@unpublished{LaubmannReschke, author = {Laubmann, Julia and Reschke, Johannes}, title = {Tackling fake images in cybersecurity - interpretation of a StyleGAN and lifting its black-box}, doi = {10.48550/arXiv.2507.13722}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-83930}, pages = {11}, abstract = {In today's digital age, concerns about the dangers of AI-generated images are increasingly common. One powerful tool in this domain is StyleGAN (style-based generative adversarial networks), a generative adversarial network capable of producing highly realistic synthetic faces. To gain a deeper understanding of how such a model operates, this work focuses on analyzing the inner workings of StyleGAN's generator component. Key architectural elements and techniques, such as the Equalized Learning Rate, are explored in detail to shed light on the model's behavior. A StyleGAN model is trained using the PyTorch framework, enabling direct inspection of its learned weights. Through pruning, it is revealed that a significant number of these weights can be removed without drastically affecting the output, leading to reduced computational requirements. Moreover, the role of the latent vector -- which heavily influences the appearance of the generated faces -- is closely examined. Global alterations to this vector primarily affect aspects like color tones, while targeted changes to individual dimensions allow for precise manipulation of specific facial features. This ability to finetune visual traits is not only of academic interest but also highlights a serious ethical concern: the potential misuse of such technology. Malicious actors could exploit this capability to fabricate convincing fake identities, posing significant risks in the context of digital deception and cybercrime.}, language = {en} } @inproceedings{FolgerHachaniFuxenetal., author = {Folger, Fabian and Hachani, Murad and Fuxen, Philipp and Graf, Julian and Fischer, Sebastian and Hackenberg, Rudolf}, title = {A Transformer-Based Framework for Anomaly Detection in Multivariate Time Series}, series = {CLOUD COMPUTING 2025, The Sixteenth International Conference on Cloud Computing, GRIDs, and Virtualization, April 06, 2025 to April 10, 2025, Valencia, Spain}, booktitle = {CLOUD COMPUTING 2025, The Sixteenth International Conference on Cloud Computing, GRIDs, and Virtualization, April 06, 2025 to April 10, 2025, Valencia, Spain}, publisher = {IARIA}, isbn = {978-1-68558-258-6}, issn = {2308-4294}, pages = {52 -- 57}, abstract = {This paper introduces a comprehensive Transformer-based architecture for anomaly detection in multivariate time series. Using self-attention, the framework efficiently processes high-dimensional sensor data without extensive feature engineering, enabling early detection of unusual patterns to prevent critical system failures. In a subsequent laboratory setup, the framework will be applied using fuzzing techniques to induce anomalies in an Electronic Control Unit, while monitoring side channels, such as temperature, voltage, and Controller Area Network messages. The overall structure of the architecture, as well as the necessary preprocessing steps, such as temporal aggregation and classification up to the optimization of the hyperparameters of the model, are presented. The evaluation of the model architecture with the postulated restrictions shows that the model handles anomaly scenarios in the dataset robustly. It is necessary to evaluate the extent to which the model can be used in practical applications in areas, such as cloud environments or the industrial Internet of Things. Overall, the results highlight the potential of Transformer models for the automated and reliable monitoring of complex time series data for deviations.}, language = {en} } @inproceedings{HauerSchultzHaugetal., author = {Hauer, Franziska and Schultz, Maximilian and Haug, Sonja and Weber, Karsten}, title = {Acceptance and Usage of AI Applications in Health-Focused NGOs}, series = {dHealth 2025, Proceedings of the 19th Health Informatics Meets Digital Health Conference}, booktitle = {dHealth 2025, Proceedings of the 19th Health Informatics Meets Digital Health Conference}, editor = {Baumgartner, Martin and Hayn, Dieter and Pfeifer, Bernhard and Schreier, G{\"u}nter}, publisher = {IOS Press}, address = {Wien}, isbn = {978-1-64368-592-2}, doi = {10.3233/SHTI250172}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-80613}, pages = {123 -- 128}, abstract = {Background: AI applications promise to be a valuable tool for healthfocused NGOs. While often operating with limited resources, these organizations recognize the potential of AI to streamline processes and support workflows through automation. However, challenges such as data privacy concerns—especially regarding personal medical data—and the low prioritization of implementation hinder progress. Objectives: This study examines the extent to which German health-focused NGOs can currently benefit from the application of AI. It evaluates demands, available resources, and use cases. Methods: A health-focused subset of data from project KINiro was analyzed. This research utilized a mixed-methods approach, combining two rounds of qualitative interviews with a quantitative survey. Results: The study revealed that while health-focused NGOs are in the early stages of AI implementation, there are hurdles such as ethical concerns and a lack of resources. Conclusion: AI has the potential to support health-focused NGOs in their work, if the challenges like resources, ethics, and data privacy are effectively addressed.