Shashwat Gupta

Akansh Agrawal, Akshan Agrawal, Shashwat Gupta et al.

Medical image segmentation is essential for applications like robotic surgeries, disease diagnosis, and treatment planning. Recently, various deep-learning models have been proposed to enhance medical image segmentation. One promising approach utilizes Kolmogorov-Arnold Networks (KANs), which better capture non-linearity in input data. However, they are unable to effectively capture long-range dependencies, which are required to accurately segment complex medical images and, by that, improve diagnostic accuracy in clinical settings. Neural networks such as Mamba can handle long-range dependencies. However, they have a limited ability to accurately capture non-linearities in the images as compared to KANs. Thus, we propose a novel architecture, the KAN-Mamba FusionNet, which improves segmentation accuracy by effectively capturing the non-linearities from input and handling long-range dependencies with the newly proposed KAMBA block. We evaluated the proposed KAN-Mamba FusionNet on three distinct medical image segmentation datasets: BUSI, Kvasir-Seg, and GlaS - and found it consistently outperforms state-of-the-art methods in IoU and F1 scores. Further, we examined the effects of various components and assessed their contributions to the overall model performance via ablation studies. The findings highlight the effectiveness of this methodology for reliable medical image segmentation, providing a unique approach to address intricate visual data issues in healthcare.

Shashwat Gupta, L. Gokulnath, Akshan Aggarwal et al.

Differentiating between Intestinal Tuberculosis (ITB) and Crohn's Disease (CD) poses a significant clinical challenge due to their similar symptoms, clinical presentations, and imaging features. This study leverages Computed Tomography Enterography (CTE) scans, deep learning, and traditional computer vision to address this diagnostic dilemma. A consensus among radiologists from renowned institutions has recognized the visceral-to-subcutaneous fat (VF/SF) ratio as a surrogate biomarker for differentiating between ITB and CD. Previously done manually, we propose a novel 2D image computer vision algorithm for auto-segmenting subcutaneous fat to automate this ratio calculation, enhancing diagnostic efficiency and objectivity. As a benchmark, we compare the results to those obtained using the TotalSegmentator tool, a popular deep learning-based software for automatic segmentation of anatomical structures, and manual calculations by radiologists. We also demonstrated the performance on 3D CT volumes using a slicing method and provided a benchmark comparison of the algorithm with the TotalSegmentator tool. Additionally, we propose a scoring approach to integrate scores from radiological features, such as the fat ratio and pulmonary TB probability, into a single score for diagnosis. We trained a ResNet10 model on a dataset of CTE scans with samples from ITB, CD, and normal patients, achieving an accuracy of 75%. To enhance interpretability and gain clinical trust, we integrated the explainable AI technique Grad-CAM with ResNet10 to explain the model's predictions. Due to the small dataset size (100 total cases), the feature-based scoring system is considered more reliable and trusted by radiologists compared to the deep learning model for disease diagnosis.

Shashwat Gupta, Sarthak Gupta, Akshan Agrawal et al.

Comb Sign is an important imaging biomarker to detect multiple gastrointestinal diseases. It shows up as increased blood flow along the intestinal wall indicating potential abnormality, which helps doctors diagnose inflammatory conditions. Despite its clinical significance, current detection methods are manual, time-intensive, and prone to subjective interpretation due to the need for multi-planar image-orientation. To the best of our knowledge, we are the first to propose a fully automated technique for the detection of Comb Sign from CTE scans. Our novel approach is based on developing a probabilistic map that shows areas of pathological hypervascularity by identifying fine vascular bifurcations and wall enhancement via processing through stepwise algorithmic modules. These modules include utilising deep learning segmentation model, a Gaussian Mixture Model (GMM), vessel extraction using vesselness filter, iterative probabilistic enhancement of vesselness via neighborhood maximization and a distance-based weighting scheme over the vessels. Experimental results demonstrate that our pipeline effectively identifies Comb Sign, offering an objective, accurate, and reliable tool to enhance diagnostic accuracy in Crohn's disease and related hypervascular conditions where Comb Sign is considered as one of the important biomarkers.

Shashwat Gupta, Sarthak Gupta, Akshan Agrawal et al.

Crohn's disease and intestinal tuberculosis share many overlapping features such as clinical, radiological, endoscopic, and histological features - particularly granulomas, making it challenging to clinically differentiate them. Our research leverages 3D CTE scans, computer vision, and machine learning to improve this differentiation to avoid harmful treatment mismanagement such as unnecessary anti-tuberculosis therapy for Crohn's disease or exacerbation of tuberculosis with immunosuppressants. Our study proposes a novel method to identify radiologist - identified biomarkers such as VF to SF ratio, necrosis, calcifications, comb sign and pulmonary TB to enhance accuracy. We demonstrate the effectiveness by using different ML techniques on the features extracted from these biomarkers, computing SHAP on XGBoost for understanding feature importance towards predictions, and comparing against SOTA methods such as pretrained ResNet and CTFoundation.