Clinical Experience With the First Commercially Available Intraoperative Optical Coherence Tomography System
Clinical Experience With the First Commercially Available Intraoperative Optical Coherence Tomography System
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DOI：
10.3928/23258160-20151027-03
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发表时间：
2015-11-01
影响因子：
1
通讯作者：
Becker, Matthias D.
中科院分区：
文献类型：
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作者：
Pfau, Maximilian;Michels, Stephan;Becker, Matthias D.
背景和目的：一个回顾性的，单中心的病例系列开始，以评估最初的临床经验与第一个市售的术中光学相干断层扫描系统（iOCT）患者和方法：Rescan 700 iOCT（蔡司，上科亨，德国），光谱域OCT系统集成到一个手术显微镜，被用于40个连续的情况下。一个标准化的审查是用来评估是否iOCT成像导致额外的信息和/或改变decision-making.RESULTS：iOCT系统是可用于与常见的彩色玻璃体切割染料和填塞。外科医生报告称，iOCT成像在74.1%的后路和联合手术病例中提供了额外信息，导致41.9%的病例决策改变。iOCT成像时间平均为167秒。在前路手术中，外科医生报告在所有病例中获得了22.2%的额外信息，但没有报告改变决策的病例。据此，iOCT成像时间平均为117秒。结论：证明的结果表明，iOCT有潜力提高后节和眼前节手术的质量。
BACKGROUND AND OBJECTIVE: A retrospective, single-center case-series was initiated to evaluate initial clinical experience with the first commercially available intraoperative optical coherence tomography system (iOCT).PATIENTS AND METHODS: The Rescan 700 iOCT (Zeiss, Oberkochen, Germany), a spectral-domain OCT system integrated into a surgical microscope, was used in 40 consecutive cases. A standardized review was used to assess whether iOCT imaging resulted in additional information and/or altered decision-making.RESULTS: The iOCT system was usable in conjunction with common chromovitrectomy dyes and tamponades. The surgeons reported that iOCT imaging provided additional information in 74.1% of the posterior and combined surgical cases, which resulted in altered decision-making in 41.9% of the cases. The iOCT imaging time, on average, amounted to 167 seconds. In anterior procedures, the surgeons reported gaining additional information in 22.2% of all cases, but no cases of altered decision-making were reported. Hereby, the iOCT imaging time amounted to 117 seconds, on average.CONCLUSION: The demonstrated results suggest iOCT has the potential to improve the quality of posterior and anterior segment surgery.