journal article·2020-05-14Open access

Endoscopy-Driven Pretraining for Classification of Dysplasia in Barrett’s Esophagus with Endoscopic Narrow-Band Imaging Zoom Videos

Joost van der Putten, Maarten Struyvenberg, Jeroen de Groof, Wouter Curvers, Erik Schoon, Francisco Baldaque-Silva, Jacques Bergman, Fons van der Sommen, Peter H.N. de With

Applied Sciences· Volume 10· Issue 10

Abstract

Endoscopic diagnosis of early neoplasia in Barrett’s Esophagus is generally a two-step process of primary detection in overview, followed by detailed inspection of any visible abnormalities using Narrow Band Imaging (NBI). However, endoscopists struggle with evaluating NBI-zoom imagery of subtle abnormalities. In this work, we propose the first results of a deep learning system for the characterization of NBI-zoom imagery of Barrett’s Esophagus with an accuracy, sensitivity, and specificity of 83.6%, 83.1%, and 84.0%, respectively. We also show that endoscopy-driven pretraining outperforms two models, one without pretraining as well as a model with ImageNet initialization. The final model outperforms absence of pretraining by approximately 10% and the performance is 2% higher in terms of accuracy compared to ImageNet pretraining. Furthermore, the practical deployment of our model is not hampered by ImageNet licensing, thereby paving the way for clinical application.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Esophageal Cancer Research and Treatment · Esophageal and GI Pathology · Gastric Cancer Management and Outcomes

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Electrical Engineering, Video Coding and Architectures, Eindhoven University of Technology, 5612 AZ Eindhoven, Noord-Brabant, The Netherlands

Department of Gastroenterology and Hepatology, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, Noord-Holland, The Netherlands

Department of Gastroenterology and Hepatology, Catharina Hospital, 5623 EJ Eindhoven, Noord-Brabant, The Netherlands

Department of Gastroenterology and Hepatology, Karolinksa University Hospital, SE-171 76 Solna, Stockholm, Sweden

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek

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