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：
9577999
负责人：
JOSEPH A IZATT
金额：
$ 35.42万
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/9577999
关键词：
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 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.

抽象的这项研究提案来自包括一名急诊科医生在内的多学科团队，眼科医生和生物医学工程师致力于提高急症护理人员的诊断能力并在护理时对眼部病理进行分类。经常出现在急诊室等急症护理机构照顾寻求眼科护理的患者。在这些急症护理环境中，要检查的护理仪器标准众所周知，眼睛很难使用和解释，专业眼科护理可能会被延迟或不可用。为了提高急症护理人员正确诊断和分类这些患者的能力，我们将专门针对这种环境推出光学相干断层扫描（OCT）系统。本次华侨城系统将具有硬件和软件创新，以最大限度地提高急症护理提供者获取信息的能力准确、高质量的患者眼睛三维体积。有了这些三维渲染对于眼睛，急症护理人员可以从任何角度在显示器上查看患者的眼睛，以识别病理，例如糖尿病引起的黄斑水肿或颅内压增加引起的视神经乳头肿胀压力。这些发展通过提供急症护理而具有直接的临床和研究适用性提供者能够轻松地在三维空间中检查患者的眼睛。此外，还有未来作为远程诊断能力平台在其他可能需要专业眼科护理的环境中的影响有限的。