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Ophthalmic Technologies XXIX最新文献

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Quantitative analysis of choriocapillaris in non-human primates using swept-source optical coherence tomography angiography (SS-OCTA) (Conference Presentation) 用扫描源光学相干断层扫描血管造影(SS-OCTA)定量分析非人灵长类动物的绒毛膜毛细血管(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2508708
Bingyao Tan, Jacqueline Chua, A. B. Veluchamy, B. Mani, A. Chan, L. Schmetterer
Choriocapillaris is a unique vascular plexus located posterior to the retinal pigment epithelium. In the recent years, there is an increasing interest to investigate choriocapillaris alteration and progression of eye diseases and aging, using the optical coherence tomography angiography (OCTA). However, standardized algorithm for analysis has not been developed. Herein, we present non-invasive, in-vivo, high-resolution images of the non-human primates’ choriocapillaris using OCTA. Images were acquired with a prototype swept-source OCTA (SS-OCTA) system with 100kHz A-scan/s rate, over regions of 3×3 mm2 and 12×12 mm2. The non-perfusion area, also called flow voids, were segmented with an intensity damped, illuminance-compensated algorithm. The optimized quantification of the choriocapillaris flow voids may have applications in a wide array of eye diseases including age-related macular degeneration (AMD) and visualization of choriocapillaris in animal models could aid future studies on choroid involvement in models of eye disease.
绒毛膜毛细血管是位于视网膜色素上皮后的独特血管丛。近年来,人们对利用光学相干断层扫描血管造影(OCTA)研究眼病和衰老过程中绒毛膜的改变和进展越来越感兴趣。然而,标准化的分析算法尚未形成。在此,我们使用OCTA展示了非人类灵长类动物的绒毛毛细血管的非侵入性,活体,高分辨率图像。图像是通过一个原型扫描源OCTA (SS-OCTA)系统获得的,扫描速率为100kHz a -scan/s,扫描区域为3×3 mm2和12×12 mm2。用强度阻尼、照度补偿算法对非灌注区(也称为流腔)进行分割。绒毛膜毛细血管流动空洞的优化定量可能在包括老年性黄斑变性(AMD)在内的一系列眼病中有广泛的应用,绒毛膜毛细血管动物模型的可视化可以帮助未来研究眼病模型中绒毛膜的参与。
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引用次数: 0
Constant linear velocity spiral scanning for real time 4D OCT with visualization in virtual reality (Conference Presentation) 恒线速度螺旋扫描实时四维OCT与虚拟现实可视化(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2510352
J. Li, O. Carrasco-Zevallos, Moseph Jackson-Atogi, M. Draelos, C. Viehland, B. Keller, R. McNabb, A. Kuo, J. Izatt
High speed optical coherence tomography (OCT) systems with A-scan rates greater than 100 kHz allow for 4D visualizations in applications such as intraoperative OCT. However, traditional triangle or sawtooth waveforms used to drive galvanometer scanners often have frequency content that exceeds the bandwidth of the scanners, leading to distorted scans. Sinusoidal waveforms used to drive resonant scanners also lead to distorted scans due to the nonlinear scan velocity. Additionally, with raster scan patterns, the scanner needs time to stop and reverse direction in between B-scans, leading to significant acquisition dead time. Continuous scan patterns such as constant frequency spiral scanning or Lissajous scanning no longer have acquisition dead times, but suffer from non-uniform sampling across the imaging plane. We previously introduced constant linear velocity (CLV) spiral scanning as a novel scan pattern to maximize the data acquisition efficiency of high speed OCT systems. While this continuous scan pattern has no acquisition dead time and produces more uniform sampling compared to raster scanning, it required significant processing time. We introduce a processing pipeline implemented using CUDA in C++, which drastically reduces the amount of processing time needed, allowing real time visualization of 4D OCT data. To demonstrate its potential utility, we used CLV scanning with a 100 kHz swept-source OCT system to image retinas of enucleated porcine eyes undergoing mock ophthalmic surgery movements. Additionally, we rendered these volumes in virtual reality (VR) in real time, allowing for interactive manipulation and sectioning.
