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    1. Optical coherence tomography-based predictors for creatine kinase-myocardial band elevation after elective percutaneous coronary intervention for in-stent restenosis

      Optical coherence tomography-based predictors for creatine kinase-myocardial band elevation after elective percutaneous coronary intervention for in-stent restenosis

      Objectives We evaluated whether morphological characteristics of neointimal tissue of in-stent restenosis (ISR) lesions assessed by optical coherence tomography (OCT) affect periprocedural elevation of creatine kinase-myocardial band (CK-MB). Background The impact of neointimal characteristics of ISR lesions on periprocedural myocardial injury has not been sufficiently investigated. Methods A total of 125 patients with ISR lesions underwent elective percutaneous coronary intervention (PCI) and pre-PCI OCT examination. Measurements of CK-MB were performed upon hospitalization, before PCI, and every 8 hr for 24 hr after PCI. CK-MB elevation was defined as levels above the 99th percentile of the upper reference limit. Neoatherosclerosis was ...

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    2. A survey of current and anticipated use of standard and specialist equipment by UK optometrists

      A survey of current and anticipated use of standard and specialist equipment by UK optometrists

      Purpose To investigate current and anticipated use of equipment and information technology (IT) in community optometric practice in the UK, and to elicit optometrists' views on adoption of specialist equipment and IT. Methods An anonymous online questionnaire was developed, covering use of standard and specialist diagnostic equipment, and IT. The survey was distributed to a random sample of 1300 UK College of Optometrists members. Results Four hundred and thirty-two responses were received (response rate = 35%). Enhanced (locally commissioned) or additional/separately contracted services were provided by 73% of respondents. Services included glaucoma repeat measures (30% of respondents), glaucoma referral refinement ...

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    3. Evaluation of two quantitative analysis methods of optical coherence tomography for detection of enamel demineralization and comparison with microhardness

      Evaluation of two quantitative analysis methods of optical coherence tomography for detection of enamel demineralization and comparison with microhardness

      Background and Objective We aimed to evaluate in the same study two quantitative methods for quantification of incipient caries in human dental enamel by using optical coherence tomography (OCT): the optical attenuation coefficient and the area under the A-scan signal, and to compare their results with those obtained from microhardness analysis. Study Design/Materials and Methods One hundred and sixty samples were obtained from 40 sound human third molars, which had their crowns sectioned. Simulated caries were created by a pH cycling method. OCT measurements were performed on the samples, before and after the induced demineralization. We determined the total ...

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    4. New Insights on acute expansion and longitudinal elongation of bioresorbable vascular scaffolds In-Vivo and at bench test: A note of caution on reliance to compliance charts and nominal length

      New Insights on acute expansion and longitudinal elongation of bioresorbable vascular scaffolds In-Vivo and at bench test: A note of caution on reliance to compliance charts and nominal length

      Objectives : We performed systematic optical coherence tomography (OCT) analyses after BVS implantation in a “real world” setting aiming at evaluating scaffold expansion and longitudinal integrity. Background : A comprehensive elucidation of bioresorbable vascular scaffolds´ (BVS) acute performance in the “real-world” setting is lacking Methods : Acute BVS expansion compared with compliance chart information and longitudinal integrity were assessed in 29 patients (32 lesions) by OCT. In addition, bench experiments with 4 scaffolds were performed with different combinations of deployment pressures and tube stiffness. Results : Scaffold underexpansion, using compliance chart information as reference, was observed in 97% of OCT cross-sections in vivo; however ...

