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Optical Coherence Tomography – Variations on a Theme
This paper was presented at the 4th Micro and Nano Flows Conference (MNF2014), which was held at University College, London, UK. The conference was organised by Brunel University and supported by the Italian Union of Thermofluiddynamics, IPEM, the Process Intensification Network, the Institution of Mechanical Engineers, the Heat Transfer Society, HEXAG - the Heat Exchange Action Group, and the Energy Institute, ASME Press, LCN London Centre for Nanotechnology, UCL University College London, UCL Engineering, the International NanoScience Community, www.nanopaprika.eu.Optical Coherence Tomography (OCT) has developed extensively over the last 23 years. This paper reviews some of the imaging techniques based on OCT with particular reference to the trade-offs between lateral and axial resolution, working distance, imaging depth, acquisition speed (enabling real time observation and 3D imaging), imaged area/volume, contrast enhancement – including velocity measurement, and system complexity – including detectors, light sources and the optical path. The majority of applications of OCT are biomedical, especially ophthalmology, endoscopy and intravascular imaging. However, some industrial applications are emerging particularly for non-destructive testing and quality control, such as in the production of MEMS devices, or the non-destructive detection of sub-surface strain fields in injected moulded polymer parts
Tools and Biomarkers for the Study of Retinal Ganglion Cell Degeneration
The retina is part of the central nervous system, its analysis may provide an idea of the health and functionality, not only of the retina, but also of the entire central nervous system, as has been shown in Alzheimer"s or Parkinson"s diseases. Within the retina, the ganglion cells (RGC) are the neurons in charge of processing and sending light information to higher brain centers. Diverse insults and pathological states cause degeneration of RGC, leading to irreversible blindness or impaired vision. RGCs are the measurable endpoints in current research into experimental therapies and diagnosis in multiple ocular pathologies, like glaucoma. RGC subtype classifications are based on morphological, functional, genetical, and immunohistochemical aspects. Although great efforts are being made, there is still no classification accepted by consensus. Moreover, it has been observed that each RGC subtype has a different susceptibility to injury. Characterizing these subtypes together with cell death pathway identification will help to understand the degenerative process in the different injury and pathological models, and therefore prevent it. Here we review the known RGC subtypes, as well as the diagnostic techniques, probes, and biomarkers for programmed and unprogrammed cell death in RGC
The Reliability of Parafoveal Cone Density Measurements
Background Adaptive optics scanning light ophthalmoscopy (AOSLO) enables direct visualisation of the cone mosaic, with metrics such as cone density and cell spacing used to assess the integrity or health of the mosaic. Here we examined the interobserver and inter-instrument reliability of cone density measurements.
Methods For the interobserver reliability study, 30 subjects with no vision-limiting pathology were imaged. Three image sequences were acquired at a single parafoveal location and aligned to ensure that the three images were from the same retinal location. Ten observers used a semiautomated algorithm to identify the cones in each image, and this was repeated three times for each image. To assess inter-instrument reliability, 20 subjects were imaged at eight parafoveal locations on one AOSLO, followed by the same set of locations on the second AOSLO. A single observer manually aligned the pairs of images and used the semiautomated algorithm to identify the cones in each image.
Results Based on a factorial study design model and a variance components model, the interobserver study\u27s largest contribution to variability was the subject (95.72%) while the observer\u27s contribution was only 1.03%. For the inter-instrument study, an average cone density intraclass correlation coefficient (ICC) of between 0.931 and 0.975 was calculated.
Conclusions With the AOSLOs used here, reliable cone density measurements can be obtained between observers and between instruments. Additional work is needed to determine how these results vary with differences in image quality
The optical detection of retinal ganglion cell damage
We provide an overview of developments in the use OCT imaging for the detection of retinal
ganglion cell damage in vivo that avoid use of any exogenous ligands to label cells. The
method employs high resolution OCT using broad spectral light sources to deliver axial
resolution of under 5 microns. The resolution approximates that of cellular organelles, which
undergo degenerative changes that progress to apoptosis as a result of axon damage. These
degenerative changes are manifest as the loss of retinal ganglion cell dendrites and
fragmentation of the subcellular network of organelles, in particular, the mitochondria that
support dendritic structure.
These changes can alter the light scattering behaviour of degenerating neurons. Using OCT
imaging techniques to identify these signals in cultured neurons, we have demonstrated
changes in cultured cells and in retinal explants. Pilot studies in human glaucoma suggest
that similar changes are detectable in the clinical setting.
High resolution OCT can be used to detect optical scatter signals that derive from the retinal
ganglion cell layer and are associated with neuronal damage. These findings suggest that
OCT instruments can be used to derive quantitative measurements of retinal ganglion cell
damage. Critically, these signals can be detected at an early stage of retinal ganglion cell
degeneration when cells could be protected or remodeled to support visual recovery
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