Bio


Brian Soetikno grew up in Union City, CA. He received his BS in Biomedical Engineering from Washington University in St. Louis, MO, where he studied biomedical optics under the mentorship of Lihong Wang, PhD. In the summer of 2013, he entered the Medical Scientist (MD/PhD) Training Program at the Northwestern University Feinberg School of Medicine, Chicago, IL. He completed a PhD in Biomedical Engineering in 2018 under the combined mentorship of Amani Fawzi, MD and Hao Zhang, PhD, which focused on retinal imaging. Specifically, his dissertation described advances in functional optical coherence tomography (OCT), including retinal oximetry with visible-light OCT and OCT angiography. He graduated with his MD in 2020 and joined the Stanford Ophthalmology Advance Research (SOAR) residency. Brian aspires to ultimately pursue a career in academic ophthalmology, where he hopes to combine his passion for engineering, innovation, and ocular surgery.

Clinical Focus


  • Residency
  • Ophthalmology

Honors & Awards


  • AUPO/RPB Research Forum Invited Talk, AUPO (2020)
  • Lee M. Jampol Ophthalmology Medical Student Award, Northwestern University (2020)
  • BME Research Day Imaging and Biophotonics Research Progress Award, Northwestern University (2017)
  • Outstanding Poster Award, OCTA Summit 2017, Portland, OR (2017)
  • NIH F30 Ruth L. Kirschstein National Research Service Award, National Eye Institute (2016)
  • ARVO Travel Award, National Eye Institute (2015)
  • Harvard-MIT Biomedical Optics Summer Institute Fellowship, Harvard-MIT (2012)
  • AMGEN Summer Research Fellowship, AMGEN (2011)

Professional Education


  • Doctor of Philosophy, Northwestern University (2018)
  • M.D., Northwestern University, Medicine (2020)
  • Ph.D., Northwestern University, Biomedical Engineering (2018)
  • B.S., Washington University in St. Louis, Biomedical Engineering (2013)

All Publications


  • RainbowSTORM: An open-source ImageJ plug-in for spectroscopic single-molecule localization microscopy (sSMLM) data analysis and image reconstruction. Bioinformatics (Oxford, England) Davis, J. L., Soetikno, B., Song, K., Zhang, Y., Sun, C., Zhang, H. F. 2020

    Abstract

    SUMMARY: Spectroscopic single-molecule localization microscopy (sSMLM) simultaneously captures the spatial locations and full spectra of stochastically emitting fluorescent single-molecules. It provides an optical platform to develop new multi-molecular and functional imaging capabilities. While several open-source software suites provide sub-diffraction localization of fluorescent molecules, software suites for spectroscopic analysis of sSMLM data remain unavailable. RainbowSTORM is an open-source ImageJ/FIJI plug-in for end-to-end spectroscopic analysis and visualization for sSMLM images. RainbowSTORM allows users to calibrate, preview, and quantitatively analyze emission spectra acquired using different reported sSMLM system designs and fluorescent labels.AVAILABILITY: RainbowSTORM is a java plug-in for ImageJ (https://imagej.net)/FIJI (http://fiji.sc) freely available through: https://github.com/FOIL-NU/RainbowSTORM. RainbowSTORM has been tested with Windows and Mac operating systems and ImageJ/FIJI version 1.52.SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

    View details for DOI 10.1093/bioinformatics/btaa635

    View details for PubMedID 32663240

  • Spectrally dependent roll-off in visible-light optical coherence tomography OPTICS LETTERS Rubinoff, I., Soetikno, B., Miller, D. A., Rischall, I., Fawzi, A., Kuranov, R., Zhang, H. F. 2020; 45 (9): 2680–83

    Abstract

    Recent development of visible-light optical coherence tomography (vis-OCT) has introduced new applications for noninvasive spectroscopic imaging. However, the measured spectra may be altered by spectrally dependent roll-off (SDR). We formulated a mathematical model for SDR that accounted for nonuniform wavenumber spacing, optical aberrations, and misalignments in the spectrometer. We simulated SDR based on this model and found strong agreement with measurements from a vis-OCT system. We verified that SDR altered spectroscopic measurements of fully oxygenated blood. We corrected these alterations by normalizing each spectrally dependent A-line by the measured SDR of the spectrometer. Our investigations of SDR are critical for informing OCT spectrometer design, alignment, and spectroscopic measurements.

