Hyperspectral imaging

高光谱成像
  • 文章类型: Journal Article
    (1)背景:实现快速,对玉米新鲜度和陈旧性进行无损检测,以便更好地在储存中使用,玉米加工利用.(2)方法:在本研究中,对3个玉米品种进行加速老化处理,研究玉米脂肪酸值的变化趋势。研究重点是利用高光谱成像技术从不同老化水平的玉米样品中收集信息。光谱数据通过卷积平滑导数方法(SG,SG1、SG2),导数法(D1,D2),多重散射校正(MSC),利用竞争自适应重加权法(CARS)和连续投影算法(SPA)提取特征波长,利用神经网络(BP)和随机森林(RF)建立玉米脂肪酸值定量预测模型。And,在相应的最优预测模型下,根据脂肪酸值可视化脂肪酸值的分布。(3)结果:随着老化时间的延长,三个品种玉米均呈总体增长趋势。玉米的脂肪酸值可以作为表征玉米老化程度的最重要指标。SG2-SPA-RF是玉米最佳脂肪酸值的定量预测模型。该模型提取了31个波长,仅占波长总数的12.11%,其中测试集的确定系数RP2为0.9655,均方根误差(RMSE)为3.6255。(4)结论:本研究可为玉米鲜度的快速无损检测提供可靠有效的新方法。
    (1) Background: To achieve the rapid, non-destructive detection of corn freshness and staleness for better use in the storage, processing and utilization of corn. (2) Methods: In this study, three varieties of corn were subjected to accelerated aging treatment to study the trend in fatty acid values of corn. The study focused on the use of hyperspectral imaging technology to collect information from corn samples with different aging levels. Spectral data were preprocessed by a convolutional smoothing derivative method (SG, SG1, SG2), derivative method (D1, D2), multiple scattering correction (MSC), and standard normal transform (SNV); the characteristic wavelengths were extracted by the competitive adaptive reweighting method (CARS) and successive projection algorithm (SPA); a neural network (BP) and random forest (RF) were utilized to establish a prediction model for the quantification of fatty acid values of corn. And, the distribution of fatty acid values was visualized based on fatty acid values under the corresponding optimal prediction model. (3) Results: With the prolongation of the aging time, all three varieties of corn showed an overall increasing trend. The fatty acid value of corn can be used as the most important index for characterizing the degree of aging of corn. SG2-SPA-RF was the quantitative prediction model for optimal fatty acid values of corn. The model extracted 31 wavelengths, only 12.11% of the total number of wavelengths, where the coefficient of determination RP2 of the test set was 0.9655 and the root mean square error (RMSE) was 3.6255. (4) Conclusions: This study can provide a reliable and effective new method for the rapid non-destructive testing of corn freshness.
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  • 文章类型: Journal Article
    背景:微循环受损是脓毒症发展的基石,并导致组织氧合降低,治疗期间受液体和儿茶酚胺给药的影响。高光谱成像(HSI)是一种用于可视化物理化学组织特征的无创床边技术。皮肤HSI的机器学习(ML)可能为床边微循环评估提供一种自动化方法,提供重症监护重症患者的个性化组织指纹。该研究旨在确定是否可以利用机器学习来自动识别手中的感兴趣区域(ROI)。从而区分健康个体和使用HSI的脓毒症危重患者。
    方法:使用TIVITA®TissueSystem记录75例重症脓毒症患者和30例健康对照的HSI原始数据,并使用自动化ML方法进行分析。此外,根据SOFA评分将患者分为两组进行进一步亚分析:病情较轻(SOFA≤5)和病情较重(SOFA>5).HSI原始数据的分析是使用MediaPipe进行ROI检测(手掌和指尖)和特征提取的全自动分析。使用Mann-Whitney-U检验和Benjamini对HSI特征进行统计分析,以突出相关波长组合,克里格,和Yekutieli(BKY)更正。此外,随机森林模型使用自举训练,并确定了特征重要性,以获得有关波长重要性的见解,以用于模型决策。
    结果:成功建立了用于生成ROI和HSI特征提取的自动化管道。HSI原始数据分析可准确区分健康对照与败血症患者。指尖的波长在575-695nm和840-1000nm的范围内不同。对于手掌,在925-1000nm的范围内观察到显着差异。特征重要性图指示相同波长范围内的相关信息。结合手掌和指尖分析提供了最高的可靠性,AUC为0.92以区分败血症患者和健康对照。
    结论:基于这一概念证明,自动化和标准化ROI与自动化皮肤HSI分析的集成,能够区分健康个体和脓毒症患者。这种方法提供了皮肤微循环的可靠和客观的评估,有助于快速识别危重病人。
    BACKGROUND: Impaired microcirculation is a cornerstone of sepsis development and leads to reduced tissue oxygenation, influenced by fluid and catecholamine administration during treatment. Hyperspectral imaging (HSI) is a non-invasive bedside technology for visualizing physicochemical tissue characteristics. Machine learning (ML) for skin HSI might offer an automated approach for bedside microcirculation assessment, providing an individualized tissue fingerprint of critically ill patients in intensive care. The study aimed to determine if machine learning could be utilized to automatically identify regions of interest (ROIs) in the hand, thereby distinguishing between healthy individuals and critically ill patients with sepsis using HSI.
