Validation of Carbon Monoxide Total Column Retrievals from SCIAMACHY Observations with NDACC/TCCON Ground-Based Measurements

Advancing DIEP Flap Monitoring with Optical Imaging Techniques: A Narrative Review

OBJECTIVES

This review aims to explore recent advancements in optical imaging techniques for monitoring the viability of Deep Inferior Epigastric Perforator (DIEP) flap reconstruction. The objectives include highlighting the principles, applications, and clinical utility of optical imaging modalities such as near-infrared spectroscopy (NIRS), indocyanine green (ICG) fluorescence angiography, laser speckle contrast imaging (LSCI), hyperspectral imaging (HSI), dynamic infrared thermography (DIRT), and short-wave infrared thermography (SWIR) in assessing tissue perfusion and oxygenation. Additionally, this review aims to discuss the potential of these techniques in enhancing surgical outcomes by enabling timely intervention in cases of compromised flap perfusion.

MATERIALS AND METHODS

A comprehensive literature review was conducted to identify studies focusing on optical imaging techniques for monitoring DIEP flap viability. We searched PubMed, MEDLINE, and relevant databases, including Google Scholar, Web of Science, Scopus, PsycINFO, IEEE Xplore, and ProQuest Dissertations & Theses, among others, using specific keywords related to optical imaging, DIEP flap reconstruction, tissue perfusion, and surgical outcomes. This extensive search ensured we gathered comprehensive data for our analysis. Articles discussing the principles, applications, and clinical use of NIRS, ICG fluorescence angiography, LSCI, HSI, DIRT, and SWIR in DIEP flap monitoring were selected for inclusion. Data regarding the techniques' effectiveness, advantages, limitations, and potential impact on surgical decision-making were extracted and synthesized.

RESULTS

Optical imaging modalities, including NIRS, ICG fluorescence angiography, LSCI, HSI, DIRT, and SWIR offer a non- or minimal-invasive, real-time assessment of tissue perfusion and oxygenation in DIEP flap reconstruction. These techniques provide objective and quantitative data, enabling surgeons to monitor flap viability accurately. Studies have demonstrated the effectiveness of optical imaging in detecting compromised perfusion and facilitating timely intervention, thereby reducing the risk of flap complications such as partial or total loss. Furthermore, optical imaging modalities have shown promise in improving surgical outcomes by guiding intraoperative decision-making and optimizing patient care.

CONCLUSIONS

Recent advancements in optical imaging techniques present valuable tools for monitoring the viability of DIEP flap reconstruction. NIRS, ICG fluorescence angiography, LSCI, HSI, DIRT, and SWIR offer a non- or minimal-invasive, real-time assessment of tissue perfusion and oxygenation, enabling accurate evaluation of flap viability. These modalities have the potential to enhance surgical outcomes by facilitating timely intervention in cases of compromised perfusion, thereby reducing the risk of flap complications. Incorporating optical imaging into clinical practice can provide surgeons with objective and quantitative data, assisting in informed decision-making for optimal patient care in DIEP flap reconstruction surgeries.

FTIR Measurements of Greenhouse Gases over Thessaloniki, Greece in the Framework of COCCON and Comparison with S5P/TROPOMI Observations

In this work, column-averaged dry-air mole fractions of carbon dioxide (XCO2), methane (XCH4) and carbon monoxide (XCO) are presented for the first time at a mid-latitude urban station, Thessaloniki, Greece, using the Bruker EM27/SUN ground-based low-resolution Fourier Transform spectrometer operated according to the requirements of the Collaborative Carbon Column Observing Network (COCCON). Two years of measurements are presented and examined for seasonal variability. The observed XCO2 levels show the expected seasonal cycle (spring maximum, late summer minimum) with a peak-to-peak amplitude of 12 ppm, with maximum values reported for winter 2021 exceeding 416 ppm. The XCH4 values are shown to increase in the second half of the year, with autumn showing the highest mean value of 1.878 ± 0.01 ppm. The XCO levels, following anthropogenic sources, show high winter and low summer values, exhibiting a rise again in August and September with a maximum value of 114 ± 3 ppb and a minimum in summer 2020 of 76 ± 3 ppb. Additionally, methane and carbon monoxide products obtained from the TROPOspheric Monitoring Instrument (TROPOMI), Sentinel-5P space borne sensor, are compared with the ground-based measurements. We report a good agreement between products. The relative mean bias for methane and carbon monoxide are −0.073 ± 0.647% and 3.064 ± 5.566%, respectively. Furthermore, a 15-day running average is subtracted from the original daily mean values to provide ΔXCO2, ΔXCO and ΔXCH4 residuals, so as to identify local sources at a synoptic scale. ΔXCO and ΔXCO2 show the best correlation in the winter (R2 = 0.898, slope = 0.007) season due to anthropogenic emissions in this period of the year (combustion of fossil fuels or industrial activities), while in summer no correlation is found. ΔXCO and ΔXCH4 variations are similar through both years of measurements and have a very good correlation in all seasons including winter (R2 = 0.804, slope = 1.209). The investigation of the X-gases comparison is of primary importance in order to identify local sources and quantify the impact of these trace gases to the deregulation of earth-climate system balance.

Impact of Molecular Spectroscopy on Carbon Monoxide Abundances from SCIAMACHY

High-quality observations have indicated the need for improved molecular spectroscopy for accurate atmospheric characterization. Line data provided by the new SEOM-IAS (Scientific Exploitation of Operational Missions—Improved Atmospheric Spectroscopy) database in the shortwave infrared (SWIR) region were used to retrieve CO total vertical columns from a selected set of nadir SCIAMACHY (SCanning Imaging Absorption SpectroMeter for Atmospheric CHartographY) observations. In order to assess the quality of the retrieval results, differences in the spectral fitting residuals with respect to the HITRAN 2016 (High-resolution TRANsmission molecular absorption) and GEISA 2015 (Gestion et Etude des Informations Spectroscopiques Atmosphériques) line lists were quantified and column-averaged dry-air CO mole fractions were compared to NDACC (Network for the Detection of Atmospheric Composition Change) and TCCON (Total Carbon Column Observing Network) ground-based measurements. In general, it was found that using SEOM-IAS line data with corresponding line models improve the spectral quality of the retrieval (smaller residuals) and increase the fitted CO columns, thereby reducing the bias to both ground-based networks.