• Title/Summary/Keyword: Endoscopic image

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Pseudoaneurysm of Ulnar Artery after Endoscopic Carpal Tunnel Release

  • Ryu, Sung-Joo;Kim, In-Soo
    • Journal of Korean Neurosurgical Society
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    • v.48 no.4
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    • pp.380-382
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    • 2010
  • The authors present an extremely rare case of a pseudoaneurysm of the ulnar artery as a complication of a two-portal endoscopic carpal tunnel release (ECTR). A 70-year-old man with chronic renal failure and on maintenance hemodialysis with a left arteriovenous fistula presented with paresthesia of his right hand. A clinical diagnosis of right carpal tunnel syndrome was confirmed by ultrasonography and an electro physiologic study. He underwent two-portal ECTR, and the paresthesia was much improved. However, he presented to us one month after operation with severe pain, a tender mass distal to the right wrist crease and more aggravation of the paresthesia in the ulnar nerve distribution. Doppler ultrasound was performed and revealed a hypo echoic lesion 20 mm in diameter in the right palm, with arterial Doppler flow inside connected to the palmar segment of the ulnar artery. An ulnar artery pseudoaneurysm was diagnosed and treated by ultrasound-guided percutaneous thrombin injection. Transverse color Doppler ultrasound image showed complete thrombosis of the pseudoaneurysm and flow cessation after a total injection of 500 units of thrombin. The symptoms were also improved.

Post-tuning of Sample Position in Common-path Swept-source Optical Coherence Tomography

  • Park, Jae-Seok;Jeong, Myung-Yung;Kim, Chang-Seok
    • Journal of the Optical Society of Korea
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    • v.15 no.4
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    • pp.380-385
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    • 2011
  • Common-path interferometers are widely used for endoscopic optical coherence tomography (OCT) because an arbitrary arm length can be chosen for the endoscopic imaging probe. However, the scheme suffers from the limited range of the sample position distance from the end of the imaging probe because the position between the reference reflector and the sample is limited by the optical path-length difference (OPD) to induce an interference signal. In this study, we developed a novel method for compensating the arbitrary sample position in common-path swept-source OCT by adding an extra Mach-Zehnder interferometer in the post-path of the interfered optical signal. Theoretical analysis and an experimental demonstration of imaging depth tuning for the flexible sample position of an endoscopic OCT image are discussed. After post-tuning of sample position distance, the positioning limitation between the reference reflector and the sample can be solved for various sample positions over a range of 26 mm for the cross-sectional images of a fish eye sample.

Analysis and Evaluation of Slanted-edge-based Modulation Transfer Function and Focus Measurements for Optimal Assembly of Imaging Modules in Gastrointestinal Endoscopy

  • Wonju Lee;Ki Young Shin;Dong-Goo Kang;Minhye Chang;Young Min Bae
    • Current Optics and Photonics
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    • v.7 no.4
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    • pp.398-407
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    • 2023
  • We explored a method to evaluate imaging performance for the optimal assembly of an endoscopic miniature lens and a sensor constituting an imaging module at the distal end of gastrointestinal endoscopy. For the assembly of the imaging module, the image sensor was precisely located at the focal plane when collimated light passed through the endoscopic lens. As another method, the distance between the lens and sensor was adjusted to obtain the highest focus index from images measured the star chart of the International Organization for Standardization (ISO) standard at various positions. We analyzed the slanted-edge modulation transfer function (MTF), corresponding depth of field, and number of line pairs for MTF 50% and 20% at each working distance within the range of 5-100 mm for imaging modules assembled in different ways. Assembly conditions of the imaging module with better MTF performance were defined for each working distance range of 5-30 mm and 30-100 mm, respectively. In addition to the MTF performance, the focus index of each assembled module was also compared. In summary, we examined the performance of imaging modules assembled with different methods within the suggested working distance and tried to establish the optimal assembly protocol.