    METHODS: HSI raw data from 75 critically ill sepsis patients and from 30 healthy controls were recorded using TIVITA® Tissue System and analyzed using an automated ML approach. Additionally, patients were divided into two groups based on their SOFA scores for further subanalysis: less severely ill (SOFA ≤ 5) and severely ill (SOFA > 5). The analysis of the HSI raw data was fully-automated using MediaPipe for ROI detection (palm and fingertips) and feature extraction. HSI Features were statistically analyzed to highlight relevant wavelength combinations using Mann-Whitney-U test and Benjamini, Krieger, and Yekutieli (BKY) correction. In addition, Random Forest models were trained using bootstrapping, and feature importances were determined to gain insights regarding the wavelength importance for a model decision.
    RESULTS: An automated pipeline for generating ROIs and HSI feature extraction was successfully established. HSI raw data analysis accurately distinguished healthy controls from sepsis patients. Wavelengths at the fingertips differed in the ranges of 575-695 nm and 840-1000 nm. For the palm, significant differences were observed in the range of 925-1000 nm. Feature importance plots indicated relevant information in the same wavelength ranges. Combining palm and fingertip analysis provided the highest reliability, with an AUC of 0.92 to distinguish between sepsis patients and healthy controls.
    CONCLUSIONS: Based on this proof of concept, the integration of automated and standardized ROIs along with automated skin HSI analyzes, was able to differentiate between healthy individuals and patients with sepsis. This approach offers a reliable and objective assessment of skin microcirculation, facilitating the rapid identification of critically ill patients.
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  • 文章类型: Journal Article
    色彩整合是一种修复处理,涉及将油漆或彩色石膏涂在文化遗产上,以促进其感知和理解。这项研究检查了照明对此类修复作品的视觉外观的影响:来自Nasrid时期(1238-1492)的瓷砖踢脚板,在阿罕布拉博物馆(西班牙)永久展出。使用高光谱图像扫描仪获得380-1080nm范围内的光谱图像。CIELAB和CIEDE2000在每个像素的颜色坐标是在假设CIE1931标准比色观测器的情况下计算的,并考虑了国际照明委员会(CIE)提出的十个相关光源:D65加上九个白色LED。四种主要色调(蓝色,绿色,黄色,和黑色)可以在原始和重新整合的区域区分开来。对于每种色调,平均色差与平均值(MCDM),CIEDE2000平均距离,卷,通过比较原始区域和重新整合区域,在CIELAB空间中计算重叠体积。该研究揭示了瓷砖内原始和重新整合区域之间的明显平均色差:黄色和蓝色瓷砖的6.0和4.7CIEDE2000单位(MCDM值分别为3.7和4.5和5.8和7.2),黑色和绿色瓷砖的16.6和17.8CIEDE2000单位(MCDM值分别为13.2和12.2以及10.9和11.3)。与原始和重新整合区域相对应的CIELAB点的重叠体积范围为35%至50%,表明这些区域将被所有四个瓷砖的正常色觉的观察者感知为不同的。然而,原始区域和重新整合区域之间的平均色差随测试光源的变化小于2.6CIEDE2000单位。我们目前的方法为评估不同光源下重新整合区域的颜色外观提供了有用的定量结果。帮助策展人和博物馆专业人士选择最佳照明。
    Color reintegration is a restoration treatment that involves applying paint or colored plaster to an object of cultural heritage to facilitate its perception and understanding. This study examines the impact of lighting on the visual appearance of one such restored piece: a tiled skirting panel from the Nasrid period (1238-1492), permanently on display at the Museum of the Alhambra (Spain). Spectral images in the range of 380-1080 nm were obtained using a hyperspectral image scanner. CIELAB and CIEDE2000 color coordinates at each pixel were computed assuming the CIE 1931 standard colorimetric observer and considering ten relevant illuminants proposed by the International Commission on Illumination (CIE): D65 plus nine white LEDs. Four main hues (blue, green, yellow, and black) can be