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Percutaneous renal access remains the cornerstone initial step in varied clinical settings. For obtaining the best surgical outcome and minimizing patient morbidity, an appropriate access to the target calyx is needed. In our study, we built a forward-view endoscopic OCT system for PCN guidance. Pig kidneys were imaged to demonstrate the feasibility of the imaging system. Different parts of pig kidneys (cortex, medulla and renal pelvis) can be clearly differentiated. Furthermore, machine learning based computer aided diagnosis platform was developed to distinguish different tissue types automatically and the accuracy of recognition was as high as 90%.
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Chen Wang, Zuyuan Zhang, Feng Yan, Nu Bao Tran Ton, Mohammad Ramadan, Chongle Pan, Qinggong Tang, "Forward optical coherence tomography endoscope for percutaneous nephrostomy guidance," Proc. SPIE 11631, Advanced Biomedical and Clinical Diagnostic and Surgical Guidance Systems XIX, 116310I (5 March 2021); https://doi.org/10.1117/12.2579034