a扫描速率大于100 kHz的高速光学相干断层扫描(OCT)系统允许在术中OCT等应用中实现4D可视化。然而,用于驱动振镜扫描仪的传统三角形或锯齿波形通常具有超过扫描仪带宽的频率内容,导致扫描失真。由于扫描速度的非线性,用于驱动共振扫描仪的正弦波也会导致扫描畸变。此外,对于光栅扫描模式,扫描仪需要时间在b扫描之间停止和反转方向,导致显著的采集死区时间。连续扫描模式,如恒频螺旋扫描或Lissajous扫描不再有采集死时间,但在成像平面上受到不均匀采样的影响。我们之前介绍了恒线速度(CLV)螺旋扫描作为一种新的扫描模式,以最大限度地提高高速OCT系统的数据采集效率。虽然与光栅扫描相比,这种连续扫描模式没有采集死区时间,并且产生更均匀的采样,但它需要大量的处理时间。我们介绍了一个使用CUDA在c++中实现的处理管道,这大大减少了所需的处理时间,允许4D OCT数据的实时可视化。为了证明其潜在的实用性,我们使用CLV扫描和100 kHz扫描源OCT系统来对正在进行模拟眼科手术运动的去核猪眼睛的视网膜进行成像。此外,我们在虚拟现实(VR)中实时渲染这些体量,允许交互式操作和切片。
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引用次数: 0
A study on human subjects with transscleral optical phase imaging (TOPI) (Conference Presentation) 经巩膜光学相位成像(TOPI)在人体研究中的应用(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2509888
T. Laforest, Mathieu Künzi, D. Carpentras, L. Kowalczuk, F. Behar-Cohen, C. Moser
Purpose: Retinal diseases are the major cause of blindness in industrialized countries. A forecast reported that an estimated number of 196 million people will be affected by age related macular degeneration by 2020. While tremendous effort is made to develop novel therapeutic strategies to rescue retinal neurons and retinal pigment epithelium (RPE), optimal means to evaluate the effects of such treatments and diagnose the disease are still missing.Methods: We developed an imaging modality, called transscleral optical phase imaging (TOPI), which is able to resolve the individual human RPE cells in-vivo with the help of adaptive optics. The technology is based on oblique flood illumination and provides cellular resolution. The resulting 16 Hz-imaging speed, 5.7° × 5.7° field of view system allows for the visualization and the quantification of RPE cells within 2 seconds. Thanks to the approval from the ethic committee (CER-VD N°2017-00976), we conducted a study on 7 healthy human participants, with different skin pigmentations, 3 men and 4 women having an average age of 26 years. In all subjects, the RPE cell layer could be imaged and cell density could be quantified.Results: We show the RPE density and area analysis for 7 healthy subjects. The results of the analyses show comparable values to those found in the literature.Conclusion: The results of the study on healthy subjects demonstrate that TOPI is able to image and quantify in-vivo the human RPE cells, within a time frame of a few seconds (typically 2 seconds). The next step is to transfer the technique into a clinical environment.
