Optical coherence tomography in endovascular neurosurgery: current applications and future directions

IF 1.8 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Clinical Neuroscience Pub Date : 2025-08-20 DOI:10.1016/j.jocn.2025.111563

Ioannis Karavolias , Joanna M. Roy , Basel Musmar , Stavropoula I. Tjoumakaris , M. Reid Gooch , Robert H. Rosenwasser , Pascal M. Jabbour

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引用次数: 0

Abstract

Optical Coherence Tomography (OCT), initially introduced in 1991, has demonstrated efficacy in diagnosing pathologies of the retina, optic nerve, and coronary vessels. Recently, there has been growing research interest in the application of OCT in endovascular neurosurgery, with studies exploring its utility across a range of intracranial and extracranial endovascular diseases. The current review aims to synthesize available literature on the use of OCT in endovascular neurosurgery, encompassing both clinical and preclinical models. 57 studies met the inclusion criteria and were included in the qualitative analysis. These studies were stratified into different categories based on diseases studied. OCT has been utilized to evaluate the in vivo microanatomy of intracranial and extracranial vasculature, assess treatment efficacy and device apposition, and monitor patient outcomes. The results consistently demonstrate greater accuracy and stronger correlation with patient outcomes compared to contemporary imaging techniques. However, limitations such as the large size of current OCT-integrated probes and the lack of standardized workflows hinder the broader adoption of this technology.

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光学相干断层扫描在血管内神经外科：目前的应用和未来的方向

光学相干断层扫描（OCT）于1991年首次引入，在诊断视网膜、视神经和冠状血管病变方面已经证明了其有效性。近年来，人们对OCT在血管内神经外科中的应用越来越感兴趣，研究探索了它在一系列颅内和颅外血管内疾病中的应用。本综述旨在综合有关OCT在血管内神经外科手术中的应用的现有文献，包括临床和临床前模型。57项研究符合纳入标准，纳入定性分析。这些研究根据所研究的疾病被分为不同的类别。OCT已被用于评估颅内和颅外血管的体内显微解剖，评估治疗效果和装置的放置，并监测患者的预后。与当代成像技术相比，结果一致显示出更高的准确性和与患者预后更强的相关性。然而，诸如当前oct集成探头的大尺寸和缺乏标准化工作流程等限制阻碍了该技术的广泛采用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Neuroscience 医学-临床神经学

CiteScore

4.50

自引率

0.00%

发文量

402

审稿时长

40 days

期刊介绍： This International journal, Journal of Clinical Neuroscience, publishes articles on clinical neurosurgery and neurology and the related neurosciences such as neuro-pathology, neuro-radiology, neuro-ophthalmology and neuro-physiology. The journal has a broad International perspective, and emphasises the advances occurring in Asia, the Pacific Rim region, Europe and North America. The Journal acts as a focus for publication of major clinical and laboratory research, as well as publishing solicited manuscripts on specific subjects from experts, case reports and other information of interest to clinicians working in the clinical neurosciences.