Pattern recognition in hyperspectral data acquired during surgical procedures: Differentiation between nerve and adipose tissue

Intraoperative nerve localization is extremely important during surgery, especially laparoscopy. This is particularly challenging when nerves show visual resemblance to surrounding tissue. An example of such a delicate procedure is thyroid and parathyroid surgery, where iatrogenic injury of the recurrent laryngeal nerve can result in transient...

Automated spectroscopic tissue classification in colorectal surgery

In colorectal surgery, detecting ureters and mesenteric arteries is of utmost importance to prevent iatrogenic injury and to facilitate intraoperative decision making. A tool enabling ureter- and artery-specific image enhancement within (and possibly through) surrounding adipose tissue would facilitate this need, especially during laparoscopy....

Differentiation between nerve and adipose tissue using wide-band (350–1,830 nm) in vivo diffuse reflectance spectroscopy

Background: Intraoperative nerve localization is of great importance in surgery. In certain procedures, where nerves show visual resemblance to surrounding adipose tissue, this can be particularly challenging for the human eye. An example of such a delicate procedure is thyroid and parathyroid surgery, where iatrogenic injury of the recurrent...

Quantification of Heterogeneity as a Biomarker in Tumor Imaging: A Systematic Review

Background:Many techniques are proposed for the quantification of tumor heterogeneity as an imaging biomarker for differentiation between tumor types, tumor grading, response monitoring and outcome prediction. However, in clinical practice these methods are barely used. This study evaluates the reported performance of the described methods and...

In vivo wide-band reflectance spectrometry during thyroid and parathyroid surgery

Distinguishing critical tissues can be challenging in (para-)thyroid surgery. As a first step towards intraoperative image contrast enhancement, we collected and analyzed spectral signatures (350-1830nm) of thyroid, parathyroid and recurrent laryngeal nerve in 10 patients.

Requirements for multimedia metadata schemes in surveillance applications for security

Surveillance for security requires communication between systems and humans, involves behavioural and multimedia research, and demands an objective benchmarking for the performance of system components.Metadata representation schemes are extremely important to facilitate (system) interoperability and to define ground truth annotations for...

Heterogeneity as Biomarker in Tumour Imaging (abstract only)

PURPOSE: Tumour heterogeneity could be a valuable biomarker for differentiation, grading, response monitoring and outcome prediction. Many quantification techniques have been described, however in clinical practice these methods are scarcely used. The aim of this study is to evaluate the performance of the described methods and to identify the...

Wide Band Reflectance Spectrometry and Hyperspectral Imaging for Intraoperative Tissue Recognition (abstract only)

One of the challenges during surgery is to make a proper distinction between vital tissues, structures and organs, both at the surface of the exposed area and beneath it. Currently, identification of different tissue types relies either on the skills and anatomical knowledge of the surgeon (e.g., nerves, blood vessels, different tissue types),...

Regional heterogeneity changes in DCE-MRI as response to isolated limb perfusion in experimental soft-tissue sarcomas.

Experimental evidence supports an association between heterogeneity in tumor perfusion and response to chemotherapy/radiotherapy, disease progression and malignancy. Therefore, changes in tumor perfusion may be used to assess early effects of tumor treatment. However, evaluating changes in tumor perfusion during treatment is complicated by...

Quantification of Tumour Heterogeneity in MRI

In vivo optical characterization of critical tissues during colorectal surgery (abstract only)

BACKGROUND: During colorectal surgical dissections, recognizing essential anatomy is crucial to prevent iatrogenic injury. This study builds forth upon previously identified new inherent anatomical spectral contrasts in fresh human colonic samples. AIM: Assessment of optical spectrometry for discriminating critical tissues (colon, adipose tissue...

Difuse optical reflectance spectrometry in thyroid and parathyroid surgery (abstract only)

INTRODUCTION: In thyroid and parathyroid surgery iatrogenic injury of the parathyroid glands or the recurrent laryngeal nerve (RLN) is a possible complication that needs to be prevented. The visible contrast between thyroid and parathyroid tissue is delicate to observe. The aim of this pilot study was to collect in vivo spectral reflectance...

Quantification of DCE-MRI: A validation of three teahniques with 3D-histology

Three different DCE-MRI quantification methods: model-free-based, compartment-model-based and principal component analysis, are compared by evaluating parameter maps for histological defined volumes of vital and non-vital tumor tissue. To obtain an accurate spatial correspondence between histology and DCE-MRI, a two-step registration process was...

Heterogeneity in DCE-MRI parametric maps: A biomarker for treatment response?

This study aims to quantify the heterogeneity of tumour enhancement in dynamic contrast-enhanced MRI (DCE-MRI) using texture analysis methods. The suitability of the coherence and the fractal dimension to monitor tumour response was evaluated in 18 patients with limb sarcomas imaged by DCE-MRI pre- and post-treatment. According to the...

Facilitating tumor functional assessment by spatially relating 3D tumor histology and in vivo MRI: Image registration approach

Background:Magnetic resonance imaging (MRI), together with histology, is widely used to diagnose and to monitor treatment in oncology. Spatial correspondence between these modalities provides information about the ability of MRI to characterize cancerous tissue. However, registration is complicated by deformations during pathological processing,...

Developing a tool for the validation of quantitative DCE-MRI

Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) is becoming an indispensable tool to non-invasively study tumor characteristics. However, many different DCE-analysis methods are currently being used. To compare and validate different methods, histology is the gold standard. For this purpose, exact co-localization between histology...

Multi-modal image registration: matching MRI with histology

Spatial correspondence between histology and multi sequence MRI can provide information about the capabilities of non-invasive imaging to characterize cancerous tissue. However, shrinkage and deformation occurring during the excision of the tumor and the histological processing complicate the co registration of MR images with histological...