目的:视网膜疾病是工业化国家致盲的主要原因。一项预测报告称,到2020年,估计有1.96亿人将受到年龄相关性黄斑变性的影响。尽管人们在开发新的治疗策略来挽救视网膜神经元和视网膜色素上皮(RPE)方面付出了巨大的努力,但评估这些治疗效果和诊断疾病的最佳方法仍然缺乏。方法:我们开发了一种成像方式,称为经巩膜光学相位成像(TOPI),它能够在自适应光学的帮助下在体内分辨单个人RPE细胞。该技术基于倾斜泛光照明,并提供蜂窝分辨率。由此产生的16hz成像速度,5.7°× 5.7°视场系统允许在2秒内可视化和定量RPE细胞。经伦理委员会批准(cr - vd N°2017-00976),我们对7名不同皮肤色素的健康受试者进行了研究,其中3男4女,平均年龄26岁。所有受试者的RPE细胞层均可成像,细胞密度可量化。结果:对7名健康受试者进行了RPE密度和面积分析。分析结果显示与文献中发现的值相当。结论:对健康受试者的研究结果表明,TOPI能够在几秒(通常为2秒)的时间范围内对体内的人RPE细胞进行成像和定量。下一步是将这项技术应用到临床环境中。
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引用次数: 0
Doppler optical coherence tomography for investigation of spontaneous retinal venous pulsation (Conference Presentation) 多普勒光学相干断层扫描研究自发性视网膜静脉搏动(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2507869
Andreas Wartak, Florian Beer, Sylvia Desissaire, B. Baumann, M. Pircher, C. Hitzenberger
Spontaneous retinal venous pulsations (SRVP) describe rhythmic caliber oscillations of one or multiple major retinal veins at the site of the optic nerve head (ONH). This phenomenon is reported to possibly enable non-invasive intracranial pressure (ICP) assessment besides its potential significance for major ocular diseases such as glaucoma or diabetic retinopathy. In this work, we illustrate the advantages of optical coherence tomography (OCT) imaging for investigation of SRVP. Using conventional intensity based OCT as well as the functional extension Doppler OCT (DOCT), the pulsatile changes in venous vessel caliber are analyzed qualitatively and quantitatively. Single-channel and double-channel line scanning protocols of our time-encoded multi-channel OCT prototype are employed to investigate venous caliber oscillations as well as venous flow pulsatility in the eyes of healthy volunteers. A comparison to recordings of scanning laser ophthalmoscopy – a standard en-face imaging modality for evaluation of SRVP – is provided, emphasizing the advantages of tomographic image acquisition. To the best of our knowledge, this is the first quantitative time-resolved investigation of SRVP and associated retinal perfusion characteristics using OCT.
自发性视网膜静脉脉动(SRVP)描述视神经头(ONH)部位的一条或多条主要视网膜静脉的节律性口径振荡。据报道,除了对青光眼或糖尿病视网膜病变等主要眼部疾病具有潜在意义外,该现象还可能使无创颅内压(ICP)评估成为可能。在这项工作中,我们说明了光学相干断层扫描(OCT)成像在SRVP研究中的优势。采用常规的基于强度的OCT和功能扩展多普勒OCT (DOCT),定性和定量地分析静脉血管口径的脉动变化。采用我们的时间编码多通道OCT原型的单通道和双通道线扫描方案来研究健康志愿者眼中的静脉口径振荡和静脉血流脉动。与扫描激光眼科检查记录的比较-一种评估SRVP的标准面成像方式-提供,强调层析成像图像采集的优势。据我们所知,这是第一次使用OCT对SRVP和相关视网膜灌注特征进行定量时间分辨研究。
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引用次数: 0
In vivo imaging of inner plexiform layer lamination with visible light OCT (Conference Presentation) 内丛状层叠的可见光OCT体内成像(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2511033
Tingwei Zhang, Marcel T. Bernucci, S. Chong, V. Srinivasan
The inner plexiform layer (IPL) of the retina comprises extremely thin sublaminae with connections between bipolar cells, amacrine cells, and ganglion cells. So far, observations of IPL lamination in near-infrared Optical Coherence Tomography (OCT) images have been anecdotal. Visible light OCT theoretically provides higher axial resolution than near-infrared OCT for a given wavelength bandwidth. Imaging of the human retina with ultrahigh resolution visible light OCT and longitudinal chromatic aberration correction was recently shown, with a focus on the outer retina. Here, we demonstrate in vivo imaging of lamination in the inner plexiform layer using achromatized visible light Optical Coherence Tomography (OCT). To further improve the achievable axial resolution and contrast, we incorporate a grating light valve spatial light modulator (GLV-SLM) spectral shaping stage into our setup. The GLV-SLM rapidly and dynamically shapes the source spectrum to either reduce sidelobes in the axial point spread function, improve axial resolution by reducing the width of the axial point spread function, or switch between red light alignment mode and white light acquisition mode. In vivo retinal OCT images acquired from human subjects show that the IPL consists of 3 hyper-reflective bands and 2 hypo-reflective bands, corresponding well with the standard anatomical division of the IPL into 5 layers. Strategies to improve contrast of the subtle bands representing the IPL sublaminae are investigated. Possible explanations for the ability of visible light OCT to visualize IPL sublaminae, based only on backscattering or backreflection contrast, and implications for glaucoma progression monitoring, are discussed.
