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From the Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
| Abstract |
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METHODS. A high-resolution SD-OCT system was built for in vivo imaging of rodent retina. OCT fundus images similar to those acquired with a scanning laser ophthalmoscope (SLO) were constructed from the measured OCT data, which provided precise spatial registration of the OCT cross-sectional images on the fundus. A 3D segmentation algorithm was developed for calculation of the retinal thickness map. OCT images were compared by histologic examination.
RESULTS. High-quality OCT images of the retinas of mice (B6/SJLF2 for normal retina, rhodopsin-deficient Rho/ for photoreceptor degeneration, and LHBETATAG for retinoblastoma) and rat (Wistar) were acquired. The OCT images compared well with histology. Not only was a 3D image of the tumor in a retinoblastoma mouse model successfully imaged in vivo but the tumor volume was extracted from the 3D image. Retinal thickness maps were calculated that enabled successful quantitative comparison of the retinal thickness distribution between the normal (202.3 ± 9.3 µm) and the degenerative (102.7 ± 12.6 µm) mouse retina.
CONCLUSIONS. High-resolution spectral-domain OCT provides unprecedented high-quality 2D and 3D in vivo visualization of retinal structures of mouse and rat models of retinal diseases. With the capability of 3D quantitative information extraction and precise spatial registration, the OCT system made possible longitudinal study of ocular diseases that has been impossible to conduct.
Optical coherence tomography (OCT)7 8 is a low-coherence, interferometer-based, noninvasive medical imaging modality that can provide noncontact, high-resolution, cross-sectional images of biological tissue. Since it was first reported more than a decade ago, OCT has been used in a variety of medical research and diagnostic applications, the most successful of which was retinal cross-sectional imaging. Commercial OCT is one of the new standards for in vivo noninvasive ophthalmic imaging and is widely used for diagnosis and treatment monitoring of various ocular diseases in humans. Although OCT has also been used to image the retina in small animals, including mice (Hartl I, et al. IOVS 2001;42:ARVO Abstract 4252; Ko TH, et al. IOVS 2005;46:ARVO E-Abstract 1051; Shah SM, et al. IOVS 2004;45:ARVO E-Abstract 2375; Kim K, et al. IOVS 2006;47:ARVO E-Abstract 292),6 9 10 the reported systems have limitations. In some reports, the depth resolution and the image quality of the systems are not good enough to resolve subretinal layers; therefore, the systems are not suitable for the evaluation of detailed retinal abnormalities.6 9 They are also not suitable for automatic quantitative retinal analyses. In the other reports, OCT image resolution was good, but a microscopic coverslip was used to press on the mouse cornea to cancel the refractive power of the mouse eye for facilitating light delivery to the retina (Hartl I, et al. IOVS 2001;42:ARVO Abstract 4252; Ko TH, et al. IOVS 2005;46:ARVO E-Abstract 1051; Shah SM, et al. IOVS 2004;45:ARVO E-Abstract 2375; Kim K, et al. IOVS 2006;47:ARVO E-Abstract 2923).10 Because a contact method was used, the systems were not suitable for high-throughput routine applications. Despite limitations, these reports have demonstrated the feasibility of OCT imaging in mouse retina and provided some valuable results.
The biggest challenge of OCT retinal imaging of the mouse eye comes from the small size of the eye and the very small pupil. The small pupil size of the mouse eye makes the alignment for light delivery to the eye formidable. It also limits the amount of light reflected from the retina and thus decreases the signal-to-noise ratio (SNR). In comparison, the rat eye is approximately twice as big as a mouse eye on a linear scale.11 Therefore, capturing OCT images of the mouse is, relatively speaking, considerably harder than imaging the rat retina.
In this study, we built a high-resolution spectral-domain OCT (SD-OCT) system for in vivo 3D imaging of the rodent retina. We describe here the test results on B6/SJLF2 (normal retina), Rho/ (model for photoreceptor degeneration), and LHBETATAG (model for retinoblastoma) mice and Wistar rat. A 3D segmentation algorithm was applied to the acquired OCT images for the calculation of the retinal thickness map, whereas manual segmentation of the tumor in the retinoblastoma mouse model was made to calculate the tumor volume.
| Materials and Methods |
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Animals were anesthetized 10 minutes before the experiments by intramuscular injection of a cocktail containing ketamine (80 mg/kg body weight) and xylazine (10 mg/kg body weight). In the meantime, the pupils were dilated with 10% phenylephrine solution. Drops of artificial tears were applied to the animal eyes every 2 minutes to prevent cornea dehydration and cataract formation. Humane killing was performed with CO2 fumes.
