Endoscopy Flashcards

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1
Q

What are the four channels contained within a medical endoscope?

A

Air/water, instrument, illumination and image channel.

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2
Q

What are the advantages of using an endoscope to form a diagnostic image?

A

Image is true colour, high definition, in real time (moving image) and can be magnified.

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3
Q

What is the standard diameter of an endoscope tube?

A

13mm

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4
Q

What is the purpose and goals of the tube design?

A

To protect the optics, prevent light entering fibres from outside sources, and to enable endoscope to easily be inserted into patient.

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5
Q

How is the endoscope inserted?

A

Usually swallowed by patient; patient may be sedated for comfort reasons.

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6
Q

What is the purpose of the air/water channel?

A

Injection of air/water keeps face of endoscope clean. Also air suction channel allows cut away material to be extracted.

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7
Q

What are the uses of a surgical endoscope?

A

Removal of small tissue samples for testing (biopsy) and carrying out small repairs (keyhole surgery).

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8
Q

How may the image formed be viewed?

A

Through magnifying eyepiece lens or using a CCD camera (and hence projecting image onto screen).

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9
Q

What is the typical diameter range of the optical fibres used?

A

Between 0.5mm and 3mm.

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10
Q

How many singular optical fibres make up a typical bundle?

A

Between 5,000 and 40,000.

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11
Q

What is the purpose of the optical fibre bundles?

A

To transmit light into and out of the body.

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12
Q

What are the main components of a typical optical fibre and what are their relative refractive indexes?

A

Core-higher refractive index

Cladding-lower refractive index

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13
Q

What is the formula and name of the law used to determine the critical angle of an optical fibre?

A

Snell’s Law: Sin(C) = n2/n1

where n1>n2

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14
Q

To retain light in the core during bending round small radii what should the critical angle be?

A

As small as possible

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15
Q

What factor determines an endoscope’s field of view?

A

The refractive index of the medium from which light enters the end of the fibre.

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16
Q

What is the formula for determining the maximum half angle of the field of view?

A

No x Sin(Imax) = sqrt(n1-n2) where No is the refractive index of medium light enters from.

17
Q

What are the two types of bundles used in endoscopes?

A

Coherent and Incoherent Bundles.

18
Q

Define “critical angle”

A

Angle at which light will be totally internally reflected.

19
Q

What is the purpose of the two types of bundles?

A

Incoherent: Provide illumination
Coherent: Transmit images

20
Q

What are the differences in fibre arrangement between the two bundle types?

A

Incoherent bundles the arrangement does not matter-coherent does.

21
Q

List the 4 imaging problems associated with endoscopes and state how each may be reduced/negated.

A

1) Multipath dispersion - thinner fibres
2) Fibres becoming misaligned
3) Light leaking from one fibre to another - coat fibre in dark glass
4) Reduction in light intensity as light travels through fibre - image intensity increased electronically