PMID- 22112111 OWN - NLM STAT- MEDLINE DCOM- 20120404 LR - 20211021 IS - 1560-2281 (Electronic) IS - 1083-3668 (Print) IS - 1083-3668 (Linking) VI - 16 IP - 11 DP - 2011 Nov TI - High-resolution imaging diagnosis of human fetal membrane by three-dimensional optical coherence tomography. PG - 116006 LID - 10.1117/1.3646530 [doi] LID - 116006 AB - Microscopic chorionic pseudocyst (MCP) arising in the chorion leave of the human fetal membrane (FM) is a clinical precursor for preeclampsia which may progress to fatal medical conditions (e.g., abortion) if left untreated. To examine the utility of three-dimensional (3D) optical coherence tomography (OCT) for noninvasive delineation of the morphology of human fetal membranes and early clinical detection of MCP, 60 human FM specimens were acquired from 10 different subjects undergoing term cesarean delivery for an ex vivo feasibility study. Our results showed that OCT was able to identify the four-layer architectures of human FMs consisting of high-scattering decidua vera (DV, average thickness d(DV) approximately 92+/-38 mum), low-scattering chorion and trophoblast (CT, d(CT) approximately 150+/-67 mum), high-scattering subepithelial amnion (A, d(A) approximately 95+/-36 mum), and low-scattering epithelium (E, d(E) approximately 29+/-8 mum). Importantly, 3D OCT was able to instantaneously detect MCPs (low scattering due to edema, fluid buildup, vasodilatation) and track (staging) their thicknesses d(MCP) ranging from 24 to 615 mum. It was also shown that high-frequency ultrasound was able to compliment OCT for detecting more advanced thicker MCPs (e.g., d(MCP)>615 mum) because of its increased imaging depth. FAU - Ren, Hugang AU - Ren H AD - Stony Brook University, Department of Biomedical Engineering, Stony Brook, New York 11794-5281, USA. FAU - Avila, Cecilia AU - Avila C FAU - Kaplan, Cynthia AU - Kaplan C FAU - Pan, Yingtian AU - Pan Y LA - eng GR - 2R01-DK059265/DK/NIDDK NIH HHS/United States GR - RC1 DA028534/DA/NIDA NIH HHS/United States GR - 1R21-DA032228/DA/NIDA NIH HHS/United States GR - R21 DA032228/DA/NIDA NIH HHS/United States GR - R01 DK059265/DK/NIDDK NIH HHS/United States GR - 1RC-1DA028534/DA/NIDA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Biomed Opt JT - Journal of biomedical optics JID - 9605853 SB - IM MH - Cysts/chemistry/diagnosis/pathology MH - Extraembryonic Membranes/*anatomy & histology/chemistry/diagnostic imaging/*pathology MH - Female MH - Fetal Diseases/*diagnosis/diagnostic imaging/pathology MH - Histocytochemistry MH - Humans MH - Imaging, Three-Dimensional/*methods MH - Pre-Eclampsia/diagnostic imaging/*pathology MH - Pregnancy MH - Tomography, Optical Coherence/*methods MH - Trophoblasts/chemistry MH - Ultrasonography PMC - PMC3221713 EDAT- 2011/11/25 06:00 MHDA- 2012/04/05 06:00 PMCR- 2012/10/26 CRDT- 2011/11/25 06:00 PHST- 2011/11/25 06:00 [entrez] PHST- 2011/11/25 06:00 [pubmed] PHST- 2012/04/05 06:00 [medline] PHST- 2012/10/26 00:00 [pmc-release] AID - 012111JBO [pii] AID - 10.1117/1.3646530 [doi] PST - ppublish SO - J Biomed Opt. 2011 Nov;16(11):116006. doi: 10.1117/1.3646530.