Current Optical Coherence Tomography Systems Research Articles

Intraoral optical coherence tomography and angiography combined with autofluorescence for dental assessment.

There remains a clinical need for an accurate and non-invasive imaging tool for intraoral evaluation of dental conditions. Optical coherence tomography (OCT) is a potential candidate to meet this need, but the design of current OCT systems limits their utility in the intraoral examinations. The inclusion of light-induced autofluorescence (LIAF) can expedite the image collection process and provides a large field of view for viewing the condition of oral tissues. This study describes a novel LIAF-OCT system equipped with a handheld probe designed for intraoral examination of microstructural (via OCT) and microvascular information (via OCT angiography, OCTA). The handheld probe is optimized for use in clinical studies, maintaining the ability to detect and image changes in the condition of oral tissue (e.g., hard tissue damage, presence of dental restorations, plaque, and tooth stains). The real-time LIAF provides guidance for OCT imaging to achieve a field of view of approximately 6.9 mm × 7.8 mm, and a penetration depth of 1.5 mm to 3 mm depending on the scattering property of the target oral tissue. We demonstrate that the proposed system is successful in capturing reliable depth-resolved images from occlusal and palatal surfaces and offers added design features that can enhance its usability in clinical settings.

Polarization Independent Optical Coherence Tomography

Optical coherence tomography (OCT) is a well established imaging modality for high-resolution three-dimensional imaging in clinical settings. While imaging, care must be taken to minimize the imaging artifacts related to the polarization differences between the sample and the reference signals. Current OCT systems adopt complicated mechanisms, such as the use of multiple detectors, polarization-maintaining fibers, polarization controllers to achieve polarization artifacts free sample images. Often the polarization controllers need readjustment which is not suitable for clinical settings. In this work, we demonstrate a simple approach that can minimize the polarization-related artifacts in the OCT systems. Polarization artifact-free images are acquired using two orthogonally polarized reference signals where the orthogonal polarization is achieved using a Faraday mirror. In the current approach, only a single detector is required which makes the current approach compatible with swept-source or camera-based OCT systems. Furthermore, no polarization controllers are used in the system which increases the system stability while minimizing the artifacts related to the sample birefringence, polarization change due to the sample scattering, and polarization change due to the optical fiber movements present in the system.

Advances in Whole-Eye Optical Coherence Tomography Imaging.

Contemporary anterior segment and retinal optical coherence tomography (OCT) systems only image their particular designated region of the eye and cannot image both areas of the eye at the same time. This separation is due to the differences in optical system design needed to properly image the front or back of the eye and also due to limitations in the imaging depth of current commercial OCT systems. More recently, research and commercial OCT systems capable of "whole-eye" imaging have been described. These whole-eye OCT systems enable applications such as ocular biometry for cataract surgery, ocular shape analysis for myopia, and others. Further, these whole-eye OCT systems allow us to image the eye as an integrated whole rather than as separate, independent divisions.

Structural and functional human retinal imaging with a fiber-based visible light OCT ophthalmoscope.

The design of a multi-functional fiber-based Optical Coherence Tomography (OCT) system for human retinal imaging with < 2 micron axial resolution in tissue is described. A detailed noise characterization of two supercontinuum light sources with different pulse repetition rates is presented. The higher repetition rate and lower noise source is found to enable a sensitivity of 96 dB with 0.15 mW light power at the cornea and a 98 microsecond exposure time. Using a broadband (560 ± 50 nm), 90/10, fused single-mode fiber coupler designed for visible wavelengths, the sample arm is integrated into an ophthalmoscope platform, similar to current clinical OCT systems. To demonstrate the instrument's range of operation, in vivo structural retinal imaging is also shown at 0.15 mW exposure with 10,000 and 70,000 axial scans per second (the latter comparable to commercial OCT systems), and at 0.03 mW exposure and 10,000 axial scans per second (below maximum permissible continuous exposure levels). Lastly, in vivo spectroscopic imaging of anatomy, saturation, and hemoglobin content in the human retina is also demonstrated.

Recent developments in intracoronary optical coherence tomography imaging

Optical coherence tomography (OCT) has developed as an intracoronary imaging modality for the assessment of coronary artery disease. The high resolution (10–20 µm) of OCT has the ability to provide detailed microstructural information about coronary plaques in vivo, as well as the histological examination. Various in vitro and in vivo OCT studies have demonstrated a potential of OCT for identifying the features of vulnerable plaque. Furthermore, OCT can clearly identify stent failure following stent implantation. OCT can also reliably distinguish thin neointimal hyperplasia on stent struts better than intravascular ultrasound. Recently, the next-generation OCT system, named Fourier-domain OCT imaging, has been demonstrated to be a powerful enabling technology, with improvements in interrupted blood flow, higher penetration depth and faster image acquisition rates compared with the current OCT systems. This article describes the recent developments of intracoronary OCT imaging, and discusses the limitation...

