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GASTRO-CADx: a three stages framework for diagnosing gastrointestinal diseases
Omneya Attallah1, Maha Sharkas1
1Department of Electronics and Communication Engineering, College of Engineering and Technology, Arab Academy for Science, Technology and Maritime Transport, Alexandria, Egypt.
Insights
A new deep learning system, Gastro-CADx, accurately classifies gastrointestinal diseases. This computer-aided diagnosis (CADx) tool enhances diagnostic speed and quality, potentially reducing costs and improving patient outcomes.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Gastroenterology
Background:
- Gastrointestinal (GI) diseases pose significant diagnostic challenges, often involving expensive and complex procedures.
- Current diagnostic methods can be time-consuming and may lack the desired accuracy.
- Deep learning (DL) offers a promising avenue for developing efficient and accurate computer-aided diagnosis (CADx) systems.
Purpose of the Study:
- To propose and evaluate a novel DL-based CADx system, Gastro-CADx, for classifying various GI diseases.
- To investigate the effectiveness of combining different feature extraction techniques for improved diagnostic performance.
- To compare the proposed system's accuracy against existing methods in GI disease classification.
Main Methods:
- Gastro-CADx employs a three-stage approach: initial spatial feature extraction using Convolutional Neural Networks (CNNs).
- Subsequent extraction of temporal-frequency and spatial-frequency features using Discrete Wavelet Transform (DWT) and Discrete Cosine Transform (DCT), followed by feature reduction.
- Final stage involves fusing diverse feature sets to identify the optimal combination for classification.
Main Results:
- Gastro-CADx achieved high classification accuracies of 97.3% on Dataset I and 99.7% on Dataset II.
- The system demonstrated superior performance compared to recent related works in GI disease classification.
- Feature fusion strategies proved effective in enhancing the CADx system's diagnostic capabilities.
Conclusions:
- The proposed Gastro-CADx system offers a highly accurate and efficient method for classifying GI diseases using DL.
- This approach has the potential to significantly reduce healthcare costs, decrease mortality rates, and aid gastroenterologists in making faster, more precise diagnoses.
- Gastro-CADx represents a significant advancement in applying AI to gastroenterology diagnostics.
Abstract:
Gastrointestinal (GI) diseases are common illnesses that affect the GI tract. Diagnosing these GI diseases is quite expensive, complicated, and challenging. A computer-aided diagnosis (CADx) system based on deep learning (DL) techniques could considerably lower the examination cost processes and increase the speed and quality of diagnosis. Therefore, this article proposes a CADx system called Gastro-CADx to classify several GI diseases using DL techniques. Gastro-CADx involves three progressive stages. Initially, four different CNNs are used as feature extractors to extract spatial features. Most of the related work based on DL approaches extracted spatial features only. However, in the following phase of Gastro-CADx, features extracted in the first stage are applied to the discrete wavelet transform (DWT) and the discrete cosine transform (DCT). DCT and DWT are used to extract temporal-frequency and spatial-frequency features. Additionally, a feature reduction procedure is performed in this stage. Finally, in the third stage of the Gastro-CADx, several combinations of features are fused in a concatenated manner to inspect the effect of feature combination on the output results of the CADx and select the best-fused feature set. Two datasets referred to as Dataset I and II are utilized to evaluate the performance of Gastro-CADx. Results indicated that Gastro-CADx has achieved an accuracy of 97.3% and 99.7% for Dataset I and II respectively. The results were compared with recent related works. The comparison showed that the proposed approach is capable of classifying GI diseases with higher accuracy compared to other work. Thus, it can be used to reduce medical complications, death-rates, in addition to the cost of treatment. It can also help gastroenterologists in producing more accurate diagnosis while lowering inspection time.
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