Quantification of Indocyanine Green Fluorescence Imaging in General, Visceral and Transplant Surgery

Near-infrared (NIR) imaging with indocyanine green (ICG) has proven to be useful in general, visceral, and transplant surgery. However, most studies have performed only qualitative assessments. Therefore, a systematic overview of all studies performing quantitative indocyanine green evaluation in ge...

Verfasser: Pollmann, Lukas
Juratli, Mazen A.
Roushansarai, Nicola Sariye
Pascher, Andreas
Hölzen, Jens Peter
Dokumenttypen:Artikel
Medientypen:Text
Erscheinungsdatum:2023
Publikation in MIAMI:04.01.2024
Datum der letzten Änderung:04.01.2024
Angaben zur Ausgabe:[Electronic ed.]
Quelle:Journal of Clinical Medicine 12 (2023) 10, 3550, 1-15
Schlagwörter:indocyanine green (ICG); near-infrared (NIR) imaging; quantitative evaluation; intraoperative imaging; image-guided surgery; fluorescence imaging
Fachgebiet (DDC):610: Medizin und Gesundheit
Lizenz:CC BY 4.0
Sprache:English
Förderung:Finanziert durch den Open-Access-Publikationsfonds der Universität Münster.
Format:PDF-Dokument
URN:urn:nbn:de:hbz:6-08908426909
Weitere Identifikatoren:DOI: 10.17879/58918488492
Permalink:https://nbn-resolving.de/urn:nbn:de:hbz:6-08908426909
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    Near-infrared (NIR) imaging with indocyanine green (ICG) has proven to be useful in general, visceral, and transplant surgery. However, most studies have performed only qualitative assessments. Therefore, a systematic overview of all studies performing quantitative indocyanine green evaluation in general, visceral, and transplant surgeries should be conducted. Free term and medical subject heading (MeSH) term searches were performed in the Medline and Cochrane databases until October 2022. The main categories of ICG quantification were esophageal surgery (24.6%), reconstructive surgery (24.6%), and colorectal surgery (21.3%). Concordantly, anastomotic leak (41%) was the main endpoint, followed by the assessment of flap perfusion (23%) and the identification of structures and organs (14.8%). Most studies examined open surgery (67.6%) or laparoscopic surgery (23.1%). The analysis was mainly carried out using manufacturer software (44.3%) and open-source software (15.6%). The most frequently analyzed parameter was intensity over time for blood flow assessment, followed by intensity alone or intensity-to-background ratios for structure and organ identification. Intraoperative ICG quantification could become more important with the increasing impact of robotic surgery and machine learning algorithms for image and video analysis.