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Advances in translational imaging of the microcirculation
Marie Guerraty1, Akanksha Bhargava2, Janaka Senarathna2
1Division of Cardiovascular Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Summary
Advanced imaging techniques now allow visualization of the human microcirculation. This enables better understanding of diseases and improved patient diagnosis and management.
Area of Science:
- Biomedical Imaging
- Cardiovascular Research
- Translational Medicine
Background:
- The human microcirculation plays a critical role in health and disease.
- Previous limitations in imaging technology hindered detailed study of microvascular structures.
- Recent technological advancements have enabled unprecedented insights into the microcirculation.
Purpose of the Study:
- To review the development and application of human microcirculation imaging techniques.
- To highlight the role of translational imaging in clinical practice.
- To explore the potential of these technologies for disease diagnosis and management.
Main Methods:
- Review of various imaging modalities including near-infrared spectroscopy (NIRS), positron emission tomography (PET), magnetic resonance imaging (MRI), computed tomography (CT), optical imaging, and ultrasound (US).
- Focus on clinical applications and assessment of microcirculation in patients.
- Emphasis on techniques sensitive to microvascular signals or capable of microvascular spatial resolution.
Main Results:
- A new era of translational imaging allows in vivo visualization of the human microcirculation.
- These techniques characterize morphological and functional microcirculatory changes in various pathologies.
- Significant advances have been made in imaging the microcirculation in preclinical models and humans.
Conclusions:
- Translational imaging technologies are crucial for interrogating the structural and functional status of the human microcirculation.
- Making the microcirculation visible in vivo facilitates bench-to-bedside discoveries.
- Enhanced diagnosis and management of diseases are facilitated by these advanced imaging capabilities.

