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[IEEE 2019 IEEE 4th Optoelectronics Global Conference (OGC) - Shenzhen, China (2019.9.3-2019.9.6)] 2019 IEEE 4th Optoelectronics Global Conference (OGC) - Cellular-Level Structure Imaging with Micro-optical Coherence Tomography $\mathbf{(\mu OCT)}$ for Kidney Disease Diagnosis

DOI:10.1109/OGC.2019.8925287 出版年份:2019 更新时间:2025-09-16 10:30:52
摘要: Chronic kidney disease (CKD) is one of the public health threats around the world, which may cause serious health problems like cardiovascular disease,kidney failure, or even more serious as premature death. Although CKD usually internists, such a way of could be managed by general treatment can be applied only when significant symptoms appear, which is very slow. It has also been reported that CKD could be characterized by means of glomeruli, and classified by the stages of disease severity for early treatment. However, due to lack of reliable method to detect the cellular-level micro-structures for disease severity characterization, the diagnosis is troublesome, and thus, the treatments might be delayed while the best treatment time could be missed. For early detection of CKD, it is imperative to develop reliable tools to detect and characterize the disease at an early stage with minimal or noninvasiveness. For this research, the micro-optical coherence tomography (μOCT) was assessment it feasibility as a cellular-level structure imaging tool in kidney disease diagnosis at an early stage. Specifically, by measuring the number of glomeruli within a volumetric kidney tissue, a new diagnostic criteria is also established. Imaging results of the kidney specimens as compared their corresponding histology show that the cellular-level glomeruli structures could be identified clearly, and as a basic functional unit of kidney, it could be utilized as a reliable parameter to access the severity of the CKD.
作者: Chi Hu,Xiaojun Yu,Qianshan Ding,Zeming Fan,Zhaohui Yuan,Juan Wu,Linbo Liu
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To assess the feasibility of micro-optical coherence tomography (μOCT) as a cellular-level structure imaging tool in kidney disease diagnosis at an early stage and to establish a new diagnostic criteria by measuring the number of glomeruli within a volumetric kidney tissue.

The study demonstrated that μOCT could be utilized as a powerful intraoperative imaging tool to perform 'optical biopsy' in kidney operation process and as a diagnostic tool for CKD disease severity diagnosis and classifications. A diagnostic criteria for CKD severity classification was proposed by measuring the number of glomerulus within a certain volume of kidney.

1. The μOCT imaging experiments were carried out ex vivo, which may not be as accurate as in vivo cases. 2. The way of glomeruli number calculation may not be accurate enough due to partial structures not being accounted for. 3. The field of view (FOV) of the constructed μOCT is limited, which might lead to inaccurate calculation of glomeruli.

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