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Virtual Endoscopy of the Trachea and Bronchi

  • P. Rogalla
  • N. Meiri
Part of the Medical Radiology book series (MEDRAD)

Abstract

Studying the internal organs of a living body has fascinated physicians around the world throughout history and has always been of elementary significance for the physiologists and clinicians who explore the healthy and ill human being. The bronchoscopy technique has existed since 1897, when Gustav Killian pioneered examination of the lower trachea and bronchi by means of a laryngoscope. Today, bronchoscopy represents probably one of the most frequently used invasive procedures (Sackner 1975). According to a survey conducted by the American College of Chest Physicians, 53,639 bronchoscopies were carried out in the USA in 1989. This number demonstrates the clinical importance attained by bronchoscopic examination. In light of the technical advances of the past decade, the clinical value of bronchoscopy has further increased (Jover et al. 1978; Liebler and Markin 2000; Mitchell et al. 1980).

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References

  1. Ahmad M, Dweik RA (1999) Future of flexible bronchoscopy. Clin Chest Med 20:1–17PubMedCrossRefGoogle Scholar
  2. Arroliga AC, Matthay RA (1993) The role of bronchoscopy in lung cancer. Clin Chest Med 14:87–98PubMedGoogle Scholar
  3. Blezek DJ, Robb RA (1997) Evaluating virtual endoscopy for clinical use. J Digit Imaging 10:51–55PubMedCentralPubMedCrossRefGoogle Scholar
  4. Bricault I, Ferretti G, Cinquin P (1998) Registration of real and CT-derived virtual bronchoscopic images to assist transbronchial biopsy. IEEE Trans Med Imaging 17:703–714PubMedCrossRefGoogle Scholar
  5. Burke AJ, Vining DJ, McGuirt WF, Jr., Postma G, Browne JD (2000) Evaluation of airway obstruction using virtual endoscopy. Laryngoscope 110:23–29PubMedCrossRefGoogle Scholar
  6. Buthiau D, Antoine E, Piette JC, Nizri D, Baldeyrou P, Khayat D (1996) Virtual tracheo-bronchial endoscopy: educational and diagnostic value. Surg Radiol Anat 18:125–131PubMedCrossRefGoogle Scholar
  7. Dasgupta A, Mehta AC (1999) Transbronchial needle aspiration. An underused diagnostic technique. Clin Chest Med 20:39–51PubMedCrossRefGoogle Scholar
  8. Dorffel WV, Fietze I, Hentschel D, et al (1999) A new bronchoscopic method to measure airway size. Eur Respir J 14:783–788PubMedCrossRefGoogle Scholar
  9. Englmeier KH, Haubner M, Krapichler C, Reiser M (1999) A new hybrid renderer for virtual bronchoscopy. Stud Health Technol Inform 62:109–115PubMedGoogle Scholar
  10. Ewert R, Dorffel W, Rogalla P, Mutze S (1997) Computed tomography-guided transtracheal needle aspiration of paratracheal lymphadenopathy in endoscopically normal patients. Invest Radiol 32:667–670PubMedCrossRefGoogle Scholar
  11. Ferguson MK (1990) Diagnosing and staging of non-small cell lung cancer. Hematol Oncol Clin North Am 4:1053–1068PubMedGoogle Scholar
  12. Fleiter T, Merkle EM, Aschoff AJ, et al (1997) Comparison of real-time virtual and fiberoptic bronchoscopy in patients with bronchial carcinoma: opportunities and limitations. AJR Am J Roentgenol 169:1591–1595PubMedCrossRefGoogle Scholar
  13. Gaeta M, Barone M, Russi EG, et al (1993) Carcinomatous solitary pulmonary nodules: evaluation of the tumor-bronchi relationship with thin-section CT. Radiology 187:535–539PubMedGoogle Scholar
  14. Guidelines for competency and training in fiberoptic bronchoscopy (1982) Section on Bronchoscopy, American College of Chest Physicians. Chest 81:739Google Scholar
  15. Hopper KD (1999) CT bronchoscopy. Semin Ultrasound CT MR 20:10–15PubMedCrossRefGoogle Scholar
  16. Hopper KD, Iyriboz AT, Wise SW, Neuman JD, Mauger DT, Kasales CJ (2000) Mucosal detail at CT virtual reality: surface versus volume rendering. Radiology 214:517–522PubMedCrossRefGoogle Scholar
  17. Ikeda S (1974): Atlas of flexible bronchofiberscopy: Thieme, Stuttgart, GermanyGoogle Scholar
