In vivo diagnosis of oral dysplasia and malignancy using optical coherence tomography: Preliminary studies in 50 patients
Background In vivo, non‐invasive optical coherence tomography (OCT) permits high‐resolution imaging of tissue surfaces and subsurfaces, with the potential capability for detection and mapping of epithelial pathologies. Purpose To evaluate the clinical capability of non‐invasive in vivo OCT for diagn...
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| Veröffentlicht in: | Lasers in surgery and medicine Jg. 41; H. 5; S. 353 - 357 |
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| Abstract | Background
In vivo, non‐invasive optical coherence tomography (OCT) permits high‐resolution imaging of tissue surfaces and subsurfaces, with the potential capability for detection and mapping of epithelial pathologies.
Purpose
To evaluate the clinical capability of non‐invasive in vivo OCT for diagnosing oral dysplasia and malignancy.
Experimental Design
In 50 patients with oral lesions, conventional clinical examination was followed by OCT imaging, then standard biopsy and histopathology. Two blinded, pre‐standardized investigators separately diagnosed each lesion based on (1) OCT and (2) histopathology.
Results
Intra‐ and inter‐observer agreement between diagnoses based on histopathology and imaging data was excellent, with κ values between 0.844 and 0.896. Sensitivity and specificity were also very good.
Conclusions
These data demonstrate the excellent capability of in vivo OCT for detecting and diagnosing oral premalignancy and malignancy in human subjects. Lasers Surg. Med. 41:353–357, 2009. © 2009 Wiley‐Liss, Inc. |
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| AbstractList | Background In vivo, non-invasive optical coherence tomography (OCT) permits high-resolution imaging of tissue surfaces and subsurfaces, with the potential capability for detection and mapping of epithelial pathologies. Purpose To evaluate the clinical capability of non-invasive in vivo OCT for diagnosing oral dysplasia and malignancy. Experimental Design In 50 patients with oral lesions, conventional clinical examination was followed by OCT imaging, then standard biopsy and histopathology. Two blinded, pre-standardized investigators separately diagnosed each lesion based on (1) OCT and (2) histopathology. Results Intra- and inter-observer agreement between diagnoses based on histopathology and imaging data was excellent, with Delta *k values between 0.844 and 0.896. Sensitivity and specificity were also very good. Conclusions These data demonstrate the excellent capability of in vivo OCT for detecting and diagnosing oral premalignancy and malignancy in human subjects. Lasers Surg. Med. 41:353-357, 2009. ? 2009 Wiley-Liss, Inc. In vivo, non-invasive optical coherence tomography (OCT) permits high-resolution imaging of tissue surfaces and subsurfaces, with the potential capability for detection and mapping of epithelial pathologies.BACKGROUNDIn vivo, non-invasive optical coherence tomography (OCT) permits high-resolution imaging of tissue surfaces and subsurfaces, with the potential capability for detection and mapping of epithelial pathologies.To evaluate the clinical capability of non-invasive in vivo OCT for diagnosing oral dysplasia and malignancy.PURPOSETo evaluate the clinical capability of non-invasive in vivo OCT for diagnosing oral dysplasia and malignancy.In 50 patients with oral lesions, conventional clinical examination was followed by OCT imaging, then standard biopsy and histopathology. Two blinded, pre-standardized investigators separately diagnosed each lesion based on (1) OCT and (2) histopathology.EXPERIMENTAL DESIGNIn 50 patients with oral lesions, conventional clinical examination was followed by OCT imaging, then standard biopsy and histopathology. Two blinded, pre-standardized investigators separately diagnosed each