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      Visualization enhancement by PCA-based image fusion for skin burns assessment in polarization-sensitive OCT

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          Abstract

          Polarization-sensitive optical coherence tomography (PS-OCT) is a functional imaging tool for measuring tissue birefringence characteristics. It has been proposed as a potentially non-invasive technique for evaluating skin burns. However, the PS-OCT modality usually suffers from high system complexity and relatively low tissue-specific contrast, which makes assessing the extent of burns in skin tissue difficult. In this study, we employ an all-fiber-based PS-OCT system with single-state input, which is simple and efficient for skin burn assessment. Multiple parameters, such as phase retardation (PR), degree of polarization uniformity (DOPU), and optical axis orientation, are obtained to extract birefringent features, which are sensitive to subtle changes in structural arrangement and tissue composition. Experiments on ex vivo porcine skins burned at different temperatures were conducted for skin burn investigation. The burned depths estimated by PR and DOPU increase linearly with the burn temperature to a certain extent, which is helpful in classifying skin burn degrees. We also propose an algorithm of image fusion based on principal component analysis (PCA) to enhance tissue contrast for the multi-parameter data of PS-OCT imaging. The results show that the enhanced images generated by the PCA-based image fusion method have higher tissue contrast, compared to the en-face polarization images by traditional mean value projection. The proposed approaches in this study make it possible to assess skin burn severity and distinguish between burned and normal tissues.

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          Optical coherence tomography

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            Principal component analysis

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              Adverse reactions due to indocyanine green.

              Although adverse reactions to indocyanine green (ICG) are known to occur, the dye has been used for more than 30 years in tests of cardiac and hepatic function, with a high level of safety. Improved digital video technology has renewed interest in the use of intravenous ICG in ophthalmic imaging. This report describes the authors' experience regarding the safety of ICG for digital angiography and their recommendations for its use in the ophthalmic setting. Digital ICG videoangiography was performed in 1226 consecutive patients, and 1923 ICG videoangiography tests were performed. A registry of adverse reactions to ICG was established. Criteria were used to define mild, moderate, and severe adverse reactions, and these data were recorded for every ICG study performed. There were three (0.15%) mild adverse reactions, four (0.2%) moderate reactions, and one (0.05%) severe adverse reaction. There were no deaths. This study documents the safety of intravenous ICG for use in ophthalmic videoangiography.
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                Author and article information

                Journal
                Biomed Opt Express
                Biomed Opt Express
                BOE
                Biomedical Optics Express
                Optica Publishing Group
                2156-7085
                10 June 2024
                01 July 2024
                : 15
                : 7
                : 4190-4205
                Affiliations
                [1 ]Guangdong-Hong Kong-Macao Intelligent Micro-Nano Optoelectronic Technology Joint Laboratory, Foshan University , Foshan, Guangdong 528000, China
                [2 ]Innovation and Entrepreneurship Teams Project of Guangdong Pearl River Talents Program, Guangdong Weiren Meditech Co., Ltd. , Foshan, Guangdong 528051, China
                [3 ]School of Mechatronic Engineering and Automation, Foshan University , Foshan, Guangdong 528000, China
                [4 ]College of Biophotonics, South China Normal University , Guangzhou 510006, China
                [5 ]Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center , Guangzhou 510060, China
                [6 ]State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University , Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou 510060, China
                [7 ]Department of Laser Medicine, the First Medical Centre, Chinese PLA General Hospital , Beijing 100853, China
                [8 ]Tianjin Hengyu Medical Technology Co., Ltd. , Tianjin 300000, China
                [9 ]Department of Cardiovascular Medicine, The Second Affiliated Hospital of Harbin Medical University , Harbin, Heilongjiang 150001, China
                Author notes
                [†]

                These authors contributed equally to this work.

                Author information
                https://orcid.org/0000-0002-0016-5791
                https://orcid.org/0000-0002-6928-2398
                Article
                521399
                10.1364/BOE.521399
                11249677
                39022536
                693a0ec6-319a-4c63-a9ba-1f080990daa0
                © 2024 Optica Publishing Group

                https://doi.org/10.1364/OA_License_v2#VOR-OA

                © 2024 Optica Publishing Group under the terms of the Optica Open Access Publishing Agreement

                History
                : 09 February 2024
                : 31 May 2024
                : 01 June 2024
                Funding
                Funded by: National Natural Science Foundation of China 10.13039/501100001809
                Award ID: 61835015
                Award ID: 61975030
                Award ID: 62005045
                Award ID: 62305120
                Award ID: 81827806
                Funded by: Research Project of Department of Education of Guangdong Province
                Award ID: 2020KTSCX130
                Award ID: 2022ZDZX2055
                Funded by: Guangdong Basic and Applied Basic Research Foundation 10.13039/501100021171
                Award ID: 2019A1515010805
                Award ID: 2020A1515111108
                Award ID: 2021A1515011981
                Funded by: Innovation and Entrepreneurship Teams Project of Guangdong Pearl River Talents Program
                Award ID: 2019ZT08Y105
                Funded by: Research Fund of Guangdong-Hong Kong-Macao Joint Laboratory for Intelligent Micro-Nano Optoelectronic Technology
                Award ID: 2020B1212030010
                Categories
                Article

                Vision sciences
                Vision sciences

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