Publications by authors named "Kevin A Gallagher"

Intracoronary optical frequency domain imaging (OFDI), requires the displacement of blood for clear visualization of the artery wall. Radiographic contrast agents are highly effective at displacing blood however, may increase the risk of contrast-induced nephropathy. Flushing media viscosity, flow rate, and flush duration influence the efficiency of blood displacement necessary for obtaining diagnostic quality OFDI images.

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Article Synopsis
  • Study aimed to assess the safety and feasibility of a new biopsy guidance method using volumetric laser endomicroscopy (VLE) for patients with Barrett's esophagus.
  • The study involved 22 participants at Massachusetts General Hospital, with real-time marking of biopsy sites in 10 participants, showing no adverse events and effective visibility of laser marks.
  • Results indicated high accuracy in diagnosing tissue near the marks, with VLE achieving 93%-100% accuracy compared to traditional methods, although findings are based on a single-center approach and a small sample size.
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Here we introduce tethered capsule endomicroscopy, which involves swallowing an optomechanically engineered pill that captures cross-sectional microscopic images of the gut wall at 30 μm (lateral) × 7 μm (axial) resolution as it travels through the digestive tract. Results in human subjects show that this technique rapidly provides three-dimensional, microstructural images of the upper gastrointestinal tract in a simple and painless procedure, opening up new opportunities for screening for internal diseases.

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Barrett's esophagus (BE) is a metaplastic disorder that can undergo dysplastic progression, leading to esophageal adenocarcinoma. Upper endoscopy is the standard of care for screening for BE, but this technique has a relatively low diagnostic accuracy and high cost due to the requirement of conscious sedation. Optical frequency domain imaging (OFDI) is a high-speed imaging modality that generates cross-sectional images of tissues with a resolution of approximately 10μm that is sufficient for detecting microscopic tissue architecture.

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