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Anatomical optical coherence tomography for long-term, portable, quantitative endoscopy.

Matthew S Leigh1, Julian J Armstrong, Alexandre Paduch

  • 1Optical+Biomedical Engineering Laboratory (OBEL), School of Electrical, Electronic & Computer Engineering, University of Western Australia, Crawley, W.A. 6009, Australia. mleigh@eeuwa.edu.au

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Anatomical optical coherence tomography offers safe, quantitative imaging of internal anatomy. This new catheter-based tool can monitor airway changes during sleep for obstructive sleep apnea (OSA) diagnosis.

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Area of Science:

  • Medical Imaging
  • Biomedical Engineering
  • Ophthalmology

Background:

  • Current imaging modalities for internal hollow organs have limitations.
  • Characterizing obstructive sleep apnea (OSA) requires detailed upper airway assessment.
  • Extended observational periods for internal anatomy imaging are often challenging.

Purpose of the Study:

  • To introduce anatomical optical coherence tomography (aOCT) as a novel catheter-based imaging technique.
  • To describe the design and performance of an aOCT instrument.
  • To evaluate the initial application of aOCT in the human upper airway for OSA characterization.

Main Methods:

  • Development of a catheter-based optical coherence tomography system.
  • Quantitative sectional imaging of internal hollow organ anatomy.
  • In-vivo imaging of human subjects during sleep.

Main Results:

  • The aOCT instrument successfully provided quantitative sectional images of the upper airway.
  • The system demonstrated capability for imaging subjects during sleep.
  • Dynamic changes in airway size and shape were recorded, relevant for OSA.

Conclusions:

  • Anatomical optical coherence tomography is a safe, quantitative imaging modality for extended use.
  • The developed instrument is suitable for bedside operation and long-term monitoring.
  • aOCT shows significant potential for characterizing the upper airway in conditions like OSA.