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We present a benchmark pilot study in which high-resolution Full-Field Optical Coherence Tomography (FF-OCT) is used to image human breast tissue and is evaluated to assess its ability to aid the pathologists management of intra-operative diagnoses. Our aim included evaluating the safety of FF-OCT on human tissue and determining the concordance between the images obtained with routinely prepared histopathological material. The compact device used for this study provides a 2 {mu}m-lateral and a 1 {mu}m-axial resolution, and is able to scan a 1.5cm^2 specimen in about 7 minutes. 75 breast specimens obtained from 22 patients have been imaged. Because the contrast in the images is generated by endogenous tissue components, no biological, contrast agents or specimen preparation is required. We characterized the major architectural features and tissue structures of benign breast tissue, including adipocytes, fibrous stroma, lobules and ducts. We subsequently characterized features resulting from their pathological modification and developed a decision tree for diagnosis. Two breast pathologists applied these criteria, resulting in a demonstrable ability to distinguish between normal or benign tissue, in situ and invasive carcinomas using FF-OCT images, with a sensitivity of 97% and 90%, respectively, and specificity of 74% and 77% respectfully. FF-OCT shows great potential for the evaluation of human tissue and its characterization as normal/benign vs. lesional, for numerous ex-vivo clinical use-cases. Its high imaging accuracy for in-situ and invasive carcinoma paves the way for applications where a fast architectural assessment could improve the core needle biopsy workflow, tumor margin assessments, and provides quality assurance for tissue acquired for clinical care and research.
The potential for improving the penetration depth of optical coherence tomography systems by using increasingly longer wavelength light sources has been known since the inception of the technique in the early 1990s. Nevertheless, the development of m
We report on Mid-infrared (MIR) OCT at 4 $mu$m based on collinear sum-frequency upconversion and promote the A-scan scan rate to 3 kHz. We demonstrate the increased imaging speed for two spectral realizations, one providing an axial resolution of 8.6
Optical coherence tomography angiography (OCTA) has been established as a powerful tool for investigating vascular diseases and is expected to become a standard of care technology. However, its widespread clinical usage is hindered by technical gaps
Optical coherence tomography (OCT) is a high-resolution three-dimensional imaging technique that enables non-destructive measurements of surface and subsurface microstructures. Recent developments of OCT operating in the mid-infrared (MIR) range (aro
In X-ray imaging, photons are transmitted through and absorbed by the subject, but are also scattered in significant quantities. Previous attempts to use scattered photons for biological imaging used pencil or fan beam illumination. Here we present 3