Optical assessment of the in vivo tympanic membrane status using a handheld optical coherence tomography-based otoscope.

Objective: Conventional otoscopes and oto-endoscopes, which are used to examine the tympanic membrane (TM), do not provide tomographic information. Optical coherence tomography (OCT) non-invasively reveals the depth-resolved internal microstructure of the TM with very high spatial resolution. We des...

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Publicado en:Acta Oto-Laryngologica (Supplement) Vol. 138; no. 4; pp. 367 - 375
Autores principales: Kibeom Park, Nam Hyun Cho, Mansik Jeon, Sang Heun Lee, Jeong Hun Jang, Boppart, Stephen A., Woonggyu Jung, Jeehyun Kim
Formato: diagnostic images pictorial research tables/charts tracings Journal Article
Publicado: Taylor & Francis Ltd Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2018
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      pub: Taylor & Francis Ltd
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        10.1080/00016489.2017.1395515
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        atl: Optical assessment of the in vivo tympanic membrane status using a handheld optical coherence tomography-based otoscope.
      aug:
        au:
          Kibeom Park
          Nam Hyun Cho
          Mansik Jeon
          Sang Heun Lee
          Jeong Hun Jang
          Boppart, Stephen A.
          Woonggyu Jung
          Jeehyun Kim
        affil: School of Electronics Engineering, College of IT Engineering, Kyungpook National University, Daegu, Korea
      sug:
        subj:
          Otitis Media Diagnosis
          Diagnosis, Ear Methods
          Tympanic Membrane Radiography
          Tomography, Optical Coherence Methods
          Otoscopes Utilization
          Endoscopes Utilization
          Human
          In Vivo Studies
          Postoperative Complications Radiography
      ab: Objective: Conventional otoscopes and oto-endoscopes, which are used to examine the tympanic membrane (TM), do not provide tomographic information. Optical coherence tomography (OCT) non-invasively reveals the depth-resolved internal microstructure of the TM with very high spatial resolution. We designed this study to examine the TMs with middle ear diseases using a handheld otoscope employing 860 nm spectral domain (SD)-OCT, combined with video camera and to demonstrate the clinical applicability of this system. Design: A total of 120 patients with otologic symptoms were enrolled. TM images were obtained using the handheld OCT-based otoscope (860 nm central wave length, 15 µm axial resolution, 15 µm lateral resolution, and 7 mm scanning range using relay lens). Both OCT and oto-endoscope images were compared according to the clinical characteristics such as perforation, retraction, and postoperative healing process. Results: The objective grade about the thickness of perforation margins and the accurate information about the extent of TM retraction that was not distinguishable by oto-endoscopic exam could be identified using this system. The postoperative healing process of TMs could be also followed using the OCT device. Conclusion: These analyses from the surgeon-oriented perspective suggest another useful application of the handheld OCT device.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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