• Proceedings of the Korean Institute of Intelligent Systems Conference
• /
• 2006.05a
• /
• pp.322-326
• /
• 2006

본 논문에서는 내시경 영상에 대해 위암 영역을 자동으로 추출하는 방법을 제안한다. 본 논문에서는 내시경 영상을 획득하는 과정에서 발생하는 조명에 의한 잡음과 굴곡에 의해 발생하는 그림자에 의한 잡음 부분을 해결하기 위해서 HSI의 채도와 밝기 값을 이용하여 잡음 영역을 제거한다. 그리고 헤모글로빈 색소 정보를 나타내는 IHb값을 이용하여 전자 내시경 영상에서 유사한 헤모글로빈 색소 정보를 가지는 영역으로 분할한다. 분할된 영역들 중에서 RGB의 각 채널과 헤모글로빈 색소가 높게 나타나면 후보 영역으로 설정한다. 설정된 후보 영역 중에서 위암 영역의 형태학적인 특징 정보를 이용하여 위암 영역을 추출한다. 실제 전문의가 제공한 20개의 내시경 영상을 대상으로 실험한 결과, 제안된 위암 추출 방법으로 17개가 정확히 추출되었고 3개의 내시경 영상에서는 위암 영역이 정확히 추출되지 않았다.

• Journal of radiological science and technology
• /
• v.27 no.1
• /
• pp.13-16
• /
• 2004

대장내시경검사는 역사적으로 돌아보면 원래 히포크라테스의 치루치료과정에서 직장경 사용으로부터 유래되며 그 후 Kelly의 25 cm 표준 S상 결장경의 발견으로 진전되었고 조명 및 각종 부속기구들이 많이 개선되면서 직장암의 발견에 기여해 왔다. 1911년에 독일 뮌헨의 Michael Hoffman이라는 광학 기술자가 프리즘을 여러 개를 연결하면 직선이 아닌 곡선에서도 빛을 그대로 전달할 수 있다는 사실을 발견하였고 이를 기초로 하여 1958년에 미국에서 Hirschowitz가 처음으로 섬유경(fiberscope)을 선보였고 그 이후 이용한 상부소화관에 대한 내시경 기술이 급속히 발전하기 시작하였고, 이를 기초로 1969년부터 ACMI, Olympus, Fujinon, Pentax 등 세계 유수의 내시경 회사들이 대장내시경을 제작하기 시작하였다. 1983년에 미국의 Welch-Allyn사가 CCD(Charge Coupled Device)라는 집광 장치를 만들어서 마치 내시경의 눈과 같은 작용을 해서 이것을 내시경 선단에 장치하고 전파를 이용하여 영상을 전달하여 이 상이 TV 모니터에 비치는 것을 보게 되는 전자내시경을 개발하여 현재는 상부내시경 뿐 아니라 대장내시경도 대부분이 전자 내시경으로 대체되어서 오늘에 이르고 있다.

• Proceedings of the Korean Institute of Intelligent Systems Conference
• /
• 2005.04a
• /
• pp.255-260
• /
• 2005

위암은 국내 암발생 및 사망률의 상당 부분을 차지하고 있으며, 이러한 조기 위암의 발견은 치료 및 예후에 있어서 아주 중요하다. 본 논문에서는 조기 위암의 진단을 위해 위 내시경 영상에서 색상 변화를 이용해 이상 부위를 검출하여 검사자에게 조직적인 정보를 제공하는 시스템을 제안한다. 어느 정도의 진행이 이루어진 염증과 암은 쉽게 판단할 수 있지만, 조기의 염증이나 암의 경우에는 주의 깊게 보지 않는 경우에는 병변의 진단이 쉽지 않다. 본 논문에서는 위 내시경 영상을 IHB 채널로 변환시키고 조명에 의해 발생하는 잡음을 제거하며 자동으로 암 의심 영역을 검출하여 검사자에게 제공하거나 검사자에 의해 설정된 영역에 대한 조직적인 표면 정보를 제공한다. 본 논문의 연구는 추출된 이상 부위가 암을 확진할 수 없지만, 인간이 쉽게 인지하기 어려운 이상부위(암 의심 영역)를 추출하여 검사자에게 주의를 요구함으로써 일 처리를 줄이고 부과적인 정보를 제공한다. 그리고 검사추가 지정한 영역에 대해서도 조직적인 정보를 제공한다. 제안된 위 내시경 영상 분석 방법의 효율성을 확인하기 위해서 실제 내시경 영상들을 대상으로 실험한 결과, 제안된 방법이 위 내시경 영상 분석에 효율적임을 확인하였다.

• Journal of the Korean Institute of Intelligent Systems
• /
• v.17 no.2
• /
• pp.265-269
• /
• 2007

In this paper, we propose an automatic extraction method of gastric cancer region from electronic endoscopic images. We use the brightness and saturation of HSI in removing noises by illumination and shadows by the crookedness occurring in the endoscopic process. We partition the image into several areas with similar pigments of hemoglobin using IHb. The candidate areas for gastric cancer are defined as the areas that have high hemoglobin pigments and high value in every channel of RGB. Then the morphological characteristics of gastric cancer are used to decide the target region. In experiment, our method is sufficiently accurate in that it correctly identifies most cases (18 out of 20 cases) from real electronic endoscopic images, obtained by expert endoscopists.

