24
APPEARANCE ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN DURING SURGERY HIDEAKI HANEISHI, KINA MURAI AND NORIKO KOHIRA CHIBA UNIVERSITY Feb.1, 2013 ICC Chiba Color Experts’ day 2013

APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

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Page 1: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

APPEARANCE

ENHANCEMENT OF BLOOD

CIRCULATION OF ORGAN

DURING SURGERY

HIDEAKI HANEISHI KINA MURAI AND NORIKO KOHIRA

CHIBA UNIVERSITY

Feb1 2013

ICC Chiba Color Expertsrsquo day 2013

Improving color appearance

of organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation

of the Organ Using Near-

Infrared Spectral Image

Improving color appearance of organ in surgery

by optimally designed LED illuminant

KINA MURAI AND HIDEAKI HANEISHI

4

For clarifying the blood circulation the optimal illuminant is designed

Purpose

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The color reflects the condition of organ

But the difference of color is small

It is desired that a technology to support

visual diagnosis is developed

Designed an illuminant

Illuminant is designed by using LEDs

Good

Poor

Illuminant

Wavelength

Inte

nsity

Combination

LEDs

The spectrum of illuminant

is optimized by combining

several kinds of LEDs

Clarify the difference of color

Introduction

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Visual diagnosis

Based on properties

of human visual system

5

Optimal white illuminant

Optimal non-white illuminant

Surgeons are used to the color of conventional shadowless light in operation room

The optimal illuminant is used only when surgeons judge the condition of the organ

Surgical

illuminant Color of white The color of white

Is similar

Switch the illuminant

Judge condition

of the organ

Optimal

Non-white

illuminant

Two approaches of illuminant optimization

Color of white

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Optimal

illuminant

Surgical

illuminant

Visual

diagnosis Visual

diagnosis

A normal

operation

It is not preferable that color of the optimal illuminant is different from surgical illuminant

Illuminant is optimized under the metameric condition that the white is maintained

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

6

The optimal illuminant is designed by weighting and combining some kinds of LEDs

Combining LEDs

E1(λ) E2(λ) E3(λ) E4(λ) E5(λ) E6(λ)

k1E1

k2E2

k3E3

k4E4

k6E6

k5E5

119864119900119901

119864119900119901 120582 = 119896119899119864119899(120582)

119873

119899=1

0 le 119896119899 le 1

119873the number of the kinds of LEDs Color difference

+a -a

L

+b

CIELAB color space Reflectance 1

Reflectance 2

X1 Y1 Z1

X2 Y2 Z2

L1 a1 b1

L2 a2 b2

Color difference

Δ119864119886119887

∆119864119886119887 = ∆119871lowast 2 + ∆119886lowast 2 + ∆119887lowast 212

∆119864119886119887 gt 3HVS can perceive the difference of color

Each LED is

given weight

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Method

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

The spectral characteristics of LEDs are known

7

Optimization of white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

objective function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end f=max Yes No

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

Criterion 1 Criterion 2

Color difference of white object between the illuminant 119864119900119901 and the conventional surgical illuminant should be smallest

Whiteness

The weight 119896119899 is acquired by maximizing the objective function

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 2: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Improving color appearance

of organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation

of the Organ Using Near-

Infrared Spectral Image

Improving color appearance of organ in surgery

by optimally designed LED illuminant

KINA MURAI AND HIDEAKI HANEISHI

4

For clarifying the blood circulation the optimal illuminant is designed

Purpose

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The color reflects the condition of organ

But the difference of color is small

It is desired that a technology to support

visual diagnosis is developed

Designed an illuminant

Illuminant is designed by using LEDs

Good

Poor

Illuminant

Wavelength

Inte

nsity

Combination

LEDs

The spectrum of illuminant

is optimized by combining

several kinds of LEDs

Clarify the difference of color

Introduction

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Visual diagnosis

Based on properties

of human visual system

5

Optimal white illuminant

Optimal non-white illuminant

Surgeons are used to the color of conventional shadowless light in operation room

The optimal illuminant is used only when surgeons judge the condition of the organ