Experimental OCT System
The configuration of the OCT system was similar to what has been reported before except for some specific parameters.14 A two-module superluminescent diode (SLD) light source (D830-HP2; Superlumdiodes Ltd., Moscow, Russia) with a center wavelength of 830 nm and a full width at half maximum (FWHM) bandwidth of 70 nm was used. The light source provided the low coherence light at a power of 12 mW exiting the single-mode optical fiber pigtail. After passing through a fiber pig-tailed isolator, the low-coherence light was coupled into the source arm of a fiber-based Michelson interferometer that consists of a 2 x 2 3dB fiber coupler, which split the source light into the sample and the reference arms. The sample arm was interfaced to the modified optical head of an imaging system (OCT 2; Carl Zeiss Meditec Inc., Dublin, CA), which consisted of an X-Y transverse galvanometer scanner and the optics for delivering the sample light to the rodent retina and collecting the back-reflected sample light. A double-aspheric 90-D Volk lens (Volk Optical Inc., Mentor, OH) was used as the objective lens. The power of the sample light was decreased to 750 µW by adjusting the source power with a fiber-based pigtail style attenuator to ensure that the light intensity delivered to the eye was within the ANSI standard and the light exposure was safe for the retina.
In the detection arm, a spectrometer consisting of a collimating lens (f = 50 mm), a 1200 line/mm transmission grating, an achromatic imaging lens (f = 200 mm), and a line scan charge-coupled device camera (Aviiva-M2-CL-2014, 2048 pixels with 14-µm pixel size operating in 12-bit mode; Atmel Corp., Grenoble, France) was used to detect the combined reference and sample light. The calculated spectral resolution was 0.051 nm, which corresponds to a detectable depth range of 3.3 mm in air.15 An image acquisition board acquired the image captured by the camera and transferred it to a computer workstation (IntelliStation Z Pro, dual 3.6 GHz processor, 3 GB memory; IBM, Armonk, NY) for signal processing and image display. A complete raster scan consisting of 65,536 scanning steps took approximately 2.7 seconds when the A-line (depth scan) rate of the OCT system was set at 24 kHz. At this operating condition, the measured sensitivity was approximately 95 dB. The calibrated depth resolution of the system was approximately 6 µm in the air and approximately 4.4 µm in the tissue (the refractive index of the retina was approximately 1.35).
The challenges for imaging the mouse retina are the very small pupil size and the high dioptric power of the mouse eye. According to Remtulla et al.11 and Schmucker et al.,16 the maximum diameter of the pupil of the mouse eye is approximately 2 mm. Through extrapolation from the published data by Remtulla et al.,11 in which the dioptric power was measured for the wavelength range from 450 nm to 655 nm, the dioptric power at a wavelength of 830 nm (the center wavelength of the OCT system) was estimated to be approximately 550 D. This parameter was used in calculating the scanning range of the OCT image. A six-axis animal mount and alignment system was built for the restraint and adjustment of the animals. We used two mounting tubes of different sizes with fixing holes to restrain mouse and rat, respectively. The fundus camera in the optical head provided initial alignment for the sample light to ensure the sample light was delivered through the dilated pupil. Final alignment was guided by monitoring and optimizing the real-time OCT image of the retina.
OCT Imaging and Histology
We performed experiments on mice and rats. After anesthetization, the animal was restrained in the mounting tube, which was fixed on the six-axis platform. Raster scanstypically we used 512 x 128 (horizontal x vertical) and 1024 x 64 depth scan patternswith the fast scan in the horizontal direction were performed for each eye. Scan length was approximately 32° for imaging the retinas of mice and rats. With the initial guidance of the fundus camera, experiments showed that the alignment for acquiring a high-quality OCT image took approximately 5 minutes for each mouse eye if the reference arm was tuned correctly. In addition to the cross-sectional images, an en face fundus image similar to the image acquired with a scanning laser ophthalmoscope (SLO) could be generated from the OCT data set.14
After imaging, the animals were humanely killed, and both eyes were enucleated and immediately immersion-fixed in 10% formalin for LHBETATAG and 4% paraformaldehyde, followed by incubation in increasing sucrose concentrations (5%20%) for Rho/. LHBETATAG eyes were embedded in paraffin, sectioned serially in 5-µm sections, and processed for standard hematoxylin-eosin (H&E) analysis. Rho/ mouse eyes were embedded in embedding media (Tissue Tek; Miles, Elkhart, IN) and flash frozen, and 10-µm serial sections were obtained. Microscopic images of sections were obtained with a digital camera at a magnification of 400x.
| Results |
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One major difference between the anatomy of the mouse and that of the human is the protruding hyaloid artery remnant (HA),17 as shown in the OCT image across the optic disk. Even though there is a gradual disappearance of the hyaloid artery with growth, a residue on the surface of the optic nerve head could remain even in adult mice.17
Figure 3 shows two cross-sectional images of the retina of a Wistar rat, with one image across the optic disk. With the same scanning angle used for the mouse eye, the 3D image covered an area of 2 x 2 mm2 on the rat retina. The displayed depth is 0.62 mm, the same as in Figure 2 for the mouse eye. The OCT images consist of 1024 x 64 A-lines.
