Laser speckle contrast imaging compared with indocyanine green in renal perfusion of a porcine model

Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc..

Background: When viewed under near-infrared light, indocyanine green (ICG) signal for kidney perfusion can be utilized in partial nephrectomy. Laser speckle contrast imaging (LSCI) uses coherent light to detect perfusion during real-time laparoscopic surgery.

Materials and methods: Laser speckle contrast imaging or ActivSight, an imaging sensor adapter, was used during laparoscopy of an anesthetized porcine kidney model. ActivSight's "perfusion mode" and "quantification mode" displayed the blood flow as a heatmap and numerical signal intensity, respectively.

Results: After the upper segmental renal artery was clamped, ICG was seen in the lower pole, and LSCI showed low unit (dark color) quantification and perfusion in the upper pole. Indocyanine green was retained in the lower pole after the upper segmental artery was unclamped, and LSCI perfusion was demonstrated in the entire kidney.

Conclusions: Laser speckle contrast imaging is a dye-free, repeatable, real-time adjunct for renal parenchymal perfusion assessment applicable to minimally invasive renal surgery to complement the technology of ICG near-infrared fluorescence and advance digital surgery.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Current urology - 17(2023), 2 vom: 30. Juni, Seite 141-145

Sprache:

Englisch

Beteiligte Personen:

Noël, Jonathan [VerfasserIn]
Mascarenhas, Anya [VerfasserIn]
Nwaiwu, Chibueze A [VerfasserIn]
Liu, Yao [VerfasserIn]
Moschovas, Marcio [VerfasserIn]
Buharin, Vasiliy E [VerfasserIn]
Oberlin, John [VerfasserIn]
Mehrotra, Saloni [VerfasserIn]
Dechert, Alyson F [VerfasserIn]
Kim, Peter C W [VerfasserIn]
Patel, Vipul [VerfasserIn]

Links:

Volltext

Themen:

Augmented reality
Indocyanine green
Journal Article
Laser speckle contrast imaging
Perfusion
Selective arterial clamping

Anmerkungen:

Date Revised 13.09.2023

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1097/CU9.0000000000000155

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM361894619