Using deep learning for predicting cleansing quality of colon capsule endoscopy images

Fuente: arXiv
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Main Authors: Sharma, Puneet, Hindberg, Kristian Dalsbø, Schelde-Olesen, Benedicte, Deding, Ulrik, Nadimi, Esmaeil S., Braun, Jan-Matthias
Format: Preprint
Published: 2026
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author Sharma, Puneet
Hindberg, Kristian Dalsbø
Schelde-Olesen, Benedicte
Deding, Ulrik
Nadimi, Esmaeil S.
Braun, Jan-Matthias
author_facet Sharma, Puneet
Hindberg, Kristian Dalsbø
Schelde-Olesen, Benedicte
Deding, Ulrik
Nadimi, Esmaeil S.
Braun, Jan-Matthias
contents In this study, we explore the application of deep learning techniques for predicting cleansing quality in colon capsule endoscopy (CCE) images. Using a dataset of 500 images labeled by 14 clinicians on the Leighton-Rex scale (Poor, Fair, Good, and Excellent), a ResNet-18 model was trained for classification, leveraging stratified K-fold cross-validation to ensure robust performance. To optimize the model, structured pruning techniques were applied iteratively, achieving significant sparsity while maintaining high accuracy. Explainability of the pruned model was evaluated using Grad-CAM, Grad-CAM++, Eigen-CAM, Ablation-CAM, and Random-CAM, with the ROAD method employed for consistent evaluation. Our results indicate that for a pruned model, we can achieve a cross-validation accuracy of 88% with 79% sparsity, demonstrating the effectiveness of pruning in improving efficiency from 84% without compromising performance. We also highlight the challenges of evaluating cleansing quality of CCE images, emphasize the importance of explainability in clinical applications, and discuss the challenges associated with using the ROAD method for our task. Finally, we employ a variant of adaptive temperature scaling to calibrate the pruned models for an external dataset.
format Preprint
id arxiv_https___arxiv_org_abs_2601_13412
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Using deep learning for predicting cleansing quality of colon capsule endoscopy images
Sharma, Puneet
Hindberg, Kristian Dalsbø
Schelde-Olesen, Benedicte
Deding, Ulrik
Nadimi, Esmaeil S.
Braun, Jan-Matthias
Computer Vision and Pattern Recognition
Artificial Intelligence
In this study, we explore the application of deep learning techniques for predicting cleansing quality in colon capsule endoscopy (CCE) images. Using a dataset of 500 images labeled by 14 clinicians on the Leighton-Rex scale (Poor, Fair, Good, and Excellent), a ResNet-18 model was trained for classification, leveraging stratified K-fold cross-validation to ensure robust performance. To optimize the model, structured pruning techniques were applied iteratively, achieving significant sparsity while maintaining high accuracy. Explainability of the pruned model was evaluated using Grad-CAM, Grad-CAM++, Eigen-CAM, Ablation-CAM, and Random-CAM, with the ROAD method employed for consistent evaluation. Our results indicate that for a pruned model, we can achieve a cross-validation accuracy of 88% with 79% sparsity, demonstrating the effectiveness of pruning in improving efficiency from 84% without compromising performance. We also highlight the challenges of evaluating cleansing quality of CCE images, emphasize the importance of explainability in clinical applications, and discuss the challenges associated with using the ROAD method for our task. Finally, we employ a variant of adaptive temperature scaling to calibrate the pruned models for an external dataset.
title Using deep learning for predicting cleansing quality of colon capsule endoscopy images
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2601.13412