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Gallos IK, Tryfonopoulos D, Shani G, Amditis A, Haick H, Dionysiou DD. Advancing Colorectal Cancer Diagnosis with AI-Powered Breathomics: Navigating Challenges and Future Directions. Diagnostics (Basel) 2023; 13:3673. [PMID: 38132257 PMCID: PMC10743128 DOI: 10.3390/diagnostics13243673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Revised: 12/12/2023] [Accepted: 12/13/2023] [Indexed: 12/23/2023] Open
Abstract
Early detection of colorectal cancer is crucial for improving outcomes and reducing mortality. While there is strong evidence of effectiveness, currently adopted screening methods present several shortcomings which negatively impact the detection of early stage carcinogenesis, including low uptake due to patient discomfort. As a result, developing novel, non-invasive alternatives is an important research priority. Recent advancements in the field of breathomics, the study of breath composition and analysis, have paved the way for new avenues for non-invasive cancer detection and effective monitoring. Harnessing the utility of Volatile Organic Compounds in exhaled breath, breathomics has the potential to disrupt colorectal cancer screening practices. Our goal is to outline key research efforts in this area focusing on machine learning methods used for the analysis of breathomics data, highlight challenges involved in artificial intelligence application in this context, and suggest possible future directions which are currently considered within the framework of the European project ONCOSCREEN.
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Affiliation(s)
- Ioannis K. Gallos
- Institute of Communication and Computer Systems, National Technical University of Athens, Zografos Campus, 15780 Athens, Greece; (D.T.); (A.A.)
| | - Dimitrios Tryfonopoulos
- Institute of Communication and Computer Systems, National Technical University of Athens, Zografos Campus, 15780 Athens, Greece; (D.T.); (A.A.)
| | - Gidi Shani
- Laboratory for Nanomaterial-Based Devices, Technion—Israel Institute of Technology, Haifa 3200003, Israel; (G.S.); (H.H.)
| | - Angelos Amditis
- Institute of Communication and Computer Systems, National Technical University of Athens, Zografos Campus, 15780 Athens, Greece; (D.T.); (A.A.)
| | - Hossam Haick
- Laboratory for Nanomaterial-Based Devices, Technion—Israel Institute of Technology, Haifa 3200003, Israel; (G.S.); (H.H.)
| | - Dimitra D. Dionysiou
- Institute of Communication and Computer Systems, National Technical University of Athens, Zografos Campus, 15780 Athens, Greece; (D.T.); (A.A.)
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2
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Lu B. Algorithm improvement of neural network in endoscopic image recognition of upper digestive tract system. EXPERT SYSTEMS 2023; 40. [DOI: 10.1111/exsy.12912] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Accepted: 10/13/2021] [Indexed: 09/01/2023]
Abstract
AbstractThe development of effective gastrointestinal diseases computer‐aided diagnosis tools and automatic image quality assessment algorithms is very important to improve the effectiveness of diagnosis and treatment. In order to further study the application of neural network algorithm in the endoscopic image of upper digestive tract, improve the efficiency of neural network algorithm in the field of endoscopic image. In this study, neural network algorithms were used to identify endoscopic images of the upper digestive tract. 1335 cases with upper gastrointestinal endoscopic images were collected. After the data was enlarged, it was randomly divided into training set and test set according to the proportion, and the obtained training set was input. After convolutional neural network training, an algorithm model was established in the institute. 1653 test set data samples were input into the neural network to verify the accuracy. Finally, the accuracy of the neural root network model constructed in this study reached 0.0942. Through horizontal comparison, it can be concluded that the neural network model proposed in this study not only has a higher accuracy rate, but also is better than the current existing related neural network algorithms. Based on the above experimental verification, it can be concluded that the upper gastrointestinal endoscopic image recognition algorithm based on neural network proposed in this study can more accurately and effectively identify the lesions in the upper gastrointestinal endoscopic images.
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Affiliation(s)
- Bin Lu
- Department of Gastrointestinal Surgery Affiliated Hospital of Shaoxing University (The Shaoxing Municipal Hospital) Shaoxing China
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Pavlov V, Fyodorov S, Zavjalov S, Pervunina T, Govorov I, Komlichenko E, Deynega V, Artemenko V. Simplified Convolutional Neural Network Application for Cervix Type Classification via Colposcopic Images. Bioengineering (Basel) 2022; 9:bioengineering9060240. [PMID: 35735482 PMCID: PMC9219648 DOI: 10.3390/bioengineering9060240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 05/14/2022] [Accepted: 05/26/2022] [Indexed: 11/16/2022] Open
Abstract
The inner parts of the human body are usually inspected endoscopically using special equipment. For instance, each part of the female reproductive system can be examined endoscopically (laparoscopy, hysteroscopy, and colposcopy). The primary purpose of colposcopy is the early detection of malignant lesions of the cervix. Cervical cancer (CC) is one of the most common cancers in women worldwide, especially in middle- and low-income countries. Therefore, there is a growing demand for approaches that aim to detect precancerous lesions, ideally without quality loss. Despite its high efficiency, this method has some disadvantages, including subjectivity and pronounced dependence on the operator’s experience. The objective of the current work is to propose an alternative to overcoming these limitations by utilizing the neural network approach. The classifier is trained to recognize and classify lesions. The classifier has a high recognition accuracy and a low computational complexity. The classification accuracies for the classes normal, LSIL, HSIL, and suspicious for invasion were 95.46%, 79.78%, 94.16%, and 97.09%, respectively. We argue that the proposed architecture is simpler than those discussed in other articles due to the use of the global averaging level of the pool. Therefore, the classifier can be implemented on low-power computing platforms at a reasonable cost.
