Functional Imaging for Regenerative Medicine: Tracking Vascularization of Intestinal Scaffolds
Jared A Weis1, Mani Ratnam Kothamasu2, Nildris Cruz-Diaz3
1Department of Biomedical Engineering, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Tissue Engineering. Part A
|May 23, 2026
Summary
Photoacoustic imaging (PAI) noninvasively monitors vascular maturity in tissue-engineered small intestine (TESI) scaffolds. This imaging tool can guide TESI clinical translation by assessing construct readiness for implantation.
Area of Science:
- Biomedical Engineering
- Regenerative Medicine
- Medical Imaging
Background:
- Tissue-engineered small intestine (TESI) requires vascularization before intestinal implantation.
- Current methods lack noninvasive monitoring for construct vascular maturity.
- Assessing vascular maturity is crucial for successful TESI clinical translation.
Purpose of the Study:
- To evaluate photoacoustic imaging (PAI) as a noninvasive tool for monitoring vascular maturity in TESI scaffolds.
- To assess regional and temporal changes in vascularization within implanted scaffolds.
- To correlate PAI findings with histological assessments of vascularization.
Main Methods:
- Fabrication of tubular TESI scaffolds using electrospinning.
- Implantation of scaffolds in the omentum of Sprague-Dawley rats for 1 and 2 months.
- Noninvasive imaging of scaffolds using PAI to quantify tissue oxygenation and hemoglobin concentration.
- Correlation of PAI data with gross vascular observations and histological analysis.
Main Results:
- PAI successfully detected regional and temporal changes in scaffold vascularization.
- The top wall of the scaffold showed superior vascular maturity compared to the bottom wall.
- Vascular maturity in the top wall improved from 1 to 2 months post-implantation.
- PAI findings were consistent with gross and histological assessments.
Conclusions:
- PAI is a viable noninvasive method for monitoring vascular maturity in TESI constructs.
- This imaging technique can inform the timing of the second surgical procedure for TESI implantation.
- PAI has broad applicability for assessing vascularization in various tissue-engineered constructs.


