The role and future of endoscopic imaging systems

Visual perception is the main sensory input from the environment in most situations of daily life. It is the only sensory input from the operating field in endoscopic surgery, and thus the qualities of the optical imaging system have a considerable impact on the course of the surgical intervention. Significant improvements have been made recently in various fields of science and engineering, influencing endoscopic imaging systems in experimental and clinical use. Among these are technologies that improve the endoscope itself in terms of providing new visual features, such as fogging prevention and plastic images, using new illumination techniques. Other developments concern the improvement of image resolution and color fidelity through new charge-coupled device (CCD) sensors or alternative techniques for image creation. Finally, the combination of endoscopic technologies with robotics provides for intuitive and more efficient direction of the line of sight.