@phdthesis{Krenzer2023, author = {Krenzer, Adrian}, title = {Machine learning to support physicians in endoscopic examinations with a focus on automatic polyp detection in images and videos}, doi = {10.25972/OPUS-31911}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-319119}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2023}, abstract = {Deep learning enables enormous progress in many computer vision-related tasks. Artificial Intel- ligence (AI) steadily yields new state-of-the-art results in the field of detection and classification. Thereby AI performance equals or exceeds human performance. Those achievements impacted many domains, including medical applications. One particular field of medical applications is gastroenterology. In gastroenterology, machine learning algorithms are used to assist examiners during interventions. One of the most critical concerns for gastroenterologists is the development of Colorectal Cancer (CRC), which is one of the leading causes of cancer-related deaths worldwide. Detecting polyps in screening colonoscopies is the essential procedure to prevent CRC. Thereby, the gastroenterologist uses an endoscope to screen the whole colon to find polyps during a colonoscopy. Polyps are mucosal growths that can vary in severity. This thesis supports gastroenterologists in their examinations with automated detection and clas- sification systems for polyps. The main contribution is a real-time polyp detection system. This system is ready to be installed in any gastroenterology practice worldwide using open-source soft- ware. The system achieves state-of-the-art detection results and is currently evaluated in a clinical trial in four different centers in Germany. The thesis presents two additional key contributions: One is a polyp detection system with ex- tended vision tested in an animal trial. Polyps often hide behind folds or in uninvestigated areas. Therefore, the polyp detection system with extended vision uses an endoscope assisted by two additional cameras to see behind those folds. If a polyp is detected, the endoscopist receives a vi- sual signal. While the detection system handles the additional two camera inputs, the endoscopist focuses on the main camera as usual. The second one are two polyp classification models, one for the classification based on shape (Paris) and the other on surface and texture (NBI International Colorectal Endoscopic (NICE) classification). Both classifications help the endoscopist with the treatment of and the decisions about the detected polyp. The key algorithms of the thesis achieve state-of-the-art performance. Outstandingly, the polyp detection system tested on a highly demanding video data set shows an F1 score of 90.25 \% while working in real-time. The results exceed all real-time systems in the literature. Furthermore, the first preliminary results of the clinical trial of the polyp detection system suggest a high Adenoma Detection Rate (ADR). In the preliminary study, all polyps were detected by the polyp detection system, and the system achieved a high usability score of 96.3 (max 100). The Paris classification model achieved an F1 score of 89.35 \% which is state-of-the-art. The NICE classification model achieved an F1 score of 81.13 \%. Furthermore, a large data set for polyp detection and classification was created during this thesis. Therefore a fast and robust annotation system called Fast Colonoscopy Annotation Tool (FastCAT) was developed. The system simplifies the annotation process for gastroenterologists. Thereby the i gastroenterologists only annotate key parts of the endoscopic video. Afterward, those video parts are pre-labeled by a polyp detection AI to speed up the process. After the AI has pre-labeled the frames, non-experts correct and finish the annotation. This annotation process is fast and ensures high quality. FastCAT reduces the overall workload of the gastroenterologist on average by a factor of 20 compared to an open-source state-of-art annotation tool.}, subject = {Deep Learning}, language = {en} } @phdthesis{Wick2020, author = {Wick, Christoph}, title = {Optical Medieval Music Recognition}, doi = {10.25972/OPUS-21434}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-214348}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2020}, abstract = {In recent years, great progress has been made in the area of Artificial Intelligence (AI) due to the possibilities of Deep Learning which steadily yielded new state-of-the-art results especially in many image recognition tasks. Currently, in some areas, human performance is achieved or already exceeded. This great development already had an impact on the area of Optical Music Recognition (OMR) as several novel methods relying on Deep Learning succeeded in specific tasks. Musicologists are interested in large-scale musical analysis and in publishing digital transcriptions in a collection enabling to develop tools for searching and data retrieving. The application of OMR promises to simplify and thus speed-up the transcription process by either providing fully-automatic or semi-automatic approaches. This thesis focuses on the automatic transcription of Medieval music with a focus on square notation which poses a challenging task due to complex layouts, highly varying handwritten notations, and degradation. However, since handwritten music notations are quite complex to read, even for an experienced musicologist, it is to be expected that even with new techniques of OMR manual corrections are required to obtain the transcriptions. This thesis presents several new approaches and open source software solutions for layout analysis and Automatic Text Recognition (ATR) for early documents and for OMR of Medieval manuscripts providing state-of-the-art technology. Fully Convolutional Networks (FCN) are applied for the segmentation of historical manuscripts and early printed books, to detect staff lines, and to recognize neume notations. The ATR engine Calamari is presented which allows for ATR of early prints and also the recognition of lyrics. Configurable CNN/LSTM-network architectures which are trained with the segmentation-free CTC-loss are applied to the sequential recognition of text but also monophonic music. Finally, a syllable-to-neume assignment algorithm is presented which represents the final step to obtain a complete transcription of the music. The evaluations show that the performances of any algorithm is highly depending on the material at hand and the number of training instances. The presented staff line detection correctly identifies staff lines and staves with an \$F_1\$-score of above \$99.5\\%\$. The symbol recognition yields a diplomatic Symbol Accuracy Rate (dSAR) of above \$90\\%\$ by counting the number of correct predictions in the symbols sequence normalized by its length. The ATR of lyrics achieved a Character Error Rate (CAR) (equivalently the number of correct predictions normalized by the sentence length) of above \$93\\%\$ trained on 771 lyric lines of Medieval manuscripts and of 99.89\\% when training on around 3.5 million lines of contemporary printed fonts. The assignment of syllables and their corresponding neumes reached \$F_1\$-scores of up to \$99.2\\%\$. A direct comparison to previously published performances is difficult due to different materials and metrics. However, estimations show that the reported values of this thesis exceed the state-of-the-art in the area of square notation. A further goal of this thesis is to enable musicologists without technical background to apply the developed algorithms in a complete workflow by providing a user-friendly and comfortable Graphical User Interface (GUI) encapsulating the technical details. For this purpose, this thesis presents the web-application OMMR4all. Its fully-functional workflow includes the proposed state-of-the-art machine-learning algorithms and optionally allows for a manual intervention at any stage to correct the output preventing error propagation. To simplify the manual (post-) correction, OMMR4all provides an overlay-editor that superimposes the annotations with a scan of the original manuscripts so that errors can easily be spotted. The workflow is designed to be iteratively improvable by training better models as soon as new Ground Truth (GT) is available.}, subject = {Neumenschrift}, language = {en} }