Imaging biomarker for quantitative analysis of endometrial injury based on optical coherence tomography/ultrasound integrated imaging mode

J Biophotonics. 2023 Dec;16(12):e202300113. doi: 10.1002/jbio.202300113. Epub 2023 Sep 4.

Abstract

Precise evaluation of endometrial injury is significant to clinical decision-making in gynecological disease and assisted reproductive technology. However, there is a lack of assessment methods for endometrium in vivo. In this research, we intend to develop quantitative imaging markers with optical coherence tomography (OCT)/ultrasound (US) integrated imaging system through intrauterine endoscopic imaging. OCT/US integrated imaging system was established as our previous research reported. The endometrial injury model was established and after treatment, OCT/US integrated imaging and uterus biopsy was performed to evaluate the endometrial thickness, number of superficial fold, and intrauterine area. According to the results, three quantitative indexes acquired from OCT/US image and HE staining have the same trend and have a strong relationship with the severity of the endometrial injury. Accordingly, we developed three imaging markers for quantitative analysis of endometrial injury in vivo, which provided a precise mode for endometrium evaluation in clinical practice.

Keywords: endometrial injury; endoscopic imaging; imaging biomarker; optical coherence tomography; quantitative analysis; ultrasound.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biopsy
  • Endometrium* / diagnostic imaging
  • Endometrium* / pathology
  • Female
  • Humans
  • Tomography, Optical Coherence* / methods
  • Ultrasonography