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    5. Dynamic dark-light changes in anterior chamber and iris parameters in angle closure patients with novel automatic algorithm using anterior segment optical coherence tomography (AS-OCT)

      Dynamic dark-light changes in anterior chamber and iris parameters in angle closure patients with novel automatic algorithm using anterior segment optical coherence tomography (AS-OCT)

      Purpose To describe the dynamic dark-light changes in anterior chamber (AC) measurements and iris parameters in angle closure patients compared to normal angle patients using a fully automatic algorithm developed for anterior segment optical coherence tomography (AS-OCT). Methods 10 patients (17 eyes with closed angles) and 8 patients (15 eyes with normal angles) on gonioscopic grading were recruited. We acquired images in both dark and light conditions using Visante OCT. Custom software analyzed the images using the iris rim as the landmark instead of the sclera spur. The parameters analyzed included angle opening distance and angle recess area, at 750 ...

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    6. Swept source optical coherence tomography artifacts in glaucoma patients

      Swept source optical coherence tomography artifacts in glaucoma patients

      Purpose To demonstrate the frequency and the type of swept-source optical coherence tomography (SS –OCT) imaging artifacts in patients being evaluated glaucoma and to present common artifacts examples Methods The SS–OCT images of 101 glaucoma suspect and glaucoma patients were used to evaluate image artifacts. We used a 3 dimensional imaging data set of 6x6mm raster scan centered on the optic disc (3D disc scan) and a 3 dimensional imaging data set of 12 mm horizontal line scan centered between optic disc and the fovea (3D side scan). For each scan, both printout report and the source image of ...

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    7. Test-retest reliability on measuring anterior chamber parameters with a novel automatic algorithm using anterior segment optical coherence tomography

      Test-retest reliability on measuring anterior chamber parameters with a novel automatic algorithm using anterior segment optical coherence tomography

      Purpose To describe the test-retest variability in anterior chamber and iris parameters obtained on anterior segment optical coherence tomography (AS-OCT) when measured with a novel automatic Location-Based Graph Search segmentation algorithm. Methods Patients with open angles and primary angle closure on gonioscopic finding were invited for anterior chamber (AC) angle imaging with the Visante AS-OCT. 3 scans of each eye were acquired in darkness with the patients repositioning their heads after each scan. The images were analysed with a custom software which used the iris rim as the landmark instead of the sclera spur. The parameters analyzed included angle opening ...

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    8. The choroid profiles at the posterior pole measured by enhanced depth imaging optical coherence tomography in healthy Korean children

      The choroid profiles at the posterior pole measured by enhanced depth imaging optical coherence tomography in healthy Korean children

      Purpose To assess the changes of the choroidal thickness in healthy Korean Children using enhanced depth imaging (EDI) optical coherence tomography (OCT) and to evaluate the association of choroidal thickness and axial length. Methods Seventy-nine eyes (79 children) with cycloplegic refractive errors within ± 1diopter spherical equivalent underwent horizontal scan using EDI OCT. The choroidal thickness was the vertical distance between the posterior edge of the retinal pigment epithelium and the inner scleral border at 1mm intervals from 3mm nasal and 4mm temporal to the fovea using the manual caliper provided by the software of the device. Axial length was examined ...

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    9. Compressive chiasmal lesions: optical coherence tomography, ganglion cell and inner plexiform layers and visual field tests

      Compressive chiasmal lesions: optical coherence tomography, ganglion cell and inner plexiform layers and visual field tests

      Purpose The authors present an analysis of the automated macular ganglion cell complex measurements in patients with compressive chasmal lesions. Methods Observational study of 20 eyes of 20 patients with compressive chiasmal lesions followed at the neurophthalmology outpatient clinic. Optical Coherence Tomography (OCT SPECTRALIS® - Heidelberg Engineering GmbH) was performed and high-resolution macular scans were obtained. Ganglion cell layer and inner plexiform layer (GCL+IPL) average thickness and retinal nerve fiber layer (RNFL) thickness were also determined. A functional evaluation was performed with Static Computerized Perimetry (Octopus Perimetry®, Haag-Streit). Statistical analysis was done with SPSS Statistics. A p value < 0.05 ...

