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Erschienen in: Current Treatment Options in Gastroenterology 1/2020

21.01.2020 | Colon (J Anderson, Section Editor)

Artificial Intelligence and Polyp Detection

verfasst von: Nicholas Hoerter, Seth A. Gross, Peter S. Liang

Erschienen in: Current Treatment Options in Gastroenterology | Ausgabe 1/2020

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Abstract

Purpose of review

This review highlights the history, recent advances, and ongoing challenges of artificial intelligence (AI) technology in colonic polyp detection.

Recent findings

Hand-crafted AI algorithms have recently given way to convolutional neural networks with the ability to detect polyps in real-time. The first randomized controlled trial comparing an AI system to standard colonoscopy found a 9% increase in adenoma detection rate, but the improvement was restricted to polyps smaller than 10 mm and the results need validation. As this field rapidly evolves, important issues to consider include standardization of outcomes, dataset availability, real-world applications, and regulatory approval.

Summary

AI has shown great potential for improving colonic polyp detection while requiring minimal training for endoscopists. The question of when AI will enter endoscopic practice depends on whether the technology can be integrated into existing hardware and an assessment of its added value for patient care.
Literatur
2.
19.
Zurück zum Zitat Angermann Q, Bernal J, Sánchez-Montes C, et al (2017) Towards real-time polyp detection in colonoscopy videos: adapting still frame-based methodologies for video sequences analysis. In: Computer assisted and robotic endoscopy and clinical image-based procedures. Springer, pp 29–41. Angermann Q, Bernal J, Sánchez-Montes C, et al (2017) Towards real-time polyp detection in colonoscopy videos: adapting still frame-based methodologies for video sequences analysis. In: Computer assisted and robotic endoscopy and clinical image-based procedures. Springer, pp 29–41.
20.
Zurück zum Zitat Wang Y, Tavanapong W, Wong J, Oh JH, de Groen PC. Polyp-alert: near real-time feedback during colonoscopy. Comput Methods Prog Biomed. 2015;120:164–79.CrossRef Wang Y, Tavanapong W, Wong J, Oh JH, de Groen PC. Polyp-alert: near real-time feedback during colonoscopy. Comput Methods Prog Biomed. 2015;120:164–79.CrossRef
22.
Zurück zum Zitat Billah M, Waheed S, Rahman MM. An automatic gastrointestinal polyp detection system in video endoscopy using fusion of color wavelet and convolutional neural network features. Int J Biomed Imaging. 2017;2017:9.CrossRef Billah M, Waheed S, Rahman MM. An automatic gastrointestinal polyp detection system in video endoscopy using fusion of color wavelet and convolutional neural network features. Int J Biomed Imaging. 2017;2017:9.CrossRef
25.
Zurück zum Zitat •• Klare P, Sander C, Prinzen M, et al (2019) Automated polyp detection in the colorectum: a prospective study (with videos). Gastrointest Endosc 89:576-582.e1. https://doi.org/10.1016/j.gie.2018.09.042A real-time algorithm that was tested in vivo during live colonoscopies; its ADR was comparable with, but slightly inferior to, that of endoscopists. CrossRefPubMed •• Klare P, Sander C, Prinzen M, et al (2019) Automated polyp detection in the colorectum: a prospective study (with videos). Gastrointest Endosc 89:576-582.e1. https://​doi.​org/​10.​1016/​j.​gie.​2018.​09.​042A real-time algorithm that was tested in vivo during live colonoscopies; its ADR was comparable with, but slightly inferior to, that of endoscopists. CrossRefPubMed
26.
Zurück zum Zitat •• Wang P, Berzin TM, Glissen Brown JR, et al (2019) Real-time automatic detection system increases colonoscopic polyp and adenoma detection rates: a prospective randomised controlled study. Gut gutjnl-2018-317500. https://doi.org/10.1136/gutjnl-2018-317500This is the only randomized clinical trial using AI for polyp detection in live patients and found increased ADR compared with standard colonoscopy. CrossRefPubMed •• Wang P, Berzin TM, Glissen Brown JR, et al (2019) Real-time automatic detection system increases colonoscopic polyp and adenoma detection rates: a prospective randomised controlled study. Gut gutjnl-2018-317500. https://​doi.​org/​10.​1136/​gutjnl-2018-317500This is the only randomized clinical trial using AI for polyp detection in live patients and found increased ADR compared with standard colonoscopy. CrossRefPubMed
28.
