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Toward online quantification of tracheal stenosis from videobronchoscopy

  • Carles SánchezEmail author
  • Jorge Bernal
  • F. Javier Sánchez
  • Marta Diez
  • Antoni Rosell
  • Debora Gil
Original Article

Abstract

Purpose

Lack of objective measurement of tracheal obstruction degree has a negative impact on the chosen treatment prone to lead to unnecessary repeated explorations and other scanners. Accurate computation of tracheal stenosis in videobronchoscopy would constitute a breakthrough for this noninvasive technique and a reduction in operation cost for the public health service.

Methods

Stenosis calculation is based on the comparison of the region delimited by the lumen in an obstructed frame and the region delimited by the first visible ring in a healthy frame. We propose a parametric strategy for the extraction of lumen and tracheal ring regions based on models of their geometry and appearance that guide a deformable model. To ensure a systematic applicability, we present a statistical framework to choose optimal parametric values and a strategy to choose the frames that minimize the impact of scope optical distortion.

Results

Our method has been tested in 40 cases covering different stenosed tracheas. Experiments report a non- clinically relevant \(9\,\%\) of discrepancy in the calculated stenotic area and a computational time allowing online implementation in the operating room.

Conclusions

Our methodology allows reliable measurements of airway narrowing in the operating room. To fully assess its clinical impact, a prospective clinical trial should be done.

Keywords

Bronchoscopy Stenosis assessment  Parameter setting ANOVA 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© CARS 2015

Authors and Affiliations

  • Carles Sánchez
    • 1
    Email author
  • Jorge Bernal
    • 1
  • F. Javier Sánchez
    • 1
  • Marta Diez
    • 2
  • Antoni Rosell
    • 2
  • Debora Gil
    • 1
  1. 1.Computer Vision Center, Computer Science DepartmentUniversitat Autonoma de BarcelonaBarcelonaSpain
  2. 2.Pneumology Unit, Hospital University BellvitgeIDIBELL, CIBERESBarcelonaSpain

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