Optical Biopsy Using Tissue Spectroscopy and Optical Coherence Tomography

‘Optical biopsy’ or ‘optical diagnostics’ is a technique whereby light energy is used to obtain information about the structure and function of tissues without disrupting them. In fluorescence spectroscopy, light energy (usually provided by a laser) is used to excite tissues and the resulting fluore...

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Main Author: Norman S Nishioka
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2003/824281
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author Norman S Nishioka
author_facet Norman S Nishioka
author_sort Norman S Nishioka
collection DOAJ
description ‘Optical biopsy’ or ‘optical diagnostics’ is a technique whereby light energy is used to obtain information about the structure and function of tissues without disrupting them. In fluorescence spectroscopy, light energy (usually provided by a laser) is used to excite tissues and the resulting fluorescence provides information about the target tissue. Its major gastrointestinal application has been in the evaluation of colonic polyps, in which it can reliably distinguish malignant from benign lesions. Optical coherence tomography (OCT) has been used in the investigation of Barrett’s epithelium (and dysplasia), although a variety of other applications are feasible. For example, OCT could assist in the identification and staging of mucosal and submucosal neoplasms, the grading of inflammation in the stomach and intestine, the diagnosis of biliary tumours and the assessment of villous architecture. OCT differs from endoscopic ultrasound, a complementary modality, in that it has a much higher resolution but lesser depth of penetration. The images correlate with the histopathological appearance of tissues, and the addition of Doppler methods may enable it to evaluate the vascularity of tumours and the amount of blood flow in varices. Refinements in these new optical techniques will likely make them valuable in clinical practice, although their specific roles have yet to be determined.
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spelling doaj-art-18520d71c43740e7b1161133859c33ed2025-08-20T03:54:12ZengWileyCanadian Journal of Gastroenterology0835-79002003-01-0117637638010.1155/2003/824281Optical Biopsy Using Tissue Spectroscopy and Optical Coherence TomographyNorman S Nishioka0Massachusetts General Hospital, Boston, Massachusetts, USA‘Optical biopsy’ or ‘optical diagnostics’ is a technique whereby light energy is used to obtain information about the structure and function of tissues without disrupting them. In fluorescence spectroscopy, light energy (usually provided by a laser) is used to excite tissues and the resulting fluorescence provides information about the target tissue. Its major gastrointestinal application has been in the evaluation of colonic polyps, in which it can reliably distinguish malignant from benign lesions. Optical coherence tomography (OCT) has been used in the investigation of Barrett’s epithelium (and dysplasia), although a variety of other applications are feasible. For example, OCT could assist in the identification and staging of mucosal and submucosal neoplasms, the grading of inflammation in the stomach and intestine, the diagnosis of biliary tumours and the assessment of villous architecture. OCT differs from endoscopic ultrasound, a complementary modality, in that it has a much higher resolution but lesser depth of penetration. The images correlate with the histopathological appearance of tissues, and the addition of Doppler methods may enable it to evaluate the vascularity of tumours and the amount of blood flow in varices. Refinements in these new optical techniques will likely make them valuable in clinical practice, although their specific roles have yet to be determined.http://dx.doi.org/10.1155/2003/824281
spellingShingle Norman S Nishioka
Optical Biopsy Using Tissue Spectroscopy and Optical Coherence Tomography
Canadian Journal of Gastroenterology
title Optical Biopsy Using Tissue Spectroscopy and Optical Coherence Tomography
title_full Optical Biopsy Using Tissue Spectroscopy and Optical Coherence Tomography
title_fullStr Optical Biopsy Using Tissue Spectroscopy and Optical Coherence Tomography
title_full_unstemmed Optical Biopsy Using Tissue Spectroscopy and Optical Coherence Tomography
title_short Optical Biopsy Using Tissue Spectroscopy and Optical Coherence Tomography
title_sort optical biopsy using tissue spectroscopy and optical coherence tomography
url http://dx.doi.org/10.1155/2003/824281
work_keys_str_mv AT normansnishioka opticalbiopsyusingtissuespectroscopyandopticalcoherencetomography