  18. Jover A, Garbarini A, Krempf M, Bonifassy R, Migueres J (1978) [Bronchial fibroscopy. Indications and results]. Poumon Coeur 34:283–290PubMedGoogle Scholar
  19. Kim H (1998) Stenting therapy for stenosing airway disease. Respirology 3:221–228PubMedCrossRefGoogle Scholar
  20. Klingenbeck-Regn K, Schaller S, Flohr T, Ohnesorge B, Kopp AF, Baum U (1999) Subsecond multi-slice computed tomography: basics and applications. Eur J Radiol 31:110–124PubMedCrossRefGoogle Scholar
  21. Konen E, Katz M, Rozenman J, Ben-Shlush A, Itzchak Y, Szeinberg A (1998) Virtual bronchoscopy in children: early clinical experience. AJR Am J Roentgenol 171:1699–1702PubMedCrossRefGoogle Scholar
  22. Krapichler C, Haubner M, Engelbrecht R, Englmeier KH (1998) VR interaction techniques for medical imaging applications. Comput Methods Programs Biomed 56:65–74PubMedCrossRefGoogle Scholar
  23. Lacrosse M, Trigaux JP, Van Beers BE, Weynants P (1995) 3D spiral CT of the tracheobronchial tree. J Comput Assist Tomogr 19:341–347PubMedCrossRefGoogle Scholar
  24. Lam S, Shibuya H (1999) Early diagnosis of lung cancer. Clin Chest Med 20:53–61PubMedCrossRefGoogle Scholar
  25. Lam WW, Tarn PK, Chan FL, Chan KL, Cheng W (2000) Esophageal atresia and tracheal stenosis: use of three-dimensional CT and virtual bronchoscopy in neonates, infants, and children. AJR Am J Roentgenol 174:1009–1012PubMedCrossRefGoogle Scholar
  26. Liebler JM, Markin CJ (2000) Fiberoptic bronchoscopy for diagnosis and treatment. Crit Care Clin 16:83–100PubMedCrossRefGoogle Scholar
  27. Mitchell DM, Emerson CJ, Collyer J, Collins JV (1980) Fibreoptic bronchoscopy: ten years on. Br Med J 281:360–363PubMedCentralPubMedCrossRefGoogle Scholar
  28. Mori I (1986) Computerized tomographic apparatus utilizing a radiation source. U.S. Patent No. 4,630,202Google Scholar
  29. Naidich DP, Gruden JF, McGuinness G, McCauley DI, Bhalla M (1997) Volumetric (helical/spiral) CT (VCT) of the airways. J Thorac Imaging 12:11–28PubMedCrossRefGoogle Scholar
  30. Neumann K, Winterer J, Kimmig M, et al (2000) Real-time interactive virtual endoscopy of the tracheo-bronchial system: influence of CT imaging protocols and observer ability. Eur J Radiol 33:50–54PubMedCrossRefGoogle Scholar
  31. Remy J, Remy Jardin M, Artaud D, Fribourg M (1998) Multiplanar and three-dimensional reconstruction techniques in CT: impact on chest diseases. Eur Radiol 8:335–351PubMedCrossRefGoogle Scholar
  32. 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 21:405–411PubMedCrossRefGoogle Scholar
  33. Rogalla P, Enzweiler C, Schmidt E, Taupitz M, Bender A, Hamm B (1998) [Thoracic diagnostics with electron beam tomography]. Radiologe 38:1029–1035PubMedCrossRefGoogle Scholar
  34. Rogalla P, Scheer I, Stöver B, Hamm B (1997) Virtual endoscopy of the tracheo-bronchial tree in children. Radiology 205(P):297Google Scholar
  35. Rogalla P, Stöver B, Scheer I, Juran R, Gaedicke G, Hamm B (1999) Low-dose spiral CT: applicability to paediatric chest imaging. Pediatr Radiol 29:565–569PubMedCrossRefGoogle Scholar
  36. Sackner MA (1975) Bronchofiberscopy. Am Rev Respir Dis 111:62–88PubMedGoogle Scholar
  37. Schoepf UJ, Seemann M, Schuhmann D, et al (1998) [Virtual and three-dimensional bronchoscopy with spiral and electron beam computed tomography]. Radiologe 38:816–823PubMedCrossRefGoogle Scholar
  38. Standards for training in endoscopy (1976) Statement of the Committee on Bronchoesophagology, American College of Chest Physicians. Chest 69:665–666CrossRefGoogle Scholar
  39. Summers RM (1997) Navigational aids for real-time virtual bronchoscopy. AJR Am J Roentgenol 168:1165–1170PubMedCrossRefGoogle Scholar
  40. Wang G, Vannier MW (1999) The effect of pitch in multislice spiral/helical CT. Med Phys 26:2648–2653PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • P. Rogalla
    • 1
  • N. Meiri
    • 1
  1. 1.Department of Radiology, Charité HospitalHumboldt-Universität zu BerlinBerlinGermany

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