AI-based Automatic Spine CT Image Segmentation and Haptic Rendering for Spinal Needle Insertion Simulator (척추 바늘 삽입술 시뮬레이터 개발을 위한 인공지능 기반 척추 CT 이미지 자동분할 및 햅틱 렌더링)

  • Park, Ikjong;Kim, Keehoon;Choi, Gun;Chung, Wan Kyun
    • The Journal of Korea Robotics Society
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    • v.15 no.4
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    • pp.316-322
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    • 2020
  • Endoscopic spine surgery is an advanced surgical technique for spinal surgery since it minimizes skin incision, muscle damage, and blood loss compared to open surgery. It requires, however, accurate positioning of an endoscope to avoid spinal nerves and to locate the endoscope near the target disk. Before the insertion of the endoscope, a guide needle is inserted to guide it. Also, the result of the surgery highly depends on the surgeons' experience and the patients' CT or MRI images. Thus, for the training, a number of haptic simulators for spinal needle insertion have been developed. But, still, it is difficult to be used in the medical field practically because previous studies require manual segmentation of vertebrae from CT images, and interaction force between the needle and soft tissue has not been considered carefully. This paper proposes AI-based automatic vertebrae CT-image segmentation and haptic rendering method using the proposed need-tissue interaction model. For the segmentation, U-net structure was implemented and the accuracy was 93% in pixel and 88% in IoU. The needle-tissue interaction model including puncture force and friction force was implemented for haptic rendering in the proposed spinal needle insertion simulator.

Performance analysis of deep learning-based automatic classification of upper endoscopic images according to data construction (딥러닝 기반 상부위장관 내시경 이미지 자동분류의 데이터 구성별 성능 분석 연구)

  • Seo, Jeong Min;Lim, Sang Heon;Kim, Yung Jae;Chung, Jun Won;Kim, Kwang Gi
    • Journal of Korea Multimedia Society
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    • v.25 no.3
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    • pp.451-460
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    • 2022
  • Recently, several deep learning studies have been reported to automatically identify the location of diagnostic devices using endoscopic data. In previous studies, there was no design to determine whether the configuration of the dataset resulted in differences in the accuracy in which artificial intelligence models perform image classification. Studies that are based on large amounts of data are likely to have different results depending on the composition of the dataset or its proportion. In this study, we intended to determine the existence and extent of accuracy according to the composition of the dataset by compiling it into three main types using larynx, esophagus, gastroscopy, and laryngeal endoscopy images.

A method of assisting small intestine capsule endoscopic lesion examination using artificial neural network (인공신경망을 이용한 소장 캡슐 내시경 병변 검사 보조 방법)

  • Wang, Tae-su;Kim, Minyoung;Jang, Jongwook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.2-5
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    • 2022
  • Human organs in the body have a complex structure, and in particular, the small intestine is about 7m long, so endoscopy is not easy and the risk of endoscopy is high. Currently, the test is performed with a capsule endoscope, and the test time is very long. The doctor connects the removed storage device to the computer to store the patient's capsule endoscope image and reads it using a program, but the capsule endoscope test results in a long image length, which takes a lot of time to read. In addition, in the case of the small intestine, there are many curves due to villi, so the occlusion area or light and shade of the image are clearly visible during the examination, and there may be cases where lesions and abnormal signs are missed during the examination. In this paper, we provide a method of assisting small intestine capsule endoscopic lesion examination using artificial neural networks to shorten the doctor's image reading time and improve diagnostic reliability.

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Development of Algorithm or Depth Extraction in Stereo Endoscopic Image (스테레오 내시경 영상의 깊이정보추출 알고리즘 개발)

  • Lee, S.H.;Kim, J.H.;Hwang, D.S.;Song, C.G.;Lee, Y.M.;Kim, W.K.;Lee, M.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.142-145
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    • 1997
  • This paper presents the development of depth extraction algorithm or the 3D Endoscopic Data using a stereo matching method and depth calculation. The purpose of other's algorithms is to reconstruct 3D object surface and make depth map, but a one of this paper is to measure exact depth information on the base of [cm] from camera to object. For this, we carried out camera calibration.

