Melanoma,characterized by high mortality,rapid development and accompanied with angio-genesis is the most typical malignant tumor in skin cancer.Hence,the detection of blood vessels is of much significanoe.The early v...Melanoma,characterized by high mortality,rapid development and accompanied with angio-genesis is the most typical malignant tumor in skin cancer.Hence,the detection of blood vessels is of much significanoe.The early vascular network has small scale.If we remove the tumor early and biopsy it,it will increase the spread of the cancer cells and infection and bleeding.In this case,we presented a new angiography method.A high-resolution OCT system for noninvasive an-giographic imaging of early skin melanoma-Swept Source Optical Coberence Tomography Angiography(SS-OCTA)is proposed.With a high lateral resolution of 10pm in vrivo tomographic angiography,SS-OCTA is used to image and identify the morphology of the early tumor blood vessels.In addition,a control group experiment is conducted to observe the growth of melanoma in the process of rupture,malormation of micro-vessels.The results of the analysis and statistical test(P<0.05)are statistically signifcant.展开更多
AIM： To categorize neovessels morphology and to detect response to anti-angiogenic therapy by using structural and angiographic modes of swept source optical coherence tomography（SS-OCT）.METHODS： Thirty-two eyes w...AIM： To categorize neovessels morphology and to detect response to anti-angiogenic therapy by using structural and angiographic modes of swept source optical coherence tomography（SS-OCT）.METHODS： Thirty-two eyes with neovessels at disc（NVD） and neovessels elsewhere（NVE）-as diagnosed by fluorescein angiography-were included. Cross sectional OCT images of disc and macular regions were registered to enface OCT angiography（OCTA）, B-scan blood flow over lay and density maps. Three eyes received antiangiogenic treatment.RESULTS： Pin point registration of cross-sectional OCT and OCTA images differentiated active NVD with vascular elements from fibrous or equivalent fibrovascular elements. En face images delineated NVE as vascular tufts or area of filling while cross-sectional images differentiated NVE from microvascular intraretinal abnormality（IRMA）. All cases were associated with enlargement of foveal avascular zone and or areas of capillary non perfusion. Regressed NVD appeared as ghost vessel or pruned vascular loops after injection.CONCLUSION： Structural and angiographic modes of SS-OCT can detect, characterize and categorize the pattern of wide spectrum of neovessels based on blood flow data and density maps. It is potentially useful to detect ischemic changes in the vascular bed and regression of NVD after therapeutic regimens providing substitute for invasive techniques.展开更多
AIM: To assess the relationship between choroidal thickness and renal function in diabetic patients. METHODS: Cross-sectional retrospective clinical study of 42 eyes of 21 ocular treatment-na?ve diabetic patients. Dem...AIM: To assess the relationship between choroidal thickness and renal function in diabetic patients. METHODS: Cross-sectional retrospective clinical study of 42 eyes of 21 ocular treatment-na?ve diabetic patients. Demographic data included: age, sex, type and course of diabetes. Ocular data included: severity of diabetic retinopathy;retinal thickness at the central macular region, as well as choroidal thickness at the central and paracentral quadrants, using automatically generated maps by swept-source optical coherence tomography;presence of cystic macular edema;and ocular axial length(AXL). Lab-test parameters included: glycated hemoglobin(HbA1c), albuminuria, albumin/creatinine ratio in urine, and glomerular filtration rate. RESULTS: A significant negative correlation was mainly observed between several choroidal thicknesses, age(P<0.020) and ocular AXL(P<0.030). On the contrary, a significant positive correlation was found between all choroidal thicknesses, HbA1 c(P<0.035) and albuminuria(P<0.040). CONCLUSION: Choroidal thickness can represent an additional tool to help clinicians predicting the renal status in ocular treatment-na?ve diabetic patients.展开更多
