Parathyroid differentiation during thyroid and parathyroid surgery by spectroscopy a specific tissue, and on palpation. For our technique to add most to this judgment, it should be extended from spot‐wise probe‐measurements to imaging of the complete surgical field of view. In contrast to previous ex vivo experiments using wide‐band diffuse reflectance spectroscopy24, these measurements were performed during surgery. In vivo circumstances as vascular filling and oxygenation were thus not disrupted. In conclusion, in this study we have identified that Si and InGaAs sensors are fairly accurate for automated discrimination between parathyroid glands and surrounding adipose tissue or adjacent thyroid tissue (but not yet with clinically relevant levels of accuracy). Combination of these two sensor technologies improves accuracy especially regarding parathyroid‐adipose tissue classification. The potential for automated parathyroid gland detection based on endogenous contrasts is underlined by our results. 161
proefschrift_Schols_SLV
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