Cargando…
Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality
Lymphaticovenular anastomosis (LVA) is a widely performed surgical procedure for the treatment of lymphedema. For good LVA outcomes, identifying lymphatic vessels and venules is crucial. Photoacoustic lymphangiography (PAL) is a new technology for visualizing lymphatic vessels. It can depict lymphat...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745664/ https://www.ncbi.nlm.nih.gov/pubmed/35011933 http://dx.doi.org/10.3390/jcm11010194 |
_version_ | 1784630399913164800 |
---|---|
author | Suzuki, Yushi Kajita, Hiroki Watanabe, Shiho Otaki, Marika Okabe, Keisuke Sakuma, Hisashi Takatsume, Yoshifumi Imanishi, Nobuaki Aiso, Sadakazu Kishi, Kazuo |
author_facet | Suzuki, Yushi Kajita, Hiroki Watanabe, Shiho Otaki, Marika Okabe, Keisuke Sakuma, Hisashi Takatsume, Yoshifumi Imanishi, Nobuaki Aiso, Sadakazu Kishi, Kazuo |
author_sort | Suzuki, Yushi |
collection | PubMed |
description | Lymphaticovenular anastomosis (LVA) is a widely performed surgical procedure for the treatment of lymphedema. For good LVA outcomes, identifying lymphatic vessels and venules is crucial. Photoacoustic lymphangiography (PAL) is a new technology for visualizing lymphatic vessels. It can depict lymphatic vessels at high resolution; therefore, this study focused on how to apply PAL for lymphatic surgery. To visualize lymphatic vessels, indocyanine green was injected as a color agent. PAI-05 was used as the photoacoustic imaging device. Lymphatic vessels and veins were visualized at 797- and 835-nm wavelengths. First, it was confirmed whether the branching of the vasculature as depicted by the PAL was consistent with the actual branching of the vasculature as confirmed intraoperatively. Second, to use PAL images for surgical planning, preoperative photoacoustic images were superimposed onto the patient limb through augmented reality (AR) glasses (MOVERIO Smart Glass BT-30E). Lymphatics and venule markings drawn using AR glasses were consistent with the actual intraoperative images obtained during LVA. To anastomose multiple lymphatic vessels, a site with abundant venous branching was selected as the incision site; and selecting the incision site became easier. The anatomical morphology obtained by PAL matched the surgical field. AR-based marking could be very useful in future LVA. |
format | Online Article Text |
id | pubmed-8745664 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-87456642022-01-11 Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality Suzuki, Yushi Kajita, Hiroki Watanabe, Shiho Otaki, Marika Okabe, Keisuke Sakuma, Hisashi Takatsume, Yoshifumi Imanishi, Nobuaki Aiso, Sadakazu Kishi, Kazuo J Clin Med Article Lymphaticovenular anastomosis (LVA) is a widely performed surgical procedure for the treatment of lymphedema. For good LVA outcomes, identifying lymphatic vessels and venules is crucial. Photoacoustic lymphangiography (PAL) is a new technology for visualizing lymphatic vessels. It can depict lymphatic vessels at high resolution; therefore, this study focused on how to apply PAL for lymphatic surgery. To visualize lymphatic vessels, indocyanine green was injected as a color agent. PAI-05 was used as the photoacoustic imaging device. Lymphatic vessels and veins were visualized at 797- and 835-nm wavelengths. First, it was confirmed whether the branching of the vasculature as depicted by the PAL was consistent with the actual branching of the vasculature as confirmed intraoperatively. Second, to use PAL images for surgical planning, preoperative photoacoustic images were superimposed onto the patient limb through augmented reality (AR) glasses (MOVERIO Smart Glass BT-30E). Lymphatics and venule markings drawn using AR glasses were consistent with the actual intraoperative images obtained during LVA. To anastomose multiple lymphatic vessels, a site with abundant venous branching was selected as the incision site; and selecting the incision site became easier. The anatomical morphology obtained by PAL matched the surgical field. AR-based marking could be very useful in future LVA. MDPI 2021-12-30 /pmc/articles/PMC8745664/ /pubmed/35011933 http://dx.doi.org/10.3390/jcm11010194 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Suzuki, Yushi Kajita, Hiroki Watanabe, Shiho Otaki, Marika Okabe, Keisuke Sakuma, Hisashi Takatsume, Yoshifumi Imanishi, Nobuaki Aiso, Sadakazu Kishi, Kazuo Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality |
title | Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality |
title_full | Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality |
title_fullStr | Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality |
title_full_unstemmed | Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality |
title_short | Surgical Applications of Lymphatic Vessel Visualization Using Photoacoustic Imaging and Augmented Reality |
title_sort | surgical applications of lymphatic vessel visualization using photoacoustic imaging and augmented reality |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745664/ https://www.ncbi.nlm.nih.gov/pubmed/35011933 http://dx.doi.org/10.3390/jcm11010194 |
work_keys_str_mv | AT suzukiyushi surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT kajitahiroki surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT watanabeshiho surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT otakimarika surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT okabekeisuke surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT sakumahisashi surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT takatsumeyoshifumi surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT imanishinobuaki surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT aisosadakazu surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality AT kishikazuo surgicalapplicationsoflymphaticvesselvisualizationusingphotoacousticimagingandaugmentedreality |