ArticleQuantitative imaging in medicine and surgery2015
Real-time epidural anesthesia guidance using optical coherence tomography needle probe.
Article in Quantitative imaging in medicine and surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- A-scan sequence transformers for palpation with optical coherence elastography.Biomedical optics express · 2025Article
- Enhancing epidural needle guidance using a polarization-sensitive optical coherence tomography probe with convolutional neural networks.Journal of biophotonics · 2024Article
- Recent Advances in Smart Epidural Spinal Needles.Sensors (Basel, Switzerland) · 2023Review
- Epidural anesthesia needle guidance by forward-view endoscopic optical coherence tomography and deep learning.Scientific reports · 2022Article
- Computer-aided Veress needle guidance using endoscopic optical coherence tomography and convolutional neural networks.Journal of biophotonics · 2022Article
- Epidural Needle Guidance Using Viscoelastic Tissue Response.IEEE journal of translational engineering in health and medicine · 2022Article
- Visually guided chick ocular length and structural thickness variations assessed by swept-source optical coherence tomography.Biomedical optics express · 2021Article
- Deep-learning-aided forward optical coherence tomography endoscope for percutaneous nephrostomy guidance.Biomedical optics express · 2021Article
- Optical coherence tomography for the early detection of colorectal dysplasia and cancer: validation in a murine model.Quantitative imaging in medicine and surgery · 2021Article
- Development of Guidance Techniques for Regional Anesthesia: Past, Present and Future.Journal of pain research · 2021Review
- A Silicon Optical Bench-Based Forward-View Two-Axis Scanner for Microendoscopy Applications.Micromachines · 2020Article
- 3D printed biofunctionalized scaffolds for microfracture repair of cartilage defects.Biomaterials · 2018Article
- Depth-resolved mapping of muscular bundles in myocardium pulmonary junction using optical coherence tomography.Journal of biomedical optics · 2018Article
- 3D mesoscopic fluorescence tomography for imaging micro-distribution of antibody-photon absorber conjugates during near infrared photoimmunotherapy in vivo.Journal of controlled release : official journal of the Controlled Release Society · 2018Article
- Clinical translation of handheld optical coherence tomography: practical considerations and recent advancements.Journal of biomedical optics · 2017Article
- Optical coherence tomography and computer-aided diagnosis of a murine model of chronic kidney disease.Journal of biomedical optics · 2017Article
- Looking beyond the imaging plane: 3D needle tracking with a linear array ultrasound probe.Scientific reports · 2017Article
- Monitoring kidney microanatomy changes during ischemia-reperfusion process using texture analysis of OCT images.IEEE photonics journal · 2017Article
- High-dynamic-range fluorescence laminar optical tomography (HDR-FLOT).Biomedical optics express · 2017Article
- Depth-resolved imaging of colon tumor using optical coherence tomography and fluorescence laminar optical tomography.Biomedical optics express · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Epidural anesthesia is one of the most widely used anesthesia methods. Due to lack of visual feedback to guide needle navigation, failure rate of epidural anesthesia is up to 20%, and the complication rate of peripheral nerve block approaches 10%, with the potential of permanent nerve damage. To address these difficulties, needle insertion under ultrasound guidance and fluoroscopy has been introduced. However, they do not provide adequate resolution and contrast to distinguish the tissue layers that the needle travels through or to specifically identify the epidural space. To improve the accuracy of epidural space identification, we developed a small hand-held optical coherence tomography (OCT) forward-imaging needle device for real-time epidural anesthesia surgery guidance and demonstrated its feasibility through ex vivo and in vivo animal experiments. With tissue structures visualized and differentiated at the needle tip, OCT needle imaging device will enhance clinical outcomes with regards to complication rates, induced pain, and procedure failure when compared to standard practice. Furthermore, this technology could be used in combination with ultrasound/fluoroscopy to enhance outcomes.
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