Endoscopic Image Observation Support System for Capsule Endoscopy
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Solution Overview
Problem
The high volume of images captured during capsule endoscopic examinations poses a significant load on image interpreters, necessitating a system to support efficient observation and ensure proper interpretation, particularly in cases where double image interpretation is employed.
Innovation Solution
An endoscopic image observation support system that records, plays back, and measures display time for capsule endoscopic images, allowing for customizable playback speed and alerting interpreters to images of interest or no-observation images, thereby reducing overall observation time and improving interpretation efficiency.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If all captured images are reviewed sequentially by the image interpreter, then complete observation is achieved, but observation time and workload increase significantly
Solution Approach 1:
The system performs preliminary actions by automatically analyzing images before they reach the interpreter. It calculates moving speeds between sequential images, identifies images where the capsule is stationary or moving slowly, and pre-marks these as potential images of interest. This preliminary processing filters out rapidly moving images that are unlikely to contain diagnostic value, thereby reducing the total number of images requiring manual review while ensuring that all potentially important images are captured for observation.
2Measurement precision
If display time for each image is extended to ensure proper observation, then interpretation accuracy improves, but total observation time increases
Solution Approach 1:
The system applies local quality by differentiating display time allocation based on image characteristics. Images identified as having the capsule stationary or moving slowly are assigned longer display times to allow thorough interpretation, while images showing rapid movement are assigned shorter display times or excluded from manual review. This selective approach ensures that interpretation accuracy is maintained for images most likely to contain diagnostic information while reducing total observation time by not spending excessive time on images unlikely to be diagnostic.
3Reliability
If double image interpretation is implemented to reduce overlooking, then diagnostic accuracy improves, but workload and time consumption increase
Solution Approach 1:
The system performs preliminary filtering and prioritization before double interpretation begins. It automatically identifies and flags images where the capsule is stationary or moving slowly, creating a prioritized list of images most likely to contain diagnostic information. This preliminary action allows the first interpreter to focus on high-priority images, and enables the second interpreter to efficiently review only necessary cases, thereby maintaining diagnostic accuracy through double interpretation while reducing overall workload and time consumption compared to reviewing all images twice.
Data Source
AI summary
A playback processing unit causes a display device to display an endoscopic image recorded in an endoscopic image recording unit. A display time setting unit sets a display time of endoscopic images displayed by the playback processing unit on the display device in the order of imaging. A display time measurement unit measures the display time of each endoscopic image. A time information storage unit stores information related to the display time measured by the display time measurement unit. An acknowledgment unit acknowledges a user operation input. The playback processing unit causes the display device to display the endoscopic image in accordance with the user operation input acknowledged by the acknowledgment unit. The time information storage unit stores information related to a cumulative display time of each endoscopic image.


