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Ding B, Jinyuan T, Tao K, Ding Z, Yang S. A pilot and ex-vivo study of examination of endometrium tissue by catheter based optical coherence tomography. BMC Med Imaging 2022; 22:162. [PMID: 36088282 PMCID: PMC9464373 DOI: 10.1186/s12880-022-00890-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 08/30/2022] [Indexed: 11/11/2022] Open
Abstract
Objective This study aimed to distinguish ex-vivo normal and abnormal endometrium tissue samples histologically by catheter based optical coherence tomography (OCT). Methods A total of 72 ex-vivo endometrium specimens were obtained from June 2018 to March 2021 and were imaged fresh after hysterectomy. The scanned region of endometrium was excised for histological examination and endometrium OCT images were precisely compared to corresponding histological images. Meanwhile endometrium OCT images were analyzed quantitatively with intensity of backscattered light in region of interest (ROI) and maximum penetration depth of the OCT signal. Blinded qualitative analysis on endometrium OCT images was performed by 2 assessors to determine accuracy rate and inter-rating reliability on the histopathological diagnosis. Results OCT images were performed successfully in 72 endometrium specimens. Five endometrium specimens developed OCT interpretation criteria and the rest 67 endometrium specimens validated qualitatively and analyzed quantitatively. We defined an OCT criteria to distinguish normal endometrium and five different abnormal endometrium phases including proliferative endometrium, secretory phase endometrium, atrophic endometrium, endometrial hyperplasia with atypia and endometrial carcinoma based on OCT imaging features. The overall diagnosis accuracy achieved by the two assessors was 72.4% based on the OCT criteria. The inter-rater reliability between assessors on overall OCT images was substantial (Kendall τb of 0.720, p < 0.05). The changes in ROI minimum intensity, ROI maximum intensity, ROI average intensity and OCT signal maximum penetration depth of five different abnormal endometrium phases were significantly different (all p < 0.001). These parameters of endometrium carcinomas were significantly different from the other four endometrium phases (all p < 0.001). Conclusion OCT has the advantage of noninvasive and rapid diagnosis, which can contribute to the diagnosis of endometrial cancer and will be an indispensable complement to traditional biopsy. Future studies in vivo with larger samples are needed to confirm this conclusion.
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Huang J, Ma X, Zhang L, Jia H, Wang F. Diagnostic accuracy of optical coherence tomography in bladder cancer patients: A systematic review and meta-analysis. Mol Clin Oncol 2018. [PMID: 29541471 DOI: 10.3892/mco.2018.1566] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
A meta-analysis was performed to evaluate the accuracy of optical coherence tomography (OCT) for diagnostic accuracy studies in bladder cancer patients. English language studies reporting the diagnostic accuracy of OCT for bladder cancer were retrieved from the PubMed, EMBASE and Cochrane Library databases in December 2014. Histopathology was a reference standard. Sensitivities, specificities, positive likelihood ratios and negative likelihood ratios were calculated, and summary receiver operating characteristic curves were drawn to determine the diagnostic accuracy of OCT. Finally, 9 eligible studies (468 patients) were included in our meta-analysis. The pooled sensitivity, specificity, positive likelihood ratio and negative likelihood ratio of OCT were 0.96 [95% confidence interval (CI): 0.94-0.98], 0.82 (95% CI: 0.80-0.85), 6.83 (95% CI: 3.24-14.1) and 0.05 (95% CI: 0.02-0.16), respectively. The summary diagnostic odds ratio was 138.88 (95% CI: 29.63-650.89) and the overall area under the curve was 0.9735. These results suggest that OCT has excellent diagnostic performance in patients with bladder cancer and recurrent lesions.
