Skip to main content

Optical Coherence Tomography for Gastrointestinal Endoscopy

  • Reference work entry
Optical Coherence Tomography

Abstract

Researchers have long been exploring OCT as a diagnostic tool for the early epithelial dysplastic changes in the gastrointestinal tract. One reason is that the subsurface microscopic changes are within the depth-penetrating and detail-resolving capability of OCT. However, endoscopically imaging a large lumen (i.e. esophagus and colon) has been challenging. In this chapter, the key technologies to overcome the obstacles are introduced: 1) Rapid imaging acquisition based on spectral-domain OCT technology; 2) Miniature scanning probe and balloon-based catheter for volumetric imaging; and 3) Image reconstruction and computer-aided diagnosis algorithms. Animal and clinical studies based on these technologies will be presented.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 299.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. W.S. Haubrich, J.M. Edmonson, History of endoscopy, in Gastroenterologic Endoscopy, ed. by M.V. Sival (Saunders, Philadelphia, 2000), pp. 2–15

    Google Scholar 

  2. T.P. Pretlow et al., Aberrant crypts: putative preneoplastic foci in human colonic mucosa. Cancer Res. 51, 1564–1567 (1991)

    Google Scholar 

  3. L. Roncucci et al., Aberrant crypt foci in patients with colorectal cancer. Br. J. Cancer 77, 2343–2348 (1998)

    Article  Google Scholar 

  4. T. Takayama et al., Aberrant crypt foci of the colon as precursors of adenoma and cancer. N. Engl. J. Med. 339, 1277–1284 (1998)

    Article  Google Scholar 

  5. W.J. Blot et al., Rising incidence of adenocarcinoma of the esophagus and gastric cardia. JAMA 265, 1287–1289 (1991)

    Article  Google Scholar 

  6. J. Powell, C.C. McConkey, The rising trend in esophageal adenocarcinoma and gastric cardia. Eur. J. Cancer Prev. 1, 265–269 (1992)

    Article  Google Scholar 

  7. J. Lagergren et al., Symptomatic gastroesophageal reflux as a risk factor for esophageal adenocarcinoma. N. Engl. J. Med. 340, 825–831 (1999)

    Article  Google Scholar 

  8. H. Pohl, H.G. Welch, The role of overdiagnosis and reclassification in the marked increase of esophageal adenocarcinoma incidence. J. Natl. Cancer Inst. 97, 142–146 (2005)

    Article  Google Scholar 

  9. K.K. Wang, R.E. Sampliner, Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett’s esophagus. Am. J. Gastroenterol. 103, 788–797 (2008)

    Article  Google Scholar 

  10. K.R. DeVault, Epidemiology and significance of Barrett’s esophagus. Dig. Dis. 18, 195–202 (2000)

    Article  Google Scholar 

  11. E. Montgomery et al., Dysplasia as a predictive marker for invasive carcinoma in Barrett esophagus: a follow-up study based on 138 cases from a diagnostic variability study. Hum. Pathol. 32, 379–388 (2001)

    Article  Google Scholar 

  12. T.R. DeMeester, Surgical therapy for Barrett’s esophagus: prevention, protection and excision. Dis. Esophagus 15, 109–116 (2002)

    Article  Google Scholar 

  13. D. Hurschler et al., Increased detection rates for Barrett’s oesophagus without rise in incidence of oesophageal adenocarcinoma – a ten-year survey in Eastern Switzerland. Swiss Med. Wkly. 133, 507–514 (2003)

    Google Scholar 

  14. J.M. Streitz Jr. et al., Endoscopic surveillance of Barrett’s esophagus. Does it help? J. Thorac. Cardiovasc. Surg. 105, 383–387 (1993). discussion 387 – 8, Mar 1993

    Google Scholar 

  15. J.H. Peters et al., Outcome of adenocarcinoma arising in Barrett’s esophagus in endoscopically surveyed and nonsurveyed patients. J. Thorac. Cardiovasc. Surg. 108, 813–821 (1994). discussion 821 – 2, Nov 1994

