The visual quality of endoscopic images is a significant factor in early lesion inspection and surgical procedures. However, due to the interference of light sources, hardware, and other configurations, the endoscopic images collected clinically have uneven illumination, blurred details, and contrast. This paper proposed a new endoscopic image enhancement algorithm. The image decomposes into a detail layer and a base layer based on noise suppression. The blood vessel information is stretched by channel in the detail layer, and adaptive brightness correction is performed in the base layer. Finally, Fusion obtained a new endoscopic image. This paper compares the algorithm with six other algorithms in the laboratory dataset. The algorithm is in the leading position in all five objective evaluation metrics, further indicating that the algorithm is ahead of other algorithms in contrast, structural similarity, and peak signal-to-noise ratio. It can effectively highlight the blood vessel information in endoscopic images while avoiding the influence of noise and highlight points. The proposed algorithm can well solve the existing problems of endoscopic images.

In recent years, deep convolutional neural network (CNN)-based image enhancement has shown outstanding performance. However, due to the problems of uneven illumination and low contrast existing in endoscopic images, the implementation of medical endoscopic image enhancement using CNN is still an exploratory and challenging task. An endoscopic image enhancement network (EIEN) based on the Retinex theory is proposed in this paper to solve these problems. The structure consists of three parts: decomposition network, illumination correction network, and reflection component enhancement algorithm. First, the decomposition network model of pre-trained Retinex-Net is retrained on the endoscopic image dataset, and then the images are decomposed into illumination and reflection components by this decomposition network. Second, the illumination components are corrected by the proposed self-attention guided multi-scale pyramid structure. The pyramid structure is used to capture the multi-scale information of the image. The self-attention mechanism is based on the imaging nature of the endoscopic image, and the inverse image of the illumination component is fused with the features of the green and blue channels of the image to be enhanced to generate a weight map that reassigns weights to the spatial dimension of the feature map, to avoid the loss of details in the process of multi-scale feature fusion and image reconstruction by the network. The reflection component enhancement is achieved by sub-channel stretching and weighted fusion, which is used to enhance the vascular information and image contrast. Finally, the enhanced illumination and reflection components are multiplied to obtain the reconstructed image. We compare the results of the proposed method with six other methods on a test set. The experimental results show that EIEN enhances the brightness and contrast of endoscopic images and highlights vascular and tissue information. At the same time, the method in this paper obtained the best results in terms of visual perception and objective evaluation.

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In a colonoscopy, accurate computer-aided polyp detection and segmentation can help endoscopists to remove abnormal tissue. This reduces the chance of polyps developing into cancer, which is of great importance. In this paper, we propose a neural network (parallel residual atrous pyramid network or PRAPNet) based on a parallel residual atrous pyramid module for the segmentation of intestinal polyp detection. We made full use of the global contextual information of the different regions by the proposed parallel residual atrous pyramid module. The experimental results showed that our proposed global prior module could effectively achieve better segmentation results in the intestinal polyp segmentation task compared with the previously published results. The mean intersection over union and dice coefficient of the model in the Kvasir-SEG dataset were 90.4% and 94.2%, respectively. The experimental results outperformed the scores achieved by the seven classical segmentation network models (U-Net, U-Net++, ResUNet++, praNet, CaraNet, SFFormer-L, TransFuse-L).

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