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Modeling and In Vitro Experimental Validation for Kinetics of the Colonoscope in Colonoscopy

Identifieur interne : 001639 ( Pmc/Curation ); précédent : 001638; suivant : 001640

Modeling and In Vitro Experimental Validation for Kinetics of the Colonoscope in Colonoscopy

Auteurs : Wu-Bin Cheng [Canada, République populaire de Chine] ; Yun-Yun Di [Canada] ; Edwin M. Zhang [Canada] ; Michael A. J. Moser [Canada] ; Sivaruban Kanagaratnam [Canada] ; Louis Y. Korman [États-Unis] ; Noune Sarvazyan [États-Unis] ; Wen-Jun Zhang [Canada, République populaire de Chine]

Source :

Annals of biomedical engineering [ 0090-6964 ] ; 2013.

RBID : PMC:3625492

Abstract

Colonoscopy is the most sensitive and specific means for detection of colon cancers and polyps. To make colonoscopy more effective several problems must be overcome including: pain associated with the procedure, the risk of perforation, and incomplete intubation colonoscopy. Technically, these problems are the result of loop formation during colonoscopy. Although, several solutions such as modifying the stiffness of the colonoscope, using an overtube and developing image-guided instruments have been introduced to resolve the looping problem, the results of these systems are not completely satisfactory. A new paradigm to overcome loop formation is proposed that is doctor-assistive colonoscopy. In this approach, the endoscopists performance is enhanced by providing using a kinetic model that provides information such as the shape of the scope, direction of the colon and forces exerted within certain sections. It is expected that with the help of this model, the endoscopist would be able to adjust the manipulation to avoid loop formation. In the present studies, the kinetic model is developed and validated using an ex vivo colonoscopy test-bed with a comprehensive kinematic and kinetic data collection. The model utilizes an established colon model based on animal tissue with position tracking sensors, contact force sensors for the intraluminal portion of the scope and a Colonoscopy Force Monitor for the external insertion tube.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625492