Optical coherence tomography imaging: current status and future perspectives

Optical coherence tomography (OCT) is an optical analogue of intravascular ultrasound that provides high-resolution (10-20μm) cross-sectional images of coronary arteries. The micron-scale resolution of OCT has an ability to capture in vivo what was previously seen only through a pathologist's microscope. OCT can differentiate three types of atherosclerotic plaque components (fibrous, fibrocalcific and lipid-rich) with high sensitivity and specificity. Early in vitro and in vivo studies have demonstrated a possibility of OCT for identifying vulnerable plaque features, in particular the quantification of plaque rupture, intracoronary thrombus, thin-capped fibroatheroma and the distribution of macrophages within the fibrous cap. In addition, OCT has shown its effectiveness in imaging the short-term and long-term results of percutaneous coronary intervention. OCT can precisely assess stent strut malapposition, tissue protrusion, coronary artery dissection, and neointimal hyperplasia following stent implantation. Recently, next-generation OCT, called Fourier-domain OCT, has already been shown to be a powerful enabling technology for coronary imaging. The novel developments with high frame rate and fast pullback speed simplifies procedural requirements and will eventually eliminate limitations of current OCT systems such as need for proximal vessel balloon occlusion during image acquisition. This report details current and future developments in OCT imaging, which include exciting technological advancements that will consolidate the position of OCT as a key diagnostic tool to complement the armamentarium of the cardiologist well into the future.

Head to head comparison between the conventional balloon occlusion method and the non-occlusion method for optical coherence tomography

Optical coherence tomography (OCT) has been introduced as a high-resolution imaging modality for the coronary arteries. The current OCT system, however, has a serious limitation in that the image acquisition method requires a soft balloon occlusion to avoid signal scattering from red blood cells. The purpose of this study was to compare OCT images from the conventional balloon occlusion method and a non-occlusion image acquisition method, the continuous-flushing method, in the clinical setting. OCT was performed with the conventional balloon occlusion method and the continuous-flushing method sequentially in 23 patients with stable angina. The image quality and quantitative measurements of OCT images were directly compared between the two methods. There were no adverse events related to the OCT procedure in any patients. There were no changes in systolic blood pressure and heart rate during the OCT procedure. ST-segment elevation (>2 mm) was recorded in 22 of 23 (96%) patients with the balloon occlusion method, but it was only observed in 1 of 23 (4%) patients with the continuous-flushing method (p<0.01). There were no differences in the visible length (the balloon occlusion method 28.6±2.3 mm vs. the continuous-flushing method 29.2±1.6 mm, p=0.49), image quality, or quantitative measurements between the two methods. OCT imaging with the continuous-flushing method could be performed safely and obtained similar quality images compared with the balloon occlusion method. OCT can be used to observe the proximal site of coronary arteries with this new technique.

Factory Built-in Type Simplified OCT System for Industrial Application

Factory built-in type simplified optical coherence tomography (OCT) system was developed for industrial use. The system design was supposed for check of the laser-welded resin. As a first approach, the current simplified OCT system for plant measurement was applied for the validation of the industrial sample; plastic resin. The industrial-use OCT was designed in response to the results. The performances of the measurement speed and range of the developed OCT system were 50scan/s and 5mm, respectively. The low coherence of 18.9μm could clearly distinguish the gap of 2 laser-welded resins. The system became compact and low price, and has the flexibility of epi-optics.

Recent advances in intracoronary imaging techniques: focus on optical coherence tomography

Optical coherence tomography (OCT) is a new imaging technology that utilizes advanced photonics and fiberoptics to obtain images and tissue characterization on a microscopic scale. The resolution of the current OCT system is 10–20 µm, which is approximately ten-times higher than that of intravascular ultrasound. Compared with conventional imaging modalities, OCT has a superior ability to evaluate vulnerable plaque features, such as plaque rupture, intracoronary thrombus, thin-capped fibroatheroma and macrophages within the fibrous caps. Furthermore, OCT can clearly visualize stent malapposition and tissue protrusion after stenting and neointimal hyperplasia at late follow-up. Although OCT is a specialized research tool, it might provide new insights into the diagnosis and treatment of coronary artery disease.