lesion based on (1) OCT and (2) histopathology.Intra- and inter-observer agreement between diagnoses based on histopathology and imaging data was excellent, with lambda values between 0.844 and 0.896. Sensitivity and specificity were also very good.RESULTSIntra- and inter-observer agreement between diagnoses based on histopathology and imaging data was excellent, with lambda values between 0.844 and 0.896. Sensitivity and specificity were also very good.These data demonstrate the excellent capability of in vivo OCT for detecting and diagnosing oral premalignancy and malignancy in human subjects.CONCLUSIONSThese data demonstrate the excellent capability of in vivo OCT for detecting and diagnosing oral premalignancy and malignancy in human subjects. In vivo, non-invasive optical coherence tomography (OCT) permits high-resolution imaging of tissue surfaces and subsurfaces, with the potential capability for detection and mapping of epithelial pathologies. To evaluate the clinical capability of non-invasive in vivo OCT for diagnosing oral dysplasia and malignancy. In 50 patients with oral lesions, conventional clinical examination was followed by OCT imaging, then standard biopsy and histopathology. Two blinded, pre-standardized investigators separately diagnosed each lesion based on (1) OCT and (2) histopathology. Intra- and inter-observer agreement between diagnoses based on histopathology and imaging data was excellent, with lambda values between 0.844 and 0.896. Sensitivity and specificity were also very good. These data demonstrate the excellent capability of in vivo OCT for detecting and diagnosing oral premalignancy and malignancy in human subjects. Background In vivo, non‐invasive optical coherence tomography (OCT) permits high‐resolution imaging of tissue surfaces and subsurfaces, with the potential capability for detection and mapping of epithelial pathologies. Purpose To evaluate the clinical capability of non‐invasive in vivo OCT for diagnosing oral dysplasia and malignancy. Experimental Design In 50 patients with oral lesions, conventional clinical examination was followed by OCT imaging, then standard biopsy and histopathology. Two blinded, pre‐standardized investigators separately diagnosed each lesion based on (1) OCT and (2) histopathology. Results Intra‐ and inter‐observer agreement between diagnoses based on histopathology and imaging data was excellent, with κ values between 0.844 and 0.896. Sensitivity and specificity were also very good. Conclusions These data demonstrate the excellent capability of in vivo OCT for detecting and diagnosing oral premalignancy and malignancy in human subjects. Lasers Surg. Med. 41:353–357, 2009. © 2009 Wiley‐Liss, Inc. |
| Author | Guo, Shuguang Messadi, Diana Chen, Zhongping Lee, Kenneth Osann, Kathryn Wilder-Smith, Petra Zhang, Jun |
| AuthorAffiliation | 1 Beckman Laser Institute, University of California, 1002 Health Sciences Rd East, Irvine, California 92612 2 Department of Medicine, University of California, Irvine, California 92612 3 Section of Oral Medicine and Orofacial Pain Division of Oral Biology & Medicine UCLA School of Dentistry, 10833 Le Conte Avenue, Los Angeles, California 90095 |
| AuthorAffiliation_xml | – name: 1 Beckman Laser Institute, University of California, 1002 Health Sciences Rd East, Irvine, California 92612 – name: 2 Department of Medicine, University of California, Irvine, California 92612 – name: 3 Section of Oral Medicine and Orofacial Pain Division of Oral Biology & Medicine UCLA School of Dentistry, 10833 Le Conte Avenue, Los Angeles, California 90095 |
