Evidence map›Paper›PMID 40498866›Full record

ArticlePloS one2025

Advancing artificial intelligence applicability in endoscopy through source-agnostic camera signal extraction from endoscopic images.

Ioannis Kafetzis, Philipp Sodmann, Robert Hüneburg, Jacob Nattermann, Nora Martens, Daniel R Englmann, Wolfram G Zoller, Alexander Meining, Alexander Hann

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

3 citing papers in PubMed.

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4 · The record

Corrections and comments

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

9 authors.

Ioannis KafetzisDepartment of Internal Medicine II, Interventional and Experimental Endoscopy (InExEn), University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0002-3533-2246
Philipp SodmannDepartment of Internal Medicine II, Interventional and Experimental Endoscopy (InExEn), University Hospital Würzburg, Würzburg, Germany.
Robert HüneburgDepartment of Internal Medicine I, University Hospital Bonn, Bonn, Germany.
Jacob NattermannDepartment of Internal Medicine I, University Hospital Bonn, Bonn, Germany.
Nora MartensDepartment of Medicine I, University Hospital Dresden, Dresden, Germany.
Daniel R EnglmannDepartment of Internal Medicine II, Hospital of Worms, Worms, Germany.
Wolfram G ZollerDepartment of Internal Medicine and Gastroenterology, Katharinenhospital, Stuttgart, Germany.
Alexander MeiningDepartment of Internal Medicine II, Interventional and Experimental Endoscopy (InExEn), University Hospital Würzburg, Würzburg, Germany.
Alexander HannDepartment of Internal Medicine II, Interventional and Experimental Endoscopy (InExEn), University Hospital Würzburg, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSuccessful application of artificial intelligence (AI) in endoscopy requires effective image processing. Yet, the plethora of sources for endoscopic images, such as different processor-endoscope combinations or capsule endoscopy devices, results in images that vastly differ in appearance. These differences hinder the generalizability of AI models in endoscopy.

methodsWe developed an AI-based method for extracting the camera signal from raw endoscopic images in a source-agnostic manner. Additionally, we created a diverse dataset of standardized endoscopic images, named Endoscopic Processor Image Collection (EPIC), from 4 different endoscopy centers. Included data were recorded using 9 different processors from 4 manufacturers with 45 endoscopes. Furthermore, images recorded with 4 capsule endoscopy devices from 2 manufacturers are included. We evaluated the camera signal extraction method using 641 manually annotated images from 5 different, publicly available endoscopic image datasets, as well as on the EPIC dataset. Results were compared it with a published baseline in terms of Intersection over Union (IoU) and Hausdorff distance (HD).

resultsIn segmenting the camera signal on images from public datasets, our method achieved mean IoU of 0.97 which was significantly higher than that of the baseline method and mean HD of 21 pixels which was significantly lower compared to the baseline. On the standardized images of the EPIC dataset, there was no significant difference between IoU but our method achieved a significantly lower HD. Both the developed AI-based method and the generated dataset are made publicly available.

conclusionThis work introduces an AI-based method that effectively segments the endoscope camera signal from the raw endoscopic data in a source-agnostic way. Utilizing the proposed method as a preprocessing step allows existing AI models to use any endoscopic image, independent of its source, without compromising performance. Additionally, EPIC, a dataset of diverse endoscopic images, is generated. The proposed method, trained AI model weights, and the EPIC dataset are made publicly available.

Indexed as

Artificial IntelligenceCapsule EndoscopyEndoscopyImage Processing, Computer-AssistedAlgorithmsHumans

Identifiers

PMID40498866
PMCPMC12157078

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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.