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Affiliation(s)
- Juan Huang
- Department of Medical Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan 610041, P.R. China.,Department of Hematology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan 610041, P.R. China
| | - Xuelei Ma
- Department of Medical Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - Lei Zhang
- Department of Obstetrics and Gynecology, Chengdu Integrated TCM and Western Medical Hospital, Chengdu, Sichuan 610041, P.R. China
| | - Hongyuan Jia
- Department of Medical Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - Feng Wang
- Department of Medical Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan 610041, P.R. China
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Dhawan AP, D'Alessandro B, Fu X. Optical imaging modalities for biomedical applications. IEEE Rev Biomed Eng 2012; 3:69-92. [PMID: 22275202 DOI: 10.1109/rbme.2010.2081975] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Optical photographic imaging is a well known imaging method that has been successfully translated into biomedical applications such as microscopy and endoscopy. Although several advanced medical imaging modalities are used today to acquire anatomical, physiological, metabolic, and functional information from the human body, optical imaging modalities including optical coherence tomography, confocal microscopy, multiphoton microscopy, multispectral endoscopy, and diffuse reflectance imaging have recently emerged with significant potential for non-invasive, portable, and cost-effective imaging for biomedical applications spanning tissue, cellular, and molecular levels. This paper reviews methods for modeling the propagation of light photons in a biological medium, as well as optical imaging from organ to cellular levels using visible and near-infrared wavelengths for biomedical and clinical applications.
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Affiliation(s)
- Atam P Dhawan
- Department of Electrical and Computer Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA.
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Gabriele ML, Wollstein G, Ishikawa H, Xu J, Kim J, Kagemann L, Folio LS, Schuman JS. Three dimensional optical coherence tomography imaging: advantages and advances. Prog Retin Eye Res 2010; 29:556-79. [PMID: 20542136 DOI: 10.1016/j.preteyeres.2010.05.005] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Three dimensional (3D) ophthalmic imaging using optical coherence tomography (OCT) has revolutionized assessment of the eye, the retina in particular. Recent technological improvements have made the acquisition of 3D-OCT datasets feasible. However, while volumetric data can improve disease diagnosis and follow-up, novel image analysis techniques are now necessary in order to process the dense 3D-OCT dataset. Fundamental software improvements include methods for correcting subject eye motion, segmenting structures or volumes of interest, extracting relevant data post hoc and signal averaging to improve delineation of retinal layers. In addition, innovative methods for image display, such as C-mode sectioning, provide a unique viewing perspective and may improve interpretation of OCT images of pathologic structures. While all of these methods are being developed, most remain in an immature state. This review describes the current status of 3D-OCT scanning and interpretation, and discusses the need for standardization of clinical protocols as well as the potential benefits of 3D-OCT scanning that could come when software methods for fully exploiting these rich datasets are available clinically. The implications of new image analysis approaches include improved reproducibility of measurements garnered from 3D-OCT, which may then help improve disease discrimination and progression detection. In addition, 3D-OCT offers the potential for preoperative surgical planning and intraoperative surgical guidance.
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Affiliation(s)
- Michelle L Gabriele
- Department of Ophthalmology, UPMC Eye Center, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA
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Tanbakuchi AA, Udovich JA, Rouse AR, Hatch KD, Gmitro AF. In vivo imaging of ovarian tissue using a novel confocal microlaparoscope. Am J Obstet Gynecol 2010; 202:90.e1-9. [PMID: 19800605 PMCID: PMC2811223 DOI: 10.1016/j.ajog.2009.07.027] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2009] [Revised: 06/04/2009] [Accepted: 07/14/2009] [Indexed: 11/24/2022]
Abstract
OBJECTIVE The objective of the study was to develop a clinical confocal microlaparoscope for imaging ovary epithelium in vivo with the long-term objective of diagnosing cancer in vivo. STUDY DESIGN A confocal microlaparoscope was developed and used to image the ovaries of 21 patients in vivo using fluorescein sodium and acridine orange as the fluorescent contrast agents. RESULTS The device was tested in vivo and demonstrated to be safe and function as designed. Real-time cellular visualization of ovary epithelium was demonstrated. CONCLUSION The confocal microlaparoscope represents a new type of in vivo imaging device. With its ability to image cellular details in real time, it has the potential to aid in the early diagnosis of cancer. Initially the device may be used to locate unusual regions for guided biopsies. In the long term, the device may be able to supplant traditional biopsies and allow the surgeon to identify early-stage ovarian cancer.
