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Endoscope size is a major design constraint that must be managed with the clinical demand for high-quality illumination and imaging. Existing commercial endoscopes most often use an arc lamp to produce bright, incoherent white light, requiring large-area fiber bundles to deliver sufficient illumination power to the sample. Moreover, the power instability of these light sources creates challenges for computer vision applications. We demonstrate an alternative illumination technique using red-green-blue laser light and a data-driven approach to combat the speckle noise that is a byproduct of coherent illumination. We frame the speckle artifact problem as an image-to-image translation task solved using conditional Generative Adversarial Networks (cGANs). To train the network, we acquire images illuminated with a coherent laser diode, with a laser diode source made partially- coherent using a laser speckle reducer, and with an incoherent LED light source as the target domain. We train networks using laser-illuminated endoscopic images of ex-vivo, porcine gastrointestinal tissues, augmented by images of laser-illuminated household and laboratory objects. The network is then benchmarked against state of-the-art optical and image processing speckle reduction methods, achieving an increased peak signal-to-noise ratio (PSNR) of 4.1 db, compared to 0.7 dB using optical speckle reduction, 0.6 dB using median filtering, and 0.5 dB using non-local means. This approach not only allows for endoscopes with smaller, more efficient light sources with extremely short triggering times, but it also enables imaging modalities that require both coherent and incoherent sources, such as combined widefield and speckle ow contrast imaging in a single image frame.
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