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Zhang L, Bounds A, Girkin J. Monte Carlo simulations and phantom modeling for spatial frequency domain imaging of surgical wound monitoring. JOURNAL OF BIOMEDICAL OPTICS 2023; 28:126003. [PMID: 38098981 PMCID: PMC10720737 DOI: 10.1117/1.jbo.28.12.126003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Revised: 11/30/2023] [Accepted: 11/30/2023] [Indexed: 12/17/2023]
Abstract
Significance Postoperative surgical wound infection is a serious problem around the globe, including in countries with advanced healthcare systems, and a method for early detection of infection is urgently required. Aim We explore spatial frequency domain imaging (SFDI) for distinguishing changes in surgical wound healing based on the tissue scattering properties and surgical wound width measurements. Approach A comprehensive numerical method is developed by applying a three-dimensional Monte Carlo simulation to a vertical heterogeneous wound model. The Monte Carlo simulation results are validated using resin phantom imaging experiments. Results We report on the SFDI lateral resolution with varying reduced scattering value and wound width and discuss the partial volume effect at the sharp vertical boundaries present in a surgical incision. The detection sensitivity of this method is dependent on spatial frequency, wound reduced scattering coefficient, and wound width. Conclusions We provide guidelines for future SFDI instrument design and explanation for the expected error in SFDI measurements.
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Affiliation(s)
- Lai Zhang
- Durham University, Department of Physics, Centre for Advanced Instrumentation, Durham, United Kingdom
| | | | - John Girkin
- Durham University, Department of Physics, Centre for Advanced Instrumentation, Durham, United Kingdom
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2
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Shafi I, Fatima A, Afzal H, Díez IDLT, Lipari V, Breñosa J, Ashraf I. A Comprehensive Review of Recent Advances in Artificial Intelligence for Dentistry E-Health. Diagnostics (Basel) 2023; 13:2196. [PMID: 37443594 DOI: 10.3390/diagnostics13132196] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 06/14/2023] [Accepted: 06/23/2023] [Indexed: 07/15/2023] Open
Abstract
Artificial intelligence has made substantial progress in medicine. Automated dental imaging interpretation is one of the most prolific areas of research using AI. X-ray and infrared imaging systems have enabled dental clinicians to identify dental diseases since the 1950s. However, the manual process of dental disease assessment is tedious and error-prone when diagnosed by inexperienced dentists. Thus, researchers have employed different advanced computer vision techniques, and machine- and deep-learning models for dental disease diagnoses using X-ray and near-infrared imagery. Despite the notable development of AI in dentistry, certain factors affect the performance of the proposed approaches, including limited data availability, imbalanced classes, and lack of transparency and interpretability. Hence, it is of utmost importance for the research community to formulate suitable approaches, considering the existing challenges and leveraging findings from the existing studies. Based on an extensive literature review, this survey provides a brief overview of X-ray and near-infrared imaging systems. Additionally, a comprehensive insight into challenges faced by researchers in the dental domain has been brought forth in this survey. The article further offers an amalgamative assessment of both performances and methods evaluated on public benchmarks and concludes with ethical considerations and future research avenues.
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Affiliation(s)
- Imran Shafi
- College of Electrical and Mechanical Engineering, National University of Sciences and Technology (NUST), Islamabad 44000, Pakistan
| | - Anum Fatima
- National Centre for Robotics, National University of Sciences and Technology (NUST), Islamabad 44000, Pakistan
| | - Hammad Afzal
- Military College of Signals (MCS), National University of Sciences and Technology (NUST), Islamabad 44000, Pakistan
| | - Isabel de la Torre Díez
- Department of Signal Theory and Communications and Telematic Engineering, University of Valladolid, Paseo de Belén 15, 47011 Valladolid, Spain
| | - Vivian Lipari
- Research Unit in Food Technologies, Agro-Food Industries and Nutrition, Universidad Europea del Atlántico, Isabel Torres 21, 39011 Santander, Spain
- Research Unit in Food Technologies, Agro-Food Industries and Nutrition, Universidad Internacional Iberoamericana, Campeche 24560, Mexico
- Research Unit in Food Technologies, Agro-Food Industries and Nutrition, Fundación Universitaria Internacional de Colombia, Bogotá 111311, Colombia
| | - Jose Breñosa
- Research Unit in Food Technologies, Agro-Food Industries and Nutrition, Universidad Europea del Atlántico, Isabel Torres 21, 39011 Santander, Spain
