Alternative intraoperative optical imaging modalities for fluorescence angiography in gastrointestinal surgery: spectral imaging and imaging photoplethysmography.

Intraoperative near-infrared fluorescence angiography with indocyanine green (ICG-FA) is a well-established modality in gastrointestinal surgery. Its main drawback is the application of a fluorescent agent with possible side effects for patients. The goal of this review paper is the presentation of...

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Publicado en:Minimally Invasive Therapy & Allied Technologies Vol. 32; no. 5; pp. 222 - 233
Autores principales: Chalopin, Claire, Pfahl, Annekatrin, Köhler, Hannes, Knospe, Luise, Maktabi, Marianne, Unger, Michael, Jansen-Winkeln, Boris, Thieme, René, Moulla, Yusef, Mehdorn, Matthias, Sucher, Robert, Neumuth, Thomas, Gockel, Ines, Melzer, Andreas
Formato: diagnostic images pictorial review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/13645706.2022.2164469
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        atl: Alternative intraoperative optical imaging modalities for fluorescence angiography in gastrointestinal surgery: spectral imaging and imaging photoplethysmography.
      aug:
        au:
          Chalopin, Claire
          Pfahl, Annekatrin
          Köhler, Hannes
          Knospe, Luise
          Maktabi, Marianne
          Unger, Michael
          Jansen-Winkeln, Boris
          Thieme, René
          Moulla, Yusef
          Mehdorn, Matthias
          Sucher, Robert
          Neumuth, Thomas
          Gockel, Ines
          Melzer, Andreas
        affil: Innovation Center Computer Assisted Surgery (ICCAS), Faculty of Medicine, Leipzig University, Leipzig, Germany
      sug:
        subj:
          Optical Imaging Methods
          Intraoperative Care
          Indoles Diagnostic Use
          Angiography Methods
          Surgery, Digestive System
          Noninvasive Procedures
          Angiography Standards
          Plethysmography Standards
          Tissue Physiology
          Perfusion
          Risk Assessment
          Image Interpretation, Computer Assisted
          Image Processing, Computer Assisted
          Indoles Adverse Effects
      ab: Intraoperative near-infrared fluorescence angiography with indocyanine green (ICG-FA) is a well-established modality in gastrointestinal surgery. Its main drawback is the application of a fluorescent agent with possible side effects for patients. The goal of this review paper is the presentation of alternative, non-invasive optical imaging methods and their comparison with ICG-FA. The principles of ICG-FA, spectral imaging, imaging photoplethysmography (iPPG), and their applications in gastrointestinal surgery are described based on selected published works. The main applications of the three modalities are the evaluation of tissue perfusion, the identification of risk structures, and tissue segmentation or classification. While the ICG-FA images are mainly evaluated visually, leading to subjective interpretations, quantitative physiological parameters and tissue segmentation are provided in spectral imaging and iPPG. The combination of ICG-FA and spectral imaging is a promising method. Non-invasive spectral imaging and iPPG have shown promising results in gastrointestinal surgery. They can overcome the main drawbacks of ICG-FA, i.e. the use of contrast agents, the lack of quantitative analysis, repeatability, and a difficult standardization of the acquisition. Further technical improvements and clinical evaluations are necessary to establish them in daily clinical routine.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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