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    10. Choroidal thickness and volume in healthy children messured by enhanced depth imaging optical coherence tomography

      Choroidal thickness and volume in healthy children messured by enhanced depth imaging optical coherence tomography

      Purpose To evaluate choroidal thickness during childhood using enhanced depth imaging (EDI) spectral-domain optical coherence tomography (SD-OCT), and its correlation with age, sex, axial length (AL) and refractive error (RE) Methods Cross-sectional study in which 93 eyes of 93 healthy children were studied using a 25 A-scans-EDI SD-OCT protocol. Choroidal thickness was segmented manually, and an ETDRS grid was applied to analyze choroidal thickness and volume in each of its nine sectors. Two observers independently studied 30 children to assess repeatability and reproducibility, using intraclass coefficient (ICC). Results We included 50 males and 43 females, with mean age of 9 ...

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    11. A method for monitoring enamel erosion using laser irradiated surfaces and optical coherence tomography

      A method for monitoring enamel erosion using laser irradiated surfaces and optical coherence tomography

      Introduction Since optical coherence tomography (OCT) is well suited for measuring small dimensional changes on tooth surfaces, OCT has great potential for monitoring tooth erosion. Previous studies have shown that enamel areas ablated by a carbon dioxide laser manifested lower rates of erosion compared to the non-ablated areas. The purpose of this study was to develop a model to monitor erosion in vitro that could potentially be used in vivo . Methods Thirteen bovine enamel blocks were used in this in vitro study. Each 10 mm × 2 mm block was partitioned into five regions, the central region was unprotected, the adjacent ...

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    12. Bivalirudin versus unfractionated heparin for residual thrombus burden: A frequency-domain optical coherence tomography study

      Bivalirudin versus unfractionated heparin for residual thrombus burden: A frequency-domain optical coherence tomography study

      Objectives: This study aimed to compare the effect of bivalirudin and unfractionated heparin (UFH) on residual thrombus burden assessed by frequency-domain optical coherence tomography (FD-OCT), and on angiographic indices of microvascular obstruction (MVO). Background: The efficacy of bivalirudin to inhibit thrombus formation inside the stent during percutaneous coronary interventions (PCI) as compared to UFH is unknown. Methods: Sixty patients with coronary artery disease who underwent post-PCI FD-OCT were studied, including 20 patients treated with bivalirudin and 40 control patients treated with UFH, matched by clinical presentation, stent characteristics, and periprocedural medications. In-stent thrombus volume, thrombus score (number of quadrants with ...

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    13. Retinal nerve fibre layer thickness measurements by optical coherence tomography in patients with sleep apnoea syndrome

      Retinal nerve fibre layer thickness measurements by optical coherence tomography in patients with sleep apnoea syndrome

      Background The study aims to investigate whether retinal nerve fibre layer (RNFL) abnormalities can be detected in patients with obstructive sleep apnoea/hypopnoea syndrome with normally appearing optic disc. Design This is an observational case-control study. Participants One hundred and eight consecutive patients with moderate or severe obstructive sleep apnoea/hypopnoea syndrome (OSAHS) as determined by overnight polysomnography and normal looking discs and 108 age-matched healthy controls were included in the study. Methods All patients underwent RNFL examinations by optical coherence tomography using fast retinal nerve fibre layer thickness scan. Main Outcome Measures The main outcome measure was RNFL thickness ...

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    14. Novel endoscopic diagnosis for bladder cancer

      Novel endoscopic diagnosis for bladder cancer

      A dvances in endoscopic imaging technology may improve sensitivity for the detection of bladder cancer and provide a more complete understanding of the urothelial landscape, and it also may lead to improved short-term and long-term cancer control. Fluorescence cystoscopy requires intravesical administration of a photosensitizing agent (5-aminolevulinic acid or hexaminolevulinate), and imaging with a blue-light endoscopy system demonstrably improves the detection of papillary and flat bladder lesions compared with conventional white-light cystoscopy. Prospective phase 3 clinical trials have demonstrated improved diagnostic ability, enhanced tumor resection, and a small but significant reduction in recurrence-free survival. Optical coherence tomography delineates subsurface microarchitecture ...