    Google Scholar 

  16. J.W. van Sandick et al., Impact of endoscopic biopsy surveillance of Barrett’s oesophagus on pathological stage and clinical outcome of Barrett’s carcinoma. Gut 43, 216–222 (1998)

    Article  Google Scholar 

  17. R. Incarbone et al., Outcome of esophageal adenocarcinoma detected during endoscopic biopsy surveillance for Barrett’s esophagus. Surg. Endosc. 16, 263–266 (2002)

    Article  Google Scholar 

  18. M.K. Ferguson, A. Durkin, Long-term survival after esophagectomy for Barrett’s adenocarcinoma in endoscopically surveyed and nonsurveyed patients. J. Gastrointest. Surg. 6, 29–35 (2002). discussion 36, Jan-Feb 2002

    Article  Google Scholar 

  19. D.A. Corley et al., Surveillance and survival in Barrett’s adenocarcinomas: a population-based study. Gastroenterology 122, 633–640 (2002)

    Article  Google Scholar 

  20. A. Fountoulakis et al., Effect of surveillance of Barrett’s oesophagus on the clinical outcome of oesophageal cancer. Br. J. Surg. 91, 997–1003 (2004)

    Article  Google Scholar 

  21. V.D. Jacques, Endosonographic evaluation of the patient with esophageal cancer. Chest 112, 184S–190S (1997)

    Article  Google Scholar 

  22. G.W. Falk, M.F. Catalano, M.V. Sivak Jr., Endosonography in the evaluation of with Barrett’s esophagus and high-grade dysplasia. Gastrointest. Endosc. 40, 207–212 (1994)

    Article  Google Scholar 

  23. I.A. Scotiniotis, M.L. Kochman, J.D. Lewis, E.E. Furth, E.F. Rosato, G.G. Ginsberg, Accuracy of EUS in the evaluation of Barrett’s esophagus and high-grade dysplasia or intramucosal carcinoma. Gastrointest. Endosc. 54, 689–696 (2001)

    Article  Google Scholar 

  24. B.C. Wilson, Detection and treatment of dysplasia in Barrett’s esophagus: a pivotal challenge in translating biophotonics from bench to bedside. J. Biomed. Opt. 12, 051401 (2007)

    Article  ADS  Google Scholar 

  25. P. Sharma et al., The utility of a novel narrow band imaging endoscopy system in patients with Barrett’s esophagus. Gastrointest. Endosc. 64, 167–175 (2006)

    Article  ADS  Google Scholar 

  26. M.A. Kara et al., Detection and classification of the mucosal and vascular patterns (mucosal morphology) in Barrett’s esophagus by using narrow band imaging. Gastrointest. Endosc. 64, 155–166 (2006)

    Article  ADS  Google Scholar 

  27. M. Panjehpour, B.F. Overholt, T. Vo-Dinh, R.C. Haggit, D.H. Edwards, F.P. Buckley, Endoscopic fluorescence detection of high-grade dysplasia in Barrett’s esophagus. Gastroenterology 111, 93–101 (1996)

    Article  Google Scholar 

  28. M.A. Kara, M.E. Smits, W.D. Rosmolen, A.C. Bultje, F.J. Kate, P. Fockens, G.N. Tytgat, J.J. Bergman, A randomized crossover study comparing light-induced fluorescence endoscopy with standard videoendoscopy for the detection of early neoplasia in Barrett’s esophagus. Gastrointest. Endosc. 61, 671–678 (2005)

    Article  Google Scholar 

  29. E. Endlicher, R. Knuechel, T. Hauser, R.-M. Szeimies, J. Scholmerich, H. Messmann, Endoscopic fluorescence detection of low and high grade dysplasia in Barrett’s oesophagus using systemic or local 5-aminolaevulinic acid sensitisation. Gut 48, 314–319 (2001)

