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. 2025 May 22;6:1587821. doi: 10.3389/fdmed.2025.1587821

Table 7.

Advantages and limitations of the perfusion assessment techniques.

Perfusion technique Laser Doppler flowmetry (LDF) Laser speckle contrast imaging (LCSI) Spectral imaging methods (LDS, DRSI, NIRS) Ultrasound (US) Sidestream dark field (SDF)
Orthogonal spectral polarization (OSP)
Real-time optical vascular imaging (RTOVI)
Intravital microscopy (IVM), Video capillaroscopy, Optical coherence tomography angiography (OCTA), Narrow band imaging (NBI)
Advantages Non-contact
Relatively easy to perform
Non-contact
Wide field of view (can up to cover few teeth)
Provide anatomical images and perfusion data
Allow evaluation of tissue composition/property, such as oxygenation, hemoglobin concentration, and water content Cross-sectional (good penetration depth than the other optical-based techniques)
Provide anatomical images, vessel distribution, perfusion direction, and velocity/volume of blood flow
Non-contact
High spatial resolution
Visualize capillaries
True blood velocity measurements
Non-contact
High spatial resolution
Visualize capillaries
True blood velocity measurements
Disadvantages Arbitrary tissue perfusion units provided
No anatomical images
Limited penetration depth
Arbitrary tissue perfusion units provided
Limited penetration depth
Large sensor (molars are hard to image)
Limited penetration depth
Lower sensitivity
Generally, no anatomical images provided
Surrogate tissue perfusion
Need contact via coupling agent
Limited penetration depth
Sensitive to motion
Limited field of view
Very limited penetration depth
Very sensitive to motion
Limited field of view
Standardization challenge
Time-consuming data analysis
Dye needed for IVM
High cost