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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
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Deep learning-based prediction model for diagnosing gastrointestinal diseases using endoscopy images.

Anju Sharma1, Rajnish Kumar2, Prabha Garg1

  • 1Department of Pharmacoinformatics, National Institute of Pharmaceutical Education and Research, S.A.S. Nagar, Punjab 160062, India.

International Journal of Medical Informatics
|July 9, 2023
PubMed
Summary

Artificial intelligence (AI) using convolutional neural networks (CNNs) shows promise for diagnosing gastrointestinal diseases. A ResNet50 model achieved over 99% accuracy in detecting polyps, ulcerative colitis, and esophagitis from medical images.

Keywords:
Convolutional neural networkEsophagitisGastrointestinal diseasesPolypsTransfer learningUlcerative colitis

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Gastroenterology

Background:

  • Gastrointestinal (GI) infections are prevalent globally.
  • Current diagnostic methods like colonoscopy and wireless capsule endoscopy (WCE) are time-consuming and prone to human error.
  • Automated AI-based diagnostic tools are crucial for improving early detection and patient care.

Purpose of the Study:

  • To develop and evaluate an AI-based system for the early diagnosis of GI diseases.
  • To enhance diagnostic accuracy using a convolutional neural network (CNN).
  • To assess the performance of different CNN models, including transfer learning approaches.

Main Methods:

  • Trained various CNN models (baseline, VGG16, InceptionV3, ResNet50) on the KVASIR dataset.
  • Utilized n-fold cross-validation and data augmentation strategies.
  • Evaluated model performance on a test set of 1200 images, including healthy and diseased states (polyps, ulcerative colitis, esophagitis).

Main Results:

  • The ResNet50 pre-trained CNN model achieved the highest accuracy (approx. 99.80% on training, 99.50% on validation, and 99.16% on test sets).
  • The ResNet50 model demonstrated high precision (100%) and recall (approx. 99%) in diagnosing GI diseases.
  • The proposed ResNet50 model outperformed existing systems in diagnostic accuracy.

Conclusions:

  • AI-based prediction models, particularly CNNs like ResNet50, significantly improve diagnostic accuracy for GI diseases.
  • The developed model aids in the early detection of gastrointestinal polyps, ulcerative colitis, and esophagitis.
  • The prediction model is publicly available for further research and application.