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Automatic Liver Viability Scoring with Deep Learning and Hyperspectral Imaging.

Eric Felli1,2,3, Mahdi Al-Taher4, Toby Collins4

  • 1Hepatology, Department of Biomedical Research, Inselspital, University of Bern, 3008 Bern, Switzerland.

Diagnostics (Basel, Switzerland)
|September 28, 2021
PubMed
Summary
This summary is machine-generated.

Hyperspectral imaging combined with artificial intelligence accurately predicts liver viability and reperfusion injury after hepatic artery occlusion. This non-invasive approach shows promise for intraoperative assessment, guiding surgical decisions and improving patient outcomes.

Keywords:
CNNsartificial intelligenceconvolutional networksdeep learninghepatic artery occlusionhyperspectral imagingliver viability

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Area of Science:

  • Medical imaging
  • Hepatology
  • Artificial Intelligence

Background:

  • Hyperspectral imaging (HSI) evaluates liver oxygenation and ischemia.
  • Hepatic artery occlusion (HAO) causes hypoxia and ischemia-reperfusion injury (IRI).
  • Intraoperative prediction of IRI using HSI remains unassessed.

Purpose of the Study:

  • To assess HSI's ability to detect and predict liver viability and IRI intraoperatively.
  • To develop an AI-based analysis of HSI for liver viability assessment.

Main Methods:

  • Combined HSI with quantitative optical tissue property extraction.
  • Utilized a deep learning model (convolutional neural networks) for AI analysis.
  • Evaluated liver viability in an HAO rat model.

Main Results:

  • AI score of liver viability strongly correlated with capillary lactate (r = -0.78, p = 0.0320) and Suzuki's score (r = -0.96, p = 0.0012).
  • CD31 immunostaining confirmed microvascular damage consistent with AI score.
  • Demonstrated significant correlation between AI-derived liver viability and IRI indicators.

Conclusions:

  • HSI-AI analysis shows potential for predicting liver viability and IRI.
  • This non-invasive method could guide intraoperative decision-making.
  • Further development is warranted for clinical application in liver surgery.