• Journal of Infrared and Millimeter Waves
  • Vol. 42, Issue 6, 895 (2023)
Hu-Wei NI and Jun QIAN*
Author Affiliations
  • Centre for Optical and Electromagnetic Research,College of Optical Science and Engineering,International Research Center for Advanced Photonics,Zhejiang University,Hangzhou 310058,China
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    DOI: 10.11972/j.issn.1001-9014.2023.06.023 Cite this Article
    Hu-Wei NI, Jun QIAN. Clinical research progress on the fluorescence imaging in the second near-infrared window[J]. Journal of Infrared and Millimeter Waves, 2023, 42(6): 895 Copy Citation Text show less
    The mechanism of the NIR-II optical bioimaging [15],(a) the light absorption spectrum of water within 700-2 500 nm,(b) the simulation results of the NIR bio-tissue imaging via Monte Carlo method in 1 300-2 340 nm,(c) the schematic diagram of light propagation in tissue,the propagation of excited ballistic and diffused emission photons in the bio-tissue with small(left) and moderate (right) light absorption and the resulting SBRs of the fluorescence imaging
    Fig. 1. The mechanism of the NIR-II optical bioimaging 15,(a) the light absorption spectrum of water within 700-2 500 nm,(b) the simulation results of the NIR bio-tissue imaging via Monte Carlo method in 1 300-2 340 nm,(c) the schematic diagram of light propagation in tissue,the propagation of excited ballistic and diffused emission photons in the bio-tissue with small(left) and moderate (right) light absorption and the resulting SBRs of the fluorescence imaging
    All imaging equipments can be integrated into a compact open-field device or within laparoscopic and other surgical instruments for contact-free and real-time imaging[26].
    Fig. 2. All imaging equipments can be integrated into a compact open-field device or within laparoscopic and other surgical instruments for contact-free and real-time imaging26.
    The development roadmap of 1-1.7 μm InGaAs FPA in SITP[28]
    Fig. 3. The development roadmap of 1-1.7 μm InGaAs FPA in SITP28
    The NIR-II fluorescence imaging guided sentinel lymph node resection[49]
    Fig. 4. The NIR-II fluorescence imaging guided sentinel lymph node resection49
    (a)The triple-channel NIR-II fluorescence imaging of LNs,blood vessels,and ureters on rats[21],(b)the hybrid NIR-II and visible fluorescence imaging of mesenteric lymph nodes and corresponding lymphatic vessels[55]
    Fig. 5. (a)The triple-channel NIR-II fluorescence imaging of LNs,blood vessels,and ureters on rats21,(b)the hybrid NIR-II and visible fluorescence imaging of mesenteric lymph nodes and corresponding lymphatic vessels55
    The intraoperative NIR-II/I imaging of patients with different types of liver cancer[29],(a) the intraoperative NIR II/I images for a nodule of liver cancer,intrahepatic metastases,and extrahepatic metastases,respectively,(b) the cross-sectional intensity distribution of NIR-II and NIR-I images in the white arrow region in (a),(c) a small intrahepatic metastasis in the right liver was successfully detected by the NIR-II imaging,as shown by the red arrow. However,the NIR-I imaging failed to detect the lesion
    Fig. 6. The intraoperative NIR-II/I imaging of patients with different types of liver cancer29,(a) the intraoperative NIR II/I images for a nodule of liver cancer,intrahepatic metastases,and extrahepatic metastases,respectively,(b) the cross-sectional intensity distribution of NIR-II and NIR-I images in the white arrow region in (a),(c) a small intrahepatic metastasis in the right liver was successfully detected by the NIR-II imaging,as shown by the red arrow. However,the NIR-I imaging failed to detect the lesion
