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)

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
  • 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
  • 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
  • 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
  • 5 Sorbi D, Vazquez-Sequeiros E, Wiersema M J. A simple phantom for learning EUS-guided FNA.  Gastrointest Endosc. 2003;  57 580-583
  • 6 Lightdale C J. EUS training in the USA [abstract].  Endoscopy. 1998;  30 (Suppl 1) A 19-21
  • 7 Rösch T. EUS training in Europe [abstract].  Endoscopy. 1998;  30 (Suppl 1) A 18
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 18 Fusaroli P, Buscarini E, Peyre S. et al . Interobserver agreement in staging gastric MALT lymphoma by EUS.  Gastrointest Endosc. 2002;  55 662-668
  • 19 Green J A, Barkin J S. Is EUS the answer?.  Am J Gastroenterol. 2002;  97 1835-1836
  • 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
  • 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
  • 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
  • 23 Bar-Meir S. A new endoscopic simulator.  Endoscopy. 2000;  32 898-900
  • 24 Bhutani M S, Aveyard M, Stills H F, Jr. Improved model for teaching interventional EUS.  Gastrointest Endosc. 2000;  52 400-403
  • 25 Hochberger J, Maiss J, Hahn E G. The use of simulators for training in GI endoscopy.  Endoscopy. 2002;  34 727-729
  • 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
  • 27 Lange V, Grund K E. Education in intraluminal endoscopy: experiences up to now.  Chirurg. 2001;  72 (Suppl) 164-165
  • 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
  • 29 Neumann M, Hochberger J, Felzmann T. et al . The Erlangen Endo-Trainer.  Endoscopy. 2001;  33 887-890
  • 30 Rey J F, Romanczyk T. The development of experimental models in the teaching of endoscopy: an overview.  Endoscopy. 1995;  27 101-105
  • 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

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