}, language = {en} } @article{ScheppachMendelMuzalyovaetal., author = {Scheppach, Markus W. and Mendel, Robert and Muzalyova, Anna and Rauber, David and Probst, Andreas and Nagl, Sandra and R{\"o}mmele, Christoph and Yip, Hon Chi and Lau, Louis Ho Shing and G{\"o}lder, Stefan Karl and Schmidt, Arthur and Kouladouros, Konstantinos and Abdelhafez, Mohamed and Walter, Benjamin M. and Meinikheim, Michael and Chiu, Philip Wai Yan and Palm, Christoph and Messmann, Helmut and Ebigbo, Alanna}, title = {Artificial intelligence improves submucosal vessel detection during third space endoscopy}, series = {Endoscopy}, journal = {Endoscopy}, publisher = {Thieme}, address = {Stuttgart}, doi = {10.1055/a-2534-1164}, abstract = {Background and study aims: While artificial intelligence (AI) shows high potential in decision support for diagnostic gastrointestinal endoscopy, its role in therapeutic endoscopy remains unclear. Third space endoscopic procedures pose the risk of intraprocedural bleeding. Therefore, we aimed to develop an AI algorithm for intraprocedural blood vessel detection. Patients and Methods: Using a test dataset with 101 standardized video clips containing 200 predefined submucosal blood vessels, 19 endoscopists were evaluated for the vessel detection rate (VDR) and time (VDT) with and without support of an AI algorithm. Test subjects were grouped according to experience in ESD. Results: With AI support, endoscopists VDR increased from 56.4\% [CI 54.1-58.6] to 72.4\% [CI 70.3-74.4]. Endoscopists' VDT dropped from 6.7sec [CI 6.2-7.1] to 5.2sec [CI 4.8-5.7]. False positive (FP) readings appeared in 4.5\% of frames and were marked significantly shorter than true positives (6.0sec [CI 5.28-6.70] vs. 0.7sec [CI 0.55-0.87]). Conclusions: AI improved the vessel detection rate and time of endoscopists during third space endoscopy. While these data need to be corroborated by clinical trials, AI may prove to be an invaluable tool for the improvement of endoscopic interventions.}, language = {en} } @inproceedings{WiedererHoengEder, author = {Wiederer, Jonas and H{\"o}ng, Simon and Eder, Friedrich}, title = {Konzept zur KI-gest{\"u}tzten parametrischen Br{\"u}ckenmodellierung f{\"u}r ressourcen- und kostenoptimierte Bauwerksentw{\"u}rfe}, series = {Tagungsband 35. Forum Bauinformatik, 2024, Hamburg}, booktitle = {Tagungsband 35. Forum Bauinformatik, 2024, Hamburg}, editor = {St{\"u}hrenberg, Jan and Al-Zuriqat, Thamer and Chillon Geck, Carlos}, publisher = {Technische Universit{\"a}t Hamburg, Institut f{\"u}r Digitales und Autonomes Bauen}, address = {Hamburg}, doi = {10.15480/882.13506}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-77922}, pages = {50 -- 57}, abstract = {Br{\"u}ckenbauwerke stellen eine wesentliche Komponente einer soliden Infrastruktur dar. Wegen vernachl{\"a}ssigter Instandsetzungsmaßnahmen und sich ver{\"a}ndernder Anforderungen sind f{\"u}r eine Vielzahl dieser Bauwerke in Deutschland Ersatzneubauten notwendig. Diese Arbeit adressiert die Herausforderungen der Ressourcenverschwendung durch wiederholten Arbeitsaufwand bei individuellen Br{\"u}ckenentw{\"u}rfen f{\"u}r die angesprochenen Bauwerke. Es wird ein parametrisches Entwurfsmodells in Siemens NX entwickelt, um den Entwurfsprozess zu beschleunigen und eine einfache Anpassung an die entsprechenden Rahmenbedingungen zu erm{\"o}glichen. Zudem wird eine effektive Methode zur Anbindung an die Kostenermittlungssoftware RIB iTWO vorgestellt, die eine nachgelagerte Kostenkalkulation nach DIN 276 erm{\"o}glicht. Aufbauend darauf wird ein Optimierungsworkflow vorgestellt, welcher verschiedene Faktoren einbindet, um einen hochwertigen Bauwerksentwurf zu erzielen. Hierbei wird die Einbindung von Techniken aus dem Bereich der K{\"u}nstlichen Intelligenz angestrebt. Die vorgestellte Methodik soll die Wirtschaftlichkeitsbewertung und Entscheidungsfindung f{\"u}r die Realisierung der Br{\"u}ckenentw{\"u}rfe erleichtern und somit zu einer effizienteren Nutzung von Ressourcen im Br{\"u}ckenbau beitragen.}, language = {de} } @inproceedings{RoehrlStauferNadimpallietal., author = {R{\"o}hrl, Simon and Staufer, Susanne and Nadimpalli, Vamsi Krishna and Bugert, Flemming and Bugert, Flemming and Hauser, Florian and Grabinger, Lisa and Bittner, Dominik and Ezer, Timur and Mottok, J{\"u}rgen}, title = {PYTHIA - AI SUGGESTED INDIVIDUAL LEARNING PATHS FOR EVERY STUDENT}, series = {INTED2024 Proceedings: 18th International Technology, Education and Development Conference, Valencia, Spain. 4-6 March, 2024}, booktitle = {INTED2024 Proceedings: 18th International Technology, Education and Development Conference, Valencia, Spain. 4-6 March, 2024}, isbn = {978-84-09-59215-9}, issn = {2340-1079}, doi = {10.21125/inted.2024.0783}, pages = {2871 -- 2880}, abstract = {During the COVID-19 pandemic, the importance of digital course rooms, where teachers provide their learning materials, increased dramatically. While these platforms are crucial for providing teaching materials, they often fall short in addressing individual student needs. A system within an academic setting, capable of creating and presenting individual learning paths for each student, can solve these issues. These paths are composed of various learning elements - defined in our previous work as units of educational content with which a learner works. Currently, there is no suitable system that enables the integration of learning path generating algorithms into a digital course room. Therefore we present an application that enables this integration into the Moodle Learning Management