The VISION Study

The VISION Study is a prospective, multicenter, single-arm, open-label clinical investigation designed to evaluate the efficacy and clinical utility of the ActivSight™ Intraoperative Imaging System during elective left-sided colorectal surgery. The study aims to assess the ability of ActivSight’s laser speckle contrast imaging (LSCI) technology to provide real-time intraoperative assessment of tissue perfusion and to compare its performance, concordance and discordance rates, with indocyanine green (ICG) fluorescence angiography, the current standard adjunct for perfusion assessment.

Study Overview

Why This Study Matters

Anastomotic leak remains one of the most serious complications following colorectal surgery and is frequently associated with inadequate tissue perfusion. Although surgeons currently rely on clinical judgment and, in many cases, indocyanine green (ICG) fluorescence angiography, each method has inherent limitations.

Study Objectives

The primary objective of the VISION Study is to evaluate and compare the clinical utility of Indocyanine Green (ICG) fluorescence angiography and Laser Speckle Contrast Imaging (LSCI) in assessing intraoperative tissue perfusion at the anastomotic site during left sided resection.

Study Design

The VISION Study is a prospective, multicenter, within-patient comparison enrolling approximately 150 adult participants undergoing elective left-sided colorectal surgery. Each participant serves as their own control by undergoing intraoperative perfusion assessment with both LSCI and ICG fluorescence angiography. Participants are followed for 30 days after surgery to evaluate postoperative clinical outcomes and device performance.

Participating Centers

UNLV School of Medicine

Las Vegas, NV

PI: Dr. Ovunc Bardakcioglu

Good Samaritan Medical Center

West Palm Beach, FL

PI: Dr. Eduardo Parra Davila

Medstar Health

Washington, DC

PI: Dr. Steven Wexner

Medstar Health

Washington, DC

PI: Dr Brian Bello

Medstar Health

Washington, DC

PI: Dr. Marcus Oosenbrug

Peidmont Health

Macon, GA

PI: Dr. Sam Attalah

USC Keck School of Medicne

Los Angeles, CA

PI: Dr. Joongho Shin

Orlando Regional Medical Center

Orlando, FL

PI: Dr. Antonio Caycedo

Amsterdam UMC

Amsterdam, The Netherlands

PI: Dr. Roel Hompes

Quironsalud Sagrado Corazon Hospital

Seville, Spain

PI: Dr. Salvadore Morales-Conde