Open Access
13 August 2019 In vivo photoacoustic imaging of major blood vessels in the pancreas and liver during surgery
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Abstract

Abdominal surgeries carry considerable risk of gastrointestinal and intra-abdominal hemorrhage, which could possibly cause patient death. Photoacoustic imaging is one solution to overcome this challenge by providing visualization of major blood vessels during surgery. We investigate the feasibility of in vivo blood vessel visualization for photoacoustic-guided liver and pancreas surgeries. In vivo photoacoustic imaging of major blood vessels in these two abdominal organs was successfully achieved after a laparotomy was performed on two swine. Three-dimensional photoacoustic imaging with a robot-controlled ultrasound (US) probe and color Doppler imaging were used to confirm vessel locations. Blood vessels in the in vivo liver were visualized with energies of 20 to 40 mJ, resulting in 10 to 15 dB vessel contrast. Similarly, an energy of 36 mJ was sufficient to visualize vessels in the pancreas with up to 17.3 dB contrast. We observed that photoacoustic signals were more focused when the light source encountered a major vessel in the liver. This observation can be used to distinguish major blood vessels in the image plane from the more diffuse signals associated with smaller blood vessels in the surrounding tissue. A postsurgery histopathological analysis was performed on resected pancreatic and liver tissues to explore possible laser-related damage. Results are generally promising for photoacoustic-guided abdominal surgery when the US probe is fixed and the light source is used to interrogate the surgical workspace. These findings are additionally applicable to other procedures that may benefit from photoacoustic-guided interventional imaging of the liver and pancreas (e.g., biopsy and guidance of radiofrequency ablation lesions in the liver).

CC BY: © The Authors. Published by SPIE under a Creative Commons Attribution 4.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
Kelley M. Kempski, Alycen Wiacek, Michelle Graham, Eduardo González, Bria Goodson, Derek Allman, Jasmin E. Palmer, Huayu Hou, Sarah Beck, Jin He, and Muyinatu A. Lediju Bell "In vivo photoacoustic imaging of major blood vessels in the pancreas and liver during surgery," Journal of Biomedical Optics 24(12), 121905 (13 August 2019). https://doi.org/10.1117/1.JBO.24.12.121905
Received: 31 March 2019; Accepted: 22 July 2019; Published: 13 August 2019
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CITATIONS
Cited by 32 scholarly publications.
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KEYWORDS
Liver

Photoacoustic spectroscopy

Blood vessels

In vivo imaging

Surgery

Pancreas

Photoacoustic imaging

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