Download PDF
Endoscopy 2004; 36(8): 726-730
DOI: 10.1055/s-2004-825669
Special Article
© Georg Thieme Verlag KG Stuttgart · New York

EUS Meets Voxel-Man: Three-Dimensional Anatomic Animation of Linear-Array Endoscopic Ultrasound Images

E.  Burmester1 , T.  Leineweber1 , S.  Hacker2 , U.  Tiede2 , T.  H.  Hütteroth1 , K.  H.  Höhne2
  • 1 Dept. of Gastroenterology and Hepatology, Sana Hospitals, Lübeck, Germany
  • 2 Institute of Medical Computer Science, Hamburg-Eppendorf University Hospital, Hamburg, Germany
Further Information

Publication History

Submitted 14 October 2003

Accepted after Revision 16 March 2004

Publication Date:
28 July 2004 (online)

Also available at
    Permissions and Reprints

Endoscopic ultrasonography (EUS) is a widely used imaging modality in gastroenterology. The development of linear-array endoscopic ultrasound transducers, with facilities for EUS-guided diagnostic and therapeutic procedures, led to increasingly widspread use in different areas of the body. Examiners need to have excellent knowledge of anatomy. Orientation in linear EUS is more difficult and the learning curve is long. In an effort to shorten the training, reducing the risk to the patient and to allow a faster learning of the basic anatomic structures EUS meets VOXEL-MAN, an interactive three-dimensional anatomic simulation programm has been developed for linear EUS for the purposes of private and independant study.

