Calibration procedure for enhanced mirror artifact removal in full-range optical coherence tomography using passive quadrature demultiplexing.

Significance: Passive quadrature demultiplexing allows full-range optical coherence tomography (FR-OCT). However, imperfections in the wavelength- and frequency-response of the demodulation circuits can cause residual mirror artifacts, which hinder high-quality imaging on both sides of zero delay. Aim: We aim at achieving high mirror artifact extinction by calibrated postprocessing of the FR-OCT signal. Approach: We propose a mathematical framework for the origin of the residual mirror peaks as well as a protocol allowing the precise measurement and correction of the associated errors directly from mirror measurements. Results: We demonstrate high extinction of the mirror artifact over the entire imaging range, as well as an assessment of the method's robustness to time and experimental conditions. We also provide a detailed description of the practical implementation of the method to ensure optimal reproducibility. Conclusion: The proposed method is simple to implement and produces high mirror artifact extinction. This may encourage the adoption of FR-OCT in clinical and industrial systems or loosen the performance requirements on the optical demodulation circuit, as the imperfections can be handled in postprocessing.

Trace Selenium Measurement in Water Using Laser-Induced Fluorescence Assisted by Laser Ablation.

Selenium detection and removal from industrial and mining effluents have gained attention recently due to the negative effects of this trace element on aquatic life. However, the current methods for the detection of selenium in effluents are off-line by nature. In order to fill this gap, we investigated the use of laser ablation-assisted laser-induced fluorescence (LA-LIF) to measure trace amount of selenium in aqueous solutions. LA-LIF measurements are real time, label-free, standoff, and require no consumables as well as no sample preparation. They can provide a field-amenable, versatile tool for the measurement of selenium in the whole water treatment chain. We describe the system utilized, the temporal and fluence optimization studies, and the resulting calibration curve, which is linear over a wide dynamic range from parts-per-billion to tens of parts-per-million concentration levels. We also show that the achieved limit of detection of selenium can reach 32 µg/L using LA-LIF, without any kind of preconcentration or matrix transfer.

Intravascular optical coherence tomography to validate finite-element simulation of angioplasty balloon inflation.

Concrete methods are lacking to examine angioplasty simulation results. For the first time, we explored the application of intravascular optical coherence tomography (IVOCT) to experimentally validate results obtained from finite-element simulation of angioplasty balloon deployment. In order to simulate each experimental scenario, IVOCT images were used to create initial geometrical models for the balloon and the phantoms. The study comprised three scenarios. The first scenario involved experimentally monitoring as well as simulating free expansion of the balloon. The second scenario involved experimentally monitoring as well as simulating balloon inflation inside three artery phantoms with different mechanical properties. The third scenario involved experimentally monitoring as well as simulating balloon unfolding and inflation inside a multilayer phantom. Using the first scenario, a constitutive model was developed for the balloon and was tuned to fit the IVOCT balloon inflation monitoring results. This model was used to simulate the balloon's response in simulations involving phantoms corresponding to the second and third scenarios. Diameter values were calculated both from images and simulation results. These values were then compared for each scenario. The obtained results highlight the potentials of IVOCT monitoring to validate simulation procedures.

Processing to determine optical parameters of atherosclerotic disease from phantom and clinical intravascular optical coherence tomography three-dimensional pullbacks.

Analysis of intravascular optical coherence tomography (IVOCT) data has potential for real-time in vivo plaque classification. We developed a processing pipeline on a three-dimensional local region of support for estimation of optical properties of atherosclerotic plaques from coronary artery, IVOCT pullbacks. Using realistic coronary artery disease phantoms, we determined insignificant differences in mean and standard deviation estimates between our pullback analyses and more conventional processing of stationary acquisitions with frame averaging. There was no effect of tissue depth or oblique imaging on pullback parameter estimates. The method's performance was assessed in comparison with observer-defined standards using clinical pullback data. Values (calcium [Formula: see text], lipid [Formula: see text], and fibrous [Formula: see text]) were consistent with previous measurements obtained by other means. Using optical parameters ([Formula: see text], [Formula: see text], [Formula: see text]), we achieved feature space separation of plaque types and classification accuracy of [Formula: see text]. Despite the rapid [Formula: see text] motion and varying incidence angle in pullbacks, the proposed computational pipeline appears to work as well as a more standard "stationary" approach.

