Anastomotic insufficiencies still represent one of the most severe
complications in colorectal surgery. Since tissue perfusion highly
affects anastomotic healing, its objective assessment is an unmet
clinical need. Indocyanine green-based fluorescence angiography
(ICG-FA) and hyperspectral imaging (HSI) have received great interest
in recent years but surgeons have to decide between both techniques.
For the first time, two data processing pipelines capable of
reconstructing an ICG-FA correlating signal from hyperspectral data
were developed. Results were technically evaluated and compared to
ground truth data obtained during colorectal resections. In 87%
of 46 data sets, the reconstructed images resembled the ground truth
data. The combined applicability of ICG-FA and HSI within one imaging
system might provide supportive and complementary information about
tissue vascularization, shorten surgery time, and reduce perioperative
mortality.
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