Skip to main content
Log in

A Critical Analysis of the Effect of View Mode and Frame Rate on Reading Time and Lesion Detection During Capsule Endoscopy

  • Original Article
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

Background and Aim

Factors influencing reading time and detection of lesions include the view mode (VM) and frame rate (FR) applied during reading of small bowel capsule endoscopy images. The aims of this study were to examine the impact of VM and FR on reading time and lesion detection using a standardized, single-type lesion model.

Methods

A selected video clip containing a known number of positive images (n = 60) of small bowel angioectasias was read using nine different combinations of VM and FR (VM1, VM2, and VM4 × FR10, FR15, and FR25) in randomized order by six capsule endoscopists. Readers were asked to count all positive images of angioectasias (maximum number of positive images, MPIs) seen during reading. The main outcome measurements were effect of VM and FR on reading time and lesion detection.

Results

Mean MPIs for all VM2 and VM4 were 36 (60 %) and 38 (64 %). They were significantly higher than VM1 of 24 (40 %) (P = 0.011, 0.008). A statistical difference was found when the total MPIs at FR10 were compared to FR15 (P = 0.008) and to FR25 (P < 0.001).

Conclusions

Both VM and FR significantly influence lesion detection during capsule endoscopy reading.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

SBCE:

Small bowel capsule endoscopy

VM:

View mode

FR:

Frame rate

MPIs:

Maximum number of positive images

References

  1. Levinthal GN, Burke CA, Santisi JM. The accuracy of an endoscopy nurse in interpreting capsule endoscopy. Am J Gastroenterol. 2003;98:2669–2671.

    Article  PubMed  Google Scholar 

  2. Iakovidis DK, Tsevas S, Polydorou A. Reduction of capsule endoscopy reading times by unsupervised image mining. Comput Med Imaging Graph. 2010;34:471–478.

    Article  CAS  PubMed  Google Scholar 

  3. Rey JF, Gay G, Kruse A, et al. European Society of Gastrointestinal Endoscopy guideline for video capsule endoscopy. Endoscopy. 2004;36:656–658.

    Article  PubMed  Google Scholar 

  4. Sidhu R, Sanders DS, Morris AJ, et al. Guidelines on small bowel enteroscopy and capsule endoscopy in adults. Gut. 2008;57:125–136.

    Article  CAS  PubMed  Google Scholar 

  5. Spada C, Riccioni ME, Costamagna G. Rapid access real-time device and Rapid Access software: new tools in the armamentarium of capsule endoscopy. Expert Rev Med Devices. 2007;4:431–435.

    Article  PubMed  Google Scholar 

  6. Shiotani A, Honda K, Kawakami M, et al. Evaluation of RAPID(®) 5 Access software for examination of capsule endoscopies and reading of the capsule by an endoscopy nurse. J Gastroenterol. 2011;46:138–142.

    Article  PubMed  Google Scholar 

  7. Hosoe N, Rey JF, Imaeda H, et al. Evaluations of capsule endoscopy software in reducing the reading time and the rate of false negatives by inexperienced endoscopist. Clin Res Hepatol Gastroenterol. 2012;36:66–71.

    Article  PubMed  Google Scholar 

  8. Rey JF, Ladas S, Alhassani A, et al. European Society of Gastrointestinal Endoscopy (ESGE). Video capsule endoscopy: update to guidelines (May 2006). Endoscopy. 2006;38:1047–1053.

    Article  CAS  PubMed  Google Scholar 

  9. Postgate A, Haycock A, Fitzpatrick A, et al. How should we train capsule endoscopy? A pilot study of performance changes during a structured capsule endoscopy training program. Dig Dis Sci. 2009;54:1672–1679.

    Article  PubMed  Google Scholar 

  10. Postgate A, Haycock A, Thomas-Gibson S, et al. Computer-aided learning in capsule endoscopy leads to improvement in lesion recognition ability. Gastrointest Endosc. 2009;70:310–316.

    Article  PubMed  Google Scholar 

  11. Faigel DO, Baron TH, Adler DG, et al. ASGE guideline: guidelines for credentialing and granting privileges for capsule endoscopy. Gastrointest Endosc. 2005;61:503–505.

    Article  PubMed  Google Scholar 

  12. Postgate A, Tekkis P, Fitzpatrick A, et al. The impact of experience on polyp detection and sizing accuracy at capsule endoscopy: implications for training from an animal model study. Endoscopy. 2008;40:496–501.

    Article  CAS  PubMed  Google Scholar 

  13. Günther U, Daum S, Zeitz M, et al. Capsule endoscopy: comparison of two different reading modes. Int J Colorectal Dis. 2012;27:521–525.

    Article  PubMed  Google Scholar 

  14. Zheng Y, Hawkins L, Wolf J, et al. Detection of lesions during capsule endoscopy: physician performance is disappointing. Am J Gastroenterol. 2012;107:554–560.

    Article  PubMed  Google Scholar 

  15. Wolff JH, Uradomo LT, Goldberg EM. Wireless capsule endoscopy practice makes perfect? A survey of capsule endoscopy viewing practices in the United States. Gastrointest Endosc. 2009;69:201.

    Article  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Masanao Nakamura.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nakamura, M., Murino, A., O’Rourke, A. et al. A Critical Analysis of the Effect of View Mode and Frame Rate on Reading Time and Lesion Detection During Capsule Endoscopy. Dig Dis Sci 60, 1743–1747 (2015). https://doi.org/10.1007/s10620-014-3496-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10620-014-3496-5

Keywords

Navigation