Validation of parameter estimation methods for determining optical properties of atherosclerotic tissues in intravascular OCT.

In this paper we present a new process for assessing optical properties of tissues from 3D pullbacks, the standard clinical acquisition method for iOCT data. Our method analyzes a volume of interest (VOI) consisting of about 100 A-lines spread across the angle of rotation (θ) and along the artery, z. The new 3D method uses catheter correction, baseline removal, speckle noise reduction, alignment of A-line sequences, and robust estimation. We compare results to those from a more standard, "gold standard" stationary acquisition where many image frames are averaged to reduce noise. To do these studies in a controlled fashion, we use a realistic optical artery phantom containing of multiple "tissue types." Precision and accuracy for 3D pullback analysis are reported. Our results indicate that when implementing the process on a stationary acquisition dataset, the uncertainty improves at each stage while the uncertainty is reduced. When comparing stationary acquisition dataset to pullback dataset, the values were as follows: calcium: 3.8±1.09mm-1 in stationary and 3.9±1.2 mm-1 in a pullback; lipid: 11.025±0.417 mm-1 in stationary and 11.27±0.25 mm-1 in pullback; fibrous: 6.08±1.337 mm-1 in stationary and 5.58±2.0 mm-1 . These results indicates that the process presented in this paper introduce minimal bias and only a small change in uncertainty when comparing a stationary and pullback dataset, thus paves the way to a highly accurate clinical plaque type discrimination, enabling automatic classification.

Artery phantoms for intravascular optical coherence tomography: diseased arteries.

We propose and test various strategies for the creation of artery phantoms mimicking different kinds of diseased arteries when imaged by intravascular optical coherence tomography (IVOCT). We first review the method for making healthy artery phantoms. We then describe the procedure to fabricate diseased artery phantoms with intima thickening, lipid pool, thin-capped fibroatheroma, calcification, and restenosis (homogeneous and layered) after stent apposition. For each case, a phantom is fabricated, an IVOCT image is obtained, and the image is compared to that of a real artery.

Intravascular optical coherence tomography to characterize tissue deformation during angioplasty: preliminary experiments with artery phantoms.

We explored the potential of intravascular optical coherence tomography (IVOCT) to assess deformation during angioplasty balloon inflation. Using a semi-compliant balloon and artery phantoms, we considered two experimental scenarios. The goal for the first scenario was to investigate if variation in the elasticity of the structure surrounding the balloon could be sensed by IVOCT monitoring. In this scenario, we used three single-layer phantoms with various mechanical properties. Image analysis was performed to extract the inner and outer diameters of the phantoms at various pressures. The goal for the second scenario was twofold. First, we investigated the IVOCT capability to monitor a more complex balloon inflation process. The balloon was in a folded state prior to inflation. This allowed studying two stages of deformation: during balloon unfolding and during balloon expansion. Second, we investigated IVOCT capability to monitor the deformation in a three-layer phantom used to better mimic a true artery. So, not only were the IVOCT images processed to provide the inner and outer diameters of the phantom, but the layer thicknesses were also determined. In both scenarios, IVOCT monitoring revealed to be very efficient in providing relevant information about the phantom deformation during balloon inflation.

Review of tissue simulating phantoms with controllable optical, mechanical and structural properties for use in optical coherence tomography.

We review the development of phantoms for optical coherence tomography (OCT) designed to replicate the optical, mechanical and structural properties of a range of tissues. Such phantoms are a key requirement for the continued development of OCT techniques and applications. We focus on phantoms based on silicone, fibrin and poly(vinyl alcohol) cryogels (PVA-C), as we believe these materials hold the most promise for durable and accurate replication of tissue properties.

Optimal signal processing of nonlinearity in swept-source and spectral-domain optical coherence tomography.