    View details for DOI 10.1364/OL.389240

    View details for Web of Science ID 000535919200054

    View details for PubMedID 32356845

  • Perivenular Capillary Loss: An Early, Quantifiable Change in Macular Telangiectasia Type 2 TRANSLATIONAL VISION SCIENCE & TECHNOLOGY Micevych, P. S., Soetikno, B. T., Fawzi, A. A. 2020; 9 (4): 5

    Abstract

    To evaluate differences in parafoveal vascular density surrounding arterioles and venules in type 2 macular telangiectasia (MacTel).Thirty-seven eyes (20 subjects) diagnosed with MacTel and 16 healthy eyes (10 subjects) were imaged with optical coherence tomography angiography between March 2016 and June 2019 in this single-center, observational, cross-sectional study. Arterioles and venules were manually identified, and perivascular density was generated using a custom MATLAB code. The primary outcome measure was the ratio of periarteriolar to perivenular vascular density (arteriovenous [A/V] capillary ratio) in the superficial and deep capillary plexuses across MacTel stages. The main secondary outcome measures were overall parafoveal vascular density (VD), periarteriolar VD, and perivenular VD.In the superficial capillary plexus (SCP), the A/V capillary ratio was significantly higher in MacTel subjects than controls (0.914 vs. 0.892; P = 0.0044). The greatest differences occurred between controls and nonproliferative MacTel subjects without optical coherence tomography evidence of disease (P = 0.0055). A/V capillary ratios progressed in a nonlinear fashion with MacTel severity, increasing from nonproliferative disease (0.912) to intraretinal proliferative disease (0.931), then decreasing in subretinal proliferative disease (0.905). Parafoveal VD in the SCP was lower in MacTel subjects than controls only in subretinal proliferative disease (P = 0.0130).The A/V capillary ratio of the SCP is a quantifiable metric of vascular pathology in MacTel that occurs earlier than decline in parafoveal VD. Elevated A/V capillary ratios in MacTel are consistent with an early, disproportionately perivenular disruption in the SCP.Findings inform MacTel pathogenesis through revealing early perivenular capillary loss and offer a new quantitative metric for earliest stage MacTel.

    View details for DOI 10.1167/tvst.9.4.5

    View details for Web of Science ID 000524980600005

    View details for PubMedID 32818093

    View details for PubMedCentralID PMC7396175

  • MULTILEVEL ISCHEMIA IN DISORGANIZATION OF THE RETINAL INNER LAYERS ON PROJECTION-RESOLVED OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES Onishi, A. C., Ashraf, M., Soetikno, B. T., Fawzi, A. A. 2019; 39 (8): 1588–94

    Abstract

    To examine the relationship between ischemia and disorganization of the retinal inner layers (DRIL).Cross-sectional retrospective study of 20 patients (22 eyes) with diabetic retinopathy presenting to a tertiary academic referral center, who had DRIL on structural optical coherence tomography (OCT) using Spectralis HRA + OCT (Heidelberg Engineering, Heidelberg, Germany) and OCT angiography with XR Avanti (Optovue Inc, Fremont, CA) on the same day. Optical coherence tomography angiography images were further processed to remove flow signal projection artifacts using a software algorithm adapted from recent studies. Retinal capillary perfusion in the superficial capillary plexuses, middle capillary plexuses, and deep capillary plexuses, as well as integrity of the photoreceptor lines on OCT was compared in areas with DRIL to control areas without DRIL in the same eye.Qualitative assessment of projection-resolved OCT angiography of eyes with DRIL on structural OCT demonstrated significant perfusion deficits compared with adjacent control areas (P < 0.001). Most lesions (85.7%) showed superimposed superficial capillary plexus and/or middle capillary plexus nonperfusion in addition to deep capillary plexus nonflow. Areas of DRIL were significantly associated with photoreceptor disruption (P = 0.035) compared with adjacent DRIL-free areas.We found that DRIL is associated with multilevel retinal capillary nonperfusion, suggesting an important role for ischemia in this OCT phenotype.

