Combined indocyanine green and quantitative perfusion assessment with hyperspectral imaging during colorectal resections

Anastomotic insufficiencies still represent one of the most severe complications in colorectal surgery. Since tissue perfusion highly affects anastomotic healing, its objective assessment is an unmet clinical need. Indocyanine green-based fluorescence angiography (ICG-FA) and hyperspectral imaging (...

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Bibliographic Details
Published in:Biomedical optics express Vol. 13; no. 5; pp. 3145 - 3160
Main Authors: Pfahl, A., Radmacher, G. K., Köhler, H., Maktabi, M., Neumuth, T., Melzer, A., Gockel, I., Chalopin, C., Jansen-Winkeln, B.
Format: Journal Article
Language:English
Published: Optica Publishing Group 01-05-2022
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Summary:Anastomotic insufficiencies still represent one of the most severe complications in colorectal surgery. Since tissue perfusion highly affects anastomotic healing, its objective assessment is an unmet clinical need. Indocyanine green-based fluorescence angiography (ICG-FA) and hyperspectral imaging (HSI) have received great interest in recent years but surgeons have to decide between both techniques. For the first time, two data processing pipelines capable of reconstructing an ICG-FA correlating signal from hyperspectral data were developed. Results were technically evaluated and compared to ground truth data obtained during colorectal resections. In 87% of 46 data sets, the reconstructed images resembled the ground truth data. The combined applicability of ICG-FA and HSI within one imaging system might provide supportive and complementary information about tissue vascularization, shorten surgery time, and reduce perioperative mortality.
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ISSN:2156-7085
2156-7085
DOI:10.1364/BOE.452076