We demonstrate the efficiency of the convolution using an optimized Kaiser-Bessel window to resample nonlinear data in wavenumber for Fourier-domain optical coherence tomography (OCT). We extend our previous experimental demonstration that was performed with a specific swept-source nonlinearity. The method is now applied to swept-source OCT data obtained for various simulated swept-source nonlinearities as well as spectral-domain OCT data obtained from both simulations and experiments. Results show that the new optimized method is the most efficient for handling all the different types of nonlinearities in the wavenumber domain that one can encounter in normal practice. The efficiency of the method is evaluated through comparison with common methods using resampling through interpolation prior to performing a fast-Fourier transform and with the accurate but time-consuming discrete Fourier transform for unequally spaced data, which involves Vandermonde matrices.

Consensus standards for acquisition, measurement, and reporting of intravascular optical coherence tomography studies: a report from the International Working Group for Intravascular Optical Coherence Tomography Standardization and Validation.

OBJECTIVES: The purpose of this document is to make the output of the International Working Group for Intravascular Optical Coherence Tomography (IWG-IVOCT) Standardization and Validation available to medical and scientific communities, through a peer-reviewed publication, in the interest of improving the diagnosis and treatment of patients with atherosclerosis, including coronary artery disease. BACKGROUND: Intravascular optical coherence tomography (IVOCT) is a catheter-based modality that acquires images at a resolution of ~10 µm, enabling visualization of blood vessel wall microstructure in vivo at an unprecedented level of detail. IVOCT devices are now commercially available worldwide, there is an active user base, and the interest in using this technology is growing. Incorporation of IVOCT in research and daily clinical practice can be facilitated by the development of uniform terminology and consensus-based standards on use of the technology, interpretation of the images, and reporting of IVOCT results. METHODS: The IWG-IVOCT, comprising more than 260 academic and industry members from Asia, Europe, and the United States, formed in 2008 and convened on the topic of IVOCT standardization through a series of 9 national and international meetings. RESULTS: Knowledge and recommendations from this group on key areas within the IVOCT field were assembled to generate this consensus document, authored by the Writing Committee, composed of academicians who have participated in meetings and/or writing of the text. CONCLUSIONS: This document may be broadly used as a standard reference regarding the current state of the IVOCT imaging modality, intended for researchers and clinicians who use IVOCT and analyze IVOCT data.

Real-time control of angioplasty balloon inflation based on feedback from intravascular optical coherence tomography: experimental validation on an excised heart and a beating heart model.

We report on real-time control of balloon inflation inside porcine arteries. In the first step, experiments were done in a coronary artery of an excised heart. In the second step, experiments were done in a beating heart setup providing conditions very close to in vivo conditions without the complications. A programmable syringe pump was used to inflate a compliant balloon in arteries, while intravascular optical coherence tomography (IVOCT) monitoring was performed. In a feedback loop, IVOCT images were processed to provide the balloon diameter values in real time to control the pump action in order to achieve a target diameter. In different experiments, various flow rates and target diameters were used. In the excised heart experiment, there was good convergence to target diameters resulting in a satisfactory balloon inflation control. In the beating heart experiment, there were oscillations in the diameter values due to cyclic arterial contractions. In these experiments, the control system maintained diameter averages satisfactorily close to predetermined target values. Real-time control of balloon inflation could not only provide a safer outcome for angioplasty procedures, but could also provide additional information for diagnostics since it implicitly provides information about the artery response to the inflation process.

Real-time control of angioplasty balloon inflation based on feedback from intravascular optical coherence tomography: preliminary study on an artery phantom.

A method is proposed to achieve computerized control of angioplasty balloon inflation, based on feedback from intravascular optical coherence tomography (IVOCT). Controlled balloon inflation could benefit clinical applications, cardiovascular research, and medical device industry. The proposed method was experimentally tested for balloon inflation within an artery phantom. During balloon inflation, luminal contour of the phantom was extracted from IVOCT images in real time. Luminal diameter was estimated from the obtained contour and was used in a feedback loop. Based on the estimated actual diameter and a target diameter, a computer controlled a programmable syringe pump to deliver or withdraw liquid in order to achieve the target diameter. The performance of the control method was investigated under different conditions, e.g., various flow rates and various target diameters. The results were satisfactory, as the control method provided convergence to the target diameters in various experiments.

Artery phantoms for intravascular optical coherence tomography: healthy arteries.

