Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric Tumors

Positive diagnoses of gastric tumors from photodynamic diagnosis (PDD) images after the administration of 5-aminolevulinic acid are subjectively identified by expert endoscopists. Objective methods of tumor identification are needed to reduce potential misidentifications. We developed two methods to...

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Main Authors: Taro Yamashita, Hiroki Kurumi, Masashi Fujii, Takuki Sakaguchi, Takeshi Hashimoto, Hidehito Kinoshita, Tsutomu Kanda, Takumi Onoyama, Yuichiro Ikebuchi, Akira Yoshida, Koichiro Kawaguchi, Kazuo Yashima, Hajime Isomoto
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Journal of Clinical Medicine
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Online Access:https://www.mdpi.com/2077-0383/11/11/3030
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author Taro Yamashita
Hiroki Kurumi
Masashi Fujii
Takuki Sakaguchi
Takeshi Hashimoto
Hidehito Kinoshita
Tsutomu Kanda
Takumi Onoyama
Yuichiro Ikebuchi
Akira Yoshida
Koichiro Kawaguchi
Kazuo Yashima
Hajime Isomoto
author_facet Taro Yamashita
Hiroki Kurumi
Masashi Fujii
Takuki Sakaguchi
Takeshi Hashimoto
Hidehito Kinoshita
Tsutomu Kanda
Takumi Onoyama
Yuichiro Ikebuchi
Akira Yoshida
Koichiro Kawaguchi
Kazuo Yashima
Hajime Isomoto
author_sort Taro Yamashita
collection DOAJ
description Positive diagnoses of gastric tumors from photodynamic diagnosis (PDD) images after the administration of 5-aminolevulinic acid are subjectively identified by expert endoscopists. Objective methods of tumor identification are needed to reduce potential misidentifications. We developed two methods to identify gastric tumors from PDD images. Method one was applied to segmented regions in the PDD endoscopic image to determine the region in LAB color space to be attributed to tumors using a multi-layer neural network. Method two aimed to diagnose tumors and determine regions in the PDD endoscopic image attributed to tumors using the convoluted neural network method. The efficiencies of diagnosing tumors were 77.8% (7/9) and 93.3% (14/15) for method one and method two, respectively. The efficiencies of determining tumor region defined as the ratio of the area were 35.7% (0.0–78.0) and 48.5% (3.0–89.1) for method one and method two, respectively. False-positive rates defined as the ratio of the area were 0.3% (0.0–2.0) and 3.8% (0.0–17.4) for method one and method two, respectively. Objective methods of determining tumor region in 5-aminolevulinic acid-based endoscopic PDD were developed by identifying regions in LAB color space attributed to tumors or by applying a method of convoluted neural network.
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spelling doaj.art-0db75a4c89ba4cd5807a3d4176c70dcd2023-11-23T14:15:37ZengMDPI AGJournal of Clinical Medicine2077-03832022-05-011111303010.3390/jcm11113030Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric TumorsTaro Yamashita0Hiroki Kurumi1Masashi Fujii2Takuki Sakaguchi3Takeshi Hashimoto4Hidehito Kinoshita5Tsutomu Kanda6Takumi Onoyama7Yuichiro Ikebuchi8Akira Yoshida9Koichiro Kawaguchi10Kazuo Yashima11Hajime Isomoto12Division of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology, Sanin Rosai Hospital, 1-8-1, Kaike Shinden, Yonago 683-0002, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanDivision of Gastroenterology and Nephrology, Faculty of Medicine, Tottori University, 36-1, Nishi-cho, Yonago 683-8504, JapanPositive diagnoses of gastric tumors from photodynamic diagnosis (PDD) images after the administration of 5-aminolevulinic acid are subjectively identified by expert endoscopists. Objective methods of tumor identification are needed to reduce potential misidentifications. We developed two methods to identify gastric tumors from PDD images. Method one was applied to segmented regions in the PDD endoscopic image to determine the region in LAB color space to be attributed to tumors using a multi-layer neural network. Method two aimed to diagnose tumors and determine regions in the PDD endoscopic image attributed to tumors using the convoluted neural network method. The efficiencies of diagnosing tumors were 77.8% (7/9) and 93.3% (14/15) for method one and method two, respectively. The efficiencies of determining tumor region defined as the ratio of the area were 35.7% (0.0–78.0) and 48.5% (3.0–89.1) for method one and method two, respectively. False-positive rates defined as the ratio of the area were 0.3% (0.0–2.0) and 3.8% (0.0–17.4) for method one and method two, respectively. Objective methods of determining tumor region in 5-aminolevulinic acid-based endoscopic PDD were developed by identifying regions in LAB color space attributed to tumors or by applying a method of convoluted neural network.https://www.mdpi.com/2077-0383/11/11/3030photodynamic diagnosis5-aminolevulinic acidLAB color spaceneural network
spellingShingle Taro Yamashita
Hiroki Kurumi
Masashi Fujii
Takuki Sakaguchi
Takeshi Hashimoto
Hidehito Kinoshita
Tsutomu Kanda
Takumi Onoyama
Yuichiro Ikebuchi
Akira Yoshida
Koichiro Kawaguchi
Kazuo Yashima
Hajime Isomoto
Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric Tumors
Journal of Clinical Medicine
photodynamic diagnosis
5-aminolevulinic acid
LAB color space
neural network
title Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric Tumors
title_full Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric Tumors
title_fullStr Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric Tumors
title_full_unstemmed Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric Tumors
title_short Objective Methods of 5-Aminolevulinic Acid-Based Endoscopic Photodynamic Diagnosis Using Artificial Intelligence for Identification of Gastric Tumors
title_sort objective methods of 5 aminolevulinic acid based endoscopic photodynamic diagnosis using artificial intelligence for identification of gastric tumors
topic photodynamic diagnosis
5-aminolevulinic acid
LAB color space
neural network
url https://www.mdpi.com/2077-0383/11/11/3030
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