Display options
Share it on

Biomed Opt Express. 2016 Aug 01;7(9):3170-3183. doi: 10.1364/BOE.7.003170. eCollection 2016 Sep 01.

Visualization of prostatic nerves by polarization-sensitive optical coherence tomography.

Biomedical optics express

Yeoreum Yoon, Seung Hwan Jeon, Yong Hyun Park, Won Hyuk Jang, Ji Youl Lee, Ki Hean Kim

Affiliations

  1. Department of Mechanical Engineering, Pohang University of Science and Technology, San 31, Hyoja-dong, Nam-gu, Pohang, Gyeongbuk 790-784, South Korea.
  2. Department of Urology, College of Medicine, The Catholic University of Korea, 505 Banpo-dong, Seocho-gu, Seoul 137-040, South Korea.
  3. Division of Integrative Biosciences and Biotechnology, Pohang University of Science and Technology, San 31, Hyoja-dong, Nam-gu, Pohang, Gyeongbuk 790-784, South Korea.
  4. Department of Mechanical Engineering, Pohang University of Science and Technology, San 31, Hyoja-dong, Nam-gu, Pohang, Gyeongbuk 790-784, South Korea; Division of Integrative Biosciences and Biotechnology, Pohang University of Science and Technology, San 31, Hyoja-dong, Nam-gu, Pohang, Gyeongbuk 790-784, South Korea.

PMID: 27699090 PMCID: PMC5030002 DOI: 10.1364/BOE.7.003170

Abstract

Preservation of prostatic nerves is critical to recovery of a man's sexual potency after radical prostatectomy. A real-time imaging method of prostatic nerves will be helpful for nerve-sparing radical prostatectomy (NSRP). Polarization-sensitive optical coherence tomography (PS-OCT), which provides both structural and birefringent information of tissue, was applied for detection of prostatic nerves in both rat and human prostate specimens, ex vivo. PS-OCT imaging of rat prostate specimens visualized highly scattering and birefringent fibrous structures superficially, and these birefringent structures were confirmed to be nerves by histology or multiphoton microscopy (MPM). PS-OCT could easily distinguish these birefringent structures from surrounding other tissue compartments such as prostatic glands and fats. PS-OCT imaging of human prostatectomy specimens visualized two different birefringent structures, appearing fibrous and sheet-like. The fibrous ones were confirmed to be nerves by histology, and the sheet-like ones were considered to be fascias surrounding the human prostate. PS-OCT imaging of human prostatectomy specimens along the perimeter showed spatial variation in the amount of birefringent fibrous structures which was consistent with anatomy. These results demonstrate the feasibility of PS-OCT for detection of prostatic nerves, and this study will provide a basis for intraoperative use of PS-OCT.

Keywords: (170.3880) Medical and biological imaging; (170.4500) Optical coherence tomography; (170.7230) Urology; (180.4315) Nonlinear microscopy; (230.5440) Polarization-selective devices; (260.5430) Polarization