Surgical

illuminant Color of white The color of white

Is similar

Switch the illuminant

Judge condition

of the organ

Optimal

Non-white

illuminant

Two approaches of illuminant optimization

Color of white

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Optimal

illuminant

Surgical

illuminant

Visual

diagnosis Visual

diagnosis

A normal

operation

It is not preferable that color of the optimal illuminant is different from surgical illuminant

Illuminant is optimized under the metameric condition that the white is maintained

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

6

The optimal illuminant is designed by weighting and combining some kinds of LEDs

Combining LEDs

E1(λ) E2(λ) E3(λ) E4(λ) E5(λ) E6(λ)

k1E1

k2E2

k3E3

k4E4

k6E6

k5E5

119864119900119901

119864119900119901 120582 = 119896119899119864119899(120582)

119873

119899=1

0 le 119896119899 le 1

119873the number of the kinds of LEDs Color difference

+a -a

L

+b

CIELAB color space Reflectance 1

Reflectance 2

X1 Y1 Z1

X2 Y2 Z2

L1 a1 b1

L2 a2 b2

Color difference

Δ119864119886119887

∆119864119886119887 = ∆119871lowast 2 + ∆119886lowast 2 + ∆119887lowast 212

∆119864119886119887 gt 3HVS can perceive the difference of color

Each LED is

given weight

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Method

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

The spectral characteristics of LEDs are known

7

Optimization of white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

objective function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end f=max Yes No

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

Criterion 1 Criterion 2

Color difference of white object between the illuminant 119864119900119901 and the conventional surgical illuminant should be smallest

Whiteness

The weight 119896119899 is acquired by maximizing the objective function

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 3: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Improving color appearance of organ in surgery

by optimally designed LED illuminant

KINA MURAI AND HIDEAKI HANEISHI

4

For clarifying the blood circulation the optimal illuminant is designed

Purpose

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The color reflects the condition of organ

But the difference of color is small

It is desired that a technology to support

visual diagnosis is developed

Designed an illuminant

Illuminant is designed by using LEDs

Good

Poor

Illuminant

Wavelength

Inte

nsity

Combination

LEDs

The spectrum of illuminant

is optimized by combining

several kinds of LEDs

Clarify the difference of color

Introduction

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Visual diagnosis

Based on properties

of human visual system

5

Optimal white illuminant

Optimal non-white illuminant

Surgeons are used to the color of conventional shadowless light in operation room

The optimal illuminant is used only when surgeons judge the condition of the organ

Surgical

illuminant Color of white The color of white

Is similar

Switch the illuminant

Judge condition

of the organ

Optimal

Non-white

illuminant

Two approaches of illuminant optimization

Color of white

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Optimal

illuminant

Surgical

illuminant

Visual

diagnosis Visual

diagnosis

A normal

operation

It is not preferable that color of the optimal illuminant is different from surgical illuminant

Illuminant is optimized under the metameric condition that the white is maintained

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

6

The optimal illuminant is designed by weighting and combining some kinds of LEDs

Combining LEDs

E1(λ) E2(λ) E3(λ) E4(λ) E5(λ) E6(λ)

k1E1

k2E2

k3E3

k4E4

k6E6

k5E5

119864119900119901

119864119900119901 120582 = 119896119899119864119899(120582)

119873

119899=1

0 le 119896119899 le 1

119873the number of the kinds of LEDs Color difference

+a -a

L

+b

CIELAB color space Reflectance 1

Reflectance 2

X1 Y1 Z1

X2 Y2 Z2

L1 a1 b1

L2 a2 b2

Color difference

Δ119864119886119887

∆119864119886119887 = ∆119871lowast 2 + ∆119886lowast 2 + ∆119887lowast 212

∆119864119886119887 gt 3HVS can perceive the difference of color

Each LED is

given weight

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Method

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

The spectral characteristics of LEDs are known

7

Optimization of white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

objective function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end f=max Yes No

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

Criterion 1 Criterion 2

Color difference of white object between the illuminant 119864119900119901 and the conventional surgical illuminant should be smallest

Whiteness

The weight 119896119899 is acquired by maximizing the objective function

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 4: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

