1. All Articles

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    1. Feasibility of peripheral OCT imaging using a novel integrated SLO ultra-widefield imaging swept-source OCT device

      Feasibility of peripheral OCT imaging using a novel integrated SLO ultra-widefield imaging swept-source OCT device

      Purpose: To describe the feasibility of peripheral OCT imaging in retinal diseases using a novel full-field device. Methods: A total of 134 consecutive eyes were referred and imaged on the Optos Silverstone swept-source OCT (SS-OCT) (Optos PLC; Dunfermline, UK). Scanning laser ophthalmoscope (SLO) images and the associated SS-OCT images were obtained in the posterior pole, mid-periphery or far periphery based on the nature of the referral and on new areas of interest observed in the optomap images at the time of imaging. Results: A total of 134 eyes (96 patients) were enrolled in the study. One hundred and twenty-five eyes ...

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    2. The role of optical coherence tomography in the diagnosis of afferent visual pathway problems: A neuroophthalmic perspective (Book Chapter)

      The role of optical coherence tomography in the diagnosis of afferent visual pathway problems: A neuroophthalmic perspective (Book Chapter)

      Optical coherence tomography (OCT) is a noninvasive ocular imaging technique that has become a standard tool in neuroophthalmic practice. Specifically, OCT captures retinal manifestations of neuroaxonal injury caused by lesions along anterior and posterior regions of the afferent visual pathway, in patients presenting with vision loss. More recently, the advent of OCT angiography (OCTA) has enabled evaluation of the choroidal and retinal microvasculature, thus informing our understanding regarding vascular mechanisms associated with optic nerve and retinal injuries. Much of our longitudinal experience with OCT in the field of neuroophthalmology has been acquired from the study of optic neuritis (ON) caused ...

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    3. 'Y' split of the outer plexiform layer: an optical coherence tomography illusion!

      'Y' split of the outer plexiform layer: an optical coherence tomography illusion!

      We here in report an interesting optical coherence tomography (OCT) observation in two different eyes. First case represents a 26-year-old man, with a history of tobacco chewing for 8 years, presented with sudden onset of scotoma in his right eye for 1 week. The uncorrected visual acuity was 20/40 in right eye (OD) and 20/20 in left eye (OS), respectively. Anterior segment was essentially within normal limits. Right eye fundus examination revealed a dull foveal reflex with neurosensory detachment and subretinal fibrin features suggestive of central serous chorioretinopathy. OCT of OD passing through macula confirmed presence of a ...

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    4. Imaging Motion: A Comprehensive Review of Optical Coherence Tomography Angiography

      Imaging Motion: A Comprehensive Review of Optical Coherence Tomography Angiography

      Optical coherence tomography (OCT) is a three-dimensional (3-D) optical imaging technology that provides noninvasive, micrometer resolution images of structural interiors within biological samples with an approximately 1 ~ 2 mm penetration depth. Over the last decades, advances in OCT have revolutionized biomedical imaging by demonstrating a potential of optical biopsy in preclinical and clinical settings. Recently, functional OCT imaging has shown a promise as angiography to visualize cell-perfused vasculatures in the tissue bed in vivo without requiring any exogenous contrast agents. This new technology termed OCT angiography (OCTA) possesses a unique imaging capability of delineating tissue morphology and blood or lymphatic ...

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    5. Feasibility and Safety of the Novel Vivolight Frequency Domain Optical Coherence Tomography System: A Multicenter Study

      Feasibility and Safety of the Novel Vivolight Frequency Domain Optical Coherence Tomography System: A Multicenter Study

      Objective. The study sought to assess the effectiveness and safety of the novel P60 Vivolight frequency-domain optical coherence tomography (OCT) system (Shenzhen Vivolight Medical Device & Technology). Methods. A total of 90 patients were enrolled from 3 institutions. The pullbacks were performed with both the P60 Vivolight OCT system and the Ilumien Optis OCT system (Abbott Vascular). The primary endpoint was the clear stent length (CSL). Device safety was assessed by the record of serious procedure-related or postprocedure adverse events. The secondary endpoints were the average lumen area of stent, clear image length (CIL), system stability, and imaging catheter operability. Results ...

