Determination of burn depth by polarization-sensitive optical coherence tomography

Burn depth assessment is a key step guiding the treatment plan in patients who have sustained thermal injuries. We have developed a technique, polarization sensitive optical coherence tomography (PS-OCT), to provide the physician with a quantitative estimate of actual burn depth. We generated burns of various depths by contacting rates with a brass rod preheated to 75 degrees for 5, 15, or 30 seconds. PS-OCT imags birefringence in biological tissue, through the depth resolved changes in the polarization state of light propagated and reflected from the sample. Preliminary result are presented that show a correlation between the loss of birefringence due to thermal injury and the actual burn depth determined by histological analysis. PS-OCT is a noninvasive technique which potentially can give physicians the accuracy to formulate the best treatment plan for burn patients.

[1]  D H Park,et al.  Use of Laser Doppler Flowmetry for Estimation of the Depth of Burns , 1998, Plastic and reconstructive surgery.

[2]  J. Hunt,et al.  Early assessment of pediatric burn wounds by laser Doppler flowmetry. , 1995, The Journal of burn care & rehabilitation.

[3]  J. Šmahel Viability of skin subjected to deep partial skin thickness thermal damage: experimental studies. , 1991, Burns : journal of the International Society for Burn Injuries.

[4]  W. Sorin,et al.  A simple intensity noise reduction technique for optical low-coherence reflectometry , 1992, IEEE Photonics Technology Letters.

[5]  K. Waxman,et al.  Heated laser Doppler flow measurements to determine depth of burn injury. , 1989, American journal of surgery.

[6]  Zhongping Chen,et al.  Optical Doppler tomographic imaging of fluid flow velocity in highly scattering media. , 1997, Optics letters.

[7]  M. V. van Gemert,et al.  Two-dimensional birefringence imaging in biological tissue using polarization-sensitive optical coherence tomography , 1997, European Conference on Biomedical Optics.

[8]  D. Heimbach,et al.  Improved accuracy of burn wound assessment using laser Doppler. , 1996, The Journal of trauma.

[9]  J Hurley,et al.  Burn depth estimation by use of indocyanine green fluorescence: initial human trial. , 1995, The Journal of burn care & rehabilitation.

[10]  Zhongping Chen,et al.  Imaging thermally damaged tissue by Polarization Sensitive Optical Coherence Tomography. , 1998, Optics express.

[11]  T. Kaufman,et al.  Deep partial skin thickness burns: a reproducible animal model to study burn wound healing. , 1990, Burns : journal of the International Society for Burn Injuries.

[12]  E. B. Howard,et al.  CYCLOSPORINE AND SKIN ALLOGRAFTS FOR THE TREATMENT OF THERMAL INJURY: I. Extensive Graft Survival with Low‐Level Long‐Term Administration and Prolongation in a Rat Burn Model12 , 1988, Transplantation.

[13]  E. Mcloughlin,et al.  Burn incidence and medical care use in the United States: estimates, trends, and data sources. , 1996, The Journal of burn care & rehabilitation.

[14]  N. McLean,et al.  New laser Doppler scanner, a valuable adjunct in burn depth assessment. , 1993, Burns : journal of the International Society for Burn Injuries.