• Journal of the Korean Institute of Intelligent Systems
• /
• v.15 no.4
• /
• pp.473-478
• /
• 2005

The gastric cancer takes the great part of the cancer occurrence and the mortality from cancer in Korea, and the early detection of gastric cancer is very important in the treatment and convalescence. This paper. for the early detection of gastric cancer, Proposes the analysis system of endoscopic image of the stomach that detects the abnormal region by using the change of color in the image and provides the surface tissue information to the detector. While the advanced inflammation and the cancer may be easily detected, the early inflammation and the cancer have a difficulty in detection and require the more attention lot detection. This paper, at first, converts the endoscopic image to the Image of IHb(Index of Hemoglobin) model and removes noises incurred by illumination, and next, automatically detects the regions suspected as cancer and provides the related information to the detector, or provides the surface tissue information for the regions appointed by the detector. This paper does not intend to provide the final diagnosis of the detected abnormal regions as gastric cancer, but provides the supplementary mean that reduces the load and mistaken diagnosis of the detector by automatically detecting the abnormal regions being not easily detected by human eyes and providing the additional information for the diagnosis. The experiments using practical endoscopic images for performance evaluation showed that the proposed system is effective in the analysis of endoscopic image of the stomach.

• Laser Solutions
• /
• v.18 no.1
• /
• pp.18-22
• /
• 2015

In this paper, controlling shape of optical fiber tip for endoscope was investigated for eliminating blind spot. The blind spot of endoscope is generated by divergence angle of optical fiber, so it is easy to generate blind spot when tightly focusing. In order to eliminate this region, fiber tip is necessary to be controlled as convex or concave. Illumination simulation of convex and concave type of fiber tip in the endoscope was in progress, so the distance of non- blind region was investigated in each case. As well as the simulation, the tip was fabricated as concave shape by UV laser machining. Then the beam radiation was measured to observe the blind region. The result showed that controlling the fiber tip as convex or concave shape makes the narrow blind region of illumination in endoscope.

• Journal of Korean Clinical Nursing Research
• /
• v.18 no.2
• /
• pp.284-295
• /
• 2012

Purpose: This study was done to clarify effects of bispectral index monitoring sedative administration, compared to MOAA/S (Modified Observer's Assessment of Alertness and Sedation), on conscious sedation, physiological stability and recovery time for patients undergoing endoscopic submucosal dissection. Methods: Participants In this study were patients who underwent endoscopic submucosal dissection because of early gastric cancer. Participants were assigned randomly to an experimental group receiving sedatives based on bispectral index monitoring or to a control group with the MOAA/S instrument. Movements, belching, memory, pain, discomfort, physiological stability (MBP, PR, $SpO_2$), and recovery time were measured during the treatment and recovery. Data were analyzed using Spearman partial correlation coefficient analysis, Mixed model and Wilcoxon rank sum test to determine differences in the parameters. Results: There were no statistically significant differences between the two groups for conscious sedation(movement, belching, memory, pain, or discomfort), physiological stability and recovery time. Conclusion: The results of this study indicate that no differences were found between the two types of monitoring. Thus, use of a bispectral index monitor in clinical practice enabling medical staff to readily assess the conscious sedation of for these patients is expected to be increasingly used as an objective assessment tool for conscious sedation for patient safety.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.6 no.2
• /
• pp.103-111
• /
• 2003

Purpose: This study was undertaken to evaluate the gastroduodenal pathology and Helicobacter pylori infection in children with upper gastrointestinal symptoms. Methods: One hundred and seven pediatric patients with upper gastrointestinal symptoms were undergone endoscopy at the Gyeongsang National University Hospital from June 1990 to April 1991. Histopathologic examination was done by H & E staining of gastric antral biopsy specimen and gastritis was defined according to the Sydney System. Tissue H. pylori status was evaluated with the urease test using Christensen's urea broth and H & E or Warthin-Starry silver staining of gastric antral biopsy specimen. IgG Immunoblotting were also performed to detect specific anti-H. pylori antibody in these patients. Results: The reasons for endoscopy were recurrent abdominal pain, acute abdominal pain, sallow face, hunger pain, and frequent nausea. Variable degrees of gastric mucosal hyperemia were found in most of the patients. Gastric hemorrhagic spots, gastric ulcer, duodenal ulcer, duodenal erosion, and hemorrhagic duodenitis were rare endoscopic findings. Histologic chronic gastritis was found in 88% of 107 patients. Histologic chronic duodenitis was observed in all 99 patients whose tissue were available. Gastric tissue H. pylori was positive in 57% of 107 patients by one of the ureasetest, H & E staining and Warthin-Starry silver staining. However, gastric tissue H. pylori detection rate was lower in the younger age groups. Anti-H. pylori IgG antibodies were detectable in 96% of 107 patients. Conclusion: Chronic gastroduodenitis and anti-H. pylori IgG antibody were ubiquitous in children with upper gastrointestinal symptoms.