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      Mentions: Vivolight
    6. Physicians: The future of cardiac imaging is now

      Physicians: The future of cardiac imaging is now

      Use of dedicated imaging catheters as an adjunct to conventional angiography (x-ray imaging) can assist in the diagnosis and guide the treatment of narrowing coronary arteries during invasive procedures to treat angina. Optical coherence tomography (OCT) is a red light-based imaging technique that captures high-resolution images when the catheter is placed inside the patient’s heart arteries; the high-quality and granular data thus obtained allows physicians to assess anatomy and execute coronary interventions, such as stent placement, with unrivalled precision. Recent data have indicated that use of OCT can alter physician decision-making over conventional x-ray (angiographic) imaging alone in nearly ...

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    7. Perinatal risk factors associated with central retinal changes in former preterm children on optical coherence tomography angiography

      Perinatal risk factors associated with central retinal changes in former preterm children on optical coherence tomography angiography

      To analyze the relationships between the fixation location and the visual function of idiopathic macular hole (IMH) patients with macular integrity assessment (MAIA) examination preoperatively and 3 months postoperatively. This was a retrospective case analysis. Forty-three eyes of 43 patients diagnosed with IMH were included in this study. The best corrected visual acuity (BCVA) assessments, optical coherence tomography (OCT) and MAIA examinations were performed before surgery and 1 week, 1 month and 3 months after surgery. The relationships between MAIA parameters and visual acuity were assessed by correlation analysis. Grouping by fixation location with the foveola (2°) as the centre ...

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    8. Learning With Fewer Images via Image Clustering: Application to Intravascular OCT Image Segmentation

      Learning With Fewer Images via Image Clustering: Application to Intravascular OCT Image Segmentation

      Deep learning based methods are routinely used to segment various structures of interest in varied medical imaging modalities. Acquiring annotations for a large number of images requires a skilled analyst, and the process is both time consuming and challenging. Our approach to reduce effort is to reduce the number of images needing detailed annotation. For intravascular optical coherence tomography (IVOCT) image pullbacks, we tested 10% to 100% of training images derived from two schemes: equally-spaced image subsampling and deep-learning- based image clustering. The first strategy involves selecting images at equally spaced intervals from the volume, accounting for the high spatial ...

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    9. En face image-based classification of diabetic macular edema using swept source optical coherence tomography

      En face image-based classification of diabetic macular edema using swept source optical coherence tomography

      This retrospective study was performed to classify diabetic macular edema (DME) based on the localization and area of the fluid and to investigate the relationship of the classification with visual acuity (VA). The fluid was visualized using en face optical coherence tomography (OCT) images constructed using swept-source OCT. A total of 128 eyes with DME were included. The retina was segmented into: Segment 1, mainly comprising the inner nuclear layer and outer plexiform layer, including Henle's fiber layer; and Segment 2, mainly comprising the outer nuclear layer. DME was classified as: foveal cystoid space at Segment 1 and no ...

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    10. A Review of Robotic and OCT-Aided Systems for Vitreoretinal Surgery

      A Review of Robotic and OCT-Aided Systems for Vitreoretinal Surgery

      The introduction of the intraocular vitrectomy instrument by Machemer et al. has led to remarkable advancements in vitreoretinal surgery enabling the limitations of human physiologic capabilities to be reached. To overcome the barriers of perception, tremor, and dexterity, robotic technologies have been investigated with current advancements nearing the feasibility for clinical use. There are four categories of robotic systems that have emerged through the research: (1) handheld instruments with intrinsic robotic assistance, (2) hand-on-hand robotic systems, (3) teleoperated robotic systems, and (4) magnetic guidance robots. This review covers the improvements and the remaining needs for safe, cost-effective clinical deployment of ...

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    11. Evaluation of coronary plaques and atherosclerosis using optical coherence tomography

      Evaluation of coronary plaques and atherosclerosis using optical coherence tomography

      Introduction: Coronary angiography (CAG) is the standard modality for assessing coronary stenosis; however, it has limitations in assessing coronary plaque morphology. Optical coherence tomography (OCT) is a high-resolution (10-20μm) light-based intravascular imaging technique that can identify more detailed coronary plaque morphology compared to other intravascular imaging modalities. OCT is remarkable for characterizing fibrous, fibrocalcific, and lipid-rich plaques. The capabilities of OCT are well suited for discriminating three types of unstable plaque morphologies underlying coronary thrombosis, such as plaque rupture, erosion, and calcified nodules. The high resolution of OCT makes it possible to identify important features of vulnerable plaques, such ...

