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Towards capsule endoscope locomotion in large volumes: design, fuzzy modeling, and testing

Published online by Cambridge University Press:  06 November 2023

Furkan Peker
Affiliation:
Department of Electronics and Communication Engineering, Istanbul Technical University, Istanbul, Turkey
Mert Alperen Beşer
Affiliation:
Department of Electronics and Communication Engineering, Istanbul Technical University, Istanbul, Turkey
Ecem Işıldar
Affiliation:
Department of Control and Automation Engineering, Istanbul Technical University, Istanbul, Turkey
Yavuz Terzioğlu
Affiliation:
Department of Electronics and Communication Engineering, Istanbul Technical University, Istanbul, Turkey
Ahmet Can Erten
Affiliation:
Department of Electronics and Communication Engineering, Istanbul Technical University, Istanbul, Turkey
Tufan Kumbasar
Affiliation:
Department of Control and Automation Engineering, Istanbul Technical University, Istanbul, Turkey
Onur Ferhanoğlu*
Affiliation:
Department of Electronics and Communication Engineering, Istanbul Technical University, Istanbul, Turkey
*
Corresponding author: Onur Ferhanoglu; Email: ferhanoglu@itu.edu.tr
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Abstract

We present the design and deployment of a capsule endoscope via external electromagnets for locomotion in large volumes alongside its digital twin implementation based on interval type-2 fuzzy logic systems (IT2-FLSs). To perform locomotion, we developed an external mechanism comprising five external electromagnets on a two-dimensional translational platform that is to be placed underneath the patients’ bed and integrated multiple Neodymium magnets into the capsule. The interaction between the central bottom external electromagnet and the internal magnet forms a fixed body frame at the capsule center, allowing rotation. The interaction between the external electromagnets and the two internal magnets results in rotation. The elevation of the capsule is accomplished due to the interaction between the upper external electromagnet and the internal magnets. Through simulations, we model the capsule rotation as a function of torque and drive voltages. We validated the proposed locomotion approach experimentally and observed that the results are highly nonlinear and uncertain. Thus, we define a regression problem in which IT2-FLSs, capable of representing nonlinearity and uncertainty, are learned. To verify the proposed locomotion approach and test the IT2-FLS, we leverage our experimental effort to a stomach phantom and finally to an ex vivo bovine stomach. The experimental results validate the locomotion capability and show that the IT2-FLS can capture uncertainties while resulting in satisfactory prediction performance. To showcase the benefit in a clinical scenario, we present a digital twin implementation of the proposed approach in a virtual environment that can link physical and virtual worlds in real time.

Information

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press
Figure 0

Table I. A categorical classification of external capsule control strategies.

Figure 1

Figure 1. Illustration of the proposed locomotion scheme for a WCE in large volumes (i.e., the stomach).

Figure 2

Figure 2. Experimental setup: (a) bottom magnet array and the capsule, (b) translation stage embedded underneath the bottom magnet array and placement of the top electromagnet, and (c) 3D-printed capsule with central and distal magnets.

Figure 3

Figure 3. Snapshots (at every 45°) of the capsule rotation experiment and the magnet drive scheme: (a) rotation snapshots, (b) drive scheme for rotation, and (c) voltage change-flow of electromagnets.

Figure 4

Figure 4. Snapshots of the capsule elevation experiment and the magnet drive scheme: (a) elevation snapshots, (b) magnet arrangement, and (c) drive scheme for elevation.

Figure 5

Figure 5. Finite element simulated drive voltage increase of EM3, and decrease of EM2 and torque, vs. rotational angle behavior of the capsule. The top insets show finite element simulations of the magnetic field lines between the electromagnet array and the magnets within the capsule when the capsule is in a vertical direction, making 22.5° and making 45° with the vertical direction.

Figure 6

Figure 6. Illustration of an antecedent IT2-FS.

Figure 7

Table II. Modeling performance of the IT2-FLSs: training experiments.

Figure 8

Figure 7. Training experiments: rotation angle as a function of the cumulative voltage applied to the bottom electromagnetic array. Here, the blue circles represent the experimental values $\tilde{\psi }$, the red line represents the point-wise prediction $\psi$, and the shaded area is the covered uncertainty $[\underline{\psi },\overline{\psi }]$ by IT2-FLS.

Figure 9

Figure 8. Training experiments: elevation (left) and delevation (right) characteristics of the capsule with an inter-magnet distance of 5 cm. The blue circles represent the experimental values $\tilde{\theta }$, the red line represents the point-wise prediction $\theta$, and the shaded area is the covered uncertainty $[\underline{\theta },\overline{\theta }]$ by IT2-FLS.

Figure 10

Figure 9. Training experiments: elevation (left) and delevation (right) characteristics of the capsule with an inter-magnet distance of 7 cm. The blue circles represent the experimental values $\tilde{\theta }$, the red line represents the point-wise prediction ${\theta}$, and the shaded area is the covered uncertainty $[\underline{\theta },\overline{\theta }]$ by trained IT2-FLS.

Figure 11

Figure 10. Visualization of the capsule control in the VR environment: (a) virtual stomach, (b) virtual capsule, and (c) virtual views of the capsule for different rotation angles in the real world.

Figure 12

Figure 11. (a) CAD drawing of the stomach phantom, (b) 3D-printed PLA phantom, and (c) bovine stomach paved on the stomach phantom.

Figure 13

Figure 12. Snapshots from the stomach phantom experiments: (a–b) rotation and (c–d) elevation.

Figure 14

Figure 13. Stomach phantom experiments: rotation angle modeling performance of the IT2-FLS. Here, the blue circles represent the experimental values $\tilde{\psi }$, the red line represents the point-wise prediction $\psi$, and the shaded area is the covered uncertainty $[\underline{\psi },\overline{\psi }]$ by trained IT2-FLS.

Figure 15

Figure 14. Stomach phantom experiments: elevation (left) and delevation (right) modeling performance of the IT2-FLSs. Here, the blue circles represent the experimental values $\tilde{\theta }$, the red line represents the point-wise prediction ${\theta}$, and the shaded area is the covered uncertainty $[\underline{\theta },\overline{\theta }]$ by trained IT2-FLS.

Figure 16

Table III. Modeling performance of the IT2-FLSs: stomach phantom experiments.

Figure 17

Figure 15. Snapshots from the ex vivo bovine stomach experiments: (a–b) rotation and (c–d) elevation.

Figure 18

Figure 16. Ex vivo tissue experiments: rotation angle modeling performance of the IT2-FLS. Here, the blue circles represent the experimental values $\tilde{\psi }$, the red line represents the point-wise prediction ${\psi}$, and the shaded area is the covered uncertainty $[\underline{\psi },\overline{\psi }]$ by trained IT2-FLS.

Figure 19

Figure 17. Ex vivo tissue experiments: elevation (left) and delevation (right) modeling performance of the IT2-FLSs. Here, the blue circles represent the experimental values $\tilde{\theta }$, the red line represents the point-wise prediction $\theta$, and the shaded area is the covered uncertainty $[\underline{\theta },\overline{\theta }]$ by trained IT2-FLS.

Figure 20

Table IV. Modeling performance of the IT2-FLSs: ex vivo tissue experiments.

Figure 21

Figure 18. Snapshots from the ex vivo bovine stomach translation experiments: (a–b) forward and (c–d) backward.

Figure 22

Figure 19. Ex vivo tissue experiments: forward (left) and backward (right) translation characteristics.

Figure 23

Figure 20. Perspectives to illustrate the bumpy surface of the phantom and the tissue characteristics.

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