Table 2.
Overview of technical aspects for clinical consideration:
| Factor | Mechanism | Surgical strategies |
|---|---|---|
| Camera angle and exposure | Affects excitation/emission capture | Keep FOV as perpendicular as feasible |
| Working distance | Inverse-square fallout, scattering | Optimize to ~ 5 cm, avoid drifting away from target |
| Field uniformity | Central brightening, edge falloff | Judge margins at the image center |
| Gain presets | Amplifies both signal and noise | Note gain, avoid overinterpreting brightness |
| Black-point (threshold) | Hides background; boosts contrast | Use sparingly, reorient with grayscale anatomy when in doubt |
| Autoscaling (auto-contrast) | Dynamic display rescaling | Be aware of false changes with camera motion |
| In-field reference | Tool autofluorescence as anchor | Normalize relative intensity intraoperatively |
| Artifacts (specular, cautery, autofluorescence) | Quenching, char reflections | Minimize cautery OR avoid overinterpreting fluorescence in cauterized regions, irrigate before imaging |