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Setting Standards for Reporting and Quantification in Fluorescence-Guided Surgery.
Charlotte Hoogstins1,2, Jan Jaap Burggraaf1, Marjory Koller3
1Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2333, ZA, Leiden, the Netherlands.
Standardized methods are needed for intraoperative fluorescence imaging (FI) system assessment. This study introduces a calibration device and analysis techniques to quantify imaging performance and improve signal-to-background ratio (SBR) for better surgical guidance.
Area of Science:
- Medical imaging
- Surgical oncology
Background:
- Intraoperative fluorescence imaging (FI) shows promise for guiding oncologic surgery and improving resection outcomes.
- Current clinical trials and available technologies for FI are increasing, but lack standardized performance assessment and image analysis methods.
Purpose of the Study:
- To systematically compare two commercial FI imaging systems.
- To develop and evaluate a novel calibration device for FI systems.
- To analyze determinants of signal-to-background ratio (SBR) in FI.
Main Methods:
- Conducted a controlled comparison of two commercial FI imaging systems.
- Utilized a novel calibration device for quantifying imaging system performance.
- Analyzed fluorescence images from prior studies to assess SBR and its influencing factors.
Main Results:
- The calibration device enabled quantitative comparison of imaging system sensitivity.
- Image analysis revealed significant impact of background noise and selection on SBR.
- Identified key differences in performance between the evaluated imaging systems.
Conclusions:
- Proposed clear approaches for quantifying FI imaging system performance.
- Suggested standardized methods for post-acquisition image analysis in FI.
- Aimed to establish new standards for intraoperative fluorescence imaging.
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