Evidence map›Paper›PMID 31392088›Full record

ArticlePeerJ2019

Identification of cecum time-location in a colonoscopy video by deep learning analysis of colonoscope movement.

Minwoo Cho, Jee Hyun Kim, Kyoung Sup Hong, Joo Sung Kim, Hyoun-Joong Kong, Sungwan Kim

Abstract read
In one paragraph

Article in PeerJ, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Deep learning model for classifying endometrial lesions.Journal of translational medicine · 2021
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Minwoo ChoInterdisciplinary Program for Bioengineering, Graduate School, Seoul National University, Seoul, South Korea.
Jee Hyun KimDepartment of Gastroenterology, Seoul National University Boramae Medical Center, Seoul, South Korea.
Kyoung Sup HongDepartment of Gastroenterology, Mediplex Sejong Hospital, Incheon, South Korea.
Joo Sung KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Hyoun-Joong Kong *Department of Biomedical Engineering, Chungnam National University College of Medicine, Daejeon, South Korea.
Sungwan Kim *Department of Biomedical Engineering, Seoul National University College of Medicine, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCecal intubation time is an important component for quality colonoscopy. Cecum is the turning point that determines the insertion and withdrawal phase of the colonoscope. For this reason, obtaining information related with location of the cecum in the endoscopic procedure is very useful. Also, it is necessary to detect the direction of colonoscope's movement and time-location of the cecum.

methodsIn order to analysis the direction of scope's movement, the Horn-Schunck algorithm was used to compute the pixel's motion change between consecutive frames. Horn-Schunk-algorithm applied images were trained and tested through convolutional neural network deep learning methods, and classified to the insertion, withdrawal and stop movements. Based on the scope's movement, the graph was drawn with a value of +1 for insertion, -1 for withdrawal, and 0 for stop. We regarded the turning point as a cecum candidate point when the total graph area sum in a certain section recorded the lowest.

resultsA total of 328,927 frame images were obtained from 112 patients. The overall accuracy, drawn from 5-fold cross-validation, was 95.6%. When the value of "t" was 30 s, accuracy of cecum discovery was 96.7%. In order to increase visibility, the movement of the scope was added to summary report of colonoscopy video. Insertion, withdrawal, and stop movements were mapped to each color and expressed with various scale. As the scale increased, the distinction between the insertion phase and the withdrawal phase became clearer.

conclusionInformation obtained in this study can be utilized as metadata for proficiency assessment. Since insertion and withdrawal are technically different movements, data of scope's movement and phase can be quantified and utilized to express pattern unique to the colonoscopist and to assess proficiency. Also, we hope that the findings of this study can contribute to the informatics field of medical records so that medical charts can be transmitted graphically and effectively in the field of colonoscopy.

Indexed as

Cecal-locationCecumCNNColonoscopyDeep learningSummary report

Identifiers

PMID31392088
PMCPMC6673422

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.