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Main Authors: De Winne, Jens, Willems, Siri, Luthman, Siri, Babin, Danilo, Luong, Hiep, Ceelen, Wim
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2505.18010
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author De Winne, Jens
Willems, Siri
Luthman, Siri
Babin, Danilo
Luong, Hiep
Ceelen, Wim
author_facet De Winne, Jens
Willems, Siri
Luthman, Siri
Babin, Danilo
Luong, Hiep
Ceelen, Wim
contents Accurate, real-time monitoring of tissue ischemia is crucial to understand tissue health and guide surgery. Spectral imaging shows great potential for contactless and intraoperative monitoring of tissue oxygenation. Due to the difficulty of obtaining direct reference oxygenation values, conventional methods are based on linear unmixing techniques. These are prone to assumptions and these linear relations may not always hold in practice. In this work, we present deep learning approaches for real-time tissue oxygenation estimation using Monte-Carlo simulated spectra. We train a fully connected neural network (FCN) and a convolutional neural network (CNN) for this task and propose a domain-adversarial training approach to bridge the gap between simulated and real clinical spectral data. Results demonstrate that these deep learning models achieve a higher correlation with capillary lactate measurements, a well-known marker of hypoxia, obtained during spectral imaging in surgery, compared to traditional linear unmixing. Notably, domain-adversarial training effectively reduces the domain gap, optimizing performance in real clinical settings.
format Preprint
id arxiv_https___arxiv_org_abs_2505_18010
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Clinical Validation of Deep Learning for Real-Time Tissue Oxygenation Estimation Using Spectral Imaging
De Winne, Jens
Willems, Siri
Luthman, Siri
Babin, Danilo
Luong, Hiep
Ceelen, Wim
Computer Vision and Pattern Recognition
Accurate, real-time monitoring of tissue ischemia is crucial to understand tissue health and guide surgery. Spectral imaging shows great potential for contactless and intraoperative monitoring of tissue oxygenation. Due to the difficulty of obtaining direct reference oxygenation values, conventional methods are based on linear unmixing techniques. These are prone to assumptions and these linear relations may not always hold in practice. In this work, we present deep learning approaches for real-time tissue oxygenation estimation using Monte-Carlo simulated spectra. We train a fully connected neural network (FCN) and a convolutional neural network (CNN) for this task and propose a domain-adversarial training approach to bridge the gap between simulated and real clinical spectral data. Results demonstrate that these deep learning models achieve a higher correlation with capillary lactate measurements, a well-known marker of hypoxia, obtained during spectral imaging in surgery, compared to traditional linear unmixing. Notably, domain-adversarial training effectively reduces the domain gap, optimizing performance in real clinical settings.
title Clinical Validation of Deep Learning for Real-Time Tissue Oxygenation Estimation Using Spectral Imaging
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2505.18010