4

For clarifying the blood circulation the optimal illuminant is designed

Purpose

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The color reflects the condition of organ

But the difference of color is small

It is desired that a technology to support

visual diagnosis is developed

Designed an illuminant

Illuminant is designed by using LEDs

Good

Poor

Illuminant

Wavelength

Inte

nsity

Combination

LEDs

The spectrum of illuminant

is optimized by combining

several kinds of LEDs

Clarify the difference of color

Introduction

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Visual diagnosis

Based on properties

of human visual system

5

Optimal white illuminant

Optimal non-white illuminant

Surgeons are used to the color of conventional shadowless light in operation room

The optimal illuminant is used only when surgeons judge the condition of the organ

Surgical

illuminant Color of white The color of white

Is similar

Switch the illuminant

Judge condition

of the organ

Optimal

Non-white

illuminant

Two approaches of illuminant optimization

Color of white

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Optimal

illuminant

Surgical

illuminant

Visual

diagnosis Visual

diagnosis

A normal

operation

It is not preferable that color of the optimal illuminant is different from surgical illuminant

Illuminant is optimized under the metameric condition that the white is maintained

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

6

The optimal illuminant is designed by weighting and combining some kinds of LEDs

Combining LEDs

E1(λ) E2(λ) E3(λ) E4(λ) E5(λ) E6(λ)

k1E1

k2E2

k3E3

k4E4

k6E6

k5E5

119864119900119901

119864119900119901 120582 = 119896119899119864119899(120582)

119873

119899=1

0 le 119896119899 le 1

119873the number of the kinds of LEDs Color difference

+a -a

L

+b

CIELAB color space Reflectance 1

Reflectance 2

X1 Y1 Z1

X2 Y2 Z2

L1 a1 b1

L2 a2 b2

Color difference

Δ119864119886119887

∆119864119886119887 = ∆119871lowast 2 + ∆119886lowast 2 + ∆119887lowast 212

∆119864119886119887 gt 3HVS can perceive the difference of color

Each LED is

given weight

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Method

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

The spectral characteristics of LEDs are known

7

Optimization of white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

objective function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end f=max Yes No

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

Criterion 1 Criterion 2

Color difference of white object between the illuminant 119864119900119901 and the conventional surgical illuminant should be smallest

Whiteness

The weight 119896119899 is acquired by maximizing the objective function

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 5: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

5

Optimal white illuminant

Optimal non-white illuminant

Surgeons are used to the color of conventional shadowless light in operation room

The optimal illuminant is used only when surgeons judge the condition of the organ

Surgical

illuminant Color of white The color of white

Is similar

Switch the illuminant

Judge condition

of the organ

Optimal

Non-white

illuminant

Two approaches of illuminant optimization

Color of white

Wavelength

Inte

nsity

Wavelength

Inte

nsity

Optimal

illuminant

Surgical

illuminant

Visual

diagnosis Visual

diagnosis

A normal

operation

It is not preferable that color of the optimal illuminant is different from surgical illuminant

Illuminant is optimized under the metameric condition that the white is maintained

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

6

The optimal illuminant is designed by weighting and combining some kinds of LEDs

Combining LEDs

E1(λ) E2(λ) E3(λ) E4(λ) E5(λ) E6(λ)

k1E1

k2E2

k3E3

k4E4

k6E6

k5E5

119864119900119901

119864119900119901 120582 = 119896119899119864119899(120582)

119873

119899=1

0 le 119896119899 le 1

119873the number of the kinds of LEDs Color difference

+a -a

L

+b

CIELAB color space Reflectance 1

Reflectance 2

X1 Y1 Z1

X2 Y2 Z2

L1 a1 b1

L2 a2 b2

Color difference

Δ119864119886119887

∆119864119886119887 = ∆119871lowast 2 + ∆119886lowast 2 + ∆119887lowast 212

∆119864119886119887 gt 3HVS can perceive the difference of color

Each LED is

given weight

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Method

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

The spectral characteristics of LEDs are known

7

Optimization of white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

objective function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end f=max Yes No