Evaluation of Morphological Changes in Degenerative Cartilage Using 3-D Optical Coherence Tomography

Optical Coherence Tomography (OCT) is an important noninvasive medical imaging technique that can reveal subsurface structures of biological tissue. OCT has demonstrated a good correlation with histology in sufficient resolution to identify morphological changes in articular cartilage to differentiate normal through progressive stages of degenerative joint disease. Current OCT systems provide individual cross-sectional images that are representative of the tissue directly under the scanning beam, but they may not fully demonstrate the degree of degeneration occurring within a region of a joint surface. For a full understanding of the nature and degree of cartilage degeneration within a joint, multiple OCT images must be obtained and an overall assessment of the joint surmised from multiple individual images. This study presents frequency domain three-dimensional (3-D) OCT imaging of degenerative joint cartilage extracted from bovine knees. The 3-D OCT imaging of articular cartilage enables the assembly of 126 individual, adjacent, rapid scanned OCT images into a full 3-D image representation of the tissue scanned, or these may be viewed in a progression of successive individual two-dimensional (2-D) OCT images arranged in 3-D orientation. A fiber-based frequency domain OCT system that provides cross-sectional images was used to acquire 126 successive adjacent images for a sample volume of <TEX>$6{\times}3.2{\times}2.5\;mm^3$</TEX>. The axial resolution was <TEX>$8\;{\mu}m$</TEX> in air. The 3-D OCT was able to demonstrate surface topography and subsurface disruption of articular cartilage consistent with the gross image as well as with histological cross-sections of the specimen. The 3-D OCT volumetric imaging of articular cartilage provides an enhanced appreciation and better understanding of regional degenerative joint disease than may be realized by individual 2-D OCT sectional images.

GRIN lens rod based probe for endoscopic spectral domain optical coherence tomography with fast dynamic focus tracking

In this manuscript, a GRIN (gradient index) lens rod based probe for endoscopic spectral domain optical coherence tomography (OCT) with dynamic focus tracking is presented. Current endoscopic OCT systems have a fixed focal plane or working distance. In contrast, the focus of this endoscopic OCT probe can dynamically be adjusted at a high speed (500 mm/s) without changing reference arm length to obtain high quality OCT images for contact or non-contact tissue applications, or for areas of difficult access for probes. The dynamic focusing range of the probe can be from 0 to 7.5 mm without moving the probe itself. The imaging depth is 2.8 mm and the lateral scanning range is up to 2.7 mm or 4.5 mm (determined by the diameter of different GRIN lens rods). Three dimensional imaging can be performed using this system over an area of tissue corresponding to the GRIN lens surface. The experimental results demonstrate that this GRIN lens rod based OCT system can perform a high quality non-contact in vivo imaging. This rigid OCT probe is solid and can be adapted to safely access internal organs, to perform front or side view imaging with an imaging speed of 8 frames per second, with all moving parts proximal to the GRIN lens, and has great potential for use in extremely compact OCT endoscopes for in vivo imaging in both biological research and clinical applications.

Use of optical coherence tomography in delineating airways microstructure: comparison of OCT images to histopathological sections

An ideal diagnostic system for the human airways should be able to detect and define early development of premalignant pathological lesions, to facilitate optimal curative treatment and prevent irreversible and/or invasive lung disease. There is great need for exploration of safe, repeatable imaging techniques which can run at real-time and with high spatial resolution. In this study, optical coherence tomography (OCT) was utilized to acquire cross-sectional images of upper and lower airways using fresh pig lung resections as a model system. Obtained OCT images were compared with parallel tissue characterization by conventional histological analysis. Our objective was to determine whether OCT differentiates the composite structural layers and inherent anatomical variations along different airway locations. The data show that OCT can clearly display the multilayered structure of the airways. The subtle architectural differences in three separate anatomical locations including trachea, main bronchus and tertiary bronchus were clearly delineated. Images of the appropriate anatomical profiles, with depth of up to 2 mm and 10 µm spatial resolution were obtained by our current OCT system, which was sufficient for recognition of the epithelium, subepithelial tissues and cartilage. In addition, the relative thickness of individual structural components was accurately reflected and comparable to histological sections. These data support OCT as a highly feasible, optical biopsy tool, which merits further exploration for early diagnosis of human airway epithelial pathology.

Ultrahigh resolution optical biopsy with endoscopic optical coherence tomography

Optical coherence tomography (OCT) is an emerging medical imaging technology that can generate high resolution, cross-sectional images of tissue in situ and in real time. Although endoscopic OCT has been used successfully to identify certain pathologies in the gastrointestinal tract, the resolution of current endoscopic OCT systems has been limited to 10-15 microm for in vivo studies. In this study, in vivo imaging of the rabbit gastrointestinal tract is demonstrated at a three-fold higher resolution (< 5 microm), using a broadband Cr(4+):Forsterite laser as the optical light source. Images acquired from the esophagus, trachea, and colon reveal high resolution details of tissue architecture. Definitive correlation of architectural features in OCT images and histological sections is shown. The ability of ultrahigh resolution endoscopic OCT to image tissue morphology at an unprecedented resolution in vivo advances the development of OCT as a potential imaging tool for the early detection of neoplastic changes in biological tissue.

