Objective localisation of oral mucosal lesions using optical coherence tomography.

PhDIdentification of the most representative location for biopsy is critical in establishing the definitive diagnosis of oral mucosal lesions. Currently, this process involves visual evaluation of the colour characteristics of tissue aided by topical application of contrast enhancing agents. Although, this approach is widely practiced, it remains limited by its lack of objectivity in identifying and delineating suspicious areas for biopsy. To overcome this drawback there is a need to introduce a technique that would provide macroscopic guidance based on microscopic imaging and analysis. Optical Coherence Tomography is an emerging high resolution biomedical imaging modality that can potentially be used as an in vivo tool for selection of the most appropriate site for biopsy. This thesis investigates the use of OCT for qualitative and quantitative mapping of oral mucosal lesions. Feasibility studies were performed on patient biopsy samples prior to histopathological processing using a commercial OCT microscope. Qualitative imaging results examining a variety of normal, benign, inflammatory and premalignant lesions of the oral mucosa will be presented. Furthermore, the identification and utilisation of a common quantifiable parameter in OCT and histology of images of normal and dysplastic oral epithelium will be explored thus ensuring objective and reproducible mapping of the progression of oral carcinogenesis. Finally, the selection of the most representative biopsy site of oral epithelial dysplasia would be investigated using a novel approach, scattering attenuation microscopy. It is hoped this approach may help convey more clinical meaning than the conventional visualisation of OCT images

Optical Diagnostics in Human Diseases

Optical technologies provide unique opportunities for the diagnosis of various pathological disorders. The range of biophotonics applications in clinical practice is considerably wide given that the optical properties of biological tissues are subject to significant changes during disease progression. Due to the small size of studied objects (from μm to mm) and despite some minimum restrictions (low-intensity light is used), these technologies have great diagnostic potential both as an additional tool and in cases of separate use, for example, to assess conditions affecting microcirculatory bed and tissue viability. This Special Issue presents topical articles by researchers engaged in the development of new methods and devices for optical non-invasive diagnostics in various fields of medicine. Several studies in this Special Issue demonstrate new information relevant to surgical procedures, especially in oncology and gynecology. Two articles are dedicated to the topical problem of breast cancer early detection, including during surgery. One of the articles is devoted to urology, namely to the problem of chronic or recurrent episodic urethral pain. Several works describe the studies in otolaryngology and dentistry. One of the studies is devoted to diagnosing liver diseases. A number of articles contribute to the studying of the alterations caused by diabetes mellitus and cardiovascular diseases. The results of all the presented articles reflect novel innovative research and emerging ideas in optical non-invasive diagnostics aimed at their wider translation into clinical practice

Artificial Intelligence in Oral Health

This Special Issue is intended to lay the foundation of AI applications focusing on oral health, including general dentistry, periodontology, implantology, oral surgery, oral radiology, orthodontics, and prosthodontics, among others

Overall Review on Recent Applications of Raman Spectroscopy Technique in Dentistry

Funding Information: Acknowledgements are due to S. Pessanha and V. Vassilenko, from NOVA School of Science and Technology, for the general supervision, guidance, and systematic remarks and comments. Publisher Copyright: © 2023 by the author.The present paper reviews the applications of Raman spectroscopy in dentistry in the past two decades. This technique is considered a highly promising optical modality, widely used for the chemical identification and characterization of molecular structures, providing detailed information on the structural arrangement, crystal orientations, phase, and polymorphism, molecular interactions and effects of bonding, chemical surrounding environment, and stress on samples. Raman spectroscopy has been appropriate to investigate both organic and inorganic components of dental tissues since it provides accurate and precise spectral information on present minerals through the observation of the characteristic energies of their vibrational modes. This method is becoming progressively important in biomedical research, especially for non-invasiveness, non-destructiveness, high biochemical specificity, low water sensitivity, simplicity in analyzing spectral parameters, near-infrared region capability, and in vivo remote potential by means of fiber-optics. This paper will address the application of Raman spectroscopy in different fields of dentistry, found to be the most relevant and prevalent: early recognition of carious lesions; bleaching products performance; demineralizing effect from low-pH foods and acidic beverages; and efficiency of remineralization agents. Additionally, this review includes information on fiber-optic remote probe measurements. All described studies concern caries detection, enamel characterization, and assessment indicating how and to what extent Raman spectroscopy can be applied as a complementary diagnostic method.publishersversionpublishe

Bildgebung initialer Kariesläsionen mit optischer Kohärenztomografie

Auf Basis der vorgestellten Untersuchungen lässt sich ein großes Potenzial der OCT für die Erkennung initialer Kariesstadien sowie für die Darstellung der dentalen Mikrostruktur ableiten. Die eingeführte Depolarisationsbildgebung stellt dabei eine Erweiterung bisheriger OCT-basierter Ansätze dar und wurde im Rahmen dieser Arbeit erstmalig für die Anwendung am Zahn präsentiert. Darüber hinaus bilden die Ergebnisse der Untersuchungen die Grundlage für die Entwicklung weiterer Prototypen für die intraorale OCT-Bildgebung, die zukünftig eine vielversprechende Ergänzung zu klinisch etablierten Verfahren bei der Diagnostik der Approximalbereiche und Okklusalflächen darstellen könnte