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. 2026 Jul 27;20(1):754. doi: 10.1007/s11701-026-03724-8

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