Vessel and tissue recognition during third-space endoscopy using a deep learning algorithm.
ENDOSCOPIC PROCEDURES
ENDOSCOPY
SURGICAL ONCOLOGY
Journal
Gut
ISSN: 1468-3288
Titre abrégé: Gut
Pays: England
ID NLM: 2985108R
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
received:
01
11
2021
accepted:
29
06
2022
pubmed:
16
9
2022
medline:
10
11
2022
entrez:
15
9
2022
Statut:
ppublish
Résumé
In this study, we aimed to develop an artificial intelligence clinical decision support solution to mitigate operator-dependent limitations during complex endoscopic procedures such as endoscopic submucosal dissection and peroral endoscopic myotomy, for example, bleeding and perforation. A DeepLabv3-based model was trained to delineate vessels, tissue structures and instruments on endoscopic still images from such procedures. The mean cross-validated Intersection over Union and Dice Score were 63% and 76%, respectively. Applied to standardised video clips from third-space endoscopic procedures, the algorithm showed a mean vessel detection rate of 85% with a false-positive rate of 0.75/min. These performance statistics suggest a potential clinical benefit for procedure safety, time and also training.
Identifiants
pubmed: 36109151
pii: gutjnl-2021-326470
doi: 10.1136/gutjnl-2021-326470
pmc: PMC9664130
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2388-2390Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: NS: speaker honorarium, Boston Scientific and Pharmascience. MB: CEO and founder, Satisfai Health. HM: consulting fees, Olympus.
Références
Ann Surg. 2018 Jul;268(1):70-76
pubmed: 29389679
Gastroenterology. 2021 Jun;160(7):2239-2243.e1
pubmed: 33882288
Ann Surg. 2022 Aug 1;276(2):363-369
pubmed: 33196488
Gut. 2019 Jul;68(7):1143-1145
pubmed: 30510110
Gastroenterology. 2020 Feb;158(3):783-785.e1
pubmed: 31863741
Gastroenterology. 2021 Jun;160(7):2317-2327.e2
pubmed: 33610532
Gastroenterology. 2018 May;154(7):1901-1910
pubmed: 29454796
Gastroenterology. 2018 May;154(7):1887-1900.e5
pubmed: 29486200
Gastroenterology. 2021 Oct;161(4):1168-1178
pubmed: 34182002
Gut. 2019 Jan;68(1):94-100
pubmed: 29066576