Optical Nerve Detection by Diffuse Reflectance Spectroscopy for Feedback Controlled Oral and Maxillofacial Laser Surgery
Identifieur interne : 002072 ( Pmc/Corpus ); précédent : 002071; suivant : 002073Optical Nerve Detection by Diffuse Reflectance Spectroscopy for Feedback Controlled Oral and Maxillofacial Laser Surgery
Auteurs : Florian Stelzle ; Azhar Zam ; Werner Adler ; Katja Tangermann-Gerk ; Alexandre Douplik ; Emeka Nkenke ; Michael SchmidtSource :
- Journal of Translational Medicine [ 1479-5876 ] ; 2011.
Abstract
Laser surgery lacks haptic feedback, which is accompanied by the risk of iatrogenic nerve damage. It was the aim of this study to investigate diffuse reflectance spectroscopy for tissue differentiation as the base of a feedback control system to enhance nerve preservation in oral and maxillofacial laser surgery.
Diffuse reflectance spectra of nerve tissue, salivary gland and bone (8640 spectra) of the mid-facial region of
Five PCs were found to be adequate for tissue differentiation with diffuse reflectance spectra using LDA. Nerve tissue could be differed from bone as well as from salivary gland with AUC results of greater than 88%, sensitivity of greater than 83% and specificity in excess of 78%.
Diffuse reflectance spectroscopy is an adequate technique for nerve identification in the vicinity of bone and salivary gland. The results set the basis for a feedback system to prevent iatrogenic nerve damage when performing oral and maxillofacial laser surgery.
Url:
DOI: 10.1186/1479-5876-9-20
PubMed: 21310023
PubMed Central: 3042403
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