Conceptual Framework and Documentation Standards of Cystoscopic Media Content for Artificial Intelligence

TL;DR

This paper presents a standardized conceptual framework for documenting cystoscopic media, enhancing data management and sharing for AI research and education while adhering to FAIR principles.

Contribution

It introduces a novel framework for cystoscopic data documentation that improves data sharing, quality control, and AI research capabilities in clinical practice.

Findings

Framework successfully implemented following FAIR principles

Produced a cystoscopy atlas with sharable videos and annotations

Enabled AI research on frame classification and segmentation

Abstract

Background: The clinical documentation of cystoscopy includes visual and textual materials. However, the secondary use of visual cystoscopic data for educational and research purposes remains limited due to inefficient data management in routine clinical practice. Methods: A conceptual framework was designed to document cystoscopy in a standardized manner with three major sections: data management, annotation management, and utilization management. A Swiss-cheese model was proposed for quality control and root cause analyses. We defined the infrastructure required to implement the framework with respect to FAIR (findable, accessible, interoperable, re-usable) principles. We applied two scenarios exemplifying data sharing for research and educational projects to ensure the compliance with FAIR principles. Results: The framework was successfully implemented while following FAIR principles. The cystoscopy atlas produced from the framework could be presented in an educational web portal; a total of 68 full-length qualitative videos and corresponding annotation data were sharable for artificial intelligence projects covering frame classification and segmentation problems at case, lesion and frame levels. Conclusion: Our study shows that the proposed framework facilitates the storage of the visual documentation in a standardized manner and enables FAIR data for education and artificial intelligence research.