Video-rate three-dimensional optical coherence tomography

Most current optical coherence tomography systems provide two-dimensional cross-sectional or en face images. Successive adjacent images have to be acquired to reconstruct three-dimensional objects, which can be time consuming. Here we demonstrate three-dimensional optical coherence tomography (3D OCT) at video rate. A 58 by 58 smart-pixel detector array was employed. A sample volume of 210x210x80 m3 (corresponding to 58x58x58 voxels) was imaged at 25 Hz. The longitudinal and transverse resolutions are 3 m and 9 m respectively. The sensitivity of the system was 76 dB. Video rate 3D OCT is illustrated by movies of a strand of hair undergoing fast thermal damage.

Ultrahigh-resolution ophthalmic optical coherence tomography.

Here we present new technology for optical coherence tomography (OCT) that enables ultrahigh-resolution, non-invasive in vivo ophthalmologic imaging of retinal and corneal morphology with an axial resolution of 2–3 μm. This resolution represents a significant advance in performance over the 10–15-μm resolution currently available in ophthalmic OCT systems and, to our knowledge, is the highest resolution for in vivo ophthalmologic imaging achieved to date. This resolution enables in vivo visualization of intraretinal and intra-corneal architectural morphology that had previously only been possible with histopathology. We demonstrate image processing and segmentation techniques for automatic identification and quantification of retinal morphology. Ultrahigh-resolution OCT promises to enhance early diagnosis and objective measurement for tracking progression of ocular diseases, as well as monitoring the efficacy of therapy. Current clinical practice emphasizes the development of techniques to diagnose disease in its early stages, when treatment is most effective and irreversible damage can be prevented or delayed. In ophthalmology, the precise visualization of pathology is especially critical for the diagnosis and staging of ocular diseases. Therefore, new imaging techniques have been developed to augment conventional fundoscopy and slit-lamp biomicroscopy. Ultrasonography is routinely used in ophthalmology, but requires physical contact with the eye and has axial resolutions of approximately 200 μm (ref. 1). High-frequency ultrasound enables approximately 20 μm axial resolutions, but due to limited penetration, only anterior eye structures can be imaged2. Confocal microscopy has been used to image the cornea with sub-micrometer transverse resolution3. Scanning laser ophthalmoscopy enables en face fundus imaging with micron-scale transverse and approximately 300-μm axial resolution4,5. None of these techniques, however, permits high-resolution, cross-sectional imaging of the retina in vivo. Recently, optical coherence tomography (OCT) has emerged as a promising new technique for high-resolution, cross-sectional imaging6,7. OCT is attractive for ophthalmic imaging because image resolutions are 1–2 orders of magnitude higher than conventional ultrasound, imaging can be performed non-invasively and in real time, and quantitative morphometric information can be obtained. OCT is somewhat analogous to ultrasound imaging except that it uses light instead of sound. High-resolution, cross-sectional images are obtained by measuring the echo time delay of reflected infrared light using a technique known as low coherence interferometry8,9. OCT imaging was first demonstrated in the human retina in vitro6 and in vivo10,11. Recently, it has been extended to a wide range of other non-transparent tissues to function as a type of optical biopsy12–15. To date, however, the most important clinical applications of OCT have been retinal imaging in ophthalmic diagnosis7,16–22. Current ophthalmic OCT systems have 10–15-μm axial resolution and provide more detailed structural information than any other non-invasive ophthalmic imaging technique6,7,10,11. However, the resolution of current clinical ophthalmic OCT technology is significantly below what is theoretically possible. Improving the resolution of OCT ophthalmic imaging would enable structural imaging of retinal pathology at an intraretinal level, as well as improve the accuracy of morphometric quantification. The axial resolution of conventional ophthalmic OCT systems is limited to 10–15 μm by the bandwidth of light sources used for imaging. Short-pulse, solid-state lasers can generate ultrabroad bandwidth, low-coherence light13. A broadband Cr:Forsterite laser operating in the near infrared (1,300 nm) has permitted cellular-level OCT imaging in developmental biology specimens with 6-μm axial resolution13. For ophthalmic imaging, light sources operating at 800 nm are necessary to avoid absorption in the ocular media. Recently, a state-of-the-art broadband Ti:Al2O3 laser has been developed for ultrahigh (~1 μm) axial resolution, spectroscopic OCT imaging in non-transparent tissue at 800-nm center wavelength23,24. We describe here ultrahigh-resolution ophthalmic OCT based on this state-of-the-art optical technology and demonstrate its potential to provide enhanced structural and quantitative information for ophthalmologic imaging.