OCT in difficult diagnostic cases in gynecology

Ольга Викторовна Пантелеева, Natalia Shakhova, Grigory V. Gelikonov, Ekaterina Yunusova
In: Optical Coherence Tomography and Coherence Techniques V · 2011 · pp. 809124 · doi:10.1364/ecbo.2011.809124 · W4238028981
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This study developed optical coherence tomography criteria for pelvic inflammatory disease and endometriosis, demonstrating high diagnostic accuracy of 75-85% for PID through comparative analysis with histological results.

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This research investigates the use of optical coherence tomography as a complementary diagnostic technique to laparoscopy for evaluating female reproductive function. The authors acquired and morphologically verified OCT images of fallopian tubes and pelvic peritoneum from patients with pelvic inflammatory disease and endometriosis. They developed specific OCT criteria for these conditions based on comparative analysis with histological studies, demonstrating a high diagnostic accuracy of 75-85% for PID. Relevance to endometriosis: listed as one condition where OCT imaging criteria were developed alongside pelvic inflammatory disease, though the paper's main focus is on diagnostic methodology rather than clinical treatment outcomes.

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Abstract

The study is aimed at developing new methods for diagnosing causes of impairment of female reproductive function. An increase of infertility and chronic pelvic pains syndrome, a growing level of latent diseases of this group, as well as a stably high percentage (up to 25% for infertility and up to 60% for the chronic pelvic pains syndrome) of undetermined origin make this research extremely important. As a complementary technique to laparoscopy we propose to use optical coherence tomography. We have acquired OCT images of different parts of fallopian tubes and pelvic peritoneum and analyzed OCT criteria of unaltered tissues. The OCT images of the isthmic part of fallopian tubes and peritoneum have been morphologically verified for pelvic inflammatory diseases (PID) and endometriosis. Changes in the optical properties of the studied organs typical of PID and endometriosis have been investigated. Based on comparative analysis of the OCT data and the results of histological studies OCT criteria of the considered diseases have been developed. Statistical analysis of diagnostic efficacy of OCT in the case of PID has been carried out. High (75-85%) diagnostic accuracy of OCT in PID is shown.
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Abstract The study is aimed at developing new methods for diagnosing causes of impairment of female reproductive function. An increase of infertility and chronic pelvic pains syndrome, a growing level of latent diseases of this group, as well as a stably high percentage (up to 25% for infertility and up to 60% for the chronic pelvic pains syndrome) of undetermined origin make this research extremely important. As a complementary technique to laparoscopy we propose to use optical coherence tomography. We have acquired OCT images of different parts of fallopian tubes and pelvic peritoneum and analyzed OCT criteria of unaltered tissues. The OCT images of the isthmic part of fallopian tubes and peritoneum have been morphologically verified for pelvic inflammatory diseases (PID) and endometriosis. Changes in the optical properties of the studied organs typical of PID and endometriosis have been investigated. Based on comparative analysis of the OCT data and the results of histological studies OCT criteria of the considered diseases have been developed. Statistical analysis of diagnostic efficacy of OCT in the case of PID has been carried out. High (75-85%) diagnostic accuracy of OCT in PID is shown. © 2011 OSA/SPIE PDF ArticleMore Like This Mikhail Kirillin, Olga Panteleeva, Darya Eliseeva, Olga Kachalina, Ekaterina Sergeeva, Lyubov Dubasova, Pavel Agrba, Gyular Mikailova, Maxim Prudnikov, and Natalia Shakhova 880205 European Conference on Biomedical Optics (ECBO) 2013 Mikhail Kirillin, Olga Panteleeva, Pavel Agrba, Mikhail Pasukhin, Ekaterina Sergeeva, Elena Plankina, Varvara Dudenkova, Ekaterina Gubarkova, Elena Kiseleva, Natalia Gladkova, Natalia Shakhova, and Alex Vitkin 95420I European Conference on Biomedical Optics (ECBO) 2015 Alexander M. Sergeev, Valentin M. Gelikonov, Grigory V. Gelikonov, Felix I. Feldchtein, Nathaly D. Gladkova, and Vladislav A. Kamensky CIT196 Advances in Optical Imaging and Photon Migration (BIOMED) 1996

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