distinguished in the original and reintegrated areas. For each hue, mean color difference from the mean (MCDM), CIEDE2000 average distances, volumes, and overlapping volumes were computed in the CIELAB space by comparing the original and the reintegrated zones. The study reveals noticeable average color differences between the original and reintegrated areas within tiles: 6.0 and 4.7 CIEDE2000 units for the yellow and blue tiles (with MCDM values of 3.7 and 4.5 and 5.8 and 7.2, respectively), and 16.6 and 17.8 CIEDE2000 units for the black and green tiles (with MCDM values of 13.2 and 12.2 and 10.9 and 11.3, respectively). The overlapping volume of CIELAB clouds of points corresponding to the original and reintegrated areas ranges from 35% to 50%, indicating that these areas would be perceived as different by observers with normal color vision for all four tiles. However, average color differences between the original and reintegrated areas changed with the tested illuminants by less than 2.6 CIEDE2000 units. Our current methodology provides useful quantitative results for evaluation of the color appearance of a reintegrated area under different light sources, helping curators and museum professionals to choose optimal lighting.
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  • 文章类型: Journal Article
    这项研究描述了一种对胶质瘤病理切片进行分级的新方法。我们自己的集成高光谱成像系统用于表征来自神经胶质瘤微阵列载玻片的270条带癌组织样本。然后根据世界卫生组织制定的指南对这些样本进行分类,定义了弥漫性神经胶质瘤的亚型和等级。我们使用不同恶性等级的脑胶质瘤的显微高光谱图像探索了一种称为SMLMER-ResNet的高光谱特征提取模型。该模型结合通道注意机制和多尺度图像特征,自动学习胶质瘤的病理组织,获得分层特征表示,有效去除冗余信息的干扰。它还完成了多模态,多尺度空间谱特征提取提高胶质瘤亚型的自动分类。所提出的分类方法具有较高的平均分类精度(>97.3%)和Kappa系数(0.954),表明其在提高高光谱胶质瘤自动分类方面的有效性。该方法很容易适用于广泛的临床环境。为减轻临床病理学家的工作量提供宝贵的帮助。此外,这项研究有助于制定更个性化和更精细的治疗计划,以及随后的随访和治疗调整,通过为医生提供对神经胶质瘤潜在病理组织的见解。
    This study describes a novel method for grading pathological sections of gliomas. Our own integrated hyperspectral imaging system was employed to characterize 270 bands of cancerous tissue samples from microarray slides of gliomas. These samples were then classified according to the guidelines developed by the World Health Organization, which define the subtypes and grades of diffuse gliomas. We explored a hyperspectral feature extraction model called SMLMER-ResNet using microscopic hyperspectral images of brain gliomas of different malignancy grades. The model combines the channel attention mechanism and multi-scale image features to automatically learn the pathological organization of gliomas and obtain hierarchical feature representations, effectively removing the interference of redundant information. It also completes multi-modal, multi-scale spatial-spectral feature extraction to improve the automatic classification of glioma subtypes. The proposed classification method demonstrated high average classification accuracy (>97.3%) and a Kappa coefficient (0.954), indicating its effectiveness in improving the automatic classification of hyperspectral gliomas. The method is readily applicable in a wide range of clinical settings, offering valuable assistance in alleviating the workload of clinical pathologists. Furthermore, the study contributes to the development of more personalized and refined treatment plans, as well as subsequent follow-up and treatment adjustment, by providing physicians with insights into the underlying pathological organization of gliomas.