System (LMS). More precisely, this paper presents a Moodle plugin together with its framework. It describes the mechanism for effectively collecting data from Moodle, which AI algorithms then use to generate personalized learning paths. Subsequently these paths are visualized with the help of the Moodle plugin. We started with a set of requirements and use cases for the interface connecting Moodle to the AI system, which were established with a group of experts. Based on the requirements, various relevant technologies were assessed, and the best ones were chosen for implementation. Following that, the paper develops a strategy for software structuring as well as an architecture, focusing on performance, modularity, and ease of deployment for widespread use. Furthermore, the architecture ensures a simple method for integrating the algorithms. Afterwards, the framework's concrete implementation is described. A technique for enriching learning elements with metadata is presented, and additionally a concept for presenting these learning elements within a hierarchy. Moreover, it is shown how questionnaire responses and learning analytics are utilized for data collection. We cover in detail techniques for extracting and storing data from the Moodle database, as well as methods for customizing Moodle course rooms and a standard API for incorporating AI algorithms. Finally, the paper discusses the application of the proposed framework in an actual course and how student feedback is collected, which could enhance the framework. It concludes with an assessment of the outcomes obtained and prospects for the framework's future advancements.}, language = {en} } @article{MeinikheimMendelPalmetal., author = {Meinikheim, Michael and Mendel, Robert and Palm, Christoph and Probst, Andreas and Muzalyova, Anna and Scheppach, Markus W. and Nagl, Sandra and Schnoy, Elisabeth and R{\"o}mmele, Christoph and Schulz, Dominik Andreas Helmut Otto and Schlottmann, Jakob and Prinz, Friederike and Rauber, David and R{\"u}ckert, Tobias and Matsumura, Tomoaki and Fern{\´a}ndez-Esparrach, Gl{\`o}ria and Parsa, Nasim and Byrne, Michael F. and Messmann, Helmut and Ebigbo, Alanna}, title = {Influence of artificial intelligence on the diagnostic performance of endoscopists in the assessment of Barrett's esophagus: a tandem randomized and video trial}, series = {Endoscopy}, volume = {56}, journal = {Endoscopy}, publisher = {Georg Thieme Verlag}, address = {Stuttgart}, doi = {10.1055/a-2296-5696}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-72818}, pages = {641 -- 649}, abstract = {Background This study evaluated the effect of an artificial intelligence (AI)-based clinical decision support system on the performance and diagnostic confidence of endoscopists in their assessment of Barrett's esophagus (BE). Methods 96 standardized endoscopy videos were assessed by 22 endoscopists with varying degrees of BE experience from 12 centers. Assessment was randomized into two video sets: group A (review first without AI and second with AI) and group B (review first with AI and second without AI). Endoscopists were required to evaluate each video for the presence of Barrett's esophagus-related neoplasia (BERN) and then decide on a spot for a targeted biopsy. After the second assessment, they were allowed to change their clinical decision and confidence level. Results AI had a stand-alone sensitivity, specificity, and accuracy of 92.2\%, 68.9\%, and 81.3\%, respectively. Without AI, BE experts had an overall sensitivity, specificity, and accuracy of 83.3\%, 58.1\%, and 71.5\%, respectively. With AI, BE nonexperts showed a significant improvement in sensitivity and specificity when videos were assessed a second time with AI (sensitivity 69.8\% [95\%CI 65.2\%-74.2\%] to 78.0\% [95\%CI 74.0\%-82.0\%]; specificity 67.3\% [95\%CI 62.5\%-72.2\%] to 72.7\% [95\%CI 68.2\%-77.3\%]). In addition, the diagnostic confidence of BE nonexperts improved significantly with AI. Conclusion BE nonexperts benefitted significantly from additional AI. BE experts and nonexperts remained significantly below the stand-alone performance of AI, suggesting that there may be other factors influencing endoscopists' decisions to follow or discard AI advice.}, language = {en} } @misc{ScheppachMendelProbstetal., author = {Scheppach, Markus W. and Mendel, Robert and Probst, Andreas and Rauber, David and R{\"u}ckert, Tobias and Meinikheim, Michael and Palm, Christoph and Messmann, Helmut and Ebigbo, Alanna}, title = {Real-time detection and delineation of tissue during third-space endoscopy using artificial intelligence (AI)}, series = {Endoscopy}, volume = {55}, journal = {Endoscopy}, number = {S02}, publisher = {Thieme}, doi = {10.1055/s-0043-1765128}, pages = {S53 -- S54}, abstract = {Aims AI has proven great potential in assisting endoscopists in diagnostics, however its role in therapeutic endoscopy remains unclear. Endoscopic submucosal dissection (ESD) is a technically demanding intervention with a slow learning curve and relevant risks like bleeding and perforation. Therefore, we aimed to develop an algorithm for the real-time detection and delineation of relevant structures during third-space endoscopy. Methods 5470 still images from 59 full length videos (47 ESD, 12 POEM) were annotated. 