论文标题

检测结肠镜检查中的覆盖不足

Detecting Deficient Coverage in Colonoscopies

论文作者

Freedman, Daniel, Blau, Yochai, Katzir, Liran, Aides, Amit, Shimshoni, Ilan, Veikherman, Danny, Golany, Tomer, Gordon, Ariel, Corrado, Greg, Matias, Yossi, Rivlin, Ehud

论文摘要

结肠镜检查是预防结肠直肠癌的首选工具,通过检测和去除息肉在癌症之前。然而,内窥镜医生通常会遗漏22-28%的息肉,从而阻碍了结肠镜检查。尽管其中一些错过的息肉出现在内镜医生的视野中,但仅仅是因为该过程不合格的覆盖范围而错过了其他息肉,即并非所有的结肠都被看到。本文试图通过引入C2D2(结肠镜检查覆盖范围缺陷)算法来纠正结肠镜检查中不合格的覆盖范围,该算法检测到不足的覆盖范围,从而提醒内镜医生将其重新审视给定的区域。更具体地说,C2D2由两种独立的算法组成:给定常规RGB视频流的结肠深度估计;鉴于这些深度估计值,第二个计算覆盖范围。我们的算法不是在整个结肠上计算整个结肠的覆盖范围,而是根据细分市场计算本地覆盖范围;然后,C2D2可以实时指出结肠的特定区域是否遭受了不足的覆盖范围,如果这样,内镜医生可以返回该区域。我们的覆盖算法是第一个以大规模评估的算法。尽管我们的深度估计技术是应用于结肠镜检查的第一种无校准的无监督方法。 C2D2算法达到了最新的状态,导致发现覆盖率不足。在具有地面真理的合成序列上,它比人类专家高2.4倍。在实际序列上,C2D2与专家达成了93.0%的一致性。

Colonoscopy is the tool of choice for preventing Colorectal Cancer, by detecting and removing polyps before they become cancerous. However, colonoscopy is hampered by the fact that endoscopists routinely miss 22-28% of polyps. While some of these missed polyps appear in the endoscopist's field of view, others are missed simply because of substandard coverage of the procedure, i.e. not all of the colon is seen. This paper attempts to rectify the problem of substandard coverage in colonoscopy through the introduction of the C2D2 (Colonoscopy Coverage Deficiency via Depth) algorithm which detects deficient coverage, and can thereby alert the endoscopist to revisit a given area. More specifically, C2D2 consists of two separate algorithms: the first performs depth estimation of the colon given an ordinary RGB video stream; while the second computes coverage given these depth estimates. Rather than compute coverage for the entire colon, our algorithm computes coverage locally, on a segment-by-segment basis; C2D2 can then indicate in real-time whether a particular area of the colon has suffered from deficient coverage, and if so the endoscopist can return to that area. Our coverage algorithm is the first such algorithm to be evaluated in a large-scale way; while our depth estimation technique is the first calibration-free unsupervised method applied to colonoscopies. The C2D2 algorithm achieves state of the art results in the detection of deficient coverage. On synthetic sequences with ground truth, it is 2.4 times more accurate than human experts; while on real sequences, C2D2 achieves a 93.0% agreement with experts.

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