- Universidade Internacional do Cuanza, Cuito EN250, Bié, Angola
- Research Unit in Food Technologies, Agro-Food Industries and Nutrition, Universidad Internacional Iberoamericana Arecibo, Puerto Rico, PR 00613, USA
| | - Imran Ashraf
- Department of Information and Communication Engineering, Yeungnam University, Gyeongsan 38541, Republic of Korea
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3
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Crowley J, Gordon GSD. Designing and simulating realistic spatial frequency domain imaging systems using open-source 3D rendering software. BIOMEDICAL OPTICS EXPRESS 2023; 14:2523-2538. [PMID: 37342713 PMCID: PMC10278632 DOI: 10.1364/boe.484286] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 04/24/2023] [Accepted: 04/25/2023] [Indexed: 06/23/2023]
Abstract
Spatial frequency domain imaging (SFDI) is a low-cost imaging technique that maps absorption and reduced scattering coefficients, offering improved contrast for important tissue structures such as tumours. Practical SFDI systems must cope with various imaging geometries including imaging planar samples ex vivo, imaging inside tubular lumen in vivo e.g. for endoscopy, and measuring tumours or polyps of varying morphology. There is a need for a design and simulation tool to accelerate design of new SFDI systems and simulate realistic performance under these scenarios. We present such a system implemented using open-source 3D design and ray-tracing software Blender that simulates media with realistic absorption and scattering in a wide range of geometries. By using Blender's Cycles ray-tracing engine, our system simulates effects such as varying lighting, refractive index changes, non-normal incidence, specular reflections and shadows, enabling realistic evaluation of new designs. We first demonstrate quantitative agreement between Monte-Carlo simulated absorption and reduced scattering coefficients with those simulated from our Blender system, achieving 16 % discrepancy in absorption coefficient and 18 % in reduced scattering coefficient. However, we then show that using an empirically derived look-up table the errors reduce to 1 % and 0.7 % respectively. Next, we simulate SFDI mapping of absorption, scattering and shape for simulated tumour spheroids, demonstrating enhanced contrast. Finally we demonstrate SFDI mapping inside a tubular lumen, which highlighted a important design insight: custom look-up tables must be generated for different longitudinal sections of the lumen. With this approach we achieved 2 % absorption error and 2 % scattering error. We anticipate our simulation system will aid in the design of novel SFDI systems for key biomedical applications.
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Affiliation(s)
- Jane Crowley
- Optics & Photonics Group, Department of Electrical and
Electronic Engineering, University of Nottingham, Nottingham, United
Kingdom
| | - George S. D. Gordon
- Optics & Photonics Group, Department of Electrical and
Electronic Engineering, University of Nottingham, Nottingham, United
Kingdom
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4
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Zeng S, Wu Y, Wang L, Huang Y, Huang W, Li Z, Gao W, Jiang S, Ge L, Zhang J. In vivo real-time assessment of developmental defects in enamel of anti-Act1 mice using optical coherence tomography. Heliyon 2023; 9:e16545. [PMID: 37274657 PMCID: PMC10238730 DOI: 10.1016/j.heliyon.2023.e16545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 05/10/2023] [Accepted: 05/18/2023] [Indexed: 06/06/2023] Open
Abstract
The purpose of this study was to explore the feasibility of using optical coherence tomography (OCT) for real-time and quantitative monitoring of enamel development in gene-edited enamel defect mice. NF-κB activator 1, known as Act1, is associated with many inflammatory diseases. The antisense oligonucleotide of Act1 was inserted after the CD68 gene promoter, which would cover the start region of the Act1 gene and inhibit its transcription. Anti-Act1 mice, gene-edited mice, were successfully constructed and demonstrated amelogenesis imperfecta by scanning electron microscope (SEM) and energy dispersive X-ray (EDX) spectroscopy. Wild-type (WT) mice were used as the control group in this study. WT mice and anti-Act1 mice at 3 weeks old were examined by OCT every week and killed at eight weeks old. Their mandibular bones were dissected and examined by OCT, micro-computed tomography (micro-CT), and SEM. OCT images showed that the outer layer of enamel of anti-Act1 mice was obviously thinner than that of WT mice but no difference in total thickness. When assessing enamel thickness, there was a significant normal linear correlation between these methods. OCT could scan the imperfect developed enamel noninvasively and quickly, providing images of the enamel layers of mouse incisors.
