1. Diagnosis of oral precancer with optical coherence tomography
- Author
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Chih-Chung Yang, Chun-Pin Chiang, Chiung-Ting Wu, Cheng-Kuang Lee, Meng-Tsan Tsai, and Ting-Ta Chi
- Subjects
Mild Dysplasia ,Lamina propria ,Pathology ,medicine.medical_specialty ,Normal oral mucosa ,medicine.diagnostic_test ,Maximum level ,business.industry ,Image processing ,ocis:(110.4500) Optical coherence tomography ,Atomic and Molecular Physics, and Optics ,medicine.anatomical_structure ,Optics in Cancer Research ,Optical coherence tomography ,medicine ,ocis:(170.3880) Medical and biological imaging ,business ,Nuclear medicine ,Biotechnology ,Moderate Dysplasia - Abstract
A procedure for computer analyzing an optical coherence tomography (OCT) image of normal and precancerous oral mucosae is demonstrated to reasonably plot the boundary between epithelium (EP) and lamina propria (LP) layers, determine the EP thickness, and estimate the range of dysplastic cell distribution based on standard deviation (SD) mapping. In this study, 54 normal oral mucosa, 39 oral mild dysplasia, and 44 oral moderate dysplasia OCT images are processed for evaluating the diagnosis statistics. Based on SD mapping in an OCT image, it is found that the laterally average range percentages of 70% SD maximum level in the EP layer is a reasonably good threshold for differentiating moderate dysplasia from mild dysplasia oral lesion based on the OCT image analysis. The sensitivity and specificity in diagnosis statistics can reach 82 and 90%, respectively.
- Published
- 2012