Intraoperative use of optical coherence tomography to differentiate normal and diseased thyroid and parathyroid tissues from lymph node and fat.

Abstract:

:The purpose of this study is twofold: (1) to determine the feasibility of optical coherence tomography (OCT) to differentiate normal and diseased tissue of the neck region intraoperatively and (2) to evaluate how accurately a cohort of test subjects can identify various tissue types when shown a sample set of OCT images. In this in vivo, prospective, single institutional study, an OCT imaging system (Niris, Imalux, Cleveland, OH) was used to image parathyroid, thyroid, lymph node, and fat tissue in 76 patients during neck surgery. Biopsies were performed for comparison of OCT images with histology in select cases (n = 20). Finally, a group of either surgeons or scientists familiar with OCT (n = 17) were shown a sample of OCT images and asked to identify the tissue. A total of 437 OCT images were analyzed, and characteristic features of each tissue type were identified. OCT demonstrated distinct differences in structural architecture and signal intensity that allows differentiation between thyroid and parathyroid tissues, lymph nodes, and fat. OCT images were also compared with histology with good correlation. There was no difference in correctly identifying OCT-imaged tissue type between surgeons and scientists. This study is the first in vivo OCT imaging study to evaluate both normal and diseased tissues that may be encountered during neck surgery. OCT has the potential to become a valuable intraoperative tool to differentiate diseased and normal thyroid tissue intraoperatively to obtain an "optical biopsy" in real time without fixation, staining, or tissue resection.

journal_name

Lasers Med Sci

authors

Rubinstein M,Hu AC,Chung PS,Kim JH,Osann KE,Schalch P,Armstrong WB,Wong BJF

doi

10.1007/s10103-020-03024-z

subject

Has Abstract

pub_date

2020-04-27 00:00:00

eissn

0268-8921

issn

1435-604X

pii

10.1007/s10103-020-03024-z

pub_type

杂志文章
  • Tissue levels, histologic changes and plasma pharmacokinetics of meta-Tetra (hydroxyphenyl) chlorin (mTHPC) in the cat.

    abstract::The biodistribution and pharmacokinetics of meta-tetra(hydroxyphenyl)chlorin (mTHPC)(1) have been documented in humans, rats, dogs and rabbits. It has been demonstrated to be an effective photodynamic therapy agent for treatment of squamous cell carcinoma. Squamous cell carcinoma is a common feline neoplasm, causing s...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s101030200014

    authors: Campbell GA,Bartels KE,Arnold C,Healey T,Cowell RL,Lucroy MD,Ronn AM

    更新日期:2002-01-01 00:00:00

  • Transition from congress abstract to full publication for clinical trials presented at laser meetings.

    abstract::The present study aims to identify (1) what proportion of abstracts of clinical trials presented at The American Society for Laser Medicine and Surgery (ASLMS) annual meetings are published as full reports, (2) time to publication, and (3) factors that may predict the publication of research in peer-reviewed journals....

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-007-0484-4

    authors: Akbari-Kamrani M,Shakiba B,Parsian S

    更新日期:2008-07-01 00:00:00

  • Effects of combination of melatonin and laser irradiation on ovarian cancer cells and endothelial lineage viability.

    abstract::The main goal of anti-cancer therapeutic approaches is to induce apoptosis in tumor masses but not in the normal tissues. Nevertheless, the combination of photodynamic irradiation with complementary oncostatic agents contributes to better therapeutic performance. Here, we applied two different cell lines; SKOV3 ovaria...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-016-2016-6

    authors: Akbarzadeh M,Nouri M,Banekohal MV,Cheraghi O,Tajalli H,Movassaghpour A,Soltani S,Cheraghi H,Feizy N,Montazersaheb S,Rahbarghazi R,Samadi N

    更新日期:2016-11-01 00:00:00

  • Low-light-level therapy as a treatment for minimal hepatic encephalopathy: behavioural and brain assessment.

