Spectral organ fingerprints for machine learning-based intraoperative tissue classification with hyperspectral imaging in a porcine model.

Journal: Scientific reports
Published Date:

Abstract

Visual discrimination of tissue during surgery can be challenging since different tissues appear similar to the human eye. Hyperspectral imaging (HSI) removes this limitation by associating each pixel with high-dimensional spectral information. While previous work has shown its general potential to discriminate tissue, clinical translation has been limited due to the method's current lack of robustness and generalizability. Specifically, the scientific community is lacking a comprehensive spectral tissue atlas, and it is unknown whether variability in spectral reflectance is primarily explained by tissue type rather than the recorded individual or specific acquisition conditions. The contribution of this work is threefold: (1) Based on an annotated medical HSI data set (9059 images from 46 pigs), we present a tissue atlas featuring spectral fingerprints of 20 different porcine organs and tissue types. (2) Using the principle of mixed model analysis, we show that the greatest source of variability related to HSI images is the organ under observation. (3) We show that HSI-based fully-automatic tissue differentiation of 20 organ classes with deep neural networks is possible with high accuracy (> 95%). We conclude from our study that automatic tissue discrimination based on HSI data is feasible and could thus aid in intraoperative decisionmaking and pave the way for context-aware computer-assisted surgery systems and autonomous robotics.

Authors

  • Alexander Studier-Fischer
    Department of General, Visceral, and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany; Medical Faculty, Heidelberg University, Heidelberg, Germany.
  • Silvia Seidlitz
    Division of Intelligent Medical Systems, German Cancer Research Center (DKFZ), Heidelberg, Germany; Helmholtz Information and Data Science School for Health, Karlsruhe/Heidelberg, Germany. Electronic address: s.seidlitz@dkfz-heidelberg.de.
  • Jan Sellner
    Division of Intelligent Medical Systems, German Cancer Research Center (DKFZ), Heidelberg, Germany; Helmholtz Information and Data Science School for Health, Karlsruhe/Heidelberg, Germany. Electronic address: j.sellner@dkfz-heidelberg.de.
  • Berkin Özdemir
    Department of General, Visceral, and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany; Medical Faculty, Heidelberg University, Heidelberg, Germany.
  • Manuel Wiesenfarth
    Division of Biostatistics, German Cancer Research Center, Im Neuenheimer Feld 581, 69210, Heidelberg, Germany.
  • Leonardo Ayala
    Computer Assisted Medical Interventions, Deutsches Krebsforschungszentrum, Im Neuenheimer Feld 223, 69120, Heidelberg, Germany.
  • Jan Odenthal
    Division of Intelligent Medical Systems, German Cancer Research Center (DKFZ), Heidelberg, Germany; Department of General, Visceral, and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany.
  • Samuel Knödler
    Department of General, Visceral, and Transplantation Surgery, Heidelberg University Hospital, Heidelberg, Germany; Medical Faculty, Heidelberg University, Heidelberg, Germany.
  • Karl Friedrich Kowalewski
    Department of Urology, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany.
  • Caelán Max Haney
    Department of Urology, University of Leipzig, Leipzig, Germany.
  • Isabella Camplisson
    Division of Biology and Bioengineering, California Institute of Technology, Pasadena, CA, USA.
  • Maximilian Dietrich
    Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.
  • Karsten Schmidt
    Department of Anesthesiology and Intensive Care Medicine, Essen University Hospital, Essen, Germany.
  • Gabriel Alexander Salg
    Department of General, Visceral, and Transplantation Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 420, 69120, Heidelberg, Germany.
  • Hannes Götz Kenngott
    University of Heidelberg, Department of General, Visceral and Transplant Surgery, Heidelberg, Germany.
  • Tim Julian Adler
    Division of Intelligent Medical Systems, German Cancer Research Center (DKFZ), Heidelberg, Germany.
  • Nicholas Schreck
    Division of Biostatistics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
  • Annette Kopp-Schneider
    Division of Biostatistics, German Cancer Research Center, Im Neuenheimer Feld 581, 69210, Heidelberg, Germany.
  • Klaus Maier-Hein
    Medical Image Analysis, Division Medical Image Computing, DKFZ Heidelberg, Germany.
  • Lena Maier-Hein
    German Cancer Research Center (DKFZ), Computer Assisted Medical Interventions, Heidelberg, Germany.
  • Beat Peter Müller-Stich
    Department of General, Abdominal and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.
  • Felix Nickel
    Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. felix.nickel@med.uni-heidelberg.de.