LEVERAGING CONTRAST AGENT KINETICS FOR ROBUST REFLECTANCE MODE FLUORESCENCE TOMOGRAPHY

Mariella Kast1, Mykhaylo Zayats2, Shayan Shafiee3

  • 1MCSS, Ecole Polytechnique Federale de Lausanne, Lausanne, Switzerland.

Insights

This study introduces a new Fluorescence Diffuse Optical Tomography method for 3D tumor localization in surgery. The technique accurately identifies deep targets using contrast agent kinetics, improving surgical precision.

Area of Science:

  • Medical Imaging
  • Optical Tomography
  • Surgical Navigation

Background:

  • Fluorescence Image Guided Surgery (FIGS) uses surface measurements for target localization.
  • Precise 3D localization of deep surgical targets remains challenging due to inverse problem complexities.

Purpose of the Study:

  • To develop a Fluorescence Diffuse Optical Tomography (FDOT) scheme for accurate 3D localization of deep tumors.
  • To leverage differential contrast agent kinetics between malignant and normal tissues.

Main Methods:

  • Proposed an FDOT scheme reconstructing 3D tumor location from time-series epi-fluorescence measurements.
  • Conducted sequential synthetic experiments mimicking Indocyanine Green (ICG) dye kinetics in tumors versus normal tissue.

Main Results:

  • Successfully demonstrated robust 3D localization of targets up to 1cm deep.
  • Achieved accurate reconstruction in the presence of realistic tumor-to-background ratios.

Conclusions:

  • The proposed FDOT method offers a viable solution for precise 3D localization of deep surgical targets.
  • This approach enhances Fluorescence Image Guided Surgery by overcoming limitations of surface measurements.