DOI: 10.1007/s10439-013-0746-1
PubMed: 23358801
PubMed Central: 3625492

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 Experimental Validation for Kinetics of the Colonoscope in Colonoscopy</title>
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 Experimental Validation for Kinetics of the Colonoscope in Colonoscopy</title>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>ARTANN Laboratories Inc, West Trenton, NJ 08618</wicri:regionArea>
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<author><name sortKey="Zhang, Wen Jun" sort="Zhang, Wen Jun" uniqKey="Zhang W" first="Wen-Jun" last="Zhang">Wen-Jun Zhang</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">Colonoscopy is the most sensitive and specific means for detection of colon cancers and polyps. To make colonoscopy more effective several problems must be overcome including: pain associated with the procedure, the risk of perforation, and incomplete intubation colonoscopy. Technically, these problems are the result of loop formation during colonoscopy. Although, several solutions such as modifying the stiffness of the colonoscope, using an overtube and developing image-guided instruments have been introduced to resolve the looping problem, the results of these systems are not completely satisfactory. A new paradigm to overcome loop formation is proposed that is doctor-assistive colonoscopy. In this approach, the endoscopists performance is enhanced by providing using a kinetic model that provides information such as the shape of the scope, direction of the colon and forces exerted within certain sections. It is expected that with the help of this model, the endoscopist would be able to adjust the manipulation to avoid loop formation. In the present studies, the kinetic model is developed and validated using an <italic>ex vivo</italic>
 colonoscopy test-bed with a comprehensive kinematic and kinetic data collection. The model utilizes an established colon model based on animal tissue with position tracking sensors, contact force sensors for the intraluminal portion of the scope and a Colonoscopy Force Monitor for the external insertion tube.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">0361512</journal-id>
<journal-id journal-id-type="pubmed-jr-id">561</journal-id>
<journal-id journal-id-type="nlm-ta">Ann Biomed Eng</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Biomed Eng</journal-id>
<journal-title-group><journal-title>Annals of biomedical engineering</journal-title>
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<article-id pub-id-type="manuscript">NIHMS448540</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Modeling and <italic>In Vitro</italic>
 Experimental Validation for Kinetics of the Colonoscope in Colonoscopy</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Cheng</surname>
<given-names>Wu-Bin</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Di</surname>
<given-names>Yun-Yun</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Edwin M.</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Moser</surname>
<given-names>Michael A. J.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kanagaratnam</surname>
<given-names>Sivaruban</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Korman</surname>
<given-names>Louis Y.</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sarvazyan</surname>
<given-names>Noune</given-names>
</name>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Wen-Jun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<aff id="A1"><label>1</label>
Division of Biomedical Engineering, University of Saskatchewan, 57 Campus Drive, Saskatoon, SK S7N 5A9, Canada</aff>
<aff id="A2"><label>2</label>
Complex Systems Laboratory, East China University of Science and Technology, Shanghai 200237, China</aff>
<aff id="A3"><label>3</label>
College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK S7N 5C9, Canada</aff>
<aff id="A4"><label>4</label>
Department of Radiology, University of Alberta, St Edmonton, AB T6G 2B7, Canada</aff>
<aff id="A5"><label>5</label>
Department of Surgery, Division of General Surgery, University of Saskatchewan, Saskatoon, SK S7N0W8, Canada</aff>
<aff id="A6"><label>6</label>
Chevy Chase Endoscopy Center, Chevy Chase, MD 20815, USA</aff>
<aff id="A7"><label>7</label>
George Washington University School of Medicine, Washington, DC 20052, USA</aff>
<aff id="A8"><label>8</label>
ARTANN Laboratories Inc, West Trenton, NJ 08618, USA</aff>
<author-notes><corresp id="FN1">Address correspondence to Wen-Jun Zhang, Division of Biomedical Engineering, University of Saskatchewan, 57 Campus Drive, Saskatoon, SK S7N 5A9, Canada. <email>wuc182@mail.usask.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>27</day>
<month>2</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>29</day>
<month>1</month>
<year>2013</year>
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<pub-date pub-type="ppub"><month>5</month>
<year>2013</year>
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<pub-date pub-type="pmc-release"><day>01</day>
<month>5</month>
<year>2014</year>
</pub-date>
<volume>41</volume>
<issue>5</issue>
<fpage>1084</fpage>
<lpage>1093</lpage>
<permissions><copyright-statement>© 2013 Biomedical Engineering</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<abstract><p id="P1">Colonoscopy is the most sensitive and specific means for detection of colon cancers and polyps. To make colonoscopy more effective several problems must be overcome including: pain associated with the procedure, the risk of perforation, and incomplete intubation colonoscopy. Technically, these problems are the result of loop formation during colonoscopy. Although, several solutions such as modifying the stiffness of the colonoscope, using an overtube and developing image-guided instruments have been introduced to resolve the looping problem, the results of these systems are not completely satisfactory. A new paradigm to overcome loop formation is proposed that is doctor-assistive colonoscopy. In this approach, the endoscopists performance is enhanced by providing using a kinetic model that provides information such as the shape of the scope, direction of the colon and forces exerted within certain sections. It is expected that with the help of this model, the endoscopist would be able to adjust the manipulation to avoid loop formation. In the present studies, the kinetic model is developed and validated using an <italic>ex vivo</italic>
 colonoscopy test-bed with a comprehensive kinematic and kinetic data collection. The model utilizes an established colon model based on animal tissue with position tracking sensors, contact force sensors for the intraluminal portion of the scope and a Colonoscopy Force Monitor for the external insertion tube.</p>
</abstract>
<kwd-group><kwd>Colonoscope</kwd>
<kwd>Contact force</kwd>
<kwd>Frictional force</kwd>
<kwd>Kinetics</kwd>
<kwd>Porcine colon</kwd>
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<funding-group><award-group><funding-source country="United States">National Institute of Diabetes and Digestive and Kidney Diseases : NIDDK</funding-source>
<award-id>R44 DK068936 || DK</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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Modeling and In Vitro Experimental Validation for Kinetics of the Colonoscope in Colonoscopy

Modeling and In Vitro Experimental Validation for Kinetics of the Colonoscope in Colonoscopy

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