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Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework

OBJECTIVES: Intraoperative fluorescence imaging is currently used in a variety of surgical fields for four main purposes: visualising anatomy, assessing tissue perfusion, identifying/localising cancer and mapping lymphatic systems. To establish evidence-based guidance for research and practice, unde...

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Autores principales: Ishizawa, Takeaki, McCulloch, Peter, Stassen, Laurents, van den Bos, Jacqueline, Regimbeau, Jean-Marc, Dembinski, Jeanne, Schneider-Koriath, Sylke, Boni, Luigi, Aoki, Takeshi, Nishino, Hiroto, Hasegawa, Kiyoshi, Sekine, Yasuo, Chen-Yoshikawa, Toyofumi, Yeung, Trevor, Berber, Eren, Kahramangil, Bora, Bouvet, Michael, Diana, Michele, Kokudo, Norihiro, Dip, Fernando, White, Kevin, Rosenthal, Raul J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639126/
https://www.ncbi.nlm.nih.gov/pubmed/36353184
http://dx.doi.org/10.1136/bmjsit-2022-000156
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author Ishizawa, Takeaki
McCulloch, Peter
Stassen, Laurents
van den Bos, Jacqueline
Regimbeau, Jean-Marc
Dembinski, Jeanne
Schneider-Koriath, Sylke
Boni, Luigi
Aoki, Takeshi
Nishino, Hiroto
Hasegawa, Kiyoshi
Sekine, Yasuo
Chen-Yoshikawa, Toyofumi
Yeung, Trevor
Berber, Eren
Kahramangil, Bora
Bouvet, Michael
Diana, Michele
Kokudo, Norihiro
Dip, Fernando
White, Kevin
Rosenthal, Raul J
author_facet Ishizawa, Takeaki
McCulloch, Peter
Stassen, Laurents
van den Bos, Jacqueline
Regimbeau, Jean-Marc
Dembinski, Jeanne
Schneider-Koriath, Sylke
Boni, Luigi
Aoki, Takeshi
Nishino, Hiroto
Hasegawa, Kiyoshi
Sekine, Yasuo
Chen-Yoshikawa, Toyofumi
Yeung, Trevor
Berber, Eren
Kahramangil, Bora
Bouvet, Michael
Diana, Michele
Kokudo, Norihiro
Dip, Fernando
White, Kevin
Rosenthal, Raul J
author_sort Ishizawa, Takeaki
collection PubMed
description OBJECTIVES: Intraoperative fluorescence imaging is currently used in a variety of surgical fields for four main purposes: visualising anatomy, assessing tissue perfusion, identifying/localising cancer and mapping lymphatic systems. To establish evidence-based guidance for research and practice, understanding the state of research on fluorescence imaging in different surgical fields is needed. We evaluated the evidence on fluorescence imaging used to visualise anatomical structures using the IDEAL framework, a framework designed to describe the stages of innovation in surgery and other interventional procedures. DESIGN: IDEAL staging based on a thorough literature review. SETTING: All publications on intraoperative fluorescence imaging for visualising anatomical structures reported in PubMed through 2020 were identified for five surgical procedures: cholangiography, hepatic segmentation, lung segmentation, ureterography and parathyroid identification. MAIN OUTCOME MEASURES: The IDEAL stage of research evidence was determined for each of the five procedures using a previously described approach. RESULTS: 225 articles (8427 cases) were selected for analysis. Current status of research evidence on fluorescence imaging was rated IDEAL stage 2a for ureterography and lung segmentation, IDEAL 2b for hepatic segmentation and IDEAL stage 3 for cholangiography and parathyroid identification. Enhanced tissue identification rates using fluorescence imaging relative to conventional white-light imaging have been documented for all five procedures by comparative studies including randomised controlled trials for cholangiography and parathyroid identification. Advantages of anatomy visualisation with fluorescence imaging for improving short-term and long-term postoperative outcomes also were demonstrated, especially for hepatobiliary surgery and (para)thyroidectomy. No adverse reactions associated with fluorescent agents were reported. CONCLUSIONS: Intraoperative fluorescence imaging can be used safely to enhance the identification of anatomical structures, which may lead to improved postoperative outcomes. Overviewing current research knowledge using the IDEAL framework aids in designing further studies to develop fluorescence imaging techniques into an essential intraoperative navigation tool in each surgical field.
