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      Total retinal blood flow measurement with ultrahigh speed swept source/Fourier domain OCT

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          Abstract

          Doppler OCT provides depth-resolved information on flow in biological tissues. In this article, we demonstrate ultrahigh speed swept source/Fourier domain OCT for visualization and quantitative assessment of retinal blood flow. Using swept laser technology, the system operated in the 1050-nm wavelength range at a high axial scan rate of 200 kHz. The rapid imaging speed not only enables volumetric imaging with high axial scan densities, but also enables measurement of high flow velocities in the central retinal vessels. Deep penetration in the optic nerve and lamina cribrosa was achieved by imaging at 1-µm wavelengths. By analyzing en-face images extracted from 3D Doppler data sets, absolute flow in single vessels as well as total retinal blood flow was measured using a simple and robust protocol that does not require measurement of Doppler angles. The results from measurements in healthy eyes suggest that ultrahigh speed swept source/Fourier domain OCT could be a promising technique for volumetric imaging of retinal vasculature and quantitation of retinal blood flow in a wide range of retinal diseases.

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          Most cited references45

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          Optical coherence tomography.

          A technique called optical coherence tomography (OCT) has been developed for noninvasive cross-sectional imaging in biological systems. OCT uses low-coherence interferometry to produce a two-dimensional image of optical scattering from internal tissue microstructures in a way that is analogous to ultrasonic pulse-echo imaging. OCT has longitudinal and lateral spatial resolutions of a few micrometers and can detect reflected signals as small as approximately 10(-10) of the incident optical power. Tomographic imaging is demonstrated in vitro in the peripapillary area of the retina and in the coronary artery, two clinically relevant examples that are representative of transparent and turbid media, respectively.
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            The impact of ocular blood flow in glaucoma.

            Two principal theories for the pathogenesis of glaucomatous optic neuropathy (GON) have been described--a mechanical and a vascular theory. Both have been defended by various research groups over the past 150 years. According to the mechanical theory, increased intraocular pressure (IOP) causes stretching of the laminar beams and damage to retinal ganglion cell axons. The vascular theory of glaucoma considers GON as a consequence of insufficient blood supply due to either increased IOP or other risk factors reducing ocular blood flow (OBF). A number of conditions such as congenital glaucoma, angle-closure glaucoma or secondary glaucomas clearly show that increased IOP is sufficient to lead to GON. However, a number of observations such as the existence of normal-tension glaucoma cannot be satisfactorily explained by a pressure theory alone. Indeed, the vast majority of published studies dealing with blood flow report a reduced ocular perfusion in glaucoma patients compared with normal subjects. The fact that the reduction of OBF often precedes the damage and blood flow can also be reduced in other parts of the body of glaucoma patients, indicate that the hemodynamic alterations may at least partially be primary. The major cause of this reduction is not atherosclerosis, but rather a vascular dysregulation, leading to both low perfusion pressure and insufficient autoregulation. This in turn may lead to unstable ocular perfusion and thereby to ischemia and reperfusion damage. This review discusses the potential role of OBF in glaucoma and how a disturbance of OBF could increase the optic nerve's sensitivity to IOP.
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              Ultrahigh-resolution, high-speed, Fourier domain optical coherence tomography and methods for dispersion compensation.

              Ultrahigh-resolution optical coherence tomography uses broadband light sources to achieve axial image resolutions on the few micron scale. Fourier domain detection methods enable more than an order of magnitude increase in imaging speed and sensitivity, thus overcoming the sensitivity limitations inherent in ultrahigh-resolution OCT using standard time domain detection. Fourier domain methods also provide direct access to the spectrum of the optical signal. This enables automatic numerical dispersion compensation, a key factor in achieving ultrahigh image resolutions. We present ultrahigh-resolution, high-speed Fourier domain OCT imaging with an axial resolution of 2.1 ìm in tissue and 16,000 axial scans per second at 1024 pixels per axial scan. Ultrahigh-resolution spectral domain OCT is shown to provide a ~100x increase in imaging speed when compared to ultrahigh-resolution time domain OCT. In vivo imaging of the human retina is demonstrated. We also present a general technique for automatic numerical dispersion compensation, which is applicable to spectral domain as well as swept source embodiments of Fourier domain OCT.
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                Author and article information

                Journal
                Biomed Opt Express
                BOE
                Biomedical Optics Express
                Optical Society of America
                2156-7085
                13 May 2011
                01 June 2011
                13 May 2011
                : 2
                : 6
                : 1539-1552
                Affiliations
                [1 ]Department of Electrical Engineering and Computer Science, and Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
                [2 ]New England Eye Center and Tufts Medical Center, Tufts University, Boston, MA 02116, USA
                [3 ]Advanced Imaging Group, Thorlabs, Inc., Newton, NJ 07860, USA
                [4 ]Pattern Recognition Lab, University Erlangen-Nuremberg, D-91058 Erlangen, Germany
                [5 ]Casey Eye Institute, Oregon Health & Science University, Portland, OR 97239, USA
                [6 ]School of Advanced Optical Technologies, University Erlangen-Nuremberg, D-91052 Erlangen, Germany
                Author notes
                Article
                143940
                10.1364/BOE.2.001539
                3114222
                21698017
                5d637c98-1d5c-416f-a2a0-f3779dc8500b
                ©2011 Optical Society of America

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 Unported License, which permits download and redistribution, provided that the original work is properly cited. This license restricts the article from being modified or used commercially.

                History
                : 16 March 2011
                : 11 May 2011
                : 11 May 2011
                Funding
                Funded by: National Institutes of Health
                Award ID: NIH R01-EY011289-25
                Award ID: R01-EY013178-10
                Award ID: R01-EY013516-07
                Award ID: R01-EY019029-02
                Award ID: R01-CA075289-14
                Award ID: R01-HL095717-02
                Funded by: Air Force Office of Scientific Research
                Award ID: AFOSR FA9550-10-1-0063
                Funded by: Medical Free Electron Laser Program
                Award ID: FA9550-10-1-0551
                Funded by: Deutsche Forschungsgesellschaft
                Award ID: DFG-GSC80-SAOT
                Categories
                Optical Coherence Tomography
                Custom metadata
                True
                0

                Vision sciences
                (280.2490) flow diagnostics,(170.4470) ophthalmology,(170.4500) optical coherence tomography,(170.3880) medical and biological imaging

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