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Review
. 2021 Aug 15;13(8):822-834.
doi: 10.4251/wjgo.v13.i8.822.

Reflectance spectra analysis for mucous assessment

Affiliations
Review

Reflectance spectra analysis for mucous assessment

Toru Chiba et al. World J Gastrointest Oncol. .

Abstract

This review report represents an overview of research and development on medical hyperspectral imaging technology and its applications. Spectral imaging technology is attracting attention as a new imaging modality for medical applications, especially in disease diagnosis and image-guided surgery. Considering the recent advances in imaging, this technology provides an opportunity for two-dimensional mapping of oxygen saturation (SatO2) of blood with high accuracy, spatial spectral imaging, and its analysis and provides detection and diagnostic information about the tissue physiology and morphology. Multispectral imaging also provides information about tissue oxygenation, perfusion, and potential function during surgery. Analytical algorithm has been examined, and indication of accurate map of relative hemoglobin concentration and SatO2 can be indicated with preferable resolution and frame rate. This technology is expected to provide promising biomedical information in practical use. Several studies suggested that blood flow and SatO2 are associated with gastrointestinal disorders, particularly malignant tumor conditions. The use and analysis of spectroscopic images are expected to potentially play a role in the detection and diagnosis of these diseases.

Keywords: Diffuse reflectance spectroscopy; Endoscopy; Gastrointestinal cancer; Hemoglobin saturation; Hypoxia; Tumor.

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Conflict of interest statement

Conflict-of-interest statement: Authors declare no conflict of interests for this article.

Figures

Figure 1
Figure 1
Spectra components oxyHb and deoxyHb and scatter.
Figure 2
Figure 2
Scheme of hyperspectral camera.
Figure 3
Figure 3
Scheme of liquid crystal tunable filter and digital camera combination.
Figure 4
Figure 4
The system enables to indicate hemoglobin saturation of the mucosa with a practical frame rate for normal examination. An area with relatively high Hb concentration area is enhanced by an Hb concentration mask. The higher Hb concentration and lower Hb saturation areas that are influenced by the tumor are observed as a blue area. A: Experimental cancer model. Red–green–blue video endoscope image of the mouse viscera. The tumor area is outlined by a white line; B: Hb saturation map of the tumor generated by the endoscope system; C: Hb concentration map of the tumor generated by the endoscope system; D: Hb concentration-masked Hb saturation map.

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