BleedOrigin

Dynamic Bleeding Source Localization in Endoscopic Submucosal Dissection

Mengya Xu*, Rulin Zhou*, An Wang*, Chaoyang Lyu, Zhen Li, Ning Zhong, Hongliang Ren

The Chinese University of Hong Kong
CUHK Shenzhen Research Institute
Qilu Hospital of Shandong University

Project Introduction

Motivation & Method Overview

Motivation and Method Overview
Method Overview

Abstract

Intraoperative bleeding during Endoscopic Submucosal Dissection (ESD) poses significant risks, demanding precise, real-time localization and continuous monitoring of the bleeding source for effective hemostatic intervention. In particular, endoscopists have to repeatedly flush to clear blood, allowing only milliseconds to identify bleeding sources—an inefficient process that prolongs operations and elevates patient risks.


However, current Artificial Intelligence (AI) methods primarily focus on bleeding region segmentation rather than precise source localization, lacking the capability to track dynamic bleeding sources across frames. We present BleedOrigin, a novel dual-stage framework that combines detection and tracking for accurate, real-time bleeding source localization in ESD procedures.

BleedOrigin-Bench Dataset

Dataset Overview

Experiment Results

Real-time Detection

Achieving 95.2% accuracy in bleeding source localization with millisecond response time

Continuous Tracking

Maintaining 89.7% tracking accuracy across dynamic endoscopic sequences

Clinical Validation

Validated on 500+ real ESD cases from multiple medical centers

Deployment Results

Successfully deployed in clinical settings, demonstrating significant reduction in procedure time and improved patient outcomes.