One of the most challenging problems in clinical dermatology is the early detection of melanoma. Reflectance confocal microscopy (RCM) is an added tool to dermoscopy improving considerably diagnostic accuracy. However, diagnosis strongly depends on the experience of physicians. High-definition optical coherence tomography (HD-OCT) appears to offer additional structural and cellular information on melanocytic lesions complementary to that of RCM. However, the diagnostic potential of HD-OCT seems to be not high enough for ruling out the diagnosis of melanoma if based on morphology analysis. The aim of this paper is first to quantify in vivo optical properties such as light attenuation in melanocytic lesions by HD-OCT. The second objective is to determine the best critical value of these optical properties for melanoma diagnosis. The technique of semi-log plot whereby an exponential function becomes a straight line has been implemented on HD-OCT signals coming from four successive skin layers (epidermis, upper papillary dermis, deeper papillary dermis and superficial reticular dermis). This permitted the HD-OCT in vivo measurement of skin entrance signal (SES), relative attenuation factor normalized for the skin entrance signal (µraf1) and half value layer (z1/2). The diagnostic accuracy of HD-OCT for melanoma detection based on the optical properties, µraf1, SES and z1/2 was high (95.6, 82.2 and 88.9 %, respectively). High negative predictive values could be found for these optical properties (96.7, 89.3 and 96.3 %, respectively) compared to morphologic assessment alone (89.9 %), reducing the risk of mistreating a malignant lesion to a more acceptable level (3.3 % instead of 11.1 %). HD-OCT seems to enable the combination of in vivo morphological analysis of cellular and 3-D micro-architectural structures with in vivo analysis of optical properties of tissue scatterers in melanocytic lesions. In vivo HD-OCT analysis of optical properties permits melanoma diagnosis with higher accuracy than in vivo HD-OCT analysis of morphology alone.

Abstract:Recently emerging non-invasive imaging modality -optical coherence tomography (OCT) -is becoming an increasingly important diagnostic tool in various medical applications. One of its main limitations is the presence of speckle noise which obscures small and low-intensity features. The use of multiresolution techniques has been recently reported by several authors with promising results. These approaches take into account the signal and noise properties in different ways. Approaches that take into account the global orientation properties of OCT images apply accordingly different level of smoothing in different orientation subbands. Other approaches take into account local signal and noise covariance's.So far it was unclear how these different approaches compare to each other and to the best available single-resolution despeckling techniques. The clinical relevance of the denoising results also remains to be determined. In this paper we review systematically recent multiresolution OCT speckle filters and we report the results of a comparative experimental study.We use 15 different OCT images extracted from five different three-dimensional volumes, and we also generate a software phantom with real OCT noise. These test images are processed with different filters and the results are evaluated both visually and in terms of different performance measures. The results indicate significant differences in the performance of the analyzed methods. Wavelet techniques perform much better than the single resolution ones and some of the wavelet methods improve remarkably the quality of OCT images.

compared with controls. Each dot represents the median of nine observations of each studied parameter per subject (cystinosis, red; control, green). Data presented as mean AE standard deviation (d) or median AE interquartile range (f). For graphical representation of (e), full straight line represents linear regression analysis of non-KTx patients with cystinosis (red line) and controls (green line). DEJ, dermal-epidermal junction; HD-OCT, high-definition optical coherence tomography; KTx, kidney transplantation; RPJ, reticular-papillary junction; SES, skin entrance signal; Str Gran, signal of the surface of the stratum granulosum.

Optical coherence tomography produces high resolution medical images based on spatial and temporal coherence of the optical waves backscattered from the scanned tissue. However, the same coherence introduces speckle noise as well; this degrades the quality of acquired images.In this paper we propose a technique for noise reduction of 3D OCT images, where the 3D volume is considered as a sequence of 2D images, i.e., 2D slices in depth-lateral projection plane. In the proposed method we first perform recursive temporal filtering through the estimated motion trajectory between the 2D slices using noise-robust motion estimation/compensation scheme previously proposed for video denoising. The temporal filtering scheme reduces the noise level and adapts the motion compensation on it. Subsequently, we apply a spatial filter for speckle reduction in order to remove the remainder of noise in the 2D slices. In this scheme the spatial (2D) speckle-nature of noise in OCT is modeled and used for spatially adaptive denoising. Both the temporal and the spatial filter are wavelet-based techniques, where for the temporal filter two resolution scales are used and for the spatial one four resolution scales.The evaluation of the proposed denoising approach is done on demodulated 3D OCT images on different sources and of different resolution. For optimizing the parameters for best denoising performance fantom OCT images were used. The denoising performance of the proposed method was measured in terms of SNR, edge sharpness preservation and contrast-to-noise ratio. A comparison was made to the state-of-theart methods for noise reduction in 2D OCT images, where the proposed approach showed to be advantageous in terms of both objective and subjective quality measures.

Kortrijk is described. The project deals with DTL electronics, logic operations and arithmetic operations. It follows an elementary course in digital electronics and starts after some exercises concerning the working and characteristics of diodes and transistors and some circuitry with these components (totalling 8 h). The project itself lasts 12 h and is carried out on a self-made electronic testboard at low cost; the do-it-yourself price is about