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    12. Early coronary healing in ST segment elevation myocardial infarction: sirolimus-eluting stents vs. drug-coated balloons after bare-metal stents. The PEBSI-2 optical coherence tomography randomized study

      Early coronary healing in ST segment elevation myocardial infarction: sirolimus-eluting stents vs. drug-coated balloons after bare-metal stents. The PEBSI-2 optical coherence tomography randomized study

      Objectives: Drug-coated balloons (DCBs) have theoretical advantages over drug-eluting stents (DESs) to facilitate stent healing. We studied whether, in patients undergoing primary coronary interventions (pPCIs), a strategy of DCB after bare-metal stent improves early healing as determined by optical coherence tomography (OCT) compared with new-generation DES. Methods: pPCI patients were randomized (1:1) to treatment with new-generation sirolimus-eluting stents (DES group) or DCB-strategy. Vessel healing was assessed by OCT at 90 days. Results: Fifty-three patients were randomized (26 DES vs. 27 DCB). At 90 days, both strategies showed a low rate of uncovered struts (3.2 vs. 3.2%, P ...

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    13. A Swept source optical coherence tomography angiography study: Imaging artifacts and comparison of non-perfusion areas with fluorescein angiography in diabetic macular edema

      A Swept source optical coherence tomography angiography study: Imaging artifacts and comparison of non-perfusion areas with fluorescein angiography in diabetic macular edema

      Purpose Swept Source Optical coherence tomography angiography (SS-OCTA) is a novel technique to visualize perfusion and vascular changes like ischemia in patients with diabetic retinopathy. The aim of this study was to compare non-perfusion areas on conventional fluorescein angiography (FA) with those on SS-OCTA using detailed manual annotation in patients with diabetic macular edema (DME) and to evaluate possible artifacts caused by DME on SS-OCTA. Methods 27 eyes of 21 patients with DME were analyzed in this prospective, cross-sectional study; on all, standard ophthalmological examination, SS-OCTA and FA imaging were performed. Early-phase FA and SS-OCTA images were analyzed for capillary ...

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    14. Small dome-shaped pigment epithelium detachment in polypoidal choroidal vasculopathy: an under-recognized sign of polypoidal lesions on optical coherence tomography?

      Small dome-shaped pigment epithelium detachment in polypoidal choroidal vasculopathy: an under-recognized sign of polypoidal lesions on optical coherence tomography?

      Purpose To evaluate the diagnostic accuracy of spectral-domain optical coherence tomography (SD-OCT) and swept-source optical coherence tomographic angiography (SS-OCTA) to identify polypoidal lesions in serous or serosanguinous maculopathy. Materials and methods A retrospective review of patients presenting pigment epithelial detachments (PEDs) with the diagnosis of polypoidal choroidal vasculopathy (PCV), neovascular age-related macular degeneration (nAMD), and central serous chorioretinopathy (CSC), all of which underwent SD-OCT, SS-OCTA, and indocyanine green angiography (ICGA). Typical features of polypoidal lesions on SD-OCT included sharply peaked PED, notched PED, and hyperreflective ring underneath PED. SS-OCTA feature was vascularized PEDs on cross-sectional images corresponding to cluster-like structures ...

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    15. Tear evaluation by anterior segment OCT in dry eye disease

      Tear evaluation by anterior segment OCT in dry eye disease

      Objective: Dry Eye Disease (DED) is a multifactorial disorder, centered by loss of tear homeostasis. The diagnosis represents a challenge in the absence of a gold standard, so different questionnaires and techniques are combined. Considering that a low lacrimal secretion and a high rate of evaporation can determine changes in the tear film, the question that arises is if there are differences between the tear film thickness and the tear meniscus values of patients with DED compared to healthy volunteers, and if so, if they can be proposed as an objective diagnosis technique using Optical Coherence Tomography (OCT). Materials and ...

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    16. Tissue self-attention network for the segmentation of optical coherence tomography images on the esophagus

      Tissue self-attention network for the segmentation of optical coherence tomography images on the esophagus

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      Automatic segmentation of layered tissue is the key to esophageal optical coherence tomography (OCT) image processing. With the advent of deep learning techniques, frameworks based on a fully convolutional network are proved to be effective in classifying pixels on images. However, due to speckle noise and unfavorable imaging conditions, the esophageal tissue relevant to the diagnosis is not always easy to identify. An effective approach to address this problem is extracting more powerful feature maps, which have similar expressions for pixels in the same tissue and show discriminability from those from different tissues. In this study, we proposed a ...

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    17. First-In-Human Intracoronary OCT-FLIm In Patients Undergoing PCI

      First-In-Human Intracoronary OCT-FLIm In Patients Undergoing PCI

      Patients will undergo intracoronary imaging using combined optical coherence tomography- fluorescence lifetime imaging (OCT-FLIm) during percutaneous coronary intervention, and the obtained imaging data will be used to assess the efficacy of this dual-modal catheter imaging strategy in characterizing high-risk plaque.

