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Towards full integration of explainable artificial intelligence in colon capsule endoscopy's pathway.

作者信息

Nadimi Esmaeil S, Braun Jan-Matthias, Schelde-Olesen Benedicte, Khare Smith, Gogineni Vinay C, Blanes-Vidal Victoria, Baatrup Gunnar

机构信息

Applied AI and Data Science (AID), Maersk Mc-Kinney Moller Institute, Faculty of Engineering, University of Southern Denmark, Odense, Denmark.

Department of Surgery, Odense University Hospital, Odense, Denmark.

出版信息

Sci Rep. 2025 Feb 18;15(1):5960. doi: 10.1038/s41598-025-89648-z.


DOI:10.1038/s41598-025-89648-z
PMID:39966538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11836113/
Abstract

Despite recent surge of interest in deploying colon capsule endoscopy (CCE) for early diagnosis of colorectal diseases, there remains a large gap between the current state of CCE in clinical practice, and the state of its counterpart optical colonoscopy (OC). This is due to several factors, such as low quality bowel cleansing, logistical challenges around both delivery and collection of the capsule, and most importantly, the tedious manual assessment of images after retrieval. Our study, built on the "Danish CareForColon2015 trial (cfc2015)" is aimed at closing this gap, by focusing on the full integration of AI in CCE's pathway, where image processing steps linked to the detection, localization and characterisation of important findings are carried out autonomously using various AI algorithms. We developed a family of algorithms based on explainable deep neural networks (DNN) that detect polyps within a sequence of images, feed only those images containing polyps into two parallel independent networks to characterize, and estimate the size of important findings. Our recognition DNN to detect colorectal polyps was trained and validated ([Formula: see text]) and tested ([Formula: see text]) on an unaugmented database of 1751 images containing colorectal polyps and 1672 images of normal mucosa reached an impressive sensitivity of [Formula: see text], a specificity of [Formula: see text], and a negative predictive value (NPV) of [Formula: see text]. The characterisation DNN trained on an unaugmented database of 317 images featuring neoplastic polyps and 162 images of non-neoplastic polyps reached a sensitivity of [Formula: see text] and a specificity of [Formula: see text] in classifying polyps. The size estimation DNN trained on an unaugmented database of 280 images reached an accuracy of [Formula: see text] in correctly segmenting the polyps. By automatically incorporating important information including size, location and pathology of the findings into CCE's pathway, we moved a step closer towards the full integration of explainable AI (XAI) in CCE's routine clinical practice. This translates into a fewer number of unnecessary investigations and resection of diminutive, insignificant colorectal polyps.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/13447b747e7d/41598_2025_89648_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/a3ee964b4b41/41598_2025_89648_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/b7b72adbf969/41598_2025_89648_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/421e6ccdf8cd/41598_2025_89648_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/66f35cf4ee07/41598_2025_89648_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/bff6d17f76a2/41598_2025_89648_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/947748f3b0e2/41598_2025_89648_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/13447b747e7d/41598_2025_89648_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/a3ee964b4b41/41598_2025_89648_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/b7b72adbf969/41598_2025_89648_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/421e6ccdf8cd/41598_2025_89648_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/66f35cf4ee07/41598_2025_89648_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/bff6d17f76a2/41598_2025_89648_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/947748f3b0e2/41598_2025_89648_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5768/11836113/13447b747e7d/41598_2025_89648_Fig7_HTML.jpg

相似文献

[1]
Towards full integration of explainable artificial intelligence in colon capsule endoscopy's pathway.

Sci Rep. 2025-2-18

[2]
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United European Gastroenterol J. 2020-8

[3]
Accurate Classification of Diminutive Colorectal Polyps Using Computer-Aided Analysis.

Gastroenterology. 2017-10-16

[4]
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Indian J Gastroenterol. 2023-4

[5]
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[6]
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[7]
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World J Gastroenterol. 2018-8-21

[8]
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[9]
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[10]
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Eur J Gastroenterol Hepatol. 2024-9-1

引用本文的文献

[1]
Systematic meta-review: diagnostic accuracy of colon capsule endoscopy for colonic neoplasia with umbrella meta-analysis.

Ther Adv Gastrointest Endosc. 2025-8-30

[2]
From Stool to Scope: Optimising FIT Thresholds to Guide Future Panenteric Capsule Endoscopy and Reduce Colonoscopy Burden in Iron Deficiency Anaemia.

Cancers (Basel). 2025-6-11

本文引用的文献

[1]
A prospective multicenter randomized controlled trial on artificial intelligence assisted colonoscopy for enhanced polyp detection.

Sci Rep. 2024-10-26

[2]
Artificial intelligence for colorectal neoplasia detection during colonoscopy: a systematic review and meta-analysis of randomized clinical trials.

EClinicalMedicine. 2023-11-30

[3]
Current status of colon capsule endoscopy in clinical practice.

Nat Rev Gastroenterol Hepatol. 2023-9

[4]
Interobserver agreement on landmark and flexure identification in colon capsule endoscopy.

Tech Coloproctol. 2023-12

[5]
AID-U-Net: An Innovative Deep Convolutional Architecture for Semantic Segmentation of Biomedical Images.

Diagnostics (Basel). 2022-11-25

[6]
Artificial Intelligence in Colon Capsule Endoscopy-A Systematic Review.

Diagnostics (Basel). 2022-8-17

[7]
Edge artificial intelligence wireless video capsule endoscopy.

Sci Rep. 2022-8-12

[8]
Artificial intelligence and colon capsule endoscopy: development of an automated diagnostic system of protruding lesions in colon capsule endoscopy.

Tech Coloproctol. 2021-11

[9]
Feature Point Tracking-Based Localization of Colon Capsule Endoscope.

Diagnostics (Basel). 2021-1-28

[10]
Colon Capsule Endoscopy vs. CT Colonography Following Incomplete Colonoscopy: A Systematic Review with Meta-Analysis.

Cancers (Basel). 2020-11-13

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