    The intraoperative fluorescence imaging and the pathological results in hepatectomy[58],(a–b) the enhanced CT results showed a lesion in the right liver lobe,(c–e) show the in vivo images before lesion resection,(c) was acquired in the visible light spectrum while (d) was the white-light observation using the NIR-II imager,(e) the NIR-II fluorescence was detected in the liver parenchyma and the lesion was visualized with a high contrast of 10.43,(f,g) the fluorescent margin on the resected lesion aided to achieve a complete resection,(h–i) exhibit the distribution of the NIR-II fluorescence on the lesion ex vivo,four typical specimens (①~④) were taken for pathological analyses,(j) the pathological results showed that ① was the moderately differentiated HCC,② was the moderately-poorly differentiated HCC,the fluorescent ③ and ④ were the cirrhosis
    Fig. 7. The intraoperative fluorescence imaging and the pathological results in hepatectomy58,(a–b) the enhanced CT results showed a lesion in the right liver lobe,(c–e) show the in vivo images before lesion resection,(c) was acquired in the visible light spectrum while (d) was the white-light observation using the NIR-II imager,(e) the NIR-II fluorescence was detected in the liver parenchyma and the lesion was visualized with a high contrast of 10.43,(f,g) the fluorescent margin on the resected lesion aided to achieve a complete resection,(h–i) exhibit the distribution of the NIR-II fluorescence on the lesion ex vivo,four typical specimens (①~④) were taken for pathological analyses,(j) the pathological results showed that ① was the moderately differentiated HCC,② was the moderately-poorly differentiated HCC,the fluorescent ③ and ④ were the cirrhosis
    Comparison of multispectral fluorescence images[61],(a) the vascular SBR in different spectra of each patient,(b) the mean vascular SBR of the seven patients,(c-d) the visible light and multispectral fluorescence images of cerebral vessels,(e) the fluorescence images of the enlarged view of the white rectangle in (c),three veins are distinguished in the NIR-I and NIR-II imaging while four are distinguished in the NIR-IIa and NIR-IIb imaging,(f) the cross-sectional intensity profiles,which correspond to the location and direction of white arrows in (e),respectively,d1 indicated the center distance between vessel 1 and vessel 2,which was 0.67 mm,similarly,d2 indicated the center distance between vessel 3 and vessel 4,which was 0.71 mm
    Fig. 8. Comparison of multispectral fluorescence images61,(a) the vascular SBR in different spectra of each patient,(b) the mean vascular SBR of the seven patients,(c-d) the visible light and multispectral fluorescence images of cerebral vessels,(e) the fluorescence images of the enlarged view of the white rectangle in (c),three veins are distinguished in the NIR-I and NIR-II imaging while four are distinguished in the NIR-IIa and NIR-IIb imaging,(f) the cross-sectional intensity profiles,which correspond to the location and direction of white arrows in (e),respectively,d1 indicated the center distance between vessel 1 and vessel 2,which was 0.67 mm,similarly,d2 indicated the center distance between vessel 3 and vessel 4,which was 0.71 mm
    The intraoperative NIR-II image-assisted kidney mass resection[65],(a) the visible and NIR-II images of the tumor and renal parenchyma,(b) the visible and NIR-II images of the surgical margins,(d) the visible and NIR-II images of the tumor base
    Fig. 9. The intraoperative NIR-II image-assisted kidney mass resection65,(a) the visible and NIR-II images of the tumor and renal parenchyma,(b) the visible and NIR-II images of the surgical margins,(d) the visible and NIR-II images of the tumor base
    Applications of the NIR-II imaging with ICG in microsurgery[69],(a) the NIR Imaging for the assessment of vascular patency during anastomosis,(b) the NIR Imaging for a thumb replantation,(c) the NIR Imaging for the avulsion injury reconstruction
    Fig. 10. Applications of the NIR-II imaging with ICG in microsurgery69,(a) the NIR Imaging for the assessment of vascular patency during anastomosis,(b) the NIR Imaging for a thumb replantation,(c) the NIR Imaging for the avulsion injury reconstruction
    Hu-Wei NI, Jun QIAN. Clinical research progress on the fluorescence imaging in the second near-infrared window[J]. Journal of Infrared and Millimeter Waves, 2023, 42(6): 895
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