    abstract::Minimal hepatic encephalopathy (MHE) has been shown to affect daily functioning, quality of life, driving and overall mortality. However, little is known about treating or diagnosing early impairments involved in MHE. We studied one of its precipitating factors, portal hypertension. The purpose was to evaluate an enha...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-016-2042-4

    authors: Arias N,Méndez M,Arias JL

    更新日期:2016-11-01 00:00:00

  • Effect of low-level laser therapy on angiogenesis and matrix metalloproteinase-2 immunoexpression in wound repair.

    abstract::Low-level laser therapy (LLLT) induces anti-inflammatory and angiogenic activities in wound healing. However, the mechanism of action and optimal parameters require further clarification. In this study, we investigated the effects of LLLT on wound healing matrix metalloproteinase (MMP)-2 immunoexpression and angiogeni...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-016-2080-y

    authors: de Medeiros ML,Araújo-Filho I,da Silva EM,de Sousa Queiroz WS,Soares CD,de Carvalho MG,Maciel MA

    更新日期:2017-01-01 00:00:00

  • Evaluation of laser therapy and alpha-lipoic acid for the treatment of burning mouth syndrome: a randomized clinical trial.

    abstract::The aim of this study was to evaluate the efficacy of low-level laser therapy (LLLT) and alpha-lipoic acid (ALA) in the treatment of burning mouth syndrome (BMS) and secondary oral burning (SOB) by unstimulated sialometry, symptom assessment, and measurement of salivary TNF-α levels. Forty-four patients were randomize...

    journal_title:Lasers in medical science

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10103-018-2472-2

    authors: Barbosa NG,Gonzaga AKG,de Sena Fernandes LL,da Fonseca AG,Queiroz SIML,Lemos TMAM,da Silveira ÉJD,de Medeiros AMC

    更新日期:2018-08-01 00:00:00

  • Computer-assisted evaluation of microleakage after apical resection with laser and conventional techniques.

    abstract::The purpose of this in vitro study was to observe the morphological changes and apical dye penetration at apical dentin surfaces after apicoectomy with conventional techniques and laser beam. Sixty single-rooted extracted teeth were selected for the study. The crowns were resected below the cemento-enamel junction. Th...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-007-0497-z

    authors: Arisu HD,Sadik B,Bala O,Türköz E

    更新日期:2008-10-01 00:00:00

  • Comparison of high-intensity ultraviolet and NB-UVB on the maturation of melanocytes derived from hair follicle neural crest stem cells.

    abstract::Both high-intensity ultraviolet and narrowband ultraviolet B (NB-UVB) are important therapeutic options for vitiligo management, but high-intensity ultraviolet is more effective than NB-UVB. However, the underlying mechanisms have not been well investigated. Herein, we compare the effects of high-intensity ultraviolet...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-014-1568-6

    authors: Dong D,Chen S,Zhang X,Jin C,Zheng Y,Yang L

    更新日期:2014-09-01 00:00:00

  • Lack of clinical evidence on low-level laser therapy (LLLT) on dental titanium implant: a systematic review.

    abstract::Low-level laser therapy (LLLT) has proved to have biostimulating effects on tissues over which they are applied, therefore accelerating the healing process. Most studies in implantology were focused on a reduction of the duration of osseointegration. There exist few articles analyzing the potential effects of these th...

    journal_title:Lasers in medical science

    pub_type: 杂志文章,评审

    doi:10.1007/s10103-015-1860-0

    authors: Prados-Frutos JC,Rodríguez-Molinero J,Prados-Privado M,Torres JH,Rojo R

    更新日期:2016-02-01 00:00:00

  • LLLT improves tendon healing through increase of MMP activity and collagen synthesis.

    abstract::The Achilles tendon has a high incidence of rupture, and the healing process leads to a disorganized extracellular matrix (ECM) with a high rate of injury recurrence. To evaluate the effects of different conditions of low-level laser (LLL) application on partially tenotomized tendons, adult male rats were divided into...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-012-1236-7

    authors: Guerra Fda R,Vieira CP,Almeida MS,Oliveira LP,de Aro AA,Pimentel ER

    更新日期:2013-09-01 00:00:00

  • Safety of laser-generated shockwave treatment for bacterial biofilms in a cutaneous rodent model.

