• Title/Summary/Keyword: endoscope

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Endoscopic Assisted Treatment of Acute Osteomyelitis with Extensive Subperiosteal Abscess in a Child - A Case Report - (광범위 골막하 농양을 동반한 소아 급성 골수염의 내시경적 치료 - 1예 보고 -)

  • Song, Kyeong-Seop;Jeon, Ho-Seung;Jeon, Seung-Joo;Kim, Hyung-Gyu;Cho, In-Kee
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.199-202
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    • 2006
  • The effects of acute hematogenous osteomyelitis vary with a patient's age because of the differences in the blood supply and structure of the bone. In children older than 2 years of age, this process results in extensive abscess formation when both the endosteal and periosteal blood supply are destroyed. Thorough drainage of abscess cavity and removal of all dead or necrotic material are not always possible although large skin incision is made along the abscess. Authors successfully managed acute osteomyelitis of the tibia with extensive large abscess in a 11 year-old female, using minimal incisions and 4-mm endoscope.

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Orientation Tracking Method based on Angular Displacement for Wireless Capsule Endoscope (각변위 방식을 이용한 캡슐의 오리엔테이션 측정 방법)

  • Yoo, Young-Sun;Kim, Myung-Yu;You, Young-Gap
    • The Journal of the Korea Contents Association
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    • v.8 no.2
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    • pp.27-32
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    • 2008
  • In this paper, we propose an orientation tracking method and a digestion path model based on angular displacement. The proposed method expresses a capsule's orientation as 3-dimension vectors and its rotation angle. Errors in roll, pitch, and yaw representing capsule's orientation information is down to $1.6^{\circ}$. Using the proposed method we can measure a roll which is not Possible to be measured using the magnetic field method. We reduce algorithm complexity lower than a previous methods based on Euler angle.

Design of an Ultrasmall Flexible-endoscope Illumination Optical System with Bat-wing Light Distribution

  • Ju-Yeop Yim;Chul-Woo Park;Mee-Suk Jung
    • Current Optics and Photonics
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    • v.7 no.6
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    • pp.755-760
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    • 2023
  • In this paper, an illumination optical system that can mitigate the saturation phenomenon in the center of an image (caused by the typical flexible-endoscope illumination system using LEDs with Lambertian light distribution) is designed. When an LED with Lambertian light distribution is used as a light source, the amount of light in the center of the endoscopic illumination system is relatively high, compared to the periphery, causing saturation in the image. Since this phenomenon causes difficulty in detecting the patient's lesion, it is necessary to find a lighting-system design that can alleviate the saturation phenomenon. Therefore, in this paper a lighting system with bat-wing light distribution, which can lower the intensity at the center and secure the maximum amount of light at the maximum light distribution angle, is designed. In addition, to check the performance of the designed lighting system, a simulation of illumination and luminance is conducted for a system using a common aspherical lens with otherwise the same components. As a result, it is confirmed that the lighting system designed in this paper effectively reduces the luminance value at the center and secures more luminance values at the periphery than the familiar lighting system.

A dual path encoder-decoder network for placental vessel segmentation in fetoscopic surgery

  • Yunbo Rao;Tian Tan;Shaoning Zeng;Zhanglin Chen;Jihong Sun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.18 no.1
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    • pp.15-29
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    • 2024
  • A fetoscope is an optical endoscope, which is often applied in fetoscopic laser photocoagulation to treat twin-to-twin transfusion syndrome. In an operation, the clinician needs to observe the abnormal placental vessels through the endoscope, so as to guide the operation. However, low-quality imaging and narrow field of view of the fetoscope increase the difficulty of the operation. Introducing an accurate placental vessel segmentation of fetoscopic images can assist the fetoscopic laser photocoagulation and help identify the abnormal vessels. This study proposes a method to solve the above problems. A novel encoder-decoder network with a dual-path structure is proposed to segment the placental vessels in fetoscopic images. In particular, we introduce a channel attention mechanism and a continuous convolution structure to obtain multi-scale features with their weights. Moreover, a switching connection is inserted between the corresponding blocks of the two paths to strengthen their relationship. According to the results of a set of blood vessel segmentation experiments conducted on a public fetoscopic image dataset, our method has achieved higher scores than the current mainstream segmentation methods, raising the dice similarity coefficient, intersection over union, and pixel accuracy by 5.80%, 8.39% and 0.62%, respectively.

Costs involved in compliance with new endoscope reprocessing guidelines

  • David Hoffman;Christina Cool
    • Clinical Endoscopy
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    • v.57 no.4
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    • pp.534-541
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    • 2024
  • Background/Aims: In March 2022, the Association for the Advancement of Medical Instrumentation (AAMI) released the American National Standards Institute (ANSI)/AAMI ST91:2021, their latest update on comprehensive, flexible, and semirigid endoscope reprocessing. These updated standards recommend the sterilization of high-risk endoscopes when possible and provide new recommendations for the precleaning, leak testing, manual cleaning, visual inspection, automated reprocessing, drying, storage, and transport of endoscopes. Methods: ANSI/AAMI ST91:2021 was compared with ANSI/AAMI ST91:2015 for major reprocessing differences that result in either time and/or cost increases. Time estimates were captured by explicit recommendation inclusion or taken from the literature. All the costs were estimated using publicly available resources. Results: The updated standards represent a potential 24.3-minute and 52.35 to 67.57 United States dollars increase per procedure in terms of reprocessing time and spending, respectively, not including capital investments. Capital costs per procedure were highly dependent on the procedure volume of the facility. Conclusions: The new AAMI standards recommend several major changes, such as sterilization, for facilities to reprocess and manage endoscopes between uses. As more facilities increase their reprocessing methods to reflect the updated standards, they do so at a cost and introduce several delays. As the reprocessing landscape evolves, facilities should consider their true costs and alternative solutions, such as single-use endoscopes.

