Ojonugwa Oluwafemi Ejiga Peter

Ojonugwa Oluwafemi Ejiga Peter, Frederick Akor Ejiga, Fahmi Khalifa et al.

The major limitations of gastrointestinal (GI) endoscopy AI systems arise from a shortage of annotated data, strict privacy policies, and significant bottlenecks in conventional model fine-tuning. Such limitations impede the successful application of sophisticated AI models in clinical practice, particularly affecting the reliability and scalability of diagnosis. In this paper, we present a dual-pipeline PEFT model that addresses two fundamental problems: medical Visual Question Answering (VQA) and the generation of privacy-preserving synthetic data. For clinical VQA, we adopt the Florence-2 vision-language model. Leveraging PEFT enhances model interpretability while substantially reducing the computational cost of training. Simultaneously, we employ Low-Rank Adaptation (LoRA) with Stable Diffusion 2.1 to generate high-quality GI images that enhance training databases without violating patient privacy. This research utilized the Kvasir-VQA dataset. Our Florence-2 VQA model achieved ROUGE-1 of 0.92, ROUGE-L of 0.91, and BLEU score improvements from 0.08 to 0.24. Fine-tuning on private datasets consistently showed better results than fine-tuning on public datasets. The rank-4 LoRA synthesis achieved optimal performance with a fidelity score of 0.290, an agreement score of 0.730, and a Frechet BiomedCLIP Distance (FBD) of 1450, reducing computational costs by almost 90 percent. This framework improves the clinical potential of AI in GI endoscopy. Compared to FLUX, MSDM, and Kandinsky 2.2, our model demonstrates superior FBD and strong semantic alignment. While other models lead in Fidelity or Agreement, our lower FBD indicates better image-text coherence. These results establish our approach as a robust solution for enhancing VQA and synthetic data generation in clinical AI.

Ojonugwa Oluwafemi Ejiga Peter, Md Mahmudur Rahman, Fahmi Khalifa

The MEDVQA-GI challenge addresses the integration of AI-driven text-to-image generative models in medical diagnostics, aiming to enhance diagnostic capabilities through synthetic image generation. Existing methods primarily focus on static image analysis and lack the dynamic generation of medical imagery from textual descriptions. This study intends to partially close this gap by introducing a novel approach based on fine-tuned generative models to generate dynamic, scalable, and precise images from textual descriptions. Particularly, our system integrates fine-tuned Stable Diffusion and DreamBooth models, as well as Low-Rank Adaptation (LORA), to generate high-fidelity medical images. The problem is around two sub-tasks namely: image synthesis (IS) and optimal prompt production (OPG). The former creates medical images via verbal prompts, whereas the latter provides prompts that produce high-quality images in specified categories. The study emphasizes the limitations of traditional medical image generation methods, such as hand sketching, constrained datasets, static procedures, and generic models. Our evaluation measures showed that Stable Diffusion surpasses CLIP and DreamBooth + LORA in terms of producing high-quality, diversified images. Specifically, Stable Diffusion had the lowest Fréchet Inception Distance (FID) scores (0.099 for single center, 0.064 for multi-center, and 0.067 for combined), indicating higher image quality. Furthermore, it had the highest average Inception Score (2.327 across all datasets), indicating exceptional diversity and quality. This advances the field of AI-powered medical diagnosis. Future research will concentrate on model refining, dataset augmentation, and ethical considerations for efficiently implementing these advances into clinical practice

Ojonugwa Oluwafemi Ejiga Peter, Akingbola Oluwapemiisin, Amalahu Chetachi et al.

Colonoscopy is a vital tool for the early diagnosis of colorectal cancer, which is one of the main causes of cancer-related mortality globally; hence, it is deemed an essential technique for the prevention and early detection of colorectal cancer. The research introduces a unique multidirectional architectural framework to automate polyp detection within colonoscopy images while helping resolve limited healthcare dataset sizes and annotation complexities. The research implements a comprehensive system that delivers synthetic data generation through Stable Diffusion enhancements together with detection and segmentation algorithms. This detection approach combines Faster R-CNN for initial object localization while the Segment Anything Model (SAM) refines the segmentation masks. The faster R-CNN detection algorithm achieved a recall of 93.08% combined with a precision of 88.97% and an F1 score of 90.98%.SAM is then used to generate the image mask. The research evaluated five state-of-the-art segmentation models that included U-Net, PSPNet, FPN, LinkNet, and MANet using ResNet34 as a base model. The results demonstrate the superior performance of FPN with the highest scores of PSNR (7.205893) and SSIM (0.492381), while UNet excels in recall (84.85%) and LinkNet shows balanced performance in IoU (64.20%) and Dice score (77.53%).

Ojonugwa Oluwafemi Ejiga Peter, Daniel Emakporuena, Bamidele Dayo Tunde et al.

Breast cancer detection through mammography interpretation remains difficult because of the minimal nature of abnormalities that experts need to identify alongside the variable interpretations between readers. The potential of CNNs for medical image analysis faces two limitations: they fail to process both local information and wide contextual data adequately, and do not provide explainable AI (XAI) operations that doctors need to accept them in clinics. The researcher developed the MammoFormer framework, which unites transformer-based architecture with multi-feature enhancement components and XAI functionalities within one framework. Seven different architectures consisting of CNNs, Vision Transformer, Swin Transformer, and ConvNext were tested alongside four enhancement techniques, including original images, negative transformation, adaptive histogram equalization, and histogram of oriented gradients. The MammoFormer framework addresses critical clinical adoption barriers of AI mammography systems through: (1) systematic optimization of transformer architectures via architecture-specific feature enhancement, achieving up to 13% performance improvement, (2) comprehensive explainable AI integration providing multi-perspective diagnostic interpretability, and (3) a clinically deployable ensemble system combining CNN reliability with transformer global context modeling. The combination of transformer models with suitable feature enhancements enables them to achieve equal or better results than CNN approaches. ViT achieves 98.3% accuracy alongside AHE while Swin Transformer gains a 13.0% advantage through HOG enhancements