We present an optical coherence tomography (OCT) lymphangiography visualization approach based on analysis of speckle statistics. For in-vivo experimentation, normal and tumor tissues are examined in mouse dorsal skin window chamber model. In order to evaluate the speckle statistics, OCT datasets are acquired in 3 spatial and 1 temporal dimensions to be divided then into smaller volumes of interests. In temporal dimension, repeated same-location scanning is performed for simultaneous blood vessel detection through speckle variance processing. Speckle statistics in each volume of interest are tested for similarity to known distributions corresponding either to noise or to tissue. We show that lymphatic vessels could be detected using a specific parameter range of speckle statistics as a filter, to separate the surrounding tissues and blood vessels. The proposed approach does not require numerous post-processing steps that are often used in lymphatic detection methods that are based on low signal amplitude regions (e.g., OCT signal attenuation compensation, inversion, amplitude thresholding etc.). Instead, we use a fast 2-step filtering procedure to reveal lymphatic vessels in imaged tissues.
Radiation therapy (RT) is widely and effectively used for cancer treatment but can also cause deleterious side effects, such as a late-toxicity complication called radiation-induced fibrosis (RIF). Accurate diagnosis of RIF requires analysis of histological sections to assess extracellular matrix infiltration. This is invasive, prone to sampling limitations, and thus rarely used; instead, current practice relies on subjective clinical surrogates, including visual observation, palpation, and patient symptomatology questionnaires. This preclinical study demonstrates that functional optical coherence tomography (OCT) is a useful tool for objective noninvasive in-vivo assessment and quantification of fibrosis-associated microvascular changes in tissue. Data were collected from murine hind limbs 6 months after 40-Gy single-dose irradiation and compared with nonirradiated contralateral tissues of the same animals. OCT-derived vascular density and average vessel diameter metrics were compared to quantitative vascular analysis of stained histological slides. Results indicate that RIF manifests significant microvascular changes at this time point posttreatment. Abnormal microvascular changes visualized by OCT in this preclinical setting suggest the potential of this label-free high-resolution noninvasive functional imaging methodology for RIF diagnosis and assessment in the context of clinical RT.
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