• Journal of Biomedical Engineering Research
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• v.24 no.2
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• pp.69-75
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• 2003

Virtual colonoscopy is one of the Powerful tool for non-invasive colon examination and many in-vitro and in-vivo studies have shown its accuracy in Polyp or adenoma detection. But most of virtual colonoscopy requires high quality workstation and software and its cost is high to setup whole system. We developed PC-based 3D model creation and navigation program which has diverse functions. It can be easily installed to PC and connected to network system. The performance. when used as a virtual colonoscopy. is evaluated by calculating sensitivity of detection for the simulated polyp which is artificially made inside the Pig's colon and checked its clinical feasibility, Its total sensitivity is 76%. Grouping according to Polyps diameter, the sensitivity for detection of polyps 10 ㎜ or larger was 100%(40 of 40); 5.0-9.9 ㎜, 90.0(90 of 100): and smaller then 5 ㎜. 36.7%(22 of 60).

• Clinical Endoscopy
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• v.51 no.6
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• pp.534-540
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• 2018

From dye-assisted conventional chromoendoscopy to novel virtual chromoendoscopy, image-enhanced endoscopy (IEE) is continuously evolving to meet clinical needs and improve the quality of colonoscopy. Dye-assisted chromoendoscopy using indigo carmine or crystal violet, although slightly old-fashioned, is still useful to emphasize the pit patterns of the colonic mucosa and predict the histological structures of relevant lesions. Equipment-based virtual chromoendoscopy has the advantage of being relatively easy to use. There are several types of virtual chromoendoscopy that vary depending on the manufacturer and operating principle. IEE plays distinctive roles with respect to histologic characterization of colorectal polyps and prediction of the invasion depth of colorectal cancers. In addition, the newest models of IEE have the potential to increase adenoma and polyp detection rates in screening colonoscopy.

• Journal of KIISE:Computer Systems and Theory
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• v.32 no.10
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• pp.530-540
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• 2005

Virtual colonoscopy is an easy and fast method to reconstruct the shape of colon and diagnose tumors inside the colon based on computed tomography images. This is a non-invasive method, which resolves weak points of previous invasive methods. The path for virtual colonoscopy should be generated rapidly and accurately for clinical examination. However, previous methods are computationally expensive because the data structure such as distance map should be constructed in the preprocessing and positions of all the points of the path needs to be calculated. In this paper, we propose the automatic path generation method based on visibility to decrease path generation time. The proposed method does not require preprocessing and generates small number of control points representing the Path instead of all points to generate the path rapidly. Also, our method generates the path based on visibility so that a virtual camera moves smoothly and a comfortable and accurate path is calculated for virtual navigation. Also, our method can be used for general virtual navigation of various kinds of pipes.

• Journal of Biomedical Engineering Research
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• v.32 no.3
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• pp.251-256
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• 2011

Virtual colonoscopy is favored over conventional colonoscopy because its non-invasive procedure can avoid complications that may happen in a conventional approach and because it can cleanse colon electronically instead of uncomfortable conventional colon cleansing. Electronic Colon Cleansing(ECC) has to deal with not only removing tagged fecal material but also recovering Partial Volume Effect(PVE) due to tagging material. This paper proposes an ECC method restoring inherent natural PVE while previous approaches focused only on reducing PVE due to tagged fecal material. The proposed method reduces PVE using 3-dimensional adaptive density correction and then replaces tagged fecal material into air. Next, it generates natural PVE for the replaced air adjacent to soft tissue and finally makes smooth transition of gray values for soft tissue adjacent to the replaced air. The proposed method applied to eleven patient data, and showed promising results.

• Journal of KIISE:Software and Applications
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• v.35 no.8
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• pp.493-500
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• 2008

This paper proposes an electronic colon cleansing method using a patient CT profile for a virtual colonoscopy. The proposed method extracts the colon using cubic seeded region growing, and removes tagged materials adjacent to the colon. Residuals produced by a partial volume effect at the boundary of air-tagged material are deleted, and the removed soft tissue pixels due to a partial volume effect at the boundary of tagged material-soft tissue are recovered using a patient CT profile. The proposed method was applied to 16 virtual colonoscopy patient data sets, and produced promising results by a subjective evaluation of a radiologist and by a quantitative evaluation of a computer-aided diagnosis system.

• 제어로봇시스템학회:학술대회논문집
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• 2005.06a
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• pp.57-61
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• 2005

This paper presents a new colonoscopy training simulator that includes a specialized haptic device and graphics algorithms to transfer haptic sensation through a long and flexible tube, and manage large number of polygons. The developed haptic device makes the colonoscope tube move along the two guiding rods in the translational direction. The torque of the roll motion is transferred by a timing belt and pulleys. A special guide is developed, which allows the force and torque from the motors to be transmitted to the user without loss. The haptic device is evaluated by physicians. One of the important skills of the colonoscopy, jiggling is incorporated for the first time by the developed sensor mechanism using photo-sensors. A colonoscope handle that shares the look, feel, and functions with the actual colonoscope, is developed with the necessary electronics inside. The number of polygons is reduced by an edge-collapse algorithm for real-time simulation. The algorithms to import CT data, to segment the colon image, to extract centerline of the colon, and to construct the colon surface, are integrated into a Colon Modeling Kit system that performs all these processes in real-time.