    Article  Google Scholar 

  30. J.G. Fujimoto et al., Optical biopsy and imaging using optical coherence tomography. Nat. Med. 1, 970–972 (1995)

    Article  Google Scholar 

  31. G.J. Tearney et al., In vivo endoscopic optical biopsy with optical coherence tomography. Science 276, 2037–2039 (1997)

    Article  Google Scholar 

  32. A. Sergeev et al., In vivo endoscopic OCT imaging of precancer and cancer states of human mucosa. Opt. Express 1, 432–440 (1997)

    Article  ADS  Google Scholar 

  33. K. Kobayashi et al., High-resolution cross-sectional imaging of the gastrointestinal tract using optical coherence tomography: preliminary results. Gastrointest. Endosc. 47, 515–523 (1998)

    Article  Google Scholar 

  34. B.E. Bouma, G.J. Tearney, Power-efficient nonreciprocal interferometer and linear-scanning fiber-optic catheter for optical coherence tomography. Opt. Lett. 24, 531–533 (1999)

    Article  ADS  Google Scholar 

  35. A.M. Rollins et al., Real-time in vivo imaging of human gastrointestinal ultrastructure by use of endoscopic optical coherence tomography with a novel efficient interferometer design. Opt. Lett. 24, 1358–1360 (1999)

    Article  ADS  Google Scholar 

  36. M.V. Sivak Jr. et al., High-resolution endoscopic imaging of the GI tract using optical coherence tomography. Gastrointest. Endosc. 51, 474–479 (2000)

    Article  Google Scholar 

  37. B.E. Bouma et al., High-resolution imaging of the human esophagus and stomach in vivo using optical coherence tomography. Gastrointest. Endosc. 51, 467–474 (2000)

    Article  Google Scholar 

  38. X.D. Li et al., Optical coherence tomography: advanced technology for the endoscopic imaging of Barrett’s esophagus. Endoscopy 32, 921–930 (2000)

    Article  Google Scholar 

  39. S. Jackle et al., In vivo endoscopic optical coherence tomography of esophagitis, Barrett’s esophagus, and adenocarcinoma of the esophagus. Endoscopy 32, 750–755 (2000)

    Article  Google Scholar 

  40. G. Zuccaro et al., Optical coherence tomography of the esophagus and proximal stomach in health and disease. Am. J. Gastroenterol. 96, 2633–2639 (2001)

    Article  Google Scholar 

  41. J.M. Poneros et al., Diagnosis of specialized intestinal metaplasia by optical coherence tomography. Gastroenterology 120, 7–12 (2001)

    Article  Google Scholar 

  42. J.A. Evans et al., Identifying intestinal metaplasia at the squamocolumnar junction by using optical coherence tomography. Gastrointest. Endosc. 65, 50–56 (2007)

    Article  Google Scholar 

  43. G. Isenberg et al., Accuracy of endoscopic optical coherence tomography in the detection of dysplasia in Barrett’s esophagus: a prospective, double-blinded study. Gastrointest. Endosc. 62, 825–831 (2005)

    Article  Google Scholar 

  44. J.A. Evans et al., Optical coherence tomography to identify intramucosal carcinoma and high-grade dysplasia in Barrett’s esophagus. Clin. Gastroenterol. Hepatol. 4, 38–43 (2006)

    Article  Google Scholar 

  45. X. Qi et al., Computer-aided diagnosis of dysplasia in Barrett’s esophagus using endoscopic optical coherence tomography. J. Biomed. Opt. 11, 044010 (2006)

    Article  ADS  Google Scholar 

  46. X. Qi et al., Image analysis for classification of dysplasia in Barrett’s esophagus using endoscopic optical coherence tomography. Biomed. Opt. Express 1, 825–847 (2010)

    Article  Google Scholar 

  47. M.J. Cobb et al., Imaging of subsquamous Barrett’s epithelium with ultrahigh-resolution optical coherence tomography: a histologic correlation study. Gastrointest. Endosc. 71, 223–230 (2009)