179681 additional unlabeled images were added to the training dataset. Consequently, a DeepLabv3+ neural network architecture was trained with the ECMT semi-supervised algorithm (under review elsewhere). Evaluation of vessel detection was performed on a dataset of 101 standardized video clips from 15 separate third-space endoscopy videos with 200 predefined blood vessels. Results Internal validation yielded an overall mean Dice score of 85\% (68\% for blood vessels, 86\% for submucosal layer, 88\% for muscle layer). On the video test data, the overall vessel detection rate (VDR) was 94\% (96\% for ESD, 74\% for POEM). The median overall vessel detection time (VDT) was 0.32 sec (0.3 sec for ESD, 0.62 sec for POEM). Conclusions Evaluation of the developed algorithm on a video test dataset showed high VDR and quick VDT, especially for ESD. Further research will focus on a possible clinical benefit of the AI application for VDR and VDT during third-space endoscopy.}, subject = {Speiser{\"o}hrenkrankheit}, language = {en} } @misc{ScheppachMendelProbstetal., author = {Scheppach, Markus W. and Mendel, Robert and Probst, Andreas and Meinikheim, Michael and Palm, Christoph and Messmann, Helmut and Ebigbo, Alanna}, title = {Artificial Intelligence (AI) - assisted vessel and tissue recognition during third space endoscopy (Smart ESD)}, series = {Zeitschrift f{\"u}r Gastroenterologie}, volume = {60}, journal = {Zeitschrift f{\"u}r Gastroenterologie}, number = {08}, publisher = {Georg Thieme Verlag}, address = {Stuttgart}, doi = {10.1055/s-0042-1755110}, abstract = {Clinical setting Third space procedures such as endoscopic submucosal dissection (ESD) and peroral endoscopic myotomy (POEM) are complex minimally invasive techniques with an elevated risk for operator-dependent adverse events such as bleeding and perforation. This risk arises from accidental dissection into the muscle layer or through submucosal blood vessels as the submucosal cutting plane within the expanding resection site is not always apparent. Deep learning algorithms have shown considerable potential for the detection and characterization of gastrointestinal lesions. So-called AI - clinical decision support solutions (AI-CDSS) are commercially available for polyp detection during colonoscopy. Until now, these computer programs have concentrated on diagnostics whereas an AI-CDSS for interventional endoscopy has not yet been introduced. We aimed to develop an AI-CDSS („Smart ESD") for real-time intra-procedural detection and delineation of blood vessels, tissue structures and endoscopic instruments during third-space endoscopic procedures. Characteristics of Smart ESD An AI-CDSS was invented that delineates blood vessels, tissue structures and endoscopic instruments during third-space endoscopy in real-time. The output can be displayed by an overlay over the endoscopic image with different modes of visualization, such as a color-coded semitransparent area overlay, or border tracing (demonstration video). Hereby the optimal layer for dissection can be visualized, which is close above or directly at the muscle layer, depending on the applied technique (ESD or POEM). Furthermore, relevant blood vessels (thickness> 1mm) are delineated. Spatial proximity between the electrosurgical knife and a blood vessel triggers a warning signal. By this guidance system, inadvertent dissection through blood vessels could be averted. Technical specifications A DeepLabv3+ neural network architecture with KSAC and a 101-layer ResNeSt backbone was used for the development of Smart ESD. It was trained and validated with 2565 annotated still images from 27 full length third-space endoscopic videos. The annotation classes were blood vessel, submucosal layer, muscle layer, electrosurgical knife and endoscopic instrument shaft. A test on a separate data set yielded an intersection over union (IoU) of 68\%, a Dice Score of 80\% and a pixel accuracy of 87\%, demonstrating a high overlap between expert and AI segmentation. Further experiments on standardized video clips showed a mean vessel detection rate (VDR) of 85\% with values of 92\%, 70\% and 95\% for POEM, rectal ESD and esophageal ESD respectively. False positive measurements occurred 0.75 times per minute. 7 out of 9 vessels which caused intraprocedural bleeding were caught by the algorithm, as well as both vessels which required hemostasis via hemostatic forceps. Future perspectives Smart ESD performed well for vessel and tissue detection and delineation on still images, as well as on video clips. During a live demonstration in the endoscopy suite, clinical applicability of the innovation was examined. The lag time for processing of the live endoscopic image was too short to be visually detectable for the interventionist. Even though the algorithm could not be applied during actual dissection by the interventionist, Smart ESD appeared readily deployable during visual assessment by ESD experts. Therefore, we plan to conduct a clinical trial in order to obtain CE-certification of the algorithm. This new technology may improve procedural safety and speed, as well as training of modern minimally invasive endoscopic resection techniques.