PTU-017 The Use Of Small Bowel Capsule Endoscopy In The Octogenarians Group; The Edinburgh Experience

Abstract

cell carcinoma and 2 benign diseases. SEMS deployment was successful in all 110 procedures. Of the 46 traversable tumours, 22 underwent ET and 24 FT for SEMS placement. 64 patients had non traversable tumours (with standard endoscope). HT was used in 21 and FT in 43 patients. Length of the stent deployed was not statistically different in both groups (HT 11.4 ± 0.5 cm, FT 11.0 ± 0.5 cm, P = 0.98). Good dysphagia alleviation was seen in both groups (dysphagia scores, HT cohort pre-stent 2.7 ± 0.16, post-stent 0.53 ± 0.87 P < 0.001; FT cohort prestent 2.53 ± 0.09, post-stent 0.44 ± 0.11 P < 0.001). Cumulative complications (reflux, pain, bleeding, food bolus obstruction) were similar for both techniques (HT 0.28 ± 0.1, FT 0.34 ± 0.1, P = 0.62). There was a tendency towards higher re-intervention for tumour overgrowth in the FT cohort (FT 7/43 patients, 129.4 ± 35.5 days; HT 2/21 patients, 215 ± 60 day, P = 0.33). Neither the stent length (P = 0.89) nor the technique used, had an influence on the need for re-stenting for tumour overgrowth (P = 0.68). Median survival was 141 days in the HT group and 121 days Introduction The localisation of a wireless capsule endoscope (WCE) within the small-bowel is typically performed by wearable radiofrequency sensors triangulation. The accuracy of this approach is low.1 Only a few approaches have been proposed for WCE localisation based on visual features. These include methods addressing the estimation of the rotation angle of the capsule 2,3 and temporal video segmentation methods. 4 We present a WCE localisation method, based only on visual information extracted from conventional WCE recording. Methods Automatic detection of points of interest (POI) in WCE video frames, matching of the detected POI between consecutive frames, and determination of actual correspondences between subsets of these POI based on the random sample consensus (RANSAC) algorithm was performed. Maximally stable extremal regions (MSER) algorithm, instead of the speeded up feature extraction (SURF) algorithm, was used. Based on the scaling and the rotation of the content of the consecutive WCE frames, it is possible to estimate the displacement and the rotation of the capsule within the GI tract. For the ex-vivo experiment; a standard simulated intestinal environment was created. Markers were sewn (at set, pre-recorded distances) onto the luminal surface of porcine small-bowel through which a capsule (MiroCam®, IntroMedic Co Ltd, Seoul, Korea) was propelled.Results Comparative experiments using both SURF and MSER features, which indicated the superiority of the former over the latter, we conducted. We worked on a corpus of 1070 WCE frames (634 indicating forward motion, 436 indicating backward motion). The accuracy using SURF features was 81.5% (87.2% on forward motion, 73.2% on backward motion), while using MSER was 67.2% (79.8% on forward motion, and 48.9% backward motion). Noteworthy, the proposed algorithm often fails when using MSER (6.7% of frames while <0.1% when using SURF) and a transform is ...