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21 May 2001 Experiments in virtual-endoscopic guidance of bronchoscopy
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Abstract
Transbronchial needle biopsy is a common procedure for early detection of lung cancer. In practice, accurate results are difficult to obtain, since the bronchoscopy procedure requires a blind puncture into a region hidden behind the airway walls. This paper presents an image-guided endoscopy system for procedure preplanning and for guidance during bronchoscopy. Before the bronchoscopy, a 3D CT scan is analyzed to define guidance paths through the major airways to suspect biopsy sites. During subsequent bronchoscopy, the paths give the physician step-by-step guidance to each suspect site location. At a suspect site, a virtual CT image is registered to the bronchoscopic video. Then, the predefined biopsy site, from the prior CT analysis, is rendered onto the registered video. This gives the physician a reference for performing the needle biopsy. This paper focuses on our recent experiments with this system. These experiments involve a rubber phantom model of the human airway tree and in vivo animal tests. The experiments demonstrate the promise of our approach.
© (2001) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
James P. Helferty, Anthony J. Sherbondy, Atilla Peter Kiraly, Janice Z. Turlington, Eric A. Hoffman, Geoffrey McLennan M.D., and William E. Higgins "Experiments in virtual-endoscopic guidance of bronchoscopy", Proc. SPIE 4321, Medical Imaging 2001: Physiology and Function from Multidimensional Images, (21 May 2001); https://doi.org/10.1117/12.428127
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