Chinese Journal of Lasers, Volume. 51, Issue 9, 0907014(2024)

Clinical Application of Computer‐Assisted Second Near‐Infrared Window Fluorescence Angiography in Surgical Creation of Hemodialysis Access

Lingbing Li1,2, Lidan Fu2,3, Xiaojing Shi2, Yuanda Wang4, Zhijun Wang1,4,5, and Zhenhua Hu2,5、*
Author Affiliations
  • 1The Second Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • 2CAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China
  • 3School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing 100049, China
  • 4The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • 5National Key Laboratory of Kidney Diseases, Chinese PLA General Hospital, Beijing 100853, China
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    Figures & Tables(5)
    Based on NIR-II 2D fluorescence imaging, analyze the venous network and radial artery blood flow parameters at the surgical site to simulate postoperative outcomes
    Measurements of postoperative vascular diameters in patients, some blood vessels were not visible on ultrasound under pressure
    Image resolution improvement through artificial intelligence method. (a)(b) ICG NIR-II images of vessels; (c)(d) NIR-IIb high-resolution images of vessels after spectral shift generative adversarial network processing
    During the process of freeing the forearm cephalic vein, parallel similar veins can be seen during surgery. By observing the drainage of the cephalic vein through NIR-II angiography, we can judge that one vein originates from the dorsal side of the hand as the main trunk of the cephalic vein, and the other originates from a communicating branch on the palmar side, connecting the cephalic vein and the basilic vein. (a) The main trunk cannot be adequately displayed by ultrasound; (b) superficial vascular network imaged by NIR-II; (c) intraoperative view
    • Table 1. Baseline characteristics of the study population

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      Table 1. Baseline characteristics of the study population

      CharacteristicFluorescence angiography groupControl group
      Age (range)56(18‒75)55(20‒74)
      Gender (n
      Male98
      Female37
      Renal insufficiency stage
      423
      51012
      Renal anemia910
      Diabetes mellitus89
      Hypertension1113
      Polycystic kidney42
      Hyperuricemia25
      Henoch-Schonlein purpura10
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    Lingbing Li, Lidan Fu, Xiaojing Shi, Yuanda Wang, Zhijun Wang, Zhenhua Hu. Clinical Application of Computer‐Assisted Second Near‐Infrared Window Fluorescence Angiography in Surgical Creation of Hemodialysis Access[J]. Chinese Journal of Lasers, 2024, 51(9): 0907014

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    Paper Information

    Category: biomedical photonics and laser medicine

    Received: Dec. 4, 2023

    Accepted: Jan. 22, 2024

    Published Online: Apr. 26, 2024

    The Author Email: Hu Zhenhua (zhenhua.hu@ia.ac.cn)

    DOI:10.3788/CJL231471

    CSTR:32183.14.CJL231471

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