CN110335230A - A kind of endoscopic image lesion real-time detection method and device - Google Patents

A kind of endoscopic image lesion real-time detection method and device Download PDF

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CN110335230A
CN110335230A CN201910254178.1A CN201910254178A CN110335230A CN 110335230 A CN110335230 A CN 110335230A CN 201910254178 A CN201910254178 A CN 201910254178A CN 110335230 A CN110335230 A CN 110335230A
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颜波
钟芸诗
牛雪静
蔡世伦
谭伟敏
阿依木克地斯·亚力孔
林楚铭
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Fudan University
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Abstract

The invention belongs to medical image processing technology field, specially a kind of endoscopic image lesion real-time detection method and device.The method of the present invention includes the present image of capture card acquisition endoscopic assistance output;Present image pretreatment;Call the lesion region in lesion detection model inspection present image;Testing result post-processing;Image before and after lesion detection is stored in buffer area;Buffer area is detected, reads image from buffer area;In interface display lesion detection result.Apparatus of the present invention include scope capture apparatus, capture card, lesion detection program module, buffer area, display equipment;Capture card, lesion detection program module, buffer area are placed in main frame.The present invention can obtain the video of scope in real time and detect, and export the video before and after lesion detection, observe convenient for doctor.The present invention is to different endoscopic assistance good compatibilities, and installation is simple, plug and play, and doctor can be assisted to improve clinical diagnosis efficiency, has wide application prospects in actual clinical diagnosis.

Description

A kind of endoscopic image lesion real-time detection method and device
Technical field
The invention belongs to medical image processing technology fields, and in particular to a kind of endoscopic image lesion real-time detection method and Device.
Background technique
Medical endoscope inspection is the technological means that sight glass feeding body cavities are checked and treated.With endoscopic diagnosis The progress of technology, scope are widely used in enterogastric diseases, celiaca, pancreas and disease of biliary tract, respiratory disease, uropoiesis The inspection of tract disease plays an important role in clinical diagnosis and treatment.For example, oesophagoscope and Sigmoidoscope are considered as oesophagus Cancer, the Main Diagnosis method of colorectal cancer can be effectively reduced death by the detection and excision of early stage tumour Risk [1-3].It is previous studies have shown that increase by 1.0% adenoma recall rate (ADR) [4-6], the risk of colorectal cancer can be made to drop Low 3.0%.However, the effect of endoscopy is influenced very greatly by the experience of clinical endoscopic doctor, and then influence the accuracy rate of diagnosis.
In recent years, with the rapid development of artificial intelligence technology, in answering for the computer aided detection field (CADe) Be increasingly taken seriously [7,8], at the same time, also there is the correlative study [9- of artificial intelligence auxiliary detection in scope field 11].Karkanis et al. for the first time detects the endoscopic image of colorectal polyp, verification and measurement ratio > 90% [9]. Misawa Et al. propose a kind of real-time polyp detection method based on deep learning, be able to detect 94% polyp [10].2018, four The People's Hospital Chuan Sheng, Harvard Medical School, BIDMC hospital and scientific & technical corporation Wision A.I. use the method for deep learning and preceding The data verification of looking forward or upwards property has reached 94.38% [11] to the susceptibility of polyp detection in colonoscopy picture.
Although the studies above has theoretically reached higher accuracy rate, there is no landings in actual Medical treatment In.If designing a kind of real-time lesion detection method and device of scope, theoretical research is applied to clinical diagnosis, is had very big Clinical meaning.
Summary of the invention
For overcome the deficiencies in the prior art, the purpose of the present invention is to provide a kind of endoscopic image lesion real-time detection sides Theory is applied to clinical diagnosis by method and device, realizes that lesion automatically analyzes in endoscopic image, for diagnosis provides ginseng It examines.
Endoscopic image lesion real-time detection method provided by the invention, specific steps are as follows:
(1) present image of capture card acquisition endoscopic assistance output;
(2) pretreatment of present image;
(3) lesion region in lesion detection model inspection present image is called;
(4) post-processing of testing result;
(5) image before and after lesion detection is stored in buffer area;
(6) image is read from buffer area in timing detection buffer area;
(7) in interface display lesion detection result.
In step (1), the capture card is mounted in the host of computer.The method of capture card acquisition scope present image Are as follows: the application programming interface for calling capture card obtains current endoscopic image.