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      Mentions: Korea University
    18. Postdoctoral Research Fellow position at Legacy Devers Eye Institute – Discoveries in Sight

      Postdoctoral Research Fellow position at Legacy Devers Eye Institute – Discoveries in Sight

      A Postdoctoral Research Fellow position is available at Legacy Devers Eye Institute, Portland, Oregon. The successful candidate will be responsible for planning and carrying out independent research under the supervision of Dr. Kazuhiro Kurokawa and collaborating with Discoveries in Sight Scientists. Research involves developing a versatile, high-resolution, in vivo retinal imaging system capable of cellular-scale imaging at any depth in the retina and detecting various metrics even at a nanometer scale. Advances in imaging technology allow us to study key hypotheses that require accurate and precise measurements. For further detail, please contact me directly.

      Keywords: AO-OCT, polarization contrast, angiography, cellular ...

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    19. Noise Reduction for SD-OCT Using a Structure-Preserving Domain Transfer Approach

      Noise Reduction for SD-OCT Using a Structure-Preserving Domain Transfer Approach

      Spectral-domain optical coherence tomography (SD-OCT) images inevitably suffer from multiplicative speckle noise caused by random interference. This study proposes an unsupervised domain adaptation approach for noise reduction by translating the SD-OCT to the corresponding high-quality enhanced depth imaging (EDI)-OCT. We propose a structure-persevered cycle-consistent generative adversarial network for unpaired image-to-image translation, which can be applied to imbalanced unpaired data, and can effectively preserve retinal details based on a structure-specific cross-domain description. It also imposes smoothness by penalizing the intensity variation of the low reflective region between consecutive slices. Our approach was tested on a local data set that consisted ...

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    20. Multi-center clinical study using optical coherence tomography for evaluation of cervical lesions in-vivo

      Multi-center clinical study using optical coherence tomography for evaluation of cervical lesions in-vivo

      In this prospective study of an in-vivo cervical examination using optical coherence tomography (OCT), we evaluated the diagnostic value of non-invasive and real-time OCT in cervical precancerous lesions and cancer diagnosis, and determined the characteristics of OCT images. 733 patients from 5 Chinese hospitals were inspected with OCT and colposcopy-directed biopsy. The OCT images were compared with the histological sections to find out the characteristics of various categories of lesions. The OCT images were also interpreted by 3 investigators to make a 2-class classification, and the results were compared against the pathological results. Various structures of the cervical tissue were ...

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    21. Multi-scale GCN-assisted two-stage network for joint segmentation of retinal layers and discs in peripapillary OCT images

      Multi-scale GCN-assisted two-stage network for joint segmentation of retinal layers and discs in peripapillary OCT images

      An accurate and automated tissue segmentation algorithm for retinal optical coherence tomography (OCT) images is crucial for the diagnosis of glaucoma. However, due to the presence of the optic disc, the anatomical structure of the peripapillary region of the retina is complicated and is challenging for segmentation. To address this issue, we develop a novel graph convolutional network (GCN)-assisted two-stage framework to simultaneously label the nine retinal layers and the optic disc. Specifically, a multi-scale global reasoning module is inserted between the encoder and decoder of a U-shape neural network to exploit anatomical prior knowledge and perform spatial reasoning ...

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    22. Artios, Novartis Aim to Develop and Discover DDR Targets for Cancer in New Partnership

      Artios, Novartis Aim to Develop and Discover DDR Targets for Cancer in New Partnership

      And in December 2020, Novarits entered into a multi-year collaboration with RetinAI to support projects in ophthalmology and digital health using RetinAI artificial intelligence tools. Under the Master Agreement, the first project launched by the two companies will support an international study of optical coherence tomography image solutions using AI for the assessment of disease activity in patients with neovascular age-related macular degeneration

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      Mentions: RetinAI
    23. Corneal Pachymetry by AS-OCT after Descemet's Membrane Endothelial Keratoplasty

      Corneal Pachymetry by AS-OCT after Descemet's Membrane Endothelial Keratoplasty

      Corneal thickness (pachymetry) maps can be used to monitor restoration of corneal endothelial function, for example after Descemet's membrane endothelial keratoplasty (DMEK). Automated delineation of the corneal interfaces in anterior segment optical coherence tomography (AS-OCT) can be challenging for corneas that are irregularly shaped due to pathology, or as a consequence of surgery, leading to incorrect thickness measurements.

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