Gastrointestinal cancer is a leading cause of cancer-related incidence and death, making it crucial to develop novel computer-aided diagnosis systems for early detection and enhanced treatment. Traditional approaches rely on the expertise of gastroenterologists to identify diseases; however, this process is subjective, and interpretation can vary even among expert clinicians. Considering recent advancements in classifying gastrointestinal anomalies and landmarks in endoscopic and video capsule endoscopy images, this study proposes a hybrid model that combines the advantages of Transformers and Convolutional Neural Networks (CNNs) to enhance classification performance. Our model utilizes DenseNet201 as a CNN branch to extract local features and integrates a Swin Transformer branch for global feature understanding, combining both to perform the classification task. For the GastroVision dataset, our proposed model demonstrates excellent performance with Precision, Recall, F1 score, Accuracy, and Matthews Correlation Coefficient (MCC) of 0.8320, 0.8386, 0.8324, 0.8386, and 0.8191, respectively, showcasing its robustness against class imbalance and surpassing other CNNs as well as the Swin Transformer model. Similarly, for the Kvasir-Capsule, a large video capsule endoscopy dataset, our model outperforms all others, achieving overall Precision, Recall, F1 score, Accuracy, and MCC of 0.7007, 0.7239, 0.6900, 0.7239, and 0.3871. Moreover, we generated saliency maps to explain our model's focus areas, demonstrating its reliable decision-making process. The results underscore the potential of our hybrid CNN-Transformer model in aiding the early and accurate detection of gastrointestinal (GI) anomalies.

本研究针对传统内窥镜图像分析中主观性强的问题，提出了一种组合卷积神经网络（CNN）和Transformer的混合模型，以提高分类性能。实验结果表明，该模型在GastroVision和Kvasir-Capsule数据集上的分类效果优于其他模型，展示了其在早期检测胃肠道异常方面的潜力。

基于CNN-Transformer模型的内窥镜和视频胶囊图像分类