Publications by authors named "Ruikang Wang"

Purpose: When performed for clinically significant carotid artery stenosis (CAS), the long-term impact of carotid endarterectomy (CEA) on choroidal and choriocapillaris (CC) circulation was studied using swept-source OCT angiography.

Design: Prospective observational study.

Participants: Patients with clinically significant CAS undergoing unilateral CEA.

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The motion of the trabecular meshwork (TM) facilitates the aqueous drainage from the anterior chamber to the venous system, thereby maintaining normal intraocular pressure. As such, characterizing the TM motion is valuable for assessing the functionality of the aqueous outflow system, as demonstrated by previous phase-sensitive optical coherence tomography (OCT) studies. Current methods typically acquire motion from a single cross-sectional plane along the circumference of the anterior chamber.

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Purpose: Spectral-domain OCT angiography (SD-OCTA) scans were used in an algorithm developed for swept-source OCT angiography (SS-OCTA) scans to determine if SD-OCTA scans yielded similar results for the measurement of hyperreflective foci (HRF) in intermediate age-related macular degeneration (iAMD).

Design: Retrospective study.

Participants: Forty eyes from 35 patients with iAMD.

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Ongoing innovation in diabetes technologies has led to the development of advanced tools such as automated insulin delivery (AID) systems that adjust insulin delivery in response to current and predicted glucose levels, residual insulin action, and other inputs (eg, meal and exercise announcements). However, infusion sets continue to be the "Achilles heel" of accurate and precise insulin delivery and continued device use. A recent study by Kalus et al (DERMIS Study) revealed higher vessel density and signals of inflammation by optical coherence tomography (OCT), in addition to increased inflammation, fat necrosis, fibrosis, and eosinophilic infiltration by histopathology.

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Article Synopsis
  • This study aimed to confirm the reliability of measuring choriocapillaris flow deficit (CCFD) within a specific macular grid and to track these measurements over time.
  • Researchers utilized advanced imaging technology to gather data, excluding certain areas in the scans to accurately calculate CCFD percentages in both normal eyes and those with eye conditions.
  • The findings showed that the methodology is effective for monitoring changes in CCFD, particularly in cases where drusen (eye abnormalities) resolved, demonstrating the practicality of the grid strategy for longitudinal studies.
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Background/aims: Handheld swept-source optical coherence tomography (SS-OCT) was previously used to measure foveal maturity through semiautomated methods in awake premature infants. This study assesses the relationship between foveal maturity and retinopathy of prematurity (ROP) severity.

Methods: This is a prospective, observational study using handheld SS-OCT imaging of premature infants undergoing ROP screening.

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An efficient [3 + 2] cycloaddition reaction of difluoromethyl or trifluoromethyl hydrazonoyl bromides with trifluoromethyl-substituted alkenes was investigated to produce a variety of 3,5-bis(fluoroalkyl)pyrazoles/pyrazolines in moderate to good yields. This protocol features obvious advantages such as easily available and stable substrates, step economy, gram-scalability and simple operation, providing a novel and practical method for the preparation of 3,5-bis(fluoroalkyl)pyrazoles/pyrazolines.

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A novel mixotrophic denitrification biofilter for nitrate removal using polycaprolactone and thiosulfate (MD-PT) as electron donors was investigated. MD-PT achieved high nitrate removal efficiency of approximately 99.8 %.

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  • Type 2 diabetes mellitus (T2DM) leads to smaller pial vessels and lower blood flow velocity before and after a stroke, contributing to poor recovery outcomes.
  • After a stroke, T2DM mice showed persistent deficits in blood flow and increased leukocyte adhesion to blood vessel walls, highlighting chronic inflammation's role in complicating recovery.
  • The study used two-photon microscopy to analyze blood flow dynamics, vessel remodeling, and inflammation in the brain, suggesting that T2DM-induced changes worsen stroke effects.
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Blood flow alters the scattering behavior of penetration light, causing instability in the polarization state to emerge at the underlying tissue during polarization-sensitive optical coherence tomography (PSOCT). We propose an eigen decomposition method to meet this challenge, where the static and dynamic scattering signals are separated for PSOCT to provide the polarization measurements of the tissue of interest that is located beneath the blood flow. Using flow phantoms made by Intralipid solution and 3D-printed birefringent material, we show the flow-induced effects on the measurements of sample birefringent properties of optical axis, phase retardation, and degree of polarization uniformity.

