Parking sensor-inspired approach to photoacoustic-guided hysterectomy demonstrated with human cadavers

Alycen Wiacek, Karen C. Wang, Harold Wu, Muyinatu A. Lediju Bell

Research output: Chapter in Book/Report/Conference proceedingConference contribution


Similar to the parking-assist sensors on modern automobiles, which alert drivers of impending impact to an object, we are developing an auditory photoacoustic-based guidance system to assist with avoidance of impending injuries to ureters during hysterectomy procedures. The contribution described in this paper considers international standards for medical alarms. The system was demonstrated during both open and laparoscopic hysterectomy procedures on two human cadavers. Using methylene blue to enhance ureter contrast, the proximity of a surgical tool tip to the ureter was measured using the visual information provided in photoacoustic images. Distance measurements were then successfully mapped to auditory signals, which increased in auditory frequency as the tool-to-ureter distance decreased to convey surgical tool proximity to the ureter. Fundamental frequencies increased from 150 Hz to 866 Hz for tool-to-ureter distances of 2.47 mm to 5 mm. These results are promising to assist with the avoidance of accidental ureteral injuries during hysterectomy and other procedures that suffer from similar challenges with regard to iatrogenic ureteral injuries.

Original languageEnglish (US)
Title of host publicationPhotons Plus Ultrasound
Subtitle of host publicationImaging and Sensing 2021
EditorsAlexander A. Oraevsky, Lihong V. Wang
ISBN (Electronic)9781510641198
StatePublished - 2021
EventPhotons Plus Ultrasound: Imaging and Sensing 2021 - Virtual, Online, United States
Duration: Mar 6 2021Mar 11 2021

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


ConferencePhotons Plus Ultrasound: Imaging and Sensing 2021
Country/TerritoryUnited States
CityVirtual, Online

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Atomic and Molecular Physics, and Optics
  • Biomaterials
  • Radiology Nuclear Medicine and imaging


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