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, under...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-03-01
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| Series: | BMJ Surgery, Interventions, & Health Technologies |
| Online Access: | https://sit.bmj.com/content/4/1/e000156.full |
| _version_ | 1827288212321599488 |
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| author | Peter McCulloch Norihiro Kokudo Takeshi Aoki Jean-Marc Regimbeau Yasuo Sekine Kevin White Jacqueline van den Bos Trevor Yeung Luigi Boni Michael Bouvet Kiyoshi Hasegawa Laurents Stassen Takeaki Ishizawa Sylke Schneider-Koriath Michele Diana Fernando Dip Raul J Rosenthal Jeanne Dembinski Hiroto Nishino Toyofumi Chen-Yoshikawa Eren Berber Bora Kahramangil |
| author_facet | Peter McCulloch Norihiro Kokudo Takeshi Aoki Jean-Marc Regimbeau Yasuo Sekine Kevin White Jacqueline van den Bos Trevor Yeung Luigi Boni Michael Bouvet Kiyoshi Hasegawa Laurents Stassen Takeaki Ishizawa Sylke Schneider-Koriath Michele Diana Fernando Dip Raul J Rosenthal Jeanne Dembinski Hiroto Nishino Toyofumi Chen-Yoshikawa Eren Berber Bora Kahramangil |
| author_sort | Peter McCulloch |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-13T00:11:57Z |
| format | Article |
| id | doaj.art-cf87a75d021c42d28883861f05b841ff |
| institution | Directory Open Access Journal |
| issn | 2631-4940 |
| language | English |
| last_indexed | 2024-04-24T11:27:09Z |
| publishDate | 2022-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Surgery, Interventions, & Health Technologies |
| spelling | doaj.art-cf87a75d021c42d28883861f05b841ff2024-04-10T16:20:07ZengBMJ Publishing GroupBMJ Surgery, Interventions, & Health Technologies2631-49402022-03-014110.1136/bmjsit-2022-000156Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL frameworkPeter McCulloch0Norihiro Kokudo1Takeshi Aoki2Jean-Marc Regimbeau3Yasuo Sekine4Kevin White5Jacqueline van den Bos6Trevor Yeung7Luigi Boni8Michael Bouvet9Kiyoshi Hasegawa10Laurents Stassen11Takeaki Ishizawa12Sylke Schneider-Koriath13Michele Diana14Fernando Dip15Raul J Rosenthal16Jeanne Dembinski17Hiroto Nishino18Toyofumi Chen-Yoshikawa19Eren Berber20Bora Kahramangil21Nuffield Department of Surgical Science, University of Oxford, Oxford, UKNational Center for Global Health and Medicine, Shinjuku-ku, Tokyo, JapanDivision of Gastroenterological and General Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, JapanDepartment of Digestive Surgery, Simplification of Surgical Patient Care research unit, Amiens University Hospital and University of Picardie, Amiens, FranceDepartment of Thoracic Surgery, Tokyo Women’s Medical University Yachiyo Medical Center, Chiba, JapanScience Right Research Consulting London, London, Ontario, CanadaDepartment of Surgery, Maastricht University Medical Center, Maastricht, The NetherlandsNuffield Department of Surgical Sciences, University of Oxford, John Radcliffe Hospital, Oxford, UKDepartment of Surgery, Fondazione IRCCS Ca` Granda Ospedale Maggiore Policlinico, Milan, Lombardia, ItalyUniversity of California San Diego, La Jolla, California, USAHepato-Biliary-Pancreatic Surgery Division, Department of Surgery, The University of Tokyo, Tokyo, JapanDepartment of Surgery, Maastricht University Medical Center, Maastricht, The NetherlandsDepartment of Hepatobiliary-Pancreatic Surgery, Osaka Metropolitan University, Osaka, JapanVisceral Surgery, Klinikum Südstadt Rostock, Rostock, Mecklenburg-Vorpommern, GermanyIHU Strasbourg, Institute of Image-Guided Surgery and IRCAD, Research Institute against Cancer of the Digestive System, Strasbourg, FranceCleveland Clinic Florida, Weston, Florida, USACleveland Clinic Florida, Weston, Florida, USADepartment of Digestive Surgery, Simplification of Surgical Patient Care research unit, Amiens University Hospital and University of Picardie, Amiens, FranceDepartment of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, JapanDepartment of Thoracic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, JapanDepartment of Endocrine and General Surgery, Cleveland Clinic, Cleveland, Ohio, USACleveland Clinic Florida, Weston, Florida, USAObjectives 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.https://sit.bmj.com/content/4/1/e000156.full |
| spellingShingle | Peter McCulloch Norihiro Kokudo Takeshi Aoki Jean-Marc Regimbeau Yasuo Sekine Kevin White Jacqueline van den Bos Trevor Yeung Luigi Boni Michael Bouvet Kiyoshi Hasegawa Laurents Stassen Takeaki Ishizawa Sylke Schneider-Koriath Michele Diana Fernando Dip Raul J Rosenthal Jeanne Dembinski Hiroto Nishino Toyofumi Chen-Yoshikawa Eren Berber Bora Kahramangil Assessing the development status of intraoperative fluorescence imaging for anatomy visualisation, using the IDEAL framework BMJ Surgery, Interventions, & Health Technologies |
| 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 |
| url | https://sit.bmj.com/content/4/1/e000156.full |
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