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    15. Optical coherence tomography in patients with a history of juvenile multiple sclerosis reveals early retinal damage

      Optical coherence tomography in patients with a history of juvenile multiple sclerosis reveals early retinal damage

      Background and purpose Some 3%−10% of patients with multiple sclerosis (MS) experience disease onset before the age of 18 years (‘early’ onset MS, EOMS). Optical coherence tomography is a non-invasive method to measure retinal nerve fibre layer thickness (RNFLT) and total macular volume (TMV) and may be useful to differentiate axonal and neuronal damage in the retina of patients with a history of EOMS. Here RNFLT and TMV in EOMS patients after a mean disease duration of 11.6 years were compared with patients with age- or disease-duration-matched later onset MS (LOMS) and healthy controls (HCs). Methods In this ...

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    16. The ISNT rule in glaucoma: revisiting with spectral domain optical coherence tomography

      The ISNT rule in glaucoma: revisiting with spectral domain optical coherence tomography

      Purpose To evaluate the ability of the neuroretinal rim (NRR) rules determined using spectral domain optical coherence tomography (SDOCT) in diagnosing glaucoma and to study the effect of optic disc size and disease severity on the diagnostic ability of these rules. Methods In a cross-sectional study, 125 eyes of 96 glaucoma patients and 96 eyes of 72 control subjects underwent optic nerve head (ONH) imaging with SDOCT. Inferior (I), superior (S), nasal (N) and temporal (T) NRR areas were automatically determined by the sdoct software. Diagnostic abilities of ISNT (I > S > N > T), IT (I > T) and ST (S > T ...

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    17. Treatment monitoring of topical ingenol mebutate in actinic keratoses with the combination of optical coherence tomography and reflectance confocal microscopy: a case series

      Treatment monitoring of topical ingenol mebutate in actinic keratoses with the combination of optical coherence tomography and reflectance confocal microscopy: a case series

      ingenol mebutate gel has been approved lately for the topical treatment of actinic keratoses (AK). Modern imaging techniques such as optical coherence tomography (OCT) and reflectance confocal microscopy (RCM) have been shown useful for the non-invasive diagnostics of non-melanoma skin cancer 1-6 . Both techniques differ in optical resolution and penetration depth.

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      Mentions: Tanja Maier
    18. A multicentre pilot study investigating high-definition optical coherence tomography in the differentiation of cutaneous melanoma and melanocytic naevi

      A multicentre pilot study investigating high-definition optical coherence tomography in the differentiation of cutaneous melanoma and melanocytic naevi

      Background High-definition optical coherence tomography scanners have recently been developed. Objectives To assess the diagnostic performance of HD-OCT in the differentiation of benign melanocytic skin lesions (MSL) and cutaneous melanoma (CM). Methods Patients with MSL were assessed by HD-OCT. All diagnoses were histopathologically confirmed. One blinded observer evaluated both slice and en-face HD-OCT images and diagnosed MLS on the basis of an algorithm adopted from reflectance confocal microscopy, recent HD-OCT reports, and conventional OCT. Results A total of 93 MSL were studied comprising 66 benign MSL and 27 CM. The sensitivity of HD-OCT was 74.1% [95% confidence interval (CI ...

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    19. Retinal Pathology detected by optical coherence tomography in an animal model of Parkinson's disease - Schneider - 2014 - Movement Disorders - Wiley Online Library

      Retinal Pathology detected by optical coherence tomography in an animal model of Parkinson's disease - Schneider - 2014 - Movement Disorders - Wiley Online Library

      Background Optical coherence tomography (OCT) is a noninvasive procedure for analysis of retinal morphology. Significant changes in the thickness of the peripapillary retinal nerve fiber layer (RNFL) in Parkinson's disease (PD) have been reported, and the current study was performed to examine whether such changes can also be detected in an animal model of PD. Methods Optical coherence tomography measurements of peripapillary RNFL thickness, macula volume, and foveal thickness were obtained from 10 normal and five 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-treated cynomolgus monkeys with stable Parkinsonian signs. Results Average RNFL thickness was significantly decreased in Parkinsonian monkeys compared ...