In the present invention, main frame can use higher hardware configuration, such as: the central processing unit of 2.4GHz or more, The running memory of 8GB or more, stream handle number 3584, core frequency 1481MHz or more, the video card of 11GB memory.
In step (2), the pretreated method of present image are as follows: cut in present image and detection process is incoherent Part, incoherent part such as black background, patient related information, shooting time etc..
In step (3), the lesion detection model is the irregular lesion region detection model based on deep learning, knot Structure is full convolutional neural networks, using the image of arbitrary size as input, generates Pixel-level identical with input picture size Prediction result;To there is the data set of Pixel-level mark as training set, the network after the completion of training can be used for predicting interior model Each pixel is the probability of abnormal pixel in mirror image;Given thresholdT, prediction probability is greater than threshold valueTPixel classifications be disease Transshaping element, obtains irregular lesion detection result.
In the present invention, the full convolutional neural networks can be conspicuousness detection network, semantic segmentation network etc., such as Hou [12] et al. conspicuousness detects network and semantic segmentation network SegNet [13], FCN [14], DeepLab [15] etc.. The model threshold obtained by heterogeneous networks structure, training dataTSetting it is different, need to rule of thumb set.Such as use Hou [12] et al. conspicuousness detects network, and region existing for polyp is as abnormal area using in colonoscopy, by the pixel of polyp locations It is labeled as 1, normal region is labeled as 0, and training obtains polyposis intestinalis detection model, threshold valueTIt is set in 0.05-0.95;With digestion The road region Zao Ai is as abnormal area and is labeled as 1, and normal region is labeled as 0, and training obtains alimentary canal morning cancer detection model, threshold ValueTIt is set in 0.1-0.8.
In the present invention, model treatment speed is in the 25 frames/more than second.
In step (4), the method for the post-processing detection result are as follows: according to the exposure mask that detection model exports, modify scope The color for the pixel that exposure mask is 1 in image restores black background, patient related information, shooting time etc., in order to intuitively open up Show the region of lesion.
In step (5), the method by the image deposit buffer area before and after lesion detection are as follows: endoscopic image detection finishes Afterwards, it attempts to obtain buffer area lock;After obtaining buffer area lock, image before and after treatment is put into buffer area, release lock.
In step (6), the method for reading image from buffer area are as follows: at regular intervals, whether detection buffer area has Image;If there is image, it tries obtain buffer area lock, obtain the image of taking-up buffer area after lock, release lock;It will test result Being sent into buffer area helps to alleviate the unmatched problem of speed between lesion detection speed and display frequency.
In step (7), the method in interface display lesion detection result are as follows: there are two window, a windows at interface For showing that the image for having testing result, another window are used to show the original image of acquisition, in order to user's comparison Detect the image of front and back, auxiliary diagnosis.
Further, the realization of the method is by two Process flowcharts: detection procedure and show process, wherein detection procedure It is responsible for step (1)-(5), show process is responsible for step (6), (7).Detection procedure successively executes step (1)-(5) and completes a figure After the detection of picture, then step (1) is jumped back to, the present frame for continuing to obtain endoscopic assistance output is handled;Show process timing Check that buffer area is read image and shown if there is image in buffer area.
The real-time lesion detection device of endoscopic image provided by the invention, including scope capture apparatus, capture card, lesion detection Program module, buffer area, display equipment;Wherein capture card, lesion detection program module, buffer area are placed in main frame; The output interface of scope capture apparatus is connected to the input interface of capture card, and the output interface of computer is connected to display equipment Input interface.
Wherein, the lesion detection program module includes: present image pretreatment submodule, lesion detection model submodule Block, testing result post-process submodule;These three word modules successively execute in the operation of step (2), step (3) and step (4) Hold.
The installation steps of apparatus of the present invention are simple, plug and play, can be compatible with different scope capture apparatus.Scope figure As the flow direction of data in a device are as follows: scope capture apparatus, capture card, lesion detection program module, buffer area, display equipment.
The beneficial effects of the present invention are: the present invention answers the advanced computer aided processing method based on artificial intelligence For practicing.It does not need manually to participate in actual use, reducing human factor influences, and real-time output test result is Diagnosis provides reference, improves the quality and efficiency of diagnosis.In addition, the present invention can be compatible with different endoscopic assistances, side Just assembling, easily expansion, plug and play can popularize in clinical diagnosis.
Detailed description of the invention
Fig. 1 is flow chart of the method for the present invention.
Fig. 2 is the device of the invention structure chart.
Fig. 3 is the options interface that embodiment detects different lesions.
