作者
Alexander Studier-Fischer, Florian Marc Schwab, Maike Rees, Silvia Seidlitz, Jan Sellner, Berkin Özdemir, Leonardo Ayala, Jan Odenthal, Samuel Knoedler, Karl-Friedrich Kowalewski, Caelan Max Haney, Maximilian Dietrich, Gabriel Alexander Salg, Hannes Götz Kenngott, Beat Peter Müller-Stich, Lena Maier-Hein, Felix Nickel
发表日期
2023/12/1
期刊
International Journal of Surgery
卷号
109
期号
12
页码范围
3883-3895
出版商
LWW
简介
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 …
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