Optimizing lesion detection in small-bowel capsule endoscopy: from present problems to future solutions

被引:52
作者
Koulaouzidis, Anastasios [1 ]
Iakovidis, Dimitris K. [2 ]
Karargyris, Alexandros [3 ]
Plevris, John N. [1 ,4 ]
机构
[1] Royal Infirm Edinburgh NHS Trust, Endoscopy Unit, Edinburgh, Midlothian, Scotland
[2] Technol Educ Inst Cent Greece, Dept Comp Engn, Lamia, Greece
[3] Natl Lib Hlth, Bethesda, MD USA
[4] Univ Edinburgh, Sch Med, Edinburgh EH8 9YL, Midlothian, Scotland
关键词
3D reconstruction; capsule endoscopy; diagnostic yield; FICE; innovation; lesion detection; small bowel; software; VIDEO CAPSULE; POLYP DETECTION; INTEROBSERVER AGREEMENT; DIAGNOSTIC-YIELD; COMPLETION RATE; BLUE MODE; VIRTUAL CHROMOENDOSCOPY; CHEWING GUM; PERFORMANCE; LOCOMOTION;
D O I
10.1586/17474124.2014.952281
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
This review presents issues pertaining to lesion detection in small-bowel capsule endoscopy (SBCE). The use of prokinetics, chromoendoscopy, diagnostic yield indicators, localization issues and the use of 3D reconstruction are presented. The authors also review the current status (and future expectations) in automatic lesion detection software development. Automatic lesion detection and reporting, and development of an accurate lesion localization system are the main software challenges of our time. The 'smart', selective and judicious use (before as well as during SBCE) of prokinetics in combination with other modalities (such as real time and/or purge) improves the completion rate of SBCE. The tracking of the capsule within the body is important for the localization of abnormal findings and planning of further therapeutic interventions. Currently, localization is based on transit time. Recently proposed software and hardware solutions are proposed herein. Moreover, the feasibility of software-based 3D representation (attempt for 3D reconstruction) is examined.
引用
收藏
页码:217 / 235
页数:19
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