Evaluation of optical coherence tomography to discriminate lesions of the upper aerodigestive tract. Issue 11 (29th October 2012)

• Record Type: Journal Article
• Authors: Volgger, Veronika; Stepp, Herbert; Ihrler, Stephan; Kraft, Marcel; Leunig, Andreas; Patel, Parag M.; Susarla, Malavika; Jackson, Kathleen; Betz, Christian S.
• Is Part Of: Head & neck. Volume 35:Issue 11(2013:Nov.)
• Page Start: 1558
• Page End: 1566
• Publication Date: 2012-10-29
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.23189
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="hed23189-sec-0001" sec-type="section"> <title>Background</title> <p>This study evaluated the capability of optical coherence tomography (OCT) to differentiate premalignant and early malignant lesions of the upper aerodigestive tract (UADT).</p> </sec> <sec id="hed23189-sec-0002" sec-type="section"> <title>Methods</title> <p>An OCT screening was performed in 52 healthy volunteers. Epithelial thicknesses on 38 OCT images and histopathological slides were correlated. One hundred primary lesions were rated via OCT concerning invasiveness by an "unblinded" investigator, then biopsied, and the results correlated. All OCT images were evaluated by 3 "blinded" investigators. Forty‐eight images underwent retrospective image analysis.</p> </sec> <sec id="hed23189-sec-0003" sec-type="section"> <title>Results</title> <p>Screening showed large differences concerning epithelial thicknesses, but good correlation (κ = 0.63) between OCT and histopathological slides. In the unblinded evaluation, noninvasive and invasive lesions could be distinguished with a sensitivity of 88.9% and specificity of 89.0% whereas the blinded evaluations led to sensitivities of 100%, 66.7%, and 77.8% and specificities of 75.8%, 71.4%, and 70.3%. The difference of mean intraepithelial intensity reductions in dysplasias (38.7%) and hyperplasias (18.9%) was statistically significant.</p> </sec> <sec id="hed23189-sec-0004" sec-type="section"> <title>Conclusion</title> <p>OCT complements visual inspection for differentiating UADT‐lesions. <italic>Head Neck</italic>, <bold>35</bold>: 1558–1566, 2013</p> </sec> </abstract>