1
|
Peyster E, Yuan C, Arabyarmohammadi S, Lal P, Feldman M, Fu P, Margulies K, Madabhushi A. Computational Pathology Assessments of Cardiac Stromal Remodeling: Clinical Correlates and Prognostic Implications in Heart Transplantation. RESEARCH SQUARE 2024:rs.3.rs-4364681. [PMID: 38798599 PMCID: PMC11118694 DOI: 10.21203/rs.3.rs-4364681/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2024]
Abstract
Both overt and indolent inflammatory insults in heart transplantation can accelerate pathologic cardiac remodeling, but there are few tools for monitoring the speed and severity of remodeling over time. To address this need, we developed an automated computational pathology system to measure pathologic remodeling in transplant biopsy samples in a large, retrospective cohort of n=2167 digitized heart transplant biopsy slides. Biopsy images were analyzed to identify the pathologic stromal changes associated with future allograft loss or advanced allograft vasculopathy. Biopsy images were then analyzed to assess which historical allo-inflammatory events drive progression of these pathologic stromal changes over time in serial biopsy samples. The top-5 features of pathologic stromal remodeling most strongly associated with adverse outcomes were also strongly associated with histories of both overt and indolent inflammatory events. Our findings identify previously unappreciated subgroups of higher- and lower-risk transplant patients, and highlight the translational potential of digital pathology analysis.
Collapse
|
2
|
Arabayarmohammadi S, Yuan C, Viswanathan VS, Lal P, Feldman MD, Fu P, Margulies KB, Madabhushi A, Peyster EG. Failing to Make the Grade: Conventional Cardiac Allograft Rejection Grading Criteria Are Inadequate for Predicting Rejection Severity. Circ Heart Fail 2024; 17:e010950. [PMID: 38348670 PMCID: PMC10940208 DOI: 10.1161/circheartfailure.123.010950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 12/07/2023] [Indexed: 02/22/2024]
Abstract
BACKGROUND Cardiac allograft rejection is the leading cause of early graft failure and is a major focus of postheart transplant patient care. While histological grading of endomyocardial biopsy samples remains the diagnostic standard for acute rejection, this standard has limited diagnostic accuracy. Discordance between biopsy rejection grade and patient clinical trajectory frequently leads to both overtreatment of indolent processes and delayed treatment of aggressive ones, spurring the need to investigate the adequacy of the current histological criteria for assessing clinically important rejection outcomes. METHODS N=2900 endomyocardial biopsy images were assigned a rejection grade label (high versus low grade) and a clinical trajectory label (evident versus silent rejection). Using an image analysis approach, n=370 quantitative morphology features describing the lymphocytes and stroma were extracted from each slide. Two models were constructed to compare the subset of features associated with rejection grades versus those associated with clinical trajectories. A proof-of-principle machine learning pipeline-the cardiac allograft rejection evaluator-was then developed to test the feasibility of identifying the clinical severity of a rejection event. RESULTS The histopathologic findings associated with conventional rejection grades differ substantially from those associated with clinically evident allograft injury. Quantitative assessment of a small set of well-defined morphological features can be leveraged to more accurately reflect the severity of rejection compared with that achieved by the International Society of Heart and Lung Transplantation grades. CONCLUSIONS Conventional endomyocardial samples contain morphological information that enables accurate identification of clinically evident rejection events, and this information is incompletely captured by the current, guideline-endorsed, rejection grading criteria.
Collapse
Affiliation(s)
- Sara Arabayarmohammadi
- Department of Computer and Data Sciences, Case Western Reserve University, Cleveland, OH, 44106, USA
| | - Cai Yuan
- Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, 30322, USA
| | - Vidya Sankar Viswanathan
- Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, 30322, USA
| | - Priti Lal
- Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Michael D. Feldman
- Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Pingfu Fu
- Department of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH, 44106, USA
| | - Kenneth B. Margulies
- Cardiovascular Research Institute, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Anant Madabhushi
- Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, 30322, USA
- Atlanta Veterans Affairs Medical Center
| | - Eliot G. Peyster
- Cardiovascular Research Institute, University of Pennsylvania, Philadelphia, PA, 19104, USA
| |
Collapse
|
3
|
Borile G, Sandrin D, Filippi A, Anderson KI, Romanato F. Label-Free Multiphoton Microscopy: Much More Than Fancy Images. Int J Mol Sci 2021; 22:2657. [PMID: 33800802 PMCID: PMC7961783 DOI: 10.3390/ijms22052657] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 02/19/2021] [Accepted: 03/02/2021] [Indexed: 02/07/2023] Open
Abstract
Multiphoton microscopy has recently passed the milestone of its first 30 years of activity in biomedical research. The growing interest around this approach has led to a variety of applications from basic research to clinical practice. Moreover, this technique offers the advantage of label-free multiphoton imaging to analyze samples without staining processes and the need for a dedicated system. Here, we review the state of the art of label-free techniques; then, we focus on two-photon autofluorescence as well as second and third harmonic generation, describing physical and technical characteristics. We summarize some successful applications to a plethora of biomedical research fields and samples, underlying the versatility of this technique. A paragraph is dedicated to an overview of sample preparation, which is a crucial step in every microscopy experiment. Afterwards, we provide a detailed review analysis of the main quantitative methods to extract important information and parameters from acquired images using second harmonic generation. Lastly, we discuss advantages, limitations, and future perspectives in label-free multiphoton microscopy.