视网膜的内丛状层(IPL)由极薄的板下层组成,双极细胞、无突细胞和神经节细胞之间有连接。到目前为止,在近红外光学相干层析成像(OCT)图像中观察到的IPL层叠现象还不多见。在给定的波长带宽下,可见光OCT理论上比近红外OCT提供更高的轴向分辨率。最近显示了人类视网膜的超高分辨率可见光OCT和纵向色差校正成像,重点是外视网膜。在这里,我们展示了使用消色差可见光相干断层扫描(OCT)在体内成像内丛状层的层压。为了进一步提高可实现的轴向分辨率和对比度,我们在我们的设置中加入了光栅光阀空间光调制器(GLV-SLM)光谱整形阶段。GLV-SLM快速动态地对源光谱进行形状调整,以减小轴向点扩展函数中的副瓣,通过减小轴向点扩展函数的宽度来提高轴向分辨率,或者在红光对准模式和白光获取模式之间切换。人体视网膜OCT图像显示,IPL由3个高反射带和2个低反射带组成,符合IPL的标准解剖划分为5层。研究了提高代表IPL层下的细微波段对比度的策略。本文讨论了仅基于后向散射或后向反射对比的可见光OCT显示IPL的能力的可能解释,以及对青光眼进展监测的意义。
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引用次数: 0
4D imaging of vascular leakage by contrast-enhanced OCT (Conference Presentation) 对比增强OCT血管渗漏的4D成像(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2510344
C. Merkle, Marco Augustin, V. Srinivasan, G. Garhöfer, B. Baumann
Leaky vasculature is a key feature in a number of retinal diseases such as diabetic retinopathy and age related macular degeneration and is commonly associated with neovascularization. Currently, the only way to identify leaky vasculature is through fluorescence angiography, which lacks depth resolution and the ability to precisely localize leaky vessels. Here we present the first 4D tracking of leaky vasculature in a mouse model of sub-retinal neovascularization using contrast-enhanced OCT. A very-low-density-lipoprotein receptor kockout mouse model was imaged with OCT angiography at multiple time points following intravenous injection of Intralipid 20%, an OCT contrast agent. Compared to healthy vessels, leaky vessels appeared to become broader over time. By fitting a model to mean intensity projection profiles, the apparent width of the vessels was quantified as an indicator of leakage. A clear trend of increased leakage following the injection of contrast was observed in vessels that derive from retinal lesions. This finding was likely caused by the infiltration of Intralipid particles into the surrounding retinal tissue. Intralipid is an ideal OCT contrast agent as it is FDA approved for human use as an intravenous nutritional supplement and is highly scattering, which makes it a strong candidate for future clinical translation. To summarize, we have demonstrated 4D tracking of individual leaky vessels for the first time using contrast-enhanced OCT in a mouse model of neovascularization. This technique improves upon the capabilities of fluorescence angiography and may help pave the way for clinical translation of contrast-enhanced OCT methods for enhanced diagnostic specificity.
