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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Conventional endoscopy is currently the gold standard for evaluation of the upper airways, such as the larynx or the tracheal lumen. Rigid endoscopes, however, require general anesthesia, which may limit clinical application in high-risk patients, whereas flexible endoscopy depends on a cooperative patient and on a very experienced endoscopist. Furthermore, congenital anomalies or acquired stenoses may inhibit passage of the endoscope. In addition, viewing is limited strictly to the lumen, which limits the transmural evaluation of lesions. Cross-sectional imaging, using spiral computed-tomography (CT) or magnetic resonance imaging (MRI) and postprocessing of imaging data sets, may offer an additional evaluation tool for those difficult clinical situations and provide additional information about the larynx that cannot be obtained with laryngoscopy. Multiplanar reformations (MPRs), shaded surface displays (SSDs), or three-dimensional (3D) reconstructions have been the subject of research in otolaryngology-head and neck surgery (Altobelli et al. 1993; Cline et al. 1987; Eisele et al. 1994; Girod et al. 1995; Kerberle et al. 2003; Korves et al. 1995; Marsh and Vannier 1983; Schubert et al. 1996; Vannier and Marsh 1996).

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References

  • Altobelli DE, Kikinis R, Mulliken JB, Cline H, Lorensen W, Jolesz F (1993) Computer-assisted three-dimensional planning in craniofacial surgery. Plast Reconstr Surg 92:576–585; discussion 586–577

    Article  PubMed  CAS  Google Scholar 

  • Aquino SL, Vining DJ (1999) Virtual bronchoscopy. Clin Chest Med 20:725–730, vii–viii

    Article  PubMed  CAS  Google Scholar 

  • Aschoff AJ, Seifarth H, Fleiter T et al. (1998) High-resolution virtual laryngoscopy based on spiral CT data. Radiologe 38:810–815

    Article  PubMed  CAS  Google Scholar 

  • Assimos DG, Vining DJ (2001) Virtual endoscopy. J Endourol 15:47–51

    Article  PubMed  CAS  Google Scholar 

  • Baum U, Greess H, Lell M, Nomayr A, Lenz M (2000) Imaging of head and neck tumors-methods: CT, spiral-CT, multislice-spiral-CT. Eur J Radiol 33:153–160

    Article  PubMed  CAS  Google Scholar 

  • Becker M (1998) Diagnosis and staging of laryngeal tumors with CT and MRI. Radiologe 38:93–100

    Article  PubMed  CAS  Google Scholar 

  • Becker M (2000) Neoplastic invasion of laryngeal cartilage: radiologic diagnosis and therapeutic implications. Eur J Radiol 33:216–229

    Article  PubMed  CAS  Google Scholar 

  • Berland LL, Smith JK (1998) Multidetector-array CT: once again, technology creates new opportunities. Radiology 209:327–329

    PubMed  CAS  Google Scholar 

  • Birkfellner W, Watzinger F, Wanschitz F, Ewers R, Bergmann H (1998a) Calibration of tracking systems in a surgical environment. IEEE Trans Med Imaging 17:737–742

    Article  PubMed  CAS  Google Scholar 

  • Birkfellner W, Watzinger F, Wanschitz F et al (1998b) Systematic distortions in magnetic position digitizers. Med Phys 25:2242–2248

    Article  PubMed  CAS  Google Scholar 

  • Blank M, Kalender WA (2000) Medical volume exploration: gaining insights virtually. Eur J Radiol 33:161–169

    Article  PubMed  CAS  Google Scholar 

  • Bode A, Dammann F, Pelikan EH et al (2001) Analysis of artefacts by virtual endoscopy visualization of spiral CT data. Rofo 173:245–252

    PubMed  CAS  Google Scholar 

  • Byrne AT, Walshe P, McShane D, Hamilton S (2005) Virtual laryngoscopy-preliminary experience. Eur J Radiol 56:38–42

    Article  PubMed  CAS  Google Scholar 

  • Carretta A, Melloni G, Ciriaco P et al (2006) Preoperative assessment in patients with postintubation tracheal stenosis: rigid and flexible bronchoscopy versus spiral CT scan with multiplanar reconstructions. Surg Endosc 20:905–908

    Article  PubMed  CAS  Google Scholar 

  • Castelijns JA, Hermans R, van den Brekel MW, Mukherji SK (1998) Imaging of laryngeal cancer. Semin Ultrasound CT MR 19:492–504

