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Precision enhancement in wireless capsule endoscopy: a novel transformer-based approach for real-time video object
Tsedeke Temesgen Habe1, Keijo Haataja1, Pekka Toivanen1
1School of Computing, University of Eastern Finland, Kuopio, North Savo, Finland.
Frontiers in Artificial Intelligence
|May 15, 2025
Summary
Real-Time Detection Transformer (RT-DETR) models improve gastrointestinal abnormality detection in Wireless Capsule Endoscopy (WCE) videos. These advanced models offer enhanced precision and speed for faster, more accurate diagnoses.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Gastroenterology
Background:
- Wireless Capsule Endoscopy (WCE) generates large video datasets, posing challenges for real-time abnormality detection.
- Traditional methods struggle with WCE's variable illumination, complex textures, and high processing demands.
Purpose of the Study:
- To introduce and evaluate a novel approach for WCE video analysis using Real-Time Detection Transformer (RT-DETR).
- To assess the performance of different RT-DETR variants in detecting gastrointestinal abnormalities.
Main Methods:
- Utilized transformer-based object detection (RT-DETR) optimized for WCE video analysis.
- Evaluated three RT-DETR variants (Small, Medium, X-Large) on the Kvasir-Capsule dataset.
- Assessed models for contextual information capture and handling of variable image conditions.
Main Results:
- RT-DETR-X demonstrated the highest detection precision.
- RT-DETR-M provided a balance between accuracy and speed.
- RT-DETR-S achieved 270 FPS, enabling real-time processing.
Conclusions:
- The RT-DETR framework significantly improves precision and real-time performance for WCE abnormality detection.
- This technology holds potential for faster and more accurate gastrointestinal diagnoses.
- Future research will focus on optimization and integration into clinical systems.

