A Computer-Assisted Diagnosis System for the Detection of Chronic Gastritis in Endoscopic Images Using A Novel Convolution and Relative Self-Attention Parallel NetworkShow others and affiliations
2023 (English)In: IEEE Access, E-ISSN 2169-3536, Vol. 11, p. 116990-117003
Article in journal (Refereed) Published
Abstract [en]
Chronic gastritis mainly includes chronic non-atrophic gastritis (CNAG), autoimmune gastritis (AIG), and type B gastritis. Early detection of AIG and type B gastritis will help identify high-risk groups for gastric cancer and prevent the development of irreversible peripheral neuropathy. We aim to develop a computer-assisted diagnosis (CADx) system by presenting a novel Convolution and Relative Self-Attention Parallel Network (CRSAPNet). We collected 3576 endoscopic images of chronic gastritis from 205 patients. MBConv and Relative Self-Attention Parallel Block (CRSAPB) was proposed to concatenate local features (such as mucosal folds and mucosal vessels extracted by MBConv) and global features (such as atrophied area extracted by Relative Self-Attention) in parallel in the last two stages of CRSAPNet. The CADx system distinguished AIG from type B gastritis and CNAG. The CRSAPNet achieved the highest overall accuracy of 95.44% (94.65% precision, 93.51% recall, 94.08% F1-score for AIG) with the fewest parameters. We used Grad-CAM to visually analyze the heat maps. We only replaced the original blocks of the third stage of ResNet50 and ConvNeXt-T with CRSAPB, resulting in an overall accuracy improvement of 0.37%, and 4.19%, respectively. Furthermore, the CADx system classified the three types of chronic gastritis for the first time. The CRSAPNet achieved an overall accuracy of 91.62%, and the overall accuracies in the location of the gastric body and gastric fundus were 93.43% and 92.51%, respectively. A new state-of-the-art deep learning network is introduced to distinguish AIG from type B gastritis and CNAG, and a classification for three types of chronic gastritis is reported for the first time.
Place, publisher, year, edition, pages
Institute of Electrical and Electronics Engineers (IEEE) , 2023. Vol. 11, p. 116990-117003
Keywords [en]
atrophic gastritis, autoimmune gastritis, chronic gastritis, deep learning, Gastric cancer, self-attention
National Category
Medical Imaging
Identifiers
URN: urn:nbn:se:kth:diva-339710DOI: 10.1109/ACCESS.2023.3326540ISI: 001092101900001Scopus ID: 2-s2.0-85175847434OAI: oai:DiVA.org:kth-339710DiVA, id: diva2:1813214
Note
QC 20231120
2023-11-202023-11-202025-02-09Bibliographically approved