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Ophthalmic Technologies XXIX最新文献

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Handheld OCT-A using spectrally encoded coherence tomography and reflectometry (Conference Presentation) 手持OCT-A使用频谱编码相干层析成像和反射测量(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2510340
Joseph D. Malone, Mohamed T. El-Haddad, Yuankai K. Tao
Optical coherence tomographic angiography (OCT-A) technologies have been primarily demonstrated on slit-lamp systems, which preclude imaging in infants, bedridden patients, or patients who are otherwise unable to be imaged upright. Current-generation OCT-A requires densely-sampled volumetric datasets for high vascular resolution imaging, but bulk motion artifacts, resulting from saccades or eye drifts, often distort anatomic features during long acquisitions. Here, we demonstrate handheld motion-artifact corrected OCT-A using spectrally encoded coherence tomography and reflectometry (SECTR). SECTR has advantageous over previously demonstrated handheld ophthalmic imagers by acquiring spatiotemporally co-registered, high-speed en face images of the retinal fundus using spectrally encoded reflectometry (SER) concurrently with OCT. The orthogonal priority acquisition axes of SER and OCT enables volumetric registration and motion-artifact compensation. We have incorporated several optomechanical improvements including novel snap-fit lens mounts for reduced size and weight and improved optical stability over our previous design. Additionally, we developed a method for reducing back reflections from a double-clad fiber by fusion-splicing a no-core fiber segment with a predefined geometry. Lastly, we demonstrate in vivo human OCT-A imaging of the optic nerve head and fovea. OCT and OCT-A images were motion-corrected using complementary motion information extracted from en face SER and cross-sectional OCT images. Here, OCT-A volumetric datasets were densely-sampled in small regions-of-interest within a large SER field-of-view to achieve high vascular resolution OCT-A while maintaining sufficient fiducials within SER images for motion registration. We believe our probe will enable point-of-care functional ophthalmic imaging.
光学相干断层血管成像(OCT-A)技术主要在裂隙灯系统上进行了演示,该系统排除了对婴儿、卧床不起的患者或无法直立成像的患者的成像。当前一代OCT-A需要密集采样的体积数据集来进行高血管分辨率成像,但是由扫视或眼球漂移引起的大块运动伪影通常会在长时间采集过程中扭曲解剖特征。在这里,我们展示了手持运动伪影校正OCT-A使用频谱编码相干断层扫描和反射(SECTR)。SECTR与先前演示的手持式眼科成像仪相比具有优势,它可以同时使用光谱编码反射仪(SER)和OCT获取视网膜眼底的时空共配、高速人脸图像。SER和OCT的正交优先采集轴可以实现体积配准和运动伪影补偿。我们整合了几个光学机械改进,包括新颖的卡扣式镜头支架,以减少尺寸和重量,并提高了我们以前设计的光学稳定性。此外,我们开发了一种通过融合拼接具有预定义几何形状的无芯光纤段来减少双包层光纤的反向反射的方法。最后,我们展示了视神经头和中央窝的活体OCT-A成像。使用从正面SER和横断面OCT图像中提取的互补运动信息对OCT和OCT- a图像进行运动校正。在这里,OCT-A体积数据集在大SER视野内的小兴趣区域进行密集采样,以获得高血管分辨率OCT-A,同时在SER图像中保持足够的基准点以进行运动配准。我们相信,我们的探针将实现点护理功能眼科成像。
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引用次数: 0
Clinical Jones-matrix OCT for diagnosis of macular disease (Conference Presentation) 临床琼斯矩阵OCT诊断黄斑病变(会议报告)
Pub Date : 2019-03-13 DOI: 10.1117/12.2507800
Shinnosuke Azuma, S. Makita, M. Miura, Toshihiro Mino, Tatsuo Yamaguchi, Y. Yasuno