Collapse
Affiliation(s)
- Giulia Borile
- Laboratory of Optics and Bioimaging, Institute of Pediatric Research Città della Speranza, 35127 Padua, Italy;
- Department of Physics and Astronomy “G. Galilei”, University of Padua, 35131 Padua, Italy; (D.S.); (A.F.)
| | - Deborah Sandrin
- Department of Physics and Astronomy “G. Galilei”, University of Padua, 35131 Padua, Italy; (D.S.); (A.F.)
- L.I.F.E.L.A.B. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, 35128 Padua, Italy
| | - Andrea Filippi
- Department of Physics and Astronomy “G. Galilei”, University of Padua, 35131 Padua, Italy; (D.S.); (A.F.)
| | - Kurt I. Anderson
- Crick Advanced Light Microscopy Facility (CALM), The Francis Crick Institute, London NW1 1AT, UK;
| | - Filippo Romanato
- Laboratory of Optics and Bioimaging, Institute of Pediatric Research Città della Speranza, 35127 Padua, Italy;
- Department of Physics and Astronomy “G. Galilei”, University of Padua, 35131 Padua, Italy; (D.S.); (A.F.)
- L.I.F.E.L.A.B. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, 35128 Padua, Italy
| |
Collapse
|
4
|
Nawn D, Chatterjee S, Anura A, Bag S, Chakraborty D, Pal M, Paul RR, Chatterjee J. Elucidation of Differential Nano-Textural Attributes for Normal Oral Mucosa and Pre-Cancer. MICROSCOPY AND MICROANALYSIS : THE OFFICIAL JOURNAL OF MICROSCOPY SOCIETY OF AMERICA, MICROBEAM ANALYSIS SOCIETY, MICROSCOPICAL SOCIETY OF CANADA 2019; 25:1224-1233. [PMID: 31526400 DOI: 10.1017/s1431927619014867] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Computational analysis on altered micro-nano-textural attributes of the oral mucosa may provide precise diagnostic information about oral potentially malignant disorders (OPMDs) instead of an existing handful of qualitative reports. This study evaluated micro-nano-textural features of oral epithelium from scanning electron microscopic (SEM) images and the sub-epithelial connective tissue from light microscopic (LM) and atomic force microscopic (AFM) images for normal and OPMD (namely oral sub-mucous fibrosis, i.e., OSF). Objective textural descriptors, namely discrete wavelet transform, gray-level co-occurrence matrix (GLCM), and local binary pattern (LBP), were extracted and fed to standard classifiers. Best classification accuracy of 87.28 and 93.21%; sensitivity of 93 and 96%; specificity of 80 and 91% were achieved, respectively, for SEM and AFM. In the study groups, SEM analysis showed a significant (p < 0.01) variation for all the considered textural descriptors, while for AFM, a remarkable alteration (p < 0.01) was only found in GLCM and LBP. Interestingly, sub-epithelial collagen nanoscale and microscale textural information from AFM and LM images, respectively, were complementary, namely microlevel contrast was more in normal (0.251) than OSF (0.193), while nanolevel contrast was more in OSF (0.283) than normal (0.204). This work, thus, illustrated differential micro-nano-textural attributes for oral epithelium and sub-epithelium to distinguish OPMD precisely and may be contributory in early cancer diagnostics.