    abstract::Bacterial biofilms are often found in chronically infected wounds. Biofilms protect bacteria from antibiotics and impair wound healing. Surgical debridement is often needed to remove the biofilm from an infected wound. Laser-generated shockwave (LGS) treatment is a novel tissue-sparing treatment for biofilm disruption...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-020-03171-3

    authors: Yao W,Kuan EC,Grundfest WS,St John MA

    更新日期:2020-10-27 00:00:00

  • Microhardness and polymerization shrinkage of flowable resins that are light cured using a blue laser.

    abstract::This study evaluated the microhardness and polymerization shrinkage of flowable resins that are cured using different light sources. Seven flowable resins and two light sources (diode-pumped solid-state (DPSS) laser (LAS) and Optilux 501 (OP)) were chosen for the study. To evaluate the microhardness, a mold (height: 2...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-011-0964-4

    authors: Jeong CM,Heo YJ,Jeon YC,Kim HI,Kwon YH

    更新日期:2012-07-01 00:00:00

  • In vivo study of age-related changes in the optical properties of the skin.

    abstract::The optical properties of the skin (absorption coefficient, scattering coefficient, refractive index) may serve to characterize the skin and are important for correct light dosimetry in many optical diagnostic procedures and laser treatments especially photodynamic therapy and laser therapy. We determined in vivo the ...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-009-0725-9

    authors: Calin MA,Parasca SV

    更新日期:2010-03-01 00:00:00

  • Percutaneous peripheral revascularisation with excimer laser: equipment, technique and results.

    abstract::Laser angioplasty has been evaluated for coronary applications since the early 1980s. Early complications of dissection, perforation and thermal injury led to a loss of enthusiasm for this technique. Recent advances in catheter development, including optimally spaced laser fibres, athermic 308 nm wave-length catheters...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/pl00011338

    authors: Das TS

    更新日期:2001-01-01 00:00:00

  • 5-aminolaevulinic-acid-induced formation of different porphyrins and their photomodifications.

    abstract::The relative amounts of 5-aminolaevulinic acid (ALA)-induced hydrophobic and hydrophilic porphyrins produced in normal mouse tissue and solid Ehrlich ascites carcinoma in mice were investigated as a function of added glucose, light irradiation and restricted blood flow to the tumour. Protoporphyrin IX (PpIX) is the pr...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/BF02765103

    authors: Dietel W,Fritsch C,Pottier RH,Wendenburg R

    更新日期:1997-10-01 00:00:00

  • XeCl laser ablation of biocompatible PTFE studied by photothermal beam deflection.

    abstract::Laser beam deflection is a useful tool for studying the dynamics of the pulsed laser ablation mechanism, and has the advantage of being used as an in situ laser damage monitoring technique for both bulk and thin film polymeric and biological tissue samples. This work employs the photothermal deflection technique to st...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/BF02767153

    authors: Skordoulis CD,Makropoulou MI,Bolovinos AL,Serafetinides AA

    更新日期:1997-12-01 00:00:00

  • The thermal impact of phototherapy with concurrent super-pulsed lasers and red and infrared LEDs on human skin.

    abstract::From the very first reports describing the method of action of phototherapy, the effects have been considered to be the result of photochemical and photophysical interactions between the absorbed photons and tissue and not related to secondary changes in tissue or skin temperature. However, thermal effects have been r...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-015-1755-0

    authors: Grandinétti Vdos S,Miranda EF,Johnson DS,de Paiva PR,Tomazoni SS,Vanin AA,Albuquerque-Pontes GM,Frigo L,Marcos RL,de Carvalho Pde T,Leal-Junior EC

    更新日期:2015-07-01 00:00:00

  • Curcumin photodynamic effect in the treatment of the induced periodontitis in rats.

