Toward Automatic Stomach Screening Using a Wireless Magnetically Actuated Capsule Endoscope

IF 3.4 Q2 ENGINEERING, BIOMEDICAL IEEE transactions on medical robotics and bionics Pub Date : 2024-04-10 DOI:10.1109/TMRB.2024.3387040
Heng Zhang;Yehui Li;Xinfa Shi;Yichong Sun;Jixiu Li;Yisen Huang;Wing Yin Ng;Chengxiang Liu;Philip Wai Yan Chiu;Chi-Kwan Lee;Zheng Li
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Abstract

Stomach cancer remains one of the primary health challenges with a high incidence and motility. Magnetically actuated capsule endoscope (MACE) provides a noninvasive and practical solution for stomach screening, due to its contactless actuation and high maneuverability. In this work, with an aim of shortening procedure duration and lowering surgeon workload, we propose an automatic stomach screening strategy by using a MACE to automatically detect and capture specific gastric features for mapping the whole stomach. To achieve this, an electromagnetic actuation system and a wireless MACE with real-time video transmission and orientation feedback are developed. Magnetic actuation modeling and kinematics analysis of the MACE are conducted, based on which an optimization-based position controller and a visual-servo-based orientation controller are designed. Simulative and experimental validation are conducted for proof-of-concept, with attractive results showing that the MACE can be accurately and stably controlled with a mean absolute position error of around 2.56 mm and an average convergent time of about 1.1 s for visual servoing and that automatic stomach screening is successfully demonstrated in a stomach phantom. The proposed stomach screening strategy using a MACE indicates high potential in clinical practice.
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利用无线磁控胶囊内窥镜实现胃部自动筛查
胃癌发病率高、死亡率高,是人类面临的主要健康挑战之一。磁控胶囊内窥镜(MACE)由于其非接触式驱动和高可操作性,为胃部筛查提供了一种无创实用的解决方案。在这项工作中,为了缩短手术时间和降低外科医生的工作量,我们提出了一种自动胃部筛查策略,利用 MACE 自动检测和捕捉特定的胃部特征,以绘制全胃图。为此,我们开发了一种电磁驱动系统和一种具有实时视频传输和方向反馈功能的无线 MACE。对 MACE 进行了电磁致动建模和运动学分析,并在此基础上设计了基于优化的位置控制器和基于视觉伺服的方向控制器。仿真和实验验证表明,MACE 可以精确稳定地控制,平均绝对位置误差约为 2.56 毫米,视觉伺服平均收敛时间约为 1.1 秒,并在胃部模型中成功演示了自动胃部筛查。利用 MACE 提出的胃部筛查策略在临床实践中具有很大的潜力。
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Table of Contents IEEE Transactions on Medical Robotics and Bionics Society Information Guest Editorial Special section on the Hamlyn Symposium 2023—Immersive Tech: The Future of Medicine IEEE Transactions on Medical Robotics and Bionics Publication Information IEEE Transactions on Medical Robotics and Bionics Information for Authors
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