Fig. 4 is the display interface figure of embodiment.
Specific embodiment
Embodiment of the present invention is described in detail below, but protection scope of the present invention is not limited to the implementation Example.
The detection that lesion in real-time endoscopic image is realized using the process that Fig. 1 is introduced, the structure shown using Fig. 2 Figure configuration device.
The configuration of device:
(1) capture card is mounted in the PCIe interface of host of computer;
(2) endoscopic assistance used is Olympus, and endoscopic assistance has a DVI interface, image is exported, by the DVI of endoscopic assistance Output interface is connected to the DVI input of capture card;
(3) DVI that the DVI output of main frame is connected to display is inputted.
The realization of lesion detection in real-time endoscopic image:
(1) present image of capture card acquisition endoscopic assistance output.The application programming interface (API) provided by capture card Carry out Image Acquisition.The API of capture card is encapsulated into a class XIStream with C++ programming language.Class XIStream has as follows Method:
VideoCaptureCount: the capture card number on existing equipment is returned to, for judging whether current device has acquisition Card;
OpenVideo: video interface is opened;
CloseVideo: video interface is closed;
Start: start to acquire;
Stop: terminate acquisition;
SetMaxHeight: the maximum height of setting acquisition image (width is according to equal proportion scaling);
GetCurrentFrame: current collected frame is obtained;
In order to which by the Python module in the library Boost of C Plus Plus, XIStream class is exported to pyd text across language call Part is called for Python.
(2) pre-process present image, cut present image in and the incoherent part of detection process.General endoscopic assistance is clapped The content taken the photograph is red, and in three Color Channels of red, green, blue of image, the pixel value of red channel is higher;Without relevant portion It is mostly black and a small amount of white font, red channel pixel value is lower, can be cut according to red channel pixel value uncorrelated Part, and record and cut position.
(3) lesion region in lesion detection model inspection present image is called.Lesion detection model is based on depth The irregular lesion region detection model practised, structure are the conspicuousness detection net that Hou [12] et al. are published in 2017 CVPR Network is realized with Python and TensorFlow frame, by largely there is the training of the data of mark;Training data is Pixel-level Mark, therefore detection model can predict the classification of each pixel, export the exposure mask of lesion region, i.e., irregular prediction knot Fruit;Two endoscopic image lesion detection models, respectively polyposis intestinalis detection model, alimentary canal morning cancer detection model are trained altogether;
When training colonoscopy polyp detection model, the pixel of polyp locations is labeled as 1 in training data, and normal region is labeled as 0, intestines Mirror Image Adjusting subtracts mean value to 224 × 224 to size 300 × 300, random cropping is unified.Model parameter is by pre-training The initialization of VGG-16 [16] disaggregated model.If initial learning rate is 0.0001, attenuation rate 0.9, every two periodic attenuation is primary. With the method for small lot stochastic gradient descent, loss function is minimized.That criticizes is sized to 12, and loss function is the coke of Pixel-level Point loss [17].After the completion of training, image to be detected is inputtedI, model output andIThe identical exposure mask of size;It covers Value in film is bigger, and corresponding position is that the probability of polyp is bigger;Rule of thumb, given thresholdTIt is 0.95, whenM(i,j)>TWhen, Then thinkI(i,j)Lesion has occurred;Otherwise it is assumed thatI(i,j)Normally, whereini, jFor the coordinate of pixel.The lesion region of detection ForM(i,j)>TCorresponding region;
The training of alimentary canal morning cancer detection model and detection process are similar with polyposis intestinalis detection model, only training data and threshold Value setting is different: the pixel of alimentary canal morning cancer position is labeled as 1 in training data, and normal region is labeled as 0, given thresholdTFor 0.2。
(4) post-processing detection modifies the pixel that exposure mask is 1 in endoscopic image as a result, according to the exposure mask that detection model exports Color be green, recorded according to the cutting of preprocessing process, restore black background, patient related information, shooting time etc..
(5) image before and after lesion detection is stored in buffer area.After endoscopic image is processed, attempt to obtain buffer area Lock;After obtaining buffer area lock, image before and after treatment is put into buffer area, then release lock.
(6) image is read from buffer area in timing detection buffer area.At regular intervals, whether detection buffer area has image, If there is image, it tries obtain buffer area lock, obtain the image of taking-up buffer area after lock, release lock.
(7) in interface display lesion detection result.Interface includes two display windows, before one of window display detection Image, the image after the display detection of window, interface is realized using the library PyQt5 of Python.