}, subject = {Bildgebendes Verfahren}, language = {en} } @article{EbigboMendelScheppachetal., author = {Ebigbo, Alanna and Mendel, Robert and Scheppach, Markus W. and Probst, Andreas and Shahidi, Neal and Prinz, Friederike and Fleischmann, Carola and R{\"o}mmele, Christoph and G{\"o}lder, Stefan Karl and Braun, Georg and Rauber, David and R{\"u}ckert, Tobias and Souza Jr., Luis Antonio de and Papa, Jo{\~a}o Paulo and Byrne, Michael F. and Palm, Christoph and Messmann, Helmut}, title = {Vessel and tissue recognition during third-space endoscopy using a deep learning algorithm}, series = {Gut}, volume = {71}, journal = {Gut}, number = {12}, publisher = {BMJ}, address = {London}, doi = {10.1136/gutjnl-2021-326470}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-54293}, pages = {2388 -- 2390}, abstract = {In this study, we aimed to develop an artificial intelligence clinical decision support solution to mitigate operator-dependent limitations during complex endoscopic procedures such as endoscopic submucosal dissection and peroral endoscopic myotomy, for example, bleeding and perforation. A DeepLabv3-based model was trained to delineate vessels, tissue structures and instruments on endoscopic still images from such procedures. The mean cross-validated Intersection over Union and Dice Score were 63\% and 76\%, respectively. Applied to standardised video clips from third-space endoscopic procedures, the algorithm showed a mean vessel detection rate of 85\% with a false-positive rate of 0.75/min. These performance statistics suggest a potential clinical benefit for procedure safety, time and also training.}, language = {en} } @article{RoemmeleMendelBarrettetal., author = {R{\"o}mmele, Christoph and Mendel, Robert and Barrett, Caroline and Kiesl, Hans and Rauber, David and R{\"u}ckert, Tobias and Kraus, Lisa and Heinkele, Jakob and Dhillon, Christine and Grosser, Bianca and Prinz, Friederike and Wanzl, Julia and Fleischmann, Carola and Nagl, Sandra and Schnoy, Elisabeth and Schlottmann, Jakob and Dellon, Evan S. and Messmann, Helmut and Palm, Christoph and Ebigbo, Alanna}, title = {An artificial intelligence algorithm is highly accurate for detecting endoscopic features of eosinophilic esophagitis}, series = {Scientific Reports}, volume = {12}, journal = {Scientific Reports}, publisher = {Nature Portfolio}, address = {London}, doi = {10.1038/s41598-022-14605-z}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:898-opus4-46928}, pages = {10}, abstract = {The endoscopic features associated with eosinophilic esophagitis (EoE) may be missed during routine endoscopy. We aimed to develop and evaluate an Artificial Intelligence (AI) algorithm for detecting and quantifying the endoscopic features of EoE in white light images, supplemented by the EoE Endoscopic Reference Score (EREFS). An AI algorithm (AI-EoE) was constructed and trained to differentiate between EoE and normal esophagus using endoscopic white light images extracted from the database of the University Hospital Augsburg. In addition to binary classification, a second algorithm was trained with specific auxiliary branches for each EREFS feature (AI-EoE-EREFS). The AI algorithms were evaluated on an external data set from the University of North Carolina, Chapel Hill (UNC), and compared with the performance of human endoscopists with varying levels of experience. The overall sensitivity, specificity, and accuracy of AI-EoE were 0.93 for all measures, while the AUC was 0.986. With additional auxiliary branches for the EREFS categories, the AI algorithm (AI-EoEEREFS) performance improved to 0.96, 0.94, 0.95, and 0.992 for sensitivity, specificity, accuracy, and AUC, respectively. AI-EoE and AI-EoE-EREFS performed significantly better than endoscopy beginners and senior fellows on the same set of images. An AI algorithm can be trained to detect and quantify endoscopic features of EoE with excellent performance scores. The addition of the EREFS criteria improved the performance of the AI algorithm, which performed significantly better than endoscopists with a lower or medium experience level.}, language = {en} } @inproceedings{VoglWeberGrafetal., author = {Vogl, Peter and Weber, Sergei and Graf, Julian and Neubauer, Katrin and Hackenberg, Rudolf}, title = {Design and Implementation of an Intelligent and Model-based Intrusion Detection System for Iot Networks}, series = {Cloud Computing 2022: The Thirteenth International Conference on Cloud Computing, GRIDs, and Virtualization, Special Track FAST-CSP, Barcelona, Spain, 24.-28.04.2022}, booktitle = {Cloud Computing 2022: The Thirteenth International Conference on Cloud Computing, GRIDs, and Virtualization, Special Track FAST-CSP, Barcelona, Spain, 24.-28.04.2022}, publisher = {IARIA}, address = {[Wilmington, DE, USA]}, isbn = {978-1-61208-948-5}, pages = {7 -- 12}, abstract = {The ongoing digitization and digitalization entails the increasing risk of privacy breaches through cyber attacks. Internet of Things (IoT) environments often contain devices monitoring sensitive data such as vital signs, movement or surveil-lance data. Unfortunately, many of these devices provide limited security features. The purpose of this paper is to investigate how artificial intelligence and static analysis can be implemented in practice-oriented intelligent Intrusion Detection Systems to monitor IoT networks. In addition, the question of how static and dynamic methods can be developed and combined to improve net-work attack detection is discussed. The implementation concept is based on a layer-based architecture with a modular deployment of classical security analysis and modern artificial intelligent methods. To extract important features from the IoT network data a time-based approach has been developed. Combined with network metadata these features enhance the performance of the artificial intelligence driven anomaly detection and attack classification. The paper demonstrates that artificial intelligence and static analysis methods can be combined in an intelligent Intrusion Detection System to improve the security of IoT environments.