Emerging technologies in cancer detection
Exciting, modern technologies for cancer detection are under development in academic and industrial laboratories worldwide. This chapter provides a synopsis of technologies reaching greater importance as they advance toward clinical practice. These methods include significant advances in current methods as well as fundamentally new platforms. We place a special emphasis on point-of-care technologies for use in clinical settings as well as novel methods for use as at-home measurements and wearable devices. We also provide a synopsis on the involvement of artificial intelligence-based data analytics such as machine learning algorithms in both existing and developing assessments.
Optical coherence tomography: a review of clinical development from bench to bedside
Since its introduction, optical coherence tomography (OCT) technology has advanced from the laboratory bench to the clinic and back again. Arising from the fields of low coherence interferometry and optical time- and frequency-domain reflectometry, OCT was initially demonstrated for retinal imaging and followed a unique path to commercialization for clinical use. Concurrently, significant technological advances were brought about from within the research community, including improved laser sources, beam delivery instruments, and detection schemes. While many of these technologies improved retinal imaging, they also allowed for the application of OCT to many new clinical areas. As a result, OCT has been clinically demonstrated in a diverse set of medical and surgical specialties, including gastroenterology, dermatology, cardiology, and oncology, among others. The lessons learned in the clinic are currently spurring a new set of advances in the laboratory that will again expand the clinical use of OCT by adding molecular sensitivity, improving image quality, and increasing acquisition speeds. This continuous cycle of laboratory development and clinical application has allowed the OCT technology to grow at a rapid rate and represents a unique model for the translation of biomedical optics to the patient bedside. This work presents a brief history of OCT development, reviews current clinical applications, discusses some clinical translation challenges, and reviews laboratory developments poised for future clinical application.