UW Gastroenterologist Reflects on Kinematics in Routine Colonoscopy

Patrick Pfau, MD, gastroenterologist at University of Wisconsin Hospital and Clinics, discusses how kinematics, the study of how things move, can be used in routine colonoscopy to assess which parameters improve quality, according to an article published in Gastrointestinal Endoscopy.

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Dr. Pfau points to one study where researchers developed a colonoscopic kinematic system. By attaching six electromagnetic sensors to the colonoscopy and placing an electromagnetic transmitter under the colon model, researchers used software and a processor to track and record the path length, flex, velocity, acceleration, jerk, tip angulation, rotation and curvature of the colonoscopy.

Results from the study showed that attending gastroenterologists had better kinematic scores than trainees, including a shorter path length, less angulation, less curvature and less roll of the colonoscopy. The overall kinematic score also displayed better scores based on years of experience among GI fellows. The study demonstrated how kinematics was used to assess the technical skills of GI clinicians.

Dr. Pfau notes that the study is only preliminary and the research was performed on a colon model, not a human being.

Read the article about kinematics.

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