| Author_xml | – sequence: 1 givenname: Petra surname: Wilder-Smith fullname: Wilder-Smith, Petra email: pwsmith@uci.edu organization: Beckman Laser Institute, University of California, 1002 Health Sciences Rd East, Irvine, California 92612 – sequence: 2 givenname: Kenneth surname: Lee fullname: Lee, Kenneth organization: Beckman Laser Institute, University of California, 1002 Health Sciences Rd East, Irvine, California 92612 – sequence: 3 givenname: Shuguang surname: Guo fullname: Guo, Shuguang organization: Beckman Laser Institute, University of California, 1002 Health Sciences Rd East, Irvine, California 92612 – sequence: 4 givenname: Jun surname: Zhang fullname: Zhang, Jun organization: Beckman Laser Institute, University of California, 1002 Health Sciences Rd East, Irvine, California 92612 – sequence: 5 givenname: Kathryn surname: Osann fullname: Osann, Kathryn organization: Department of Medicine, University of California, Irvine, California 92612 – sequence: 6 givenname: Zhongping surname: Chen fullname: Chen, Zhongping organization: Beckman Laser Institute, University of California, 1002 Health Sciences Rd East, Irvine, California 92612 – sequence: 7 givenname: Diana surname: Messadi fullname: Messadi, Diana organization: Section of Oral Medicine and Orofacial Pain Division of Oral Biology & Medicine UCLA School of Dentistry, 10833 Le Conte Avenue, Los Angeles, California 90095 |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19533765$$D View this record in MEDLINE/PubMed |
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Diagnosis of specialized intestinal metaplasia of the esophagus with optical coherence tomography. SPIE 2001; 3916: 307. Rosin MP, Epstein JB, Berean K, Durham S, Hay J, Cheng X, et al. The use of exfoliative cell samples to map clonal genetic alterations in the oral epithelium of high-risk patients. Cancer Res 1997; 57: 5258-5260. MacDonald DG. Comparison of epithelial dysplasia in hamster cheek pouch carcinogenesis and human oral mucosa. J Oral Pathol 1981; 10: 186-191. Podoleanu AG, Rogers JA, Cucu RC, Jackson DA, Wacogne B, Porte H, et al. Simultaneous low coherence interferometry imaging at two depths using an integrated optic modulator. Opt Commun 2001; 191(1-2): 21-30. Onofre MA, Sposto MR, Navarro CM. Reliability of toluidine blue application in the detection of oral epithelial dysplasia and in situ and invasive squamous cell carcinomas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91(5): 535-540. Huang D, Swanson EA, Lin CP, Schuman JS, Stinson WG, Chang W, Hee MR, Flotte T, Gregory K, Puliafito CA. Optical coherence tomography. Science 1991; 254(5035): 1178-1181. Poneros JM, Brand S, Bouma BE, Tearney GJ, Compton CC, Nishioka NS. Diagnosis of specialized intestinal metaplasia by optical coherence tomography. Gastroenterology 2001; 120(1): 7-712. Feldchtein FI, Gelikonov GV, Gelikonov VM, Iksanov RR, Kuranov RV, Sergeev AM, Gladkova ND, Ourutina MN, Warren JA, Reitze DH. In vivo OCT imaging of hard and soft tissue of the oral cavity. Opt Expr 1998; 3(6): 239-250. Regezi J, Sciubba JWB, editors. Oral Pathology. Philadelphia: Saunders Co.; 1993. pp 77-90. Matheny ES, Hanna N, Mina-Araghi R, Jung WG, Chen Z, Wilder-Smith P, Brenner M. Optical coherence tomography of malignant Hamster Cheek Pouches. J Invest Med 2003; 51(1): S78. Milner TE, Dave D, Zhongping C, Goodman DM, Nelson JS. In: Alfano RR, Fujimoto JG, editors. Optical Coherence Tomography as a Biomedical Monitor in Human Skin. SPIE Press Books Bellingham WA. 1996. Ch 3, pp 220-223. Reiser BJ, Ignacio TS, Wang Y, Taban M, Graff JM, Sweet P, Chen Z, Chuck RS. In vitro measurement of rabbit corneal epithelial thickness using ultrahigh resolution optical coherence tomography. Vet Ophthalmol 2005; 8(2): 85-88. Poate TW, Buchanan JA, Hodgson TA, Speight PM, Barrett AW, Moles DR, Scully C, Porter SR. An audit of the efficacy of the oral brush biopsy technique in a specialist oral medicine unit. Oral Oncol 2004; 40(8): 829-834. Ogden GR, Cowpe JG, Green MW. Detection of field change in oral cancer using oral exfoliative cytologic study. Cancer 1991; 68: 1611-1615. Rick GM, Slater L. Oral brush biopsy: The problem of false positives. