BACKGROUND/AIMS: Microvascular blood flow is essential for healing and predicts surgical outcome. The aim of the current study was to investigate the relation between fluxes measured with the laser speckle contrast imaging (LSCI) technique and changes in absolute blood flow. In addition, we studied the reproducibility of the LSCI technique when assessing the intra-abdominal microcirculation of the pig. METHODS: During trial 1, a fish gill arch was mechanically perfused with heparinized fish blood under controlled stepwise-altered flow rates alongside mechanically induced movement artefacts. The microcirculation of the fish gill was simultaneously assessed with the LSCI technique. In trial 2, microcirculation was measured in the stomach, liver, and small intestine of 10 pigs by two observers. RESULTS: A linear correlation was observed between flux and volumetric flow. During conditions of no volumetric flow, the high recording speed with the LSCI technique registered the movement artefacts as flow signals. The LSCI measurements showed good correlation and agreement between the two observers when assessing microcirculation in the stomach, liver, and small intestine (r2 = 0.857, 0.956, and 0.946; coefficients of variation = 6.0, 3.2, and 6.4%, respectively). CONCLUSION: Due to the non-contact and real-time assessment over large areas, LSCI is a promising technique for the intraoperative assessment of intra-abdominal microcirculation. A linear correlation between flux and volumetric flow was found, in accordance with previous experimental studies. However, movement artefacts affect flux measurements, and the choice of the sampling speed must be made with care, depending on the given setting.
BACKGROUND/AIMS: Microvascular blood flow is essential for healing and predicts surgical outcome. The aim of the current study was to investigate the relation between fluxes measured with the laser speckle contrast imaging (LSCI) technique and changes in absolute blood flow. In addition, we studied the reproducibility of the LSCI technique when assessing the intra-abdominal microcirculation of the pig. METHODS: During trial 1, a fish gill arch was mechanically perfused with heparinized fish blood under controlled stepwise-altered flow rates alongside mechanically induced movement artefacts. The microcirculation of the fish gill was simultaneously assessed with the LSCI technique. In trial 2, microcirculation was measured in the stomach, liver, and small intestine of 10 pigs by two observers. RESULTS: A linear correlation was observed between flux and volumetric flow. During conditions of no volumetric flow, the high recording speed with the LSCI technique registered the movement artefacts as flow signals. The LSCI measurements showed good correlation and agreement between the two observers when assessing microcirculation in the stomach, liver, and small intestine (r2 = 0.857, 0.956, and 0.946; coefficients of variation = 6.0, 3.2, and 6.4%, respectively). CONCLUSION: Due to the non-contact and real-time assessment over large areas, LSCI is a promising technique for the intraoperative assessment of intra-abdominal microcirculation. A linear correlation between flux and volumetric flow was found, in accordance with previous experimental studies. However, movement artefacts affect flux measurements, and the choice of the sampling speed must be made with care, depending on the given setting.
Authors: Nikolaj Nerup; Linea Landgrebe Ring; Rune Broni Strandby; Charlotte Egeland; Morten Bo Søndergaard Svendsen; Jane Preuss Hasselby; Gro Linno Willemoe; Bolette Hartmann; Lars Bo Svendsen; Michael Patrick Achiam Journal: Langenbecks Arch Surg Date: 2018-10-18 Impact factor: 3.445
Authors: Linea L Ring; Rune B Strandby; Amalie Henriksen; Rikard Ambrus; Henrik Sørensen; Jens P Gøtze; Lars B Svendsen; Michael P Achiam Journal: J Clin Monit Comput Date: 2018-11-20 Impact factor: 2.502
Authors: Jonas Hedelund Rønn; Nikolaj Nerup; Rune Broni Strandby; Morten Bo Søndergaard Svendsen; Rikard Ambrus; Lars Bo Svendsen; Michael Patrick Achiam Journal: Langenbecks Arch Surg Date: 2019-05-04 Impact factor: 3.445
Authors: Max Bergkvist; Johan Zötterman; Joakim Henricson; Fredrik Iredahl; Erik Tesselaar; Simon Farnebo Journal: Plast Reconstr Surg Glob Open Date: 2017-11-17
Authors: Rune B Strandby; Jens T F Osterkamp; Rikard Ambrus; Amelie Henriksen; Jens P Goetze; Niels H Secher; Michael P Achiam; Lars-Bo Svendsen Journal: Animal Model Exp Med Date: 2021-03-23
Authors: Rikard Ambrus; Rune B Strandby; Niels H Secher; Kim Rünitz; Morten B S Svendsen; Lonnie G Petersen; Michael P Achiam; Lars B Svendsen Journal: BMC Anesthesiol Date: 2016-10-06 Impact factor: 2.217