We present a method to make phantoms of coronary arteries for intravascular optical coherence tomography (IV-OCT). The phantoms provide a calibrated OCT response similar to the layered structure of arteries. The optical properties of each layer are achieved with specific concentrations of alumina and carbon black in a silicone matrix. This composition insures high durability and also approximates the elastic properties of arteries. The phantoms are fabricated in a tubular shape by the successive deposition and curing of liquid silicone mixtures on a lathe setup.

Optical coherence tomography monitoring of angioplasty balloon inflation in a deployment tester.

We present an innovative integration of an intravascular optical coherence tomography probe into a computerized balloon deployment system to monitor the balloon inflation process. The high-resolution intraluminal imaging of the balloon provides a detailed assessment of the balloon quality and, consequently, a technique to improve the balloon manufacturing process. A custom-built swept-source optical coherence tomography system is used for real-time imaging. A semicompliant balloon with a nominal diameter of 4 mm is fabricated for the experiments. Imaging results correspond to balloon deployment in air and inside an artery phantom. A characterization of the balloon diameter, wall thickness, compliance, and elastic modulus is provided, based on image segmentation. Using the images obtained from the probe pullback, a three-dimensional visualization of the inflated balloon is presented.

Intravascular optical coherence tomography on a beating heart model.

The advantages and limitations of using a beating heart model in the development of intravascular optical coherence tomography are discussed. The model fills the gap between bench experiments, performed on phantoms and excised arteries, and whole animal in-vivo preparations. The beating heart model is stable for many hours, allowing for extended measurement times and multiple imaging sessions under in-vivo conditions without the complications of maintaining whole-animal preparation. The perfusate supplying the heart with nutrients can be switched between light scattering blood to a nonscattering perfusate to allow the optical system to be optimized without the need of an efficient blood displacement strategy. Direct access to the coronary vessels means that there is no need for x-ray fluoroscopic guidance of the catheter to the heart, as is the case in whole animal preparation. The model proves to be a valuable asset in the development of our intravascular optical coherence tomography technology.

Experimental validation of an optimized signal processing method to handle non-linearity in swept-source optical coherence tomography.

We evaluate various signal processing methods to handle the non-linearity in wavenumber space exhibited by most laser sources for swept-source optical coherence tomography. The following methods are compared for the same set of experimental data: non-uniform discrete Fourier transforms with Vandermonde matrix or with Lomb periodogram, resampling with linear interpolation or spline interpolation prior to fast-Fourier transform (FFT), and resampling with convolution prior to FFT. By selecting an optimized Kaiser-Bessel window to perform the convolution, we show that convolution followed by FFT is the most efficient method. It allows small fractional oversampling factor between 1 and 2, thus a minimal computational time, while retaining an excellent image quality.

Deformable and durable phantoms with controlled density of scatterers.

We have developed deformable and durable optical tissue phantoms with a simple and well-defined microstructure including a novel combination of scatterers and a matrix material. These were developed for speckle and elastography investigations in optical coherence tomography, but should prove useful in many other fields. We present in detail the fabrication process which involves embedding silica microspheres in a silicone matrix. We also characterize the resulting phantoms with scanning electron microscopy and optical measurements. To our knowledge, no such phantoms were proposed in the literature before. Our technique has a wide range of applicability and could also be adapted to fabricate phantoms with various optical and mechanical properties.

Artifact removal in Fourier-domain optical coherence tomography with a piezoelectric fiber stretcher.

We describe an artifact removal setup swept-source optical coherence tomography (OCT) system that enables high-speed full-range imaging. We implement a piezoelectric fiber stretcher to generate a periodic phase shift between successive A-scans, thus introducing a transverse modulation. The depth ambiguity is then resolved by performing a Fourier filtering in the transverse direction before processing the data in the axial direction. The dc artifact is also removed. The key factor is that the piezoelectric fiber stretcher can be used to generate discrete phase shifts with a high repetition rate. The proposed experimental setup is a much improved version of the previously reported B-M mode scanning for spectral-domain OCT in that it does not generate additional artifacts. It is a simple and low-cost solution for artifact removal that can easily be applied.