Gj. Tearney et al., OPTICAL BIOPSY IN HUMAN PANCREATICOBILIARY TISSUE USING OPTICAL COHERENCE TOMOGRAPHY, Digestive diseases and sciences, 43(6), 1998, pp. 1193-1199
Optical coherence tomography (OCT) is a new technique for performing h
igh-resolution, cross-sectional tomographic imaging in human tissue. O
CT is analogous to ultrasound B mode imaging except that it uses light
rather than acoustical waves. As a result, OCT has over 10 times the
resolution of currently available clinical high-resolution cross-secti
onal imaging technologies. In this work, we investigate the capability
of OCT to differentiate the architectural morphology of pancreatobili
ary tissues. Normal pancreatobiliary tissues, including the gallbladde
r, common bile duct, pancreatic duct, and pancreas were taken postmort
em and imaged using OCT. Images were compared to corresponding histolo
gy to confirm tissue identity. Microstructure was delineated in differ
ent tissues, including tissue layers, glands, submucosal microvasculat
ure, and pancreatic islets of Langerhans. The ability of OCT to provid
e high-resolution imaging of pancreatobiliary architectural morphology
suggests the feasibility of using OCT as a powerful diagnostic endosc
opic imaging technology to image early stages of pancreatobiliary dise
ase.