血管渗漏是许多视网膜疾病(如糖尿病视网膜病变和年龄相关性黄斑变性)的关键特征,通常与新生血管形成有关。目前,识别渗漏血管的唯一方法是荧光血管造影,这种方法缺乏深度分辨率和精确定位渗漏血管的能力。在这里,我们首次使用对比度增强的OCT对视网膜下新生血管的小鼠模型进行了4D跟踪。在静脉注射20%的OCT造影剂脂质内后,在多个时间点对极低密度脂蛋白受体缺失的小鼠模型进行了OCT血管造影成像。与健康血管相比,随着时间的推移,渗漏血管似乎变得更宽。通过拟合平均强度投影剖面的模型,将血管的表观宽度量化为泄漏的指标。注射造影剂后,在视网膜病变的血管中观察到明显的渗漏增加趋势。这一发现可能是由脂质内颗粒浸润到周围视网膜组织引起的。脂内酯是一种理想的OCT造影剂,因为它被FDA批准用于人类静脉注射营养补充剂,并且高度分散,这使它成为未来临床转化的有力候选者。总之,我们首次在小鼠新生血管模型中使用对比增强OCT对单个泄漏血管进行了4D跟踪。这项技术提高了荧光血管造影的能力,可能有助于为增强诊断特异性的对比增强OCT方法的临床翻译铺平道路。
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引用次数: 1
Retinal multimodal imaging for identification of novel biomarkers for early detection of Alzheimer's disease (Conference Presentation) 视网膜多模态成像用于识别早期检测阿尔茨海默病的新型生物标志物(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2509262
Y. Rotenstreich, Inbal Sharvit-Ginon, M. Beeri, R. Ravona-Springer, I. Fabian, Ofira Zloto, A. Weller, I. Sher
Purpose: To identify early retinal biomarkers for Alzheimer disease (AD) using multimodal imaging.Methods: Infra-red (IR) and multicolor fundus imaging and spectral domain optic coherence tomography (SD-OCT) were performed in 108 offspring of AD patients (FH+) and 44 age-matched controls (FH-). All subjects were tested for cognitive function by executive function and episodic memory tests. MRI brain imaging was performed on a 3T MRI.Results: In FH+ subjects, lower performance in memory was associated with thicker peri-papillary temporal-superior RNFL (r=-0.220; p=.016). In FH- subjects, the correlation was in the opposite direction (r=0.335; p=.013). In FH+, left Hippocampal volume was associated with larger total macular thickness (r=0.212; p=.028), as well as thicker macular RNFL (r=0.216; p=.025), macular GCL (r=0.221; p=.022), and macular IPL (r=0.285, p=.003). Similar results were found in the right eye.Conclusions: The thickness of inner retinal layers and peripapillary RNFL are associated with cognitive functioning and hippocampal volume in asymptomatic subjects at high risk for AD and may present novel biomarkers for very early detection of AD.
