基于数据增强和混合神经网络的人工智能技术在上消化道内镜检查部位识别中的应用
作者:
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1.国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院内镜科;2.国家癌症中心/中国医学科学院北京协和医学院肿瘤医院深圳医院内镜科

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基金项目:

国家重点研发计划(2016YFC1302800,2016YFC0901402,2018YFC1313103);深圳市医疗卫生三名工程项目(SZSM201911008)


Application of artificial intelligence based on data enhancement and hybrid neural network to site identification during esophagogastroduodenoscopy
Author:
Affiliation:

Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

Fund Project:

National Key Research and Development Program of China (2016YFC1302800, 2016YFC0901402, 2018YFC1313103); Sanming Project of Medicine in Shenzhen (SZSM201911008)

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    摘要:

    目的 评估利用深度卷积神经网络(deep convolutional neural network,DCNN)构建的人工智能技术在上消化道内镜检查部位识别中的应用价值。方法 收集中国医学科学院肿瘤医院2019年1月—2021年6月间的21 310张上消化道内镜图片,其中19 191张图片用于深度学习构建部位识别模型,其余2 119张图片用于验证。比较两种DCCN网络构建的模型在上消化道30个部位识别上的性能差异,一种是由Inception‑ResNetV2(ResNetV2)构建的传统的ResNetV2模型,另一种是由Inception‑ResNetV2 and Squeeze‑Excitation Networks(RESENet)构建的混合神经网络RESENet模型,主要观察指标包括识别准确率、灵敏度、特异度、阳性预测值和阴性预测值。结果 ResNetV2模型识别上消化道30个部位的准确率、灵敏度、特异度、阳性预测值和阴性预测值分别为94.62%~99.10%、30.61%~100.00%、96.07%~99.56%、42.26%~86.44%和97.13%~99.75%,RESENet模型对应值分别为98.08%~99.95%、92.86%~100.00%、98.51%~100.00%、74.51%~100.00%和98.85%~100.00%。ResNetV2模型识别上消化道30个部位的平均准确率、平均敏感度、平均特异度、平均阳性预测值和平均阴性预测值分别为97.60%、75.58%、98.75% 、63.44% 和98.76%,RESENet模型对应值分别为99.34%(P<0.001)、99.57%(P<0.001)、99.66%(P<0.001)、90.20%(P<0.001)和99.66%(P<0.001)。结论 利用混合神经网络RESENet构建的人工智能辅助上消化道部位识别模型,相较于传统的ResNetV2模型在性能上有明显提高,该模型可用于监测上消化道内镜检查部位的完整性,减少检查中的盲区,有望成为规范上消化道内镜检查并提高检查质量的重要助手,成为上消化道内镜检查质量监督与控制的重要工具。

    Abstract:

    Objective To evaluate artificial intelligence constructed by deep convolutional neural network (DCNN) for the site identification in upper gastrointestinal endoscopy. Methods A total of 21 310 images of esophagogastroduodenoscopy from the Cancer Hospital of Chinese Academy of Medical Sciences from January 2019 to June 2021 were collected. A total of 19 191 images of them were used to construct site identification model, and the remaining 2 119 images were used for verification. The performance differences of two models constructed by DCCN in the identification of 30 sites of the upper digestive tract were compared. One model was the traditional ResNetV2 model constructed by Inception-ResNetV2 (ResNetV2), the other was a hybrid neural network RESENet model constructed by Inception-ResNetV2 and Squeeze-Excitation Networks (RESENet). The main indices were the accuracy, the sensitivity, the specificity, positive predictive value (PPV) and negative predictive value (NPV). Results The accuracy, the sensitivity, the specificity, PPV and NPV of ResNetV2 model in the identification of 30 sites of the upper digestive tract were 94.62%-99.10%, 30.61%-100.00%, 96.07%-99.56%, 42.26%-86.44% and 97.13%-99.75%, respectively. The corresponding values of RESENet model were 98.08%-99.95%, 92.86%-100.00%, 98.51%-100.00%, 74.51%-100.00% and 98.85%-100.00%, respectively. The mean accuracy, mean sensitivity, mean specificity, mean PPV and mean NPV of ResNetV2 model were 97.60%, 75.58%, 98.75%, 63.44% and 98.76%, respectively. The corresponding values of RESENet model were 99.34% (P<0.001), 99.57% (P<0.001), 99.66% (P<0.001), 90.20% (P<0.001) and 99.66% (P<0.001). Conclusion Compared with the traditional ResNetV2 model, the artificial intelligence-assisted site identification model constructed by RESENNet, a hybrid neural network, shows significantly improved performance. This model can be used to monitor the integrity of the esophagogastroduodenoscopic procedures and is expected to become an important assistant for standardizing and improving quality of the procedures, as well as an significant tool for quality control of esophagogastroduodenoscopy.

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王士旭,柯岩,楚江涛,等.基于数据增强和混合神经网络的人工智能技术在上消化道内镜检查部位识别中的应用[J].中华消化内镜杂志,2023,40(3):189-195.

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  • 收稿日期:2021-10-19
  • 最后修改日期:2023-02-27
  • 录用日期:2022-01-17
  • 在线发布日期: 2023-03-29
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