Quantitative fluorescence angiography for neurosurgical interventions

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Present methods for quantitative measurement of cerebral perfusion during neurosurgical operations require additional technology for measurement, data acquisition, and processing. This study used conventional fluorescence video angiography - As an established method to visualize blood flow in brain vessels - enhanced by a quantifying perfusion software tool. For these purposes, the fluorescence dye indocyanine green is given intravenously, and after activation by a near-infrared light source the fluorescence signal is recorded. Video data are analyzed by software algorithms to allow quantification of the blood flow. Additionally, perfusion is measured intraoperatively by a reference system. Furthermore, comparing reference measurements using a flow phantom were performed to verify the quantitative blood flow results of the software and to validate the software algorithm. Analysis of intraoperative video data provides characteristic biological parameters. These parameters were implemented in the special flow phantom for experimental validation of the developed software algorithms. Furthermore, various factors that influence the determination of perfusion parameters were analyzed by means of mathematical simulation. Comparing patient measurement, phantom experiment, and computer simulation under certain conditions (variable frame rate, vessel diameter, etc.), the results of the software algorithms are within the range of parameter accuracy of the reference methods. Therefore, the software algorithm for calculating cortical perfusion parameters from video data presents a helpful intraoperative tool without complex additional measurement technology.

Details

Original languageEnglish
Pages (from-to)269-279
Number of pages11
Journal Biomedical engineering : joint journal of the German Society for Biomedical Engineering in VDE and the Austrian and Swiss Societies for Biomedical Engineering
Volume58
Issue number3
Publication statusPublished - Jun 2013
Peer-reviewedYes

External IDs

PubMed 23740655
ORCID /0000-0003-0554-2178/work/147674657

Keywords

ASJC Scopus subject areas

Keywords

  • Aneurysm clipping, Blood flow velocity determination, Indocyanine green, Intracranial aneurysm, Neurosurgery, Video angiography