Extravascular optical coherence tomography of cerebral vessel walls in vivo

Evaluation of extravascular, microscope integrated OCT (iOCT) as an in vivo imaging modality of cerebral blood vessels and as an intraoperative imaging method. Microscope integrated optical coherence tomography of major cerebral arteries (n = 13) and superficial sylvian veins (n = 5) and one inciden...

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Veröffentlicht in:PloS one 2023-05, Vol.18 (5), p.e0276307-e0276307
Hauptverfasser: Hartmann, Karl, Neyazi, Belal, Dumitru, Claudia A, Haghikia, Aiden, Sandalcioglu, I Erol, Stein, Klaus-Peter
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Sandalcioglu, I Erol
Stein, Klaus-Peter
description Evaluation of extravascular, microscope integrated OCT (iOCT) as an in vivo imaging modality of cerebral blood vessels and as an intraoperative imaging method. Microscope integrated optical coherence tomography of major cerebral arteries (n = 13) and superficial sylvian veins (n = 5) and one incidental cerebral vasospasm (n = 1) in (n = 10) patients. Post procedural analysis of OCT volume scans, microscopic images and videos during the time of scan as well as measurements of the diameter of vessel walls and its layers with an accuracy of 7.5 μm. iOCT was feasible during vascular microsurgical procedures. In all scanned arteries a clear delineation of the physiological three layered vessel wall composition could be achieved. Pathological arteriosclerotic alterations of cerebral artery walls could precisely be demonstrated. Major superficial cortical veins conversely presented a mono layered composition. First in vivo measurements of vascular mean diameters were possible. Cerebral artery walls showed a diameter of 296 μm, tunica externa 78 μm, media 134 μm and interna 84 μm. For the first time the microstructural composition of cerebral blood vessels could be illustrated in vivo. Due to an outstanding spatial resolution a clear definition of physiological and pathological characteristics was possible. Therefore, microscope integrated optical coherence tomography holds promise for basic research in the field of cerebrovascular arteriosclerotic diseases and for intraoperative guidance during microvascular surgery.
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Microscope integrated optical coherence tomography of major cerebral arteries (n = 13) and superficial sylvian veins (n = 5) and one incidental cerebral vasospasm (n = 1) in (n = 10) patients. Post procedural analysis of OCT volume scans, microscopic images and videos during the time of scan as well as measurements of the diameter of vessel walls and its layers with an accuracy of 7.5 μm. iOCT was feasible during vascular microsurgical procedures. In all scanned arteries a clear delineation of the physiological three layered vessel wall composition could be achieved. Pathological arteriosclerotic alterations of cerebral artery walls could precisely be demonstrated. Major superficial cortical veins conversely presented a mono layered composition. First in vivo measurements of vascular mean diameters were possible. Cerebral artery walls showed a diameter of 296 μm, tunica externa 78 μm, media 134 μm and interna 84 μm. 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subjects Arteries
Biology and Life Sciences
Blood
Blood vessels
Brain
Carotid arteries
Cerebral Veins
Coherence (Optics)
Composition
Diameters
Evaluation
Histology
Humans
Hyperplasia
Light
Medical imaging
Medicine and Health Sciences
Microscopy
Microvasculature
Neurosurgery
Optical Coherence Tomography
Optics
Patients
Physical Sciences
Physiology
Research and Analysis Methods
Spatial discrimination
Spatial resolution
Surgeons
Tomography
Tomography, Optical Coherence - methods
Vascular diseases
Vasoconstriction
Veins
Veins & arteries
Ventricles
title Extravascular optical coherence tomography of cerebral vessel walls in vivo
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