Wan Jingjing, Zhu Wenjie, Chen Bolun, Wang Ling, Chang Kailu, Meng Xianchun
Department of Gastroenterology, The Second People's Hospital of Huai'an, The Affiliated Huai'an Hospital of Xuzhou Medical University, Huaian, 223002, China.
Faculty of Computer and Software Engineering, Huaiyin Institute of Technology, Huaian, 223003, China.
Sci Rep. 2024 Dec 3;14(1):30033. doi: 10.1038/s41598-024-81842-9.
Gastrointestinal polyps are early indicators of many significant diseases within the digestive system, and timely detection of these polyps is crucial for preventing them. Although clinical gastrointestinal endoscopy and interventions help reduce the risk of malignancy, most current methods fail to adequately address the uncertainties and scale issues associated with the presence of polyps, posing a threat to patients' health. Therefore, this paper proposes a novel single-stage method for polyp detection. Specifically, by designing the CRFEM, the network's ability to perceive contextual information about polyp targets is enhanced. Additionally, the RSPPF is designed to assist the network in more meticulously completing the fusion of multi-scale polyp features. Finally, one detection head is removed from the original model to reduce a substantial number of parameters, and a high-dimensional feature compensation structure is designed to address the decline in recall rate caused by the absence of the detection head. Experiments were conducted using public datasets such as Kvasir-seg, which includes gastric and intestinal polyps. The results indicate that CRH-YOLO achieves 88.8%, 86.0%, and 90.7% on three key metrics: Precision (P), Recall (R), and mean average precision at 0.5 (map@.5), significantly outperforming current mainstream detection models like YOLOv8n. Notably, CRH-YOLO improves the map@.5 metric by 2.4% compared to YOLOv8n. Furthermore, the model demonstrates excellent performance in detecting smaller or less obvious polyps, providing an effective solution for the early detection and prediction of polyps.
胃肠道息肉是消化系统内许多重大疾病的早期指标,及时检测这些息肉对于预防疾病至关重要。尽管临床胃肠内镜检查及干预措施有助于降低恶性肿瘤风险,但目前大多数方法未能充分解决与息肉存在相关的不确定性和规模问题,对患者健康构成威胁。因此,本文提出了一种新颖的息肉单阶段检测方法。具体而言,通过设计CRFEM,增强了网络感知息肉目标上下文信息的能力。此外,设计了RSPPF以协助网络更精细地完成多尺度息肉特征的融合。最后,从原始模型中移除一个检测头以减少大量参数,并设计了一种高维特征补偿结构来解决因检测头缺失导致的召回率下降问题。使用诸如Kvasir-seg等公共数据集进行了实验,该数据集包含胃息肉和肠息肉。结果表明,CRH-YOLO在三个关键指标:精度(P)、召回率(R)和0.5时的平均精度均值(map@.5)上分别达到了88.8%、86.0%和90.7%,显著优于YOLOv8n等当前主流检测模型。值得注意的是,与YOLOv8n相比,CRH-YOLO将map@.5指标提高了2.4%。此外,该模型在检测较小或不太明显的息肉方面表现出色,为息肉的早期检测和预测提供了有效的解决方案。