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

Criterion 1 Criterion 2

Color difference of white object between the illuminant 119864119900119901 and the conventional surgical illuminant should be smallest

Whiteness

The weight 119896119899 is acquired by maximizing the objective function

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 6: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

6

The optimal illuminant is designed by weighting and combining some kinds of LEDs

Combining LEDs

E1(λ) E2(λ) E3(λ) E4(λ) E5(λ) E6(λ)

k1E1

k2E2

k3E3

k4E4

k6E6

k5E5

119864119900119901

119864119900119901 120582 = 119896119899119864119899(120582)

119873

119899=1

0 le 119896119899 le 1

119873the number of the kinds of LEDs Color difference

+a -a

L

+b

CIELAB color space Reflectance 1

Reflectance 2

X1 Y1 Z1

X2 Y2 Z2

L1 a1 b1

L2 a2 b2

Color difference

Δ119864119886119887

∆119864119886119887 = ∆119871lowast 2 + ∆119886lowast 2 + ∆119887lowast 212

∆119864119886119887 gt 3HVS can perceive the difference of color

Each LED is

given weight

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Method

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

The spectral characteristics of LEDs are known

7

Optimization of white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

objective function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end f=max Yes No

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

Criterion 1 Criterion 2

Color difference of white object between the illuminant 119864119900119901 and the conventional surgical illuminant should be smallest

Whiteness

The weight 119896119899 is acquired by maximizing the objective function

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 7: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

7

Optimization of white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

objective function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end f=max Yes No

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

Criterion 1 Criterion 2

Color difference of white object between the illuminant 119864119900119901 and the conventional surgical illuminant should be smallest

Whiteness

The weight 119896119899 is acquired by maximizing the objective function

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 8: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

8

Optimal non-white illuminant

Illuminant 119864119900119901 Illuminant 119864119900119901 surgical Illuminant 119864119904

normal

Llowast alowast blowast poor

Llowast alowast blowast

white 119864119900119901

Llowast alowast blowast

white 119864119904 Llowast alowast blowast

blood circulation color difference 120572 white reference color difference 120573

object function 119891 = 120572 minus 120573 coefficient

119896119899 update

normal

blood circulation

reflectance

poor

blood circulation

reflectance

reference white

reflectance

end c=max Yes No

Criterion 1 Criterion 1

The color difference under the illuminant 119864119900119901 and the surgical illuminant is the smallest

Whitness

object function 120572 coefficient

119896119899 update end c=max

Yes No

The weight 119896119899 is acquired by maximizing the objective function

Color difference between normal organ and poor circulation organ under the illuminant 119864119900119901 should be largest

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 9: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

9

The reflectance spectra of pigsrsquo small intestine were collected

for designing the optimal illuminant

Light

source

119864119909119910(120582)

Sensitivity of a camera

119877(120582) Sensitivity of a filter

120601119894(120582)

120588119894119909119910 = 119905119894 119864

119909119910 120582 119878119909119910 120582 120601119894 120582 119877 120582 119889120582

119905119894 Exposure time

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

119878119909119910(120582)

Reflectance

Pixel value

120588119909119910119894(120582)

Filter VariSpec (CRi)

Wavelength band 400~720 [nm]

Band width 10 [nm]

Camera ALTA U260 (Apogee)

Image size 512times512 [pixels]

Pixel size 20times20 [μm]

Camera

Filter

Sensitivity of a filter

Sensitiv

ity

Wavelength[nm]

Experiment

33 filters were used for capturing the images

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 10: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

10

Experiment protocol

① A part of a small intestine was fixed

② The images of normal blood circulation

were captured normal

③ The vessels supplying the blood

were clamped

④ The images of the poor blood

circulation were captured

Ischemia1 (虚血)

⑤ The images of the worse blood

circulation were captured

Ischemia2

Data normalization

A multispectral image

A white board was used as white reference

Clamped

whiteboard

Experiment

119877 120582 =1

50 119878119894 120582 minus 119863(120582)

119878119908ℎ119894119905119890 120582 minus 119863(120582)

