Fox News anchor Bret Baier has the latest on the Murdoch Children's Research Institute's partnership with the Gladstone Institutes for the'Decoding Broken Hearts' initiative on'Special Report.' The benefits of artificial intelligence (AI) in the medical space are ever-growing, but evidence suggests it can also come with risks. A new study by European researchers investigated how AI can change the behavior of endoscopists when conducting a colonoscopy, and how their performance dips when not using AI. The research followed clinicians at four endoscopy centers in Poland participating in the ACCEPT (Artificial Intelligence in Colonoscopy for Cancer Prevention) trial, where AI tools for polyp detection were introduced at the end of 2021. Colonoscopies at these centers were randomly selected to be administered with or without AI assistance.

Colonoscopy is still the main method of detection and segmentation of colonic polyps, and recent advancements in deep learning networks such as U-Net, ResUNet, Swin-UNet, and PraNet have made outstanding performance in polyp segmentation. Y et, the problem is extremely challenging due to high variation in size, shape, endoscopy types, lighting, imaging protocols, and ill-defined boundaries (fluid, folds) of the polyps, rendering accurate segmentation a challenging and problematic task. T o address these critical challenges in polyp segmentation, we introduce a hybrid (Transformer + CNN) model that is crafted to enhance robustness against evolving polyp characteristics. Our hybrid architecture demonstrates superior performance over existing solutions, particularly in addressing two critical challenges: (1) accurate segmentation of polyps with ill-defined margins through boundary-aware attention mechanisms, and (2) robust feature extraction in the presence of common endoscopic artifacts including specular highlights, motion blur, and fluid occlusions. Quantitative evaluations reveal significant improvements in segmentation accuracy (Recall improved by 1.76%, i.e., 0.9555, accuracy improved by 0.07%, i.e., 0.9849) and artifact resilience compared to state-of-the-art polyp segmentation methods.

Automated polyp counting in colonoscopy is a crucial step toward automated procedure reporting and quality control, aiming to enhance the cost-effectiveness of colonoscopy screening. Counting polyps in a procedure involves detecting and tracking polyps, and then clustering tracklets that belong to the same polyp entity. Existing methods for polyp counting rely on self-supervised learning and primarily leverage visual appearance, neglecting temporal relationships in both tracklet feature learning and clustering stages. In this work, we introduce a paradigm shift by proposing a supervised contrastive loss that incorporates temporally-aware soft targets. Our approach captures intra-polyp variability while preserving inter-polyp discriminability, leading to more robust clustering. Additionally, we improve tracklet clustering by integrating a temporal adjacency constraint, reducing false positive re-associations between visually similar but temporally distant tracklets. We train and validate our method on publicly available datasets and evaluate its performance with a leave-one-out cross-validation strategy. Results demonstrate a 2.2x reduction in fragmentation rate compared to prior approaches. Our results highlight the importance of temporal awareness in polyp counting, establishing a new state-of-the-art. Code is available at https://github.com/lparolari/temporally-aware-polyp-counting.

New endoscopists require a large volume of expert-proctored colonoscopies to attain minimal competency. Developing multi-fingered, synchronized control of a colonoscope requires significant time and exposure to the device. Current training methods inhibit this development by relying on tool hand-off for expert demonstrations. There is a need for colonoscopy training tools that enable in-hand expert guidance in real-time. We present a new concept of a tandem training system that uses a telemanipulated preceptor colonoscope to guide novice users as they perform a colonoscopy. This system is capable of dual-control and can automatically toggle between expert and novice control of a standard colonoscope's angulation control wheels. Preliminary results from a user study with novice and expert users show the effectiveness of this device as a skill acquisition tool. We believe that this device has the potential to accelerate skill acquisition for colonoscopy and, in the future, enable individualized instruction and responsive teaching through bidirectional actuation.

While AI-assisted colonoscopy promises improved colorectal cancer screening, its success relies on effective integration into clinical practice, not just algorithmic accuracy. This paper, based on an Australian field study (observations and gastroenterologist interviews), highlights a critical disconnect: current development prioritizes machine learning model performance, overlooking essential aspects of user interface design, workflow integration, and overall user experience. Industry interactions reveal a similar emphasis on data and algorithms. To realize AI's full potential, the HCI community must champion user-centered design, ensuring these systems are usable, support endoscopist expertise, and enhance patient outcomes.

In 1988, we launched the Best of What's New Awards. The original list highlighted "the very things that make our lives more comfortable, more rewarding, more exciting, and more fun," to quote then-Publisher Grant A. Burnett. Now, in 2024, we continue our decades-old tradition of honoring big ideas. We even see hints of our original honorees in this year's list: Sea-Doo and Ford made both lists, 36 years apart. We're proud to bring you promising innovations--from things that make life at home easier to literal out-of-this-world explorations. This is the Best of What's New 2024. Had you asked me at the beginning of 2024 what our best gadgets list would look like, I'd have guessed it would be filled with quirky AI-driven devices like the rabbit R1 or the Humane Ai Pin. "Now with AI" is a phrase that has dominated consumer electronics in the 2020s. These devices promised unadulterated access to the power of neural networks in ways that would seamlessly integrate into our lives without relying on phones or smart fridges. Then, the devices came out. The software is slow and buggy, and the hardware is clunky. Maybe the stand-alone AI device will still have its year, and we'll look back and chuckle at these humble beginnings. In reality, 2024's big breakthrough came from Apple in the form of its long-rumored Vision Pro headset. The device has its own hurdles to clear, but after just a few minutes of using it, it was clear that it's something different, important, and honestly pretty amazing. The list also includes Sony's innovative pro-grade camera, the most accessible drone we've ever used, and a no-fun phone--no fun in a good way, of course. Credible rumors of Apple's VR bounced around the gadget blogs and tech sites for nearly a decade. It was consumer tech's sasquatch in that people claimed to have seen it, but no one knew if it even existed. Then, the Vision Pro emerged from the proverbial forest in February with a surprising design and a massive 3,500 price tag. It also came toting a new R-series chip and a dedicated OS meant for spatial computing.