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  • The study investigates dome-shaped macula (DSM) in preterm and full-term infants using advanced optical imaging technology, highlighting increased occurrence in preterm infants.
  • Out of 217 imaging sessions, DSM was found in 40% of preterm infants compared to 14% of full-term infants, showing a significant difference in diagnosis timing and dome characteristics.
  • The results suggest that while DSM is common in infants and typically round in shape, it isn't linked to macular fluid presence, indicating unique differences from DSM in older children and adults.
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  • Optoretinography (ORG) is a non-invasive method used to assess retinal function by detecting responses to light, and Optical Coherence Tomography (OCT) enhances this technique through its advanced imaging capabilities.
  • Current ORG implementations face challenges with laboratory systems that are costly and not user-friendly; standard OCT systems also struggle with speed, limiting their effectiveness.
  • A new flicker-ORG method improves speed and usability by using a two-stage scanning protocol, allowing measurements under normal light conditions, and has shown reliable results in tests with healthy subjects, highlighting its clinical potential.
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  • The study compares the grading of two types of retinal atrophy (complete and incomplete) using two different imaging techniques: spectral domain optical coherence tomography (SD-OCT) and swept-source OCT angiography (SS-OCTA).
  • Findings reveal a 99.6% agreement in grading complete retinal lesions between the two methods, but a notable discrepancy in the assessment of incomplete retinal atrophy, where 27.4% of these lesions were found within areas of persistent choroidal hypertransmission defects.
  • The study emphasizes the importance of using high-quality B-scans and en face OCT imaging to improve the accuracy of diagnosing retinal conditions and understanding the extent of retinal damage.
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  • Age-related macular degeneration (AMD) features large choroidal hypertransmission defects (hyperTDs), which are bright lesions detected via optical coherence tomography (OCT) and indicate loss of retinal pigment epithelium (RPE).
  • Large hyperTDs tend to persist over time, making them critical for understanding the progression from intermediate to late-stage atrophic AMD and useful as endpoints in clinical trials for potential therapies.
  • In a study monitoring 202 AMD eyes for nearly 47 months, a vast majority (99.6%) of the large hyperTDs remained persistent, while only a few showed non-persistence, mainly due to changes in the RPE and retinal area where the hyperTDs were present.
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  • High-speed and wide-field optical coherence tomography (OCT) is crucial for clinical applications but struggles with sensitivity and depth focus issues when imaging uneven surfaces.
  • The proposed solution includes adaptive contour tracking and scanning methods that utilize a tunable lens and optical delay control to optimize imaging based on real-time surface information.
  • Experimental results demonstrate that this method improves image quality, maintains high contrast and signal-to-noise ratio, and reduces data volume, making it promising for rapid, wide-field imaging in clinical settings.
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  • The study aimed to compare the effectiveness of spectral-domain OCT angiography (SD-OCTA) and swept-source OCT angiography (SS-OCTA) in detecting and measuring persistent choroidal hypertransmission defects (hyperTDs) in patients with advanced age-related macular degeneration (AMD).
  • A total of 32 patients underwent both imaging techniques, and the results showed a high level of agreement in the number and size of hyperTDs, with correlation coefficients of 0.969 and 0.999.
  • While there were some statistically significant differences in measurements, these differences were not clinically meaningful, indicating that SD-OCTA can serve as a reliable alternative to SS-OCTA for evaluating hyperTDs.
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Background: Dermal blood vessels beneath the epidermis play critical roles in epidermal homeostasis and are functionally divided into several types, such as capillaries. Optical coherence tomography angiography (OCTA) is a powerful tool for the non-invasive assessment of dermal vasculature. However, the classification of vessel types has been limited.

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Optical coherence tomography (OCT) is a noninvasive 3D imaging technique that offers significant advantages over traditional microscopy and biopsy in measuring epidermal thickness (ET) when assessing skin conditions. However, OCT imagining is often required to be in a contact mode for mitigating the issues of subject movement and uneven skin topology. It is not known whether the contact would affect the ability of ET measurements.

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Purpose: To report longitudinal changes in choroidal thickness and the choroidal vasculature using SS-OCT imaging in a patient with superior ophthalmic vein thrombosis (SOVT).

Observations: In a 93-year-old woman with a left-sided SOVT, the choroid in the left eye was thickened and the choroidal vessels were dilated both superiorly and inferiorly, with greater changes evident in the inferotemporal region of the choroid. After the superior ophthalmic vein was decompressed, a decrease in the choroidal thickness and choroidal vessel dilatation was observed both superiorly and inferiorly.

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Significance: The iStent is a popular device designed for glaucoma treatment, functioning by creating an artificial fluid pathway in the trabecular meshwork (TM) to drain aqueous humor. The assessment of iStent implantation surgery is clinically important. However, current tools offer limited information.

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We report a high-speed, long-range, and wide-field swept-source optical coherence tomography (SS-OCT) system aimed for imaging microstructures and microcirculations in the oral cavity. This system operates at a scan speed of 600 kHz, delivering a wide imaging field of view at 42 × 42 mm and a ranging distance of 36 mm. To simultaneously meet the requirements of high speed and long range, it is necessary for the k-clock trigger signal to be generated at its maximum speed, which may induce non-linear phase response in electronic devices due to the excessive k-clock frequency bandwidth, leading to phase errors.

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Purpose: The association between the total macular burden of hyperreflective foci (HRF) in eyes with intermediate AMD (iAMD) and the onset of persistent choroidal hypertransmission defects (hyperTDs) was studied using swept-source optical coherence tomography (SS-OCT).

Design: Post hoc subgroup analysis of a prospective study.

Methods: A retrospective review of iAMD eyes from subjects enrolled in a prospective SS-OCT study was performed.

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Purpose: In age-related macular degeneration (AMD), choriocapillaris flow deficits (CCFDs) under soft drusen can be measured using established compensation strategies. This study investigated whether CCFDs can be quantified under calcified drusen (CaD).

Methods: CCFDs were measured in normal eyes (n = 30) and AMD eyes with soft drusen (n = 30) or CaD (n = 30).

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Data is the cornerstone of using AI models, because their performance directly depends on the diversity, quantity, and quality of the data used for training. Using AI presents unique potential, particularly in medical applications that involve rich data such as ophthalmology, encompassing a variety of imaging methods, medical records, and eye-tracking data. However, sharing medical data comes with challenges because of regulatory issues and privacy concerns.

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