Speckle decorrelation rate as a robust indicator for visualizing the therapeutic thermal field with OCT

Optical coherence tomography (OCT) is evolving from a diagnostic imaging modality to one that also facilitates therapeutic procedures. However, visualizing the therapeutic thermal field during minimally invasive thermal treatments such as laser or radio frequency ablation is challenging. This difficulty arises because tissues show minimal optical property changes until they reach the coagulation threshold at approximately 50 ^∘C. To address this, we introduce the speckle decorrelation rate as a new, to our knowledge, contrast mechanism for OCT, enhancing the visualization of the therapeutic thermal field. Through ex vivo tissue experiments on a laser ablation-OCT surveillance system, we demonstrate that the speckle decorrelation rate offers superior sensitivity to detect subtle temperature changes and is less sensitive to the selection of time intervals for decorrelation calculations compared to existing speckle decorrelation methods. Our approach, which is label-free and compatible with various OCT systems, has been validated across diverse biological tissues, showing potential to augment the precision and safety of thermal therapies. Additionally, we propose a GPU-accelerated pipeline to expedite processing time, making real-time thermal field visualization feasible.