The Properties of Outer Retinal Band Three Investigated With Adaptive-Optics Optical Coherence Tomography.

PurposeOptical coherence tomography's (OCT) third outer retinal band has been attributed to the zone of interdigitation between RPE cells and cone outer segments. The purpose of this paper is to investigate the structure of this band with adaptive optics (AO)-OCT.MethodsUsing AO-OCT, images were obtained from two subjects. Axial structure was characterized by measuring band 3 thickness and separation between bands 2 and 3 in segmented cones. Lateral structure was characterized by correlation of band 3 with band 2 and comparison of their power spectra. Band thickness and separation were also measured in a clinical OCT image of one subject.ResultsBand 3 thickness ranged from 4.3 to 6.4 μm. Band 2 correlations ranged between 0.35 and 0.41 and power spectra of both bands confirmed peak frequencies that agree with histologic density measurements. In clinical images, band 3 thickness was between 14 and 19 μm. Measurements of AO-OCT of interband distance were lower than our corresponding clinical OCT measurements.ConclusionsBand 3 originates from a structure with axial extent similar to a single surface. Correlation with band 2 suggests an origin within the cone photoreceptor. These two observations indicate that band 3 corresponds predominantly to cone outer segment tips (COST). Conventional OCT may overestimate both the thickness of band 3 and outer segment length

Blood flow rate estimation in optic disc capillaries and vessels using Doppler optical coherence tomography with 3D fast phase unwrapping

The retinal volumetric flow rate contains useful information not only for ophthalmology but also for the diagnosis of common civilization diseases such as diabetes, Alzheimer's disease, or cerebrovascular diseases. Non-invasive optical methods for quantitative flow assessment, such as Doppler optical coherence tomography (OCT), have certain limitations. One is the phase wrapping that makes simultaneous calculations of the flow in all human retinal vessels impossible due to a very large span of flow velocities. We demonstrate that three-dimensional Doppler OCT combined with three-dimensional four Fourier transform fast phase unwrapping (3D 4FT FPU) allows for the calculation of the volumetric blood flow rate in real-time by the implementation of the algorithms in a graphics processing unit (GPU). The additive character of the flow at the furcations is proven using a microfluidic device with controlled flow rates as well as in the retinal veins bifurcations imaged in the optic disc area of five healthy volunteers. We show values of blood flow rates calculated for retinal capillaries and vessels with diameters in the range of 12-150 µm. The potential of quantitative measurement of retinal blood flow volume includes noninvasive detection of carotid artery stenosis or occlusion, measuring vascular reactivity and evaluation of vessel wall stiffness

Depth-resolved microscopy of cortical hemodynamics with optical coherence tomography

We describe depth-resolved microscopy of cortical hemodynamics with high-speed spectral/Fourier domain optical coherence tomography (OCT). Stimulus-evoked changes in blood vessel diameter, flow, and total hemoglobin were measured in the rat somatosensory cortex. The results show OCT measurements of hemodynamic changes during functional activation and represent an important step toward understanding functional hyperemia at the microscopic level.National Institutes of Health (U.S.) (R01-NS057476)National Institutes of Health (U.S.) (P01NS055104)National Institutes of Health (U.S.) (P50NS010828)National Institutes of Health (U.S.) (K99NS067050)National Institutes of Health (U.S.) (R01-CA075289-12)United States. Air Force Office of Scientific Research (FA9550-07-1-0014)United States. Dept. of Defense. Medical Free Electron Laser Program (FA9550-07-1-0101

Characterization of Outer Retinal Morphology with HighSpeed, Ultrahigh-Resolution Optical Coherence Tomography

PURPOSE. To visualize, quantitatively assess, and interpret outer retinal morphology by using high-speed, ultrahigh-resolution (UHR) OCT. METHODS. Retinal imaging was performed in the ophthalmic clinic in a cross-section of 43 normal subjects with a 3.5-m, axial-resolution, high-speed, UHR OCT prototype instrument, using a radial scan pattern (24 images, 1500 axial scans). Outer retinal layers were automatically segmented and measured. High-definition imaging was performed with a 2.8-m axialresolution, high-speed, UHR OCT research prototype instrument, to visualize the finer features in the outer retina. RESULTS. Quantitative maps of outer retinal layers showed clear differences between the cone-dominated fovea and the roddominated parafovea and perifovea, indicating that photoreceptor morphology can explain the appearance of the outer retina in high-speed, UHR OCT images. Finer, scattering bands were visualized in the outer retina using high-definition imaging and were interpreted by comparison to known anatomy. CONCLUSIONS. High-speed UHR OCT enables quantification of scattering layers in the outer retina. An interpretation of these features is presented and supported by quantitative measurements in normal subjects and comparison with known anatomy. The thick scattering region of the outer retina previously attributed to the retinal pigment epithelium (RPE) is shown to consist of distinct scattering bands corresponding to the photoreceptor outer segment tips, RPE, and Bruch's membrane. These results may advance understanding of the outer retinal appearance in OCT images. The normative measurements may also aid in future investigations of outer retinal changes in age-related macular degeneration and other diseases. (Inves

Quantitative cerebral blood flow with optical coherence tomography

Absolute measurements of cerebral blood flow (CBF) are an important endpoint in studies of cerebral pathophysiology. Currently no accepted method exists for in vivo longitudinal monitoring of CBF with high resolution in rats and mice. Using three-dimensional Doppler Optical Coherence Tomography and cranial window preparations, we present methods and algorithms for regional CBF measurements in the rat cortex. Towards this end, we develop and validate a quantitative statistical model to describe the effect of static tissue on velocity sensitivity. This model is used to design scanning protocols and algorithms for sensitive 3D flow measurements and angiography of the cortex. We also introduce a method of absolute flow calculation that does not require explicit knowledge of vessel angles. We show that OCT estimates of absolute CBF values in rats agree with prior measures by autoradiography, suggesting that Doppler OCT can perform absolute flow measurements in animal models.National Institutes of Health (U.S.) (Grant number R01-NS057476)National Institutes of Health (U.S.) (Grant number P01NS055104)National Institutes of Health (U.S.) (Grant number P50NS010828)ational Institutes of Health (U.S.) (Grant number K99NS067050)National Institutes of Health (U.S.) (Grant number R01-CA075289-13)United States. Air Force Office of Scientific Research (FA9550-07-1-0014)United States. Dept. of Defense. Medical Free Electron Laser Program (FA9550-07-1-0101

Visualization 02. Fly-through en face projections-AMD-choroid.avi

Overview of the choroidal vascular layers - visualization of vessels at the level of scleral tissue obtained in the eye of a patient diagnosed with age related macular degeneration. Circular features are visible in <i>en face</i> projections at the level of scleral tissue which correspond to elongated structures in the B-scans. This suggests a presence of steeply oriented vessels, possibly short ciliary arteries or veins of lymphatics.<div><div>Data obtained with swept source OCT system operating at 1040nm central wavelength. Axial imaging resolution: 6um. Transverse imaging resolution: 14um.</div><div><br></div><div><br></div></div

Visualization 03. Fly-through Bscans-AMD-choroid.avi

<div>Overview of the choroidal vascular layers - visualization of vessels at the level of scleral tissue obtained in the eye of a patient diagnosed with age related macular degeneration. Circular features are visible in <i>en face</i> projections at the level of scleral tissue which correspond to elongated structures in the B-scans. This suggests a presence of steeply oriented vessels, possibly short ciliary arteries or veins of lymphatics.</div><div>Data obtained with swept source OCT system operating at 1040nm central wavelength. Axial imaging resolution: 6um. Transverse imaging resolution: 14um.</div