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Multistage adaptive control strategy based on image contour data for autonomous endoscope navigation.

Mingqiang Li1, Boquan Wang1, Jianlin Yang1

  • 1State Key Lab of Mechanics and Control of Mechanical Structures, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China.

Computers in Biology and Medicine
|August 28, 2022
PubMed
Summary

This study introduces an adaptive control system for autonomous endoscope navigation during colonoscopies. The approach enhances safety and efficiency by using image contour data to guide the endoscope, reducing physician workload.

Keywords:
Autonomous navigationCalculation method of colonoscopy imageComputer-assisted endoscopeMachine vision

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Area of Science:

  • Medical Imaging
  • Robotics
  • Gastroenterology

Background:

  • Physician burnout and poor ergonomics negatively impact colonoscopy quality and sustainability.
  • Current colonoscopy procedures can be demanding for physicians and may affect patient experience.

Purpose of the Study:

  • To develop an autonomous navigation system for endoscopes to reduce physician workload and improve patient outcomes during colonoscopies.
  • To propose a multistage adaptive control approach utilizing image contour data for endoscope guidance.

Main Methods:

  • Designed fast image preprocessing and contour extraction algorithms.
  • Developed adaptive processing algorithms based on extracted contour information to compute endoscope control parameters.
  • Implemented a novel triple control method for situations where clear contours cannot be extracted, inspired by novice driver steering techniques.

Main Results:

  • The multistage adaptive control approach was successfully tested on an intestinal model with various curvatures and validated on actual colonoscopy images.
  • The system demonstrated effectiveness in both straight and tightly curved sections (6 cm radius of curvature).
  • Achieved a single image processing time of 20-25 ms, 96.7% accuracy in steering judgment, and average velocities of 3.04 cm/s (straight) and 2.49 cm/s (curved).

Conclusions:

  • The proposed autonomous navigation system shows significant promise for enhancing the safety and efficiency of colonoscopies.
  • This technology has the potential to alleviate physician burden and improve the overall colonoscopy procedure.
  • The adaptive control strategy effectively navigates complex anatomical structures, paving the way for more sustainable and higher-quality endoscopic examinations.