Jones matrix optical coherence tomography (JM-OCT) is a functional extension of OCT. However, the clinical utility of JM-OCT is not widely accepted. Because of its hardware complexity and poorly established methods for clinical interpretation.In this study, we propose the approaches to solve the above-mentioned problems. To reduce the hardware complexity, we employ encapsulated passive polarization delay module (PPD) and encapsulated polarization diversity detection module (PDD), and develop full-function JM-OCT and simplified JM-OCT. In addition, we developed a pixel wise segmentation method for JM-OCT. The full-function JM-OCT which uses both PDD and PPD measures OCT, OCT angiography (OCTA), degree-of-polarization-uniformity (DOPU) and birefringence. The simplified JM-OCT which uses only PDD measures OCT, OCTA, and DOPU but not birefringence. In both JM-OCT systems, all the optical components are packed in a standard-sized retinal scanner.A pixel-wise segmentation method for retinal pigment epithelium (RPE) and choroidal stroma exploits multiple types of images obtained by the JM-OCT. Attenuation coefficient, OCTA, and DOPU are combined to synthesize a new artificial contrast. By applying a simple threshold to it, the target tissue is segmented. After segmenting the RPE, an en face “melano-layer thickness map” is created. A Normal subject and a pigment epithelial detachment (PED) subject are obtained by full-function JM-OCT and simplified JM-OCT. In PED subject, thickened RPE, hyper-reflective foci, and damaged RPE are correctly detected by RPE segmentation. In addition, created melano-layer thickness map has similar patterns to infrared fundus autofluorescence (NIR-AF), and it can contribute further interpretation of the NIR-AF.
琼斯矩阵光学相干断层扫描(JM-OCT)是oct的功能延伸,但JM-OCT的临床应用尚未被广泛接受。由于其硬件复杂性和临床解释方法不完善。在本研究中,我们提出了解决上述问题的途径。为了降低硬件复杂度,我们采用了封装的无源极化延迟模块(PPD)和封装的极化分集检测模块(PDD),开发了全功能的JM-OCT和简化的JM-OCT。此外,我们还开发了一种基于像素的JM-OCT分割方法。全功能的JM-OCT同时使用PDD和PPD测量OCT、OCT血管造影(OCTA)、偏振均匀度(DOPU)和双折射。简化的JM-OCT仅使用PDD测量OCT、OCTA和DOPU,但不测量双折射。在两种JM-OCT系统中,所有光学元件都封装在一个标准尺寸的视网膜扫描仪中。视网膜色素上皮(RPE)和脉络膜基质的逐像素分割方法利用了JM-OCT获得的多种类型的图像。将衰减系数、OCTA和DOPU相结合,合成一种新的人工对比度。通过对其应用简单的阈值,对目标组织进行分割。分割RPE后,创建一个正面的“黑素层厚度图”。通过全功能的JM-OCT和简化的JM-OCT获得正常受试者和色素上皮脱离(PED)受试者。在PED受试者中,通过RPE分割,可以正确检测到增厚的RPE、超反射病灶和受损的RPE。此外,所创建的黑素层厚度图与红外眼底自体荧光(NIR-AF)具有相似的模式,可以进一步解释NIR-AF。
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引用次数: 0
Follow-up of accelerated-crosslinking non-invasively and label-free using multiphoton tomography 多光子断层扫描无创无标记加速交联的随访研究
Pub Date : 2019-02-28 DOI: 10.22028/D291-28846
A. Batista, H. Breunig, T. Hager, B. Seitz, K. König
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引用次数: 0
Artery and vein differentiation in retinal optical coherence tomography angiography of macular region 视网膜黄斑区光学相干断层血管造影的动静脉分化
Pub Date : 2019-02-28 DOI: 10.1117/12.2508918
T. Son, Minha Alam, Changgeng Liu, D. Toslak, Xincheng Yao
Differential artery-vein analysis is valuable for early detection of diabetic retinopathy (DR) and other eye diseases. As a new optical coherence tomography (OCT) imaging modality, emerging OCT angiography (OCTA) provides capillary level resolution for accurate examination of retinal vasculatures. However, differential artery-vein analysis in OCTA, particularly for macular region in which blood vessels are small, is challenging. In coordination with an automatic vessel tracking algorithm, we report here the feasibility of using near infrared OCT oximetry to guide artery-vein classification in OCTA of macular region.
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引用次数: 1
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Ophthalmic Technologies XXIX
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