    Article  PubMed  CAS  Google Scholar 

  • Choi YW, McAdams HP, Jeon SC et al (2002) Low-dose spiral CT: application to surface-rendered three-dimensional imaging of central airways. J Comput Assist Tomogr 26:335–341

    Article  PubMed  CAS  Google Scholar 

  • Cline HE, Dumoulin CL, Hart HR Jr, Lorensen WE, Ludke S (1987) 3D reconstruction of the brain from magnetic resonance images using a connectivity algorithm. Magn Reson Imaging 5:345–352

    Article  PubMed  CAS  Google Scholar 

  • Cline HE, Lorensen WE, Ludke S, Crawford CR, Teeter BC (1988) Two algorithms for the three-dimensional reconstruction of tomograms. Med Phys 15:320–327

    Article  PubMed  CAS  Google Scholar 

  • Cline HE, Lorensen WE, Kikinis R, Jolesz F (1990) Three-dimensional segmentation of MR images of the head using probability and connectivity. J Comput Assist Tomogr 14:1037–1045

    Article  PubMed  CAS  Google Scholar 

  • Cline HE, Dumoulin CL, Lorensen WE, Souza SP, Adams WJ (1991) Volume rendering and connectivity algorithms for MR angiography. Magn Reson Med 18:384–394

    Article  PubMed  CAS  Google Scholar 

  • Curtin HD, Ishwaran H, Mancuso AA, Dalley RW, Caudry DJ, McNeil BJ (1998) Comparison of CT and MR imaging in staging of neck metastases. Radiology 207:123–130

    PubMed  CAS  Google Scholar 

  • Deschamps T, Cohen LD (2001) Fast extraction of minimal paths in 3D images and applications to virtual endoscopy. Med Image Anal 5:281–299

    Article  PubMed  CAS  Google Scholar 

  • Drosnes DL, Zwillenberg DA (1990) Laryngeal granulomatous polyp after short-term intubation of a child. Ann Otol Rhinol Laryngol 99:183–186

    PubMed  CAS  Google Scholar 

  • Eisele DW, Richtsmeier WJ, Graybeal JC, Koch WM, Zinreich SJ (1994) Three-dimensional models for head and neck tumor treatment planning. Laryngoscope 104:433–439

    Article  PubMed  CAS  Google Scholar 

  • Eliashar R, Davros W, Eliachar I (2000) Virtual endoscopy of the upper airway — a diagnostic tool. Postgrad Med J 76:187–188

    Article  PubMed  CAS  Google Scholar 

  • Ferretti GR, Vining DJ, Knoplioch J, Coulomb M (1996) Tracheobronchial tree: three-dimensional spiral CT with bronchoscopic perspective. J Comput Assist Tomogr 20:777–781

    Article  PubMed  CAS  Google Scholar 

  • Fitzpatrick JM, West JB, Maurer CR Jr (1998) Predicting error in rigid-body point-based registration. IEEE Trans Med Imaging;17:694–702

    Article  PubMed  CAS  Google Scholar 

  • Frankenthaler RP, Moharir V, Kikinis R et al (1998) Virtual otoscopy. Otolaryngol Clin North Am 31:383–392

    Article  PubMed  CAS  Google Scholar 

  • Fried MP, Kleefield J, Gopal H, Reardon E, Ho BT, Kuhn FA (1997) Image-guided endoscopic surgery: results of accuracy and performance in a multicenter clinical study using an electromagnetic tracking system. Laryngoscope 107:594–601

    Article  PubMed  CAS  Google Scholar 

  • Fried MP, Topulos G, Hsu L et al (1998) Endoscopic sinus surgery with magnetic resonance imaging guidance: initial patient experience. Otolaryngol Head Neck Surg 119:374–380

    Article  PubMed  CAS  Google Scholar 

  • Fried MP, Moharir VM, Shinmoto H et al (1999) Virtual laryngoscopy. Ann Otol Rhinol Laryngol 108:221–226

    PubMed  CAS  Google Scholar 

  • Gallivan RP, Nguyen TH, Armstrong WB (1999) Head and neck computed tomography virtual endoscopy: evaluation of a new imaging technique. Laryngoscope 109:1570–1579