Background and aims: Colonoscopy screening is an effective method to find and remove colon polyps before they can develop into colorectal cancer (CRC). Current follow-up recommendations, as outlined by the U.S. Multi-Society Task Force for individuals found to have polyps, primarily rely on histopathological characteristics, neglecting other significant CRC risk factors. Moreover, the considerable variability in colorectal polyp characterization among pathologists poses challenges in effective colonoscopy follow-up or surveillance. The evolution of digital pathology and recent advancements in deep learning provide a unique opportunity to investigate the added benefits of including the additional medical record information and automatic processing of pathology slides using computer vision techniques in the calculation of future CRC risk. Methods: Leveraging the New Hampshire Colonoscopy Registry's extensive dataset, many with longitudinal colonoscopy follow-up information, we adapted our recently developed transformerbased model for histopathology image analysis in 5-year CRC risk prediction. Additionally, we investigated various multimodal fusion techniques, combining medical record information with deep learning derived risk estimates. Results: Our findings reveal that training a transformer model to predict intermediate clinical variables contributes to enhancing 5-year CRC risk prediction performance, with an AUC of 0.630 comparing to direct prediction (AUC = 0.615, p = 0.013). Furthermore, the fusion of imaging and nonimaging features, while not requiring manual inspection of microscopy images, demonstrates improved predictive capabilities (AUC = 0.674) for 5-year CRC risk comparing to variables extracted from colonoscopy procedure and microscopy findings (AUC = 0.655, p = 0.001). Conclusion: This study signifies the potential of integrating diverse data sources and advanced computational techniques in transforming the accuracy and effectiveness of future CRC risk assessments.

This paper introduces a size-adaptable robotic endoscope design, which aims to improve the efficiency and comfort of colonoscopy. The robotic endoscope proposed in this paper combines the expansion mechanism and the external drive system, which can adjust the shape according to the different pipe diameters, thus improving the stability and propulsion force during propulsion. As an actuator in the expansion mechanism, flexible bellows can provide a normal force of 3.89 N and an axial deformation of nearly 10mm at the maximum pressure, with a 53% expansion rate in the size of expandable tip. In the test of the locomotion performance of the prototype, we obtained the relationship with the propelling of the prototype by changing the friction coefficient of the pipe and the motor angular velocity. In the experiment with artificial bowel tissues, the prototype can generate a propelling force of 2.83 N, and the maximum linear speed is 29.29 m/s in average, and could produce effective propulsion when it passes through different pipe sizes. The results show that the prototype can realize the ability of shape adaptation in order to obtain more propulsion. The relationship between propelling force and traction force, structural optimization and miniaturization still need further exploration.

Despite recent surge of interest in deploying colon capsule endoscopy (CCE) for early diagnosis of colorectal diseases, there remains a large gap between the current state of CCE in clinical practice, and the state of its counterpart optical colonoscopy (OC). Our study is aimed at closing this gap, by focusing on the full integration of AI in CCE's pathway, where image processing steps linked to the detection, localization and characterisation of important findings are carried out autonomously using various AI algorithms. We developed a recognition network, that with an impressive sensitivity of 99.9%, a specificity of 99.4%, and a negative predictive value (NPV) of 99.8%, detected colorectal polyps. After recognising a polyp within a sequence of images, only those images containing polyps were fed into two parallel independent networks for characterisation, and estimation of the size of those important findings. The characterisation network reached a sensitivity of 82% and a specificity of 80% in classifying polyps to two groups, namely neoplastic vs. non-neoplastic. The size estimation network reached an accuracy of 88% in correctly segmenting the polyps. By automatically incorporating this crucial information into CCE's pathway, we moved a step closer towards the full integration of AI in CCE's routine clinical practice.

Monocular visual simultaneous localization and mapping (V-SLAM) is nowadays an irreplaceable tool in mobile robotics and augmented reality, where it performs robustly. However, human colonoscopies pose formidable challenges like occlusions, blur, light changes, lack of texture, deformation, water jets or tool interaction, which result in very frequent tracking losses. ORB-SLAM3, the top performing multiple-map V-SLAM, is unable to recover from them by merging sub-maps or relocalizing the camera, due to the poor performance of its place recognition algorithm based on ORB features and DBoW2 bag-of-words. We present CudaSIFT-SLAM, the first V-SLAM system able to process complete human colonoscopies in real-time. To overcome the limitations of ORB-SLAM3, we use SIFT instead of ORB features and replace the DBoW2 direct index with the more computationally demanding brute-force matching, being able to successfully match images separated in time for relocation and map merging. Real-time performance is achieved thanks to CudaSIFT, a GPU implementation for SIFT extraction and brute-force matching. We benchmark our system in the C3VD phantom colon dataset, and in a full real colonoscopy from the Endomapper dataset, demonstrating the capabilities to merge sub-maps and relocate in them, obtaining significantly longer sub-maps. Our system successfully maps in real-time 88 % of the frames in the C3VD dataset. In a real screening colonoscopy, despite the much higher prevalence of occluded and blurred frames, the mapping coverage is 53 % in carefully explored areas and 38 % in the full sequence, a 70 % improvement over ORB-SLAM3.