目的:利用多模态成像技术识别阿尔茨海默病(AD)的早期视网膜生物标志物。方法:对108例AD患者(FH+)后代和44例年龄匹配的对照组(FH-)进行了红外(IR)、多色眼底成像和光谱域光学相干断层扫描(SD-OCT)。所有受试者通过执行功能和情景记忆测试进行认知功能测试。在3T MRI上进行MRI脑成像。结果:在FH+受试者中,较低的记忆表现与较厚的乳头周围颞上RNFL相关(r=-0.220;p = .016)。在FH-受试者中,相关性相反(r=0.335;p = .013)。FH+组,左侧海马体积与黄斑总厚度增大相关(r=0.212;p= 0.028),以及较厚的黄斑RNFL (r=0.216;p= 0.025),黄斑GCL (r=0.221;p= 0.022),黄斑IPL (r=0.285, p= 0.003)。在右眼中也发现了类似的结果。结论:视网膜内层厚度和乳头周围RNFL与阿尔茨海默病高风险无症状受试者的认知功能和海马体积相关,可能为阿尔茨海默病的早期检测提供新的生物标志物。
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引用次数: 1
Imaging the human retina using 1060 nm akinetic swept source optical coherence tomography angiography with hardware and digital adaptive optics (Conference Presentation) 基于硬件和数字自适应光学的1060nm动态扫描源光学相干断层扫描血管成像技术(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2508388
M. Salas, L. Ginner, Marco Augustin, Sylvia Desissaire, Antonia Lichtenegger, M. Niederleithner, Lorenz Wassermann, U. Schmidt-Erfurth, T. Schmoll, W. Drexler, M. Pircher, R. Leitgeb
{"title":"Imaging the human retina using 1060 nm akinetic swept source optical coherence tomography angiography with hardware and digital adaptive optics (Conference Presentation)","authors":"M. Salas, L. Ginner, Marco Augustin, Sylvia Desissaire, Antonia Lichtenegger, M. Niederleithner, Lorenz Wassermann, U. Schmidt-Erfurth, T. Schmoll, W. Drexler, M. Pircher, R. Leitgeb","doi":"10.1117/12.2508388","DOIUrl":"https://doi.org/10.1117/12.2508388","url":null,"abstract":"","PeriodicalId":204875,"journal":{"name":"Ophthalmic Technologies XXIX","volume":"250 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123344833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
In vivo laser targeted gene therapy of retina ganglion cells (Conference Presentation) 视网膜神经节细胞体内激光靶向基因治疗(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2509870
A. Wilson, J. Mazzaferri, É. Bergeron, S. Patskovsky, Paule Marcoux-Valiquette, S. Costantino, P. Sapieha, M. Meunier
There is a current void in efficient, cell-specific, retinal drug delivery systems, thus developing a safe, effective, selective drug delivery system would open novel therapeutic avenues. We previously demonstrated that femtosecond (fs) laser irradiation can selectively transfect DNA plasmids into cultured cells in the presence of functionalised gold nanoparticles (AuNPs) (1). Here, we sought out to selectively optoporate retinal cells in vivo with functionalized AuNPs and a 800nm fs laser. The cell-surface Kv1.1 voltage-gated channel was chosen to target retinal ganglion cells (RGCs) in the rat retina. The eyes of anesthetized rats were placed in the beam path of an optical system consisting of a fs laser and an ophthalmoscope for fundus visualization. Following Kv1.1-AuNP and FITC-dextran intravitreal injection and incubation, irradiation resulted in FITC uptake by retinal cells. In addition, similar experiments with Cy3-siRNA clearly show that the technique can effectively deliver siRNA into RGCs. Importantly, neither AuNP intravitreal injection nor irradiation resulted in RGC death, as determined by RBPMS quantification 1 week following AuNP injection and/or irradiation. Since living biological tissues absorb energy very weakly at 800nm, this non-invasive tool may provide a safe, cost effective approach to selectively target retinal cells and limit complications associated with surgical interventions, and potential biological hazards associated with viral-based gene therapy. In addition, given the extensive use of lasers in ophthalmic practice, our proposed technology may be seamlessly inserted to current clinical setups. (1) E. Bergeron et al, Nanoscale, 7, 17836 (2015).