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Affiliation(s)
- Vitalii Pavlov
- Higher School of Applied Physics and Space Technologies, Peter the Great St. Petersburg Polytechnic University, 195251 St. Petersburg, Russia; (S.F.); (S.Z.)
- Personalised Medicine Centre, 197341 St. Petersburg, Russia; (T.P.); (I.G.); (E.K.); (V.D.); (V.A.)
- Correspondence:
| | - Stanislav Fyodorov
- Higher School of Applied Physics and Space Technologies, Peter the Great St. Petersburg Polytechnic University, 195251 St. Petersburg, Russia; (S.F.); (S.Z.)
| | - Sergey Zavjalov
- Higher School of Applied Physics and Space Technologies, Peter the Great St. Petersburg Polytechnic University, 195251 St. Petersburg, Russia; (S.F.); (S.Z.)
| | - Tatiana Pervunina
- Personalised Medicine Centre, 197341 St. Petersburg, Russia; (T.P.); (I.G.); (E.K.); (V.D.); (V.A.)
| | - Igor Govorov
- Personalised Medicine Centre, 197341 St. Petersburg, Russia; (T.P.); (I.G.); (E.K.); (V.D.); (V.A.)
| | - Eduard Komlichenko
- Personalised Medicine Centre, 197341 St. Petersburg, Russia; (T.P.); (I.G.); (E.K.); (V.D.); (V.A.)
| | - Viktor Deynega
- Personalised Medicine Centre, 197341 St. Petersburg, Russia; (T.P.); (I.G.); (E.K.); (V.D.); (V.A.)
| | - Veronika Artemenko
- Personalised Medicine Centre, 197341 St. Petersburg, Russia; (T.P.); (I.G.); (E.K.); (V.D.); (V.A.)
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Automatic Detection and Segmentation of Colorectal Cancer with Deep Residual Convolutional Neural Network. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:3415603. [PMID: 35341149 PMCID: PMC8947925 DOI: 10.1155/2022/3415603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 02/07/2022] [Indexed: 11/22/2022]
Abstract
Early and automatic detection of colorectal tumors is essential for cancer analysis, and the same is implemented using computer-aided diagnosis (CAD). A computerized tomography (CT) image of the colon is being used to identify colorectal carcinoma. Digital imaging and communication in medicine (DICOM) is a standard medical imaging format to process and analyze images digitally. Accurate detection of tumor cells in the complex digestive tract is necessary for optimal treatment. The proposed work is divided into two phases. The first phase involves the segmentation, and the second phase is the extraction of the colon lesions with the observed segmentation parameters. A deep convolutional neural network (DCNN) based residual network approach for the colon and polyps' segmentation from the CT images is applied over the 2D CT images. The residual stack block is being added to the hidden layers with short skip nuance, which helps to retain spatial information. ResNet-enabled CNN is employed in the current work to achieve complete boundary segmentation of the colon cancer region. The results obtained through segmentation serve as features for further extraction and classification of benign as well as malignant colon cancer. Performance evaluation metrics indicate that the proposed network model has effectively segmented and classified colorectal tumors with dice scores of 91.57% (on average), sensitivity = 98.28, specificity = 98.68, and accuracy = 98.82.
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Viscaino M, Torres Bustos J, Muñoz P, Auat Cheein C, Cheein FA. Artificial intelligence for the early detection of colorectal cancer: A comprehensive review of its advantages and misconceptions. World J Gastroenterol 2021; 27:6399-6414. [PMID: 34720530 PMCID: PMC8517786 DOI: 10.3748/wjg.v27.i38.6399] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 04/26/2021] [Accepted: 09/14/2021] [Indexed: 02/06/2023] Open
Abstract
Colorectal cancer (CRC) was the second-ranked worldwide type of cancer during 2020 due to the crude mortality rate of 12.0 per 100000 inhabitants. It can be prevented if glandular tissue (adenomatous polyps) is detected early. Colonoscopy has been strongly recommended as a screening test for both early cancer and adenomatous polyps. However, it has some limitations that include the high polyp miss rate for smaller (< 10 mm) or flat polyps, which are easily missed during visual inspection. Due to the rapid advancement of technology, artificial intelligence (AI) has been a thriving area in different fields, including medicine. Particularly, in gastroenterology AI software has been included in computer-aided systems for diagnosis and to improve the assertiveness of automatic polyp detection and its classification as a preventive method for CRC. This article provides an overview of recent research focusing on AI tools and their applications in the early detection of CRC and adenomatous polyps, as well as an insightful analysis of the main advantages and misconceptions in the field.
