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Date publication

août 2021

Journal

Diagnostics (Basel, Switzerland)

Auteurs

Membres identifiés du Cancéropôle Est :
Dr LINDNER Véronique , Pr MARESCAUX Jacques , Pr MUTTER Didier , Pr GENY Bernard


Tous les auteurs :
Felli E, Al-Taher M, Collins T, Nkusi R, Felli E, Baiocchini A, Lindner V, Vincent C, Barberio M, Geny B, Ettorre GM, Hostettler A, Mutter D, Gioux S, Schuster C, Marescaux J, Gracia-Sancho J, Diana M

Résumé

Hyperspectral imaging (HSI) is a non-invasive imaging modality already applied to evaluate hepatic oxygenation and to discriminate different models of hepatic ischemia. Nevertheless, the ability of HSI to detect and predict the reperfusion damage intraoperatively was not yet assessed. Hypoxia caused by hepatic artery occlusion (HAO) in the liver brings about dreadful vascular complications known as ischemia-reperfusion injury (IRI). Here, we show the evaluation of liver viability in an HAO model with an artificial intelligence-based analysis of HSI. We have combined the potential of HSI to extract quantitative optical tissue properties with a deep learning-based model using convolutional neural networks. The artificial intelligence (AI) score of liver viability showed a significant correlation with capillary lactate from the liver surface (r = -0.78, = 0.0320) and Suzuki's score (r = -0.96, = 0.0012). CD31 immunostaining confirmed the microvascular damage accordingly with the AI score. Our results ultimately show the potential of an HSI-AI-based analysis to predict liver viability, thereby prompting for intraoperative tool development to explore its application in a clinical setting.

Mots clés

CNNs, artificial intelligence, convolutional networks, deep learning, hepatic artery occlusion, hyperspectral imaging, liver viability

Référence

Diagnostics (Basel). 2021 Aug 24;11(9):