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Proceedings Paper

Advanced ESPI-based medical instruments for otolaryngology
Author(s): James Castracane; M. Conerty; Anthony T. Cacace; Glendon M. Gardner; Mitchell B. Miller; Steven M. Parnes
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Paper Abstract

Optical fibers have long been used for visual inspection inside the human body for medical diagnoses and treatment. By making use of sophisticated optical interferometric and ultra- small imaging techniques, combined with automated image processing, it is possible to extract significantly increased information for more accurate medical diagnoses. With support from NIH under the SBIR program, we have been developing a range of such instruments. One of these supported by the NIDCD is capable of providing detailed spatial information on the vibratory response of the tympanic membrane (TM). This instrument involves the examination of the TM by means of high speed electronic speckle pattern interferometry (ESPI). This provides a real time view of the vibration patterns of the TM for clinical diagnosis. This Interferometric Otoscope consists of mode conserving fiber optics, miniature diode lasers and high speed solid state detector arrays. We present the current status of the research including holography and ESPI of TM models and excised temporal bone preparations. A second instrument, also developed with support from NIDCD, is for application to the larynx. This system is also ESPI based but will incorporate features for direct vocal cord (VC) examination. By careful examination of the vibratory response of the VC during phonation, the characteristics of the mucosal wave may be examined. Adynamic regions of the cords can signal the start of lesions or cysts. Results of surgery can be evaluated in a quantitative manner. The design of a clinical prototype and preliminary electro-optic experiments on excised larynges and VC models will be presented.

Paper Details

Date Published: 28 May 1993
PDF: 10 pages
Proc. SPIE 1893, Optical Fibers in Medicine VIII, (28 May 1993); doi: 10.1117/12.146356
Show Author Affiliations
James Castracane, InterScience, Inc. (United States)
M. Conerty, InterScience, Inc. (United States)
Anthony T. Cacace, Albany Medical College (United States)
Glendon M. Gardner, Albany Medical College (United States)
Mitchell B. Miller, Albany Medical College (United States)
Steven M. Parnes, Albany Medical College (United States)

Published in SPIE Proceedings Vol. 1893:
Optical Fibers in Medicine VIII
Abraham Katzir, Editor(s)

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