on the spatially variant inverse filtering in the final. Simulation experiments validate the effectiveness of the proposed method. Full article
(This article belongs to the Special Issue New Approaches in High-Resolution SAR Imaging)
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16 pages, 1697 KiB  
Article
Polypoid Lesion Segmentation Using YOLO-V8 Network in Wireless Video Capsule Endoscopy Images
by Ali Sahafi, Anastasios Koulaouzidis and Mehrshad Lalinia
Diagnostics 2024, 14(5), 474; https://doi.org/10.3390/diagnostics14050474 - 22 Feb 2024
Cited by 21 | Viewed by 4356
Abstract
Gastrointestinal (GI) tract disorders are a significant public health issue. They are becoming more common and can cause serious health problems and high healthcare costs. Small bowel tumours (SBTs) and colorectal cancer (CRC) are both becoming more prevalent, especially among younger adults. Early [...] Read more.
Gastrointestinal (GI) tract disorders are a significant public health issue. They are becoming more common and can cause serious health problems and high healthcare costs. Small bowel tumours (SBTs) and colorectal cancer (CRC) are both becoming more prevalent, especially among younger adults. Early detection and removal of polyps (precursors of malignancy) is essential for prevention. Wireless Capsule Endoscopy (WCE) is a procedure that utilises swallowable camera devices that capture images of the GI tract. Because WCE generates a large number of images, automated polyp segmentation is crucial. This paper reviews computer-aided approaches to polyp detection using WCE imagery and evaluates them using a dataset of labelled anomalies and findings. The study focuses on YOLO-V8, an improved deep learning model, for polyp segmentation and finds that it performs better than existing methods, achieving high precision and recall. The present study underscores the potential of automated detection systems in improving GI polyp identification. Full article
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12 pages, 1208 KiB  
Article
Video Analysis of Small Bowel Capsule Endoscopy Using a Transformer Network
by SangYup Oh, DongJun Oh, Dongmin Kim, Woohyuk Song, Youngbae Hwang, Namik Cho and Yun Jeong Lim
Diagnostics 2023, 13(19), 3133; https://doi.org/10.3390/diagnostics13193133 - 5 Oct 2023
Cited by 1 | Viewed by 1970
Abstract
Although wireless capsule endoscopy (WCE) detects small bowel diseases effectively, it has some limitations. For example, the reading process can be time consuming due to the numerous images generated per case and the lesion detection accuracy may rely on the operators’ skills and [...] Read more.
Although wireless capsule endoscopy (WCE) detects small bowel diseases effectively, it has some limitations. For example, the reading process can be time consuming due to the numerous images generated per case and the lesion detection accuracy may rely on the operators’ skills and experiences. Hence, many researchers have recently developed deep-learning-based methods to address these limitations. However, they tend to select only a portion of the images from a given WCE video and analyze each image individually. In this study, we note that more information can be extracted from the unused frames and the temporal relations of sequential frames. Specifically, to increase the accuracy of lesion detection without depending on experts’ frame selection skills, we suggest using whole video frames as the input to the deep learning system. Thus, we propose a new Transformer-architecture-based neural encoder that takes the entire video as the input, exploiting the power of the Transformer architecture to extract long-term global correlation within and between the input frames. Subsequently, we can capture the temporal context of the input frames and the attentional features within a frame. Tests on benchmark datasets of four WCE videos showed 95.1% sensitivity and 83.4% specificity. These results may significantly advance automated lesion detection techniques for WCE images. Full article
(This article belongs to the Section Machine Learning and Artificial Intelligence in Diagnostics)
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