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Affiliation(s)
- Michelle Viscaino
- Department of Electronic Engineering, Universidad Tecnica Federico Santa Maria, Valpaiso 2340000, Chile
| | - Javier Torres Bustos
- Department of Electronic Engineering, Universidad Tecnica Federico Santa Maria, Valpaiso 2340000, Chile
| | - Pablo Muñoz
- Hospital Clinico, University of Chile, Santiago 8380456, Chile
| | - Cecilia Auat Cheein
- Facultad de Medicina, Universidad Nacional de Santiago del Estero, Santiago del Estero 4200, Argentina
| | - Fernando Auat Cheein
- Department of Electronic Engineering, Universidad Técnica Federico Santa María, Valparaiso 2340000, Chile
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Liew WS, Tang TB, Lin CH, Lu CK. Automatic colonic polyp detection using integration of modified deep residual convolutional neural network and ensemble learning approaches. COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE 2021; 206:106114. [PMID: 33984661 DOI: 10.1016/j.cmpb.2021.106114] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 04/07/2021] [Indexed: 05/10/2023]
Abstract
BACKGROUND AND OBJECTIVE The increased incidence of colorectal cancer (CRC) and its mortality rate have attracted interest in the use of artificial intelligence (AI) based computer-aided diagnosis (CAD) tools to detect polyps at an early stage. Although these CAD tools have thus far achieved a good accuracy level to detect polyps, they still have room to improve further (e.g. sensitivity). Therefore, a new CAD tool is developed in this study to detect colonic polyps accurately. METHODS In this paper, we propose a novel approach to distinguish colonic polyps by integrating several techniques, including a modified deep residual network, principal component analysis and AdaBoost ensemble learning. A powerful deep residual network architecture, ResNet-50, was investigated to reduce the computational time by altering its architecture. To keep the interference to a minimum, median filter, image thresholding, contrast enhancement, and normalisation techniques were exploited on the endoscopic images to train the classification model. Three publicly available datasets, i.e., Kvasir, ETIS-LaribPolypDB, and CVC-ClinicDB, were merged to train the model, which included images with and without polyps. RESULTS The proposed approach trained with a combination of three datasets achieved Matthews Correlation Coefficient (MCC) of 0.9819 with accuracy, sensitivity, precision, and specificity of 99.10%, 98.82%, 99.37%, and 99.38%, respectively. CONCLUSIONS These results show that our method could repeatedly classify endoscopic images automatically and could be used to effectively develop computer-aided diagnostic tools for early CRC detection.
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Affiliation(s)
- Win Sheng Liew
- Department of Electrical and Electronic Engineering, Universiti Teknologi PETRONAS, 32610 Seri Iskandar, Perak, Malaysia
| | - Tong Boon Tang
- Department of Electrical and Electronic Engineering, Universiti Teknologi PETRONAS, 32610 Seri Iskandar, Perak, Malaysia
| | - Cheng-Hung Lin
- Department of Electrical Engineering and Biomedical Engineering Research Center, Yuan Ze University, Jungli 32003, Taiwan
| | - Cheng-Kai Lu
- Department of Electrical and Electronic Engineering, Universiti Teknologi PETRONAS, 32610 Seri Iskandar, Perak, Malaysia.
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Lee SW, Ye HU, Lee KJ, Jang WY, Lee JH, Hwang SM, Heo YR. Accuracy of New Deep Learning Model-Based Segmentation and Key-Point Multi-Detection Method for Ultrasonographic Developmental Dysplasia of the Hip (DDH) Screening. Diagnostics (Basel) 2021; 11:diagnostics11071174. [PMID: 34203428 PMCID: PMC8303134 DOI: 10.3390/diagnostics11071174] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 06/24/2021] [Accepted: 06/25/2021] [Indexed: 11/29/2022] Open
Abstract
Hip joint ultrasonographic (US) imaging is the golden standard for developmental dysplasia of the hip (DDH) screening. However, the effectiveness of this technique is subject to interoperator and intraobserver variability. Thus, a multi-detection deep learning artificial intelligence (AI)-based computer-aided diagnosis (CAD) system was developed and evaluated. The deep learning model used a two-stage training process to segment the four key anatomical structures and extract their respective key points. In addition, the check angle of the ilium body balancing level was set to evaluate the system’s cognitive ability. Hence, only images with visible key anatomical points and a check angle within ±5° were used in the analysis. Of the original 921 images, 320 (34.7%) were deemed appropriate for screening by both the system and human observer. Moderate agreement (80.9%) was seen in the check angles of the appropriate group (Cohen’s κ = 0.525). Similarly, there was excellent agreement in the intraclass correlation coefficient (ICC) value between the measurers of the alpha angle (ICC = 0.764) and a good agreement in beta angle (ICC = 0.743). The developed system performed similarly to experienced medical experts; thus, it could further aid the effectiveness and speed of DDH diagnosis.