50

119894=1

119878119908ℎ119894119905119890(120582)an average pixel value of the white board

119878119894(120582)a pixel value of the intestine of the ith point

119863(120582)the minimum pixel value in the image

Selected region

of the

white board

Selected 50 points of the small intestine

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 11: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

11

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

0

01

02

03

04

05

400 500 600 700

分光反射率

波長[nm]

normal

ischemia1

ischemia2

Subject 1 Subject 2

A change of the reflectance in long wavelength is larger than that in other wavelength

Hypothetical LEDs

430435450470496505535

560570590600610625645

Use the data of 14 LEDs manufactured

by epitex

The spectral characteristics were modeled

by Gaussian function

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

The optimal illuminants were designed by using these data

Spectral reflectance

Em

issio

n in

ten

sity

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

Sp

ectr

al re

fle

cta

nce

Wavelength[nm]

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 12: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

12

Subject 1 Subject 2

Optimal Surgical Optimal Surgical

Ischemia1 81 51 93 71

Ischemia2 128 91 152 108

illuminant

Condition

The whiteness has a value less than 001

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1

ischemia2

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

ischemia1ischemia2

The optimal white illuminant

Em

issio

n in

ten

sity

Wavelength[nm]

Em

issio

n in

ten

sity

Wavelength[nm]

Subject 1 Subject 2

The color difference under the optimal illuminant has larger value than that under

the conventional surgical illuminant

The intensity of the LEDs whose peak wavelength is in long wavelength

region are greatest

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 13: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

13

Subject 1 Subject 2

Non white White Surgical Non white White Surgical

Ischemia1 148 81 51 148 93 71

Ischemia2 247 128 91 247 151 108

The color difference under the optimal non white illuminant is the largest

among that under the optimal white illuminant and the surgical illuminant

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

0

02

04

06

08

1

12

400 500 600 700

相対発光強度

波長[nm]

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The optimal non-white illuminant

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm]

Em

issio

n in

ten

sity

Em

issio

n in

ten

sity

Ischemia1 Ischemia2

Optimal white illuminant Optimal non white illuminant

The intensity of the LEDs whose peak wavelength is in small wavelength

region are greatest

illuminant

Condition

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 14: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

14

Conclusions

Future works

bull Prototyping those optimal illuminants with LEDs

bull Confirming the advantage of the optimal illuminants

through a pre-clinical experiment

bull For the purpose of enhancing the color of the blood circulation the

optimal illuminants were designed by combining some kinds of LEDs

bull It was suggested through the simulation that the optimal illuminant can

clarify the blood circulation better than the conventional surgical

illuminant

bull The optimal non-white illuminant could enhance the color difference

more

Conclusions

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 15: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Improving color appearance of

organ in surgery

by optimally designed visible

LED illuminant

Autotransplantation

Resect and reconstruct a hollow organ

It is necessary to judge whether

the organ is healthy or not

Good

Poor

Surgical

illuminant

Visual diagnosis

The condition of organ is appeared in color

But the difference of color is small

It is desired that a technology to assist

surgeonrsquos diagnosis is developed

Wavelength

Inte

nsity

Color of organ in surgery is very important

Approach 1

Approach 2

Basic Study Toward

Quantification of Circulation of

the Organ Using Near-Infrared

Spectral Image

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 16: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Basic Study Toward Quantification of

Circulation of the Organ Using Near-Infrared

Spectral Image

Kina murai and Hideaki haneishi

Kina murai and Hideaki haneishi Noriko Kohira

Hideaki Haneishi

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 17: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Objective

Autotransplantation Use healthy organ for the

reconstruction of other parts of the body

The evaluation of the state of blood circulation

is required

Background

Visual diagnosis

Objective

We aim to develop a method for quantitative analysis of circulation of the organ

Near-infrared spectral image

Combine

multiple images

Light source

Camera

Spectral image

17

Emphasize the poor circulation

Organ

Visual confirmation of the color of

the organ is very difficult

Normal

Ischemia

Normal

Ischemia

Wavelength[nm] sp

ectr

al re

fle

ctivity

Narrow band

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 18: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Spectral Information Collection

