KEYWORDS: Optical coherence tomography, Endomicroscopy, Intestine, Endoscopy, Inflammation, Biopsy, 3D image processing, Visualization, Control systems
Environmental Enteric Dysfunction (EED) is a poorly understood condition of the small intestine that is prevalent in regions of the world with inadequate sanitation and hygiene. EED affects 25% of all children globally and causes over a million deaths each year. The condition is associated with increased intestinal permeability, bacterial translocation, inflammation and villous blunting. The loss of absorptive area and intestinal function leads to nutrient malabsorption, with long term outcomes characterized by stunted growth and neurocognitive development. Currently, the only way to directly evaluate the morphology of the intestine is endoscopy with mucosal biopsy. Yet because EED is endemic in low and middle-income countries, endoscopy is untenable for studying EED. As a result, the diagnosis of EED and the assessment of the efficacy of EED interventions is hampered by an inability to evaluate the intestinal mucosa.
Our lab has previously developed a technology termed tethered capsule OCT endomicroscopy (TCE). The method involves swallowing an optomechanically-engineered pill that generates 3D images of the GI tract as it traverses the lumen of the organ via peristalsis, assisted by gravity. In order to study the potential of using TCE to investigate EED, we initiated and conducted a TCE study in adolescents at Aga Khan Medical Center in Pakistan. To make swallowing easier, the tethered capsule’s size was reduced from 11x25 mm to 8x22 mm. Villous morphologic visualization was enhanced by building a notch (x mm deep, y mm wide) in the capsule’s imaging window. To date, 26 Pakistani subjects with ages ranging from 14 to 18 y/o (16.4 +/- 1.0) have been enrolled and imaged. A total of 19 subjects were able to swallow the capsule. Of those, 9 successfully passed through the pylorus, allowing successful microscopic imaging of the entire duodenum. There were no adverse events in any of the cases. Maximum villous height and width were measured from 3 randomly chosen, representative frames from each Pakistan subject as well as a matching number from US controls. Preliminary results, comparing Pakistani vs US villous morphology, indicated that subjects from Pakistan have shorter (628.6 +/- 22.0 um and 492.3 +/- 13.2 um, respectively, p< 0.0001) and wider duodenal villi (244.9 +/- 8.8 um and 293.4 +/- 13.2 um, respectively, p< 0.0001). These findings suggest that OCT TCE of the duodenum may be a useful tool for evaluating villous morphology in EED.
Leaf water content (LWC) is an essential constituent of plant leaves that determines vegetation health and its productivity. An accurate and on-time measurement of water content is crucial for planning irrigation, forecasting drought, and predicting woodland fire. The retrieval of LWC from visible to shortwave infrared (VSWIR: 0.4 to 2.5 μm) has been extensively investigated but little has been done in the mid- and thermal-infrared (MIR and TIR: 2.50 to 14.0 μm) windows of electromagnetic spectrum. This study is mainly focused on retrieval of LWC from MIR and TIR, using genetic algorithm (GA) integrated with partial least square regression (PLSR). GA fused with PLSR selects spectral wavebands with high predictive performance, i.e., yields high adjusted-R2 and low root-mean-square error (RMSE). In our case, GA-PLSR selected eight variables (bands) and yielded highly accurate models with adjusted-R2 of 0.93 and RMSE cross validation equal to 7.1%. This study also demonstrated that MIR is more sensitive to the variation in LWC as compared to TIR. However, the combined use of MIR and TIR spectra enhances the predictive performance in retrieval of LWC. The integration of GA and PLSR not only increases the estimation precision by selecting the most sensitive spectral bands but also helps in identifying the important spectral regions for quantifying water stresses in vegetation. The findings of this study will allow the future space missions (like HyspIRI) to position wavebands at sensitive regions for characterizing vegetation stresses.
Leaf Water Content (LWC) is an essential constituent of plant leaves that determines vegetation heath and its productivity. An accurate and on-time measurement of water content is crucial for planning irrigation, forecasting drought and predicting woodland fire. The retrieval of LWC from Visible to Shortwave Infrared (VSWIR: 0.4-2.5 μm) has been extensively investigated but little has been done in the Mid and Thermal Infrared (MIR and TIR: 2.50 -14.0 μm), windows of electromagnetic spectrum. This study is mainly focused on retrieval of LWC from Mid and Thermal Infrared, using Genetic Algorithm integrated with Partial Least Square Regression (PLSR). Genetic Algorithm fused with PLSR selects spectral wavebands with high predictive performance i.e., yields high adjusted-R2 and low RMSE. In our case, GA-PLSR selected eight variables (bands) and yielded highly accurate models with adjusted-R2 of 0.93 and RMSEcv equal to 7.1 %. The study also demonstrated that MIR is more sensitive to the variation in LWC as compared to TIR. However, the combined use of MIR and TIR spectra enhances the predictive performance in retrieval of LWC. The integration of Genetic Algorithm and PLSR, not only increases the estimation precision by selecting the most sensitive spectral bands but also helps in identifying the important spectral regions for quantifying water stresses in vegetation. The findings of this study will allow the future space missions (like HyspIRI) to position wavebands at sensitive regions for characterizing vegetation stresses.
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