Transactions of Japanese Society for Medical and Biological Engineering
Online ISSN : 1881-4379
Print ISSN : 1347-443X
ISSN-L : 1347-443X
Proceedings
Towards nerve-sparing surgery using a peripheral nerve detection system
Yasuaki KumamotoTakeo MinamikawaAkinori KawamuraJunichi MatsumuraYuichiro TsudaShinichi HoshinoJuichiro UkonYoshitomo IwahashiYoshinori HaradaTetsuro Takamatsu
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2016 Volume 54Annual Issue 27PM-Abstract Pages S247

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Abstract

Nerve-sparing surgery is an essential surgical technique for sustaining the quality of life of patients after surgical treatment. However, frequent disablement of patients after treated with nerve-sparing surgery occurs. At the moment, nerve detection relies on the visual inspection by a surgeon, frequently resulting in undesirable damage of thin peripheral nerve with the diameter of 1 mm or less. Here we present a label-free, non-destructive imaging system that can discriminate such a thin peripheral nerve from adjacent tissues. Raman imaging endoscopic probe with 32 detection points at the sample plane has been developed. Rat ex vivo peripheral nerve with the diameter of 1 mm or less has been successfully discriminated from ex vivo muscle and connective tissues. The accuracy of nerve accuracy was higher than 90%. The measurement time was 5 sec. Our developed probe is a promising basis of a peripheral nerve detection system for nerve sparing surgery.

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© 2016 Japanese Society for Medical and Biological Engineering
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