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Affiliation(s)
- Sujuan Zeng
- Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
| | - Yuejun Wu
- Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
| | - Lijing Wang
- Vascular Biology Research Institute, Guangdong Pharmaceutical University, Guangzhou, 510006, China
| | - Yuhang Huang
- Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
| | - Wenyan Huang
- Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
| | - Ziling Li
- Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
| | - Weijian Gao
- School of Biomedical Engineering, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People's Hospital, Guangzhou Medical University, Guangzhou, 511436, China
| | - Siqing Jiang
- Department of Temporomandibular Joint, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
| | - Lihong Ge
- Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
- Department of Pediatric Dentistry, Stomatology Hospital of Peking University, Beijing, 100081, China
| | - Jian Zhang
- Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou, 510182, China
- School of Biomedical Engineering, The Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People's Hospital, Guangzhou Medical University, Guangzhou, 511436, China
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5
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Motion Deblurring for Single-Pixel Spatial Frequency Domain Imaging. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12157402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The single-pixel imaging technique is applied to spatial frequency domain imaging (SFDI) to bring significant performance advantages in band extension and sensitivity enhancement. However, the large number of samplings required can cause severe quality degradations in the measured image when imaging a moving target. This work presents a novel method of motion deblurring for single-pixel SFDI. In this method, the Fourier coefficients of the reflected image are measured by the Fourier single-pixel imaging technique. On this basis, a motion-degradation-model-based compensation, which is derived by the phase-shift and frequency-shift properties of Fourier transform, is adopted to eliminate the effects of target displacements on the measurements. The target displacements required in the method are obtained using a fast motion estimation approach. A series of numerical and experimental validations show that the proposed method can effectively deblur the moving targets and accordingly improves the accuracy of the extracted optical properties, rendering it a potentially powerful way of broadening the clinical application of single-pixel SFDI.
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Le N, Lu J, Tang P, Chung KH, Subhash H, Kilpatrick-Liverman L, Wang RK. Intraoral optical coherence tomography and angiography combined with autofluorescence for dental assessment. BIOMEDICAL OPTICS EXPRESS 2022; 13:3629-3646. [PMID: 35781964 PMCID: PMC9208603 DOI: 10.1364/boe.460575] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 05/20/2022] [Accepted: 05/21/2022] [Indexed: 05/11/2023]
Abstract
There remains a clinical need for an accurate and non-invasive imaging tool for intraoral evaluation of dental conditions. Optical coherence tomography (OCT) is a potential candidate to meet this need, but the design of current OCT systems limits their utility in the intraoral examinations. The inclusion of light-induced autofluorescence (LIAF) can expedite the image collection process and provides a large field of view for viewing the condition of oral tissues. This study describes a novel LIAF-OCT system equipped with a handheld probe designed for intraoral examination of microstructural (via OCT) and microvascular information (via OCT angiography, OCTA). The handheld probe is optimized for use in clinical studies, maintaining the ability to detect and image changes in the condition of oral tissue (e.g., hard tissue damage, presence of dental restorations, plaque, and tooth stains). The real-time LIAF provides guidance for OCT imaging to achieve a field of view of approximately 6.9 mm × 7.8 mm, and a penetration depth of 1.5 mm to 3 mm depending on the scattering property of the target oral tissue. We demonstrate that the proposed system is successful in capturing reliable depth-resolved images from occlusal and palatal surfaces and offers added design features that can enhance its usability in clinical settings.