    abstract::This study assessed the effect of curcumin as a photosensitizer in antimicrobial photodynamic therapy (aPDT) for the treatment of induced periodontitis in rats. Periodontitis was induced via a ligature around the mandibular first molar on the left side of 96 rats. The ligature was removed 7 days later, and the animals...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-017-2261-3

    authors: Theodoro LH,Ferro-Alves ML,Longo M,Nuernberg MAA,Ferreira RP,Andreati A,Ervolino E,Duque C,Garcia VG

    更新日期:2017-11-01 00:00:00

  • A randomised controlled trial of ALA vs. Photofrin photodynamic therapy for high-grade dysplasia arising in Barrett's oesophagus.

    abstract::Photofrin photodynamic therapy (PDT) is a licenced treatment for Barrett's oesophagus (BE) with high-grade dysplasia (HGD) but causes strictures and photosensitivity and complete reversal of dysplasia (CR-HGD) by 50 % at 5 years. 5-Aminolaevulinic acid (ALA) is an alternative treatment with non-randomised data suggest...

    journal_title:Lasers in medical science

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10103-012-1132-1

    authors: Dunn JM,Mackenzie GD,Banks MR,Mosse CA,Haidry R,Green S,Thorpe S,Rodriguez-Justo M,Winstanley A,Novelli MR,Bown SG,Lovat LB

    更新日期:2013-05-01 00:00:00

  • Effects of pre-irradiation of low-level laser therapy with different doses and wavelengths in skeletal muscle performance, fatigue, and skeletal muscle damage induced by tetanic contractions in rats.

    abstract::This study aimed to evaluate the effects of low-level laser therapy (LLLT) immediately before tetanic contractions in skeletal muscle fatigue development and possible tissue damage. Male Wistar rats were divided into two control groups and nine active LLLT groups receiving one of three different laser doses (1, 3, and...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-014-1560-1

    authors: Santos LA,Marcos RL,Tomazoni SS,Vanin AA,Antonialli FC,Grandinetti Vdos S,Albuquerque-Pontes GM,de Paiva PR,Lopes-Martins RÁ,de Carvalho Pde T,Bjordal JM,Leal-Junior EC

    更新日期:2014-09-01 00:00:00

  • Photobiomodulation via a cluster device associated with a physical exercise program in the level of pain and muscle strength in middle-aged and older women with knee osteoarthritis: a randomized placebo-controlled trial.

    abstract::Osteoarthritis (OA) is a chronic joint disease that leads to pain and functional incapacity. The aim of the study is to investigate the effects of the incorporation of photobiomodulation (PBM) (via cluster) into a physical exercise program on the level of pain, lower limb muscle strength, and physical capacity, in pat...

    journal_title:Lasers in medical science

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10103-019-02807-3

    authors: Vassão PG,de Souza MC,Silva BA,Junqueira RG,de Camargo MR,Dourado VZ,Tucci HT,Renno AC

    更新日期:2020-02-01 00:00:00

  • Microscopical examination of the localisation patterns of two novel rhodamine derivatives in normal and neoplastic colonic mucosa.

    abstract::Tissue characterisation by fluorescence imaging, using exogenous fluorophores, is a promising method for cancer detection. Histochemical alterations in the composition of mucins, when neoplastic transformations occur, could be exploited to derive more selective fluoroprobes indicative of early malignant transformation...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/pl00011361

    authors: Atlamazoglou V,Yova D,Kavantzas N,Loukas S

    更新日期:2001-01-01 00:00:00

  • Correction to: The changing landscape of dermatology practice: melanoma and pump-probe laser microscopy.

    abstract::The published online version contains mistake. Warren S. Warren was not included in the author group section. Corrected author group section is shown above. ...

    journal_title:Lasers in medical science

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s10103-017-2339-y

    authors: Puza CJ,Warren WS,Mosca PJ

    更新日期:2017-12-01 00:00:00

  • Morphometric and histological analysis of low-power laser influence on bone morphogenetic protein in bone defects repair.