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To assess the capability of the OCT system in imaging retinal tumors, we tested the system on an LHBETATAG transgenic mouse model of retinoblastoma. In these mice, tumors appear at 4 weeks of age and fill the available orbit volume by 16 weeks of age.13 Raster scan patterns consisting of 512 x 128 depth scans corresponding to a 1 x 1 mm2 area on the retina was used for the imaging. Both eyes of 9-week-old LHBETATAG have been imaged with the OCT system. Histologic images were obtained for comparison with OCT images. The histologic image depicted in Figure 6A shows that the tumor (RT) is in the retinal inner nuclear layer as reported.13 Figure 6B shows an OCT cross-sectional image of the mouse retina. The tumor can be recognized in the OCT image as a high backscattering region, and the location is in the inner nuclear layer, which is shown more clearly in the 3D display (see Fig. 8 ).
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We are developing algorithms for 3D segmentation of various retinal structures, particularly ILM and RPE, from the OCT images. Successful segmentation of such boundaries provides information about the actual geometry of the retina in three dimensions and could generate multiple quantitative parameters (e.g., thickness, curvature, feature sizes) of potential value. As an illustration of what can be achieved, we present in Figure 7 the output of a preliminary version of the segmentation tools. The algorithm detects the ILM and RPE boundaries by means of an iterative procedure by which an initial guess is repeatedly evaluated and improved. The retinal thickness map can then be easily calculated from the 2D surfaces.
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To calculate the mean value and the SD of the retinal thickness in the imaged retina area, we averaged all the data points of the thickness map after removing a circular area with a diameter equal to 500 µm around the optic nerve head. The calculated retina thickness for the normal B6/SJLF2 mouse retina was 202.3 ± 9.3 µm, which was consistent with the thickness previously measured close to the optic nerve head in the C57BL/6 mouse retina.16 The retinal thickness of the Rho/ mouse retina was 102.7 ± 12.6 µm, which matched the retinal thickness measured from fixed sections of the same mouse.
One other significant parameter in evaluating the progression of the disease in retinoblastoma mouse models is the volume of the tumor mass. We calculated the tumor volume with the voxel count method applied to the segmented OCT images acquired on the LHBETATAG mouse model. The tumor was segmented by manually tracing its boundaries on each cross-sectional OCT image. Figure 8 shows a 3D view of the OCT images; tumor boundaries are highlighted. The 3D image covered a retinal volume of 1 x 1 x 0.62 (horizontal x vertical x depth) mm3 consisting of 512 x 128 x 1024 voxels, where the imaging depth was corrected by the refractive index of the mouse retina. We then calculated the volume for each voxel of the image as 9.24 µm3. By counting the total number of voxels confined by the manually segmented boundaries, which was performed automatically by the software, the total volume of the tumor was calculated. The total voxel number occupied by the tumor was 538,165, which yielded a volume of 0.004973 mm3.
| Discussion |
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Cornea transparency is one of the keys affecting the quality of the OCT image. Cataract formation in the eye of rodents under anesthesia is a limiting factor for OCT imaging. To keep the eye transparent, examination time should be as short as possible, and artificial tears should be applied to the cornea regularly. Imaging of the conscious rodent is more reliable if the animal is suitably restrained.
Results presented in this study demonstrated the capability of our OCT system to image retinal structures in normal and diseased rodent eyes. The acquired OCT images have excellent correlation with histology. The reported OCT system accomplished the goal of noninvasive noncontact in vivo imaging of the rodent retina with high image quality and short examination time (approximately 5 minutes; image acquisition time, 2.7 seconds), making the system suitable for routine high throughput repeatable applications. The acquired volume data not only provide 3D views of the retina and retinal abnormalities, they also provide means for precise comparison of the images acquired at different time points, making longitudinal study of retinal diseases in rodent models possible. The OCT fundus image provides a tool for precise spatial registration of the OCT cross-sectional images on the retina and potentially for precise registration of the OCT images with histologic sections.
Three-dimensional automatic segmentation allows quantitative evaluation of the morphology and structure of different retinal layers. The current segmentation algorithm developed by our group can successfully extract the ILM and the RPE and, in turn, provide the thickness map of the rodent retina. Segmentation of the tumor boundary (manual in the present study) allowed calculation of the tumor volume that would allow monitoring the response to therapies. Algorithms for automatic or semiautomatic segmentation of the boundaries among different retinal layers and other retinal features (i.e., retinal tumors) are under development.
| Acknowledgements |
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| Footnotes |
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Disclosure: M. Ruggeri, None; H. Wehbe, None; S. Jiao, None; G. Gregori, None; M.E. Jockovich, None; A. Hackam, None; Y. Duan, None; C.A. Puliafito, None
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Shuliang Jiao, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 1638 N.W. 10th Avenue Miami, FL 33136; sjiao{at}med.miami.edu.
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