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创新光学眼科成像技术的发展与临床应用

The Development and Clinical Application of Innovative Optical Ophthalmic Imaging Techniques.

作者信息

Alexopoulos Palaiologos, Madu Chisom, Wollstein Gadi, Schuman Joel S

机构信息

Department of Ophthalmology, NYU Langone Health, NYU Grossman School of Medicine, New York, NY, United States.

Department of Biomedical Engineering, NYU Tandon School of Engineering, Brooklyn, NY, United States.

出版信息

Front Med (Lausanne). 2022 Jun 30;9:891369. doi: 10.3389/fmed.2022.891369. eCollection 2022.

Abstract

The field of ophthalmic imaging has grown substantially over the last years. Massive improvements in image processing and computer hardware have allowed the emergence of multiple imaging techniques of the eye that can transform patient care. The purpose of this review is to describe the most recent advances in eye imaging and explain how new technologies and imaging methods can be utilized in a clinical setting. The introduction of optical coherence tomography (OCT) was a revolution in eye imaging and has since become the standard of care for a plethora of conditions. Its most recent iterations, OCT angiography, and visible light OCT, as well as imaging modalities, such as fluorescent lifetime imaging ophthalmoscopy, would allow a more thorough evaluation of patients and provide additional information on disease processes. Toward that goal, the application of adaptive optics (AO) and full-field scanning to a variety of eye imaging techniques has further allowed the histologic study of single cells in the retina and anterior segment. Toward the goal of remote eye care and more accessible eye imaging, methods such as handheld OCT devices and imaging through smartphones, have emerged. Finally, incorporating artificial intelligence (AI) in eye images has the potential to become a new milestone for eye imaging while also contributing in social aspects of eye care.

摘要

在过去几年中,眼科成像领域取得了显著发展。图像处理和计算机硬件的巨大进步使得多种眼部成像技术得以出现,这些技术能够改变患者护理方式。本综述的目的是描述眼部成像的最新进展,并解释如何在临床环境中利用新技术和成像方法。光学相干断层扫描(OCT)的引入是眼部成像领域的一次革命,此后已成为众多病症的护理标准。其最新版本,即OCT血管造影和可见光OCT,以及诸如荧光寿命成像检眼镜等成像方式,将能够对患者进行更全面的评估,并提供有关疾病进程的更多信息。为了实现这一目标,将自适应光学(AO)和全场扫描应用于各种眼部成像技术,进一步实现了对视网膜和眼前节单细胞的组织学研究。为了实现远程眼部护理和更便捷的眼部成像目标,诸如手持式OCT设备和通过智能手机进行成像等方法已经出现。最后,将人工智能(AI)融入眼部图像有潜力成为眼部成像的一个新里程碑,同时也有助于眼部护理的社会层面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe87/9279625/4d699fdb7293/fmed-09-891369-g001.jpg

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