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      An Intraoperative Visualization System Using Hyperspectral Imaging to Aid in Brain Tumor Delineation

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          Abstract

          Hyperspectral imaging (HSI) allows for the acquisition of large numbers of spectral bands throughout the electromagnetic spectrum (within and beyond the visual range) with respect to the surface of scenes captured by sensors. Using this information and a set of complex classification algorithms, it is possible to determine which material or substance is located in each pixel. The work presented in this paper aims to exploit the characteristics of HSI to develop a demonstrator capable of delineating tumor tissue from brain tissue during neurosurgical operations. Improved delineation of tumor boundaries is expected to improve the results of surgery. The developed demonstrator is composed of two hyperspectral cameras covering a spectral range of 400–1700 nm. Furthermore, a hardware accelerator connected to a control unit is used to speed up the hyperspectral brain cancer detection algorithm to achieve processing during the time of surgery. A labeled dataset comprised of more than 300,000 spectral signatures is used as the training dataset for the supervised stage of the classification algorithm. In this preliminary study, thematic maps obtained from a validation database of seven hyperspectral images of in vivo brain tissue captured and processed during neurosurgical operations demonstrate that the system is able to discriminate between normal and tumor tissue in the brain. The results can be provided during the surgical procedure (~1 min), making it a practical system for neurosurgeons to use in the near future to improve excision and potentially improve patient outcomes.

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          Glioma extent of resection and its impact on patient outcome.

          There is still no general consensus in the literature regarding the role of extent of glioma resection in improving patient outcome. Although the importance of resection in obtaining tissue diagnosis and alleviating symptoms is clear, a lack of Class I evidence prevents similar certainty in assessing the influence of extent of resection. We reviewed every major clinical publication since 1990 on the role of extent of resection in glioma outcome. Twenty-eight high-grade glioma articles and 10 low-grade glioma articles were examined in terms of quality of evidence, expected extent of resection, and survival benefit. Despite persistent limitations in the quality of data, mounting evidence suggests that more extensive surgical resection is associated with longer life expectancy for both low- and high-grade gliomas.
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            Advanced applications of hyperspectral imaging technology for food quality and safety analysis and assessment: A review — Part I: Fundamentals

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              Failure pattern following complete resection plus radiotherapy and temozolomide is at the resection margin in patients with glioblastoma.

              Glioblastomas (GBM) are highly motile cancers that invade through normal brain. In the absence of curative chemotherapy this invasion, beyond surgical and radiotherapy margins, to distant brain sites is thought to be an important cause of treatment failure. Paradoxically, studies analyzing failure patterns have consistently shown that the large majority of failures occur at the original tumor site. This conflict may be explained by the fact these cancers are often only sub-totally resected and radiotherapy and chemotherapies fail to control this significant local cancer burden. We analyzed the failure pattern in 20 consecutive patients with complete resection of the gadolinium-enhancing portion of GBM demonstrated on the immediate post-operative magnetic resonance study, and who underwent a radical course of radiotherapy and chemotherapy. We found that recurrences occurred only at the resection margin in 17 of 20 patients. Recurrences were exclusively distant in 2 of 20 patients and occurred at both the resection margin and a distant site in 1 of 20 cases. We found that even in cases of complete resection of the gadolinium-enhancing portion of GBM 85 % of recurrences are localized to the resection margin.
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                Author and article information

                Journal
                Sensors (Basel)
                Sensors (Basel)
                sensors
                Sensors (Basel, Switzerland)
                MDPI
                1424-8220
                01 February 2018
                February 2018
                : 18
                : 2
                : 430
                Affiliations
                [1 ]Institute for Applied Microelectronics (IUMA), University of Las Palmas de Gran Canaria (ULPGC), Las Palmas de Gran Canaria 35017, Spain; sortega@ 123456iuma.ulpgc.es (S.O.); gustavo@ 123456iuma.ulpgc.es (G.M.C.); avega@ 123456iuma.ulpgc.es (A.V.); abaez@ 123456iuma.ulpgc.es (A.B.-O.); roberto@ 123456iuma.ulpgc.es (R.S.)
                [2 ]Centre of Software Technologies and Multimedia Systems (CITSEM), Technical University of Madrid (UPM), Madrid 28031, Spain; raquel.lazcano@ 123456upm.es (R.L.); daniel.madronal@ 123456upm.es (D.M.); ejuarez@ 123456sec.upm.es (E.J.); ruben.salvador@ 123456upm.es (R.S.)
                [3 ]Wessex Neurological Centre, University Hospital Southampton, Tremona Road, Southampton SO16 6YD, UK; dbulters@ 123456nhs.net
                [4 ]Department of Neurosurgery, Addenbrookes Hospital and University of Cambridge, Cambridge CB2 0QQ, UK; hb252@ 123456cam.ac.uk
                [5 ]Department of Neurosurgery, University Hospital Doctor Negrin, Las Palmas de Gran Canaria 35010, Spain; adamszolna@ 123456wp.pl (A.S.); pinerbrains1@ 123456yahoo.es (J.F.P.); coralia.sosa@ 123456gmail.com (C.S.); aruosha@ 123456gmail.com (A.J.O.); sarabisshop@ 123456hotmail.com (S.B.); hhdez.maria@ 123456gmail.com (M.H.); jmormol@ 123456gobiernodecanarias.org (J.M.)
                [6 ]The Hamlyn Centre, Imperial College London (ICL), London SW7 2AZ, UK; d.ravi@ 123456imperial.ac.uk (D.R.); g.z.yang@ 123456imperial.ac.uk (G.-Z.Y.)
                [7 ]Laboratoire CRISTAL, Université Lille 3, Villeneuve-d’Ascq 59653, France; ravi.kiran@ 123456esiee.fr
                [8 ]Ecole Nationale Supérieure des Mines de Paris (ENSMP), MINES ParisTech, Paris 75006, France; bogdan.stanciulescu@ 123456mines-paristech.fr
                Author notes
                [* ]Correspondence: hfabelo@ 123456iuma.ulpgc.es ; Tel.: +34-928-451-220
                Author information
                https://orcid.org/0000-0002-9794-490X
                https://orcid.org/0000-0002-2645-6749
                https://orcid.org/0000-0001-5994-7440
                https://orcid.org/0000-0002-0021-5808
                https://orcid.org/0000-0002-3480-108X
                Article
                sensors-18-00430
                10.3390/s18020430
                5856119
                29389893
                23a42d1f-5ccd-4c35-a9b8-ae6912bfdf05
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 15 December 2017
                : 30 January 2018
                Categories
                Article

                Biomedical engineering
                hyperspectral imaging instrumentation,brain cancer detection,image processing

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