Real-time method for bronchoscope motion measurement and tracking

Duane C. Cornish, William Evan Higgins

Research output: Chapter in Book/Report/Conference proceedingConference contribution

5 Scopus citations


Bronchoscopy-guidance systems have been shown to improve the success rate of bronchoscopic procedures. A key technical cornerstone of bronchoscopy- guidance systems is the synchronization between the virtual world, derived from a patient's three-dimensional (3D) multidetector computed-tomography (MDCT) scan, and the real world, derived from the bronchoscope video during a live procedure. Two main approaches for synchronizing these worlds exist: electromagnetic navigation bronchoscopy (ENB) and image-based bronchoscopy. ENB systems require considerable extra hardware, and both approaches have drawbacks that hinder continuous robust guidance. In addition, they both require an attending technician to be present. We propose a technician-free strategy that enables real-time guidance of bronchoscopy. The approach uses measurements of the bronchoscope's movement to predict its position in 3D virtual space. To achieve this, a bronchoscope model, defining the device's shape in the airway tree to a given point p, provides an insertion depth to p. In real time, our strategy compares an observed bronchoscope insertion depth and roll angle, measured by an optical sensor, to precalculated insertion depths along a predefined route in the virtual airway tree. This leads to a prediction of the bronchoscope's location and orientation. To test the method, experiments involving a PVC-pipe phantom and a human airway-tree phantom verified the bronchoscope models and the entire method, respectively. The method has considerable potential for improving guidance robustness and simplicity over other bronchoscopy-guidance systems.

Original languageEnglish (US)
Title of host publicationMedical Imaging 2011
Subtitle of host publicationVisualization, Image-Guided Procedures, and Modeling
StatePublished - 2011
EventMedical Imaging 2011: Visualization, Image-Guided Procedures, and Modeling - Lake Buena Vista, FL, United States
Duration: Feb 13 2011Feb 15 2011

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


OtherMedical Imaging 2011: Visualization, Image-Guided Procedures, and Modeling
Country/TerritoryUnited States
CityLake Buena Vista, FL

All Science Journal Classification (ASJC) codes

  • Electronic, Optical and Magnetic Materials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging
  • Biomaterials


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