New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer Surgery

Innovations and new advancements in intraoperative real-time imaging have gained significant importance in the field of gastric cancer surgery in the recent past. Currently, the most promising procedures include indocyanine green fluorescence imaging (ICG-FI) and hyperspectral imaging or multispectr...

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Main Authors: Luise Knospe, Ines Gockel, Boris Jansen-Winkeln, René Thieme, Stefan Niebisch, Yusef Moulla, Sigmar Stelzner, Orestis Lyros, Michele Diana, Jacques Marescaux, Claire Chalopin, Hannes Köhler, Annekatrin Pfahl, Marianne Maktabi, Ji-Hyeon Park, Han-Kwang Yang
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/12/2/507
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author Luise Knospe
Ines Gockel
Boris Jansen-Winkeln
René Thieme
Stefan Niebisch
Yusef Moulla
Sigmar Stelzner
Orestis Lyros
Michele Diana
Jacques Marescaux
Claire Chalopin
Hannes Köhler
Annekatrin Pfahl
Marianne Maktabi
Ji-Hyeon Park
Han-Kwang Yang
author_facet Luise Knospe
Ines Gockel
Boris Jansen-Winkeln
René Thieme
Stefan Niebisch
Yusef Moulla
Sigmar Stelzner
Orestis Lyros
Michele Diana
Jacques Marescaux
Claire Chalopin
Hannes Köhler
Annekatrin Pfahl
Marianne Maktabi
Ji-Hyeon Park
Han-Kwang Yang
author_sort Luise Knospe
collection DOAJ
description Innovations and new advancements in intraoperative real-time imaging have gained significant importance in the field of gastric cancer surgery in the recent past. Currently, the most promising procedures include indocyanine green fluorescence imaging (ICG-FI) and hyperspectral imaging or multispectral imaging (HSI, MSI). ICG-FI is utilized in a broad range of clinical applications, e.g., assessment of perfusion or lymphatic drainage, and additional implementations are currently investigated. HSI is still in the experimental phase and its value and clinical relevance require further evaluation, but initial studies have shown a successful application in perfusion assessment, and prospects concerning non-invasive tissue and tumor classification are promising. The application of machine learning and artificial intelligence technologies might enable an automatic evaluation of the acquired image data in the future. Both methods facilitate the accurate visualization of tissue characteristics that are initially indistinguishable for the human eye. By aiding surgeons in optimizing the surgical procedure, image-guided surgery can contribute to the oncologic safety and reduction of complications in gastric cancer surgery and recent advances hold promise for the application of HSI in intraoperative tissue diagnostics.
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spelling doaj.art-9e5c57463a5a412eaccf8785149fe0ee2023-11-23T19:33:18ZengMDPI AGDiagnostics2075-44182022-02-0112250710.3390/diagnostics12020507New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer SurgeryLuise Knospe0Ines Gockel1Boris Jansen-Winkeln2René Thieme3Stefan Niebisch4Yusef Moulla5Sigmar Stelzner6Orestis Lyros7Michele Diana8Jacques Marescaux9Claire Chalopin10Hannes Köhler11Annekatrin Pfahl12Marianne Maktabi13Ji-Hyeon Park14Han-Kwang Yang15Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig AöR, 04103 Leipzig, GermanyInstitute for Research against Digestive Cancer (IRCAD), 67091 Strasbourg, FranceInstitute for Research against Digestive Cancer (IRCAD), 67091 Strasbourg, FranceInnovation Center Computer Assisted Surgery (ICCAS), Leipzig University, 04103 Leipzig, GermanyInnovation Center Computer Assisted Surgery (ICCAS), Leipzig University, 04103 Leipzig, GermanyInnovation Center Computer Assisted Surgery (ICCAS), Leipzig University, 04103 Leipzig, GermanyInnovation Center Computer Assisted Surgery (ICCAS), Leipzig University, 04103 Leipzig, GermanyDepartment of Surgery, Seoul National University Hospital, Seoul 03080, KoreaDepartment of Surgery, Seoul National University Hospital, Seoul 03080, KoreaInnovations and new advancements in intraoperative real-time imaging have gained significant importance in the field of gastric cancer surgery in the recent past. Currently, the most promising procedures include indocyanine green fluorescence imaging (ICG-FI) and hyperspectral imaging or multispectral imaging (HSI, MSI). ICG-FI is utilized in a broad range of clinical applications, e.g., assessment of perfusion or lymphatic drainage, and additional implementations are currently investigated. HSI is still in the experimental phase and its value and clinical relevance require further evaluation, but initial studies have shown a successful application in perfusion assessment, and prospects concerning non-invasive tissue and tumor classification are promising. The application of machine learning and artificial intelligence technologies might enable an automatic evaluation of the acquired image data in the future. Both methods facilitate the accurate visualization of tissue characteristics that are initially indistinguishable for the human eye. By aiding surgeons in optimizing the surgical procedure, image-guided surgery can contribute to the oncologic safety and reduction of complications in gastric cancer surgery and recent advances hold promise for the application of HSI in intraoperative tissue diagnostics.https://www.mdpi.com/2075-4418/12/2/507innovative intraoperative imagingimage-guided surgeryindocyanine green (ICG)fluorescence imaging (FI)hyperspectral imaging (HSI)
spellingShingle Luise Knospe
Ines Gockel
Boris Jansen-Winkeln
René Thieme
Stefan Niebisch
Yusef Moulla
Sigmar Stelzner
Orestis Lyros
Michele Diana
Jacques Marescaux
Claire Chalopin
Hannes Köhler
Annekatrin Pfahl
Marianne Maktabi
Ji-Hyeon Park
Han-Kwang Yang
New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer Surgery
Diagnostics
innovative intraoperative imaging
image-guided surgery
indocyanine green (ICG)
fluorescence imaging (FI)
hyperspectral imaging (HSI)
title New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer Surgery
title_full New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer Surgery
title_fullStr New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer Surgery
title_full_unstemmed New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer Surgery
title_short New Intraoperative Imaging Tools and Image-Guided Surgery in Gastric Cancer Surgery
title_sort new intraoperative imaging tools and image guided surgery in gastric cancer surgery
topic innovative intraoperative imaging
image-guided surgery
indocyanine green (ICG)
fluorescence imaging (FI)
hyperspectral imaging (HSI)
url https://www.mdpi.com/2075-4418/12/2/507
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