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    20. Optical coherence tomography applied to tests of skin care products in humans – a case study

      Optical coherence tomography applied to tests of skin care products in humans – a case study

      Background/purpose When evaluating skin care products for human skin, quantitative test methods need to be simple, precise and reliable. Optical coherence tomography (OCT), provides high-resolution sectional images of translucent materials to a depth of a few millimeters, a technique usually applied to medical measurements in ophthalmology and dermatology. This study aimed to demonstrate the application of OCT as the main technique for monitoring changes in skin topography during tests of a wrinkle-reduction product in humans. Methods We used a commercial OCT apparatus to perform clinical examinations of skin roughness in treated and non-treated sites in the periorbital region of ...

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      Mentions: Marcus P. Raele
    21. Real-time three-dimensional imaging of epidermal splitting and removal by high-definition optical coherence tomography

      Real-time three-dimensional imaging of epidermal splitting and removal by high-definition optical coherence tomography

      Background While real-time 3-D evaluation of human skin constructs is needed, only 2-D non-invasive imaging techniques are available. Objective Evaluation of the potential of High-Definition Optical Coherence Tomography (HD-OCT) for real-time 3-D assessment of the epidermal splitting and de-cellularisation. Methods Human skin samples were incubated with four different agents: Dispase II, NaCl 1M, Sodium Dodecyl Sulfate (SDS) and Triton X-100. Epidermal splitting, dermo-epidermal junction, acellularity and 3-D architecture of dermal matrices were evaluated by High-Definition Optical Coherence Tomography before and after incubation. Real-time 3-D HD-OCT assessment was compared with 2-D en face assessment by Reflectance Confocal Microscopy (RCM). (Immuno)histopathology ...

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    22. Comparison of scanning electron microscopy and optical coherence tomography (OCT) for imaging of coronary bifurcation stents

      Comparison of scanning electron microscopy and optical coherence tomography (OCT) for imaging of coronary bifurcation stents

      Background: Optical coherence tomography (OCT) is a new intracoronary imaging modality that has excellent resolution and image quality and has been used to image neointimal coverage after stent implantation. OCT has been compared to histologic, intravascular ultrasound, and scanning electron microscopy (SEM) studies. However, OCT has not been compared with SEM for imaging stent coverage over side branches. Objective: The aim of this study was to compare OCT with scanning electron microscopy (SEM) in imaging neointimal coverage over stent struts bridging coronary side-branch ostia. Methods: Using a balloon-overstretch in-stent restenosis model, we deployed 38 everolimus-eluting stents across coronary bifurcations in ...

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    23. Diabetic macular oedema quantified with spectral-domain optical coherence tomography – evaluation of boundary line artefacts and the effect on retinal thickness

      Diabetic macular oedema quantified with spectral-domain optical coherence tomography – evaluation of boundary line artefacts and the effect on retinal thickness

      Purpose To characterize frequency, morphological cause and time-dependent change of boundary line artefacts in optical coherence tomography (OCT) examinations of centre-involved diabetic macular oedema (ciDME) patients who underwent ranibizumab treatment with 1-year follow-up and to evaluate the impact of artefacts on retinal thickness. Methods One hundred and fourteen patients were examined with radial scan protocol by Topcon 3D OCT at baseline, 3 and 12 months. All B scans from all visits were examined for boundary line artefacts (artefacts) and were stratified by morphological element causing artefacts including hard exudates (HE), epiretinal membranes (ERM), optical opacities and serous detachments. Boundary line ...

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