    View details for DOI 10.1097/IAE.0000000000002179

    View details for Web of Science ID 000480763200023

    View details for PubMedID 29642239

    View details for PubMedCentralID PMC6179952

  • Advanced image processing for visible-light OCT oximetry in rodents Soetikno, B., Beckmann, L., Qiao, D., Benson, N., Zhang, X., Shu, X., Rubinoff, I., Kuranov, R., Fawzi, A. A., Zhang, H. F. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2019
  • Drusen diagnosis comparison between hyper-spectral and color retinal mages BIOMEDICAL OPTICS EXPRESS Wang, Y., Soetikno, B., Furst, J., Raicu, D., Fawzi, A. A. 2019; 10 (2): 914–31

    Abstract

    Age-related macular degeneration (AMD) is a degenerative aging disorder, which can lead to irreversible vision loss in older individuals. The emergence of clinical applications of retinal hyper-spectral imaging provides a unique opportunity to capture important spectral signatures, with the potential to enhance the molecular diagnosis of retinal diseases. In this study, we use a machine learning classification approach to explore whether hyper-spectral images offer an improved outcome compared to standard RGB images. Our results show that the classifier performs better on hyper-spectral images with improved accuracy and sensitivity for drusen classification compared to standard imaging. By examining the most important features in the classification task, our data suggest that drusen are highly heterogeneous. Our work provides further evidence that hyper-spectral retinal image data are uniquely suited for computer-aided diagnosis and detection techniques.

    View details for DOI 10.1364/BOE.10.000914

    View details for Web of Science ID 000457500300037

    View details for PubMedID 30800523

    View details for PubMedCentralID PMC6377880

  • Monitoring Acute Stroke in Mouse Model Using Laser Speckle Imaging-Guided Visible-Light Optical Coherence Tomography IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING Liu, Q., Chen, S., Soetikno, B., Liu, W., Tong, S., Zhang, H. F. 2018; 65 (10): 2136–42

    Abstract

    Monitoring hemodynamic and vascular changes in the acute stages of mouse stroke models is invaluable in studying ischemic stroke pathophysiology. However, there lacks a tool to simultaneously and dynamically investigate these changes.We integrated laser speckle imaging (LSI) and visible-light optical coherence tomography (Vis-OCT) to reveal dynamic vascular responses in acute stages in the distal middle cerebral artery occlusion (dMCAO) model in rodents. LSI provides full-field, real-time imaging to guide Vis-OCT imaging and monitor the dynamic cerebral blood flow (CBF). Vis-OCT offers depth-resolved angiography and oxygen saturation (sO2) measurements.Our results showed detailed CBF and vasculature changes before, during, and after dMCAO. After dMCAO, we observed insignificant sO2 variation in arteries and arterioles and location-dependent sO2 drop in veins and venules. We observed that higher branch-order veins had larger drops in sO2 at the reperfusion stage after dMCAO.This work suggests that integrated LSI and Vis-OCT is a promising tool for investigating ischemic stroke in mouse models.For the first time, LSI and Vis-OCT are integrated to investigate ischemic strokes in rodent models.

    View details for DOI 10.1109/TBME.2017.2706976

    View details for Web of Science ID 000445233200001

    View details for PubMedID 28541195

    View details for PubMedCentralID PMC5700853

  • The Correlation of Pars Plana Incision and Transient Hypotony After Silicone Oil Removal OPHTHALMIC SURGERY LASERS & IMAGING RETINA Zhang, X., Chen, B., Yang, H., Song, Y., Zhang, D., Soetikno, B. T., Sun, X. 2018; 49 (9): E44–E51

    Abstract

    To evaluate the correlation between pars plana incision and transient hypotony after silicone oil removal in aphakic eyes PATIENTS AND METHODS:Twenty-two patients with aphakia and a high degree of myopia with silicone oil tamponade were recruited for this prospective study and randomly scheduled to two groups for silicone oil removal: 3.5-mm corneal incision with suture corneal or 20-gauge pars plana incision with suture. Intraocular pressure (IOP) was measured and fundus and anterior structure were examined preoperatively on the first, third, and seventh postoperative day and at 1 month after surgery.IOPs in the pars plana group were significantly lower than the corneal group on the first and third day after surgery (P < .001). Nine of the 11 patients in the pars plana group suffered ciliary detachment accompanied by hypotony (IOP < 8 mm Hg), among whom three patients exhibited excessive hypotony (IOP < 5 mm Hg), whereas the ciliary bodies remained tightly attached and IOP was normal in the corneal group. Among these nine patients, six eyes were observed to have multiple silicone oil granules in the supraciliary cavity, three exhibited gaps of pars plana below the scleral incision site, and two had vitreous hemorrhage. Hypotony spontaneously relieved at the seventh postoperative day for all patients.Pars plana incision is the crucial cause of ciliary detachment and consequent transient hypotony after silicone oil removal. Using corneal limbus incision in patients with aphakic eyes to avoid the par plana incision is expected to reduce the incidence of hypotony with minimal complications. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e44-e51.].

