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药物诱导睡眠内镜期间儿科呼吸道的远程光学连贯性断层扫描:初步报告

Khodayar Goshtasbi¹, Erica Su², Joseph C Jing²

¹Department of Otolaryngology-Head and Neck Surgery, University of California Irvine, Irvine, CA, USA; Beckman Laser Institute, University of California Irvine, Irvine, CA, USA.

International journal of pediatric otorhinolaryngology

|February 26, 2024

概括

这项研究引入了一种新的远程光学连贯性断层扫描 (LR-OCT) 系统,用于在药物诱导睡眠内镜 (DISE) 期间评估儿科阻塞性睡眠呼吸暂停 (OSA). 在两个儿科患者中,LR-OCT系统准确地确定了气道阻塞的位置和程度.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
儿科睡眠医学儿科睡眠医学
医疗成像医学成像

背景情况:

药物诱导睡眠内镜 (DISE) 对于诊断儿科阻塞性睡眠呼吸暂停 (OSA) 在初步研究不足时至关重要.
目前的DISE评分方法是主观的,并且有局限性.
在DISE期间需要对儿科呼吸道进行客观可视化.

研究的目的:

为了证明在儿童患者的DISE期间使用一种新型远程光学连贯性断层扫描 (LR-OCT) 系统的可行性.
评估LR-OCT可视化和量化气道阻塞的能力.
从LR-OCT数据创建3D气道重建.

主要方法:

使用LR-OCT可视化了两名接受DISE的儿科患者的呼吸道.
截面图像是在内镜检查后捕获的毛皮,耳鼻,舌头底部和表腔膜 (VOTE位置).
图像处理包括改变大小,对齐和染3D体积气道模型.

主要成果:

在DISE期间,LR-OCT成功地可视化了儿科呼吸道.
两个患者的VOTE位置的量化最大阻塞百分比.
从OCT成像数据生成3D气道重建.

结论:

在DISE期间,LR-OCT是评估儿科呼吸道的一种可行的工具.
该系统准确地识别了障碍的位置和程度.
LR-OCT促进了3D呼吸道重建,以改善对儿科OSA的理解.

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