Optical coherence tomography (OCT) has developed rapidly since its first realisation in medicine and is currently an emerging technology in the diagnosis of skin disease. OCT is an interferometric technique that detects reflected and backscattered light from tissue and is often described as the optical analogue to ultrasound. The inherent safety of the technology allows for in vivo use of OCT in patients. The main strength of OCT is the depth resolution. In dermatology, most OCT research has turned on non-melanoma skin cancer (NMSC) and non-invasive monitoring of morphological changes in a number of skin diseases based on pattern recognition, and studies have found good agreement between OCT images and histopathological architecture. OCT has shown high accuracy in distinguishing lesions from normal skin, which is of great importance in identifying tumour borders or residual neoplastic tissue after therapy. The OCT images provide an advantageous combination of resolution and penetration depth, but specific studies of diagnostic sensitivity and specificity in dermatology are sparse. In order to improve OCT image quality and expand the potential of OCT, technical developments are necessary. It is suggested that the technology will be of particular interest to the routine follow-up of patients undergoing non-invasive therapy of malignant or premalignant keratinocyte tumours. It is speculated that the continued technological development can propel the method to a greater level of dermatological use.

https://link.springer.com/content/pdf/bfm%3A978-3-319-06419-2%2F1.pdf

Optical Coherence Tomography

There have been three basic approaches to optical tomography since the early 1980s: diffraction tomography, diffuse optical tomography and optical coherence tomography (OCT). Optical techniques are of particular importance in the medical field, because these techniques promise to be safe and cheap and, in addition, offer a therapeutic potential. Advances in OCT technology have made it possible to apply OCT in a wide variety of applications but medical applications are still dominating. Specific advantages of OCT are its high depth and transversal resolution, the fact, that its depth resolution is decoupled from transverse resolution, high probing depth in scattering media, contact-free and non-invasive operation, and the possibility to create various function dependent image contrasting methods. This report presents the principles of OCT and the state of important OCT applications. OCT synthesises cross-sectional images from a series of laterally adjacent depth-scans. At present OCT is used in three different fields of optical imaging, in macroscopic imaging of structures which can be seen by the naked eye or using weak magnifications, in microscopic imaging using magnifications up to the classical limit of microscopic resolution and in endoscopic imaging, using low and medium magnification. First, OCT techniques, like the reflectometry technique and the dual beam technique were based on time-domain low coherence interferometry depth-scans. Later, Fourier-domain techniques have been developed and led to new imaging schemes. Recently developed parallel OCT schemes eliminate the need for lateral scanning and, therefore, dramatically increase the imaging rate. These schemes use CCD cameras and CMOS detector arrays as photodetectors. Video-rate three-dimensional OCT pictures have been obtained. Modifying interference microscopy techniques has led to high-resolution optical coherence microscopy that achieved sub-micrometre resolution. This report is concluded with a short presentation of important OCT applications. Ophthalmology is, due to the transparent ocular structures, still the main field of OCT application. The first commercial instrument too has been introduced for ophthalmic diagnostics (Carl Zeiss Meditec AG). Advances in using near-infrared light, however, opened the path for OCT imaging in strongly scattering tissues. Today, optical in vivo biopsy is one of the most challenging fields of OCT application. High resolution, high penetration depth, and its potential for functional imaging attribute to OCT an optical biopsy quality, which can be used to assess tissue and cell function and morphology in situ. OCT can already clarify the relevant architectural tissue morphology. For many diseases, however, including cancer in its early stages, higher resolution is necessary. New broad-bandwidth light sources, like photonic crystal fibres and superfluorescent fibre sources, and new contrasting techniques, give access to new sample properties and unmatched sensitivity and resolution.

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Optical coherence tomography - principles and applications

An optical coherence tomography system is described which can image up to video rate. The system utilizes a high power broadband source and real time image acquisition hardware and features a high speed scanning delay line in the reference arm based on Fourier-transform pulse shaping technology. The theory of low coherence interferometry with a dispersive delay line, and the operation of the delay line are detailed and the design equations of the system are presented. Real time imaging is demonstrated in vivo in tissues relevant to early human disease diagnosis (skin, eye) and in an important model in developmental biology (Xenopus laevis).

In vivo video rate optical coherence tomography.

The performances of a tunable femtosecond dye laser are analyzed using accurate correlation techniques. The source is a passively mode-locked dye laser, of which both the frequency and frequency modulation are controlled by one or two intracavity prisms. Interferometric second-order autocorrelations, with a peak-to-background ratio of 8 to 1, are used simultaneously with the conventional intensity autocorrelation and the pulse spectrum to determine the pulse shape. The main advantages of the interferometric autocorrelations are that they provide phase information otherwise not available, and they are more sensitive to the pulse shape than the intensity autocorrelation. The phase sensitivity is demonstrated in an analysis of the Gaussian pulses with a linear frequency modulation. Analytical expressions for the envelopes of the interferometric autocorrelations of typical pulse shapes are provided for quick pulse shape identification. A numerical method is used to analyze the more complex pulse shapes and chirps that can be produced by the laser. A series of examples demonstrates the control of this laser over various pulse shapes and frequency modulations. Pulse broadening or compression by propagation through glass is calculated for the pulse shapes determined from the fittings. Comparisons of autocorrelations and cross correlations calculated for the dispersed pulses, with the actual measurements, demonstrate the accuracy of the fitting procedure. The method of pulse shape determination demonstrated here requires a train of identical pulses. Indeed, it is shown that, for example, a train of unchirped pulses randomly distributed in frequency can have the same interferometric autocorrelation than a single chirped pulse. In the case of the present source, a comparison of the pulse spectrum, with that of the second harmonic, gives an additional proof that pulse-to-pulse fluctuations are negligible.

Control and measurement of ultrashort pulse shapes (in amplitude and phase) with femtosecond accuracy

A feasibility study of controlling the carrier phase in ultrashort light-wave packets emitted by a sub-10-fs laser is reported. An experimental apparatus capable of exploring the phase sensitivity of nonlinear-optical interactions is presented.

Route to phase control of ultrashort light pulses

Completely general and novel expressions are presented for n th-order fast or slow correlation functions, with or without background contributions, from which more specialized n th- and second-order auto-correlation functions are derived A straightforward method for obtaining CW autocorrelation measurements of picosecond pulses is then described which employs an audio loudspeaker driven at 30 Hz in one arm of the correlator to permit autocorrelation display at this frequency Results of the application of this device to measurements of the picosecond pulses from a CW synchronously mode-locked Rhodamine 6G dye laser are presented

G. Kenney-Wallace

Papers

CW autocorrelation measurements of picosecond laser pulses