From the Department of Thoracic Surgery, Chigasaki Municipal Hospital, Kanagawa, Japan.
Received for publication Septemaccepted February 4, 2014. In this paper, we present the ability of OsiriX to reconstruct virtual bronchoscopic images. OsiriX has made virtual bronchoscopic images available at a low cost, which can help virtual bronchoscopy gain popularity. A notable advantage of OsiriX is that the 32-bit version is free OsiriX MD, the 64-bit version cleared by the Food and Drug Administration for primary diagnosis, costs only 599 US dollars.
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OsiriX (OsiriX Foundation, Geneva, Switzerland) is an image-processing software dedicated to DICOM images produced by medical equipment such as CT scanners.4 OsiriX has been specifically designed for navigation and visualization of multimodality and multidimensional images, including virtual endoscopy.5,6 OsiriX is an open source software and only works on Mac OS (Apple, Cupertino, CA). Although these software programs are very useful, they are not widely used because of their high cost. Its utility in bronchoscopic lung and lymph node biopsy has been previously reported.1 Software such as Bf-NAVI (Olympus, Tokyo, Japan) and LungPoint (Broncus, Mountain View, CA) are available to provide virtual bronchoscopic images.2,3 The process of reconstructing virtual bronchoscopic images from CT data is automated the process of finding an adequate path to a lesion is partially automated. Key Words: bronchoscopy, cost benefit, imaging-guided biopsy, lung cancer, 3D imaging (J Bronchol Intervent Pulmonol 2014 21:113–116)Ĭomputed tomography (CT) of the chest. Results:Ĭonclusions: OsiriX is practicable for virtual bronchoscopy at a low cost. In all patients, the virtual bronchoscopic path reached the lung nodule, and 5 lung nodules were successfully diagnosed by transbronchial biopsy. The third to the seventh bronchi were visualized except in one patient whose right B10 was occluded by a tumor. Bronchoscopic images were successfully reconstructed for all patients. In addition, to predict whether a pathologic diagnosis can successfully be made by transbronchial lung biopsy, we reconstructed virtual bronchoscopic images toward the lung nodule. We selected B1a and B10c for the right lung and B1 + 2a and B10c for the left lung. To examine the ability to visualize small bronchi, we tried to visualize the distal bronchus if possible. Virtual bronchoscopic images were established by OsiriX version 5.5 (32-bit). Data in 2 mm slices from one lung were obtained from 10 patients with a lung nodule.
Methods: Computed tomography of the chest was per-įormed using a 16-row multidetector. Herein, we present the ability of OsiriX to enable virtual bronchoscopy. OsiriX is a reasonably priced software that is available to reconstruct virtual endoscopic images. Scopy has been reported, the software for virtual bronchoscopy has not been popular because of the high cost. Virtual Bronchoscopy Using OsiriX Atsushi Sano, MD, PhD, and Takehiro Tsuchiya, MDīackground: Although the utility of virtual broncho.
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