71 research outputs found
Progression of Retinal Pigment Epithelial Atrophy in Antiangiogenic Therapy of Neovascular Age-Related Macular Degeneration
PurposeTo monitor retinal pigment epithelial (RPE) atrophy progression during antiangiogenic therapy of neovascular age-related macular degeneration (AMD) over 2 years using polarization-sensitive optical coherence tomography (OCT).DesignProspective interventional case series.Methodssetting: Clinical practice. study population: Thirty patients (31 eyes) with treatment-naïve neovascular AMD. observation procedures: Standard intravitreal therapy (0.5 mg ranibizumab) was administered monthly during the first year and pro re nata (PRN; as-needed) during the second year. Spectral-domain (SD) OCT and polarization-sensitive OCT (selectively imaging the RPE) examinations were performed at baseline and at 1, 3, 6, 12, and 24 months using a standardized protocol. RPE-related changes were evaluated using a semi-automated polarization-sensitive OCT segmentation algorithm and correlated with SD OCT and fundus autofluorescence (FAF) findings. main outcome measures: RPE response, geographic atrophy (GA) progression.ResultsAtrophic RPE changes included RPE thinning, RPE porosity, focal RPE atrophy, and development of GA. Early RPE loss (ie, RPE porosity, focal atrophy) increased progressively during initial monthly treatment and remained stable during subsequent PRN-based therapy. GA developed in 61% of eyes at month 24. Mean GA area increased from 0.77 mm2 at 12 months to 1.10 mm2 (standard deviation = 1.09 mm2) at 24 months. Reactive accumulation of RPE-related material at the lesion borders increased until month 3 and subsequently decreased.ConclusionsProgressive RPE atrophy and GA developed in the majority of eyes. RPE migration signifies certain RPE plasticity. Polarization-sensitive OCT specifically images RPE-related changes in neovascular AMD, contrary to conventional imaging methods. Polarization-sensitive OCT allows for precisely monitoring the sequence of RPE-related morphologic changes
Beyond backscattering: Optical neuroimaging by BRAD
Optical coherence tomography (OCT) is a powerful technology for rapid
volumetric imaging in biomedicine. The bright field imaging approach of
conventional OCT systems is based on the detection of directly backscattered
light, thereby waiving the wealth of information contained in the angular
scattering distribution. Here we demonstrate that the unique features of
few-mode fibers (FMF) enable simultaneous bright and dark field (BRAD) imaging
for OCT. As backscattered light is picked up by the different modes of a FMF
depending upon the angular scattering pattern, we obtain access to the
directional scattering signatures of different tissues by decoupling
illumination and detection paths. We exploit the distinct modal propagation
properties of the FMF in concert with the long coherence lengths provided by
modern wavelength-swept lasers to achieve multiplexing of the different modal
responses into a combined OCT tomogram. We demonstrate BRAD sensing for
distinguishing differently sized microparticles and showcase the performance of
BRAD-OCT imaging with enhanced contrast for ex vivo tumorous tissue in
glioblastoma and neuritic plaques in Alzheimer's disease
Analysis of the Origin of Atypical Scanning Laser Polarimetry Patterns by Polarization-Sensitive Optical Coherence Tomography
PURPOSE. To analyze the physical origin of atypical scanning laser polarimetry (SLP) patterns. To compare polarization-sensitive optical coherence tomography (PS-OCT) scans to SLP images. To present a method to obtain pseudo-SLP images by PS-OCT that are free of atypical artifacts. METHODS. Forty-one eyes of healthy subjects, subjects with suspected glaucoma, and patients with glaucoma were imaged by SLP (GDx VCC) and a prototype spectral domain PS-OCT system. The PS-OCT system acquires three-dimensional (3D) datasets of intensity, retardation, and optic axis orientation simultaneously within 3 seconds. B-scans of intensity and retardation and en face maps of retinal nerve fiber layer (RNFL) retardation were derived from the 3D PS-OCT datasets. Results were compared with those obtained by SLP. RESULTS. Twenty-two eyes showed atypical retardation patterns, and 19 eyes showed normal patterns. From the 22 atypical eyes, 15 showed atypical patterns in both imaging modalities, five were atypical only in SLP images, and two were atypical only in PS-OCT images. In most (15 of 22) atypical cases, an increased penetration of the probing beam into the birefringent sclera was identified as the source of atypical patterns. In such cases, the artifacts could be eliminated in PS-OCT images by depth segmentation and exclusion of scleral signals. CONCLUSIONS. PS-OCT provides deeper insight into the contribution of different fundus layers to SLP images. Increased light penetration into the sclera can distort SLP retardation patterns of the RNFL. (Invest Ophthalmol Vis Sci. 2008;49:5366 -5372
Modelado de las propiedades polarimétricas de la córnea humana: comparación con medidas in vitro mediante PS-OCT
In this work, we propose a corneal structural model with different fibril arrangements and compare them with in vitro Polarization Sensitive Optical Coherence Tomography (PS-OCT) measurements. The model is based on a stack of lamellae, represented by Jones theory. Each lamella has a preferred fast axis orientation according to the fibril structure and a birefringence. Optical radiation is parallel to the eye optical axis. A third of the lamellae are arbitrarily oriented. Several fibril configurations were modelled: preferentially horizontal and vertical fibrils; preferentially vertical and radial fibrils; circularly and radially oriented fibrils; and a configuration in which fibrils form arcs that join opposite points of a cross defined over the corneal surface. We also modelled the rotation of the previous configurations and compared them with PS-OCT measurements of in vitro tilted corneas
Automated Identification and Quantification of Subretinal Fibrosis in Neovascular Age-Related Macular Degeneration Using Polarization-Sensitive OCT
Citation: Roberts P, Sugita M, Deák G, et al. Automated identification and quantification of subretinal fibrosis in neovascular age-related macular degeneration using polarization-sensitive OCT. Invest Ophthalmol Vis Sci
Polarization sensitive optical coherence tomography - a review [Invited]
Optical coherence tomography (OCT) is now a well-established modality for high-resolution cross-sectional and three-dimensional imaging of transparent and translucent samples and tissues. Conventional, intensity based OCT, however, does not provide a tissue-specific contrast, causing an ambiguity with image interpretation in several cases. Polarization sensitive (PS) OCT draws advantage from the fact that several materials and tissues can change the light’s polarization state, adding an additional contrast channel and providing quantitative information. In this paper, we review basic and advanced methods of PS-OCT and demonstrate its use in selected biomedical applications
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