基于光学反射层析成像技术的全场前房角测量
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1)佛山科学技术学院物理与光电工程学院粤港澳智能微纳光电技术联合实验室,佛山 528000;2)佛山科学技术学院机电工程与自动化学院,广东 佛山 528000;3.佛山科学技术学院物理与光电工程学院粤港澳智能微纳光电技术联合实验室;4.暨南大学第一附属医院眼科

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广东省重点领域研究与发展计划(2020B1111040001),国家自然科学基金(61705036,61771139, 61805038),广州市科技计划项目(202201010618),广东省医学科研基金项目(A2022415),中央高校基本科研业务费专项资金(21621052)和粤港澳智能微纳光电技术联合实验室(2020B1212030010)资助项目


Full-field anterior chamber angle measurement based on optical reflection tomography
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1)Guangdong-Hong Kong-Macao Joint Laboratory for Intelligent Micro-Nano Optoelectronic Technology,School of Physics and Optoelectronic Engineering, Foshan University, Foshan 528225, China;2) School of Mechanical and Electrical Engineering and Automation, Foshan University, Foshan, Guangdong 528000;3.Guangdong-Hong Kong-Macao Joint Laboratory for Intelligent Micro-Nano Optoelectronic Technology,School of Physics and Optoelectronic Engineering, Foshan University;4.Department of Ophthalmology, the First Affiliated Hospital of Jinan University

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Key-Area Research and Development Program of Guangdong Province (2020B1111040001), The National Natural Science Foundation of China (61705036, 61771139, 61805038), Science and Technology Projects in Guangzhou (Grant number: 202201010618), Medical Scientific Research Foundation of Guangdong Province of China (Grant number: A2022415), Fundamental Research Funds for the Central Universities (Grant number: 21621052) and Research Fund of Guangdong-Hong Kong-Macao Joint Laboratory for Intelligent MicroNano Optoelectronic Technology (2020B1212030010).

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    摘要:

    目的 闭角型青光眼(ACG)是主要的致盲性眼病之一,研究前房角对闭角型青光眼的诊断具有重要价值。目前,前房角的检查方法包括裂隙灯前房角镜检查、水前房角镜检查、超声生物显微镜(UBM)和眼前节光学相干层析成像(AS-OCT)等。裂隙灯前房角镜检查和水前房角镜检查便于观察前房角结构,但存在侵入性操作和眼部感染的风险;UBM能精确测量前房角的细微结构,但操作复杂且不适用于经历过外伤或接受过眼科手术的患者;而AS-OCT虽能提供详细的前房角图像,但设备成本较高。本研究旨在探索一种能够低成本实现全场前房角测量的非侵入、无损伤的光学反射层析成像技术(ORT),实现对猪眼三维结构成像和前房角的全场测量。 方法 搭建了由CMOS相机、远心系统、电机和白光光源组成的光学反射层析成像系统,其空间分辨率为~8.5μm。采集范围内的反射投影信息,经滤波反射层析算法处理得到三维结构图像,并测量出全场前房角度数。结果 本研究使用ORT技术成功采集了猪眼的反射投影数据,重建出其三维结构图像,并测量了前房角度数。重建的三维图像清晰展示了巩膜和虹膜等重要结构,并与实物图的结构一一对应。将ORT与光学相干层析成像系统对猪眼前房角度数的测量结果进行对比,显示两种方法的平均差值为0.51°,均方误差为0.317。 结论 ORT是一种非侵入、无损伤、成本低和成像分辨率高的技术,能够实现猪眼的三维结构成像和全场前房角测量。该技术为闭角型青光眼的诊断提供了新的视角,对眼科疾病的筛查、诊断和监测具有重要的临床价值。

    Abstract:

    Objective Angle-closure glaucoma (ACG) is one of the major eye-blinding diseases. To diagnose ACG, it is crucial to examine the anterior chamber angle. Current diagnostic tools include slit lamp gonioscopy, water gonioscopy, ultrasound biomicroscopy (UBM), and anterior segment optical coherence tomography (AS-OCT). Slit lamp and water gonioscopy allow convenient observation of the anterior chamber angle, but pose risks of invasive operation and eye infections. UBM can accurately measure the structure of the anterior chamber angle. However, it is complex to operate and unsuitable for patients, who have undergone trauma or ocular surgery. Although AS-OCT provides detailed images, it is costly. The aim of this study is to explore a non-invasive, non-destructive optical reflection tomography (ORT) technique. This technique can achieve low-cost three-dimensional imaging and full-field anterior chamber angle measurement of the porcine eye. Methods The experiment involved assembling an optical reflection tomography system, which included a complementary metal oxide semiconductor (CMOS) camera, a telecentric system, a stepper motor, and a white light source, achieving a spatial resolution of approximately 8.5μm. The process required positioning the porcine eye at the center of the field of the imaging system and rotating it around its central axis using a stepper motor. Reflection projection images were captured at each angle with an exposure time of 1.0 milliseconds and an interval of 2°. The collected reflection-projection data were processed using a filtered reflection tomography algorithm, generating a series of two-dimensional slice data. These slices essentially represented cross-sectional views of the three-dimensional structural image, and were reconstructed into a complete three-dimensional structural image. Based on the reconstructed three-dimensional structural image of the porcine eye, the anterior chamber angles at different positions were measured, and a distribution map of these angles was drawn. Simultaneously, the ORT measurements were compared with the standard results obtained from optical coherence tomography (OCT) to assess the accuracy of ORT measurements. Results In this study, we successfully obtained the reflection projection data of a porcine eye using ORT technology, reconstructed its three-dimensional structural image, and measured the anterior chamber angle, generating the corresponding distribution map. To better distinguish the different structural parts of the porcine eye, the three-dimensional structural image was marked with blue, green, and yellow dashed lines from the outer to the inner layers. The area between the blue and green dashed lines corresponded to the sclera. The area between the green and yellow dashed lines corresponded to the iris. The area inside the yellow dashed line corresponded to the pupil. The three-dimensional structural image clearly revealed the key anatomical features of the porcine eye. It was able to measure the anterior chamber angle at different positions. Additionally, the anterior chamber angle measurements of the porcine eye using ORT were compared with the measurements obtained using a TEL320C1 type OCT system, showing an average deviation of 0.51° and a mean square error of 0.317. Conclusion ORT is a non-invasive, non-destructive, low-cost, and high-resolution imaging technique capable of achieving three-dimensional structural imaging and full-field anterior chamber angle measurement of a porcine eye. This technology offers a new perspective for the diagnosis of angle-closure glaucoma and is significant for the screening, diagnosis, and monitoring of eye diseases, potentially benefiting clinics and small hospitals in remote areas in the future.

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刘碧旺,钟俊平,林海纳,曾亚光,余有平,李泓毅,韩定安,陈金莺.基于光学反射层析成像技术的全场前房角测量[J].生物化学与生物物理进展,,():

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  • 收稿日期:2023-12-07
  • 最后修改日期:2024-01-31
  • 接受日期:2024-03-22
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