Evidence map›Paper›PMID 36038561›Full record

ArticleScientific reports2022

Assessment of blood perfusion quality in laparoscopic colorectal surgery by means of Machine Learning.

Pasquale Arpaia, Umberto Bracale, Francesco Corcione, Egidio De Benedetto, Alessandro Di Bernardo, Vincenzo Di Capua, Luigi Duraccio, Roberto Peltrini, Roberto Prevete

Abstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Guiding esophagectomy with intraoperative NIR-II fluorescence video imaging and rapid computation.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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  11. AUGUR-AIM: Clinical validation of an artificial intelligence indocyanine green fluorescence angiography expert representer.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Pasquale ArpaiaUniversity of Naples Federico II - Interdepartmental Research Center in Health Management and Innovation in Healthcare (CIRMIS), Naples, 80131, Italy. pasquale.arpaia@unina.it.
Umberto BracaleUniversity of Naples Federico II - Interdepartmental Research Center in Health Management and Innovation in Healthcare (CIRMIS), Naples, 80131, Italy.
Francesco CorcioneUniversity of Naples Federico II - Interdepartmental Research Center in Health Management and Innovation in Healthcare (CIRMIS), Naples, 80131, Italy.
Egidio De BenedettoUniversity of Naples Federico II - Interdepartmental Research Center in Health Management and Innovation in Healthcare (CIRMIS), Naples, 80131, Italy.
Alessandro Di BernardoDepartment of Information Technology and Electrical Engineering, University of Naples Federico II, Naples, 80125, Italy.
Vincenzo Di CapuaDepartment of Information Technology and Electrical Engineering, University of Naples Federico II, Naples, 80125, Italy.
Luigi DuraccioDepartment of Electronics and Telecommunications, Polytechnic University of Turin, Turin, 10129, Italy.
Roberto PeltriniDepartment of Public Health, University of Naples Federico II, Naples, 80131, Italy.
Roberto PreveteUniversity of Naples Federico II - Interdepartmental Research Center in Health Management and Innovation in Healthcare (CIRMIS), Naples, 80131, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An innovative algorithm to automatically assess blood perfusion quality of the intestinal sector in laparoscopic colorectal surgery is proposed. Traditionally, the uniformity of the brightness in indocyanine green-based fluorescence consists only in a qualitative, empirical evaluation, which heavily relies on the surgeon's subjective assessment. As such, this leads to assessments that are strongly experience-dependent. To overcome this limitation, the proposed algorithm assesses the level and uniformity of indocyanine green used during laparoscopic surgery. The algorithm adopts a Feed Forward Neural Network receiving as input a feature vector based on the histogram of the green band of the input image. It is used to (i) acquire information related to perfusion during laparoscopic colorectal surgery, and (ii) support the surgeon in assessing objectively the outcome of the procedure. In particular, the algorithm provides an output that classifies the perfusion as adequate or inadequate. The algorithm was validated on videos captured during surgical procedures carried out at the University Hospital Federico II in Naples, Italy. The obtained results show a classification accuracy equal to [Formula: see text], with a repeatability of [Formula: see text]. Finally, the real-time operation of the proposed algorithm was tested by analyzing the video streaming captured directly from an endoscope available in the OR.

Indexed as

Colorectal SurgeryLaparoscopyHumansIndocyanine GreenMachine LearningPerfusionIndocyanine Green

Identifiers

PMID36038561
PMCPMC9424219

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.