We demonstrate a high-speed swept-source optical coherence tomography (SS-OCT) system, which is based on a high-speed swept light source and a Mach-Zehnder interferometer with a high-speed photodetector. The light sou...We demonstrate a high-speed swept-source optical coherence tomography (SS-OCT) system, which is based on a high-speed swept light source and a Mach-Zehnder interferometer with a high-speed photodetector. The light source is an external-cavity laser tuned by a KTN electro-optic deflector, which exhibits a very fast response and large deflection. The scanning wavelength range is almost 80 nm up to 200 kHz with a ±400-V deflector driving voltage. The system acquires 1 mm × 1 mm images consisting of 200 × 200 pixels within few milliseconds. We present preliminary SS-OCT images of an in-vitro human nail and an in-vivo finger pad.展开更多
In this work,a new structure is used to enhance the nonlinear effect in the cavity,which improvesthe performance of the 1.3μm broadband swept source.The swept source adopts a semiconductoroptical amplifier(SOA),a cir...In this work,a new structure is used to enhance the nonlinear effect in the cavity,which improvesthe performance of the 1.3μm broadband swept source.The swept source adopts a semiconductoroptical amplifier(SOA),a circulator,a coupler,and a tunable filter.In the structure,the lightpasses through the nonlinear medium(SOA)twice in two opposite directions,which excites thenonlinear ffect and increases the performance of the swept source.The tunable filter is based on apolygon rotating mirror and gratings.Traditionally,multiple SOAs are adopted to improve thesweep range and the optical power,which increases the cost and complexity of the swept source.The method proposed in this paper can improve the spectral range and optical power of the sweptsources without additional accessories.For the short-cavity swept source,the power increasesfrom 6 mW to 7.7 mW,and the sweep range increases from 98 nm to 120 nm.The broadband swept sources could have wide applications in biomedical imaging,sensor system,measurementand so on.展开更多
Background:To evaluate the effect of orthokeratology on precision of measurements in children using a new swept-source optical coherence tomography(SS-OCT)optical biometer(OA-2000),and agreement between its measuremen...Background:To evaluate the effect of orthokeratology on precision of measurements in children using a new swept-source optical coherence tomography(SS-OCT)optical biometer(OA-2000),and agreement between its measurements and those provided by the commonly used IOLMaster based on partial coherence interferometry(PCI).Methods:This study recruited fifty-one eyes of 51 normal children(8–16 years).An operator took measurements with the two biometers.Then,a second operator took measurements with the SS-OCT biometer.After orthokeratology was performed for one month,the same operators repeated the same procedures.Axial length(AL),mean keratometry(Km)at 2.5 mm and 3.0 mm diameters(Km2.5 and Km3.0),central corneal thickness(CCT),anterior chamber depth(ACD),lens thickness(LT)and corneal diameter(CD)were analyzed.Results:With the SS-OCT optical biometer,the test-retest repeatability of AL measurements was<0.06 mm.For all parameters,the coefficients of variation were<1.23%and the intraclass correlation coefficients were>0.95.The 95%limits of agreement of difference between the two devices for CD parameter were up to 1.53 mm.After orthokeratology,the fluctuation ranges of difference for Km3.0 measurement was 1.11 times higher than before orthokeratology,while the absolute values of difference for AL,Km2.5,ACD and CD measurements were comparable.Conclusions:Before and after orthokeratology,the SS-OCT biometer showed high repeatability and reproducibility for all measurements.Wearing orthokeratology contact lenses affected the agreement between SS-OCT and PCI biometers for Km3.0 measurements.The CD measurement showed poor agreement between the two devices.展开更多
