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 |