Featured Articles

Mapping polarization-sensitive optical coherence tomography and ultra-high-field diffusion MRI in the macaque brain

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Mapping polarization sensitive optical coherence tomography and ultra-high-field diffusion MRI in the This paper provides comparisons between microstructure and two-dimensional fiber orientations measured optically using polarization-sensitive optical coherence tomography (PS-OCT) and those estimated from ultra-high-field diffusion MRI (dMRI) at 10.5T in the macaque brain. The PS-OCT imaging is done at an in-plane resolution of ~10 microns in and around the thalamus. Whole brain dMRI is acquired at an isotropic resolution of 0.75 mm. We provide comparisons between cross-polarization and optical orientation from PS-OCT with the fractional anisotropy and two-dimensional orientations extracted from dMRI using a diffusion tensor model. The orientations from PS-OCT are also extracted computationally using a structure tensor. Additionally, we demonstrate the utility of mesoscale, PS-OCT imaging in improving the MRI resolution by learning the mapping between these contrasts using a super-resolution Generative Adversarial Network.

Structural analysis of the female reptile reproductive system by micro-computed tomography and optical coherence tomography

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Volumetric data provide unprecedented structural insight to the reproductive tract and add vital anatomical context to the relationships between organs. The morphology of the female reproductive tract in non-avian reptiles varies between species, corresponding to a broad range of reproductive modes and providing valuable insight to comparative investigations of reproductive anatomy. However, reproductive studies in reptilian models, such as the brown anole studied here, have historically relied on histological methods to understand the anatomy. While these methods are highly effective for characterizing the cell types present in each organ, histological methods lose the 3D relationships between images and leave the architecture of the organ system poorly understood. We present the first comprehensive volumetric analyses of the female brown anole reproductive tract using two non-invasive, non-destructive imaging modalities: micro-computed tomography (microCT) and optical coherence to...

Updated with memorial fund information: Biomedical Engineering Chair Joseph Izatt Dies

Joseph Izatt, the Michael J. Fitzpatrick Professor of Engineering and chair of Duke’s Department of Biomedical Engineering (BME), passed away on Sunday, April 7. Since joining Duke in 2001, Izatt served the university through dedicated service to his students and colleagues, and as a pioneering researcher. During his tenure as chair of Duke BME, he championed the successes of all within the community and worked with faculty, staff and students to ensure the department supported their goals. In a message Monday to the Duke Engineering community, Pratt School Dean Jerome Lynch celebrated Izatt’s career and leadership. “He was an exceptionally thoughtful leader who weighed every decision with a care that originated with his deep love for the BME community. The integrity and humility he brought as a school leader will be missed.” Biomedical engineering chair Joseph Izatt Izatt was a skilled researcher and inventor who played a foundational role in the development of optical cohe...

Multi-channel delay sampling to extend imaging depth in high-speed swept-source OCT systems

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We present a multi-channel delay sampling method to extend imaging depth in high-speed swept-source optical coherence tomography (SS-OCT). A balanced detector captures interference signals, converting them into electrical signals, which are then split into N channels, each with fixed time delays determined by the length of electrical cables. Then, they are digitized by an N-channel acquisition card. A calibration procedure is utilized to compensate for non-uniform phase shifts resulting from fixed time delays. The N-channel signals are merged in k-space and resampled to obtain a linearized spectrum, which increases the sampling rate by a factor of N, thereby extending the ranging distance by N times, all without altering k-clock triggering or sacrificing other imaging performance. The signal-to-noise ratio and sensitivity within the original depth range also have been enhanced. This advancement contributes to the improvement of the overall performance of SS-OCT systems.

Using optical coherence tomography to optimize Mohs micrographic surgery

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Using optical coherence tomography to optimize Mohs micrographic surgery Mohs micrographic surgery (MMS) is considered the gold standard for treating high-risk cutaneous basal cell carcinoma (BCC), but is expensive, time-consuming, and can be unpredictable as to how many stages will be required or how large the final lesion and corresponding surgical defect will be. This study is meant to investigate whether optical coherence tomography (OCT), a highly researched modality in dermatology, can be used preoperatively to map out the borders of BCC, resulting in fewer stages of MMS or a smaller final defect. In this prospective study, 22 patients with BCC undergoing surgical excision were enrolled at a single institution. All patients had previously received a diagnostic biopsy providing confirmation of BCC and had been referred to our center for excision with MMS. Immediately prior to performing MMS, OCT was used to map the borders of the lesion. MMS then proceeded according to standard protocol. OCT images were compared to histopathology for agreement. Hi...

