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Ultrahigh-resolution and 3-dimensional optical coherence tomography ex vivo imaging of the large and small intestines - 18/08/11

Doi : 10.1016/j.gie.2005.05.006 
Pei-Lin Hsiung, SM, Liron Pantanowitz, MD, Aaron D. Aguirre, SM, Yu Chen, PhD, Darshan Phatak, MD, Tony H. Ko, SM, Stephane Bourquin, PhD, Stuart J. Schnitt, MD, Sugrah Raza, MD, James L. Connolly, MD, Hiroshi Mashimo, MD, PhD, James G. Fujimoto, PhD
Current affiliations: Department of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge; Department of Pathology, Baystate Medical Center, Springfield; Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston; and VA Boston Healthcare System, Boston, Massachusetts, USA 

Reprint requests: James G. Fujimoto, PhD, Department of Electrical Engineering and Computer Science and Research Laboratory of Electronics, Massachusetts Institute of Technology, 50 Vassar St. Rm. 36-361, Cambridge, MA 02139.

Boston and Cambridge, Massachusetts

Abstract

Background

Ultrahigh-resolution optical coherence tomography (OCT) has an axial resolution of <5 μm, 2 to 3 times finer than standard OCT. This study investigates ultrahigh-resolution and three-dimensional OCT for ex vivo imaging of the large and small intestines and correlates images with histology.

Methods

Ultrahigh-resolution OCT imaging was performed on fresh surgical specimens from the large and small intestines in the pathology laboratory, and images were correlated with histology. OCT was performed at 1.3-μm wavelength with 4.5-μm axial × 11-μm transverse resolution and at 1.1-μm wavelength with 3.5-μm axial × 6-μm transverse resolution. Three-dimensional OCT also was investigated.

Results

Normal and pathologic areas from 23 surgical specimens of the large and small intestines were imaged. Ultrahigh-resolution OCT distinguished the epithelial layer of the mucosa and visualized individual villi, glands, and crypts. Finer transverse resolutions improved visualization of features, e.g., the epithelium, but reduced the depth of field. Architectural distortion of glands from inflammatory and neoplastic processes was observed. Three-dimensional rendering enabled visualization of surface pit pattern and mucosal folds as well as subsurface crypt microstructure.

Conclusions

This study evaluates new OCT technology and can provide a baseline for interpreting future ultrahigh-resolution endoscopic OCT studies.

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 Supported by the U.S. Army Medical Research Material Command Program DAMD 17-01-1-156, National Institutes of Health RO1-CA75289-06, National Science Foundation ECS-01-19452 and BES-0119494, Air Force Office of Scientific Research Medical Free Electron Laser Program F49620-01-1-0186, the Poduska Family Foundation Fund for Innovative Research in Cancer and through the philanthropy of Gerhard Andlinger.


© 2005  American Society for Gastrointestinal Endoscopy. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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Vol 62 - N° 4

P. 561-574 - ottobre 2005 Ritorno al numero
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