RGB imaging is a non-invasive technique that is able to monitor hemodynamic brain responses following neuronal activation during neurosurgery. These cameras are often present in operating rooms, but a robust quantification is complicated to perform during neurosurgery. Liquid blood have been proposed, but it is not possible to model hemodynamic responses similar to those that occur in the brain. To overcome this issue, we propose a 3D brain model, including activated, non-activated grey matter and temporal hemodynamic fluctuations using Monte Carlo simulations. Several setups were modeled to evaluate their impact for identifying activated brain areas using statistical parametric mapping.
Recent advancements in imaging technologies (MRI, PET, CT, among others) have significantly improved clinical localisation of lesions of the central nervous system (CNS) before surgery, making possible for neurosurgeons to plan and navigate away from functional brain locations when removing tumours, such as gliomas. However, neuronavigation in the surgical management of brain tumours remains a significant challenge, due to the inability to maintain accurate spatial information of pathological and healthy locations intraoperatively. To answer this challenge, the HyperProbe consortium have been put together, consisting of a team of engineers, physicists, data scientists and neurosurgeons, to develop an innovative, all-optical, intraoperative imaging system based on (i) hyperspectral imaging (HSI) for rapid, multiwavelength spectral acquisition, and (ii) artificial intelligence (AI) for image reconstruction, morpho-chemical characterisation and molecular fingerprint recognition. Our HyperProbe system will (1) map, monitor and quantify biomolecules of interest in cerebral physiology; (2) be handheld, cost-effective and user-friendly; (3) apply AI-based methods for the reconstruction of the hyperspectral images, the analysis of the spatio-spectral data and the development and quantification of novel biomarkers for identification of glioma and differentiation from functional brain tissue. HyperProbe will be validated and optimised with studies in optical phantoms, in vivo against gold standard modalities in neuronavigational imaging, and finally we will provide proof of principle of its performances during routine brain tumour surgery on patients. HyperProbe aims at providing functional and structural information on biomarkers of interest that is currently missing during neuro-oncological interventions.
RGB optical imaging is a marker-free, contactless, and non-invasive technique that is able to monitor hemodynamic brain response following neuronal activation using task-based and resting-state procedures. As opposed to functional task-based analyses, resting-state functional connectivity aims to identify the low frequency cortical hemodynamic fluctuations during patient rest that are linked to resting-state networks. Using intraoperative optical imaging, the main issues of using resting-state procedures come from the partial access to the brain cortex, whereas fMRI or fNIRS resting-state models used whole brain imaging. Task-based fMRI brain maps were compared to intraoperative optical functional brain maps by registering these maps to a preoperative anatomical MRI volume. The objective is to improve the patient care process before, during and after neurosurgery. With the task-based procedure, the RGB brain map showed a good correspondence with task-based fMRI (DICE = 0:75). With the resting-state procedure, the RGB brain map showed a good correspondence with task-based fMRI (seed correlation method: DICE = 0:58 and ICA method: DICE = 0:75).
We present the methodology for the intraoperative identification of resting state networks using RGB imaging. The results show a good correlation between the resting state and the brain areas identified by electrical brain stimulation.
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