A complete benchmark for polyp detection, segmentation and classification in colonoscopy images

Front Oncol. 2024 Sep 24:14:1417862. doi: 10.3389/fonc.2024.1417862. eCollection 2024.

Abstract

Introduction: Colorectal cancer (CRC) is one of the main causes of deaths worldwide. Early detection and diagnosis of its precursor lesion, the polyp, is key to reduce its mortality and to improve procedure efficiency. During the last two decades, several computational methods have been proposed to assist clinicians in detection, segmentation and classification tasks but the lack of a common public validation framework makes it difficult to determine which of them is ready to be deployed in the exploration room.

Methods: This study presents a complete validation framework and we compare several methodologies for each of the polyp characterization tasks.

Results: Results show that the majority of the approaches are able to provide good performance for the detection and segmentation task, but that there is room for improvement regarding polyp classification.

Discussion: While studied show promising results in the assistance of polyp detection and segmentation tasks, further research should be done in classification task to obtain reliable results to assist the clinicians during the procedure. The presented framework provides a standarized method for evaluating and comparing different approaches, which could facilitate the identification of clinically prepared assisting methods.

Keywords: computer-aided diagnosis; medical imaging; polyp classification; polyp detection; polyp segmentation.

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the following Grant Numbers: PID2020–120311RB-I00 and RED2022–134964-T and funded by MCIN-AEI/10.13039/501100011033. AG was funded by a Marie Sk lodowska-Curie Global Fellowship (No 892297). AH and JB thanks the Institute of Advanced Studies from CY Paris Cergy University, Invited Prof. Position grant, through which the position was obtained in the context of “SmartVideocolonoscopy” project. AK and FP kindly thank the University Hospital of Würzburg and the Interdisziplinäres Zentrum für Klinische Forschung (IZKF) for supporting the research. AY and TT are supported by a Twinning Grant of the German Cancer Research Center (DKFZ) and the Robert Bosch Center for Tumor Diseases (RBCT). BM was supported by the Science and Technology Facilities Council grant number ST/S005404/1 and Kerr Fitzgerald by UCLan PhD grant.