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Optical image-guided cancer surgery: challenges and limitations
Stijn Keereweer1, Pieter B A A Van Driel, Thomas J A Snoeks
1Department of Otorhinolaryngology Head and Neck Surgery; Center of Optical Diagnostics and Therapy, Erasmus Medical Center, Rotterdam, the Netherlands. s.keereweer@erasmusmc.nl
Summary
Optical image-guided surgery uses fluorescence to help surgeons identify tumors, aiming for complete removal and better patient outcomes. Understanding imaging principles and limitations is crucial for effective clinical decision-making.
Area of Science:
- Oncology
- Medical Imaging
- Surgical Technology
Background:
- Optical image-guided surgery offers potential for precise tumor margin identification.
- Challenges include autofluorescence, tissue optics, and targeting agent accuracy.
Purpose of the Study:
- To explain optical image-guided surgery for oncologic surgeons.
- To clarify fundamental principles, practical applications, and limitations.
Main Methods:
- Review of optical imaging principles in cancer surgery.
- Discussion of factors influencing image interpretation.
- Analysis of clinical decision-making based on optical imaging.
Main Results:
- Optical imaging aids in determining tumor margins for complete resection.
- Autofluorescence and tissue properties can complicate image interpretation.
- Understanding limitations is key for effective clinical use.
Conclusions:
- Optical imaging is a powerful intraoperative tool for oncologic surgeons.
- It can guide radical resection and improve clinical results.
- Despite limitations, it enhances surgical precision and patient care.