References

  1. Burns. 2004 Sep;30(6):511-7 - PubMed
  2. J Biomed Opt. 2009 Jul-Aug;14(4):044033 - PubMed
  3. J Urol. 1982 Sep;128(3):492-7 - PubMed
  4. Opt Express. 2015 May 18;23(10):12874-86 - PubMed
  5. Sci Rep. 2016 May 03;6:25339 - PubMed
  6. BJU Int. 2005 Jun;95(9):1226-31 - PubMed
  7. J Am Coll Cardiol. 2007 Apr 3;49(13):1474-81 - PubMed
  8. J Endourol. 2012 Jul;26(7):769-77 - PubMed
  9. J Biomed Opt. 2015 Apr;20(4):046002 - PubMed
  10. BJU Int. 2011 Nov;108(9):1421-9 - PubMed
  11. BJU Int. 2007 Apr;99(4):916-24 - PubMed
  12. Lasers Surg Med. 2007 Jan;39(1):36-41 - PubMed
  13. Opt Lett. 1997 Jun 15;22(12):934-6 - PubMed
  14. J Biomed Opt. 2004 Jan-Feb;9(1):94-102 - PubMed
  15. Nat Rev Urol. 2015 Aug;12 (8):451-60 - PubMed
  16. Mol Imaging. 2011 Apr;10(2):91-101 - PubMed
  17. Opt Express. 2011 Jan 17;19(2):552-61 - PubMed
  18. J Endourol. 2009 May;23(5):861-7 - PubMed
  19. Eur Urol. 2007 Jan;51(1):105-10; discussion 110-1 - PubMed
  20. Urol Oncol. 2011 May-Jun;29(3):343-6 - PubMed
  21. Urology. 1995 Aug;46(2):178-81 - PubMed
  22. J Biophotonics. 2016 Jan;9(1-2):124-8 - PubMed
  23. Nat Biotechnol. 2003 Nov;21(11):1361-7 - PubMed
  24. Biomed Opt Express. 2011 Mar 18;2(4):915-26 - PubMed
  25. Eur Urol. 2009 Jan;55(1):148-54 - PubMed
  26. Urology. 2008 Jul;72(1):198-204 - PubMed
  27. Urol Oncol. 2013 Jul;31(5):572-5 - PubMed
  28. Exp Neurol. 2008 Oct;213(2):439-47 - PubMed
  29. Am J Otol. 1985 Nov;Suppl:58-61 - PubMed
  30. J Biomed Opt. 2002 Jul;7(3):359-71 - PubMed
  31. J Biomed Opt. 2004 Jan-Feb;9(1):207-12 - PubMed
  32. J Biomed Opt. 2010 Jul-Aug;15(4):046014 - PubMed
  33. Opt Lett. 2002;27(20):1803-5 - PubMed
  34. J Biomed Opt. 2012 May;17(5):056012 - PubMed
  35. Prostate Int. 2013;1(4):139-45 - PubMed
  36. Cell Tissue Res. 1989 Apr;256(1):105-12 - PubMed
  37. Urology. 2011 Feb;77(2):502-6 - PubMed
  38. J Urol. 2006 Apr;175(4):1311-9 - PubMed
  39. Biomed Opt Express. 2012 Aug 1;3(8):1880-90 - PubMed
  40. Nat Rev Cancer. 2013 Sep;13(9):653-62 - PubMed
  41. Curr Opin Urol. 2012 Mar;22(2):88-96 - PubMed
  42. J Endourol. 2007 Aug;21(8):814-8 - PubMed
  43. Biomed Opt Express. 2015 Jan 14;6(2):524-35 - PubMed
  44. Opt Lett. 2004 Nov 1;29(21):2512-4 - PubMed
  45. Opt Express. 2006 Jul 10;14(14):6502-15 - PubMed
  46. Nat Biotechnol. 2011 Apr;29(4):352-6 - PubMed
  47. Opt Lett. 2000 Sep 15;25(18):1355-7 - PubMed
  48. Eur Urol. 2005 Dec;48(6):938-45 - PubMed
  49. Int Braz J Urol. 2009 May-Jun;35(3):344-53 - PubMed
  50. J Biomed Opt. 2004 Jan-Feb;9(1):121-5 - PubMed
  51. J Urol. 2006 Apr;175(4):1304-10 - PubMed
  52. Opt Lett. 2002 Sep 15;27(18):1610-2 - PubMed
  53. Eur Urol. 2007 Jan;51(1):90-7 - PubMed
  54. J Biomed Opt. 2014 Jan;19(1):16004 - PubMed
  55. J Endourol. 2008 Sep;22(9):1993-5 - PubMed
  56. Laryngoscope. 1985 Dec;95(12):1536-40 - PubMed
  57. J Urol. 2007 Dec;178(6):2694-700 - PubMed
  58. BJU Int. 2008 Apr;101(8):1048-51 - PubMed
  59. Eur Urol. 2008 Nov;54(5):1109-16 - PubMed
  60. J Biomed Opt. 2009 Jan-Feb;14(1):014031 - PubMed
  61. BJU Int. 2004 Nov;94(7):1071-6 - PubMed
  62. Opt Express. 2008 Apr 14;16(8):5892-906 - PubMed
  63. J Urol. 2010 Oct;184(4):1550-4 - PubMed
  64. Conf Proc IEEE Eng Med Biol Soc. 2008;2008:3016-9 - PubMed
  65. Opt Express. 2001 Dec 17;9(13):780-90 - PubMed
  66. Eur Urol. 2010 Feb;57(2):179-92 - PubMed
  67. J Urol. 2004 Sep;172(3):1032-5 - PubMed

Publication Types