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The interpretation and analysis of wireless capsule endoscopy (WCE) recordings is a complex task which requires sophisticated computer aided decision (CAD) systems to help physicians with video screening and, finally, with the diagnosis. Most CAD systems used in capsule endoscopy share a common system design, but use very different image and video representations. As a result, each time a new clinical application of WCE appears, a new CAD system has to be designed from the scratch. This makes the design of new CAD systems very time consuming. Therefore, in this paper we introduce a system for small intestine motility characterization, based on Deep Convolutional Neural Networks, which circumvents the laborious step of designing specific features for individual motility events. Experimental results show the superiority of the learned features over alternative classifiers constructed using state-of-the-art handcrafted features. In particular, it reaches a mean classification accuracy of 96% for six intestinal motility events, outperforming the other classifiers by a large margin (a 14% relative performance increase).
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http://dx.doi.org/10.1016/j.compbiomed.2016.10.011 | DOI Listing |
United European Gastroenterol J
September 2025
Sheba Medical Center Tel Hashomer, Faculty of Medical and Health Sciences, Gastroenterology Institute, Tel-Aviv University, Tel Aviv, Israel.
Background: Mucosal healing (MH) is a key treatment goal in Crohn's disease (CD). However, evidence on pan-enteric MH (PE-MH) in CD patients treated with vedolizumab remains limited. We aimed to assess vedolizumab efficacy in achieving PE-MH using PillCam Crohn's capsule.
View Article and Find Full Text PDFEndoscopy
September 2025
Department of Sugery, Odense University Hospital, Odense, Denmark.
Background And Study Aim: Follow-up colonoscopy after an episode with colonic diverticulitis (CD) is standard in the Danish healthcare system to exclude malignancy. Colon capsule endoscopy (CCE) is a diagnostic alternative to colonoscopy. The purpose of this study was to compare CCE with colonoscopy after an episode with CD with primary focus on patient-reported outcomes.
View Article and Find Full Text PDFJ Biomed Phys Eng
August 2025
Department of Biomedical Systems & Medical Physics, Tehran University of Medical Sciences, Tehran, Iran.
Background: Wireless Capsule Endoscopy (WCE) is the gold standard for painless and sedation-free visualization of the Gastrointestinal (GI) tract. However, reviewing WCE video files, which often exceed 60,000 frames, can be labor-intensive and may result in overlooking critical frames. A proficient diagnostic system should offer gastroenterologists high sensitivity and Negative Predictive Value (NPV) to enhance diagnostic accuracy.
View Article and Find Full Text PDFEndoscopy
September 2025
Medical Department II - Gastroenterology, University Hospital Würzburg, Würzburg, Germany.
Current guidelines recommend early endoscopy (within 24 hours) for hemodynamically stable patients with suspected nonvariceal upper gastrointestinal hemorrhage (NVUGIH). We evaluated the use of a new photometric capsule examination (PCE) for stratification of patients into emergency (within 12 hours) and elective (within 48-96 hours) endoscopy.Patients with suspected NVUGIH were enrolled at four centers and received PCE.
View Article and Find Full Text PDFAnn Geriatr Med Res
August 2025
Addenbrookes Hospital, Department of Medicine for the Elderly, Box 135, Cambridge, CB2 0QQ, United Kingdom.
Video capsule endoscopy (VCE) provides endoluminal visualisation of the small bowel. It is often regarded as well-tolerated, non-invasive and safe across all age groups with the main, albeit rare, complication of retention of the capsule - normally in the small bowel or lower gastrointestinal (GI) tract. Retention in the upper GI tract is extremely rare and here we present a case of a 94-year-old who experienced capsule retention in a previously undiagnosed pharyngeal pouch.
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