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Ultrasound capsule endoscopy: sounding out the future

机译:超声胶囊内窥镜:探明未来

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摘要

Video capsule endoscopy (VCE) has been of immense benefit in the diagnosis and management of gastrointestinal (GI) disorders since its introduction in 2001. However, it suffers from a number of well recognized deficiencies. Amongst these is the limited capability of white light imaging, which is restricted to analysis of the mucosal surface. Current capsule endoscopes are dependent on visual manifestation of disease and limited in regards to transmural imaging and detection of deeper pathology. Ultrasound capsule endoscopy (USCE) has the potential to overcome surface only imaging and provide transmural scans of the GI tract. The integration of high frequency microultrasound (µUS) into capsule endoscopy would allow high resolution transmural images and provide a means of both qualitative and quantitative assessment of the bowel wall. Quantitative ultrasound (QUS) can provide data in an objective and measurable manner, potentially reducing lengthy interpretation times by incorporation into an automated diagnostic process. The research described here is focused on the development of USCE and other complementary diagnostic and therapeutic modalities. Presently investigations have entered a preclinical phase with laboratory investigations running concurrently.
机译:自2001年问世以来,视频胶囊内窥镜(VCE)在诊断和管理胃肠道(GI)疾病方面一直具有巨大优势。然而,它存在许多公认的缺陷。其中,白光成像的能力有限,这仅限于粘膜表面的分析。当前的胶囊内窥镜取决于疾病的视觉表现并且在透壁成像和更深的病理学检测方面受到限制。超声胶囊内窥镜检查(USCE)有可能克服仅表面成像并提供胃肠道的透壁扫描。将高频微超声(µUS)集成到胶囊内窥镜中将可以得到高分辨率的透壁图像,并提供对肠壁进行定性和定量评估的手段。定量超声(QUS)可以客观,可测量的方式提供数据,通过结合到自动化诊断过程中,有可能减少冗长的解释时间。这里描述的研究集中于USCE以及其他互补性诊断和治疗方式的发展。目前,研究已经进入临床前阶段,同时进行实验室研究。

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