Combining Optical Coherence Tomography (OCT) with an Operating Microscope

Optical coherence tomography (OCT) is an emerging biomedical imaging technology which gives high-resolution sectional images of light scattering tissue down to a depth of a few millimeter. The objective of this work is to combine OCT with an operation microscope. A spectral domain OCT was adapted via a specially designed scanning optics to the camera port of an operation microscope. This enables a non-contact on-line OCT during different medical applications. Hidden tissue structures were visualized with a resolution below 30 µm. As a first example for an application in otolaryngology we demonstrated that the OCT operation microscope is basically able to reveal parts of the cochlear morphology without opening its enveloping membranes. Thus it may serve as a helpful guide for the surgeon to exactly localize the scala tympani before opening the fluid-filled inner ear for inserting the electrode array of cochlear implants.

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