Intravascular Fluorescence
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Intravascular Fluorescence
Intravascular fluorescence is a catheter-based molecular imaging technique that uses near-infrared fluorescence to detect artery wall autofluorescence (NIRAF) or fluorescence generated by molecular agents injected intravenously (NIRF) . No commercial systems based on intravascular fluorescence are currently on the market, however, significant steps forwards in intravascular fluorescence imaging technology have been made between 2010-2016. It is typically used to detect functional state of artery wall including some known high-risk features of atherosclerosis (e.g., inflammation). It is usually combined with structural imaging modalities such as Intravascular ultrasound and/or Intracoronary optical coherence tomography, to provide functional information in a morphological context. Methods Intravascular fluorescence typically used laser-induced fluorescence to stimulate fluorescence emission of particular vessel wall and plaque components or previously injected molecular agents (i.e. ...
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Intracoronary Optical Coherence Tomography
Intracoronary optical coherence tomography (OCT) (or, more generally, intravascular optical coherence tomography, IVOCT) is an endoscopic-based application of optical coherence tomography. Analogous to intravascular ultrasound, intracoronary OCT uses a catheter to deliver and collect near infrared light (e.g., 1,300 nm) to create cross-sectional images of the artery lumen and wall. Intracoronary OCT creates images at a resolution of approximately 15 micro-meters, an order of magnitude improved resolution with respect to intravascular ultrasound and X-ray coronary angiogram. IVOCT visualization of arteries inner lumen can help physician to understand morphology and plan treatment accordingly. IVOCT has been used as guidance for angioplasty intervention of coronary arteries, including optimization of stent implantation. Medical uses Data published in late 2016 showed that approximately 100,000 intracoronary optical coherence tomography procedures are performed every year, a ...
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Optical Fiber
An optical fiber, or optical fibre in Commonwealth English, is a flexible, transparent fiber made by drawing glass (silica) or plastic to a diameter slightly thicker than that of a human hair. Optical fibers are used most often as a means to transmit light between the two ends of the fiber and find wide usage in fiber-optic communications, where they permit transmission over longer distances and at higher bandwidths (data transfer rates) than electrical cables. Fibers are used instead of metal wires because signals travel along them with less loss; in addition, fibers are immune to electromagnetic interference, a problem from which metal wires suffer. Fibers are also used for illumination and imaging, and are often wrapped in bundles so they may be used to carry light into, or images out of confined spaces, as in the case of a fiberscope. Specially designed fibers are also used for a variety of other applications, some of them being fiber optic sensors and fiber lasers. ...
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Guillermo J
Guillermo () is the Spanish form of the male given name William. The name is also commonly shortened to 'Guille' or, in Latin America, to nickname 'Memo'. People *Guillermo Amor (born 1967), Spanish football manager and former player *Guillermo Arévalo (born 1952), a Shipibo shaman and ''curandero'' (healer) of the Peruvian Amazon; among the Shipibo he is known as Kestenbetsa *Guillermo Barros Schelotto (born 1973), Argentine former football player *Guillermo Bermejo (born 1975), Peruvian politician * Guillermo C. Blest (1800–1884), Anglo-Irish physician settled in Chile *Guillermo Cañas, Argentine tennis player *Guillermo Chong, Chilean geologist *Guillermo Coria, another Argentine tennis player *Guillermo Dávila, Venezuelan actor and singer *Guillermo Díaz (actor) (born 1975), American actor of Cuban descent *Guillermo Diaz (basketball), Puerto Rican basketball player for the Los Angeles Clippers *Guillermo del Toro, Mexican filmmaker, screenwriter, producer, author, actor, ...
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Ughi GJ
Giovanni J. Ughi (born Padova, Italy), engineer and scientist, is one of the inventors of multimodality optical coherence tomography (OCT) and Laser-induced fluorescence molecular imaging, pioneering a first-in-man study of coronary arteries during his work at Massachusetts General Hospital and Harvard Medical School. The results of his work, combining two imaging technologies, may better identify dangerous coronary plaques, responsible for coronary artery disease and myocardial infarction. He also was one of the pioneers of targeted molecular imaging of human atherosclerosis, determining the use of molecular agents (e.g., indocyanine green (ICG)-enhanced near-infrared fluorescence) to illuminate high-risk features of human atherosclerotic plaques, arterial inflammation and plaque progression, and for the identification of unhealed stents at higher risk of stent thrombosis. Dr. Ughi also made significant contributions to the development of image processing and AI methods for the a ...
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Thrombosis
Thrombosis (from Ancient Greek "clotting") is the formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system. When a blood vessel (a vein or an artery) is injured, the body uses platelets (thrombocytes) and fibrin to form a blood clot to prevent blood loss. Even when a blood vessel is not injured, blood clots may form in the body under certain conditions. A clot, or a piece of the clot, that breaks free and begins to travel around the body is known as an embolus. Thrombosis may occur in veins (venous thrombosis) or in arteries (arterial thrombosis). Venous thrombosis (sometimes called DVT, deep vein thrombosis) leads to a blood clot in the affected part of the body, while arterial thrombosis (and, rarely, severe venous thrombosis) affects the blood supply and leads to damage of the tissue supplied by that artery (ischemia and necrosis). A piece of either an arterial or a venous thrombus can break off as an embolus, which could ...
