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author:

Deng, Zhen (Deng, Zhen.) [1] (Scholars:邓震) | Jiang, Peijie (Jiang, Peijie.) [2] | Guo, Yuxin (Guo, Yuxin.) [3] | Zhang, Shengzhan (Zhang, Shengzhan.) [4] | Hu, Ying (Hu, Ying.) [5] | Zheng, Xiaochun (Zheng, Xiaochun.) [6] | He, Bingwei (He, Bingwei.) [7] (Scholars:何炳蔚)

Indexed by:

EI Scopus SCIE

Abstract:

Automation in robotic endoscopy surgery is an important but challenging research topic. The flexible deformation of the endoscope makes it difficult for surgeons to steer it, especially in a narrow workspace. The safety of endoscope steering has been a major concern in a robotic endoscope. This study presents a safety-aware control framework to enable a robotic endotracheal intubation system (RNIS) to automatically steer the flexible endoscope during nasotracheal intubation (NTI). With the endoscopic image as feedback, we used the fusion of image intensity and optical flow measurements to detect the lumen center. A velocity-based orientation controller is designed to adjust the orientation of the endoscope tip to track the lumen center. To ensure surgical safety, the relative depth from the endoscope tip to the lumen surface is calculated from endoscopic images. With the relative depth as feedback, the feed motion of the endoscope is controlled to prevent the collision between the endoscope tip and its surrounding tissue. The position and orientation of the endoscope tip can be adjusted by the RNIS during NTI. Finally, extensive experiments based on a training manikin were performed. The results indicate that the proposed control framework enables the RNIS to successfully steer the flexible endoscope along the upper respiratory tract with high safety. The performance of lumen center detection is good according to the annotation of experienced users.

Keyword:

Depth estimation Endoscopic image processing Nasotracheal intubation Robotic endoscopy Visual feedback control

Community:

  • [ 1 ] [Deng, Zhen]Shengli Clin Med Coll Fujian Med Univ, Fujian Prov Hosp, Dept Anesthesiol, Fuzhou 350108, Peoples R China
  • [ 2 ] [Zheng, Xiaochun]Shengli Clin Med Coll Fujian Med Univ, Fujian Prov Hosp, Dept Anesthesiol, Fuzhou 350108, Peoples R China
  • [ 3 ] [Deng, Zhen]Fuzhou Univ, Dept Mech Engn & Automation, Fuzhou 350108, Peoples R China
  • [ 4 ] [Guo, Yuxin]Fuzhou Univ, Dept Mech Engn & Automation, Fuzhou 350108, Peoples R China
  • [ 5 ] [Zhang, Shengzhan]Fuzhou Univ, Dept Mech Engn & Automation, Fuzhou 350108, Peoples R China
  • [ 6 ] [He, Bingwei]Fuzhou Univ, Dept Mech Engn & Automation, Fuzhou 350108, Peoples R China
  • [ 7 ] [Jiang, Peijie]Chinese Acad Sci, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China
  • [ 8 ] [Hu, Ying]Chinese Acad Sci, Shenzhen Inst Adv Technol, Shenzhen 518055, Peoples R China

Reprint 's Address:

  • [Zheng, Xiaochun]Shengli Clin Med Coll Fujian Med Univ, Fujian Prov Hosp, Dept Anesthesiol, Fuzhou 350108, Peoples R China;;

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Source :

BIOMEDICAL SIGNAL PROCESSING AND CONTROL

ISSN: 1746-8094

Year: 2023

Volume: 82

4 . 9

JCR@2023

4 . 9 0 0

JCR@2023

ESI Discipline: ENGINEERING;

ESI HC Threshold:35

JCR Journal Grade:1

CAS Journal Grade:3

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count: 2

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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