• Journal of Biomedical Engineering Research
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• v.24 no.2
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• pp.77-82
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• 2003

Virtual colonoscopy is a non-invasive computerized procedure to detect polyps by examining the colon from a CT data set. To fly through the inside of colons. the extraction of a suitable flight-path is necessary to Provide the viewpoint and view direction of a virtual camera. However. manual path extraction by Picking Points is a very time-consuming and difficult task due 1,c, the long and complex shape of colon. Also, existing automatic methods are computationally complex. and tend to generate an improper and/or discontinuous path for complicated regions. In this paper, we propose a fast flight-path generation algorithm using the distance and order maps. The order map Provides all Possible directions of a path. The distance map assigns the Euclidean distance value from each inside voxel to the nearest background voxel. By jointly using these two maps. we can obtain a proper centerline regardless of thickness and curvature of an object. Also, we Propose a simple smoothing technique that guarantees not to collide with the surface of an object. The phantom and real colon data are used for experiments. Experimental results show that for a set of human colon data, the proposed algorithm can provide a smoothened and connected flight-path within a minute on an 800MHz PC. And it is proved that the obtained flight-Path provides successive volume-rendered images satisfactory for virtual navigation.

• Journal of Korea Association of Health Promotion
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• v.4 no.1
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• pp.49-59
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• 2006

"본 논문은 대한영상의학회지 2005년 제52권 제1호에 실렸던 논문으로 대한영상의학회의 승인을 득하고 본 협회지에 게재함. Purpose: We wished to compare CT colonography with conventional colonoscopy for the detection of colorectal poiypoid lesions, and we wanted to evaluate the role of IV contrast-enhanced CT colonography for the differentiation between benign polypoid lesions and malignant polypoid lesions. Materials and Methods: Thirty-four consecutive patients underwent CT colonography prior to conventional colonoscopy, Precontrast prone-position CT images and post contrast supine position CT images were obtained and the virtual colonoscopic images were reconstructed, Axial, sagittal and presence, size and morphologic features of colorectal polypoid lesions, and thor these findings were compared with the colonoscopic findings. The degree of enhancement of colorecralpolypoid lesions was measured by subtracting the attenuation valves obtained with precontrastand postcontrast CT images for the differentiation of benignity and malignancy of the colorectal polypoid lesions. Results. Among 75 colorectal polypoid lesions identified on conventional colonoscopy, 49neoplasms were found on CT coloaographv, and the overall detection rate was 65,3%.Detection rate of lesions smaller than l0mm was 52.1%(24/46), and the detection rate for lesions equal to or larger than 10mm was 86.2%(25/29), Morphologic features of the sessile type lesions on CT colonography were well correlated with those noted on colonoscopy, but the stalks were not identified in 6 of 13 polyps on CT colonography. There was no statistical correlation between benignity and malignancy and the degree of contrast enhancement on CT colonography, Conclusion CT colonography is a useful modality for the detection of colorectal polypoid lesionsequal to or polyps. However, CT colonography cannot differentiate benignity from malignancy.

• Journal of the Korea Computer Graphics Society
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• v.10 no.1
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• pp.23-28
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• 2004

가상 내시경의 주된 목적은 체내 장기의 3차원적 구조를 가시화하여 광학 내시경을 모사하는데 있다. 가상 내시경 기법 중 펼친 영상 가시화 기법(unfold rendering)은 장기의 내부 구조와 병변의 유무를 쉽게 판단할 수 있도록 하는 장점이 있다. 가장 일반적으로 사용 하는 중심 경로 기반의 광선 투사법은 곡률이 급격하게 변하는 경우 광선들이 교차하여 병변이 두개로 나타나 문제가 발생할 수 있다. 이를 해결하기위해 광선들이 겹치지 않도록 보장하는 여러 기법들이 발표되었지만 계산량이 많은 단점을 가지고 있다. 본 논문에서는 경로의 제어점을 이용하여 적은 비용으로 펼친 영상을 재구성하는 방법을 제안한다. 우선 모든 중심 경로의 제어점에서 경로에 수직인 절단면을 찾는다. 이때 제어점으로부터 방사상으로 광션을 투사하여 절단면과 만나는 장기 내 벽의 위치를 파악한다. 절단면간의 교차 검사 및 보정을 통해 절단연들이 서로 교차하지 않도록 조정한다. 제어점들 사이의 샘플점들은 앞서 구한 임의의 제어점에서 광선이 투사된 위치로 부터 다음 제어점에서 투사된 위치를 잇는 선분을 보간하여 광선 투사 위치를 결정하게 된다. 마지막으로 계산된 방향 따라 광선을 투사하여 영상을 생성한다.