}, language = {en} } @misc{EbigboMendelTziatziosetal., author = {Ebigbo, Alanna and Mendel, Robert and Tziatzios, Georgios and Probst, Andreas and Palm, Christoph and Messmann, Helmut}, title = {Real-Time Diagnosis of an Early Barrett's Carcinoma using Artificial Intelligence (AI) - Video Case Demonstration}, series = {Endoscopy}, volume = {52}, journal = {Endoscopy}, number = {S 01}, publisher = {Thieme}, doi = {10.1055/s-0040-1704075}, pages = {S23}, abstract = {Introduction We present a clinical case showing the real-time detection, characterization and delineation of an early Barrett's cancer using AI. Patients and methods A 70-year old patient with a long-segment Barrett's esophagus (C5M7) was assessed with an AI algorithm. Results The AI system detected a 10 mm focal lesion and AI characterization predicted cancer with a probability of >90\%. After ESD resection, histopathology showed mucosal adenocarcinoma (T1a (m), R0) confirming AI diagnosis. Conclusion We demonstrate the real-time AI detection, characterization and delineation of a small and early mucosal Barrett's cancer.}, subject = {Speiser{\"o}hrenkrebs}, language = {en} } @article{ScheppachMendelProbstetal., author = {Scheppach, Markus W. and Mendel, Robert and Probst, Andreas and Meinikheim, Michael and Palm, Christoph and Messmann, Helmut and Ebigbo, Alanna}, title = {ARTIFICIAL INTELLIGENCE (AI) - ASSISTED VESSEL AND TISSUE RECOGNITION IN THIRD-SPACE ENDOSCOPY}, series = {Endoscopy}, volume = {54}, journal = {Endoscopy}, number = {S01}, publisher = {Thieme}, doi = {10.1055/s-0042-1745037}, pages = {S175}, abstract = {Aims Third-space endoscopy procedures such as endoscopic submucosal dissection (ESD) and peroral endoscopic myotomy (POEM) are complex interventions with elevated risk of operator-dependent adverse events, such as intra-procedural bleeding and perforation. We aimed to design an artificial intelligence clinical decision support solution (AI-CDSS, "Smart ESD") for the detection and delineation of vessels, tissue structures, and instruments during third-space endoscopy procedures. Methods Twelve full-length third-space endoscopy videos were extracted from the Augsburg University Hospital database. 1686 frames were annotated for the following categories: Submucosal layer, blood vessels, electrosurgical knife and endoscopic instrument. A DeepLabv3+neural network with a 101-layer ResNet backbone was trained and validated internally. Finally, the ability of the AI system to detect visible vessels during ESD and POEM was determined on 24 separate video clips of 7 to 46 seconds duration and showing 33 predefined vessels. These video clips were also assessed by an expert in third-space endoscopy. Results Smart ESD showed a vessel detection rate (VDR) of 93.94\%, while an average of 1.87 false positive signals were recorded per minute. VDR of the expert endoscopist was 90.1\% with no false positive findings. On the internal validation data set using still images, the AI system demonstrated an Intersection over Union (IoU), mean Dice score and pixel accuracy of 63.47\%, 76.18\% and 86.61\%, respectively. Conclusions This is the first AI-CDSS aiming to mitigate operator-dependent limitations during third-space endoscopy. Further clinical trials are underway to better understand the role of AI in such procedures.}, language = {en} } @misc{MeinikheimMendelScheppachetal., author = {Meinikheim, Michael and Mendel, Robert and Scheppach, Markus W. and Probst, Andreas and Prinz, Friederike and Schwamberger, Tanja and Schlottmann, Jakob and G{\"o}lder, Stefan Karl and Walter, Benjamin and Steinbr{\"u}ck, Ingo and Palm, Christoph and Messmann, Helmut and Ebigbo, Alanna}, title = {INFLUENCE OF AN ARTIFICIAL INTELLIGENCE (AI) BASED DECISION SUPPORT SYSTEM (DSS) ON THE DIAGNOSTIC PERFORMANCE OF NON-EXPERTS IN BARRETT´S ESOPHAGUS RELATED NEOPLASIA (BERN)}, series = {Endoscopy}, volume = {54}, journal = {Endoscopy}, number = {S 01}, publisher = {Thieme}, doi = {10.1055/s-00000012}, pages = {S39}, abstract = {Aims Barrett´s esophagus related neoplasia (BERN) is difficult to detect and characterize during endoscopy, even for expert endoscopists. We aimed to assess the add-on effect of an Artificial Intelligence (AI) algorithm (Barrett-Ampel) as a decision support system (DSS) for non-expert endoscopists in the evaluation of Barrett's esophagus (BE) and BERN. Methods Twelve videos with multimodal imaging white light (WL), narrow-band imaging (NBI), texture and color enhanced imaging (TXI) of histologically confirmed BE and BERN were assessed by expert and non-expert endoscopists. For each video, endoscopists were asked to identify the area of BERN and decide on the biopsy spot. Videos were assessed by the AI algorithm and regions of BERN were highlighted in real-time by a transparent overlay. Finally, endoscopists were shown the AI videos and asked to either confirm or change their initial decision based on the AI support. Results Barrett-Ampel correctly identified all areas of BERN, irrespective of the imaging modality (WL, NBI, TXI), but misinterpreted two inflammatory lesions (Accuracy=75\%). Expert endoscopists had a similar performance (Accuracy=70,8\%), while non-experts had an accuracy of 58.3\%. When AI was implemented as a DSS, non-expert endoscopists improved their diagnostic accuracy to 75\%. Conclusions AI may have the potential to support non-expert endoscopists in the assessment of videos of BE and BERN. Limitations of this study include the low number of videos used. Randomized clinical trials in a real-life setting should be performed to confirm these results.