Background:There are two forms of system implementation of optical coherence tomography angiography(OCTA)in ophthalmic imaging,i.e.,spectral domain(SD-)and swept source OCTA(SS-OCTA).The purpose of this paper is to co...Background:There are two forms of system implementation of optical coherence tomography angiography(OCTA)in ophthalmic imaging,i.e.,spectral domain(SD-)and swept source OCTA(SS-OCTA).The purpose of this paper is to compare the SD-OCTA and SS-OCTA for elucidating structural and vascular features associated with central serous retinopathy(CSR),and to evaluate the effects of CSR on SD-and SS-OCTA’s imaging capabilities.Methods:Normal subjects and CSR patients were imaged by SD-and SS-OCTA using 3×3 mm and 6×6 mm scan patterns.OCT signal strengths at the superficial retina,deep retina,Sattler’s layer and Haller’s layer were used to compare the ability of SD-and SS-OCTA to image structural features.In addition,the ability to acquire angiograms were discussed by evaluating retinal vessel density.Central serous volume(CSV)was measured and it was correlated with difference in signal strengths(ΔS)between two OCTA devices.Results:Seven normal eyes and seven diseased eyes were recruited.Results showed no significant differences between SD-and SS-OCT in detecting structural features of the retinal layer according to the paired t-test.However,when imaging the Sattler’s layer for normal eyes,a significant difference is found between SD-and SS-OCT(p<0.0001 for 3×3 mm scan,and p=0.0002 for 6×6 mm);while for CSR eyes,the corresponding values were p<0.0001 and p=0.0003,respectively.At Haller’s layer for normal eyes,the corresponding values were p=0.0004 and p=0.0014;and for CSR eyes,p=0.0004 and p<0.0001,respectively.A strong correlation betweenΔS and CSV was observed in the Sattler’s layer(3×3 mm–p=0.0031 and R^(2)=0.951;6×6 mm–p=0.0075 and R^(2)=0.911)and Haller’s layer(3×3 mm–p=0.0026 and R^(2)=0.955;6×6 mm–p=0.0013 and R^(2)=0.972).Conclusions:The results suggest no differences between SD-and SS-OCTA for imaging the retinal layers however,when imaging beyond retinal layers,SS-OCTA appears advantageous in detecting returning signals.In CSR cases,the CSV may have an impact on sub-CSR tissue imaging and appears to have more impact on SD-than SS-OCTA.展开更多
基金supported by the Jiangsu Province Science Fund for Distinguished Young Scholars(BK20060010)the Frontier Science Research project of the Chinese Academy of Sciences(QYZDBS-SWJSC03)+2 种基金the National Natural Science Foundation of China(61675226)the National Key R&D Program of China(2017YFC0108200,2017YFB0403700)the Jiangsu Province Key R&D Program(BE2018667).
文摘Melanoma,characterized by high mortality,rapid development and accompanied with angio-genesis is the most typical malignant tumor in skin cancer.Hence,the detection of blood vessels is of much significanoe.The early vascular network has small scale.If we remove the tumor early and biopsy it,it will increase the spread of the cancer cells and infection and bleeding.In this case,we presented a new angiography method.A high-resolution OCT system for noninvasive an-giographic imaging of early skin melanoma-Swept Source Optical Coberence Tomography Angiography(SS-OCTA)is proposed.With a high lateral resolution of 10pm in vrivo tomographic angiography,SS-OCTA is used to image and identify the morphology of the early tumor blood vessels.In addition,a control group experiment is conducted to observe the growth of melanoma in the process of rupture,malormation of micro-vessels.The results of the analysis and statistical test(P<0.05)are statistically signifcant.
文摘AIM： To categorize neovessels morphology and to detect response to anti-angiogenic therapy by using structural and angiographic modes of swept source optical coherence tomography（SS-OCT）.METHODS： Thirty-two eyes with neovessels at disc（NVD） and neovessels elsewhere（NVE）-as diagnosed by fluorescein angiography-were included. Cross sectional OCT images of disc and macular regions were registered to enface OCT angiography（OCTA）, B-scan blood flow over lay and density maps. Three eyes received antiangiogenic treatment.RESULTS： Pin point registration of cross-sectional OCT and OCTA images differentiated active NVD with vascular elements from fibrous or equivalent fibrovascular elements. En face images delineated NVE as vascular tufts or area of filling while cross-sectional images differentiated NVE from microvascular intraretinal abnormality（IRMA）. All cases were associated with enlargement of foveal avascular zone and or areas of capillary non perfusion. Regressed NVD appeared as ghost vessel or pruned vascular loops after injection.CONCLUSION： Structural and angiographic modes of SS-OCT can detect, characterize and categorize the pattern of wide spectrum of neovessels based on blood flow data and density maps. It is potentially useful to detect ischemic changes in the vascular bed and regression of NVD after therapeutic regimens providing substitute for invasive techniques.