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Analysis of Electronic Endoscopic Image of Intramucosal Gastric Carinoma by Using Homoglobin Index (혈색소지수를 이용한 점막내 위암의 전자내시경 영상 분석)

  • Kim Gwang-Ha;Lim Eun-Kyung;Kim Gwang-Baek
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2005.11a
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    • pp.535-541
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    • 2005
  • It has been suggested that the endoscopic color of intramucosal gastric carcinoma is correlated with mucosal vascularity within the carcinomatous tissue. The development of electronic endoscopy has made it possible to quantitatively measure the mucosal hemoglobin volume, using a hemoglobin index. The aim of this study was to make a software program to calculate the hemoglobin index (IHb) and then investigate whether the mucosal IHb determined from the electronic endoscopic data is a useful marker for evaluating the color of intramucosal gastric carcinoma, in particular with regard to its value for discriminating between the histologic type. The mean values of IHb for the carcinoma (IHb-C) and the mean values of IHb for the surrounding non-cancerous mucosa ( IHb-N) were calculated in 75 intestinal-type and 34 diffuse-type gastric carcinomas. Then, we analyzed the ratio of the IHb-C to IHb-N. The mean IHb-C/IHb-N ratio in the intestinal-type carcinoma group was higher than that in the diffuse-type carcinoma group ($1.28{\pm}0.19$ vs. $0.81{\pm}0.18$, respectively, p<0.001). When the cut-off point of the C/N ratio was set at 1.00, the accuracy rate, the sensitivity, the specificity, and the positive and negative predictive values of a C/N ratio below 1.00 for the differential diagnosis of diffuse-type carcinoma from intestinal-type carcinoma were $94.5\%$, $94.1\%$, $94.7\%$, $88.9\%$ and $97.3\%$, respectively. IHb is useful for quantitative measurement of the endoscopic color in intramucosal gastric carcinoma and the IHb-C/IHb-N ratio would be helpful in distinguishing diffuse-type carcinoma from intestinal -type carcinoma.

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Transventricular Biopsy of Brain Tumor without Hydrocephalus Using Neuroendoscopy with Navigation

  • Song, Ji-Hye;Kong, Doo-Sik;Seol, Ho-Jun;Shin, Hyung-Jin
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.415-419
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    • 2010
  • Objective : It is usually difficult to perform the neuroendoscopic procedure in patients without hydrocephalus due to difficulties with ventricular cannulation. The purpose of this study was to find out the value of navigation guided neuroendoscopic biopsy in patients with peri- or intraventricular tumors without hydrocephalus. Methods : Six patients with brain tumors without hydrocephalus underwent navigation-guided neuroendoscopic biopsy. The procedure was indicated for verification of the histological diagnosis of the neoplasm, which was planned to be treated by chemotherapy and/or radiotherapy as the first line treatment, or establishment of the pathological diagnosis for further choice of the most appropriate treatment strategy. Results : Under the guidance of navigation, targeted lesion was successfully approached in all patients. Navigational tracking was especially helpful in entering small ventricles and in approaching the third ventricle through narrow foramen Monro. The histopathologic diagnosis was established in all of 6 patients : 2 germinomas, 2 astrocytomas, 1 dysembryoplastic neuroepithelial tumor and 1 pineocytoma. The tumor biopsy sites were pineal gland (n = 2), suprasellar area (n = 2), subcallosal area (n = 1) and thalamus (n = 1). There were no operative complications related to the endoscopic procedure. Conclusion : Endoscopic biopsy or resection of peri- or intraventricular tumors in patients without hydrocephalus is feasible. Image-guided neuroendoscopic procedure improved the accuracy of the endoscopic approach and minimized brain trauma. The absence of ventriculomegaly in patients with brain tumor may not be served as a contraindication to endoscopic tumor biopsy.

Compression of Stereo Endoscopic Images (스테레오 내시경 영상의 압축에 관한 연구)

  • An, J.S.;Kim, J.H.;Lee, S.J.;Choi, K.S.;Lee, M.H.
    • Proceedings of the KIEE Conference
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    • 1999.11c
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    • pp.836-838
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    • 1999
  • This paper describes stereo image compression algorithm using disparity and JPEG. because similar images are images with common features, similiar pixel distributions, and similar edge distributions. Fields such as medical imaging or satellite imaging often need to store large collections of similar images. that is, a conventional stereo system with a single left-right pair needs twice data as a monoscopic imaging system. as a result we need compression method compatible stereo image, in this paper after we use JPEG in basic compression method and stereo matching using adaptiv window, we get disparity information, we restored right image using by restored left image and disparity.

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