The Future of High-Speed Digitization with ADQ35

Our team has engineered an advanced upgrade of our Direct Memory Access (DMA) engine, achieving a transfer speed that is twice as fast as current fourth-generation digitizer products. Considering system configuration options, one could efficiently integrate dual ADQ35 units with a single GPU to reach transfer rates of roughly 28 Gbyte/s within a single system. In the perform tests, we used two ADQ35 digitizers to stream data to a single GPU as well as two GPUs respectively. Notably, the cost of the (PC) system remains under $2000, not including the GPU. This performance is facilitated through the use of a x16 PCIe Gen3 link. The tests were performed both on Linux (topmost figure below) and Windows (bottom figure) operating systems. When streaming to a single GPU from both digitizers, the achieved aggregate transfer rate approached 28 Gbyte/s, as indicated by the blue traces in the figure below. Upon incorporating a second GPU, the corresponding aggregate data rate increased to...

Megahertz multi-parametric ophthalmic OCT system for whole eye imaging

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An ultrahigh-speed, wide-field OCT system for the imaging of anterior, posterior, and ocular biometers is crucial for obtaining comprehensive ocular parameters and quantifying ocular pathology size. Here, we demonstrate a multi-parametric ophthalmic OCT system with a speed of up to 1 MHz for wide-field imaging of the retina and 50 kHz for anterior chamber and ocular biometric measurement. A spectrum correction algorithm is proposed to ensure the accurate pairing of adjacent A-lines and elevate the A-scan speed from 500 kHz to 1 MHz for retinal imaging. A registration method employing position feedback signals was introduced, reducing pixel offsets between forward and reverse galvanometer scanning by 2.3 times. Experimental validation on glass sheets and the human eye confirms feasibility and efficacy. Meanwhile, we propose a revised formula to determine the “true” fundus size using all-axial length parameters from different fields of view. The efficient algorithms and compact design...

Recent Articles From Around The Web

Biomechanical changes after keratorefractive lenticule extraction with CLEAR and after femtosecond LASIK, correlated with optical coherence tomography findings Authors

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  The purpose of this retrospective, comparative, single-eye study was to evaluate the biomechanical changes that occurred after laser myopia correction using keratorefractive lenticule extraction (KLEx) and femtosecond LASIK (FS-LASIK), and to correlate them with stromal changes on anterior segment optical coherence tomography. Corneal biomechanical parameters were measured pre-operatively and one week after surgery using the high-speed Scheimpflug camera CorVis-ST (Oculus Optikgeräte GmbH): stiffness parameter at first applanation (SP-A1), stress-strain index (SSI), inverse integrated radius (IIR), and deformation amplitude ratio at 2 mm (DA ratio-2mm). A total of 79 eyes underwent KLEx (CLEAR, Ziemer Group), while 93 underwent FS-LASIK. After KLEx, the mean residual stromal bed (RSB) was 271.36±17.22 μm, while FS-LASIK resulted in 304.21±21.82 μm (p=0.00). Except for SSI after FS-LASIK (p=0.39), all parameters in both groups changed statistically significantly after surge...

The role of ultra-widefield imaging with navigated central and peripheral cross-sectional and three-dimensional swept source optical coherence tomography in ophthalmology: Clinical applications

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PURPOSE: To assess central and peripheral retinal and choroidal diseases using ultra-widefield (UWF) fundus imaging in combination with navigated central and peripheral cross-sectional and three-dimensional (3D) swept source optical coherence tomography (SS-OCT) scans. METHODS: Retrospective study involving 332 consecutive patients, with a nearly equal distribution of males and females. The mean age of patients was 52 years (range 18–92 years). Average refractive error was −3.80 D (range +7.75 to −20.75 D). RESULTS: The observations in this study demonstrate the efficacy of peripheral navigated SS-OCT in assessing various ocular conditions. The technology provides high-quality images of the peripheral vitreous, vitreoretinal interface, retina, and choroid, enabling visualization of vitreous floaters and opacities, retinal holes and tears, pigmented lesions, and peripheral retinal degenerations. 3D OCT scans enhance the visualization of these abnormalities and improve diagno...