基金OFTARED “RD16/0008/0010”,funded by Instituto de Salud Carlos Ⅲ,integrated in the national I+D+i 2013-2016co-funded by European Union(ERDF/ESF,“Investing in your future”)
文摘AIM: To assess the relationship between choroidal thickness and renal function in diabetic patients. METHODS: Cross-sectional retrospective clinical study of 42 eyes of 21 ocular treatment-na?ve diabetic patients. Demographic data included: age, sex, type and course of diabetes. Ocular data included: severity of diabetic retinopathy;retinal thickness at the central macular region, as well as choroidal thickness at the central and paracentral quadrants, using automatically generated maps by swept-source optical coherence tomography;presence of cystic macular edema;and ocular axial length(AXL). Lab-test parameters included: glycated hemoglobin(HbA1c), albuminuria, albumin/creatinine ratio in urine, and glomerular filtration rate. RESULTS: A significant negative correlation was mainly observed between several choroidal thicknesses, age(P<0.020) and ocular AXL(P<0.030). On the contrary, a significant positive correlation was found between all choroidal thicknesses, HbA1 c(P<0.035) and albuminuria(P<0.040). CONCLUSION: Choroidal thickness can represent an additional tool to help clinicians predicting the renal status in ocular treatment-na?ve diabetic patients.
文摘We demonstrate a high-speed swept-source optical coherence tomography (SS-OCT) system, which is based on a high-speed swept light source and a Mach-Zehnder interferometer with a high-speed photodetector. The light source is an external-cavity laser tuned by a KTN electro-optic deflector, which exhibits a very fast response and large deflection. The scanning wavelength range is almost 80 nm up to 200 kHz with a ±400-V deflector driving voltage. The system acquires 1 mm × 1 mm images consisting of 200 × 200 pixels within few milliseconds. We present preliminary SS-OCT images of an in-vitro human nail and an in-vivo finger pad.
基金supported by the National Key R&D Program of China(2016YFF0102003 and 2016YFF0102000).
文摘In this work,a new structure is used to enhance the nonlinear effect in the cavity,which improvesthe performance of the 1.3μm broadband swept source.The swept source adopts a semiconductoroptical amplifier(SOA),a circulator,a coupler,and a tunable filter.In the structure,the lightpasses through the nonlinear medium(SOA)twice in two opposite directions,which excites thenonlinear ffect and increases the performance of the swept source.The tunable filter is based on apolygon rotating mirror and gratings.Traditionally,multiple SOAs are adopted to improve thesweep range and the optical power,which increases the cost and complexity of the swept source.The method proposed in this paper can improve the spectral range and optical power of the sweptsources without additional accessories.For the short-cavity swept source,the power increasesfrom 6 mW to 7.7 mW,and the sweep range increases from 98 nm to 120 nm.The broadband swept sources could have wide applications in biomedical imaging,sensor system,measurementand so on.
基金This work was supported in part by the Foundation of Wenzhou City Science&Technology Bureau(Y20180174)Medical and Health Science and Technology Program of Zhejiang Province(2019KY111)+3 种基金Zhejiang Provincial Key Research and Development Program(2018C03012)Zhejiang Provincial High-level Talents Program(2017-102)The funders had no role in the study design,data collection and analysis,decision to publish,or preparation of the manuscriptThe contribution of G.B.Bietti Foundation IRCCS was supported by the Italian Ministry of Health and Fondazione Roma.
