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Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact

Publikation: Beitrag in Buch/Bericht/Sammelwerk/KonferenzbandAufsatz in KonferenzbandForschungPeer-Review

Autorschaft

  • Jacob Friedemann Fast
  • Adrian Karl Rüppel
  • Caroline Bärhold
  • Michael Jungheim
  • Tobias Ortmaier
  • Lüder Alexander Kahrs

Organisationseinheiten

Externe Organisationen

  • Medizinische Hochschule Hannover (MHH)
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Details

OriginalspracheEnglisch
Titel des SammelwerksMedical Imaging 2019
UntertitelImage-Guided Procedures, Robotic Interventions, and Modeling
Herausgeber/-innenBaowei Fei, Cristian A. Linte
Herausgeber (Verlag)SPIE
ISBN (elektronisch)9781510625495
PublikationsstatusVeröffentlicht - 2019
VeranstaltungMedical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling - San Diego, USA / Vereinigte Staaten
Dauer: 17 Feb. 201919 Feb. 2019

Publikationsreihe

NameProceedings of SPIE: Progress in biomedical optics and imaging
Herausgeber (Verlag)SPIE
Band10951
ISSN (Print)1605-7422

Abstract

Pathologies of protective laryngeal reflexes such as the laryngeal adductor reflex (LAR) can increase the risk of aspiration pneumonia, a potentially life-threatening inflammation of the lungs caused by the intrusion of foreign particles into the lower airways. To estimate this risk, a standardized and non-invasive LAR screening method is highly desirable. In previous work, a commercially available high-speed laryngoscope has been equipped with a pressurized fluid system to shoot droplets onto the laryngeal structures for LAR stimulation and subsequent reflex latency evaluation. This Micro-droplet Impulse Testing of the LAR (MIT-LAR) lacks droplet impact site prediction for an unbiased and stimulation site-dependent reflex latency assessment. In this work, a two-phase algorithm leveraging stereoscopic image data for droplet impact site prediction and visualization of this prediction in the laryngoscopic image is proposed. A high-speed stereolaryngoscope requiring only a single camera was designed from scratch by combining two rod lens optics in one common shaft. This setup was used for stereoscopic high-speed image data acquisition of droplets shot at different muzzle energies and endoscope roll angles. Surface reconstruction of the target region is performed using a phantom of the human larynx. The point of intersection between the reconstructed surface and the droplet trajectory approximation recorded previously at known droplet formation parameters is calculated. The proposed approach allows stimulation site prediction for an enhanced MIT-LAR procedure. Quantitative evaluation of impact site prediction accuracy for different droplet muzzle energies and nozzle inclinations yields an average prediction error of 2.9 mm (n = 20).

ASJC Scopus Sachgebiete

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Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact. / Fast, Jacob Friedemann; Rüppel, Adrian Karl; Bärhold, Caroline et al.
Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling. Hrsg. / Baowei Fei; Cristian A. Linte. SPIE, 2019. 109510M (Proceedings of SPIE: Progress in biomedical optics and imaging; Band 10951).

Publikation: Beitrag in Buch/Bericht/Sammelwerk/KonferenzbandAufsatz in KonferenzbandForschungPeer-Review

Fast, JF, Rüppel, AK, Bärhold, C, Jungheim, M, Ortmaier, T, Ptok, M & Kahrs, LA 2019, Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact. in B Fei & CA Linte (Hrsg.), Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling., 109510M, Proceedings of SPIE: Progress in biomedical optics and imaging, Bd. 10951, SPIE, Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling, San Diego, USA / Vereinigte Staaten, 17 Feb. 2019. https://doi.org/10.1117/12.2512852
Fast, J. F., Rüppel, A. K., Bärhold, C., Jungheim, M., Ortmaier, T., Ptok, M., & Kahrs, L. A. (2019). Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact. In B. Fei, & C. A. Linte (Hrsg.), Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling Artikel 109510M (Proceedings of SPIE: Progress in biomedical optics and imaging; Band 10951). SPIE. https://doi.org/10.1117/12.2512852
Fast JF, Rüppel AK, Bärhold C, Jungheim M, Ortmaier T, Ptok M et al. Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact. in Fei B, Linte CA, Hrsg., Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling. SPIE. 2019. 109510M. (Proceedings of SPIE: Progress in biomedical optics and imaging). doi: 10.1117/12.2512852
Fast, Jacob Friedemann ; Rüppel, Adrian Karl ; Bärhold, Caroline et al. / Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact. Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling. Hrsg. / Baowei Fei ; Cristian A. Linte. SPIE, 2019. (Proceedings of SPIE: Progress in biomedical optics and imaging).
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title = "Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact",
abstract = "Pathologies of protective laryngeal reflexes such as the laryngeal adductor reflex (LAR) can increase the risk of aspiration pneumonia, a potentially life-threatening inflammation of the lungs caused by the intrusion of foreign particles into the lower airways. To estimate this risk, a standardized and non-invasive LAR screening method is highly desirable. In previous work, a commercially available high-speed laryngoscope has been equipped with a pressurized fluid system to shoot droplets onto the laryngeal structures for LAR stimulation and subsequent reflex latency evaluation. This Micro-droplet Impulse Testing of the LAR (MIT-LAR) lacks droplet impact site prediction for an unbiased and stimulation site-dependent reflex latency assessment. In this work, a two-phase algorithm leveraging stereoscopic image data for droplet impact site prediction and visualization of this prediction in the laryngoscopic image is proposed. A high-speed stereolaryngoscope requiring only a single camera was designed from scratch by combining two rod lens optics in one common shaft. This setup was used for stereoscopic high-speed image data acquisition of droplets shot at different muzzle energies and endoscope roll angles. Surface reconstruction of the target region is performed using a phantom of the human larynx. The point of intersection between the reconstructed surface and the droplet trajectory approximation recorded previously at known droplet formation parameters is calculated. The proposed approach allows stimulation site prediction for an enhanced MIT-LAR procedure. Quantitative evaluation of impact site prediction accuracy for different droplet muzzle energies and nozzle inclinations yields an average prediction error of 2.9 mm (n = 20).",
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series = "Proceedings of SPIE: Progress in biomedical optics and imaging",
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Download

