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Endoscopy

Forward imaging OCT catheters can provide tissue structural information in front of the endoscopic probe, which is essential for guiding surgery or device placement. Unlike side imaging OCT systems, the implementation of forward imaging systems is challenging due to technical difficulties in designing such a narrow probe.

Recently, Yang and his research group developed a new Paired-Angle-Rotating Scanner (PARS) OCT endoscopic probe based on a modified Thorlabs swept source OCT system. The outer diameter of the probe is only 820 µm -small enough to fit in a 21 gauge needle, making it ideal for real-time imaging during ophthalmic surgeries. Placement of the PARS-OCT probe tip near the retinal surface provides cross-sectional images of the retina, unlike standard endoscopes that only provide information along the circumference of the probe.

Figure 1. Forward imaging PARS-OCT endoscope for retinal examination though an incision at the PARS plane

Feasibility of the new design was demonstrated by obtaining ex vivo porcine retinal images. In a preliminary study, the PARS-OCT probe was used to image the retina of an enucleated porcine eye with cornea, lens, and vitreous removed. The power at the sample was 2.3 mW, and balanced detection was used. Each B-scan consisted of 1984 A-scans, displayed at a rate of 6.9 frames per second. The angular velocity of the PARS-OCT probe and frame rate of the acquisition were matched using custom software. The acquired OCT images are shown in Figure 2 and Figure 3. A remnant vitreous layer was clearly observed (surface rippled due to vibration at the probe tip). The blood vessels in the optic nerve head and the choroidal capillaries can easily be identified with this technology.

Figure 2. Images of in vitro porcine retina acquired with the PARS-OCT probe using a circular scan. The image size is 2.5 x 2.3 mm.

Figure 3. PARS-OCT inspection of the retina of in vitro porcine eye using the linear-scanning probe. (left) posterior segment and (right) retinal detachment.

Image Courtesy: Prof. Changhui Yang, Department of Electrical Engineering and Bioengineering, California Institute of Technology.

Reference: W. Jigang, M. Conry, G. Chunhui, F. Wang, Z. Yaqoob, and C. Yang Paired-angle-rotation scanning optical coherence tomography forward-imaging probe, Optics Letters , 13, (9), 1265, (2006)  
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