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

A. Pfahl (Lead / Corresponding author), G. K. Radmacher, H. Köhler, M. Maktabi, T. Neumuth, A. Melzer, I. Gockel, C. Chalopin, B. Jansen-Winkeln

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)
    93 Downloads (Pure)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)3145-3160
    Number of pages16
    JournalBiomedical Optics Express
    Volume13
    Issue number5
    Early online date29 Apr 2022
    DOIs
    Publication statusPublished - 1 May 2022

    ASJC Scopus subject areas

    • Biotechnology
    • Atomic and Molecular Physics, and Optics

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