Abstract

Emerging three-dimensional (3D) printing technology enables the fabrication of optically realistic and morphologically complex tissue-simulating phantoms for the development and evaluation of novel optical imaging products. In this study, we assess the potential to print image-defined neurovascular phantoms with patent channels for contrast-enhanced near-infrared fluorescence (NIRF) imaging. An anatomical map defined from clinical magnetic resonance imaging (MRI) was segmented and processed into files suitable for printing a forebrain vessel network in rectangular and curved-surface biomimetic phantoms. Methods for effectively cleaning samples with complex vasculature were determined. A final set of phantoms were imaged with a custom NIRF system at 785 nm excitation using two NIRF contrast agents. In addition to demonstrating the strong potential of 3D printing for creating highly realistic, patient-specific biophotonic phantoms, our work provides insight into optimal methods for accomplishing this goal and elucidates current limitations of this approach.

Highlights

  • Performance standards for established medical imaging modalities commonly describe image quality test methods involving tissue-simulating phantoms with simplified internal and external geometries [1]

  • Near-infrared fluorescence (NIRF) imaging devices are commonly used with the passive contrast agent Indocyanine Green (ICG) for clinical cerebral angiography, including during surgeries for arteriovenous malformations and aneurisms [4,5,6]

  • 3.1 Printed phantoms Significant challenges were encountered in fabricating biomimetic phantoms with viable vasculature

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Summary

Introduction

Performance standards for established medical imaging modalities commonly describe image quality test methods involving tissue-simulating phantoms with simplified internal and external geometries [1]. Near-infrared fluorescence (NIRF) imaging devices are commonly used with the passive contrast agent Indocyanine Green (ICG) for clinical cerebral angiography, including during surgeries for arteriovenous malformations and aneurisms [4,5,6]. This approach is used to provide contrast-enhanced visualization for lymph node imaging [7] as well as cardiovascular and organ/tissue transplant surgeries [8]. Polymer-based phantoms [10] may be more well suited for performance evaluation of neurosurgical NIRF imaging products as well as for surgical training in procedures involving optical imaging

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