For realization process there are two thread, a thread, which is responsible for data acquisition, lesion detection, will test result is stored in buffering Qu Zhong;Another thread is responsible for reading image from buffer area, is shown in interface.
Fig. 3 is the options interface that different lesions are detected in embodiment, shares polyposis intestinalis detection, alimentary canal morning cancer detection two A option.
Fig. 4 is the display interface of embodiment, and left side black surround shows that present image, right side black surround show figure after testing Picture.
Bibliography
[1] Seeff, L.C. et al. How many endoscopies are performed for colorectal cancer screening Results from CDC's survey of endoscopic capacity. Gastroenterology 127, 1670-7 (2004).
[2] Zauber, A.G. et al. Colonoscopic polypectomy and long-term prevention of colorectal -cancer deaths. New England Journal of Medicine 366, 687-696 (2012).
[3] Brenner, H., Chang-Claude, J., Seiler, C.M., Rickert, A. & Hoffmeister, M. Protection from colorectal cancer after colonoscopy: a population-based, case-control study. Annals of internal medicine 154, 22-30 (2011).
[4] Corley, D.A. et al. Adenoma detection rate and risk of colorectal cancer and death. New england journal of medicine 370, 1298-1306 (2014).
[5] Jemal, A., Center, M.M., DeSantis, C. & Ward, E.M. Global patterns of cancer incidence and mortality rates and trends. Cancer Epidemiology and Prevention Biomarkers 19, 1893-1907 (2010).
[6] Wu, S., Zhu, W., Thompson, P. & Hannun, Y.A. Evaluating intrinsic and non-intrinsic cancer risk factors. Nature communications 9, 3490 (2018).
[7] Esteva, A.,Kuprel, B., Novoa, R.A., et al. Dermatologist-level classification of skin cancer with deep neural networks. Nature 542, 115-118 (2017).
[8] Gulshan, V., Peng, L., Coram, M., et al. Development and Validation of a Deep Learning Algorithm for Detection of Diabetic Retinopathy in Retinal Fundus Photographs. JAMA 316, 2402-2410 (2016).
[9] Karkanis, S.A., Iakovidis, D.K., Maroulis, D.E., et al. Computer- aided tumor detection in endoscopic video using color wavelet features. IEEE Transactions on Information Technology in Biomedicine 7, 141-152 (2003).
[10] Misawa, M., Kudo, S., Mori, Y., et al. Artificial Intelligence- Assisted Polyp Detection for Colonoscopy: Initial Experience. Gastroenterology 154, 2027-2029 (2018).
[11] Wang, P., Xiao, X., Glissen Brown, J. R., et al. Development and validation of a deep-learning algorithm for the detection of polyps during colonoscopy. Nature Biomedical Engineering 2, 741-748 (2018).
[12] Hou, Q., Cheng, M., Hu, X., Borji, A., Tu, Z. & Torr, P. H. Deeply supervised salient object detection with short connections. IEEE Conference on Computer Vision and Pattern Recognition, 3203-3212 (2017).
[13] Badrinarayanan, V., Kendall, A., Cipolla, A. SegNet: A Deep Convolutional Encoder-Decoder Architecture for Image Segmentation. IEEE Transactions on Pattern Analysis & Machine Intelligence, 39, 2481-2495 (2017).
[14] Long, J., Shelhamer, E. & Darrell, T. Fully convolutional networks for semantic segmentation. IEEE International Conference on Computer Vision, 3431-3440 (2015).
[15] Chen, L., Papandreou, G., Kokkinos, I., Murphy, K. & Yuille, A. L. DeepLab: Semantic image segmentation with deep convolutional nets, atrous convolution, and fully connected CRFs. IEEE Transactions on Pattern Analysis and Machine Intelligence 40, 834-848 (2018).
[16] Simonyan, K. & Zisserman A. Very deep convolutional networks for large-scale image recognition. International Conference on Representation Learning, (2014).
