ColNav: Real-Time Colon Navigation for Colonoscopy

Colorectal cancer screening through colonoscopy continues to be the dominant global standard, as it allows identifying pre-cancerous or adenomatous lesions and provides the ability to remove them during the procedure itself. Nevertheless, failure by the endoscopist to identify such lesions increases the likelihood of lesion progression to subsequent colorectal cancer. Ultimately, colonoscopy remains operator-dependent, and the wide range of quality in colonoscopy examinations among endoscopists is influenced by variations in their technique, training, and diligence. This paper presents a novel real-time navigation guidance system for Optical Colonoscopy (OC). Our proposed system employs a real-time approach that displays both an unfolded representation of the colon and a local indicator directing to un-inspected areas. These visualizations are presented to the physician during the procedure, providing actionable and comprehensible guidance to un-surveyed areas in real-time, while seamlessly integrating into the physician's workflow. Through coverage experimental evaluation, we demonstrated that our system resulted in a higher polyp recall (PR) and high inter-rater reliability with physicians for coverage prediction. These results suggest that our real-time navigation guidance system has the potential to improve the quality and effectiveness of Optical Colonoscopy and ultimately benefit patient outcomes.

Estimating the coverage in 3d reconstructions of the colon from colonoscopy videos

Colonoscopy is the most common procedure for early detection and removal of polyps, a critical component of colorectal cancer prevention. Insufficient visual coverage of the colon surface during the procedure often results in missed polyps. To mitigate this issue, reconstructing the 3D surfaces of the colon in order to visualize the missing regions has been proposed. However, robustly estimating the local and global coverage from such a reconstruction has not been thoroughly investigated until now. In this work, we present a new method to estimate the coverage from a reconstructed colon pointcloud. Our method splits a reconstructed colon into segments and estimates the coverage of each segment by estimating the area of the missing surfaces. We achieve a mean absolute coverage error of 3-6\% on colon segments generated from synthetic colonoscopy data and real colonography CT scans. In addition, we show good qualitative results on colon segments reconstructed from real colonoscopy videos.

Colonoscopy Landmark Detection using Vision Transformers

Colonoscopy is a routine outpatient procedure used to examine the colon and rectum for any abnormalities including polyps, diverticula and narrowing of colon structures. A significant amount of the clinician's time is spent in post-processing snapshots taken during the colonoscopy procedure, for maintaining medical records or further investigation. Automating this step can save time and improve the efficiency of the process. In our work, we have collected a dataset of 120 colonoscopy videos and 2416 snapshots taken during the procedure, that have been annotated by experts. Further, we have developed a novel, vision-transformer based landmark detection algorithm that identifies key anatomical landmarks (the appendiceal orifice, ileocecal valve/cecum landmark and rectum retroflexion) from snapshots taken during colonoscopy. Our algorithm uses an adaptive gamma correction during preprocessing to maintain a consistent brightness for all images. We then use a vision transformer as the feature extraction backbone and a fully connected network based classifier head to categorize a given frame into four classes: the three landmarks or a non-landmark frame. We compare the vision transformer (ViT-B/16) backbone with ResNet-101 and ConvNext-B backbones that have been trained similarly. We report an accuracy of 82% with the vision transformer backbone on a test dataset of snapshots.

C$^3$Fusion: Consistent Contrastive Colon Fusion, Towards Deep SLAM in Colonoscopy

3D colon reconstruction from Optical Colonoscopy (OC) to detect non-examined surfaces remains an unsolved problem. The challenges arise from the nature of optical colonoscopy data, characterized by highly reflective low-texture surfaces, drastic illumination changes and frequent tracking loss. Recent methods demonstrate compelling results, but suffer from: (1) frangible frame-to-frame (or frame-to-model) pose estimation resulting in many tracking failures; or (2) rely on point-based representations at the cost of scan quality. In this paper, we propose a novel reconstruction framework that addresses these issues end to end, which result in both quantitatively and qualitatively accurate and robust 3D colon reconstruction. Our SLAM approach, which employs correspondences based on contrastive deep features, and deep consistent depth maps, estimates globally optimized poses, is able to recover from frequent tracking failures, and estimates a global consistent 3D model; all within a single framework. We perform an extensive experimental evaluation on multiple synthetic and real colonoscopy videos, showing high-quality results and comparisons against relevant baselines.