    Article  PubMed  CAS  Google Scholar 

  • Geets X, Daisne JF, Tomsej M, Duprez T, Lonneux M, Gregoire V (2006) Impact of the type of imaging modality on target volumes delineation and dose distribution in pharyngo-laryngeal squamous cell carcinoma: comparison between pre-and per-treatment studies. Radiother Oncol 78:291–297

    Article  PubMed  Google Scholar 

  • Gerig G, Kubler O, Kikinis R, Jolesz FA (1992) Nonlinear Anisotropic Filtering of MRI Data. IEEE Trans Med Imaging 11/2:221–232

    Article  Google Scholar 

  • Giovanni A, Nazarian B, Sudre-Levillain I et al (1998) Geometric modeling and virtual endoscopy of the laryngotracheal lumen from computerized tomography images: initial applications to laryngo-tracheal pathology in the child. Rev Laryngol Otol Rhinol (Bord) 119:341–346

    CAS  Google Scholar 

  • Girod S, Keeve E, Girod B (1995) Advances in interactive craniofacial surgery planning by 3D simulation and visualization. Int J Oral Maxillofac Surg 24:120–125

    Article  PubMed  CAS  Google Scholar 

  • Giudice M, Piazza C, Foccoli P, Toninelli C, Cavaliere S, Peretti G (2003) Idiopathic subglottic stenosis: management by endoscopic and open-neck surgery in a series of 30 patients. Eur Arch Otorhinolaryngol 260:235–238

    Article  PubMed  Google Scholar 

  • Gluecker T, Lang F, Bessler S et al (2001) 2D and 3D CT imaging correlated to rigid endoscopy in complex laryngo-tracheal stenoses. Eur Radiol 11:50–54

    Article  PubMed  CAS  Google Scholar 

  • Greess H, Nomayr A, Tomandl B et al (2000) 2D and 3D visualization of head and neck tumours from spiral-CT data. Eur J Radiol 33:170–177

    Article  PubMed  CAS  Google Scholar 

  • Haker S, Angenent S, Tannenbaum A, Kikinis R (2000) Nondistorting flattening maps and the 3-D visualization of colon CT images. IEEE Trans Med Imaging 19:665–670

    Article  PubMed  CAS  Google Scholar 

  • Heyer CM, Nuesslein TG, Jung D et al (2007) Tracheobronchial anomalies and stenoses: detection with low-dose multidetector CT with virtual tracheobronchoscopy — comparison with flexible tracheobronchoscopy. Radiology 242:542–549

    PubMed  Google Scholar 

  • Hoppe H, Thoeny HC, Dinkel HP, Zbaren P, Vock P (2002) Virtual laryngoscopy and multiplanar reformats with multirow detector CT for detection and grading of upper airway stenosis. Rofo 174:1003–1008

    PubMed  CAS  Google Scholar 

  • Jolesz FA, Lorensen WE, Shinmoto H et al (1997) Interactive virtual endoscopy. AJR Am J Roentgenol 169:1229–1235

    PubMed  CAS  Google Scholar 

  • Joshi AR, Khanna PC, Merchant SA, Khandelwal A, Agrawal N, Karnik ND (2003) Role of multidetector CT virtual bronchoscopy in the evaluation of post-tracheostomy tracheal stenosis — a preliminary study. J Assoc Physicians India 51:871–876

    PubMed  Google Scholar 

  • Keberle M, Sandstede J, Hoppe F, Fischer M, Hahn D (2003) Diagnostic impact of multiplanar reformations in multislice CT of laryngeal and hypopharyngeal carcinomas. Rofo 175:1079–1085

    PubMed  CAS  Google Scholar 

  • Khadem R, Yeh CC, Sadeghi-Tehrani M et al (2000) Comparative tracking error analysis of five different optical tracking systems. Comput Aided Surg 5:98–107

    Article  PubMed  CAS  Google Scholar 

  • Korves B, Klimek L, Klein HM, Mosges R (1995) Image-and model-based surgical planning in otolaryngology. J Otolaryngol 24:265–270

    PubMed  CAS  Google Scholar 

  • Magnano M, Bongioannini G, Cirillo S et al (2005) Virtual endoscopy of laryngeal carcinoma: is it useful? Otolaryngol Head Neck Surg 132:776–782

    Article  PubMed  Google Scholar 

  • Magnusson M, Lenz R, Danielsson PE (1991) Evaluation of methods for shaded surface display of CT volumes. Comput Med Imaging Graph 15:247–256