目前缺乏有效的、细胞特异性的视网膜药物输送系统,因此开发一种安全、有效、选择性的药物输送系统将开辟新的治疗途径。我们之前已经证明,飞秒(fs)激光照射可以在功能化金纳米颗粒(AuNPs)存在的情况下,选择性地将DNA质粒转染到培养细胞中(1)。在这里,我们试图用功能化的AuNPs和800nm fs激光选择性地光化视网膜细胞。选择细胞表面Kv1.1电压门控通道靶向大鼠视网膜神经节细胞(RGCs)。将麻醉大鼠的眼睛置于由激光和检眼镜组成的光学系统的光束路径中,观察眼底。在玻璃体内注射Kv1.1-AuNP和FITC-葡聚糖并孵育后,照射导致视网膜细胞摄取FITC。此外,Cy3-siRNA的类似实验清楚地表明,该技术可以有效地将siRNA传递到rgc中。重要的是,在AuNP注射和/或照射后1周,通过RBPMS定量测定,玻璃体内注射AuNP和照射均未导致RGC死亡。由于活体生物组织在800nm处吸收能量非常弱,这种非侵入性工具可能提供一种安全、经济有效的方法来选择性地靶向视网膜细胞,并限制手术干预相关的并发症,以及与基于病毒的基因治疗相关的潜在生物危害。此外,鉴于激光在眼科实践中的广泛使用,我们提出的技术可以无缝地插入当前的临床设置。(1)李晓峰等,纳米材料学报,2015,37(2):481 - 481。
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引用次数: 0
High speed volumetric fluorescein angiography in mouse retina by oblique scanning laser ophthalmoscopy (oSLO) (Conference Presentation) 斜向扫描激光眼底镜下小鼠视网膜高速体积荧光素血管造影(oSLO)(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2510542
Ji Yi, Weiye Song, Libo Zhou, M. Desai, S. Ness
Despite the recent development of advanced ophthalmic imaging techniques, volumetric fluorescence angiography (vFA) over a large field of view is still lacking. Fundus photography techniques have significant limitations due to the lack of 3D imaging capability. Scanning laser ophthalmoscopy (SLO) and confocal SLO (cSLO) use confocal gating to remove diffused light, resulting in crisper image quality. However, the volumetric imaging of SLO requires to compile z stacks, which can be challenging and time-consuming. Adaptive optics SLO (AOSLO) allows diffraction-limited resolution in both axial and lateral resolution. This technique is limited however, by its small field of view (FOV) and also the necessity of z stacks for volumetric imaging. To fill the technical void of vFA over a large field of view (FOV), we developed a novel retinal imaging modality called oblique scanning laser ophthalmoscopy (oSLO) for in vivo volumetric fluorescence retinal imaging. By using oblique illumination and detection, oSLO essentially allows “OCT-like” cross-sectional images contributed solely by the fluorescent contrast, without the need for z stacking. We will demonstrate 3D vFA over a 30˚x30˚ FOV in vivo in mouse retina. We will further report a high-speed oSLO in imaging capillary hemodynamics. The new capability allows the calculation of capillary hematocrit and blood speed in 3D, which can be potentially valuable in diabetic retinopathy and macular degeneration.
尽管近年来先进的眼科成像技术得到了发展,但大视场的体积荧光血管造影(vFA)仍然缺乏。由于缺乏三维成像能力,眼底摄影技术有很大的局限性。扫描激光检眼镜(SLO)和共聚焦激光检眼镜(cSLO)使用共聚焦门控去除漫射光,从而获得更清晰的图像质量。然而,SLO的体积成像需要编译z堆栈,这可能是具有挑战性和耗时的。自适应光学SLO (aslo)允许衍射限制分辨率在轴向和横向分辨率。然而,由于其小视场(FOV)和体积成像需要z堆栈,这种技术受到限制。为了填补vFA在大视场(FOV)上的技术空白,我们开发了一种新的视网膜成像方式,称为斜扫描激光眼底镜(oSLO),用于体内体积荧光视网膜成像。通过使用倾斜照明和检测,oSLO基本上允许仅由荧光对比度贡献的“oct样”横断面图像,而不需要z堆叠。我们将在30˚x30˚视场内在小鼠视网膜上演示3D vFA。我们将进一步报道高速奥斯陆成像毛细血管血流动力学。新功能允许在3D中计算毛细血管红细胞压积和血液速度,这在糖尿病视网膜病变和黄斑变性中具有潜在的价值。
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引用次数: 0
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Ophthalmic Technologies XXIX
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