Semi-supervised Quality Evaluation of Colonoscopy Procedures

Colonoscopy is the standard of care technique for detecting and removing polyps for the prevention of colorectal cancer. Nevertheless, gastroenterologists (GI) routinely miss approximately 25% of polyps during colonoscopies. These misses are highly operator dependent, influenced by the physician skills, experience, vigilance, and fatigue. Standard quality metrics, such as Withdrawal Time or Cecal Intubation Rate, have been shown to be well correlated with Adenoma Detection Rate (ADR). However, those metrics are limited in their ability to assess the quality of a specific procedure, and they do not address quality aspects related to the style or technique of the examination. In this work we design novel online and offline quality metrics, based on visual appearance quality criteria learned by an ML model in an unsupervised way. Furthermore, we evaluate the likelihood of detecting an existing polyp as a function of quality and use it to demonstrate high correlation of the proposed metric to polyp detection sensitivity. The proposed online quality metric can be used to provide real time quality feedback to the performing GI. By integrating the local metric over the withdrawal phase, we build a global, offline quality metric, which is shown to be highly correlated to the standard Polyp Per Colonoscopy (PPC) quality metric.

Weakly-supervised Representation Learning for Video Alignment and Analysis

Many tasks in video analysis and understanding boil down to the need for frame-based feature learning, aiming to encapsulate the relevant visual content so as to enable simpler and easier subsequent processing. While supervised strategies for this learning task can be envisioned, self and weakly-supervised alternatives are preferred due to the difficulties in getting labeled data. This paper introduces LRProp -- a novel weakly-supervised representation learning approach, with an emphasis on the application of temporal alignment between pairs of videos of the same action category. The proposed approach uses a transformer encoder for extracting frame-level features, and employs the DTW algorithm within the training iterations in order to identify the alignment path between video pairs. Through a process referred to as ``pair-wise position propagation'', the probability distributions of these correspondences per location are matched with the similarity of the frame-level features via KL-divergence minimization. The proposed algorithm uses also a regularized SoftDTW loss for better tuning the learned features. Our novel representation learning paradigm consistently outperforms the state of the art on temporal alignment tasks, establishing a new performance bar over several downstream video analysis applications.