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 96: 252. Pitris C, Boppart SA, Brezinski ME, Bouma BE, Fujimoto JG. Cellular and neoplastic tissue imaging with optical coherence tomography. CLEO 3-8 May, 1998; 127-128. Feldchtein FI, Gelikonov GV, Gelikonov VM, Kuranov RV, Sergeev AM, Gladkova ND, Shakhov A, Shakhova N, Snopova L, Teventeva A, Zagainova E, Chumaka Y, Kuznetzova I. Endoscopic applications of optical coherence tomography. Opt Expr 1998; 3(6): 257-270. Bohorfoush AG. New diagnostic methods for esophageal carcinoma. Recent Results Cancer Res 2000; 155: 55-62. 2001; 91 2004; 40 2001; 120 1991; 254 1999; 3749 2004; 9 2002; 55 1998 1999; 24 2008 1996 1995 1997; 1 2000; 131 2003; 39 1993 2000; 155 2002 1991; 117 2003; 51 2003; 96 2000; 191 1999 1997; 8 2002; 27 1995; 20 1998; 37 1993; 18 2001; 191 1991; 68 2000; 32 2005; 8 2002; 68 1997; 57 2004; 35 1999; 3858 1984; 57 2001; 3916 1999; 35 2003; 25 2005; 10 1999; 130 1998; 3 1992; 21 1996; 21 1981; 10 Pitris C (e_1_2_1_22_2) 1998 e_1_2_1_41_2 e_1_2_1_45_2 e_1_2_1_20_2 e_1_2_1_43_2 Matheny ES (e_1_2_1_15_2) 2003; 51 e_1_2_1_26_2 e_1_2_1_24_2 e_1_2_1_47_2 Regezi J (e_1_2_1_3_2) 1993 e_1_2_1_28_2 e_1_2_1_6_2 e_1_2_1_4_2 e_1_2_1_12_2 e_1_2_1_33_2 e_1_2_1_50_2 Epstein JB (e_1_2_1_38_2) 2002; 68 e_1_2_1_10_2 e_1_2_1_16_2 e_1_2_1_37_2 e_1_2_1_14_2 e_1_2_1_35_2 Bouma BE (e_1_2_1_23_2) 2001; 3916 Rosin MP (e_1_2_1_49_2) 1997; 57 e_1_2_1_8_2 e_1_2_1_18_2 e_1_2_1_39_2 Acha A (e_1_2_1_44_2) 2005; 10 e_1_2_1_40_2 e_1_2_1_21_2 e_1_2_1_42_2 e_1_2_1_27_2 e_1_2_1_48_2 e_1_2_1_25_2 e_1_2_1_46_2 e_1_2_1_29_2 Fujimoto JG (e_1_2_1_31_2) 2002 e_1_2_1_30_2 e_1_2_1_7_2 e_1_2_1_5_2 e_1_2_1_11_2 e_1_2_1_34_2 e_1_2_1_32_2 American Cancer Society (e_1_2_1_2_2) 2008 e_1_2_1_13_2 e_1_2_1_36_2 Milner TE (e_1_2_1_17_2) 1996 e_1_2_1_19_2 e_1_2_1_9_2 |
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volume: 27 start-page: 4 year: 2002 article-title: High‐resolution optical coherence tomography over a large depth range with an axicon lens publication-title: Opt Lett – volume: 68 start-page: 617 issue: 10 year: 2002 end-page: 621 article-title: Advances in the diagnosis of oral premalignant and malignant lesions publication-title: J Can Dent Assoc – volume: 57 start-page: 5258 year: 1997 end-page: 5260 article-title: The use of exfoliative cell samples to map clonal genetic alterations in the oral epithelium of high‐risk patients publication-title: Cancer Res – volume: 131 start-page: 511 year: 2000 end-page: 514 article-title: Optical coherence tomography: A new imaging technology for dentistry publication-title: J Am Dent Assoc – volume: 8 start-page: 85 issue: 2 year: 2005 end-page: 88 article-title: In vitro measurement of rabbit corneal epithelial thickness using ultrahigh resolution optical coherence tomography publication-title: Vet Ophthalmol – volume: 91 start-page: 535 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In vivo, non‐invasive optical coherence tomography (OCT) permits high‐resolution imaging of tissue surfaces and subsurfaces, with the potential... In vivo, non-invasive optical coherence tomography (OCT) permits high-resolution imaging of tissue surfaces and subsurfaces, with the potential capability for... Background In vivo, non-invasive optical coherence tomography (OCT) permits high-resolution imaging of tissue surfaces and subsurfaces, with the potential... |
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| SubjectTerms | Biopsy Data processing Dysplasia Humans imaging Lasers Malignancy Mapping Mouth - pathology Mouth Neoplasms - pathology non-invasive diagnosis Observer Variation oral dysplasia squamous cell carcinoma Tomography Tomography, Optical Coherence - statistics & numerical data |
| Title | In vivo diagnosis of oral dysplasia and malignancy using optical coherence tomography: Preliminary studies in 50 patients |
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