Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranostics

Abstract Background Rapid, label-free and depth-resolved imaging of atopic dermatitis (AD) at high resolution has long been a challenge due to current dermoscopes are limited by inadequate resolution, sensitivity and the lack of three-dimensional (3D) imaging capability. Methods Herein, we present p...

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Main Authors: Fengxian Du, Huiling Wu, Junwei Xue, Shenglan Yao, Ronghui Li, Jinde Zhang, Haitao Wang, Qi Cheng, Fan Zhao, Ying Huang, Zijian Zhou, Feng Liang, Xiufei Gu, Valery V. Tuchin, Qingliang Zhao
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Language:English
Published: BMC 2025-06-01
Series:Journal of Translational Medicine
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Online Access:https://doi.org/10.1186/s12967-025-06228-5
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author Fengxian Du
Huiling Wu
Junwei Xue
Shenglan Yao
Ronghui Li
Jinde Zhang
Haitao Wang
Qi Cheng
Fan Zhao
Ying Huang
Zijian Zhou
Feng Liang
Xiufei Gu
Valery V. Tuchin
Qingliang Zhao
author_facet Fengxian Du
Huiling Wu
Junwei Xue
Shenglan Yao
Ronghui Li
Jinde Zhang
Haitao Wang
Qi Cheng
Fan Zhao
Ying Huang
Zijian Zhou
Feng Liang
Xiufei Gu
Valery V. Tuchin
Qingliang Zhao
author_sort Fengxian Du
collection DOAJ
description Abstract Background Rapid, label-free and depth-resolved imaging of atopic dermatitis (AD) at high resolution has long been a challenge due to current dermoscopes are limited by inadequate resolution, sensitivity and the lack of three-dimensional (3D) imaging capability. Methods Herein, we present promising optical coherence tomography (OCT) and OCT angiography (OCTA) collaborative multi-parameter image processing algorithms (OCT/OCTA) that have been developed for long-term, dynamic longitudinal investigation of subtly changes in tissue structure during the dynamic development of AD, especially in the microvascular network. Results The OCT image demonstrated a ‘roller-coaster’ trend in skin thickness throughout the progression of dermatitis, initially exhibiting an increase and subsequently a decrease. Moreover, the OCTA image enabled the discernment of a displacement of the superficial vascular plexus to deeper layers as the severity of AD increased. Furthermore, the results of the quantitative analysis of vascular multiparametric features at different stages, including vessel diameter, length, and density, also demonstrated a positive correlation with the severity of AD. Conclusion Overall, the full-cycle dynamic changes in skin thickness and depth-resolved vascular alterations during the progression of dermatitis can be effectively predicted using OCT/OCTA, which can inform more targeted AD diagnosis and treatment strategies. Furthermore, this method has the potential to assess therapeutic drug efficacy by capturing microvascular and structural responses across different stages of treatment. The presented methods have the potential to provide new insight into the monitoring of long-term vascular and tissue structure responses before and after therapeutic intervention in a range of AD-related skin diseases.
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spelling doaj-art-90065fc1d1df4e4c9b54e3b019d2bf2d2025-08-20T03:22:54ZengBMCJournal of Translational Medicine1479-58762025-06-0123111810.1186/s12967-025-06228-5Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranosticsFengxian Du0Huiling Wu1Junwei Xue2Shenglan Yao3Ronghui Li4Jinde Zhang5Haitao Wang6Qi Cheng7Fan Zhao8Ying Huang9Zijian Zhou10Feng Liang11Xiufei Gu12Valery V. Tuchin13Qingliang Zhao14The State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversityThe State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversityThe State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversityThe State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversityThe State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversityThe Institute of Advanced Science FacilitiesBeiJing HealthOLight Technology Co. LtdBeiJing HealthOLight Technology Co. LtdShengjing Hospital of China Medical UniversityShengjing Hospital of China Medical UniversityThe State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversitySenior Department of General Surgery, The First Medical Center of Chinese, PLA General HospitalThe State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversityInstitute of Physics and Science Medical Center, Saratov State UniversityThe State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, Department of Medical Oncology, Department of ICU, School of Medicine, School of Public Health, Xiang’an Hospital of Xiamen University, Xiamen UniversityAbstract Background Rapid, label-free and depth-resolved imaging of atopic dermatitis (AD) at high resolution has long been a challenge due to current dermoscopes are limited by inadequate resolution, sensitivity and the lack of three-dimensional (3D) imaging capability. Methods Herein, we present promising optical coherence tomography (OCT) and OCT angiography (OCTA) collaborative multi-parameter image processing algorithms (OCT/OCTA) that have been developed for long-term, dynamic longitudinal investigation of subtly changes in tissue structure during the dynamic development of AD, especially in the microvascular network. Results The OCT image demonstrated a ‘roller-coaster’ trend in skin thickness throughout the progression of dermatitis, initially exhibiting an increase and subsequently a decrease. Moreover, the OCTA image enabled the discernment of a displacement of the superficial vascular plexus to deeper layers as the severity of AD increased. Furthermore, the results of the quantitative analysis of vascular multiparametric features at different stages, including vessel diameter, length, and density, also demonstrated a positive correlation with the severity of AD. Conclusion Overall, the full-cycle dynamic changes in skin thickness and depth-resolved vascular alterations during the progression of dermatitis can be effectively predicted using OCT/OCTA, which can inform more targeted AD diagnosis and treatment strategies. Furthermore, this method has the potential to assess therapeutic drug efficacy by capturing microvascular and structural responses across different stages of treatment. The presented methods have the potential to provide new insight into the monitoring of long-term vascular and tissue structure responses before and after therapeutic intervention in a range of AD-related skin diseases.https://doi.org/10.1186/s12967-025-06228-5Optical coherence tomographyOptical Micro-angiographyAtopic dermatitisInflammatoryLong-term observation
spellingShingle Fengxian Du
Huiling Wu
Junwei Xue
Shenglan Yao
Ronghui Li
Jinde Zhang
Haitao Wang
Qi Cheng
Fan Zhao
Ying Huang
Zijian Zhou
Feng Liang
Xiufei Gu
Valery V. Tuchin
Qingliang Zhao
Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranostics
Journal of Translational Medicine
Optical coherence tomography
Optical Micro-angiography
Atopic dermatitis
Inflammatory
Long-term observation
title Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranostics
title_full Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranostics
title_fullStr Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranostics
title_full_unstemmed Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranostics
title_short Long-term investigation of 3D tissue detailed structure and multiparametric vascular network properties using OCT/OCTA for guiding atopic dermatitis theranostics
title_sort long term investigation of 3d tissue detailed structure and multiparametric vascular network properties using oct octa for guiding atopic dermatitis theranostics
topic Optical coherence tomography
Optical Micro-angiography
Atopic dermatitis
Inflammatory
Long-term observation
url https://doi.org/10.1186/s12967-025-06228-5
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