For a favorable treatment result, early diagnosis of pathological cancerous micro-areas with their subsequent removal is highly important and can be achieved by the development of new modeling techniques and conducting relevant experiments. Various models of the bladder can be developed and applied to provide a platform for studying, processing and improving the signals received from various video systems. Here, in order to study visualization properties at fluorescence endoscopy, 3D optical phantoms of urinary bladder have been developed. The phantoms simulated optical properties of the bladder wall, including localized areas that represent tumor tissues and contained PpIX photosensitizer at various concentrations for fluorescence "diagnostics". To perform bimodal fluorescence imaging, a two-channel video fluorescence system was used. First, intraoperative images of the bladder wall were obtained in a patient with bladder cancer. A video system was used to reveal and image pathological areas with increased fluorescence intensity. Fluorescence indices in tumor tissue were recorded and corresponded to different concentrations of PpIX photosensitizer. Then, a bimodal fluorescence imaging was performed on 3D phantoms. The obtained images and fluorescence intensity measurements showed the ability of the video fluorescence system to register bladder wall structures and accumulated in them photosensitizers in concentrations from 0.25 to 20 mg/kg. The developed models can serve as a useful instrument for test measurements for constructing multimodal mosaic panoramic images of the bladder surface. This will help to advance in solving problems of endoscopic image processing using bimodal imaging, which uses diagnostic (fluorescence) and color channels.
The combined use of fluorescence diagnostics (FD) and photodynamic therapy (PDT) is a promising approach to the treatment of cholangiocarcinoma. Information about the probing depth of laser radiation at a therapeutic dose sufficient for the appearance of the photodynamic effect allows planning the PDT process. We aim to assess the probing depth of radiation at a therapeutic dose. The highest fluorescence intensity is observed in the gall bladder and liver tissues. A significant difference was noted in the intensity of backscattered laser radiation, depending on the segments of the wild boar hepatobiliary system. Analysis of the probing depth of radiation (λ = 660 nm) revealed that when the optical fiber is located outside the drainage, it increases by 2 to 4 mm, which improves the efficacy of treatment. The applicability of video FD of segments of the hepatobiliary system is investigated using the two-channel video fluorescence system. During video FD in the near-infrared range, the contrast of the fluorescence images of the hepatobiliary system is less than in the visible range. The results of the study will improve the quality of diagnostic information and optimize the FD and PDT algorithms for malignant neoplasms of the human hepatobiliary system.
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