Design of Sensor Network for Estimation of the Shape of Flexible Endoscope (연성 대장내시경의 형상추정을 위한 센서네트워크의 설계)

  • Lee, Jae-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.299-306
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    • 2016
  • In this paper, a method of shape prediction of an endoscope handling robot that can imitate a surgeon's behavior using a sensor network is suggested. Unit sensors, which are composed of a 3-axis magnetometer and 3-axis accelerometer pair comprise the network through CAN bus communication. Each unit of the sensor is used to detect the angle of the points in the longitudinal direction of the robot, which is made from a flexible tube. The signals received from the sensor network were filtered using a low pass Butterworth filter. Here, a Butterworth filter was designed for noise removal. Finally, the Euler angles were extracted from the signals, in which the noise was filtered by the low path Butterworth filter. Using this Euler angle, the position of each sensor on the sensor network is estimated. The robot body was assumed to consist of links and joints. The position of each sensor can be assumed to be attached to the center of each link. The position of each link was determined using the Euler angle and kinematics equation. The interpolation was carried out between the positions of the sensors to be able to connect each point smoothly and obtain the final posture of the endoscope in operation. The experimental results showed that the shape of the colonoscope can be visualized using the Euler angles evaluated from the sensor network suggested and the shape of serial link estimated from the kinematics chain model.

Intelligent Diagnosis Assistant System of Capsule Endoscopy Video Through Analysis of Video Frames (영상 프레임 분석을 통한 대용량 캡슐내시경 영상의 지능형 판독보조 시스템)

  • Lee, H.G.;Choi, H.K.;Lee, D.H.;Lee, S.C.
    • Journal of Intelligence and Information Systems
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    • v.15 no.2
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    • pp.33-48
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    • 2009
  • Capsule endoscopy is one of the most remarkable inventions in last ten years. Causing less pain for patients, diagnosis for entire digestive system has been considered as a most convenience method over a normal endoscope. However, it is known that the diagnosis process typically requires very long inspection time for clinical experts because of considerably many duplicate images of same areas in human digestive system due to uncontrollable movement of a capsule endoscope. In this paper, we propose a method for clinical diagnosticians to get highly valuable information from capsule-endoscopy video. Our software system consists of three global maps, such as movement map, characteristic map, and brightness map, in temporal domain for entire sequence of the input video. The movement map can be used for effectively removing duplicated adjacent images. The characteristic and brightness maps provide frame content analyses that can be quickly used for segmenting regions or locating some features(such as blood) in the stream. Our experiments show the results of four patients having different health conditions. The result maps clearly capture the movements and characteristics from the image frames. Our method may help the diagnosticians quickly search the locations of lesion, bleeding, or some other interesting areas.

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Optical Design of a Subminiature Catadioptric Omnidirectional Optical System with an LED Illumination System for a Capsule Endoscope (LED 조명계를 결합한 캡슐내시경용 초소형 반사굴절식 전방위 광학계의 설계)

  • Moon, Tae Sung;Jo, Jae Heung
    • Korean Journal of Optics and Photonics
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    • v.32 no.2
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    • pp.68-78
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    • 2021
  • A subminiature catadioptric omnidirectional optical system (SCOOS) with 2 mirrors, 6 plastic aspherical lenses, and an illumination system of 6 light emitting diodes, to observe the 360° panoramic image of the inner intestine, is optically designed and evaluated for a capsule endoscope. The total length, overall length, half field of view (HFOV), and F-number of the SCOOS are 14.3 mm, 8.93 mm, 51°~120°, and 3.5, respectively. The optical system has a complementary metal-oxide-semiconductor sensor with 0.1 megapixels, and an illumination system of 6 light-emitting diodes (LEDs) with 0.25 lm to illuminate on the 360° side view of the intestine along the optical axis. As a result, the spatial frequency at the modulation transfer function (MTF) of 0.3, the depth of focus, and the cumulative probability of tolerance at the Nyquist frequency of 44 lp/mm and MTF of 0.3 of the optimized optical system are obtained as 130 lp/mm, -0.097 mm to +0.076 mm, and 90.5%, respectively. Additionally, the simulated illuminance of the LED illumination system at the inner surface of the intestine within HFOV, at a distance of 15.0 mm from the optical axis, is from a minimum of 315 lx to a maximum of 725 lx, which is a sufficient illumination and visibility.

FHD Flexible Endoscopy Design Using Wedge Prism (Wedge Prism을 이용한 FHD급 연성 내시경 광학계 설계)

  • Park, Sung-Woo;Jung, Mee-Suk
    • Korean Journal of Optics and Photonics
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    • v.33 no.6
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    • pp.295-302
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    • 2022
  • In this paper, a wedge prism application method was studied to design a full-high-definition (FHD)-class high-resolution flexible endoscope. In the case of the conventional flexible endoscope optical system, the F number is made large or a liquid lens is applied to obtain the same imaging performance in a wide depth of field. However, there is a problem in that the diameter of the optical system increases because an additional light guide and equipment are required. To solve this problem, two wedge prisms were applied to the flexible endoscope optical system to adjust the image distance for each object distance. First, two wedge prisms were symmetrically placed on the designed endoscopic optical system. An image distance satisfying the target imaging performance according to each objective distance was derived. Next, the wedge prism decenter value for controlling the image distance was derived. By combining these two data, a wedge prism decenter value that satisfied the target imaging performance at each object distance was applied in multi configurations. As a result of the optimal design applied with the wedge prism, a target imaging performance of more than 20% of the modulation transfer function for a resolution of 178 cycles/mm was satisfied in the entire depth of field of 100 mm-7 mm.