Oh Se-Joon, Lee Il-Woo, Wang Soo-Geun, Kong Soo-Keun, Kim Hong-Ki, Goh Eui-Kyung
Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Busan, Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Seoul, Korea.
Clin Exp Otorhinolaryngol. 2020 May;13(2):106-112. doi: 10.21053/ceo.2019.00766. Epub 2019 Nov 1.
This study aimed to investigate whether optical coherence tomography (OCT) provides useful information about the microstructures of the middle and inner ear via extratympanic approach and thereby could be utilized as an alternative diagnostic technology in ear imaging.
Five rats and mice were included, and the swept-source OCT system was applied to confirm the extent of visibility of the middle and inner ear and measure the length or thickness of the microstructures in the ear. The cochlea was subsequently dissected following OCT and histologically evaluated to compare with the OCT images.
The middle ear microstructures such as ossicles, stapedial artery and oval window through the tympanic membrane with the OCT could be confirmed in both rats and mice. It was also possible to obtain the inner ear images such as each compartment of the cochlea in the mice, but the bone covering bulla needed to be removed to visualize the inner ear structures in the rats which had thicker bulla. The bony thickness covering the cochlea could be measured, which showed no significant differences between OCT and histologic image at all turns of cochlea.
OCT has been shown a promising technology to assess real-time middle and inner ear microstructures noninvasively with a high-resolution in the animal model. Therefore, OCT could be utilized to provide additional diagnostic information about the diseases of the middle and inner ear.
本研究旨在探讨光学相干断层扫描(OCT)能否通过鼓膜外途径提供有关中耳和内耳微观结构的有用信息,从而可作为耳部成像的一种替代诊断技术。
纳入5只大鼠和小鼠,应用扫频源OCT系统确定中耳和内耳的可视范围,并测量耳部微观结构的长度或厚度。随后在OCT检查后解剖耳蜗并进行组织学评估,以与OCT图像进行比较。
通过OCT可在大鼠和小鼠中确认中耳的微观结构,如听小骨、镫骨动脉和穿过鼓膜的卵圆窗。在小鼠中也能够获得内耳图像,如耳蜗的各个部分,但对于鼓室较厚的大鼠,需要去除覆盖鼓室的骨质才能观察到内耳结构。可以测量覆盖耳蜗的骨质厚度,在耳蜗各圈中,OCT图像与组织学图像之间无显著差异。
在动物模型中,OCT已被证明是一种有前景的技术,能够以高分辨率无创地实时评估中耳和内耳的微观结构。因此,OCT可用于提供有关中耳和内耳疾病的额外诊断信息。