RT Journal Article SR Electronic T1 Spectral organ fingerprints for intraoperative tissue classification with hyperspectral imaging JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.11.24.469943 DO 10.1101/2021.11.24.469943 A1 A. Studier-Fischer A1 S. Seidlitz A1 J. Sellner A1 M. Wiesenfarth A1 L. Ayala A1 B. Özdemir A1 J. Odenthal A1 S. Knödler A1 K.F. Kowalewski A1 C.M. Haney A1 I. Camplisson A1 M. Dietrich A1 K. Schmidt A1 G.A. Salg A1 H.G. Kenngott A1 T.J. Adler A1 N. Schreck A1 A. Kopp-Schneider A1 K. Maier-Hein A1 L. Maier-Hein A1 B.P. Müller-Stich A1 F. Nickel YR 2021 UL http://biorxiv.org/content/early/2021/11/25/2021.11.24.469943.abstract AB Visual discrimination of tissue during surgery can be challenging since different tissues appear similar to the human eye. Hyperspectral imaging (HSI) removes this limitation by associating each pixel with high-dimensional spectral information. While previous work has shown its general potential to discriminate tissue, clinical translation has been limited due to the method’s current lack of robustness and generalizability. Specifically, it had been unknown whether variability in spectral reflectance is primarily explained by tissue type rather than the recorded individual or specific acquisition conditions. The contribution of this work is threefold: (1) Based on an annotated medical HSI data set (9,059 images from 46 pigs), we present a tissue atlas featuring spectral fingerprints of 20 different porcine organs and tissue types. (2) Using the principle of mixed model analysis, we show that the greatest source of variability related to HSI images is the organ under observation. (3) We show that HSI-based fully-automatic tissue differentiation of 20 organ classes with deep neural networks is possible with high accuracy (> 95 %). We conclude from our study that automatic tissue discrimination based on HSI data is feasible and could thus aid in intraoperative decision making and pave the way for context-aware computer-assisted surgery systems and autonomous robotics.Competing Interest StatementThe authors have declared no competing interest.HIShyperspectral imagingMSImultispectral imagingNASANational Aeronautics and Space AdministrationROIregion of interestSDstandard deviationt-SNEt-distributed Stochastic Neighbor Embedding