Endoscopic video aided identification method for gastric area

Abstract

Probe-based confocal laser endomicroscopy (pCLE) is a significant diagnostic instrument and is frequently utilized to diagnose the severity of gastric intestinal metaplasia (GIM). The physicians must comprehensively analyze video clips recorded with pCLE from the gastric antrum, gastric body, and gastric angle area to determine the patient’s condition. However, due to the limitations of the pCLE’s microscopic imaging structure, the gastric areas detected cannot be identified and recorded in real time, which may poses a risk of missing potential areas of disease occurrence and is not conducive to the subsequent precise treatment of the lesion area. Therefore, this paper proposes an endoscopic video aided identification method for identifying gastric areas (EVIGA), which are utilized for determining the detected areas of pCLE in real-time. Firstly, the start time of the diagnosis clip is determined by real-time detecting the working states of pCLE. Then, the endoscopic video clip is truncated according to the correspondence between pCLE and endoscopic video in the time sequence for detecting gastric areas. In order to accurately identify pCLE detected gastric areas, a probe-based confocal laser endomicroscopy diagnosis area identification model (pCLEDAM) is constructed with an hourglass convolution designed for single-frame feature extraction and a temporal feature-sensitive extraction structure for spatial feature extraction. The extracted feature maps are unfolded and fed into the fully connected layer to classify the detected areas. To validate the proposed method, 67 clinical confocal laser endomicroscopy diagnosis cases are collected from a tertiary care hospital, and 500 video clips are finally reserved after audited for dataset construction. Experiments show that the accuracy of area identification on the test dataset achieves 96.0% and is much higher than other related algorithms, achieving the accurate identification of pCLE detected areas.