Diagnosis of oral submucous fibrosis with optical coherence tomography

Cheng-Kuang Lee; Meng-Tsan Tsai; Hsiang-Chieh Lee; Hsin-Ming Chen; Chun-Ping Chiang; Yih-Ming Wang; Chih-Chung Yang

doi:10.1117/1.3233653

1 September 2009 Diagnosis of oral submucous fibrosis with optical coherence tomography

Cheng-Kuang Lee, Meng-Tsan Tsai, Hsiang-Chieh Lee, Hsin-Ming Chen, Chun-Ping Chiang, Yih-Ming Wang, Chih-Chung Yang

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Journal of Biomedical Optics, Vol. 14, Issue 5, 054008 (September 2009). https://doi.org/10.1117/1.3233653

Abstract

The epithelium (EP) thickness and the standard deviation (SD) of A-mode scan intensity in the laminar propria (LP) layer are used as effective indicators for the diagnosis of oral submucous fibrosis (OSF) based on the noninvasive clinical scanning of a swept-source optical coherence tomography (OCT) system of ~6 µm in axial resolution (in tissue) and 103 dB in sensitivity. Compared with the corresponding parameters in healthy oral mucosal mucosa, in OSF mucosa, the EP thickness becomes smaller and the SD of A-mode scan intensity in the LP layer (LP SD) also becomes smaller. The LP SD can also be used for effectively differentiating OSF (small LP SD) from lesion (large LP SD). This application is particularly useful in the case of a lesion without a clear surface feature. Meanwhile, the use of the SD of A-mode scan intensity in the EP layer (EP SD) can further help in differentiating OSF (medium EP SD) from healthy oral mucosal (small EP SD) and lesion (large EP SD) conditions. Compared with the conventional method of maximum mouth opening measurement, the use of the proposed OCT scanning results can be a more effective technique for OSF diagnosis.

©(2009) Society of Photo-Optical Instrumentation Engineers (SPIE)

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Cheng-Kuang Lee, Meng-Tsan Tsai, Hsiang-Chieh Lee, Hsin-Ming Chen, Chun-Ping Chiang, Yih-Ming Wang, and Chih-Chung Yang "Diagnosis of oral submucous fibrosis with optical coherence tomography," Journal of Biomedical Optics 14(5), 054008 (1 September 2009). https://doi.org/10.1117/1.3233653

Published: 1 September 2009

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