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Affiliation(s)
- Anthony A. Tanbakuchi
- Department of Radiology, University of Arizona, Tucson, Arizona 85724
- College of Optical Sciences. University of Arizona, Tucson, Arizona 85721
| | - Joshua A. Udovich
- Department of Radiology, University of Arizona, Tucson, Arizona 85724
- College of Optical Sciences. University of Arizona, Tucson, Arizona 85721
| | - Andrew R. Rouse
- Department of Radiology, University of Arizona, Tucson, Arizona 85724
| | - Kenneth D. Hatch
- Department of Obstetrics and Gynecology, College of Medicine, University of Arizona, Tucson, Arizona 85724
| | - Arthur F. Gmitro
- Department of Radiology, University of Arizona, Tucson, Arizona 85724
- College of Optical Sciences. University of Arizona, Tucson, Arizona 85721
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Tanbakuchi AA, Rouse AR, Udovich JA, Hatch KD, Gmitro AF. Clinical confocal microlaparoscope for real-time in vivo optical biopsies. JOURNAL OF BIOMEDICAL OPTICS 2009; 14:044030. [PMID: 19725741 PMCID: PMC2851196 DOI: 10.1117/1.3207139] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Successful treatment of cancer is highly dependent on the stage at which it is diagnosed. Early diagnosis, when the disease is still localized at its origin, results in very high cure rates-even for cancers that typically have poor prognosis. Biopsies are often used for diagnosis of disease. However, because biopsies are destructive, only a limited number can be taken. This leads to reduced sensitivity for detection due to sampling error. A real-time fluorescence confocal microlaparoscope has been developed that provides instant in vivo cellular images, comparable to those provided by histology, through a nondestructive procedure. The device includes an integrated contrast agent delivery mechanism and a computerized depth scan system. The instrument uses a fiber bundle to relay the image plane of a slit-scan confocal microlaparoscope into tissue. It has a 3-mum lateral resolution and a 25-mum axial resolution. Initial in vivo clinical testing using the device to image human ovaries has been done in 21 patients. Results indicate that the device can successfully image organs in vivo without complications. Results with excised tissue demonstrate that the instrument can resolve sufficient cellular detail to visualize the cellular changes associated with the onset of cancer.
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Affiliation(s)
- Anthony A. Tanbakuchi
- University of Arizona, Department of Radiology, Radiology Research Laboratories, 1609 North Warren Avenue, Tucson, Arizona 85724 and University of Arizona, College of Optical Sciences, 1630 East University Boulevard, Tucson, Arizona 85724
| | - Andrew R. Rouse
- University of Arizona, Department of Radiology, Radiology Research Laboratories, 1609 North Warren Avenue, Tucson, Arizona 85724
| | - Joshua A. Udovich
- University of Arizona, Department of Radiology, Radiology Research Laboratories, 1609 North Warren Avenue, Tucson, Arizona 85724 and University of Arizona, College of Optical Sciences, 1630 East University Boulevard, Tucson, Arizona 85724
| | - Kenneth D. Hatch
- University of Arizona, Arizona Health Sciences Center, Department of Obstetrics and Gynecology, P.O. Box 245078, Tucson, Arizona 85724
| | - Arthur F. Gmitro
- University of Arizona, Department of Radiology, Radiology Research Laboratories, 1609 North Warren Avenue, Tucson, Arizona 85724 and University of Arizona, College of Optical Sciences, 1630 East University Boulevard, Tucson, Arizona 85724
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Karl A, Stepp H, Willmann E, Tilki D, Zaak D, Knüchel R, Stief C. Optical coherence tomography (OCT): ready for the diagnosis of a nephrogenic adenoma of the urinary bladder? J Endourol 2009; 22:2429-32. [PMID: 19046083 DOI: 10.1089/end.2008.0201] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The feasibility of Optical Coherence Tomography (OCT) as a non-invasive technique was shown in different fields. We investigated OCT's potential to detect nephrogenic adenoma (NA) within the human bladder. Clinically non-invasive methods like ultrasonography or CT have significant limitations. We applied our experience from OCT-analyses to one case of NA. OCT in vivo examination was performed using an optical fiber which was positioned cystoscopically. Characteristic structures of NA were compared in the OCT-images and the hematoxylin and eosin histological samples. Indeed, the structure and exact position of NA could be defined in relation to surrounding layers. However, a definite classification as NA by OCT only could not be reached in this single case. The examination of more NA cases would be necessary to base well-founded conclusions on. Further development of this technology could lead to an optical substitute for biopsies: especially apt for the field of endourology.
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Affiliation(s)
- Alexander Karl
- Ludwig-Maximilians-Universtiy, Department of Urology, Munich, Germany.
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