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Related Experiment Video

Updated: Jul 5, 2026

Objectification of Tongue Diagnosis in Traditional Medicine, Data Analysis, and Study Application
05:56

Objectification of Tongue Diagnosis in Traditional Medicine, Data Analysis, and Study Application

Published on: April 14, 2023

ESD-VesNet: uncertainty-aware vessel segmentation network for endoscopic submucosal dissection with hard negative

Mengya Xu1,2, Ming Chen3, Zhen Li4

  • 1Department of Computer Science and Engineering, CUHK, Hong Kong, China. mengyaxu@cuhk.edu.hk.

International Journal of Computer Assisted Radiology and Surgery
|July 3, 2026
PubMed
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This study introduces ESD-VesNet, an AI tool for endoscopic submucosal dissection (ESD) that accurately identifies blood vessels and their uncertainty, significantly reducing bleeding risks during procedures.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence in Endoscopy
  • Surgical Safety

Background:

  • Intraoperative bleeding during endoscopic submucosal dissection (ESD) is a significant risk.
  • Accurate identification and pre-coagulation of submucosal vessels are crucial for preventing bleeding.
  • Current methods may lack precision in vessel detection, leading to potential complications.

Purpose of the Study:

  • To develop an AI-driven system for precise submucosal vessel segmentation in ESD.
  • To enhance surgical safety by reducing the risk of intraoperative bleeding.
  • To provide uncertainty awareness in vessel detection to minimize unnecessary interventions.

Main Methods:

  • Introduction of ESD-VesNet, a framework based on SAM3 with an evidential head for probability and uncertainty output.
Keywords:
Endoscopic submucosal dissectionEvidential deep learningSAM3Uncertainty estimationVessel segmentation

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  • Training on a custom ESD-Vessel dataset with positive and hard negative samples.
  • Implementation of false-positive-aware training and uncertainty-guided hard negative mining.
  • Main Results:

    • ESD-VesNet achieved a Vessel Detection Rate of 96.81% with a low Background False Positive Rate of 0.61%.
    • High structural quality metrics (E-measure 0.7275, S-measure 0.7223) were reported.
    • The model demonstrated robustness in challenging conditions like bubbles, debris, and blood seepage.

    Conclusions:

    • The integration of SAM3, evidential uncertainty, and hard negative mining creates a clinically valuable vessel segmentation system.
    • ESD-VesNet offers high detection sensitivity and low false positives, contributing to safer ESD procedures.
    • This approach supports clinicians by providing reliable vessel identification, minimizing risks.