TY - GEN

T1 - Endoscopic guidance system for stimulation of the laryngeal adductor reflex by droplet impact

AU - Fast, Jacob Friedemann

AU - Rüppel, Adrian Karl

AU - Bärhold, Caroline

AU - Jungheim, Michael

AU - Ortmaier, Tobias

AU - Ptok, Martin

AU - Kahrs, Lüder Alexander

N1 - Funding information: This work has been funded by Deutsche Forschungsgemeinschaft (DFG) grants KA 2975/6-1 and PT 2/5-1 as well as the European Regional Development Fund (ERDF, project OPhonLas).

PY - 2019

Y1 - 2019

N2 - Pathologies of protective laryngeal reflexes such as the laryngeal adductor reflex (LAR) can increase the risk of aspiration pneumonia, a potentially life-threatening inflammation of the lungs caused by the intrusion of foreign particles into the lower airways. To estimate this risk, a standardized and non-invasive LAR screening method is highly desirable. In previous work, a commercially available high-speed laryngoscope has been equipped with a pressurized fluid system to shoot droplets onto the laryngeal structures for LAR stimulation and subsequent reflex latency evaluation. This Micro-droplet Impulse Testing of the LAR (MIT-LAR) lacks droplet impact site prediction for an unbiased and stimulation site-dependent reflex latency assessment. In this work, a two-phase algorithm leveraging stereoscopic image data for droplet impact site prediction and visualization of this prediction in the laryngoscopic image is proposed. A high-speed stereolaryngoscope requiring only a single camera was designed from scratch by combining two rod lens optics in one common shaft. This setup was used for stereoscopic high-speed image data acquisition of droplets shot at different muzzle energies and endoscope roll angles. Surface reconstruction of the target region is performed using a phantom of the human larynx. The point of intersection between the reconstructed surface and the droplet trajectory approximation recorded previously at known droplet formation parameters is calculated. The proposed approach allows stimulation site prediction for an enhanced MIT-LAR procedure. Quantitative evaluation of impact site prediction accuracy for different droplet muzzle energies and nozzle inclinations yields an average prediction error of 2.9 mm (n = 20).

AB - Pathologies of protective laryngeal reflexes such as the laryngeal adductor reflex (LAR) can increase the risk of aspiration pneumonia, a potentially life-threatening inflammation of the lungs caused by the intrusion of foreign particles into the lower airways. To estimate this risk, a standardized and non-invasive LAR screening method is highly desirable. In previous work, a commercially available high-speed laryngoscope has been equipped with a pressurized fluid system to shoot droplets onto the laryngeal structures for LAR stimulation and subsequent reflex latency evaluation. This Micro-droplet Impulse Testing of the LAR (MIT-LAR) lacks droplet impact site prediction for an unbiased and stimulation site-dependent reflex latency assessment. In this work, a two-phase algorithm leveraging stereoscopic image data for droplet impact site prediction and visualization of this prediction in the laryngoscopic image is proposed. A high-speed stereolaryngoscope requiring only a single camera was designed from scratch by combining two rod lens optics in one common shaft. This setup was used for stereoscopic high-speed image data acquisition of droplets shot at different muzzle energies and endoscope roll angles. Surface reconstruction of the target region is performed using a phantom of the human larynx. The point of intersection between the reconstructed surface and the droplet trajectory approximation recorded previously at known droplet formation parameters is calculated. The proposed approach allows stimulation site prediction for an enhanced MIT-LAR procedure. Quantitative evaluation of impact site prediction accuracy for different droplet muzzle energies and nozzle inclinations yields an average prediction error of 2.9 mm (n = 20).

KW - Aspiration pneumonia

KW - Computer-aided diagnosis

KW - Dysphagia

KW - High-speed imaging

KW - Laryngoscope

KW - Larynx

KW - Larynx reflex testing

KW - Surface reconstruction

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U2 - 10.1117/12.2512852

DO - 10.1117/12.2512852

M3 - Conference contribution

AN - SCOPUS:85068894455

T3 - Proceedings of SPIE: Progress in biomedical optics and imaging

BT - Medical Imaging 2019

A2 - Fei, Baowei

A2 - Linte, Cristian A.

PB - SPIE

T2 - Medical Imaging 2019: Image-Guided Procedures, Robotic Interventions, and Modeling

Y2 - 17 February 2019 through 19 February 2019

ER -