Large area kidney imaging for pre-transplant evaluation using real-time robotic optical coherence tomography
Ma, Xihan ; Moradi, Mousa ; Ma, Xiaoyu ; Tang, Qinggong ; Levi, Moshe ; Chen, Yu ; Zhang, Haichong K
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Abstract
Optical coherence tomography (OCT) can be used to image microstructures of human kidneys. However, current OCT probes exhibit inadequate field-of-view, leading to potentially biased kidney assessment. Here we present a robotic OCT system where the probe is integrated to a robot manipulator, enabling wider area (covers an area of 106.39 mm by 37.70 mm) spatially-resolved imaging. Our system comprehensively scans the kidney surface at the optimal altitude with preoperative path planning and OCT image-based feedback control scheme. It further parameterizes and visualizes microstructures of large area. We verified the system positioning accuracy on a phantom as 0.0762 ± 0.0727 mm and showed the clinical feasibility by scanning ex vivo kidneys. The parameterization reveals vasculatures beneath the kidney surface. Quantification on the proximal convoluted tubule of a human kidney yields clinical-relevant information. The system promises to assess kidney viability for transplantation after collecting a vast amount of whole-organ parameterization and patient outcomes data.
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Ma X, Moradi M, Ma X, Tang Q, Levi M, Chen Y, Zhang HK. Large area kidney imaging for pre-transplant evaluation using real-time robotic optical coherence tomography. Commun Eng. 2024 Sep 2;3(1):122. doi: 10.1038/s44172-024-00264-7. PMID: 39223332; PMCID: PMC11368928.