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光学相干断层扫描在手术显微镜下的术中应用。

Intra-operative application of optical coherence tomography with an operating microscope.

作者信息

Just T, Lankenau E, Hüttmann G, Pau H W

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock, Germany.

出版信息

J Laryngol Otol. 2009 Sep;123(9):1027-30. doi: 10.1017/S0022215109004770. Epub 2009 Feb 26.

DOI:10.1017/S0022215109004770
PMID:19243643
Abstract

OBJECTIVE

To introduce the use of optical coherence tomography with an operating microscope for intra-operative evaluation of the human larynx.

METHODS

A specially equipped operating microscope with integrated spectral domain optical coherence tomography apparatus was used during microlaryngoscopy.

RESULTS

Technical improvements in optical coherence tomography equipment (e.g. pilot beam, variable focal distance, improved image quality and integration into an operating microscope) have enabled greater sensitivity and imaging speed and a non-contact approach. Spectral domain optical coherence tomography now enables a better correlation between optical coherence tomography images and histological findings. With this new technology, the precision of biopsy can be improved during microlaryngoscopy.

CONCLUSIONS

Use of this new optical coherence tomography technology, integrated into an operating microscope, enables the surgeon to define the biopsy site location and resection plane precisely, while the optical zoom of the operating microscope can be used over the complete range.

摘要

目的

介绍将光学相干断层扫描与手术显微镜结合用于术中评估人喉的方法。

方法

在显微喉镜检查期间使用配备了集成光谱域光学相干断层扫描设备的特殊手术显微镜。

结果

光学相干断层扫描设备的技术改进(例如引导光束、可变焦距、图像质量提高以及集成到手术显微镜中)提高了灵敏度和成像速度,并实现了非接触式检查方法。光谱域光学相干断层扫描现在能够使光学相干断层扫描图像与组织学结果更好地关联。有了这项新技术,在显微喉镜检查期间活检的精确度可以得到提高。

结论

将这种新的光学相干断层扫描技术集成到手术显微镜中,使外科医生能够精确确定活检部位的位置和切除平面,同时手术显微镜的光学变焦可以在整个范围内使用。

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