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Retinal Oxygenation Estimation Trial With Mantis Photonics Hyperspectral Camera

Not Applicable
Conditions
Macular Degeneration
Retinal Detachment
Glaucoma Eye
Macula Abnormality
Interventions
Device: Hyperspectral retinal image
Registration Number
NCT05566626
Lead Sponsor
Mantis Photonics AB
Brief Summary

An explorative study of the Mantis Photonics hyperspectral camera for retinal imaging and estimation of retinal oxygenation.

Primary objective: To evaluate the performance of the hyperspectral camera for non-invasive retinal examination in order to improve the diagnosis of diseases affecting the retina or central nervous system. Secondary objective: To investigate the possibilities of the use of a hyperspectral camera for non-invasive retinal examination.

Detailed Description

In the retina, light is captured and then transported via the optic nerve to the brain. Common diseases in the retina are glaucoma, diabetes and age-related changes in the macular area. Diagnosing these diseases is important to be able to treat them in time. Currently, it is possible to image the retina with, for example, a regular camera or with ultrasound. Similarly, with Optical Coherence Tomography (OCT) one can get a deep view of the layers of the retina. It is currently difficult to investigate the oxygenation level of the retina. With intravenous injection followed by photography, images can be collected of the retina that shows areas of non-perfusion. However, injecting a drug is not always possible and is also associated with risk.

Mantis Photonics AB has developed a new diagnostic camera that uses an ordinary camera's light flash but analyses the reflected light with a novel patented technology into different wavelengths allowing hyperspectral imaging (HI). With HI it is possible to capture and see changes that are not visible with a regular camera. Interpretation of the reflected spectrum allows assessment of retinal oxygenation. The oxygenation level is affected in several retinal diseases, such as diabetes and glaucoma. Initial reports have shown that the technology could be valuable for early detection of, for example, diabetic retinopathy. Furthermore, hyperspectral imaging can be used to detect molecular changes seen in age-related macular degeneration.

It is believed that hyperspectral technology can provide detailed information about various disease states in the retina, such as haemorrhages, ischemia, diabetes, and glaucoma. With improved examination technology, it is possible to sharpen treatment and perhaps advance adequate treatment. This project aims to investigate, explore and refine hyperspectral camera technology by photographing healthy retinas. Furthermore, the project intends to examine people with retinal diseases such as glaucoma and age-related macular changes, diabetes, retinal detachment and compare diagnostic accuracy with other available techniques.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
120
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Camera test groupMydriacyl Ophthalmic ProductThe Principal Investigator will take a hyperspectral image of all subjects, both healthy volunteers and patients.
Camera test groupHyperspectral retinal imageThe Principal Investigator will take a hyperspectral image of all subjects, both healthy volunteers and patients.
Primary Outcome Measures
NameTimeMethod
Performance evaluation - Retinal OxygenationDuring the procedure (retinoscopy with hyperspectral camera).

Measurement of retinal oxygenation for each patient:

hemoglobin oxygenation of retinal artery \[in percent\] hemoglobin oxygenation of retinal vein \[in percent\]

Measurement: calculated result based on the hyperspectral reflectance profile of vein and artery regions of the retina.

Secondary Outcome Measures
NameTimeMethod
Retinal examination exploration - detection of macular degenerationAfter the procedure (retinoscopy with hyperspectral camera). Manual evaluation in the week after the procedure.

Measurement:

Evaluation of spatial uniformity of spectral images. Observation of 'spots' and features apart from vascular features and optical nerve in single-frequency slices of the hyperspectral cube (notably between 550 and 600 nm) can indicate retinal and macular degeneration before this is observable with other means.

Measurement is the expert evaluation of the single frequency slices for abnormalities.

Trial Locations

Locations (1)

Sundets Ögonläkare

🇸🇪

Helsingborg, Skåne Län, Sweden

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