Virtual Endoscopy

The virtual endoscopy is a newly developed reconstruction technique of sectional images for extended diagnosis and preoperative evaluation. In comparison to the conventional 3D-reconstructions this new technique presents a perspective impression of a real time endoscopic view. There are two principle methods with which this can be achieved: the surface reconstruction (surface rendering technique) or the volume reconstruction (volume rendering technique). In both these techniques it is possible to change the angle of vision, light source, depth-coding, tinge-effect and surface qualities of the reconstruction images. The advantage of surface reconstruction is the significant reduction in the required amount of data. The volume reconstruction offers a high spatial resolution which makes this technique more favoured for virtuelle endoscopy.

 

Clinical Applictions

Nose and Paranasal Sinuses

The functional endoscopic surgery of the sinuses has developed as a standard technique world wide for sinus operations. The präoperative coronal CT-examination of the paranasal sinuses is today recognized as a standard method. Irrespective of that the surgeon requires an optimal combination to orient himself to the operating region. The virtual reconstruction obtained from the spiral CT data does this work for the surgeon. The surgeons too agree that there is high similarity between virtual endoscopy and the intra operative impression. Scientific studies have shown that virtual endoscopy of the nose and paranasal sinuses is rather a preoperative than a diagnostic support for the ENT surgeons.

Patient with posteriorer Rhinorrhoe. Light polyp eye swelling the left lower nasal cavity.

 

Tracheobronchial System

Normal anatomy of the bronchus and its bifurcation.

 

View in a subsegmentalen Bronchus (proper appearance).

 

Colon und Rectum

Polyp of 8 mm in the Colon descendens. The polyp was endoscopic removed. The Histologie showed a malignant degeneration.

 

The VE permits the additional representation to the macroscopic tumor form.

Axial picture. Polypoider tumor of 2 cm size without proof of a transmuralen growth (histological: Tumor stage pT2N0)

 

 

Document Date: 2005/09/07   Author: Ahmed Koujan

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