Towards Scarless Surgery: An Endoscopic-Ultrasound Navigation System for Transgastric Access Procedures

R. San Jose Estepar, Nicholas Stylopoulos, Randy E. Ellis, Eigil Samset, C.-F. Westin, Chrisopsher Thompson, Kirby Vosburgh
Ninth International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI'06)
Pages 445-453
October, 2006

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Abstract

Scarless surgery is a new and very promising technique that can mark a new era in surgical procedures. We have created and validated a navigation system for endoscopic and transgastric access interventions in in vivo pilot studies. The system provides augmented visual feedback and additional contextual information by establishing a correspondence between the real time endoscopic ultrasound image and a preoperative CT volume using rigid registration. The system enhances the operator’s ability to interpret the ultrasound image reducing the mental burden used in probe placement. Our analysis shows that rigid registration is accurate enough to help physicians in endoscopic abdominal surgery where, by using preoperative data for context and real-time imaging for targeting, distortions that limit the use of only preoperative data can be overcome.

Endoscopic view of a transgastric procedure

Reference

San Jose Estepar R, Stylopoulos N, Ellis RE, Samset E, Westin CF, Thompson C, Vosburgh K. Towards scarless surgery: An endoscopic-ultrasound navigation system for transgastric access procedures. In Ninth International Conference on Medical Image Computing and Computer-Assisted Intervention (MICCAI'06), Lecture Notes in Computer Science 4190. Copenhagen, Denmark, 2006;445-453.

Bibtex entry

@InProceedings{sanjoseMICCAI06-2,
  author         = {Raul {San Jose Estepar} and Nicholas Stylopoulos and Randy 
                   E. Ellis and Eigil Samset and  Carl-Fredrik Westin and      
                   Chrisopsher Thompson and Kirby Vosburgh},                   
  title          = {Towards Scarless Surgery: An Endoscopic-Ultrasound         
                   Navigation System for Transgastric Access Procedures},      
  booktitle      = {Ninth International Conference on Medical Image Computing  
                   and Computer-Assisted Intervention (MICCAI'06)},            
  month          = {October},                                                  
  year           = {2006},                                                     
  pages          = {445--453},                                                 
  series         = {Lecture Notes in Computer Science 4190},                   
  address        = {Copenhagen, Denmark}
}                                      

Grants

NIH P41-RR13218 (NAC)

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