    Article  ADS  Google Scholar 

  48. S.H. Yun et al., Comprehensive volumetric optical microscopy in vivo. Nat. Med. 12, 1429–1433 (2006)

    Article  Google Scholar 

  49. B.J. Vakoc et al., Comprehensive esophageal microscopy by using optical frequency-domain imaging (with video). Gastrointest. Endosc. 65, 898–905 (2007)

    Article  Google Scholar 

  50. M.J. Suter et al., Comprehensive microscopy of the esophagus in human patients with optical frequency domain imaging. Gastrointest. Endosc. 68, 745–753 (2008)

    Article  ADS  Google Scholar 

  51. H.L. Fu et al., Flexible miniature compound lens design for high-resolution optical coherence tomography balloon imaging catheter. J. Biomed. Opt. 13, 060502 (2008)

    Article  ADS  Google Scholar 

  52. W. Kang et al., Endoscopically guided spectral-domain OCT with double-balloon catheters. Opt. Express 18, 17364–17372 (2010)

    Article  ADS  Google Scholar 

  53. J. Xi et al., High-resolution OCT balloon imaging catheter with astigmatism correction. Opt. Lett. 34, 1943–1945 (2009)

    Article  ADS  Google Scholar 

  54. A.F. Peery, N.J. Shaheen, Optical coherence tomography in Barrett’s esophagus: the road to clinical utility. Gastrointest. Endosc. 71, 231–234 (2010)

    Article  Google Scholar 

  55. D.C. Adler et al., Three-dimensional optical coherence tomography of Barrett’s esophagus and buried glands beneath neosquamous epithelium following radiofrequency ablation. Endoscopy 41, 773–776 (2009)

    Article  Google Scholar 

  56. M.J. Suter et al., Image-guided biopsy in the esophagus through comprehensive optical frequency domain imaging and laser marking: a study in living swine. Gastrointest. Endosc. 71, 346–353 (2010)

    Article  ADS  Google Scholar 

  57. W. Kang et al., Motion artifacts associated with in vivo endoscopic OCT images of the esophagus. Opt. Express 19, 20722–20735 (2011)

    Article  ADS  Google Scholar 

  58. C. Zhou et al., Characterization of buried glands before and after radiofrequency ablation by using 3-dimensional optical coherence tomography (with videos). Gastrointest. Endosc. 76, 32–40 (2012)

    Article  Google Scholar 

  59. B. Shen, G. Zuccaro Jr., T.L. Gramlich, N. Gladkova, P. Trolli, M. Kareta, C.P. Delaney, J.T. Connor, B.A. Lashner, C.L. Bevins, F. Feldchtein, F.H. Remzi, M.L. Bambrick, V.W. Fazio, In vivo colonoscopic optical coherence tomography for transmural inflammation in inflammatory bowel disease. Clin. Gastroenterol. Hepatol. 2, 1080–1087 (2004)

    Article  Google Scholar 

  60. P. Consolo et al., Optical coherence tomography in inflammatory bowel disease: prospective evaluation of 35 patients. Dis. Colon Rectum 51, 1374–1380 (2008)

    Article  Google Scholar 

  61. D.C. Adler et al., Three-dimensional endomicroscopy of the human colon using optical coherence tomography. Opt. Express 17, 784–796 (2009)

    Article  ADS  Google Scholar 

  62. X. Qi et al., Automated quantification of colonic crypt morphology using integrated microscopy and optical coherence tomography. J. Biomed. Opt. 13, 054055 (2008)

    Article  ADS  Google Scholar 

  63. A.M. Davis et al., Heterodyne swept-source optical coherence tomography for complete complex conjugate ambiguity removal. J. Biomed. Opt. 10, 064005 (2005)

    Article  ADS  Google Scholar 

  64. D.C. Adler et al., Three-dimensional endomicroscopy using optical coherence tomography. Nat. Photonics 1, 709–716 (2007)

    Article  ADS  Google Scholar 

  65. W. Kang et al., Endoscopically guided spectral-domain OCT with double-balloon catheters. Opt. Express 18, 17364–17372 (2010)