Collapse
Affiliation(s)
- Debaleena Nawn
- Advanced Technology Development Centre, Indian Institute of Technology, Kharagpur 721302, West Bengal, India
| | - Saunak Chatterjee
- School of Medical Science and Technology, Indian Institute of Technology, Kharagpur 721302, West Bengal, India
| | - Anji Anura
- School of Medical Science and Technology, Indian Institute of Technology, Kharagpur 721302, West Bengal, India
| | - Swarnendu Bag
- Tata Medical Center, Kolkata 700160, West Bengal, India
| | - Debjani Chakraborty
- Department of Mathematics, Indian Institute of Technology, Kharagpur 721302, West Bengal, India
| | - Mousumi Pal
- Guru Nanak Institute of Dental Sciences and Research, Kolkata 700114, West Bengal, India
| | - Ranjan Rashmi Paul
- Guru Nanak Institute of Dental Sciences and Research, Kolkata 700114, West Bengal, India
| | - Jyotirmoy Chatterjee
- School of Medical Science and Technology, Indian Institute of Technology, Kharagpur 721302, West Bengal, India
| |
Collapse
|
5
|
Scodellaro R, Bouzin M, Mingozzi F, D'Alfonso L, Granucci F, Collini M, Chirico G, Sironi L. Whole-Section Tumor Micro-Architecture Analysis by a Two-Dimensional Phasor-Based Approach Applied to Polarization-Dependent Second Harmonic Imaging. Front Oncol 2019; 9:527. [PMID: 31275857 PMCID: PMC6593899 DOI: 10.3389/fonc.2019.00527] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Accepted: 05/30/2019] [Indexed: 11/17/2022] Open
Abstract
Second Harmonic Generation (SHG) microscopy has gained much interest in the histopathology field since it allows label-free imaging of tissues simultaneously providing information on their morphology and on the collagen microarchitecture, thereby highlighting the onset of pathologies and diseases. A wide request of image analysis tools is growing, with the aim to increase the reliability of the analysis of the huge amount of acquired data and to assist pathologists in a user-independent way during their diagnosis. In this light, we exploit here a set of phasor-parameters that, coupled to a 2-dimensional phasor-based approach (μMAPPS, Microscopic Multiparametric Analysis by Phasor projection of Polarization-dependent SHG signal) and a clustering algorithm, allow to automatically recover different collagen microarchitectures in the tissues extracellular matrix. The collagen fibrils microscopic parameters (orientation and anisotropy) are analyzed at a mesoscopic level by quantifying their local spatial heterogeneity in histopathology sections (few mm in size) from two cancer xenografts in mice, in order to maximally discriminate different collagen organizations, allowing in this case to identify the tumor area with respect to the surrounding skin tissue. We show that the “fibril entropy” parameter, which describes the tissue order on a selected spatial scale, is the most effective in enlightening the tumor edges, opening the possibility of their automatic segmentation. Our method, therefore, combined with tissue morphology information, has the potential to become a support to standard histopathology in diseases diagnosis.
Collapse
Affiliation(s)
| | - Margaux Bouzin
- Physics Department, Università degli Studi di Milano-Bicocca, Milan, Italy
| | - Francesca Mingozzi
- Department of Biotechnology and Biosciences, Università degli Studi di Milano-Bicocca, Milan, Italy
| | - Laura D'Alfonso
- Physics Department, Università degli Studi di Milano-Bicocca, Milan, Italy
| | - Francesca Granucci
- Department of Biotechnology and Biosciences, Università degli Studi di Milano-Bicocca, Milan, Italy
| | - Maddalena Collini
- Physics Department, Università degli Studi di Milano-Bicocca, Milan, Italy
| | - Giuseppe Chirico
- Physics Department, Università degli Studi di Milano-Bicocca, Milan, Italy
| | - Laura Sironi
- Physics Department, Università degli Studi di Milano-Bicocca, Milan, Italy
| |
Collapse
|
6
|
Lee JH, Shih YT, Wei ML, Sun CK, Chiang BL. Classification of established atopic dermatitis in children with the in vivo imaging methods. JOURNAL OF BIOPHOTONICS 2019; 12:e201800148. [PMID: 30302943 DOI: 10.1002/jbio.201800148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 08/24/2018] [Accepted: 10/08/2018] [Indexed: 06/08/2023]
Abstract
Atopic dermatitis (AD) is a cutaneous disease resulting from a defective barrier and dysregulated immune response. The severity scoring of atopic dermatitis (SCORAD) is used to classify AD. Noninvasive imaging approaches supplementary to SCORAD were investigated. Cr:forsterite laser-based microscopy was employed to analyze endogenous third-harmonic generation (THG) and second-harmonic generation (SHG) signals from skin. Imaging parameters were compared between different AD severities. Three-dimensional reconstruction of imaged skin layers was performed. Finally, statistic models from quantitative imaging parameters were developed for predicting disease severity. Our data demonstrate that THG signal intensity of lesional skin in AD were significantly increased and was positively correlated with AD severity. Characteristic gray level co-occurrence matrix (GLCM) values were observed in more severe AD. In the 3D reconstruction video, individual dermal papilla and obvious fibrosis in the upper papillary dermis were easily identified. Our estimation models could predict the disease severity of AD patients with an accuracy of nearly 85%. The THG signal intensity and characteristic GLCM patterns are associated with AD severity and can serve as quantitative predictive parameters. Our imaging approach can be used to identify the histopathological changes of AD objectively, and to complement the SCORAD index, thus improving the accuracy of classifying AD severity.
