CapsuleMotion: A Lightweight Real-Time Visual Motion Predictor for Capsule Endoscopy

Video Capsule Endoscopy (VCE) is a promising method for improving the medical examination of the small intestine in the gastrointestinal tract. A key challenge is their limited size, resulting in a short battery lifetime which conflicts with high energy consumption for image capturing and transmission to an on-body device. Thus, we propose an image compression pipeline that substantially reduces the transmitted data while preserving diagnostic image quality. Furthermore, we exploit characteristics of the compression process to identify frames with low diagnostic value mainly caused by bubbles, without requiring additional image analysis. For low-visibility frames, a dynamic bubble-aware frame rate adaptation strategy reduces image acquisition and transmission during these phases while preserving sensitivity to potential anomalies. The proposed compression and frame rate adaptation are evaluated on a RISC-V platform using the Kvasir-Capsule and Galar datasets. The compression method achieves a compression ratio of 5.748 (82.6%) at a peak signal-to-noise ratio of 40.3 dB, indicating negligible loss of visual quality. The compression accomplished a mean energy reduction of the whole system by 20.58%. Additionally, the proposed bubble-aware frame rate adaptation reduced the energy consumption by up to 40%. These results demonstrate the potential of our method to increase the applicability of VCE.

Capsule endoscopy (CE) enables non-invasive gastrointestinal screening, but current CE research remains largely limited to frame-level classification and detection, leaving video-level analysis underexplored. To bridge this gap, we introduce and formally define a new task, diagnosis-driven CE video summarization, which requires extracting key evidence frames that covers clinically meaningful findings and making accurate diagnoses from those evidence frames. This setting is challenging because diagnostically relevant events are extremely sparse and can be overwhelmed by tens of thousands of redundant normal frames, while individual observations are often ambiguous due to motion blur, debris, specular highlights, and rapid viewpoint changes. To facilitate research in this direction, we introduce VideoCAP, the first CE dataset with diagnosis-driven annotations derived from real clinical reports. VideoCAP comprises 240 full-length videos and provides realistic supervision for both key evidence frame extraction and diagnosis. To address this task, we further propose DiCE, a clinician-inspired framework that mirrors the standard CE reading workflow. DiCE first performs efficient candidate screening over the raw video, then uses a Context Weaver to organize candidates into coherent diagnostic contexts that preserve distinct lesion events, and an Evidence Converger to aggregate multi-frame evidence within each context into robust clip-level judgments. Experiments show that DiCE consistently outperforms state-of-the-art methods, producing concise and clinically reliable diagnostic summaries. These results highlight diagnosis-driven contextual reasoning as a promising paradigm for ultra-long CE video summarization.

This paper presents a method to efficiently classify the gastroenterologic section of images derived from Video Capsule Endoscopy (VCE) studies by exploring the combination of a Convolutional Neural Network (CNN) for classification with the time-series analysis properties of a Hidden Markov Model (HMM). It is demonstrated that successive time-series analysis identifies and corrects errors in the CNN output. Our approach achieves an accuracy of $98.04\%$ on the Rhode Island (RI) Gastroenterology dataset. This allows for precise localization within the gastrointestinal (GI) tract while requiring only approximately 1M parameters and thus, provides a method suitable for low power devices