    Article  PubMed  CAS  Google Scholar 

  • Marsh JL, Vannier MW (1983) The “third” dimension in craniofacial surgery. Plast Reconstr Surg 71:759–767

    Article  PubMed  CAS  Google Scholar 

  • Men S, Ikiz AO, Topcu I, Cakmakci H, Ecevit C (2006a) CT and virtual endoscopy findings in congenital laryngeal web. Int J Pediatr Otorhinolaryngol 70:1125–1127

    Article  PubMed  Google Scholar 

  • Men S, Ecevit MC, Topcu I, Kabakci N, Erdag TK, Sutay S (2006b) Diagnostic contribution of virtual endoscopy in diseases of the upper airways. J Digit Imaging, Springer, Berlin Heidelberg New York, pp 1–5

    Google Scholar 

  • Moharir VM, Fried MP, Vernick DM et al (1998) Computer-assisted three-dimensional reconstruction of head and neck tumors. Laryngoscope 108:1592–1598

    Article  PubMed  CAS  Google Scholar 

  • Pham DL, Xu C, Prince JL (2000) Current methods in medical image segmentation. Annu Rev Biomed Eng 2:315–337

    Article  PubMed  CAS  Google Scholar 

  • Remy-Jardin M, Remy J, Artaud D, Fribourg M, Duhamel A (1998) Volume rendering of the tracheobronchial tree: clinical evaluation of bronchographic images. Radiology 208:761–770

    PubMed  CAS  Google Scholar 

  • Robb RA (2000) Virtual endoscopy: development and evaluation using the visible human datasets. Comput Med Imaging Graph 24:133–151

    Article  PubMed  CAS  Google Scholar 

  • Rodel R, Rodenwaldt J, Hommerich CP (2000) Inner surface imaging of laryngeal and tracheal stenosis by spiral-CT: role of a new diagnostic procedure. Laryngorhinootologie 79:584–590

    Article  PubMed  CAS  Google Scholar 

  • Rodenwaldt J, Kopka L, Roedel R, Grabbe E (1996) Three-dimensional surface imaging of the larynx and trachea by spiral CT: virtual endoscopy. Rofo 165:80–83

    PubMed  CAS  Google Scholar 

  • Rodenwaldt J, Kopka L, Roedel R, Margas A, Grabbe E (1997) 3D virtual endoscopy of the upper airway: optimization of the scan parameters in a cadaver phantom and clinical assessment. J Comput Assist Tomogr 21:405–411

    Article  PubMed  CAS  Google Scholar 

  • Rosenberg SI, Silverstein H, Willcox TO, Gordon MA (1994) Endoscopy in otology and neurotology. Am J Otol 15:168–172

    Article  PubMed  CAS  Google Scholar 

  • Rottgen R, Schurmann D, Pinkernelle J et al (2005) Detection of airways stenoses: comparison of virtual and flexible bronchoscopy. Rofo 177:338–343

    PubMed  CAS  Google Scholar 

  • Rubin GD, Beaulieu CF, Argiro V et al (1996) Perspective volume rendering of CT and MR images: applications for endoscopic imaging. Radiology 199:321–330

    PubMed  CAS  Google Scholar 

  • Sakakura A, Yamamoto Y, Uesugi Y, Nakai K, Takenaka H, Narabayashi I (1998) Three-dimensional imaging of laryngeal cancers using high-speed helical CT scanning. ORL J Otorhinolaryngol Relat Spec 60:103–107

    PubMed  CAS  Google Scholar 

  • Schenck JF, Jolesz FA, Roemer PB et al (1995) Superconducting open-configuration MR imaging system for imageguided therapy. Radiology 195:805–814

    PubMed  CAS  Google Scholar 

  • Schubert O, Sartor K, Forsting M, Reisser C (1996) Three-dimensional computed display of otosurgical operation sites by spiral CT. Neuroradiology 38:663–668

    Article  PubMed  CAS  Google Scholar 

  • Seemann MD, Gebicke K, Luboldt W et al (2001) Hybrid 3-D rendering of the thorax and surface-based virtual bronchoscopy in surgical and interventional therapy control. Rofo 173:650–657

    PubMed  CAS  Google Scholar 

  • Shahidi R, Bax MR, Maurer CR Jr et al (2002) Implementation, calibration and accuracy testing of an image-enhanced endoscopy system. IEEE Trans Med Imaging 21:1524–1535

