The general objective of the proposed continuation of the present program is to provide comprehensive improvements in ophthalmic diagnosis and in monitoring treatment. These improvements will permit optimal selection and tailoring of therapeutic methods. The proposed studies wil continue to develop and apply advanced ultrasonic tissue characterization techniques derived from ultrasonic spectrum analysis and related signal processing methods such as cepstrum analysis and deconvolution. A major thrust of the program will be to improve the specificity of diagnosis based on acoustic signatures that incorporate sets of several ultrasonic parameters. These methods will continue to be implemented, tested, assessed for reliability, and refined in a working clinical setting. The methods will be applied to detecting, identifying, and grading a wide variety of ocular and orbital diseases. A data base of tissue characterization parameters has been established; it emphasizes intraocular tumors, particularly melanomas and metastatic carcinomas. This computer library will continue to be expanded and serve as the basis of efforts to identify sets of parameters capable of reliably characterizing specific diseases, and in some cases, specific forms of a given disease (e.g., spindle melanoma compared to mixed/epithelioid melanoma). On-line clinical processing of scan data will continue to be used to evolve improved examination techniques, analytic procedures, and diagnostic protocols. This will lead to optimal application of the developed methodologies, particularly recognition of tissue signatures and therefore efficacious interpretation of scan data in support of diagnostic and treatment decisions. The proposed continuation of this program will utilize the collaborative relationship between engineering and clinical staffs that has been in effect since the inception of these studies. Engineering aspects of the project will continue to be undertaken by personnel of Riverside Research Institute; clinical studies will be performed by members of the staff of the Department of Ophthalmology at Cornell University Medical College.
| Lizzi, Frederic L; Coleman, D Jackson (2004) History of ophthalmic ultrasound. J Ultrasound Med 23:1255-66 |
| Reinstein, D Z; Silverman, R H; Raevsky, T et al. (2000) Arc-scanning very high-frequency digital ultrasound for 3D pachymetric mapping of the corneal epithelium and stroma in laser in situ keratomileusis. J Refract Surg 16:414-30 |
| Coleman, D J; Daly, S W; Atencio, A et al. (1998) Ultrasonic evaluation of the vitreous and retina. Semin Ophthalmol 13:210-8 |
| Deng, C X; Lizzi, F L; Silverman, R H et al. (1998) Imaging and spectrum analysis of contrast agents in the in vivo rabbit eye using very-high-frequency ultrasound. Ultrasound Med Biol 24:383-94 |
| Lizzi, F L; Astor, M; Feleppa, E J et al. (1997) Statistical framework for ultrasonic spectral parameter imaging. Ultrasound Med Biol 23:1371-82 |
| Silverman, R H; Coleman, D J; Rondeau, M J et al. (1993) Measurement of ocular tumor volumes from serial, cross-sectional ultrasound scans. Retina 13:69-74 |
| Lizzi, F L (1993) High-precision thermotherapy for small lesions. Eur Urol 23 Suppl 1:23-8 |
| Lizzi, F L; Driller, J; Kalisz, A et al. (1992) Computer simulations of ultrasonic heating for ocular therapy. Acta Ophthalmol Suppl :40-5 |
| Lizzi, F L; Driller, J; Lunzer, B et al. (1992) Computer model of ultrasonic hyperthermia and ablation for ocular tumors using B-mode data. Ultrasound Med Biol 18:59-73 |
| Sarvazyan, A P; Lizzi, F L; Wells, P N (1991) A new philosophy of medical imaging. Med Hypotheses 36:327-35 |
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