Automatic image and text-based description for colorectal polyps using BASIC classification.

Colorectal polyps (CRP) are precursor lesions of colorectal cancer (CRC). Correct identification of CRPs during in-vivo colonoscopy is supported by the endoscopist's expertise and medical classification models. A recent developed classification model is the Blue light imaging Adenoma Serrated Intern...

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Published in:Artificial Intelligence in Medicine Vol. 121
Main Authors: Fonollà, Roger, van der Zander, Quirine E.W., Schreuder, Ramon M., Subramaniam, Sharmila, Bhandari, Pradeep, Masclee, Ad A.M., Schoon, Erik J., van der Sommen, Fons, de With, Peter H.N.
Format: research Journal Article
Published: Elsevier B.V. Nov2021
Online Access:View this record in EBSCOhost
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      dt: Nov2021
      vid: 121
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      pub: Elsevier B.V.
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        10.1016/j.artmed.2021.102178
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        atl: Automatic image and text-based description for colorectal polyps using BASIC classification.
      aug:
        au:
          Fonollà, Roger
          van der Zander, Quirine E.W.
          Schreuder, Ramon M.
          Subramaniam, Sharmila
          Bhandari, Pradeep
          Masclee, Ad A.M.
          Schoon, Erik J.
          van der Sommen, Fons
          de With, Peter H.N.
        affil: Department of Electrical Engineering, Video Coding and Architectures (VCA), Eindhoven University of Technology, Eindhoven, Noord-Brabant, the Netherlands
      sug:
        subj:
          Colorectal Neoplasms
          Colonic Polyps
          Adenoma
          Light
          Human
          Colonoscopy
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Short Portable Mental Status Questionnaire
          Clinical Assessment Tools
          Scales
      ab: Colorectal polyps (CRP) are precursor lesions of colorectal cancer (CRC). Correct identification of CRPs during in-vivo colonoscopy is supported by the endoscopist's expertise and medical classification models. A recent developed classification model is the Blue light imaging Adenoma Serrated International Classification (BASIC) which describes the differences between non-neoplastic and neoplastic lesions acquired with blue light imaging (BLI). Computer-aided detection (CADe) and diagnosis (CADx) systems are efficient at visually assisting with medical decisions but fall short at translating decisions into relevant clinical information. The communication between machine and medical expert is of crucial importance to improve diagnosis of CRP during in-vivo procedures. In this work, the combination of a polyp image classification model and a language model is proposed to develop a CADx system that automatically generates text comparable to the human language employed by endoscopists. The developed system generates equivalent sentences as the human-reference and describes CRP images acquired with white light (WL), blue light imaging (BLI) and linked color imaging (LCI). An image feature encoder and a BERT module are employed to build the AI model and an external test set is used to evaluate the results and compute the linguistic metrics. The experimental results show the construction of complete sentences with an established metric scores of BLEU-1 = 0.67, ROUGE-L = 0.83 and METEOR = 0.50. The developed CADx system for automatic CRP image captioning facilitates future advances towards automatic reporting and may help reduce time-consuming histology assessment.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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