    Article  PubMed  Google Scholar 

  • Sichel JY, Attal P, Dano I, Eliashar R (2003) Custom-made tracheotomy cannula designed by the assistance of virtual bronchoscopy. Laryngoscope 113:760–762

    Article  PubMed  Google Scholar 

  • Silverman PM, Zeiberg AS, Sessions RB, Troost TR, Davros WJ, Zeman RK (1995) Helical CT of the upper airway: normal and abnormal findings on three-dimensional reconstructed images. AJR Am J Roentgenol 165:541–546

    PubMed  CAS  Google Scholar 

  • Solomon SB, Magee C, Acker DE, Venbrux AC (1999) TIPS placement in swine, guided by electromagnetic real-time needle tip localization displayed on previously acquired 3-D CT. Cardiovasc Intervent Radiol 22:411–414

    Article  PubMed  CAS  Google Scholar 

  • Solomon SB, White P Jr, Wiener CM, Orens JB, Wang KP (2000) Three-dimensional CT-guided bronchoscopy with a real-time electromagnetic position sensor: a comparison of two image registration methods. Chest 118:1783–1787

    Article  PubMed  CAS  Google Scholar 

  • Solomon SB, Dickfeld T, Calkins H (2003) Real-time cardiac catheter navigation on three-dimensional CT images. J Interv Card Electrophysiol 8:27–36

    Article  PubMed  Google Scholar 

  • Sorantin E, Halmai C, Erdohelyi B et al (2003) 3D cross section of the laryngotracheal tract. A new method for visualization and quantification of tracheal stenoses. Radiologe 43:1056–1068

    Article  PubMed  CAS  Google Scholar 

  • Summers RM (1997) Navigational aids for real-time virtual bronchoscopy. AJR Am J Roentgenol 168:1165–1170

    PubMed  CAS  Google Scholar 

  • Triglia JM, Nazarian B, Sudre-Levillain I, Marciano S, Moulin G, Giovanni A (2002) Virtual laryngotracheal endoscopy based on geometric surface modeling using spiral computed tomography data. Ann Otol Rhinol Laryngol 111:36–43

    PubMed  Google Scholar 

  • Valvassori GE (1994) Update of computed tomography and magnetic resonance in otology. Am J Otol 15:203–206

    PubMed  CAS  Google Scholar 

  • Vannier MW, Marsh JL (1996) Three-dimensional imaging, surgical planning, and image-guided therapy. Radiol Clin North Am 34:545–563

    PubMed  CAS  Google Scholar 

  • Vining DJ (1996) Virtual endoscopy: is it reality? Radiology 200:30–31

    PubMed  CAS  Google Scholar 

  • Walshe P, Hamilton S, McShane D, McConn Walsh R, Walsh MA, Timon C (2002) The potential of virtual laryngoscopy in the assessment of vocal cord lesions. Clin Otolaryngol Allied Sci 27:98–100

    Article  PubMed  CAS  Google Scholar 

  • Wang D, Zhang W, Xiong M, Xu J (2001) Laryngeal and hypopharyngeal carcinoma: comparison of helical CT multiplanar reformation, three-dimensional reconstruction and virtual laryngoscopy. Chin Med J (Engl) 114:54–58

    CAS  Google Scholar 

  • Zbaren P, Becker M, Lang H (1996) Pretherapeutic staging of laryngeal carcinoma. Clinical findings, computed tomography, and magnetic resonance imaging compared with histopathology. Cancer 77:1263–1273

    CAS  Google Scholar 

  • Zbaren P, Becker M, Lang H (1997a) Staging of laryngeal cancer: endoscopy, computed tomography and magnetic resonance versus histopathology. Eur Arch Otorhinolaryngol 254Suppl 1:S117–122

    Article  PubMed  Google Scholar 

  • Zbaren P, Becker M, Lang H (1997b) Pretherapeutic staging of hypopharyngeal carcinoma. Clinical findings, computed tomography, and magnetic resonance imaging compared with histopathologic evaluation. Arch Otolaryngol Head Neck Surg 123:908–913

    PubMed  CAS  Google Scholar 

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Kettenbach, J., Birkfellner, W., Sorantin, E., Aschoff, A.J. (2008). Virtual Laryngoscopy. In: Neri, E., Caramella, D., Bartolozzi, C. (eds) Image Processing in Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49830-8_13

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