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  • 文章类型: Journal Article
    由于其可双向开放和最小的侵入性,在癌症诊断和治疗中,700-1100nm之间的近红外(NIR)光引起了人们的关注。我们的小组先前报道说,疏水性双自由基-铂(II)络合物PtL2是用于癌症光热治疗的有前途的药物(L=3,5-二溴-1,2-二亚氨基苯并半醌基)。因为PtL2不发荧光,用荧光显微镜无法观察到其对PtL2的细胞间摄取。在这项研究中,我们使用高光谱成像技术对图像进行分光光度分析,阐明了牛血清白蛋白(BSA)溶解的PtL2的摄取和细胞内行为。获得的图像中的光谱变化表明,在长孵育期(>4小时)期间,PtL2的内化伴随着复合物的结晶。此外,通过对PtL2结合后的BSA进行荧光猝灭分析,可以估计结合常数Kb=5.91×104M-1;Kb比白蛋白常见药物小两个数量级。考虑到PtL2在水中的Kb小、溶解度低,我们最终提出了PtL2在细胞中的内化途径和命运:PtL2从细胞膜附近的BSA释放,随后通过膜渗透和饱和进行细胞摄取,导致结晶。
    Owing to its biopenetrability and minimal invasiveness, near-infrared (NIR) light in the region between 700-1100 nm has attracted attention in cancer diagnosis and therapy. Our group previously reported that the hydrophobic diradical-platinum(II) complex PtL2 is a promising agent for cancer photothermal therapy (L = 3,5-dibromo-1,2-diiminobenzosemiquinonate radical). Because PtL2 does not fluoresce, its intercellular uptake of PtL2 cannot be observed with a fluorescence microscope. In this study, we clarified the uptake and intracellular behavior of PtL2 solubilized by bovine serum albumin (BSA) using hyperspectral imaging enabling spectrophotometric analysis of the image. The spectral changes in the obtained images indicated that the internalization of PtL2 was followed by crystallization of the complex during the long incubation period (> 4 h). Additionally, the binding constant Kb = 5.91 × 104 M-1 could be estimated upon fluorescence quenching analysis of BSA upon binding of PtL2; Kb is two orders of magnitude smaller than that of albumin-common drugs. Considering the small Kb and low solubility of PtL2 in water, we ultimately proposed the internalization path and fate of PtL2 in the cell: release of PtL2 from BSA near cellular membranes and subsequent cellular uptake via membrane permeation followed by saturation, resulting in crystallization.
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  • 文章类型: Journal Article
    背景:高光谱成像(HSI),结合机器学习,可以帮助识别特征组织签名,从而在手术期间实现自动组织识别。这项研究旨在开发第一个基于HSI的自动腹部组织识别,并在预期的双中心环境中使用人体数据。
    方法:数据来自2020年9月至2021年6月在两家国际三级转诊医院接受择期开腹手术的患者。在整个外科手术的各个时间点捕获HS图像。所得的RGB图像用13个不同的器官标记进行注释。卷积神经网络(CNN)用于分析,使用外部和内部验证设置。
    结果:共纳入169例患者,斯特拉斯堡73人(43.2%),维罗纳96人(56.8%)。中心内部验证将两个中心的患者合并为一个队列,随机分配到培训中(127名患者,75.1%,585张图像)和测试集(42名患者,24.9%,181图像)。此验证设置显示最佳性能。皮肤(100%)和肝脏(97%)的真实阳性率最高。错误分类包括具有相似胚胎起源的组织(网膜和肠系膜:32%)或具有重叠边界的组织(肝脏和肝韧带:22%)。十个组织类别的中值DICE评分超过80%。
    结论:为了改善自动手术场景分割并推动临床转化,多中心准确的恒生指数数据集是必不可少的,但需要进一步的工作来量化HSI的临床价值.恒生指数可能被纳入一门新的组学科学,即手术验光术,在手术过程中使用光提取可量化的组织特征。
    BACKGROUND: Hyperspectral imaging (HSI), combined with machine learning, can help to identify characteristic tissue signatures enabling automatic tissue recognition during surgery. This study aims to develop the first HSI-based automatic abdominal tissue recognition with human data in a prospective bi-center setting.
    METHODS: Data were collected from patients undergoing elective open abdominal surgery at two international tertiary referral hospitals from September 2020 to June 2021. HS images were captured at various time points throughout the surgical procedure. Resulting RGB images were annotated with 13 distinct organ labels. Convolutional Neural Networks (CNNs) were employed for the analysis, with both external and internal validation settings utilized.