Zurück zum Zitat Noshirwani KC, van Stolk RU, Rybicki LA, Beck GJ (2000) Adenoma size and number are predictive of adenoma recurrence: implications for surveillance colonoscopy. Gastrointest Endosc 51:433–437. https://doi.org/10.1016/S0016-5107 (00)70444-5. Noshirwani KC, van Stolk RU, Rybicki LA, Beck GJ (2000) Adenoma size and number are predictive of adenoma recurrence: implications for surveillance colonoscopy. Gastrointest Endosc 51:433–437. https://doi.org/10.1016/S0016-5107 (00)70444-5.
32.
Zurück zum Zitat • Bernal J, Tajkbaksh N, Sánchez FJ, et al (2017) Comparative validation of polyp detection methods in video colonoscopy: results from the MICCAI 2015 endoscopic vision challenge. IEEE Trans Med Imaging 36:1231–1249 Describes results of the first and only attempt to compare the performance of multiple algorithms directly in a standardized manner. CrossRefPubMed • Bernal J, Tajkbaksh N, Sánchez FJ, et al (2017) Comparative validation of polyp detection methods in video colonoscopy: results from the MICCAI 2015 endoscopic vision challenge. IEEE Trans Med Imaging 36:1231–1249 Describes results of the first and only attempt to compare the performance of multiple algorithms directly in a standardized manner. CrossRefPubMed
33.
Zurück zum Zitat • Rex DK, Kahi C, O’Brien M, et al (2011) The American Society for Gastrointestinal Endoscopy PIVI (preservation and incorporation of valuable endoscopic innovations) on real-time endoscopic assessment of the histology of diminutive colorectal polyps. Gastrointest Endosc 73:419–422. https://doi.org/10.1016/j.gie.2011.01.023ASGE statement establishing criteria for incorporation of polyp classification technology into practice. CrossRefPubMed • Rex DK, Kahi C, O’Brien M, et al (2011) The American Society for Gastrointestinal Endoscopy PIVI (preservation and incorporation of valuable endoscopic innovations) on real-time endoscopic assessment of the histology of diminutive colorectal polyps. Gastrointest Endosc 73:419–422. https://​doi.​org/​10.​1016/​j.​gie.​2011.​01.​023ASGE statement establishing criteria for incorporation of polyp classification technology into practice. CrossRefPubMed
40.
Zurück zum Zitat Chen P-J, Lin M-C, Lai M-J, Lin JC, Lu HH, Tseng VS. Accurate classification of diminutive colorectal polyps using computer-aided analysis. Gastroenterology. 2018;154:568–75.CrossRefPubMed Chen P-J, Lin M-C, Lai M-J, Lin JC, Lu HH, Tseng VS. Accurate classification of diminutive colorectal polyps using computer-aided analysis. Gastroenterology. 2018;154:568–75.CrossRefPubMed
41.
Zurück zum Zitat Byrne MF, Chapados N, Soudan F, Oertel C, Linares Pérez M, Kelly R, et al. Real-time differentiation of adenomatous and hyperplastic diminutive colorectal polyps during analysis of unaltered videos of standard colonoscopy using a deep learning model. Gut. 2019;68:94–100. https://doi.org/10.1136/gutjnl-2017-314547 .CrossRefPubMed Byrne MF, Chapados N, Soudan F, Oertel C, Linares Pérez M, Kelly R, et al. Real-time differentiation of adenomatous and hyperplastic diminutive colorectal polyps during analysis of unaltered videos of standard colonoscopy using a deep learning model. Gut. 2019;68:94–100. https://doi.org/10.1136/gutjnl-2017-314547 .CrossRefPubMed
43.
Zurück zum Zitat Kominami Y, Yoshida S, Tanaka S, Sanomura Y, Hirakawa T, Raytchev B, et al. Computer-aided diagnosis of colorectal polyp histology by using a real-time image recognition system and narrow-band imaging magnifying colonoscopy. Gastrointest Endosc. 2016;83:643–9. https://doi.org/10.1016/j.gie.2015.08.004 .CrossRefPubMed Kominami Y, Yoshida S, Tanaka S, Sanomura Y, Hirakawa T, Raytchev B, et al. Computer-aided diagnosis of colorectal polyp histology by using a real-time image recognition system and narrow-band imaging magnifying colonoscopy. Gastrointest Endosc. 2016;83:643–9. https://doi.org/10.1016/j.gie.2015.08.004 .CrossRefPubMed
44.
46.
Zurück zum Zitat Karkanis SA, Iakovidis DK, Maroulis DE, Karras DA, Tzivras M. Computer-aided tumor detection in endoscopic video using color wavelet features. IEEE Trans Inf Technol Biomed. 2003;7:141–52.CrossRefPubMed Karkanis SA, Iakovidis DK, Maroulis DE, Karras DA, Tzivras M. Computer-aided tumor detection in endoscopic video using color wavelet features. IEEE Trans Inf Technol Biomed. 2003;7:141–52.CrossRefPubMed
47.