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Fibrin
Fibrin (also called Factor Ia) is a fibrous, non-globular protein involved in the clotting of blood. It is formed by the action of the protease thrombin on fibrinogen, which causes it to polymerize. The polymerized fibrin, together with platelets, forms a hemostatic plug or clot over a wound site. When the lining of a blood vessel is broken, platelets are attracted, forming a platelet plug. These platelets have thrombin receptors on their surfaces that bind serum thrombin molecules, which in turn convert soluble fibrinogen in the serum into fibrin at the wound site. Fibrin forms long strands of tough insoluble protein that are bound to the platelets. Factor XIII completes the cross-linking of fibrin so that it hardens and contracts. The cross-linked fibrin forms a mesh atop the platelet plug that completes the clot. Fibrin was discovered by Marcello Malpighi in 1666. Role in disease Excessive generation of fibrin due to activation of the coagulation cascade leads to thrombos ...
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Stroke
A stroke is a medical condition in which poor blood flow to the brain causes cell death. There are two main types of stroke: ischemic, due to lack of blood flow, and hemorrhagic, due to bleeding. Both cause parts of the brain to stop functioning properly. Signs and symptoms of a stroke may include an inability to move or feel on one side of the body, problems understanding or speaking, dizziness, or loss of vision to one side. Signs and symptoms often appear soon after the stroke has occurred. If symptoms last less than one or two hours, the stroke is a transient ischemic attack (TIA), also called a mini-stroke. A hemorrhagic stroke may also be associated with a severe headache. The symptoms of a stroke can be permanent. Long-term complications may include pneumonia and loss of bladder control. The main risk factor for stroke is high blood pressure. Other risk factors include high blood cholesterol, tobacco smoking, obesity, diabetes mellitus, a previous TIA, end-st ...
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Indocyanine Green
Indocyanine green (ICG) is a cyanine dye used in medical diagnostics. It is used for determining cardiac output, hepatic function, liver and gastric blood flow, and for ophthalmic angiography.Definition of indocyanine green
National Cancer Institute
It has a peak Absorption spectroscopy, spectral absorption at about 800 nm. These infrared frequencies penetrate retinal layers, allowing ICG angiography to image deeper patterns of circulation than fluorescein angiography.Ophthalmic Diagnostic Photography; Indocyanine Green (ICG) Angiography
University of Iowa Health Care
ICG bi ...
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Percutaneous Coronary Intervention
Percutaneous coronary intervention (PCI) is a non-surgical procedure used to treat narrowing of the coronary arteries of the heart found in coronary artery disease. The process involves combining coronary angioplasty with stenting, which is the insertion of a permanent wire-meshed tube that is either drug eluting (DES) or composed of bare metal (BMS). The stent delivery balloon from the angioplasty catheter is inflated with media to force contact between the struts of the stent and the vessel wall (stent apposition), thus widening the blood vessel diameter. After accessing the blood stream through the femoral or radial artery, the procedure uses coronary catheterization to visualise the blood vessels on X-ray imaging. After this, an interventional cardiologist can perform a coronary angioplasty, using a balloon catheter in which a deflated balloon is advanced into the obstructed artery and inflated to relieve the narrowing; certain devices such as stents can be deployed to keep ...
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Lumen (anatomy)
In biology, a lumen (plural lumina) is the inside space of a tubular structure, such as an artery or intestine. It comes . It can refer to: *The interior of a vessel, such as the central space in an artery, vein or capillary through which blood flows. *The interior of the gastrointestinal tract *The pathways of the bronchi in the lungs *The interior of renal tubules and urinary collecting ducts *The pathways of the female genital tract, starting with a single pathway of the vagina, splitting up in two lumina in the uterus, both of which continue through the Fallopian tubes In cell biology, a lumen is a membrane-defined space that is found inside several organelles, cellular components, or structures: *thylakoid, endoplasmic reticulum, Golgi apparatus, lysosome, mitochondrion, or microtubule Transluminal procedures ''Transluminal procedures'' are procedures occurring through lumina, including: *Natural orifice transluminal endoscopic surgery in the lumina of, for example, the ...
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Catheters
In medicine, a catheter (/ˈkæθətər/) is a thin tube made from medical grade materials serving a broad range of functions. Catheters are medical devices that can be inserted in the body to treat diseases or perform a surgical procedure. Catheters are manufactured for specific applications, such as cardiovascular, urological, gastrointestinal, neurovascular and ophthalmic procedures. The process of inserting a catheter is ''catheterization''. In most uses, a catheter is a thin, flexible tube (''soft'' catheter) though catheters are available in varying levels of stiffness depending on the application. A catheter left inside the body, either temporarily or permanently, may be referred to as an "indwelling catheter" (for example, a peripherally inserted central catheter). A permanently inserted catheter may be referred to as a "permcath" (originally a trademark). Catheters can be inserted into a body cavity, duct, or vessel, brain, skin or adipose tissue. Functionally, they all ...
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Molecular Imaging
Molecular imaging is a field of medical imaging that focuses on imaging molecules of medical interest within living patients. This is in contrast to conventional methods for obtaining molecular information from preserved tissue samples, such as histology. Molecules of interest may be either ones produced naturally by the body, or synthetic molecules produced in a laboratory and injected into a patient by a doctor. The most common example of molecular imaging used clinically today is to inject a contrast agent (e.g., a microbubble, metal ion, or radioactive isotope) into a patient's bloodstream and to use an imaging modality (e.g., ultrasound, MRI, CT, PET) to track its movement in the body. Molecular imaging originated from the field of radiology from a need to better understand fundamental molecular processes inside organisms in a noninvasive manner. The ultimate goal of molecular imaging is to be able to noninvasively monitor all of the biochemical processes occurring inside ...
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