Feasibility of automated target centralization in colonoscopy

N. van der Stap, Esther Rozeboom, H.J.M. Pullens, Ferdinand van der Heijden, Ivo Adriaan Maria Johannes Broeders

    Research output: Contribution to journalArticleAcademicpeer-review

    2 Citations (Scopus)

    Abstract

    Purpose Early detection of colorectal cancer is key to full recovery. This urged governments to start population screening programs for colorectal cancer, often using flexible endoscopes. Flexible endoscopy is difficult to learn and time-consuming. Automation of flexible endoscopes may increase the capacity for the screening programs. The goal of this pilot study is to investigate the clinical and technical feasibility of an assisting automated navigation algorithm for a colonoscopy procedure. Methods Automated navigation (lumen centralization) was implemented in a robotized system designed for conventional flexible endoscopes. Ten novice and eight expert users were asked to perform a diagnostic colonoscopy on a colon model twice: once using the conventional and once using the robotic system. Feasibility was evaluated using time and location data as measures of the system’s added value. Results Automated target centralization (ATC) was turned on by the novices for a median of 4.2 % of the time during insertion and 0.3 % during retraction. Experts turned ATC on for 4.0 % of the time during insertion and 11.6 % during retraction. Novices and experts showed comparable times to reach the cecum with the conventional or the robotic setup with ATC. Conclusion The ATC algorithm combined with the robotized endoscope setup works in an experimental setup that closely resembles the clinical environment and is considered feasible, although ATC use was lower than expected. For novices, it was unclear whether the low usage was due to unfamiliarity with the system or because they did not need ATC. Experts used ATC also during the retraction phase of the procedure. This was an unexpected finding and may indicate an added value of the system.
    Original languageUndefined
    Pages (from-to)1-9
    Number of pages9
    JournalInternational journal of computer assisted radiology and surgery
    Volume11
    Issue number3
    DOIs
    Publication statusPublished - 8 Oct 2015

    Keywords

    • EWI-26379
    • IR-97865
    • METIS-312742
    • Robotized endoscopy – Image-based endoscope navigation – Automated endoscopy – Colonoscopic interventions

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