    RESULTS: A total of 169 patients were included, 73 (43.2%) from Strasbourg and 96 (56.8%) from Verona. The internal validation within centers combined patients from both centers into a single cohort, randomly allocated to the training (127 patients, 75.1%, 585 images) and test sets (42 patients, 24.9%, 181 images). This validation setting showed the best performance. The highest true positive rate was achieved for the skin (100%) and the liver (97%). Misclassifications included tissues with a similar embryological origin (omentum and mesentery: 32%) or with overlaying boundaries (liver and hepatic ligament: 22%). The median DICE score for ten tissue classes exceeded 80%.
    CONCLUSIONS: To improve automatic surgical scene segmentation and to drive clinical translation, multicenter accurate HSI datasets are essential, but further work is needed to quantify the clinical value of HSI. HSI might be included in a new omics science, namely surgical optomics, which uses light to extract quantifiable tissue features during surgery.
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  • 文章类型: Journal Article
    地壳珊瑚藻(CCA)是形成栖息地的高度多样化群体,钙化红色大型藻类(Rhodophyta),对不同的辐照度方案具有独特的适应性。一种独特的CCA表型适应,这使得它们能够在弱光下最大化光合性能,是它们含有一组称为藻胆素的特定采光色素。在这项研究中,我们评估了可见光谱(400-800nm)中无创高光谱成像(HSI)的潜力,以描述南极珊瑚藻胆素含量的表型变异性,南极特氏痰(Hapalidiales),从两个不同的位置。我们通过色素提取和分光光度分析验证了我们的测量结果,除了使用psbA标记的DNA条形码。使用线性混合模型(R2=0.64-0.7)开发了目标光谱指数并将其与藻胆素含量相关。一旦应用于恒生指数,模型揭示了两种位点特异性CCA表型中不同的藻红蛋白空间分布,结壳又薄又厚,分别。这项研究提高了高光谱成像作为定量研究CCA色素沉着与其表型可塑性相关的工具的能力,这可以应用于实验室研究和潜在的现场调查使用水下高光谱成像系统。
    Crustose coralline algae (CCA) are a highly diverse group of habitat-forming, calcifying red macroalgae (Rhodophyta) with unique adaptations to diverse irradiance regimes. A distinctive CCA phenotype adaptation, which allows them to maximize photosynthetic performance in low light, is their content of a specific group of light-harvesting pigments called phycobilins. In this study, we assessed the potential of noninvasive hyperspectral imaging (HSI) in the visible spectrum (400-800 nm) to describe the phenotypic variability in phycobilin content of an Antarctic coralline, Tethysphytum antarcticum (Hapalidiales), from two distinct locations. We validated our measurements with pigment extractions and spectrophotometry analysis, in addition to DNA barcoding using the psbA marker. Targeted spectral indices were developed and correlated with phycobilin content using linear mixed models (R2 = 0.64-0.7). Once applied to the HSI, the models revealed the distinct phycoerythrin spatial distribution in the two site-specific CCA phenotypes, with thin and thick crusts, respectively. This study advances the capabilities of hyperspectral imaging as a tool to quantitatively study CCA pigmentation in relation to their phenotypic plasticity, which can be applied in laboratory studies and potentially in situ surveys using underwater hyperspectral imaging systems.
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  • 文章类型: Journal Article
    脉络膜痣的患病率很常见,已发现高达10%。关于脉络膜痣的光学性质知之甚少。一种新型的高光谱眼底相机用于研究脉络膜痣在视网膜中的光密度光谱。
    在眼科诊所环境中,脉络膜痣患者被纳入研究.测试视敏度和压力。在散瞳之后,光学相干断层扫描和眼底摄影作为参考,之后,在450-700nm处拍摄具有12nm光谱分辨率的高光谱图像。在痣的整个区域测量光密度光谱。
    检查了9例11naevi患者。视敏度不受任何naevi的影响。通过光学相干断层扫描和/或检查,所有的奈维都是平坦的,只有一个纳维有危险因素(橙色色素沉着)。背景和naevi之间的Wasserstein距离在695nm处高于555nm(p=.002)。根据提取的光密度光谱,可以将naevi分为三个簇。
    脉络膜痣在更长的波长下比在更短的波长下更好地可见。此发现可用于轮廓和跟踪脉络膜痣。脉络膜痣暴露了不同的光密度光谱,可以分为三个不同的簇。这些团簇之一的光密度光谱类似于脂褐素的吸收光谱,这可能表明这种颜料的含量。
    The prevalence of choroidal naevi is common and has been found to be up to 10%. Little is known regarding the optical properties of choroidal naevi. A novel hyperspectral eye fundus camera was used to investigate choroidal naevi\'s optical density spectra in the retina.