Collapse
Affiliation(s)
- Jyh-Hong Lee
- Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan, Republic of China
| | - Yuan-Ta Shih
- Graduate Institute of Photonics and Optoelectronics and Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan, Republic of China
| | - Ming-Liang Wei
- Graduate Institute of Photonics and Optoelectronics and Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan, Republic of China
| | - Chi-Kuang Sun
- Graduate Institute of Photonics and Optoelectronics and Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan, Republic of China
- Research Center for Applied Sciences and Institute of Physics, Academia Sinica, Taipei, Taiwan, Republic of China
| | - Bor-Luen Chiang
- Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan, Republic of China
- Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan, Republic of China
| |
Collapse
|
7
|
Verstraete C, Mouchet SR, Verbiest T, Kolaric B. Linear and nonlinear optical effects in biophotonic structures using classical and nonclassical light. JOURNAL OF BIOPHOTONICS 2019; 12:e201800262. [PMID: 30288959 DOI: 10.1002/jbio.201800262] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 10/02/2018] [Indexed: 06/08/2023]
Abstract
In this perspective article, we review the optical study of different biophotonic geometries and biological structures using classical light in linear and nonlinear regime, especially highlighting the link between these morphologies and modern biomedical research. Additionally, the importance of nonlinear optical study in biological research, beyond traditional cell imaging is also highlighted and described. Finally, we present a short introduction regarding nonclassical light and describe the new future perspective of quantum optical study in biology, revealing the link between quantum realm and biological research.
Collapse
Affiliation(s)
- Charlotte Verstraete
- Molecular Imaging and Photonics, Department of Chemistry, KU Leuven, Heverlee, Belgium
| | - Sébastien R Mouchet
- School of Physics, University of Exeter, Exeter, UK
- Department of Physics & Namur Institute of Structured Matter (NISM), University of Namur, Namur, Belgium
| | - Thierry Verbiest
- Molecular Imaging and Photonics, Department of Chemistry, KU Leuven, Heverlee, Belgium
| | - Branko Kolaric
- Micro- and Nanophotonic Materials Group, University of Mons, Mons, Belgium
- Center for Photonics, Institute of Physics, University of Belgrade, Belgrade, Serbia
- Old World Labs, Virginia Beach, VA
| |
Collapse
|
8
|
Hristu R, Eftimie LG, Stanciu SG, Tranca DE, Paun B, Sajin M, Stanciu GA. Quantitative second harmonic generation microscopy for the structural characterization of capsular collagen in thyroid neoplasms. BIOMEDICAL OPTICS EXPRESS 2018; 9:3923-3936. [PMID: 30338165 PMCID: PMC6191628 DOI: 10.1364/boe.9.003923] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 07/13/2018] [Accepted: 07/14/2018] [Indexed: 05/11/2023]
Abstract
Quantitative second harmonic generation microscopy was used to investigate collagen organization in the fibrillar capsules of human benign and malignant thyroid nodules. We demonstrate that the combination of texture analysis and second harmonic generation images of collagen can be used to differentiate between capsules surrounding the thyroid follicular adenoma and papillary carcinoma nodules. Our findings indicate that second harmonic generation microscopy can provide quantitative information about the collagenous capsule surrounding both the thyroid and thyroid nodules, which may complement traditional histopathological examination.
