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Portable motion-stabilized optical coherence tomography for eye care in acute care settings

用于急性护理环境中眼部护理的便携式运动稳定光学相干断层扫描

基本信息

批准号：
9764384
负责人：
JOSEPH A IZATT
金额：
$ 38.44万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2021-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9764384
关键词：
3-Dimensional Accident and Emergency department Acute Address Ambulatory Care Facilities Biomedical Engineering Blood Pressure Caring Clinic Clinical Clinical Research Computer software Data Detection Development Diabetes Mellitus Diagnosis Diagnostic Dimensions Emergency Medicine Enrollment Environment Eye Eye diseases Financial compensation Future Headache Image Imaging Techniques Imaging technology Intracranial Hypertension Intracranial Pressure Laboratories Magnetic Resonance Imaging Medical Modernization Morphologic artifacts Motion Ocular Pathology Ophthalmologist Ophthalmoscopes Ophthalmoscopy Optic Disk Optic Nerve Optical Coherence Tomography Optics Organ Papilledema Pathology Patient Care Patient Triage Patient imaging Patients Physicians Positioning Attribute Provider Public Health Research Research Proposals Rotation Scanning Sensitivity and Specificity Source Specialist Swelling System Testing Three-Dimensional Imaging Training Triage Vision Visit Visual accurate diagnosis base care providers cost digital improved innovation instrument kinematics macula macular edema medical specialties monocular multidisciplinary novel point of care portability software development standard of care

项目摘要

ABSTRACT This research proposal from a multi-disciplinary team including an emergency medicine physician, ophthalmologists, and biomedical engineers seeks to improve the ability of acute care providers to diagnose and triage eye pathology at the point of care. Acute care settings such as emergency departments frequently take care of patients seeking eye care. In these acute care settings, standard of care instruments to examine the eye are notoriously difficult to use and interpret, and specialty ophthalmic care can be delayed or unavailable. To improve the ability of acute care providers to diagnose and triage these patients appropriately, we will introduce an optical coherence tomography (OCT) system specifically for this environment. This OCT system will have hardware and software innovations to maximize the ability of acute care providers to acquire accurate, high quality three-dimensional volumes of their patients' eyes. With these three-dimensional renders of the eye, acute care providers can view the patient's eye on a display from any perspective to identify pathologies such as macular edema from diabetes or optic nerve head swelling from increased intracranial pressure. These developments have both direct immediate clinical and research applicability by providing acute care providers with the ability to readily examine patient eyes in three-dimensions. In addition, there are future implications as a platform for remote diagnostic capabilities in other settings where specialty eye care may be limited.

摘要这项研究提案来自一个多学科团队，包括一名急诊医学医生，眼科医生和生物医学工程师寻求提高急性护理提供者的诊断能力，并在护理点对眼部病理进行分类。急诊室等急性护理机构经常照顾寻求眼科护理的病人。在这些急性护理环境中，需要检查的标准护理仪器众所周知，眼睛很难使用和解释，且专业眼科护理可能被延迟或不可用.为了提高急诊护理提供者对这些患者进行适当诊断和分诊的能力，我们将介绍一种专门用于这种环境的光学相干层析成像（OCT）系统。这个OCT 系统将有硬件和软件创新，以最大限度地提高急性护理提供者的能力，精确、高质量的患者眼睛三维体积。通过这些三维渲染急性护理提供者可以从任何角度在显示器上查看患者的眼睛，病理学如糖尿病引起的黄斑水肿或颅内压增高引起的视神经头肿胀压力这些发展通过提供急性护理具有直接的临床和研究适用性提供者能够容易地在三维中检查患者眼睛。此外，还有未来作为远程诊断功能的平台，在其他专业眼科护理可能有限公司