    In an ophthalmology clinic setting, patients with choroidal naevi were included in the study. Visual acuity and pressure were tested. Following mydriatics, optical coherence tomography and fundus photography were taken as a reference, after which a hyperspectral image with 12 nm spectral resolution at 450-700 nm was taken. The optical density spectra was measured across the area of the naevus.
    Nine patients with 11 naevi were examined. The visual acuity was not affected by any of the naevi. All the naevi were flat as measured either with the optical coherence tomography and/or on inspection, and only one naevi had a risk factor (orange pigmentation). The Wasserstein distance between the background and the naevi was higher at 695 nm compared to 555 nm (p = .002). The naevi could be grouped into three clusters based on the extracted optical density spectra.
    Choroidal naevi are better visible in longer wavelengths compared to shorter wavelengths. This finding can be used to contour and follow choroidal naevi. Choroidal naevi expose different optical density spectra that can be grouped into three different clusters. One of these clusters has an optical density spectra resembling the absorption spectra of lipofuscin, which may indicate the content of this pigment.
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  • 文章类型: Journal Article
    背景:小肠灌注不良(SBM)可导致高发病率和严重的手术后果。然而,SBM的量化没有标准化的客观测量工具。吲哚菁绿(ICG)成像可用于可视化,但缺乏规范性和客观性。高光谱成像(HSI)作为一种新兴的医学技术,可能比传统的ICG荧光或与之结合具有优势。
    方法:来自生理小肠的HSI基线数据,在总共54个体内猪模型中记录了静脉内应用ICG后的无血管小肠和小肠。肠系膜切开术后无血管小肠的可视化显示仅在HSI之间进行了比较(1),ICG增强的HSI(IA-HSI)(2),通过外科医生的眼睛进行临床评估(3)和常规ICG成像(4)。主要研究重点是四种方法中每种方法所建议的切除边界的定位。测量这些边界之间的距离,并从之间的区域获得组织学样本,以量化每个区域切开术后6小时的坏死变化。
    结果:StO2图像(1)能够可视化生理灌注区域和明显受损的灌注区域。然而,无法明确确定生理灌注开始减少的确切边界.相反,IA-HSI(2)提出了一个尖锐的切除线,其中StO2值开始降低。临床评价(3)建议切除线23mm(±7mm),并且常规ICG成像(4)甚至建议切除线53mm(±13mm)更靠近不灌注区域。仅根据常规ICG(R3)进行充分灌注的区域的组织病理学评估已经显示出27%(±9%)表面积的坏死前变化显着增加。因此,在检测组织灌注不足方面,常规ICG似乎不如IA-HSI敏感。
    结论:在本实验动物研究中,IA-HSI(2)在节段性SBM的可视化方面优于常规HSI成像(1),关于组织病理学安全性的临床评估(3)或常规ICG成像(4)。ICG应用在HSI相机的StO2值中引起视觉伪影,因为数值显著增加。这是由全身性ICG的光学特性引起的,与氧合水平的真正增加并不相似。然而,这一经验发现可用于在IA-HSI方法中利用ICG作为造影剂可视化节段性SBM。临床适用性和相关性必须在临床试验中进行探索。
    方法:不适用。翻译动物科学。原创文章。
    BACKGROUND: Small bowel malperfusion (SBM) can cause high morbidity and severe surgical consequences. However, there is no standardized objective measuring tool for the quantification of SBM. Indocyanine green (ICG) imaging can be used for visualization, but lacks standardization and objectivity. Hyperspectral imaging (HSI) as a newly emerging technology in medicine might present advantages over conventional ICG fluorescence or in combination with it.
