Although flexible endoscopy is only 25 years old, a new technology may
soon be used to provide the same view of internal organs without inse
rting an instrument. This is virtual endoscopy. By acquiring patient-s
pecific high-resolution digital images with a helical CT scan or MRI,
individual organs can be graphically isolated or ''segmented'' into fu
lly interactive 3-D reconstructions on a computer monitor. Applying so
phisticated flight-tracking programs from military pilots, the organs
can be ''flown through,'' giving a view identical to endoscopy. In the
future we will fly through data instead of inserting endoscopic instr
uments for gastrointestinal endoscopic diagnosis.