Diagnosis of oral precancer with optical coherence tomography

Cheng Kuang Lee, Ting Ta Chi, Chiung Ting Wu, Meng Tsan Tsai, Chun Pin Chiang, Chih Chung Yang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

56 Scopus citations

Abstract

A procedure for computer analyzing an optical coherence tomography (OCT) image of normal and precancerous oral mucosae is demonstrated to reasonably plot the boundary between epithelium (EP) and lamina propria (LP) layers, determine the EP thickness, and estimate the range of dysplastic cell distribution based on standard deviation (SD) mapping. In this study, 54 normal oral mucosa, 39 oral mild dysplasia, and 44 oral moderate dysplasia OCT images are processed for evaluating the diagnosis statistics. Based on SD mapping in an OCT image, it is found that the laterally average range percentages of 70% SD maximum level in the EP layer is a reasonably good threshold for differentiating moderate dysplasia from mild dysplasia oral lesion based on the OCT image analysis. The sensitivity and specificity in diagnosis statistics can reach 82 and 90%, respectively.

Original languageEnglish
Pages (from-to)1632-1646
Number of pages15
JournalBiomedical Optics Express
Volume3
Issue number7
DOIs
StatePublished - 01 07 2012

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