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spelling pubmed-96391262022-11-08 Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework Ishizawa, Takeaki McCulloch, Peter Stassen, Laurents van den Bos, Jacqueline Regimbeau, Jean-Marc Dembinski, Jeanne Schneider-Koriath, Sylke Boni, Luigi Aoki, Takeshi Nishino, Hiroto Hasegawa, Kiyoshi Sekine, Yasuo Chen-Yoshikawa, Toyofumi Yeung, Trevor Berber, Eren Kahramangil, Bora Bouvet, Michael Diana, Michele Kokudo, Norihiro Dip, Fernando White, Kevin Rosenthal, Raul J BMJ Surg Interv Health Technol Original Research OBJECTIVES: Intraoperative fluorescence imaging is currently used in a variety of surgical fields for four main purposes: visualising anatomy, assessing tissue perfusion, identifying/localising cancer and mapping lymphatic systems. To establish evidence-based guidance for research and practice, understanding the state of research on fluorescence imaging in different surgical fields is needed. We evaluated the evidence on fluorescence imaging used to visualise anatomical structures using the IDEAL framework, a framework designed to describe the stages of innovation in surgery and other interventional procedures. DESIGN: IDEAL staging based on a thorough literature review. SETTING: All publications on intraoperative fluorescence imaging for visualising anatomical structures reported in PubMed through 2020 were identified for five surgical procedures: cholangiography, hepatic segmentation, lung segmentation, ureterography and parathyroid identification. MAIN OUTCOME MEASURES: The IDEAL stage of research evidence was determined for each of the five procedures using a previously described approach. RESULTS: 225 articles (8427 cases) were selected for analysis. Current status of research evidence on fluorescence imaging was rated IDEAL stage 2a for ureterography and lung segmentation, IDEAL 2b for hepatic segmentation and IDEAL stage 3 for cholangiography and parathyroid identification. Enhanced tissue identification rates using fluorescence imaging relative to conventional white-light imaging have been documented for all five procedures by comparative studies including randomised controlled trials for cholangiography and parathyroid identification. Advantages of anatomy visualisation with fluorescence imaging for improving short-term and long-term postoperative outcomes also were demonstrated, especially for hepatobiliary surgery and (para)thyroidectomy. No adverse reactions associated with fluorescent agents were reported. CONCLUSIONS: Intraoperative fluorescence imaging can be used safely to enhance the identification of anatomical structures, which may lead to improved postoperative outcomes. Overviewing current research knowledge using the IDEAL framework aids in designing further studies to develop fluorescence imaging techniques into an essential intraoperative navigation tool in each surgical field. BMJ Publishing Group 2022-11-04 /pmc/articles/PMC9639126/ /pubmed/36353184 http://dx.doi.org/10.1136/bmjsit-2022-000156 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Ishizawa, Takeaki
McCulloch, Peter
Stassen, Laurents
van den Bos, Jacqueline
Regimbeau, Jean-Marc
Dembinski, Jeanne
Schneider-Koriath, Sylke
Boni, Luigi
Aoki, Takeshi
Nishino, Hiroto
Hasegawa, Kiyoshi
Sekine, Yasuo
Chen-Yoshikawa, Toyofumi
Yeung, Trevor
Berber, Eren
Kahramangil, Bora
Bouvet, Michael
Diana, Michele
Kokudo, Norihiro
Dip, Fernando
White, Kevin
Rosenthal, Raul J
Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework
title Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework
title_full Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework
title_fullStr Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework
title_full_unstemmed Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework
title_short Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework
title_sort assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the ideal framework
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639126/
https://www.ncbi.nlm.nih.gov/pubmed/36353184
http://dx.doi.org/10.1136/bmjsit-2022-000156
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