Accurate delineation of tumor margins is critical for complete resection and minimizing recurrence, yet existing imaging modalities such as MRI, CT, and fluorescence imaging suffer from limitations including high cost, limited accessibility, and intraoperative constraints. In this study, we propose a low-cost, non-invasive approach for subsurface imaging based on near-infrared (NIR) illumination combined with deep learning. A controlled experimental setup was developed in which structured patterns displayed on an electronic paper screen were concealed beneath a tissue-mimicking chicken phantom and imaged using a NIR-sensitive camera under halogen illumination. A convolutional autoencoder based on a U-Net architecture was trained on approximately 10,000 paired samples to reconstruct hidden structures from highly scattered surface images. The proposed method achieved strong reconstruction performance, with the best model reaching a peak signal-to-noise ratio (PSNR) of 20.14 dB, structural similarity index (SSIM) of 0.92, and feature similarity index (FSIM) of 0.94, significantly outperforming conventional Wiener filtering. Qualitative results demonstrated accurate recovery of subsurface shapes with minor smoothing artifacts. While generalization to out-of-distribution samples remains limited, the findings highlight the potential of combining NIR imaging and deep learning for safe, rapid, and cost-effective subsurface visualization. This work establishes a foundation for future development toward clinically relevant tumor margin detection.
Silberschein et al. (2026) studied this question.