[17] Lin, T., Goyal, P., Girshick, R., He, K. & Dollar, P. Focal loss for dense object detection. IEEE International Conference on Computer Vision, 2999-3007 (2017).。

Claims (8)

1. method is surveyed in a kind of endoscopic image lesion inspection in real time, which is characterized in that specific steps are as follows:
(1) present image of capture card acquisition endoscopic assistance output;
(2) pretreatment of present image;
(3) lesion region in lesion detection model inspection present image is called;
(4) post-processing of testing result;
(5) image before and after lesion detection is stored in buffer area;
(6) image is read from buffer area in timing detection buffer area;
(7) in interface display lesion detection result;
In step (1), the capture card is mounted in the host of computer;The method of capture card acquisition scope present image are as follows: The application programming interface for calling capture card, obtains current endoscopic image;
In step (2), the preprocess method of the present image are as follows: in the cutting present image and incoherent portion of detection process Point, incoherent part includes black background, patient related information, shooting time;
In step (3), the lesion detection model is the irregular lesion region detection model based on deep learning;Its structure is Full convolutional neural networks generate the prediction of Pixel-level identical with input picture size using the image of arbitrary size as input As a result;For model to there is the data set of Pixel-level mark as training set, the network after the completion of training can be used for predicting scope figure Each pixel is the probability of abnormal pixel as in;Given thresholdT, prediction probability is greater than threshold valueTPixel classifications be lesion picture Element obtains irregular lesion detection result;
In step (4), the post-processing approach of the testing result are as follows: according to the exposure mask that detection model exports, modify endoscopic image The color for the pixel that middle exposure mask is 1, restores incoherent part, in order to intuitively show the region of lesion;
In step (5), the method by the image deposit buffer area before and after lesion detection are as follows: after endoscopic image detects, It attempts to obtain buffer area lock;After obtaining buffer area lock, image before and after treatment is put into buffer area, release lock;
In step (6), the method for reading image from buffer area are as follows: at regular intervals, whether detection buffer area has image; If there is image, it tries obtain buffer area lock, obtain the image of taking-up buffer area after lock, release lock;It will test result feeding Buffer area helps to alleviate the unmatched problem of speed between lesion detection speed and display frequency.
2. endoscopic image lesion real-time detection method according to claim 1, which is characterized in that in step (7), it is described The method of interface display lesion detection result are as follows: there are two window, a windows to be used to show the figure with testing result at interface Picture, another window is used to show the original image of acquisition, in order to the image before and after user's contrasting detection, auxiliary diagnosis.
3. endoscopic image lesion real-time detection method according to claim 2, which is characterized in that by two Process flowcharts: Detection procedure and show process, wherein detection procedure is responsible for step (1)-(5), and show process is responsible for step (6), (7);Detect into After Cheng Yici executes the detection that an image is completed in step (1)-(5), then step (1) is jumped back to, it is defeated to continue acquisition endoscopic assistance Present frame out is handled;It reads image if there is image in buffer area and shows in show process regular check buffer area.
4. endoscopic image lesion real-time detection method according to claim 3, which is characterized in that the full convolutional Neural net Network is that conspicuousness detects network, semantic segmentation network;Model thresholdTAccording to heterogeneous networks structure, training data, rule of thumb set It is fixed.
5. endoscopic image lesion real-time detection method according to claim 4, which is characterized in that detect net for conspicuousness Network, the pixel of polyp locations is labeled as 1, normal region is labeled as abnormal area by region existing for polyp using in colonoscopy 0, training obtains polyposis intestinalis detection model, threshold valueTIt is set in 0.05-0.95;Using alimentary canal morning cancer region as abnormal area, And it is labeled as 1, normal region is labeled as 0, and training obtains alimentary canal morning cancer detection model, threshold valueTIt is set in 0.1-0.8.
6. endoscopic image lesion real-time detection method described in one of -5 according to claim 1, which is characterized in that the computer The hardware configuration of host are as follows: the central processing unit of 2.4GHz or more, the running memory of 8GB or more, stream handle number 3584, core The video card of frequency of heart 1481MHz or more, 11GB memory.
7. endoscopic image lesion real-time detection method described in one of -5 according to claim 1, which is characterized in that the lesion inspection Model treatment speed is surveyed in the 25 frames/more than second.
8. a kind of endoscopic image lesion real-time detection apparatus based on one of -7 the methods according to claim 1, feature exist In, including scope capture apparatus, capture card, lesion detection program module, buffer area, display equipment;Wherein capture card, lesion inspection Survey program module, buffer area is placed in main frame;The input that the output interface of scope capture apparatus is connected to capture card connects Mouthful, the output interface of computer is connected to the input interface of display equipment;Wherein, the lesion detection program module includes: to work as Preceding image preprocessing submodule, lesion detection model submodule, testing result post-process submodule;These three word modules are successively held The operation content of row step (2), step (3) and step (4).
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