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Möglichkeiten und Perspektiven der Hyperspektralbildgebung in der Viszeralchirurgie

Possibilities and perspectives of hyperspectral imaging in visceral surgery

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Zusammenfassung

Die Hyperspektralbildgebung („HyperSpectral Imaging“ [HSI]) erlaubt quantitative Gewebeanalysen über die Limitationen des menschlichen Auges hinaus. Somit dient es als neues Diagnostikinstrument der optischen Eigenschaften verschiedener Gewebe. Im Gegensatz zu anderen intraoperativen bildgebenden Methoden ist HSI kontaktlos, nichtinvasiv und bedarf keiner Kontrastmittelapplikation. Die Messungen nehmen nur wenige Sekunden in Anspruch und stören somit die Operationsabläufe unwesentlich. Erste HSI-Anwendungen in der Viszeralchirurgie sind vielversprechend mit dem Potenzial optimierter Ergebnisse. Aktuelle Konzepte, Möglichkeiten und neue Perspektiven der HSI-Technologie sowie deren Limitationen werden in dieser Arbeit diskutiert.

Abstract

HyperSpectral Imaging (HSI) technology enables quantitative tissue analyses beyond the limitations of the human eye. Thus, it serves as a new diagnostic tool for optical properties of diverse tissues. In contrast to other intraoperative imaging methods, HSI is contactless, noninvasive, and the administration of a contrast medium is not necessary. The duration of measurements takes only a few seconds and the surgical procedure is only marginally disturbed. Preliminary HSI applications in visceral surgery are promising with the potential of optimized outcomes. Current concepts, possibilities and new perspectives regarding HSI technology together with its limitations are discussed in this article.

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Authors and Affiliations

  1. Klinik und Poliklinik für Viszeral‑, Transplantations‑, Thorax- und Gefäßchirurgie, Department für Operative Medizin (DOPM), Universitätsklinikum Leipzig, AöR, Leipzig, Deutschland

    I. Gockel MBA, B. Jansen-Winkeln, N. Holfert, N. Rayes, R. Thieme, R. Sucher, D. Seehofer, M. Barberio, S. M. Rabe, M. Mehdorn, Y. Moulla, S. Niebisch, D. Branzan, K. Rehmet & J. P. Takoh

  2. Innovation Center Computer Assisted Surgery (ICCAS), Universität Leipzig, Leipzig, Deutschland

    M. Maktabi, T. Neumuth, A. Melzer, C. Chalopin & H. Köhler

  3. Institut de Recherche contre les Cancers de l’Appareil Digestive (IRCAD), Straßburg, Frankreich

    M. Barberio & M. Diana

  4. Klinik und Poliklinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Leipzig, AöR, Leipzig, Deutschland

    T.-O. Petersen

Authors
  1. I. Gockel MBA
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  2. B. Jansen-Winkeln
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  3. N. Holfert
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  4. N. Rayes
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  6. M. Maktabi
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  7. R. Sucher
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  8. D. Seehofer
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  9. M. Barberio
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  10. M. Diana
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  11. S. M. Rabe
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  12. M. Mehdorn
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  13. Y. Moulla
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  14. S. Niebisch
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  15. D. Branzan
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  16. K. Rehmet
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  17. J. P. Takoh
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  18. T.-O. Petersen
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  19. T. Neumuth
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  20. A. Melzer
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  21. C. Chalopin
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  22. H. Köhler
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Corresponding author

Correspondence to I. Gockel MBA.

Ethics declarations

Interessenkonflikt

Die verwendeten Hyperspektralsysteme wurden von Diaspective Vision GmbH entwickelt. H. Köhler ist Angestellter dieser Firma. Langfristig hat Diaspective Vision GmbH wirtschaftliches Interesse an der Entwicklung von Hyperspektralsystemen für den klinischen Einsatz. I. Gockel, B. Jansen-Winkeln, N. Holfert, N. Rayes, R. Thieme, M. Maktabi, R. Sucher, D. Seehofer, M. Barberio, M. Diana, S.M. Rabe, M. Mehdorn, Y. Moulla, S. Niebisch, D. Branzan, K. Rehmet, J.P. Takoh, T.-O. Petersen, T. Neumuth, A. Melzer und C. Chalopin geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien (Ethikvotum 393-16ek der Ethik-Kommission an der Medizinischen Fakultät der Universität Leipzig).

Additional information

Die Autoren I. Gockel und B. Jansen-Winkeln teilen sich die Erstautorenschaft. Die Autoren C. Chalopin und H. Köhler teilen sich die Letztautorenschaft.

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Gockel, I., Jansen-Winkeln, B., Holfert, N. et al. Möglichkeiten und Perspektiven der Hyperspektralbildgebung in der Viszeralchirurgie. Chirurg 91, 150–159 (2020). https://doi.org/10.1007/s00104-019-01016-6

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