人工智能技术在大肠息肉自动检测中的应用

M. A. Gómez-Zuleta, Iego Fernando Cano-Rosales, Diego Fernando Bravo-Higuera, Josué André Ruano-Balseca, Eduardo Romero-Castro
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引用次数: 0

摘要

目的:建立一种基于人工智能的自动结肠镜检查方法。方法:采用某大学附属医院建立的公共数据库,包括结直肠脂肪和数据收集。最初,视频中的所有帧都被归一化,以减少数据库之间的高可变性。然后,利用卷积神经网络进行全深度学习,完成息肉的检测任务。该网络首先从ImageNet数据库中的数百万张自然图像中学习权重。根据微调技术,利用结肠镜图像更新网络权值。最后,通过将包含Po ø lipo的概率分配给每个表并确定当表中出现息肉时定义的阈值来执行息肉检测。结果:从5个公共数据库和高校医院建立的数据库中共收集病例1875例,共计123046份表格。对该方法进行了训练和评价。结果与不同结肠镜专家评分比较,准确率为0.77,灵敏度为0.89,特异性为0.71,ROC曲线(受试者操作特征)为0.87。结论:与已有的胃肠道标志物相比,该方法克服了不同类型病变和不同结肠光照条件(处理、折叠或收缩)的高度变异性,具有非常高的灵敏度,可减少人为误差,这是导致结肠镜检查Po脂质未检出或漏出的主要因素之一。
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Application of Artificial Intelligence Technology in Automatic Detec-tion of large Intestine Polyps
Objective: to establish an automatic colonoscopy method based on artificial intelligence. Methods: a public database established by a university hospital was used, including colorectal fat and data collection. Initially, all frames in the video are normalized to reduce the high variability between databases. Then, the convolution neural network is used for full depth learning to complete the detection task of polyps. The network starts with the weights learned from millions of natural images in the ImageNet database. According to the fine-tuning technology, the colonoscopy image is used to update the network weight. Finally, the detection of polyps is performed by assigning the probability of containing Po ́ lipo to each table and determining the threshold defined when polyps appears in the table. Results: 1875 cases were collected from 5 public databases and databases established by university hospitals, with a total of 123046 forms. The method was trained and evaluated. Comparing the results with the scores of different colonoscopy experts, the accuracy was 0.77, the sensitivity was 0.89, the specificity was 0.71, and the ROC curve (re ceiver operation characteristics) was 0.87. Conclusion: compared with experienced gastrointestinal markers, this method overcomes the high variability of different types of lesions and different colonic light conditions (handle, folding or contraction), has very high sensitivity, and can reduce human errors, which is one of the main factors leading to the non detection or leakage of Po lipids in colonoscopy.
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