Tsai Ting-Yen, Chen Ting-Hao, Chen Hsin-Chien, Chueh Chuan-Bor, Huang Yin-Peng, Hung Yi-Ping, Tsai Meng-Tsan, Baumann Bernhard, Wang Chih-Hung, Lee Hsiang-Chieh
Graduate Institute of Photonics and Optoelectronics, National Taiwan University, Taipei, Taiwan.
Department of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Biomed Opt Express. 2021 Mar 25;12(4):2339-2352. doi: 10.1364/BOE.419378. eCollection 2021 Apr 1.
Currently, the cochlear implantation procedure mainly relies on using a hand lens or surgical microscope, where the success rate and surgery time strongly depend on the surgeon's experience. Therefore, a real-time image guidance tool may facilitate the implantation procedure. In this study, we performed a systematic and quantitative analysis on the optical characterization of mouse cochlear samples using two swept-source optical coherence tomography (OCT) systems operating at the 1.06-µm and 1.3-µm wavelengths. The analysis results demonstrated that the 1.06-µm OCT imaging system performed better than the 1.3-µm OCT imaging system in terms of the image contrast between the cochlear conduits and the neighboring cochlear bony wall structure. However, the 1.3-µm OCT imaging system allowed for greater imaging depth of the cochlear samples because of decreased tissue scattering. In addition, we have investigated the feasibility of identifying the electrode of the cochlear implant within the cochlear sample with the 1.06-µm OCT imaging. The study results demonstrated the potential of developing an image guidance tool for the cochlea implantation procedure as well as other otorhinolaryngology applications.
目前,人工耳蜗植入手术主要依靠手持透镜或手术显微镜,其成功率和手术时间很大程度上取决于外科医生的经验。因此,一种实时图像引导工具可能会有助于植入手术。在本研究中,我们使用两台分别工作在1.06微米和1.3微米波长的扫频光学相干断层扫描(OCT)系统,对小鼠耳蜗样本的光学特性进行了系统的定量分析。分析结果表明,在耳蜗管道与相邻耳蜗骨壁结构之间的图像对比度方面,1.06微米的OCT成像系统比1.3微米的OCT成像系统表现更好。然而,由于组织散射减少,1.3微米的OCT成像系统能够实现对耳蜗样本更大的成像深度。此外,我们还研究了用1.06微米的OCT成像在耳蜗样本中识别人工耳蜗电极的可行性。研究结果证明了开发用于耳蜗植入手术以及其他耳鼻喉科应用的图像引导工具的潜力。