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Affiliation(s)
- Nhan Le
- Department of Bioengineering,
University of Washington, Seattle, WA
98195, USA
- These authors contributed equally to this
work
| | - Jie Lu
- Department of Bioengineering,
University of Washington, Seattle, WA
98195, USA
- These authors contributed equally to this
work
| | - Peijun Tang
- Department of Bioengineering,
University of Washington, Seattle, WA
98195, USA
| | - Kwok-Hung Chung
- Department of Restorative Dentistry,
University of Washington, Seattle, WA
98195, USA
| | | | | | - Ruikang K. Wang
- Department of Bioengineering,
University of Washington, Seattle, WA
98195, USA
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7
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Metzger Z, Colson DG, Bown P, Weihard T, Baresel I, Nolting T. Reflected near-infrared light versus bite-wing radiography for the detection of proximal caries: A multicenter prospective clinical study conducted in private practices. J Dent 2021; 116:103861. [PMID: 34706269 DOI: 10.1016/j.jdent.2021.103861] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2021] [Revised: 10/12/2021] [Accepted: 10/19/2021] [Indexed: 01/20/2023] Open
Abstract
OBJECTIVES The aim of the present prospective multicenter clinical study was to compare the detection of proximal caries with near-infrared light reflection (NILR) versus bitewing radiography (BWR). MATERIALS AND METHODS Intraoral scans were performed on 100 patients in five dental clinics using an intraoral scanner (iTero Element 5D, Align Technology, Tempe, AZ, USA) that includes a near-infrared light source (850 nm) and sensor. Reflected near-infrared light images of posterior teeth were used by the individual dentists to detect proximal caries and the results were compared to the BWRs. In a total of 3499 proximal surfaces of molars and premolars which were examined, 223 carious lesions were detected by BWR, while NILR detected 549 carious lesions. Caries detection using both methods was also done by an expert team of five dentists, highly experienced in NILR image interpretation, who used the same sets of clinically-obtained data. Sensitivity, specificity, and accuracy were calculated for caries detection by both the dentists and the expert team. Fifty-nine of the detected carious lesions were clinically treated and the observations during caries excavation were compared with those done with NILR and BWR. Statistical analysis to compare between NILR and BWR diagnosis was performed using non-parametric two-sided McNemar's Chi-Square test with the significance level set at p < 0.05. Kappa coefficients were calculated to assess the level of agreement between the two caries detection methods. RESULTS Accuracy of NILR detection of early enamel lesions was 88% and that of carious lesions involving the dentino-enamel junction (DEJ) was 97%. Accuracy was found to be higher at 96% and 99%, respectively, when the same data were examined by the expert team. Direct observation during caries-excavation treatment suggested that NILR detected early enamel lesions that were not detectable with BWR alone. CONCLUSIONS Within the limitations of the present study, NILR was more sensitive than BWR in detecting early enamel lesions and comparable to BWR in detecting lesions that involved the DEJ. CLINICAL RELEVANCE Reflected near-infrared light images that are generated simultaneously with 3D intra-oral scanning may be used reliably for detection, screening, and monitoring of proximal caries, thus potentially minimizing the traditional use of ionizing radiation.
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Affiliation(s)
- Zvi Metzger
- Departments of Oral Biology and Endodontology, The Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
| | | | - Peggy Bown
- Private practice, Saint John, NB, Canada.
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Current Novel Caries Diagnostic Technologies: Restorative Dentists' Attitude and Use Preferences. Healthcare (Basel) 2021; 9:healthcare9101387. [PMID: 34683068 PMCID: PMC8535563 DOI: 10.3390/healthcare9101387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 10/02/2021] [Accepted: 10/14/2021] [Indexed: 11/17/2022] Open
Abstract
Early detection of caries lesions is key to a successful restorative dental treatment plan. The aim of this study was to investigate the preferences and attitude of graduate restorative dentistry residents (RDRs) regarding novel caries diagnostic technologies (NCDT) and to provide a brief overview of available technologies for both specialized and general dental practice. This cross-sectional study used an online questionnaire (17 questions) concerning RDRs’ attitude, preferences, and insights regarding five available NCDTs. It was distributed among twenty RDRs at a local government dental school following a review session about NCDTs. Collected responses were analyzed statistically using one-way analysis of variance (ANOVA), chi-squared with Bonferroni correction, and Kruskal-Wallis tests at a 0.05 significance level. Sixty-five percent of RDRs reported an interest in NCDTs as a discussion topic and almost half of them were positive towards their use, however, sixty percent of respondents were hesitant to diagnose caries solely using NCDTs. Fiber-optic-transillumination (FOTI) systems were ranked the best overall and with regard to all the investigated criteria (p < 0.05). Chosen reasons for FOTI included price followed by ease of use. In general, high price rated as the most perceived reason for not choosing a given NCDT followed by low practical applicability. Meanwhile, ease of use followed by relevant application ranked as the main reported reasons to choose an NCDTs.
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Smye SW, Frangi AF. Interdisciplinary research: shaping the healthcare of the future. Future Healthc J 2021; 8:e218-e223. [PMID: 34286188 DOI: 10.7861/fhj.2021-0025] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The hospitals of the future will be shaped by scientific and technical advances made across a wide range of disciplines because complex problems in healthcare cannot be addressed successfully by a single discipline. This paper considers how interdisciplinary research is being promoted and the prospects for developing stronger and deeper collaborations between medicine, health and other disciplines, drawing on case studies from mathematics, physics and engineering. The anticipated impact of greater interdisciplinarity on clinical training and the provision of care is also reviewed. While the role and training of clinicians in the provision of care will continue to evolve, they will remain leading members of a much broader and more diverse interdisciplinary team, alert to the value of deep and sustained interdisciplinary research.
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