Photoacoustic imaging for guidance of interventions in cardiovascular medicine

Sophinese Iskander-Rizk1, Antonius F W van der Steen, Gijs van Soest

  • 1Department of Cardiology, Biomedical Engineering, Erasmus MC University Medical Center Rotterdam, Wytemaweg 80, 3015 CN Rotterdam, The Netherlands.

Insights

Photoacoustic imaging shows promise for guiding minimally invasive cardiovascular interventions by detecting changes in blood vessels and heart tissue. Current techniques are preclinical, with future clinical applications anticipated for improved treatment outcomes.

Area of Science:

  • Biomedical Engineering
  • Medical Imaging
  • Cardiovascular Interventions

Background:

  • Minimally invasive interventions are crucial for treating cardiac disorders like coronary artery disease.
  • Changes in vasculature and cardiac tissue composition are key indicators of cardiovascular disease.
  • Current imaging modalities have limitations in providing detailed tissue information during interventions.

Purpose of the Study:

  • To review state-of-the-art photoacoustic imaging techniques for cardiovascular intervention guidance.
  • To assess the potential of photoacoustic imaging in detecting disease-related tissue changes.
  • To provide an outlook on the clinical translation of these preclinical technologies.

Main Methods:

  • Literature review of preclinical photoacoustic imaging studies.
  • Analysis of techniques applicable to catheter-based cardiovascular interventions.
  • Evaluation of image contrast mechanisms related to vascular and tissue composition.

Main Results:

  • Photoacoustic imaging can visualize vasculature and tissue composition with high contrast.
  • Several photoacoustic approaches show potential for real-time guidance during cardiovascular procedures.
  • All reviewed techniques are currently in the preclinical development stage.

Conclusions:

  • Photoacoustic imaging offers a promising non-invasive modality for guiding cardiovascular interventions.
  • Further research and development are needed to translate these preclinical findings into clinical practice.
  • Successful clinical application could enhance procedural success rates and patient outcomes in cardiology.

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