    abstract::Bone morphogenetic proteins (BMPs) are secreted signaling molecules belonging to the transforming growth factor-beta (TGF-beta) superfamily. The objective of this study was to determine how gallium-aluminum-arsenium (GaAlAs) 650 nm laser influenced the action of BMPs on bone defects created in rat femurs. The sample c...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-008-0595-6

    authors: Denadai AS,de Carvalho Pde T,dos Reis FA,Belchior AC,Pereira DM,Dourado DM,Silva IS,de Oliveira LV

    更新日期:2009-09-01 00:00:00

  • Stimulatory effect of low-level laser therapy on root development of rat molars: a preliminary study.

    abstract::Several studies suggest a biomodulatory influence of low-level laser irradiation in the inflammatory and reparative processes of dental tissues. The aim of this study was to investigate the stimulatory effect of 808-nm laser irradiation on root development of rat molars and also to evaluate the histological reaction o...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-011-0935-9

    authors: Toomarian L,Fekrazad R,Tadayon N,Ramezani J,Tunér J

    更新日期:2012-05-01 00:00:00

  • In vivo study of intradermal focusing for tattoo removal.

    abstract::Delivery of intradermally focused nanosecond laser pulses with small energy as an alternate technique applicable to clinical procedures in dermatological and plastic surgery is an area of relatively new interest with multiple potential applications. We assessed this approach on common tattoo pigments in dermis in an i...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s101030200025

    authors: Hu XH,Wooden WA,Vore SJ,Cariveau MJ,Fang Q,Kalmus GW

    更新日期:2002-01-01 00:00:00

  • Q-switched 1064 nm Nd-Yag nanosecond laser effects on skin barrier function and on molecular rejuvenation markers in keratinocyte-fibroblasts interaction.

    abstract::Skin represents an interface between internal and external environment; it protects human body by regulating the water loss and the maintenance of body temperature, defending against irritant and pathogen agents, and against physical, chemical, and UV damage. It provides to essential physiological functions, such as t...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-018-2635-1

    authors: De Filippis A,Perfetto B,Guerrera LP,Oliviero G,Baroni A

    更新日期:2019-04-01 00:00:00

  • Optical coherence tomography parameters as predictors of treatment response to a 577-nm subthreshold micropulse laser in chronic central serous chorioretinopathy.

    abstract::To determine the relation between retinal microstructural changes and the response to 577-nm subthreshold micropulse laser (SML) treatment in chronic central serous chorioretinopathy (cCSC). This retrospective study included 39 eyes of 39 patients with cCSC, treated with the 577-nm SML. The eyes were evaluated in thre...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-020-03225-6

    authors: Altınel MG,Acikalin B,Gunes H,Demir G

    更新日期:2021-01-07 00:00:00

  • Photobiomodulation improves motor response in patients with spinal cord injury submitted to electromyographic evaluation: randomized clinical trial.

    abstract::Photobiomodulation is a treatment that has been widely used in neurotrauma and neurodegenerative diseases. In the present study, low-level laser therapy was administered to patients with spinal cord injury. Twenty-five individuals were divided into two groups: placebo photobiomodulation plus physiotherapy and active p...

    journal_title:Lasers in medical science

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10103-018-2447-3

    authors: da Silva FC,Gomes AO,da Costa Palácio PR,Politti F,de Fátima Teixeira da Silva D,Mesquita-Ferrari RA,Fernandes KPS,Bussadori SK

    更新日期:2018-05-01 00:00:00

  • Microtensile bond strength of an etch-and-rinse adhesive to enamel and dentin after Er:YAG laser pretreatment with different pulse durations.

    abstract::The purpose of this study is to evaluate microtensile bond strength (μTBS) of an etch-and-rinse adhesive to enamel and dentin after treatment with Er:YAG laser using different pulse durations. Extracted human molars were flattened to obtain enamel or dentin surfaces. The enamel specimens (E) were divided into nine gro...

    journal_title:Lasers in medical science

    pub_type: 杂志文章

    doi:10.1007/s10103-010-0830-9

    authors: Firat E,Gurgan S,Gutknecht N

    更新日期:2012-01-01 00:00:00