In vitro examination of suspicious oral lesions using optical coherence tomography
Abstract We compared findings of optical coherence tomography (OCT) with histopathological results of suspicious oral lesions to assess the feasibility of using OCT to identify malignant tissue. Thirty-four oral lesions from 27 patients had swept-source frequency-domain OCT. Four variables were asse...
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Published in | British journal of oral & maxillofacial surgery Vol. 48; no. 1; pp. 18 - 25 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.01.2010
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Abstract | Abstract We compared findings of optical coherence tomography (OCT) with histopathological results of suspicious oral lesions to assess the feasibility of using OCT to identify malignant tissue. Thirty-four oral lesions from 27 patients had swept-source frequency-domain OCT. Four variables were assessed (changes in keratin, epithelial, and sub-epithelial layers, and identification of the basement membrane) and from this we calculated whether or not there were architectural changes. These data were then compared with histopathological results. Two clinicians, who were unaware of the clinical and histopathological diagnoses, decided whether biopsy was necessary. The basement membrane was recognised in only 15 oral lesions. OCT could identify diseased areas but could not provide a diagnosis or differentiate between lesions. The two clinicians, who recommended biopsy agreed in all cases. This pilot study confirms the feasibility of using OCT to identify architectural changes in malignant tissues. |
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AbstractList | We compared findings of optical coherence tomography (OCT) with histopathological results of suspicious oral lesions to assess the feasibility of using OCT to identify malignant tissue. Thirty-four oral lesions from 27 patients had swept-source frequency-domain OCT. Four variables were assessed (changes in keratin, epithelial, and sub-epithelial layers, and identification of the basement membrane) and from this we calculated whether or not there were architectural changes. These data were then compared with histopathological results. Two clinicians, who were unaware of the clinical and histopathological diagnoses, decided whether biopsy was necessary. The basement membrane was recognised in only 15 oral lesions. OCT could identify diseased areas but could not provide a diagnosis or differentiate between lesions. The two clinicians, who recommended biopsy agreed in all cases. This pilot study confirms the feasibility of using OCT to identify architectural changes in malignant tissues. Abstract We compared findings of optical coherence tomography (OCT) with histopathological results of suspicious oral lesions to assess the feasibility of using OCT to identify malignant tissue. Thirty-four oral lesions from 27 patients had swept-source frequency-domain OCT. Four variables were assessed (changes in keratin, epithelial, and sub-epithelial layers, and identification of the basement membrane) and from this we calculated whether or not there were architectural changes. These data were then compared with histopathological results. Two clinicians, who were unaware of the clinical and histopathological diagnoses, decided whether biopsy was necessary. The basement membrane was recognised in only 15 oral lesions. OCT could identify diseased areas but could not provide a diagnosis or differentiate between lesions. The two clinicians, who recommended biopsy agreed in all cases. This pilot study confirms the feasibility of using OCT to identify architectural changes in malignant tissues. |
Author | El Maaytah, Mohammed Jay, Amrita Betz, Christian S Jerjes, Waseem Hopper, Colin Upile, Tahwinder Conn, Brendan Hamdoon, Zaid Sandison, Ann Radhi, Hani McKenzie, Gordon Vourvachis, Michael |
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Keywords | OCT Swept-source Fourier-domain OCT Oral cancer Optical biopsy Optical coherence tomography Interferometric tomographic imaging Optical diagnostics Erythroplakia Oral dysplasia Leukoplakia Treatment Radiodiagnosis Stomatology Surgery Coherence Oral administration Tomography Lesion In vitro |
Language | English |
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Snippet | Abstract We compared findings of optical coherence tomography (OCT) with histopathological results of suspicious oral lesions to assess the feasibility of... We compared findings of optical coherence tomography (OCT) with histopathological results of suspicious oral lesions to assess the feasibility of using OCT to... |
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SubjectTerms | Basement Membrane - pathology Biological and medical sciences Biopsy Carcinoma, Squamous Cell - diagnosis Carcinoma, Squamous Cell - pathology Dentistry Diagnosis, Differential Epithelium - pathology Erythroplakia Erythroplasia - diagnosis Erythroplasia - pathology Feasibility Studies Humans Image Processing, Computer-Assisted - methods Interferometric tomographic imaging Keratins - analysis Leukoplakia Leukoplakia, Oral - diagnosis Leukoplakia, Oral - pathology Medical sciences Mouth Mucosa - pathology Mouth Neoplasms - diagnosis Mouth Neoplasms - pathology OCT Optical biopsy Optical coherence tomography Optical diagnostics Oral cancer Oral dysplasia Oral Ulcer - diagnosis Oral Ulcer - pathology Otorhinolaryngology. Stomatology Pilot Projects Precancerous Conditions - diagnosis Precancerous Conditions - pathology Surgery Swept-source Fourier-domain OCT Tomography, Optical Coherence - instrumentation Tomography, Optical Coherence - methods Tongue Neoplasms - diagnosis Tongue Neoplasms - pathology |
Title | In vitro examination of suspicious oral lesions using optical coherence tomography |
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