Lurie Kristen L, Angst Roland, Zlatev Dimitar V, Liao Joseph C, Ellerbee Bowden Audrey K
Dept. of Electrical Engineering, Stanford University, Stanford, CA, USA.
Dept. of Urology, Stanford University, Stanford, CA, USA.
Biomed Opt Express. 2017 Mar 8;8(4):2106-2123. doi: 10.1364/BOE.8.002106. eCollection 2017 Apr 1.
White light endoscopy is widely used for diagnostic imaging of the interior of organs and body cavities, but the inability to correlate individual 2D images with 3D organ morphology limits its utility for quantitative or longitudinal studies of disease physiology or cancer surveillance. As a result, most endoscopy videos, which carry enormous data potential, are used only for real-time guidance and are discarded after collection. We present a computational method to reconstruct and visualize a 3D model of organs from an endoscopic video that captures the shape and surface appearance of the organ. A key aspect of our strategy is the use of advanced computer vision techniques and unmodified, clinical-grade endoscopy hardware with few constraints on the image acquisition protocol, which presents a low barrier to clinical translation. We validate the accuracy and robustness of our reconstruction and co-registration method using cystoscopy videos from tissue-mimicking bladder phantoms and show clinical utility during cystoscopy in the operating room for bladder cancer evaluation. As our method can powerfully augment the visual medical record of the appearance of internal organs, it is broadly applicable to endoscopy and represents a significant advance in cancer surveillance opportunities for big-data cancer research.
白光内镜广泛用于器官内部和体腔的诊断成像,但无法将单个二维图像与三维器官形态相关联,限制了其在疾病生理学定量研究或纵向研究以及癌症监测中的效用。因此,大多数具有巨大数据潜力的内镜视频仅用于实时指导,采集后即被丢弃。我们提出了一种计算方法,可从捕捉器官形状和表面外观的内镜视频中重建并可视化器官的三维模型。我们策略的一个关键方面是使用先进的计算机视觉技术和未修改的临床级内镜硬件,对图像采集协议的限制很少,这为临床转化提供了较低的障碍。我们使用来自组织模拟膀胱模型的膀胱镜检查视频验证了我们的重建和配准方法的准确性和鲁棒性,并在手术室膀胱镜检查期间展示了其在膀胱癌评估中的临床效用。由于我们的方法可以有力地增强内部器官外观的视觉医疗记录,它广泛适用于内镜检查,代表了大数据癌症研究在癌症监测机会方面的重大进展。