References

  • 1 Bhutani M S, Hoffman B J, Hawes R H. A swine model for teaching endoscopic ultrasound (EUS) imaging and intervention under EUS guidance.  Endoscopy. 1998;  30 605-609
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Meining A, Rösch T, Wolf A. et al . High interobserver variability in endosonographic staging of upper gastrointestinal cancers.  Z Gastroenterol. 2003;  41 391-394
    Thieme ConnectPubMedSearch in Google Scholar
  • 3 Wallace M B, Hawes R H, Durkalski V. et al . The reliability of EUS for the diagnosis of chronic pancreatitis: interobserver agreement among experienced endosonographers.  Gastrointest Endosc. 2001;  53 294-299
    CrossrefPubMedSearch in Google Scholar
  • 4 Harewood G C, Wiersema L M, Halling A C. et al . Influence of EUS training and pathology interpretation on accuracy of EUS-guided fine needle aspiration of pancreatic masses.  Gastrointest Endosc. 2002;  55 669-673
    CrossrefPubMedSearch in Google Scholar
  • 5 Sorbi D, Vazquez-Sequeiros E, Wiersema M J. A simple phantom for learning EUS-guided FNA.  Gastrointest Endosc. 2003;  57 580-583
    CrossrefPubMedSearch in Google Scholar
  • 6 Lightdale C J. EUS training in the USA [abstract].  Endoscopy. 1998;  30 (Suppl 1) A 19-21
    PubMedSearch in Google Scholar
  • 7 Rösch T. EUS training in Europe [abstract].  Endoscopy. 1998;  30 (Suppl 1) A 18
    PubMedSearch in Google Scholar
  • 8 Endoscopic Section, German Society for Digestive and Metabolic Diseases . [Guideline-assisted suggestion for training courses in gastrointestinal endoscopy; in German.] .  Z Gastroenterol. 2003;  41 175-176
    Thieme ConnectPubMedSearch in Google Scholar
  • 9 Burmester E, Hollerbach S. Report on the working session ”Endoscopic Ultrasound” of the German Society for Digestive and Metabolic Diseases in Bonn, 11.9.2002.  Z Gastroenterol. 2003;  41 362-367
    Thieme ConnectPubMedSearch in Google Scholar
  • 10 Hacker S, Tiede U, Burmester E. et al .A virtual training system for linear-type endoscopic ultrasonography. In: Lemke HU, Vannier MW, Inamura K et al. (eds) CARS 2002: computer-assisted radiology and surgery. Proceedings of the 16th International Congress and Exhibition, Paris, June 26 - 29, 2002. Heidelberg; Springer 2002: 1-5
    Search in Google Scholar
  • 11 Hacker S, Tiede U, Burmester E. et al .Ein virtuelles Trainingssystem für endoskopische Longitudinal-Ultraschalluntersuchungen. In: Meiler M, Saupe D, Kruggel F, (eds) Bildverarbeitung für die Medizin 2002. Algorithmen - Systeme - Anwendungen. Proceedings des Workshop vom 10. - 12. März 2002 in Leipzig. Informatik Aktuell. Berlin; Springer 2002: 149-152
    Search in Google Scholar
  • 12 Höhne K H, Pflesser B, Pommert A. et al . A realistic model of human structure from the Visible Human data.  Methods Inf Med. 2001;  40 83-89
    PubMedSearch in Google Scholar
  • 13 Pommert A, Höhne K H, Pflesser B. et al . Creating a high-resolution spatial/symbolic model of the inner organs based on the Visible Human.  Med Image Anal. 2001;  5 221-228
    CrossrefPubMedSearch in Google Scholar
  • 14 Höhne K H, Pflesser B, Pommert A. et al .Voxel-Man 3D navigator: inner organs. Regional, systemic and radiological anatomy [three CD-ROMs; ISBN 3 - 540 - 14 759 - 4]. Heidelberg; Springer 2000
    Search in Google Scholar
  • 15 Ahmad N A, Kochman M L, Brensinger C. et al . Interobserver agreement among endosonographers for the diagnosis of neoplastic versus non-neoplastic pancreatic cystic lesions.  Gastrointest Endosc. 2003;  58 59-64
    CrossrefPubMedSearch in Google Scholar
  • 16 Burtin P, Rabot A F, Heresbach D. et al . Interobserver agreement in the staging of rectal cancer using endoscopic ultrasonography.  Endoscopy. 1997;  29 620-625
    Thieme ConnectPubMedSearch in Google Scholar
  • 17 Fockens P, van den Brande J H, van Dullemen H M. et al . Endosonographic T-staging of esophageal carcinoma: a learning curve.  Gastrointest Endosc. 1996;  44 58-62
    CrossrefPubMedSearch in Google Scholar
  • 18 Fusaroli P, Buscarini E, Peyre S. et al . Interobserver agreement in staging gastric MALT lymphoma by EUS.  Gastrointest Endosc. 2002;  55 662-668
    CrossrefPubMedSearch in Google Scholar
  • 19 Green J A, Barkin J S. Is EUS the answer?.  Am J Gastroenterol. 2002;  97 1835-1836
    PubMedSearch in Google Scholar
  • 20 Gress F, Schmitt C, Savides T. et al . Interobserver agreement for EUS in the evaluation and diagnosis of submucosal masses.  Gastrointest Endosc. 2001;  53 71-76
    CrossrefPubMedSearch in Google Scholar
  • 21 Meining A, Dittler H J, Wolf A. et al . You get what you expect? A critical appraisal of imaging methodology in endosonographic cancer staging.  Gut. 2002;  50 599-603
    CrossrefPubMedSearch in Google Scholar
  • 22 Schlick T, Heintz A, Junginger T. The examiner’s learning effect and its influence on the quality of endoscopic ultrasonography in carcinoma of the esophagus and gastric cardia.  Surg Endosc. 1999;  13 894-898
    CrossrefPubMedSearch in Google Scholar
  • 23 Bar-Meir S. A new endoscopic simulator.  Endoscopy. 2000;  32 898-900
    Thieme ConnectPubMedSearch in Google Scholar
  • 24 Bhutani M S, Aveyard M, Stills H F, Jr. Improved model for teaching interventional EUS.  Gastrointest Endosc. 2000;  52 400-403
    CrossrefPubMedSearch in Google Scholar
  • 25 Hochberger J, Maiss J, Hahn E G. The use of simulators for training in GI endoscopy.  Endoscopy. 2002;  34 727-729
    Thieme ConnectPubMedSearch in Google Scholar
  • 26 Hochberger J, Maiss J, Magdeburg B. et al . Training simulators and education in gastrointestinal endoscopy: current status and perspectives in 2001.  Endoscopy. 2001;  33 541-549
    Thieme ConnectPubMedSearch in Google Scholar
  • 27 Lange V, Grund K E. Education in intraluminal endoscopy: experiences up to now.  Chirurg. 2001;  72 (Suppl) 164-165
    CrossrefPubMedSearch in Google Scholar
  • 28 Neumann M, Friedl S, Meining A. et al . A score card for upper GI endoscopy: evaluation of interobserver variability in examiners with various levels of experience.  Z Gastroenterol. 2002;  40 857-862
    Thieme ConnectPubMedSearch in Google Scholar
  • 29 Neumann M, Hochberger J, Felzmann T. et al . The Erlangen Endo-Trainer.  Endoscopy. 2001;  33 887-890
    Thieme ConnectPubMedSearch in Google Scholar
  • 30 Rey J F, Romanczyk T. The development of experimental models in the teaching of endoscopy: an overview.  Endoscopy. 1995;  27 101-105
    PubMedSearch in Google Scholar
  • 31 Neumann M, Hahn C, Horbach T. et al . Score card endoscopy: a multicenter study to evaluate learning curves in 1-week courses using the Erlangen Endo-Trainer.  Endoscopy. 2003;  35 515-520
    Thieme ConnectPubMedSearch in Google Scholar

E. Burmester, M. D.

Dept. of Gastroenterology and Hepatology

Sana Kliniken Lübeck GmbH · Kronsforder Allee 71 - 73 · 23560 Lübeck · Germany

Fax: +49-451-585-1407

Email: e.burmester@sana-luebeck.de