Abstract
Background Approximately 400,000 cholecystectomies are performed annually in the United States. The most important complication of the operation is bile duct injury (BDI). Injury prevention relies mostly on an individual surgeon’s skill. As of yet no technology has been introduced that will enable surgeons to visualize the bile ducts while operating. Theoretically, such a device could eliminate BDI. Near infrared (NIR) spectroscopy capitalizes on near infrared light’s ability to penetrate deeply into tissues and spectroscopic capability to discern tissue’s chemical properties. The purpose of this work is to characterize the NIR optical properties of bile containing structures that are needed for later development of a clinically useful probe. Methods NIR Spectroscopy combined with visible light spectroscopy was used to determine the spectroscopic properties of the biliary tree and its adjacent structures. Eight anesthetized pigs were used to obtain reflectance measurements using a fiber probe. Radial Basis functions (RBFs) were used to characterize the reflected light spectra. Parameters describing the RBFs were then used to classify tissues based on their observed spectra using machine automation. Results Biliary tissues, arteries and veins all had unique reflectance spectra. These spectra were characterized by their unique set of RBFs. Conclusion We have developed an optical probe capable of imaging and identifying biliary tract tissues in a porcine model. In this study, we characterized the reflectance properties for bile and blood vessels such that when the probe is applied to the porta hepatis it will enable surgeons to localize important biliary structures prior to any portal dissection, potentially eliminating the risk for inadvertent BDI.
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Abbreviations
- NIR:
-
Near infrared
- BD:
-
Bile duct
- BDI:
-
Bile duct injury
- RBF:
-
Radial basis function
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Appendix
Appendix
Radial Basis Functions (RBFs)
Functions are mathematical expressions that describe data transformation. For our purposes, they are equations that describe an observed spectral waveform. Basis functions are those that in linear combination can describe a spectrum. In Fig. 7, an observed optical spectrum can be recreated by combining the 3 Gaussian shaped curves shown below it. A radial function has a center and can be described entirely in terms of its distance, i.e. its radius, from the center. Such functions are radially symmetric.
RBFs are demonstrated in Fig. 7. Equation (1) describes a typical Gaussian, bell-shaped response, S(λ), that depends on the distance between a reference point, λ, located somewhere along the spectr, and the center of the Gaussian curve, λ i . The Gaussian curve’s width is characterized by σ i and its amplitude by a i .
The σ i parameter in Eq. (1) controls the RBF’s shape and is called a local dilation parameter or a shape parameter.
We found that reflected light spectra observed in our studies could be fit by 3 Gaussian curves in the RBFs (i.e., N = 3). Each of these curves can be described by 3 parameters: the center point of the Gaussian λ i , the shape parameter σ i and the amplitude factor a i .
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Livingston, E.H., Gulaka, P., Kommera, S. et al. In Vivo Spectroscopic Characterization of Porcine Biliary Tract Tissues: First Step in the Development of New Biliary Tract Imaging Devices. Ann Biomed Eng 37, 201–209 (2009). https://doi.org/10.1007/s10439-008-9574-0
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DOI: https://doi.org/10.1007/s10439-008-9574-0