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Related Experiment Video

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Murine Model of Intestinal Ischemia-reperfusion Injury
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Hyperspectral and machine-learning-based classification of ischemic intestinal tissue.

Valery V Shupletsov1, Ilya A Goryunov1, Nikita A Adamenkov1,2

  • 1Orel State University, Research & Development Center of Biomedical Photonics, Orel, Russia.

Journal of Biomedical Optics
|November 3, 2025
PubMed
Summary

Hyperspectral imaging (HSI) combined with machine learning (ML) objectively assesses intestinal viability during surgery. This non-invasive tool improves surgical decisions and reduces unnecessary tissue removal in cases of intestinal ischemia.

Keywords:
XGBoosthyperspectral imagingintestinal ischemiamachine learningtissue oxygen saturation

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Area of Science:

  • Medical imaging
  • Surgical assessment
  • Biomedical engineering

Background:

  • Intraoperative assessment of intestinal tissue viability is crucial for determining resection extent in intestinal ischemia.
  • Current subjective methods lack precision for reliable surgical decision-making.

Purpose of the Study:

  • Develop and validate a hyperspectral imaging (HSI) system integrated with machine learning (ML).
  • Objectively assess intestinal wall viability and differentiate between reversible and irreversible ischemia.

Main Methods:

  • A portable HSI system acquired spectral data from rat models with induced intestinal ischemia.
  • Tissue oxygen saturation was calculated using a two-wavelength algorithm.
  • ML pipeline (PCA and XGBoost) classified spectral data trained on histological validation.

Main Results:

  • Tissue saturation decreased significantly with prolonged ischemia (66% to 21% at 12h).
  • ML classification achieved high accuracy (95-98%) for different ischemia states.
  • HSI-ML maps correlated with tissue saturation and histology; initial human tests showed sensitivity.

Conclusions:

  • HSI combined with ML offers an effective, non-invasive tool for real-time intraoperative intestinal viability assessment.
  • This approach enhances objectivity in surgical decision-making and can minimize unnecessary resections.