Multispectral Image Capturing

A multispectral camera can acquire spectral images of the same number as filters

Experimental protocol

Filter Varispec(CRi)

The spectral range of 720-1100nm and a spectral resolution of 10nm

White board

Ischemic state

Clamped

Normal state

The reflectance spectra of internal organs were collected from pigsrsquo small intestine

Light source

119864119909119910(120582)

Reflectance

119877119909119910(120582)

Sensitivity of a filter

120601119894(120582)

Sensitivity of a camera

120588(120582)

Pixel value

119878119894119909119910

18

① The abdomen of a pig was opened and a part of

a small intestine was fixed

② The vessels supplying the blood were clamped and

interrupted of blood flow to a part of a small intestine

③ At 7 minutes after interruption of the blood

flow the images were captured ischemia1

④ At 13 minutes after interruption of the blood

flow the images were captured ischemia2

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 19: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Evaluation of the Spectral Reflectance

a pixel value of the small intestine

an average pixel

value of diffuser

normal

ischemia 1

(7 min)

ischemia 2

(13 min)

Subject 1 Subject 2

19

Wavelength[nm] Wavelength[nm]

Spectr

al re

flectivity

Spectr

al re

flectivity

Selected points

of the small intestine

Selected region

of white board

Spectral reflectance was calculated as the mean

value of 30 points of the small intestine

an average pixel

value of dark current

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 20: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

600 1000 波長[nm]

Hb

HbO2

01

1

10

H

b

800

HbO2 Hb

Wavelength[nm]

Absorp

tion

coeffic

ient

(cm

-1m

mol-1

l-1

)

Finding a Specific Wavelength Region

800~860nm

20

小腸A 小腸B

波長[nm] 波長[nm]

normal

ischemia 1

ischemia 2

Subject 1 Subject 2

Wavelength[nm] Wavelength[nm] S

pectr

al re

flectivity

Spectr

al re

flectivity

Evaluate the circulation of the organ

using this wavelength region

Common trend to both subject1 and subject2

Corresponds to the absorption characteristics

of hemoglobin

Find a characteristic wavelength range from the spectral reflectance data

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 21: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Method- Two steps of quantification - 21

normal

ischemia normal

ischemia

Prepare a large number of data

Calculate a reference vector

The organ to

be evaluated

Use the reference vector

and evaluate

Preparation step

Feature vector extraction

Evaluation step

Feature vector extraction

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 22: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Method

Step1Calculate a Reference Vector

mthe average value of 119892119894(i=1~7)

Step2Evaluate A Test Circulation

Estimated index s

Estimated index s becomes larger

as the organs become ischemic

g1rsquo

g2rsquo

g7rsquo

119837

119904(119896)

7 spectral images captured

at 800 810hellip 860nm

22

Given 7-dimensional vector for each pixel

Project a vector of the pixel of interest to 119837

average of 30 vectors

119840(119896)prime

Reference Vector

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 23: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Verification

Subject 1 Estimated

index s Subject 2

Estimated

index s

The average value

of 10times10 [pixel]

081

086

066

070

Image to use

Subject 1 Subject 2 dA

dB

Results

normal

23

The circulation of the organ can be evaluated

The reference vector calculated from the other data was used

ischemia

normal

ischemia

ischemia

normal

normal

ischemia

The average value

of 10times10 [pixel]

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation

Page 24: APPEARANCE ENHANCEMENT OF BLOOD … ENHANCEMENT OF BLOOD CIRCULATION OF ORGAN ... Basic Study Toward ... HbO 2 0.1 1 10 H b 800 HbO 2 Hb

Conclusions

Conclusions

Future works

The spectral reflectance in NIR region of pigsrsquo small intestine were collected

Camera

Wavelength

Inte

nsity

LED

24

When the blood flow of the small intestine was worsened optical

characteristics of the wavelength range of 800 ~ 860nm changed

The effectiveness of the proposed method was confirmed

We can evaluate the circulation of the organ quantitatively by using the

proposed method

Increase the number of data that have different circulation state

Provide a versatile reference vector d

Link the estimated index s to the oxygen

saturation