Assessing the development status of intraoperative fluorescence imaging for perfusion assessments, using the IDEAL framework
| Autor: | Yasuo Murai, Giovanni Dapri, Eric Vibert, Ronan A. Cahill, Charles Sabbagh, Ory Wiesel, Antonino Spinelli, Luigi Boni, Michele Diana, Elisa Cassinotti, Mahmoud Abu-Gazala, Michael Bouvet, Kiyoshi Hasegawa, Raul J. Rosenthal, Derek D. Muehrcke, Frédéric Ris, Michele Carvello, Thomas Carus, Muga Terasawa, Norihiro Kokudo, Sylke Schneider-Koriath, Peter McCulloch, Mikiya Takao, Kevin P. White, Rutger M. Schols, Steven D. Wexner, Fumihiro Matano, Fernando Dip, Takeaki Ishizawa, Tim Pruimboom |
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| Přispěvatelé: | RS: NUTRIM - R2 - Liver and digestive health, MUMC+: MA AIOS Plastische Chirurgie (9), Plastische Chirurgie (PLC), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery RD1-811 Biomedical Engineering law.invention chemistry.chemical_compound Randomized controlled trial law Medical technology Medicine R855-855.5 Stage (cooking) Adverse effect health technology Original Research Ideal (set theory) business.industry device evaluation Colorectal surgery development study chemistry Surgery Radiology business Perfusion Indocyanine green |
| Zdroj: | BMJ Surgery, Interventions, & Health Technologies BMJ Surgery, Interventions, & Health Technologies, 3(1):e000088. BMJ Publishing Group BMJ Surgery, Interventions, & Health Technologies, Vol 3, Iss 1 (2021) |
| ISSN: | 2631-4940 |
| Popis: | ObjectivesIntraoperative fluorescence imaging is currently used in a variety of surgical fields for four main purposes: assessing tissue perfusion; identifying/localizing cancer; mapping lymphatic systems; and visualizing anatomy. To establish evidence-based guidance for research and practice, understanding the state of research on fluorescence imaging in different surgical fields is needed. We evaluated the evidence on fluorescence imaging for perfusion assessments using the Idea, Development,Exploration, Assessment, Long Term Study (IDEAL) framework, which was designed for describing the stages of innovation in surgery and other interventional procedures.DesignNarrative literature review with analysis of IDEAL stage of each field of study.SettingAll publications on intraoperative fluorescence imaging for perfusion assessments reported in PubMed through 2019 were identified for six surgical procedures: coronary artery bypass grafting (CABG), upper gastrointestinal (GI) surgery, colorectal surgery, solid organ transplantation, reconstructive surgery, and cerebral aneurysm surgery.Main outcome measuresThe IDEAL stage of research evidence was determined for each specialty field using a previously described approach.Results196 articles (15 003 cases) were selected for analysis. Current status of research evidence was determined to be IDEAL Stage 2a for upper GI and transplantation surgery, IDEAL 2b for CABG, colorectal and cerebral aneurysm surgery, and IDEAL Stage 3 for reconstructive surgery. Using the technique resulted in a high (up to 50%) rate of revisions among surgical procedures, but its efficacy improving postoperative outcomes has not yet been demonstrated by randomized controlled trials in any discipline. Only one possible adverse reaction to intravenous indocyanine green was reported.ConclusionsUsing fluorescence imaging intraoperatively to assess perfusion is feasible and appears useful for surgical decision making across a range of disciplines. Identifying the IDEAL stage of current research knowledge aids in planning further studies to establish the potential for patient benefit. |
| Databáze: | OpenAIRE |
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