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Affiliation(s)
- Si-Wook Lee
- Department of Orthopedic Surgery, Dongsan Medical Center, School of Medicine, Keimyung University, Daegu 42601, Korea; (H.-U.Y.); (K.-J.L.)
- Correspondence: ; Tel.: +82-53-258-4771
| | - Hee-Uk Ye
- Department of Orthopedic Surgery, Dongsan Medical Center, School of Medicine, Keimyung University, Daegu 42601, Korea; (H.-U.Y.); (K.-J.L.)
| | - Kyung-Jae Lee
- Department of Orthopedic Surgery, Dongsan Medical Center, School of Medicine, Keimyung University, Daegu 42601, Korea; (H.-U.Y.); (K.-J.L.)
| | - Woo-Young Jang
- Department of Orthopedic Surgery, Korea University Anam Hospital, 73, Goryeodae-ro, Seongbuk-gu, Seoul 02841, Korea;
| | - Jong-Ha Lee
- Department of Biomedical Engineering, Keimyung University, Daegu 42601, Korea; (J.-H.L.); (S.-M.H.)
| | - Seok-Min Hwang
- Department of Biomedical Engineering, Keimyung University, Daegu 42601, Korea; (J.-H.L.); (S.-M.H.)
| | - Yu-Ran Heo
- Department of Anatomy, Dongsan Medical Center, School of Medicine, Keimyung University, Daegu 42601, Korea;
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Artificial Intelligence in Colorectal Cancer Diagnosis Using Clinical Data: Non-Invasive Approach. Diagnostics (Basel) 2021; 11:diagnostics11030514. [PMID: 33799452 PMCID: PMC8001232 DOI: 10.3390/diagnostics11030514] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 03/10/2021] [Accepted: 03/11/2021] [Indexed: 02/06/2023] Open
Abstract
Colorectal cancer is the third most common and second most lethal tumor globally, causing 900,000 deaths annually. In this research, a computer aided diagnosis system was designed that detects colorectal cancer, using an innovative dataset composing of both numeric (blood and urine analysis) and qualitative data (living environment of the patient, tumor position, T, N, M, Dukes classification, associated pathology, technical approach, complications, incidents, ultrasonography-dimensions as well as localization). The intelligent computer aided colorectal cancer diagnosis system was designed using different machine learning techniques, such as classification and shallow and deep neural networks. The maximum accuracy obtained from solving the binary classification problem with traditional machine learning algorithms was 77.8%. However, the regression problem solved with deep neural networks yielded with significantly better performance in terms of mean squared error minimization, reaching the value of 0.0000529.
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Evaluation of Robust Spatial Pyramid Pooling Based on Convolutional Neural Network for Traffic Sign Recognition System. ELECTRONICS 2020. [DOI: 10.3390/electronics9060889] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Traffic sign recognition (TSR) is a noteworthy issue for real-world applications such as systems for autonomous driving as it has the main role in guiding the driver. This paper focuses on Taiwan’s prohibitory sign due to the lack of a database or research system for Taiwan’s traffic sign recognition. This paper investigates the state-of-the-art of various object detection systems (Yolo V3, Resnet 50, Densenet, and Tiny Yolo V3) combined with spatial pyramid pooling (SPP). We adopt the concept of SPP to improve the backbone network of Yolo V3, Resnet 50, Densenet, and Tiny Yolo V3 for building feature extraction. Furthermore, we use a spatial pyramid pooling to study multi-scale object features thoroughly. The observation and evaluation of certain models include vital metrics measurements, such as the mean average precision (mAP), workspace size, detection time, intersection over union (IoU), and the number of billion floating-point operations (BFLOPS). Our findings show that Yolo V3 SPP strikes the best total BFLOPS (65.69), and mAP (98.88%). Besides, the highest average accuracy is Yolo V3 SPP at 99%, followed by Densenet SPP at 87%, Resnet 50 SPP at 70%, and Tiny Yolo V3 SPP at 50%. Hence, SPP can improve the performance of all models in the experiment.
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