}, subject = {Speiser{\"o}hrenkrankheit}, language = {en} } @article{FranzWolfPeriyasamyetal., author = {Franz, Maja and Wolf, Lucas and Periyasamy, Maniraman and Ufrecht, Christian and Scherer, Daniel D. and Plinge, Axel and Mutschler, Christopher and Mauerer, Wolfgang}, title = {Uncovering Instabilities in Variational-Quantum Deep Q-Networks}, series = {Journal of the Franklin Institute}, journal = {Journal of the Franklin Institute}, edition = {In Press, Corrected Proof}, publisher = {Elsevier}, issn = {0016-0032}, doi = {10.1016/j.jfranklin.2022.08.021}, abstract = {Deep Reinforcement Learning (RL) has considerably advanced over the past decade. At the same time, state-of-the-art RL algorithms require a large computational budget in terms of training time to converge. Recent work has started to approach this problem through the lens of quantum computing, which promises theoretical speed-ups for several traditionally hard tasks. In this work, we examine a class of hybrid quantumclassical RL algorithms that we collectively refer to as variational quantum deep Q-networks (VQ-DQN). We show that VQ-DQN approaches are subject to instabilities that cause the learned policy to diverge, study the extent to which this afflicts reproduciblity of established results based on classical simulation, and perform systematic experiments to identify potential explanations for the observed instabilities. Additionally, and in contrast to most existing work on quantum reinforcement learning, we execute RL algorithms on an actual quantum processing unit (an IBM Quantum Device) and investigate differences in behaviour between simulated and physical quantum systems that suffer from implementation deficiencies. Our experiments show that, contrary to opposite claims in the literature, it cannot be conclusively decided if known quantum approaches, even if simulated without physical imperfections, can provide an advantage as compared to classical approaches. Finally, we provide a robust, universal and well-tested implementation of VQ-DQN as a reproducible testbed for future experiments.}, language = {en} } @article{EbigboMendelProbstetal., author = {Ebigbo, Alanna and Mendel, Robert and Probst, Andreas and Meinikheim, Michael and Byrne, Michael F. and Messmann, Helmut and Palm, Christoph}, title = {Multimodal imaging for detection and segmentation of Barrett's esophagus-related neoplasia using artificial intelligence}, series = {Endoscopy}, volume = {54}, journal = {Endoscopy}, number = {10}, edition = {E-Video}, publisher = {Georg Thieme Verlag}, address = {Stuttgart}, doi = {10.1055/a-1704-7885}, pages = {1}, abstract = {The early diagnosis of cancer in Barrett's esophagus is crucial for improving the prognosis. However, identifying Barrett's esophagus-related neoplasia (BERN) is challenging, even for experts [1]. Four-quadrant biopsies may improve the detection of neoplasia, but they can be associated with sampling errors. The application of artificial intelligence (AI) to the assessment of Barrett's esophagus could improve the diagnosis of BERN, and this has been demonstrated in both preclinical and clinical studies [2] [3]. In this video demonstration, we show the accurate detection and delineation of BERN in two patients ([Video 1]). In part 1, the AI system detects a mucosal cancer about 20 mm in size and accurately delineates the lesion in both white-light and narrow-band imaging. In part 2, a small island of BERN with high-grade dysplasia is detected and delineated in white-light, narrow-band, and texture and color enhancement imaging. The video shows the results using a transparent overlay of the mucosal cancer in real time as well as a full segmentation preview. Additionally, the optical flow allows for the assessment of endoscope movement, something which is inversely related to the reliability of the AI prediction. We demonstrate that multimodal imaging can be applied to the AI-assisted detection and segmentation of even small focal lesions in real time.}, language = {en} } @article{EbigboMendelRueckertetal., author = {Ebigbo, Alanna and Mendel, Robert and R{\"u}ckert, Tobias and Schuster, Laurin and Probst, Andreas and Manzeneder, Johannes and Prinz, Friederike and Mende, Matthias and Steinbr{\"u}ck, Ingo and Faiss, Siegbert and Rauber, David and Souza Jr., Luis Antonio de and Papa, Jo{\~a}o Paulo and Deprez, Pierre and Oyama, Tsuneo and Takahashi, Akiko and Seewald, Stefan and Sharma, Prateek and Byrne, Michael F. and Palm, Christoph and Messmann, Helmut}, title = {Endoscopic prediction of submucosal invasion in Barrett's cancer with the use of Artificial Intelligence: A pilot Study}, series = {Endoscopy}, volume = {53}, journal = {Endoscopy}, number = {09}, publisher = {Thieme}, address = {Stuttgart}, doi = {10.1055/a-1311-8570}, pages = {878 -- 883}, abstract = {Background and aims: The accurate differentiation between T1a and T1b Barrett's cancer has both therapeutic and prognostic implications but is challenging even for experienced physicians. We trained an Artificial Intelligence (AI) system on the basis of deep artificial neural networks (deep learning) to differentiate between T1a and T1b Barrett's cancer white-light images. Methods: Endoscopic images from three tertiary care centres in Germany were collected retrospectively. A deep learning system was trained and tested using the principles of cross-validation. A total of 230 white-light endoscopic images (108 T1a and 122 T1b) was evaluated with the AI-system. For comparison, the images were also classified by experts specialized in endoscopic diagnosis and treatment of Barrett's cancer. Results: The sensitivity, specificity, F1 and accuracy of the AI-system in the differentiation between T1a and T1b cancer lesions was 0.77, 0.64, 0.73 and 0.71, respectively. There was no statistically significant difference between the performance of the AI-system and that of human experts with sensitivity, specificity, F1 and accuracy of 0.63, 0.78, 0.67 and 0.70 respectively. Conclusion: This pilot study demonstrates the first multicenter application of an AI-based system in the prediction of submucosal invasion in endoscopic images of Barrett's cancer. AI scored equal to international experts in the field, but more work is necessary to improve the system and apply it to video sequences and in a real-life setting. Nevertheless, the correct prediction of submucosal invasion in Barret´s cancer remains challenging for both experts and AI.