Example Applications of NIR/ICG
Visualization of Perfusion
Perfusion assessment is important in various medical disciplines.
With IMAGE1 S™ RUBINA and ICG administration, ischemic areas, perfusion, and vascular structures can be displayed in real time, thereby enabling the surgeon to respond intraoperatively.
Example applications:
- Rapid perfusion assessment of a planned resection zone as well as of the subsequent anastomosis, e.g., in colon or esophageal resection and gastric bypass
- Display of the cystic artery in cholangiography
- Visualization of liver segments and lung segments
- Visualization of vessels within and outside of tumour tissue for the improved definition of tumour margins in otorhinolaryngology
- Multidisciplinary use in laparoscopic, endoscopic, and open surgery
Visualization of the Lymphatic System
The reliable identification of the lymphatic system or the sentinel lymph node represents a challenge in oncological procedures. The use of ICG in these procedures permits the real-time visualization of the entire lymphatic system draining the tumour. Nuclear medicine imaging can therefore be avoided.
Example applications:
- Non-radioactive method for lymph node visualization
- Detection rates compare favourably with established methods of lymph node visualization
- Localization of lymphatic leakages
- Multidisciplinary use, for instance in gynaecology, urology, and general surgery
Visualization of Hepatocellular Carcinoma and Metastases
Primary liver tumors are the sixth most common type of cancer worldwide. Metastases to the liver are even more common than primary liver tumors, by a factor of 20.1 IMAGE1 S™ RUBINA in combination with ICG offers many advantages in liver surgery.
Example applications:
- Intraoperative visualization of metastases and hepatocellular carcinoma on or below the liver surface
- Diagnostics of superficial or near-surface micrometastases down to the millimeter range
- Easier definition of resection borders Visualization of liver segments
NIR/ICG Visualization Modes
The Rubina components offer users various new modes for visualizing the NIR/ICG signal.
This includes the overlay of NIR/ICG data onto the standard white light image or alternatively the monochromatic visualization of the infrared signal alone.
Overlay
In Overlay mode, the regular white light image is combined with the NIR/ICG data to generate an overlay image.
Green or blue – it's up to you
Depending on your preferences and application, the NIR/ICG data can be displayed as a green or blue overlay.
Intensity Map
Displays the intensity of the NIR/ICG signal using a colour scale in an overlay image.
Monochromatic
In this mode, the NIR/ICG signal alone is displayed in white on a black background to achieve the greatest possible differentiation.
Join us from the 16/07/2021 - 16/08/2021 at Royal Hobart Hospital to experience Image1 S for yourself
The primary goal of any surgeon is to achieve optimal surgical results. To meet this objective, the visualization and display of significant and critical structures is of crucial importance to the surgical workflow.
Register now to experience the new KARL STORZ Image1 S camera system,
Note that spots are strictly limited.