Doheny Eye Institute, University of Southern California, Los Angeles, California, United States of America.
PLoS One. 2011;6(9):e24482. doi: 10.1371/journal.pone.0024482. Epub 2011 Sep 13.
Diagnosis of retinal vascular diseases depends on ophthalmoscopic findings that most often occur after severe visual loss (as in vein occlusions) or chronic changes that are irreversible (as in diabetic retinopathy). Despite recent advances, diagnostic imaging currently reveals very little about the vascular function and local oxygen delivery. One potentially useful measure of vascular function is measurement of hemoglobin oxygen content. In this paper, we demonstrate a novel method of accurately, rapidly and easily measuring oxygen saturation within retinal vessels using in vivo imaging spectroscopy. This method uses a commercially available fundus camera coupled to two-dimensional diffracting optics that scatter the incident light onto a focal plane array in a calibrated pattern. Computed tomographic algorithms are used to reconstruct the diffracted spectral patterns into wavelength components of the original image. In this paper the spectral components of oxy- and deoxyhemoglobin are analyzed from the vessels within the image. Up to 76 spectral measurements can be made in only a few milliseconds and used to quantify the oxygen saturation within the retinal vessels over a 10-15 degree field. The method described here can acquire 10-fold more spectral data in much less time than conventional oximetry systems (while utilizing the commonly accepted fundus camera platform). Application of this method to animal models of retinal vascular disease and clinical subjects will provide useful and novel information about retinal vascular disease and physiology.
视网膜血管疾病的诊断依赖于眼科检查结果,这些结果通常发生在严重视力丧失(如静脉阻塞)或不可逆的慢性变化(如糖尿病性视网膜病变)之后。尽管最近取得了一些进展,但诊断成像目前对血管功能和局部氧气输送的了解甚少。一种潜在有用的血管功能测量方法是测量血红蛋白氧含量。在本文中,我们展示了一种使用活体成像光谱学准确、快速和轻松地测量视网膜血管内氧饱和度的新方法。该方法使用商业上可用的眼底相机,结合二维衍射光学元件,将入射光散射到焦平面阵列上,形成校准图案。计算层析成像算法用于将衍射光谱模式重建为原始图像的波长成分。本文从图像中的血管分析了氧合血红蛋白和脱氧血红蛋白的光谱成分。在短短几毫秒内即可进行多达 76 次光谱测量,并可在 10-15 度的视场范围内定量测量视网膜血管内的氧饱和度。与传统的血氧测定系统相比,这里描述的方法可以在更短的时间内获取 10 倍以上的光谱数据(同时利用常用的眼底相机平台)。该方法在视网膜血管疾病动物模型和临床研究中的应用将为视网膜血管疾病和生理学提供有用和新颖的信息。