Collapse
Affiliation(s)
- Radu Hristu
- Center for Microcopy-Microanalysis and Information Processing, University Politehnica of Bucharest, Bucharest, Romania
| | - Lucian G Eftimie
- Center for Microcopy-Microanalysis and Information Processing, University Politehnica of Bucharest, Bucharest, Romania
- Central University Emergency Military Hospital, Pathology Department, 134 Calea Plevnei, 010825 Bucharest, Romania
- Carol Davila University of Medicine and Pharmacy, 37 Dionisie Lupu, 030167 Bucharest, Romania
| | - Stefan G Stanciu
- Center for Microcopy-Microanalysis and Information Processing, University Politehnica of Bucharest, Bucharest, Romania
| | - Denis E Tranca
- Center for Microcopy-Microanalysis and Information Processing, University Politehnica of Bucharest, Bucharest, Romania
| | - Bogdan Paun
- Faculty of Energetics, University Politehnica of Bucharest, 313 Splaiul Independentei, 060042 Bucharest, Romania
- Currently with Faculty of Automation and Computer Science, Technical University of Cluj-Napoca, 26-28 George Baritiu St, 40002 Cluj-Napoca, Romania
| | - Maria Sajin
- Carol Davila University of Medicine and Pharmacy, 37 Dionisie Lupu, 030167 Bucharest, Romania
| | - George A Stanciu
- Center for Microcopy-Microanalysis and Information Processing, University Politehnica of Bucharest, Bucharest, Romania
| |
Collapse
|
9
|
Mostaço-Guidolin L, Rosin NL, Hackett TL. Imaging Collagen in Scar Tissue: Developments in Second Harmonic Generation Microscopy for Biomedical Applications. Int J Mol Sci 2017; 18:E1772. [PMID: 28809791 PMCID: PMC5578161 DOI: 10.3390/ijms18081772] [Citation(s) in RCA: 82] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 08/09/2017] [Accepted: 08/10/2017] [Indexed: 01/13/2023] Open
Abstract
The ability to respond to injury with tissue repair is a fundamental property of all multicellular organisms. The extracellular matrix (ECM), composed of fibrillar collagens as well as a number of other components is dis-regulated during repair in many organs. In many tissues, scaring results when the balance is lost between ECM synthesis and degradation. Investigating what disrupts this balance and what effect this can have on tissue function remains an active area of research. Recent advances in the imaging of fibrillar collagen using second harmonic generation (SHG) imaging have proven useful in enhancing our understanding of the supramolecular changes that occur during scar formation and disease progression. Here, we review the physical properties of SHG, and the current nonlinear optical microscopy imaging (NLOM) systems that are used for SHG imaging. We provide an extensive review of studies that have used SHG in skin, lung, cardiovascular, tendon and ligaments, and eye tissue to understand alterations in fibrillar collagens in scar tissue. Lastly, we review the current methods of image analysis that are used to extract important information about the role of fibrillar collagens in scar formation.
Collapse
Affiliation(s)
- Leila Mostaço-Guidolin
- Centre for Heart Lung Innovation, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada.
- Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada.
| | - Nicole L Rosin
- Centre for Heart Lung Innovation, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada.
| | - Tillie-Louise Hackett
- Centre for Heart Lung Innovation, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada.
- Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada.
| |
Collapse
|
10
|
Sowa MG, Kuo WC, Ko ACT, Armstrong DG. Review of near-infrared methods for wound assessment. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:091304. [PMID: 27087164 DOI: 10.1117/1.jbo.21.9.091304] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2016] [Accepted: 03/04/2016] [Indexed: 06/05/2023]
Abstract
Wound management is a challenging and costly problem that is growing in importance as people are living longer. Instrumental methods are increasingly being relied upon to provide objective measures of wound assessment to help guide management. Technologies that employ near-infrared (NIR) light form a prominent contingent among the existing and emerging technologies. We review some of these technologies. Some are already established, such as indocyanine green fluorescence angiography, while we also speculate on others that have the potential to be clinically relevant to wound monitoring and assessment. These various NIR-based technologies address clinical wound management needs along the entire healing trajectory of a wound.
Collapse
Affiliation(s)
- Michael G Sowa
- National Research Council Canada, Medical Devices Portfolio, 435 Ellice Avenue, Winnipeg, Manitoba R3B 1Y6, Canada
| | - Wen-Chuan Kuo
- National Yang-Ming University, Institute of Biophotonics, No.155, Sec.2, Linong Street, Taipei 112, Taiwan
| | - Alex C-T Ko
- National Research Council Canada, Medical Devices Portfolio, 435 Ellice Avenue, Winnipeg, Manitoba R3B 1Y6, Canada
| | - David G Armstrong
- University of Arizona College of Medicine, Vascular/Endovascular, P.O. Box 245072, Tucson, Arizona 85724-5072, United States
| |
Collapse
|