Semantic Segmentation Dataset for AI-Based Quantification of Clean Mucosa in Capsule Endoscopy.

Journal: Medicina (Kaunas, Lithuania)
PMID:

Abstract

: Capsule endoscopy (CE) for bowel cleanliness evaluation primarily depends on subjective methods. To objectively evaluate bowel cleanliness, we focused on artificial intelligence (AI)-based assessments. We aimed to generate a large segmentation dataset from CE images and verify its quality using a convolutional neural network (CNN)-based algorithm. : Images were extracted and divided into 10 stages according to the clean regions in a CE video. Each image was classified into three classes (clean, dark, and floats/bubbles) or two classes (clean and non-clean). Using this semantic segmentation dataset, a CNN training was performed with 169 videos, and a clean region (visualization scale (VS)) formula was developed. Then, measuring mean intersection over union (mIoU), Dice index, and clean mucosal predictions were performed. The VS performance was tested using 10 videos. : A total of 10,033 frames of the semantic segmentation dataset were constructed from 179 patients. The 3-class and 2-class semantic segmentation's testing performance was 0.7716 mIoU (range: 0.7031-0.8071), 0.8627 Dice index (range: 0.7846-0.8891), and 0.8927 mIoU (range: 0.8562-0.9330), 0.9457 Dice index (range: 0.9225-0.9654), respectively. In addition, the 3-class and 2-class clean mucosal prediction accuracy was 94.4% and 95.7%, respectively. The VS prediction performance for both 3-class and 2-class segmentation was almost identical to the ground truth. : We established a semantic segmentation dataset spanning 10 stages uniformly from 179 patients. The prediction accuracy for clean mucosa was significantly high (above 94%). Our VS equation can approximately measure the region of clean mucosa. These results confirmed our dataset to be ideal for an accurate and quantitative assessment of AI-based bowel cleanliness.

Authors

  • Jeong-Woo Ju
    Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.
  • Heechul Jung
    Department of Artificial Intelligence, Kyungpook National University, Daegu 41566, Korea.
  • Yeoun Joo Lee
    Department of Pediatrics, Pusan National University School of Medicine, Yangsan, Korea.
  • Sang-Wook Mun
    Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.
  • Jong-Hyuck Lee
    Seoreu Co., Ltd., Busan 46288, Korea.