    METHODS: HSI baseline data from physiological small bowel, avascular small bowel and small bowel after intravenous application of ICG was recorded in a total number of 54 in-vivo pig models. Visualizations of avascular small bowel after mesotomy were compared between HSI only (1), ICG-augmented HSI (IA-HSI) (2), clinical evaluation through the eyes of the surgeon (3) and conventional ICG imaging (4). The primary research focus was the localization of resection borders as suggested by each of the four methods. Distances between these borders were measured and histological samples were obtained from the regions in between in order to quantify necrotic changes 6 h after mesotomy for every region.
    RESULTS: StO2 images (1) were capable of visualizing areas of physiological perfusion and areas of clearly impaired perfusion. However, exact borders where physiological perfusion started to decrease could not be clearly identified. Instead, IA-HSI (2) suggested a sharp-resection line where StO2 values started to decrease. Clinical evaluation (3) suggested a resection line 23 mm (±7 mm) and conventional ICG imaging (4) even suggested a resection line 53 mm (±13 mm) closer towards the malperfused region. Histopathological evaluation of the region that was sufficiently perfused only according to conventional ICG (R3) already revealed a significant increase in pre-necrotic changes in 27% (±9%) of surface area. Therefore, conventional ICG seems less sensitive than IA-HSI with regards to detection of insufficient tissue perfusion.
    CONCLUSIONS: In this experimental animal study, IA-HSI (2) was superior for the visualization of segmental SBM compared to conventional HSI imaging (1), clinical evaluation (3) or conventional ICG imaging (4) regarding histopathological safety. ICG application caused visual artifacts in the StO2 values of the HSI camera as values significantly increase. This is caused by optical properties of systemic ICG and does not resemble a true increase in oxygenation levels. However, this empirical finding can be used to visualize segmental SBM utilizing ICG as contrast agent in an approach for IA-HSI. Clinical applicability and relevance will have to be explored in clinical trials.
    METHODS: Not applicable. Translational animal science. Original article.
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  • 文章类型: Journal Article
    高光谱成像(HSI)是一种非侵入性和非接触式技术,可实时获取有关手术区域内组织的综合信息。在这项试点研究中,我们调查了新的HSI系统是否用于微创手术,TIVITA®Mini(HSI-MIS),在21例癌症患者的腹腔镜/胸腔镜或机器人IvorLewis食管切除术中,提供了对食管胃吻合部位近端和远端组织灌注的可靠见解,以最大程度地减少可怕的吻合功能不全的风险。在这项开创性的调查中,在手术的胸段阶段,从吻合口的近端部位(食管残端)和吻合口的远端部位(胃导管的尖端)的HSI测量得出生理组织参数。组织氧合(StO2),近红外灌注指数(NIR-PI),和组织水指数(TWI)在两个吻合部位显示相似的中值。仅在NIR-PI中观察到显着差异(中位数:76.5vs.63.9;p=0.012)与我们先前使用HSI系统进行开放手术的研究相比,在远端部位(胃导管)。对于所有21名患者,可靠和翔实的测量是可以实现的,确认HSI-MIS评估吻合口可行性的可行性。有必要对这种旨在减少吻合口功能不全的新技术的附加益处进行进一步研究。
    Hyperspectral imaging (HSI) is a non-invasive and contactless technique that enables the real-time acquisition of comprehensive information on tissue within the surgical field. In this pilot study, we investigated whether a new HSI system for minimally-invasive surgery, TIVITA® Mini (HSI-MIS), provides reliable insights into tissue perfusion of the proximal and distal esophagogastric anastomotic sites during 21 laparoscopic/thoracoscopic or robotic Ivor Lewis esophagectomies of patients with cancer to minimize the risk of dreaded anastomotic insufficiency. In this pioneering investigation, physiological tissue parameters were derived from HSI measurements of the proximal site of the anastomosis (esophageal stump) and the distal site of the anastomosis (tip of the gastric conduit) during the thoracic phase of the procedure. Tissue oxygenation (StO2), Near Infrared Perfusion Index (NIR-PI), and Tissue Water Index (TWI) showed similar median values at both anastomotic sites. Significant differences were observed only for NIR-PI (median: 76.5 vs. 63.9; p = 0.012) at the distal site (gastric conduit) compared to our previous study using an HSI system for open surgery. For all 21 patients, reliable and informative measurements were attainable, confirming the feasibility of HSI-MIS to assess anastomotic viability. Further studies on the added benefit of this new technique aiming to reduce anastomotic insufficiency are warranted.
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