Deep learning with adaptive convolutions for classification of retinal diseases via optical coherence tomography

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Optical coherence tomography (OCT) uses interferometry to capture high-resolution cross-sectional images of the retina to diagnose retinal diseases. Convolutional neural networks (CNNs) have become essential for developing efficient computer-aided diagnostic algorithms, but noisy images can hinder their performance. This study introduces an innovative image preprocessing strategy that involves a new method of representing images to reduce image noise and a new adaptive convolution layer. The adaptive convolution layer aims to replace traditional convolution layers for OCT image classification by relying on local’Feature Content’. The proposed image representation is based on Zeckendorf's theorem, which states that every positive integer may be split into a unique sum of distinct, non-adjacent Fibonacci numbers. The proposed approach enables the generation of two separate images, known as the ‘base’ and ‘fine,’ where the ‘base’ image is the denoised image. We assessed our methodology...

Snapshots in Neuroscience: In vivo and ex vivo cross-section images of tree shrew retinas

As described by Dr. Liu and colleagues: Below are cross-section images of tree shrew retinas near the optic nerve head (ONH) region. The in vivo visible-light optical coherence tomography (vis-OCT) B-scan image below shows vertically elongated and densely packed axon bundles in the retinal nerve fiber layer (RNFL), a distinct dark band of the ganglion cell layer (GCL), a clear sub-layered inner plexiform layer (IPL), and a dark band of the inner nuclear layer (INL). For in vivo imaging, tree shrews were anesthetized using isoflurane with supplemental oxygen, followed by an intraperitoneal cocktail injection of ketamine and xylazine. This image was acquired with a small animal vis-OCT system, Halo 100 Opticent Health, capturing a total volume of 1.12 mm × 1.5 mm (x × y) with an axial resolution of 1.46 μm/pixel and a lateral resolution of 2.18 μm/pixel. The retinal layer organization detected in vivo by the vis-OCT technique was validated with corresponding ex vivo confocal ...

Comparative In Vivo Imaging of Retinal Structures in Tree Shrews, Humans, and Mice

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Rodent models, such as mice and rats, are commonly used to examine retinal ganglion cell damage in eye diseases. However, as nocturnal animals, rodent retinal structures differ from primates, imposing significant limitations in studying retinal pathology. Tree shrews (Tupaia belangeri) are small, diurnal paraprimates that exhibit superior visual acuity and color vision compared with mice. Like humans, tree shrews have a dense retinal nerve fiber layer (RNFL) and a thick ganglion cell layer (GCL), making them a valuable model for investigating optic neuropathies. In this study, we applied high-resolution visible-light optical coherence tomography to characterize the tree shrew retinal structure in vivo and compare it with that of humans and mice. We quantitatively characterize the tree shrew's retinal layer structure in vivo, specifically examining the sublayer structures within the inner plexiform layer (IPL) for the first time. Next, we conducted a comparative analysis of retinal l...

High-power and high-speed all-optical all-fiber wavelength-swept source at 2 μm based on a femtosecond laser and time stretch technique

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We present an all-fiber all-optical high-speed wavelength-swept laser source at 2 μm with a 3-dB bandwidth of 33 nm and repetition rate of 18.4 MHz, by using optical time-stretch technology, which to our knowledge is the first report of a 2 μm wavelength-swept source without any bulk, free-space optical elements. The light source is built upon a nonlinear polarization rotation mode-locked femtosecond oscillator. A chirped fiber Bragg grating (CFBG) is employed to realize the all-optical wavelength sweeping. In comparison with the commonly used dispersive fibers, the CFBG possesses outstanding power efficiency and temporal stability, especially for wavelength sweeping in the 2.0 μm wavelength regime. A two-stage fiber amplifier system is utilized to boost the output power up to 1.01 W. This all-fiberized mode-locked swept source with high speed and high stability shows great potential as a valuable source for various spectroscopy applications and swept source optical coherence tomogr...

Optic Nerve Head Pulsatile Displacement in Open-Angle Glaucoma after Intraocular Pressure Reduction Measured by Optical Coherence Tomography: A Pilot Study

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This study investigated the effect of intraocular pressure (IOP) reduction on pulsatile displacement within the optic nerve head (ONH) in primary open-angle glaucoma (POAG) patients with and without axial myopia. Forty-one POAG patients (19 without myopia, 9 with axial myopia and 13 glaucoma with no intervention) participated. Swept-source optical coherence tomography (OCT) videos of the ONH were obtained before and after IOP-lowering treatment (medical or surgical) achieving a minimum IOP drop of 3 mmHg. A demons registration-based algorithm measured local pulsatile displacement maps within the ONH. Results demonstrated a significant 14% decrease in pulsatile tissue displacement in the non-myopic glaucoma cohort after intervention (p = 0.03). However, glaucoma patients with axial myopia exhibited no statistically significant change. There were no significant changes in the pulsatile ONH deformation in the control group. These findings suggest a potential link between IOP reduction ...