文摘Background:To evaluate the effect of orthokeratology on precision of measurements in children using a new swept-source optical coherence tomography(SS-OCT)optical biometer(OA-2000),and agreement between its measurements and those provided by the commonly used IOLMaster based on partial coherence interferometry(PCI).Methods:This study recruited fifty-one eyes of 51 normal children(8–16 years).An operator took measurements with the two biometers.Then,a second operator took measurements with the SS-OCT biometer.After orthokeratology was performed for one month,the same operators repeated the same procedures.Axial length(AL),mean keratometry(Km)at 2.5 mm and 3.0 mm diameters(Km2.5 and Km3.0),central corneal thickness(CCT),anterior chamber depth(ACD),lens thickness(LT)and corneal diameter(CD)were analyzed.Results:With the SS-OCT optical biometer,the test-retest repeatability of AL measurements was<0.06 mm.For all parameters,the coefficients of variation were<1.23%and the intraclass correlation coefficients were>0.95.The 95%limits of agreement of difference between the two devices for CD parameter were up to 1.53 mm.After orthokeratology,the fluctuation ranges of difference for Km3.0 measurement was 1.11 times higher than before orthokeratology,while the absolute values of difference for AL,Km2.5,ACD and CD measurements were comparable.Conclusions:Before and after orthokeratology,the SS-OCT biometer showed high repeatability and reproducibility for all measurements.Wearing orthokeratology contact lenses affected the agreement between SS-OCT and PCI biometers for Km3.0 measurements.The CD measurement showed poor agreement between the two devices.
基金supported in part by the National Institutes of Health(R01EY024158 and R01EY028753)WRF David and Nancy Auth Innovation Awardan unrestricted fund from Research to Prevent Blindness.
文摘Background:There are two forms of system implementation of optical coherence tomography angiography(OCTA)in ophthalmic imaging,i.e.,spectral domain(SD-)and swept source OCTA(SS-OCTA).The purpose of this paper is to compare the SD-OCTA and SS-OCTA for elucidating structural and vascular features associated with central serous retinopathy(CSR),and to evaluate the effects of CSR on SD-and SS-OCTA’s imaging capabilities.Methods:Normal subjects and CSR patients were imaged by SD-and SS-OCTA using 3×3 mm and 6×6 mm scan patterns.OCT signal strengths at the superficial retina,deep retina,Sattler’s layer and Haller’s layer were used to compare the ability of SD-and SS-OCTA to image structural features.In addition,the ability to acquire angiograms were discussed by evaluating retinal vessel density.Central serous volume(CSV)was measured and it was correlated with difference in signal strengths(ΔS)between two OCTA devices.Results:Seven normal eyes and seven diseased eyes were recruited.Results showed no significant differences between SD-and SS-OCT in detecting structural features of the retinal layer according to the paired t-test.However,when imaging the Sattler’s layer for normal eyes,a significant difference is found between SD-and SS-OCT(p<0.0001 for 3×3 mm scan,and p=0.0002 for 6×6 mm);while for CSR eyes,the corresponding values were p<0.0001 and p=0.0003,respectively.At Haller’s layer for normal eyes,the corresponding values were p=0.0004 and p=0.0014;and for CSR eyes,p=0.0004 and p<0.0001,respectively.A strong correlation betweenΔS and CSV was observed in the Sattler’s layer(3×3 mm–p=0.0031 and R^(2)=0.951;6×6 mm–p=0.0075 and R^(2)=0.911)and Haller’s layer(3×3 mm–p=0.0026 and R^(2)=0.955;6×6 mm–p=0.0013 and R^(2)=0.972).Conclusions:The results suggest no differences between SD-and SS-OCTA for imaging the retinal layers however,when imaging beyond retinal layers,SS-OCTA appears advantageous in detecting returning signals.In CSR cases,the CSV may have an impact on sub-CSR tissue imaging and appears to have more impact on SD-than SS-OCTA.