}, subject = {Maschinelles Lernen}, language = {en} } @article{ArribasAntonelliFrazzonietal., author = {Arribas, Julia and Antonelli, Giulio and Frazzoni, Leonardo and Fuccio, Lorenzo and Ebigbo, Alanna and van der Sommen, Fons and Ghatwary, Noha and Palm, Christoph and Coimbra, Miguel and Renna, Francesco and Bergman, Jacques J.G.H.M. and Sharma, Prateek and Messmann, Helmut and Hassan, Cesare and Dinis-Ribeiro, Mario J.}, title = {Standalone performance of artificial intelligence for upper GI neoplasia: a meta-analysis}, series = {Gut}, volume = {70}, journal = {Gut}, number = {8}, publisher = {BMJ}, address = {London}, doi = {10.1136/gutjnl-2020-321922}, pages = {1458 -- 1468}, abstract = {Objective: Artificial intelligence (AI) may reduce underdiagnosed or overlooked upper GI (UGI) neoplastic and preneoplastic conditions, due to subtle appearance and low disease prevalence. Only disease-specific AI performances have been reported, generating uncertainty on its clinical value. Design: We searched PubMed, Embase and Scopus until July 2020, for studies on the diagnostic performance of AI in detection and characterisation of UGI lesions. Primary outcomes were pooled diagnostic accuracy, sensitivity and specificity of AI. Secondary outcomes were pooled positive (PPV) and negative (NPV) predictive values. We calculated pooled proportion rates (\%), designed summary receiving operating characteristic curves with respective area under the curves (AUCs) and performed metaregression and sensitivity analysis. Results: Overall, 19 studies on detection of oesophageal squamous cell neoplasia (ESCN) or Barrett's esophagus-related neoplasia (BERN) or gastric adenocarcinoma (GCA) were included with 218, 445, 453 patients and 7976, 2340, 13 562 images, respectively. AI-sensitivity/specificity/PPV/NPV/positive likelihood ratio/negative likelihood ratio for UGI neoplasia detection were 90\% (CI 85\% to 94\%)/89\% (CI 85\% to 92\%)/87\% (CI 83\% to 91\%)/91\% (CI 87\% to 94\%)/8.2 (CI 5.7 to 11.7)/0.111 (CI 0.071 to 0.175), respectively, with an overall AUC of 0.95 (CI 0.93 to 0.97). No difference in AI performance across ESCN, BERN and GCA was found, AUC being 0.94 (CI 0.52 to 0.99), 0.96 (CI 0.95 to 0.98), 0.93 (CI 0.83 to 0.99), respectively. Overall, study quality was low, with high risk of selection bias. No significant publication bias was found. Conclusion: We found a high overall AI accuracy for the diagnosis of any neoplastic lesion of the UGI tract that was independent of the underlying condition. This may be expected to substantially reduce the miss rate of precancerous lesions and early cancer when implemented in clinical practice.}, language = {en} } @inproceedings{MiddelPalmErdt, author = {Middel, Luise and Palm, Christoph and Erdt, Marius}, title = {Synthesis of Medical Images Using GANs}, series = {Uncertainty for safe utilization of machine learning in medical imaging and clinical image-based procedures. First International Workshop, UNSURE 2019, and 8th International Workshop, CLIP 2019, held in conjunction with MICCAI 2019, Shenzhen, China, October 17, 2019}, booktitle = {Uncertainty for safe utilization of machine learning in medical imaging and clinical image-based procedures. First International Workshop, UNSURE 2019, and 8th International Workshop, CLIP 2019, held in conjunction with MICCAI 2019, Shenzhen, China, October 17, 2019}, publisher = {Springer Nature}, address = {Cham}, isbn = {978-3-030-32688-3}, issn = {0302-9743}, doi = {10.1007/978-3-030-32689-0_13}, pages = {125 -- 134}, abstract = {The success of artificial intelligence in medicine is based on the need for large amounts of high quality training data. Sharing of medical image data, however, is often restricted by laws such as doctor-patient confidentiality. Although there are publicly available medical datasets, their quality and quantity are often low. Moreover, datasets are often imbalanced and only represent a fraction of the images generated in hospitals or clinics and can thus usually only be used as training data for specific problems. The introduction of generative adversarial networks (GANs) provides a mean to generate artificial images by training two convolutional networks. This paper proposes a method which uses GANs trained on medical images in order to generate a large number of artificial images that could be used to train other artificial intelligence algorithms. This work is a first step towards alleviating data privacy concerns and being able to publicly share data that still contains a substantial amount of the information in the original private data. The method has been evaluated on several public datasets and quantitative and qualitative tests showing promising results.}, subject = {Neuronale Netze}, language = {en} }