Beckman postdoc Guillermo L. Monroy is all ears

Guillermo L. Monroy works at the intersection of engineering, medicine and technical innovation. An alumnus of the University of Illinois Urbana-Champaign, Monroy is a postdoctoral research associate in the Biophotonics Imaging Laboratory at the Beckman Institute for Advanced Science and Technology.  At Beckman, Monroy is developing and testing a new device for safely treating bacterial ear infections without antibiotics. While Monroy’s career makes perfect sense in hindsight, it often felt non-linear in the moment, he said. “I always felt like I was trying to pursue something that didn’t exist or fit into a well-defined path, so I felt that I had to figure things out myself," he said. From Chicago to Champaign Monroy grew up in Burbank, Illinois, near Chicago and attended Marist High School, a private, Catholic preparatory school known for its academic rigor. “This was a huge sacrifice for my family. I am very grateful for the support from my parents and my grandparents to b...

Home-Monitoring Vision Tests to Detect Active Neovascular Age-Related Macular Degeneration

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Home-Monitoring Vision Tests to Detect Active Neovascular Age-Related Macular Degeneration Importance  Most neovascular age-related macular degeneration (nAMD) treatments involve long-term follow-up of disease activity. Home-monitoring would reduce the burden on patients and their caregivers and release clinic capacity. Objective  To evaluate 3 vision home-monitoring tests for patients to use to detect active nAMD compared with diagnosing active nAMD at hospital follow-up during the after-treatment monitoring phase. Design, Setting, and Participants  This was a diagnostic test accuracy study wherein the reference standard was detection of active nAMD by an ophthalmologist at hospital follow-up. The 3 home-monitoring tests evaluated included the following: (1) the KeepSight Journal (KSJ [International Macular and Retinal Foundation]), which contains paper-based near-vision tests presented as word puzzles, (2) the MyVisionTrack (mVT [Genentech]) vision-monitoring mobile app, viewed on an Apple mobile operating system–based device, and (3) the MultiBit (MBT [Visumetrics]...

Growing Trend to Adopt Speckle Variance Optical Coherence Tomography for Biological Tissue Assessments in Pre-Clinical Applications

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Speckle patterns are a generic feature in coherent imaging techniques like optical coherence tomography (OCT). Although speckles are granular like noise texture, which degrades the image, they carry information that can be benefited by processing and thereby furnishing crucial information of sample structures, which can serve to provide significant important structural details of samples in in vivo longitudinal pre-clinical monitoring and assessments. Since the motions of tissue molecules are indicated through speckle patterns, speckle variance OCT (SV-OCT) can be well-utilized for quantitative assessments of speckle variance (SV) in biological tissues. SV-OCT has been acknowledged as a promising method for mapping microvasculature in transverse-directional blood vessels with high resolution in micrometers in both the transverse and depth directions. The fundamental scope of this article reviews the state-of-the-art and clinical benefits of SV-OCT to assess biological tissues for ...

Optical coherence tomography biomarkers as outcome predictors to guide dexamethasone implant use in patients with iERM: a randomized controlled trial

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Optical coherence tomography biomarkers as outcome predictors to guide dexamethasone implant use in patients with iERM: a randomized controlled trial Background We aimed to investigate the anatomical features of optical coherence tomography (OCT) and vitreous cytokine levels as predictors of outcomes of combined phacovitrectomy with intravitreal dexamethasone (DEX) implants for idiopathic epiretinal membrane (iERM) treatment. Methods A prospective, single-masked, randomized, controlled clinical trial included 48 eyes. They were randomly assigned in a 1:1 ratio to undergo the DEX group (combined phacovitrectomy with ERM peeling and Ozurdex implantation) and control group (phacovitrectomy only). Best-corrected visual acuity (BCVA) and central macular thickness (CMT) were assessed at 1 d, 1 week, 1 month, and 3 months. The structural features of OCT before surgery were analysed for stratified analysis. Baseline soluble CD14 (sCD14) and sCD163 levels in the vitreous fluid were measured using ELISA. Results BCVA and CMT were not significantly different in the DEX and control groups. Eyes with hyperreflective foci (H...

