Validating polyp and instrument segmentation methods in colonoscopy through Medico 2020 and MedAI 2021 Challenges

作     者：Jha, Debesh Sharma, Vanshali Banik, Debapriya Bhattacharya, Debayan Roy, Kaushiki Hicks, Steven A. Tomar, Nikhil Kumar Thambawita, Vajira Krenzer, Adrian Ji, Ge-Peng Poudel, Sahadev Batchkala, George Alam, Saruar Ahmed, Awadelrahman M.A. Trinh, Quoc-Huy Khan, Zeshan Nguyen, Tien-Phat Shrestha, Shruti Nathan, Sabari Gwak, Jeonghwan Jha, Ritika K. Zhang, Zheyuan Schlaefer, Alexander Bhattacharjee, Debotosh Bhuyan, M.K. Das, Pradip K. Fan, Deng-Ping Parasa, Sravanthi Ali, Sharib Riegler, Michael A. Halvorsen, Pål de Lange, Thomas Bagci, Ulas 

作者机构：Machine & Hybrid Intelligence Lab Department of Radiology Northwestern University Chicago United States SimulaMet Oslo Norway Oslo Metropolitan University Oslo Norway Jadavpur University Kolkata India Indian Institute of Technology Guwahati India Institute of Medical Technology and Intelligent Systems Technische Universität Hamburg Germany University of Oslo Norway Julius-Maximilian University of Würzburg Germany Faculty of Information Technology University of Science VNU-HCM Viet Nam Department of IT Convergence Engineering Gachon University Seongnam13120 Korea Republic of School of Computing University of Leeds LeedsLS2 9JT United Kingdom College of Engineering Australian National University Canberra Australia Department of Engineering Science University of Oxford Oxford United Kingdom National University of Computer and Emerging Sciences Karachi Campus Pakistan Swedish Medical Center Seattle United States  Kathmandu Nepal Couger Inc Tokyo Japan Department of Software Korea National University of Transportation Chungju Korea Republic of University of Bergen Bergen Norway Department of Medicine and Emergencies Mölndal Sahlgrenska University Hospital Region Västra Götaland Sweden Department of Molecular and Clinical Medicin Sahlgrenska Academy University of Gothenburg Sweden  ETH Zurich Zurich Switzerland 

出 版 物：《arXiv》 (arXiv)

年 卷 期：2023年

核心收录：

主　　题：Computer aided diagnosis 

摘      要：Automatic analysis of colonoscopy images has been an active field of research motivated by the importance of early detection of precancerous polyps. However, detecting polyps during the live examination can be challenging due to various factors such as variation of skills and experience among the endoscopists, lack of attentiveness, and fatigue leading to a high polyp miss-rate. Therefore, there is a need for an automated system that can flag missed polyps during the examination and improve patient care. Deep learning has emerged as a promising solution to this challenge as it can assist endoscopists in detecting and classifying overlooked polyps and abnormalities in real time, improving the accuracy of diagnosis and enhancing treatment. In addition to the algorithm s accuracy, transparency and interpretability are crucial to explaining the whys and hows of the algorithm s prediction. Further, conclusions based on incorrect decisions may be fatal, especially in medicine. Despite these pitfalls, most algorithms are developed in private data, closed source, or proprietary software, and methods lack reproducibility. Therefore, to promote the development of efficient and transparent methods, we have organized the Medico automatic polyp segmentation (Medico 2020) and MedAI: Transparency in Medical Image Segmentation (MedAI 2021) competitions. The Medico 2020 challenge received submissions from 17 teams, while the MedAI 2021 challenge also gathered submissions from another 17 distinct teams in the following year. We present a comprehensive summary and analyze each contribution, highlight the strength of the best-performing methods, and discuss the possibility of clinical translations of such methods into the clinic. Our analysis revealed that the participants improved dice coefficient metrics from 0.8607 in 2020 to 0.8993 in 2021 despite adding diverse and challenging frames (containing irregular, smaller, sessile, or flat polyps), which are frequently missed during a