Zurück zum Zitat Hwang S, Oh J, Tavanapong W, et al (2007) Polyp detection in colonoscopy video using elliptical shape feature. In: 2007 IEEE International Conference on Image Processing. IEEE, pp II-465-II–468. Hwang S, Oh J, Tavanapong W, et al (2007) Polyp detection in colonoscopy video using elliptical shape feature. In: 2007 IEEE International Conference on Image Processing. IEEE, pp II-465-II–468.
49.
Zurück zum Zitat Bernal J, Sánchez FJ, Fernández-Esparrach G, Gil D, Rodríguez C, Vilariño F. WM-DOVA maps for accurate polyp highlighting in colonoscopy: validation vs. saliency maps from physicians. Comput Med Imaging Graph. 2015;43:99–111.CrossRefPubMed Bernal J, Sánchez FJ, Fernández-Esparrach G, Gil D, Rodríguez C, Vilariño F. WM-DOVA maps for accurate polyp highlighting in colonoscopy: validation vs. saliency maps from physicians. Comput Med Imaging Graph. 2015;43:99–111.CrossRefPubMed
50.
Zurück zum Zitat Tajbakhsh N, Gurudu SR, Liang J. Automated polyp detection in colonoscopy videos using shape and context information. IEEE Trans Med Imaging. 2015;35:630–44.CrossRefPubMed Tajbakhsh N, Gurudu SR, Liang J. Automated polyp detection in colonoscopy videos using shape and context information. IEEE Trans Med Imaging. 2015;35:630–44.CrossRefPubMed
53.
Zurück zum Zitat Park SY, Sargent D (2016) Colonoscopic polyp detection using convolutional neural networks. In: Medical imaging 2016: computer-aided diagnosis. International Society for Optics and Photonics, p 978528. Park SY, Sargent D (2016) Colonoscopic polyp detection using convolutional neural networks. In: Medical imaging 2016: computer-aided diagnosis. International Society for Optics and Photonics, p 978528.
54.
Zurück zum Zitat Pogorelov K, Ostroukhova O, Jeppsson M, et al (2018) Deep learning and hand-crafted feature based approaches for polyp detection in medical videos. In: 2018 IEEE 31st international symposium on computer-based medical systems (CBMS). IEEE, Karlstad, pp 381–386. Pogorelov K, Ostroukhova O, Jeppsson M, et al (2018) Deep learning and hand-crafted feature based approaches for polyp detection in medical videos. In: 2018 IEEE 31st international symposium on computer-based medical systems (CBMS). IEEE, Karlstad, pp 381–386.
58.
Zurück zum Zitat Misawa M, Kudo S, Mori Y, et al. Tu1990 Artificial intelligence-assisted polyp detection system for colonoscopy, based on the largest available collection of clinical video data for machine learning. Gastrointest Endosc. 2019;89:AB646–7. https://doi.org/10.1016/j.gie.2019.03.1134 .CrossRef Misawa M, Kudo S, Mori Y, et al. Tu1990 Artificial intelligence-assisted polyp detection system for colonoscopy, based on the largest available collection of clinical video data for machine learning. Gastrointest Endosc. 2019;89:AB646–7. https://doi.org/10.1016/j.gie.2019.03.1134 .CrossRef
59.
Zurück zum Zitat Ozawa T, Ishihara S, Fujishiro M, et al (2018) Novel computer-assisted system for the detection and classification of colorectal polyps using artificial intelligence. UEG Week 2018 Oral Presentations.pdf. United European Gastroenterology Journal, Austria, p A98. Ozawa T, Ishihara S, Fujishiro M, et al (2018) Novel computer-assisted system for the detection and classification of colorectal polyps using artificial intelligence. UEG Week 2018 Oral Presentations.pdf. United European Gastroenterology Journal, Austria, p A98.
63.
Zurück zum Zitat Yamada M, Saito Y, Imaoka H, et al. Development of a real-time endoscopic image diagnosis support system using deep learning technology in colonoscopy. Austria: United European Gastroenterology Journal; 2018. p. A190. Yamada M, Saito Y, Imaoka H, et al. Development of a real-time endoscopic image diagnosis support system using deep learning technology in colonoscopy. Austria: United European Gastroenterology Journal; 2018. p. A190.
64.
Zurück zum Zitat Zheng Y, Mak T, Jiang Y, et al. A study comparing colorectal polyp detection rates between endoscopists and artificial intelligence-doscopist. France: Colorectal Disease; 2018. p. 22. Zheng Y, Mak T, Jiang Y, et al. A study comparing colorectal polyp detection rates between endoscopists and artificial intelligence-doscopist. France: Colorectal Disease; 2018. p. 22.
Metadaten
Titel
Artificial Intelligence and Polyp Detection
verfasst von
Nicholas Hoerter
Seth A. Gross
Peter S. Liang
Publikationsdatum
21.01.2020
Verlag
Springer US
Erschienen in
Current Treatment Options in Gastroenterology / Ausgabe 1/2020
Print ISSN: 1092-8472
Elektronische ISSN: 1534-309X
DOI
https://doi.org/10.1007/s11938-020-00274-2

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