    Article  ADS  Google Scholar 

  66. V. Westphal et al., Correlation of endoscopic optical coherence tomography with histology in the lower-GI tract. Gastrointest. Endosc. 61, 537–546 (2005)

    Article  Google Scholar 

  67. J.Y. Ha et al., Compensation of motion artifacts in catheter-based optical frequency domain imaging. Opt. Express 18, 11418–11427 (2010)

    Article  ADS  Google Scholar 

  68. I. Matthews et al., The template update problem. IEEE Trans. Pattern Anal. Mach. Intell. 26, 810–815 (2004)

    Article  Google Scholar 

  69. X. Qi et al., Automated quantification of colonic crypt morphology using integrated microscopy and optical coherence tomography. J. Biomed. Opt. 13, 054055 (2008)

    Article  ADS  Google Scholar 

  70. S. Tamura et al., Pit pattern and three-dimensional configuration of isolated crypts from the patients with colorectal neoplasm. J. Gastroenterol. 37, 798–806 (2002)

    Article  Google Scholar 

  71. P.R. Pfau et al., Criteria for the diagnosis of dysplasia by endoscopic optical coherence tomography. Gastrointest. Endosc. 58, 196–202 (2003)

    Article  Google Scholar 

  72. A.S.T. Barritt, N.J. Shaheen, Should patients with Barrett’s oesophagus be kept under surveillance? The case against. Best Pract. Res. Clin. Gastroenterol. 22, 741–750 (2008)

    Article  Google Scholar 

  73. Y. Chen et al., Ultrahigh resolution optical coherence tomography of Barrett’s esophagus: preliminary descriptive clinical study correlating images with histology. Endoscopy 39, 599–605 (2007)

    Article  Google Scholar 

  74. G.J. Tearney et al., Optical biopsy in human pancreatobiliary tissue using optical coherence tomography. Dig. Dis. Sci. 43, 1193–1199 (1998)

    Article  Google Scholar 

  75. J.M. Poneros et al., Optical coherence tomography of the biliary tree during ERCP. Gastrointest. Endosc. 55, 84–88 (2002)

    Article  Google Scholar 

  76. P. Singh et al., In vivo optical coherence tomography imaging of the pancreatic and biliary ductal system. Gastrointest. Endosc. 62, 970–974 (2005)

    Article  ADS  Google Scholar 

  77. S. Ban et al., Histopathologic aspects of photodynamic therapy for dysplasia and early adenocarcinoma arising in Barrett’s esophagus. Am. J. Surg. Pathol. 28, 1466–1473 (2004)

    Article  Google Scholar 

  78. T.H. Tsai et al., Comparison of tissue architectural changes between radiofrequency ablation and cryospray ablation in Barrett’s esophagus using endoscopic three-dimensional optical coherence tomography. Gastroenterol. Res. Pract. 2012, 684832 (2012)

    Article  Google Scholar 

  79. T.H. Tsai et al., Structural markers observed with endoscopic 3-dimensional optical coherence tomography correlating with Barrett’s esophagus radiofrequency ablation treatment response (with videos). Gastrointest. Endosc. 76, 1104–1112 (2012)

    Article  ADS  Google Scholar 

  80. N.J. Shaheen et al., Radiofrequency ablation in Barrett’s esophagus with dysplasia. N. Engl. J. Med. 360, 2277–2288 (2009)

    Article  Google Scholar 

Download references

Acknowledgements

The authors thank Michael W. Jenkins, Zhao Wang, Yinsheng Pan, Zhilin Hu, Gerard A. Isenberg, Amitabh Chak, and Michael Sivak. Some research presented here was supported in part by the National Institutes of Health (R01CA114276).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wei Kang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this entry

Cite this entry

Kang, W., Qi, X., Wang, H., Rollins, A.M. (2015). Optical Coherence Tomography for Gastrointestinal Endoscopy. In: Drexler, W., Fujimoto, J. (eds) Optical Coherence Tomography. Springer, Cham. https://doi.org/10.1007/978-3-319-06419-2_69

Download citation

Publish with us

Policies and ethics