SmartCap pill uses AI for internal diagnosing

SASKATOON – A team led by University of Saskatchewan (USask) researcher Dr. Khan Wahid (PhD) (pictured) has been awarded $250,000 from the federal New Frontiers in Research Fund to create a new pill-sized capsule that uses artificial intelligence (AI)-enabled sensing to diagnose gastrointestinal cancers and bleeding earlier and more precisely than is currently possible.

Now in prototype development, SmartCap is a new generation diagnostic tool that will address shortcomings of the 20-year-old wireless capsule endoscopy technology currently used to detect gastrointestinal malignancies and hemorrhages.

With a unique tracking system developed by Wahid’s team, doctors will be able to precisely trace the entire intestinal voyage of the smart capsule due to tiny wireless “intelligent” biosensors that detect and analyze targeted biomarkers (disease indicators) and communicate with external devices such as a computer.

“This new tool could double gastrointestinal cancer survival rates worldwide,” said Wahid, a professor of electrical and computer engineering in the USask College of Engineering. “This is the first fully traceable ‘smart’ pill for targeted endoscopy (a non-surgical way to look inside the body) that can be personalized to the patient.”

The World Health Organization estimates there were 4.6 million new cases of gastrointestinal cancers and 3.3 million related deaths in 2018. About two-thirds of these cancers are detected at an advanced stage, but with earlier diagnoses and treatment, survival rates of patients almost double to 83 per cent.

Also on the team are co-principal investigator Dr. Kiven Lukong (PhD), an associate professor of biochemistry, microbiology and immunology, and Dr. Paul Babyn (MD), professor of medical imaging, both in the College of Medicine, as well as Dr. Francis Bui (PhD), associate professor in electrical and computer engineering. Dr. Svetlana Yanushkevich (PhD) of the University of Calgary – an expert in AI – is collaborating on the project.

While wireless capsule technology using tiny cameras are currently the only option for capturing images inside the three- to 10-metre-long small intestine, current devices cannot be tracked in the gut precisely, making it impossible for doctors to pinpoint the site of a cancer, polyp, or hemorrhage. Involuntary movements of the small intestine make it further difficult to determine the capsule’s progress.

“It’s like trying to track something in the dark with no reference point, or where the reference points themselves are constantly moving,” said Wahid. “That’s why there has been no change to the hardware and localization side of wireless capsule technology in 20 years, even though image quality, wireless transmission, diagnostic tools, and software have all improved.”

In designing SmartCap, Wahid’s team is integrating several lab functions including blood sample analysis on a single chip.

With more than twice the battery power as conventional wireless capsules, SmartCap’s 24-hour battery power makes detection possible right to the end of the intestinal journey, with improved results due to low-power fluorescence sensors, multispectral light sensors, and localization technology – all being developed in Wahid’s lab.

The on-board fluorescence sensors detect the glow from special dyes injected into a patient to bind with specific cancer cells, identifying the cancer and its location in real-time. The multispectral sensor array determines hemoglobin concentration and oxygen saturation of blood passing through a notch on the capsule by analyzing the colour of the blood, indicating whether the bleeding is active, chronic, or a clot. Deep learning AI techniques are used to improve accuracy.

Tiny image sensors attached to the capsule’s side walls and “digital image correlation technology” – borrowed from the technique used in an optical computer mouse to correlate its movement with the cursor – track the capsule in real-time. A tiny unit for measuring velocity and capsule orientation provides data to assist with localization of a tumour.

To eliminate potential false positives, a tiny standard camera is integrated, but will remain mostly in sleep mode, activated only if the AI chip suspects a malignancy.

The team has applied to patent the multispectral array, and plans to follow suit with the fluorescence detection and localization technologies, as well as the SmartCap itself.

“If successful, you could use this technology in many other ingestible sensor and implants, even adapt it for use in underground mining and drilling, or in the oil industry to detect and localize pipeline leaks,” said Wahid, who expects to have a SmartCap prototype ready in two years.

The next step is to find an industry partner to invest in bringing the new product to a wireless capsule endoscopy market that’s expected to reach $650 million this year and grow rapidly with the aging global population.