Swept-source optical coherence tomography angiography findings in a case of primary vitreoretinal lymphoma over a three-year follow-up

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Swept-source optical coherence tomography angiography findings in a case of primary vitreoretinal lymphoma over a three-year follow-up Background Vitreoretinal lymphoma (VRL) still represents a diagnostic challenge for retinal specialists. Early diagnosis and treatment are critical for a better prognosis. Several diagnostic tools have proven helpful in the identification of VRL abnormalities. However, swept-source OCT angiography (SS-OCT-A) findings and their long-term follow-up are yet to be explored. Case presentation a 42-year-old man presented with blurred vision in his left eye for 2 weeks. He denied any systemic symptoms. A multimodal imaging examination was performed, raising the clinical suspicion of VRL and guiding the ensuing diagnostic procedures. The patient underwent treatment and at the last FU visit three years later, no disease signs were present on fundus examination, nor on oncologic evaluation. Some novel SS-OCT-A features were identified, and uncommonly reported findings were examined over a long-term follow-up. At baseline multiple hyperreflective alterations were detected on the e...

Optical coherence tomography angiography for the differentiation of diabetic nephropathy from non-diabetic renal disease

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Background: To provide a new non-invasive method for the differentiation of diabetic nephropathy (DN) from non-diabetic renal disease (NDRD) by assessing retinal microstructure using optical coherence tomography angiography (OCTA). Methods: OCTA parameters were recorded and their relationship with DN was analyzed. A differential diagnosis regression model for DN was established, and the diagnostic efficiency was evaluated. Results: Based on the pathological results of renal biopsy, 31 DN patients and 35 NDRD patients were included. Multivariate logistic regression analysis showed that DN was independently associated with the following parameters: 15.3 mm-1 ≤ vessel density (VD) full < 17.369 mm-1 (odds ratio [OR]=8.523; 95% confidence interval [CI]=1.387-52.352; P=0.021), VD full < 15.3 mm-1 (OR=8.202; 95% CI=1.110-60.623; P=0.039), DM duration > 60 months (OR=7.588; 95% CI=1.569-36.692; P=0.012), and estimated glomerular filtration rate < 60 mL/min/1.73 m2 (OR=24.48...

Three-year Clinical Impact of Murray Law-Based Quantitative Flow Ratio and OCT- or FFR-Guidance in Angiographically Intermediate Coronary Lesions

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Background: The FORZA trial (FFR or OCT Guidance to Revascularize Intermediate Coronary Stenosis Using Angioplasty) prospectively compared the use of fractional flow reserve (FFR) or optical coherence tomography (OCT) for treatment decisions and percutaneous coronary intervention (PCI) optimization in patients with angiographically intermediate coronary lesions. Murray law-based quantitative-flow-ratio (μQFR) is a novel noninvasive method for the computation of FFR. In the present study, we evaluated the clinical impact of μQFR, FFR, or OCT guidance in FORZA trial lesions at 3-year follow-up. Methods: μQFR was assessed at baseline and, in the case of a decision to intervene, after (FFR- or OCT-guided) PCI. The baseline μQFR was considered the final μQFR for deferred lesions, and post-PCI μQFR value was taken as final for stented lesions. The primary end point was target vessel failure ([TVF]; cardiac death, target-vessel-related myocardial infarction, and target-vessel-revascular...

Predictive value of plaque characteristics for identification of lesions causing ischemia

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Background: Functional assessment using fractional flow reserve (FFR) and anatomical assessment using optical coherence tomography (OCT) are used in clinical practice for patients with intermediate coronary stenosis. Moreover, coronary computed tomography angiography (CTA) is a common noninvasive imaging technique for evaluating suspected coronary artery disease before being referred for angiography. This study aimed to investigate the association between FFR and plaque characteristics assessed using coronary CTA and OCT for intermediate coronary stenosis. Methods: Based on a prospective multicenter registry, 1 59 patients having 339 coronary lesions with intermediate stenosis were included. All patients underwent coronary CTA before being referred for coronary angiography, and both FFR measurements and OCT examinations were performed during angiography. A stenotic lesion identified with FFR ≤0.80 was deemed diagnostic of an ischemia-causing lesion. The predictive value of plaque...

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