Virtual bronchoscopy: Relationships of virtual reality endobronchial simulations to actual bronchoscopic findings

David J. Vining, Kun Liu, Robert H. Choplin, Edward F. Haponik

Research output: Contribution to journalArticle

251 Scopus citations

Abstract

Advances in computer technology have permitted development of virtual reality images of the tracheobronchial tree using data sets derived from helical CT of the chest. To determine the relevance of these images to actual bronchoscopic findings, we compared 'virtual bronchoscopy' images with videotaped bronchoscopy results in 20 patients who had undergone both helical chest CT and fiberoptic bronchoscopy during clinical evaluation of their thoracic problems. Suboptimal endobronchial simulations in ten patients identified important, readily-addressed technical requirements for this imaging procedure. In the ten patients with technically suitable renderings of the airway, virtual bronchoscopy simulations accurately demonstrated endobronchial obstructions by tumor in five, airway distortion and/or ectasia in four, and accessory bronchi in another. These preliminary observations suggest that virtual bronchoscopy simulations accurately represent major endobronchial anatomic findings. This technique may have a role in prebronchoscopy planning, endoscopy training, and/or endobronchial therapy, and merits further study.

Original languageEnglish (US)
Pages (from-to)549-553
Number of pages5
JournalChest
Volume109
Issue number2
DOIs
StatePublished - Jan 1 1996
Externally publishedYes

Keywords

  • bronchoscopy
  • computer simulation
  • computer-assisted diagnosis
  • lung neoplasms
  • tomography, x-ray computed

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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