Changes In Tissue Optical Properties Research Articles

High-Resolution Optical Coherence Tomography-Guided Laser Ablation of Surgical Tissue

Background.Optical coherence tomography (OCT) is a compact high-speed imaging technology which uses infrared light to acquire cross-sectional images of tissue on the micrometer scale. Because OCT images are based on the optical backscattering properties of tissue, changes in tissue optical properties due to surgical laser ablation should be detectable using this technique. In this work, we examine the feasibility of using real-time OCT imaging to guide the placement and observe the dynamics of surgical laser ablation in a variety of tissue types.Materials and methods.More than 65 sites on fiveex vivorat organ tissue types were imaged at eight frames per second before, during, and after laser ablation. Ablation was performed with a coincident continuous wave argon laser operating at 514-nm wavelength and varying exposure powers and durations. Following imaging, tissue registration was achieved using microinjections of dye followed by routine histologic processing to confirm the morphology of the ablation site.Results.High-speed OCT imaging at eight frames per second permitted rapid tissue orientation and guided ablation in numerous organ specimens. Acquisition rates were fast enough to capture dynamic changes in optical backscatter which corresponded to thermal tissue damage during laser ablation.Conclusions.The ability of high-resolution high-speed OCT to guide laser ablation and image the dynamic changes suggests a role in image-guided surgical procedures, such as the ablation of neoplasms. Futurein vivostudies are necessary to demonstrate performance intraoperatively.

Sources of contrast in confocal reflectance imaging

The relationship between optical properties and image contrast in confocal imaging is investigated. A Monte Carlo simulation has been developed to analyze the effects of changes in scattering, index of refraction, and absorption in a three-layer medium. Contrast was calculated from the computed signal-to-background ratios for changes in tissue optical properties. Results show that the largest source of contrast is changes in refractive index.

Thermally induced optical property changes in myocardium at 1.06 μm

Light in the visible and near-infrared region is diffusely scattered in tissues by macromolecules. It was therefore hypothesized that tissue coagulation caused by high-power continuous wave laser irradiation might significantly alter tissue optical properties, resulting in a redistribution of laser energy during the laser ablation process. Infrared transmittance studies confirmed the hypothesis by demonstrating an irreversible decrease in light transmittance (45%) during heating of a 0.75 mm thick slice of tissue. Absorption and scattering coefficients were then determined from transmittance and reflectance measurements on thin slices of raw and coagulated myocardium irradiated with a Nd:YAG laser (1.06 microns). The scattering coefficient was found to increase fourfold (0.427 mm-1----1.74 mm-1) during tissue coagulation, while the absorption coefficient remained relatively unchanged (0.044 mm-1----0.051 mm-1). Calculations indicate that the coagulation-induced changes in tissue optical properties substantially increase surface back-scattering and reduce tissue penetration.

Comments on the Early Diagnosis and Treatment of Patients with Congenital Heart Disease

Background.Optical coherence tomography (OCT) is a compact high-speed imaging technology which uses infrared light to acquire cross-sectional images of tissue on the micrometer scale. Because OCT images are based on the optical backscattering properties of tissue, changes in tissue optical properties due to surgical laser ablation should be detectable using this technique. In this work, we examine the feasibility of using real-time OCT imaging to guide the placement and observe the dynamics of surgical laser ablation in a variety of tissue types.Materials and methods.More than 65 sites on fiveex vivorat organ tissue types were imaged at eight frames per second before, during, and after laser ablation. Ablation was performed with a coincident continuous wave argon laser operating at 514-nm wavelength and varying exposure powers and durations. Following imaging, tissue registration was achieved using microinjections of dye followed by routine histologic processing to confirm the morphology of the ablation site.Results.High-speed OCT imaging at eight frames per second permitted rapid tissue orientation and guided ablation in numerous organ specimens. Acquisition rates were fast enough to capture dynamic changes in optical backscatter which corresponded to thermal tissue damage during laser ablation.Conclusions.The ability of high-resolution high-speed OCT to guide laser ablation and image the dynamic changes suggests a role in image-guided surgical procedures, such as the ablation of neoplasms. Futurein vivostudies are necessary to demonstrate performance intraoperatively.