    View details for DOI 10.3928/23258160-20180907-06

    View details for Web of Science ID 000444831000006

    View details for PubMedID 30222818

  • Visible-light optical coherence tomography oximetry based on circumpapillary scan and graph-search segmentation BIOMEDICAL OPTICS EXPRESS Soetikno, B. T., Beckmann, L., Zhang, X., Fawzi, A. A., Zhang, H. F. 2018; 9 (8): 3640–52

    Abstract

    Visible-light optical coherence tomography (vis-OCT) enables retinal oximetry by measuring the oxygen saturation of hemoglobin (sO2) from within individual retinal blood vessels. The sO2 calculation requires reliable estimation of the true spectrum of backscattered light from the posterior vessel wall. Unfortunately, subject motion and image noise make averaging from multiple A-lines at the same depth position challenging, and lead to inaccurate sO2 estimation. In this study, we developed an algorithm to reliably extract the backscattered light's spectrum. We used circumpapillary scanning to sample the vessels repeatedly at the same location. A combination of cross-correlation and graph-search based segmentation extracted the posterior wall locations. Using measurements from 100 B-scans as a gold standard, we demonstrated that our method achieved highly accurate measures of sO2 with minimal bias. In addition, we also investigated how the number of repeated measurements affects the accuracy of sO2 measurement. Our method sets the stage for large-scale studies of retinal oxygenation in animals and humans.

    View details for DOI 10.1364/BOE.9.003640

    View details for Web of Science ID 000440490500013

    View details for PubMedID 30338145

    View details for PubMedCentralID PMC6191632

  • Longitudinal characterization of branched retinal vein occlusions created by imaging-guided photocoagulation Soetikno, B., Beckmann, L., Zhang, X., Ryu, H., Fawzi, A., Zhang, H. F. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2018
  • Projection-Resolved OCT Angiography of Microvascular Changes in Paracentral Acute Middle Maculopathy and Acute Macular Neuroretinopathy INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE Chu, S., Nesper, P. L., Soetikno, B. T., Bakri, S. J., Fawzi, A. A. 2018; 59 (7): 2913–22

    Abstract

    To identify the microvascular changes associated with paracentral acute middle maculopathy (PAMM) and acute macular neuroretinopathy (AMN) and to improve our understanding of the relevant involvement of the three retinal capillary plexuses using projection-resolved optical coherence tomography angiography (PR-OCTA).This was a retrospective study of 18 eyes with AMN or PAMM imaged with OCTA. We used cross-sectional PR-OCTA to localize reduced flow signal to the superficial (SCP), middle (MCP), or deep capillary plexus (DCP) or choriocapillaris that corresponded to inner retinal PAMM or outer retinal AMN lesions on OCT.Five eyes with AMN showed outer retinal disruption on OCT associated with reduced DCP flow signal. All three eyes with AMN and follow-up had recovery of DCP flow. Thirteen eyes with PAMM showed middle retinal disruption on OCT associated with reduced flow signal in both the MCP and DCP. Of these, five also had reduced flow signal in the SCP. All 10 eyes with PAMM and follow-up showed variable recovery of flow signal in one or more plexuses. PAMM reperfusion was primarily arterial in nature. Three eyes with PAMM and no evidence of MCP reperfusion experienced severe thinning of the inner nuclear layer (INL), while seven eyes with robust MCP flow signal recovery showed relative preservation of INL thickness.Using PR-OCTA, we found that AMN was associated with reduced DCP flow signal, while PAMM was associated with reduced MCP and DCP flow signal and occasionally the SCP. The MCP appears to be important in sustaining INL thickness in these eyes.

    View details for DOI 10.1167/iovs.18-24112

    View details for Web of Science ID 000434942900004

    View details for PubMedID 30025133

    View details for PubMedCentralID PMC5989859

  • Volume-Rendered Projection-Resolved OCT Angiography: 3D Lesion Complexity Is Associated With Therapy Response in Wet Age-Related Macular Degeneration INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE Nesper, P. L., Soetikno, B. T., Treister, A. D., Fawzi, A. A. 2018; 59 (5): 1944–52

    Abstract

    To explore whether quantitative three-dimensional (3D) analysis of choroidal neovascularization (CNV) using projection-resolved optical coherence tomography angiography (PR-OCTA) is associated with treatment response in neovascular age-related macular degeneration (nAMD).Retrospective, cross-sectional study of 51 eyes of 49 patients undergoing individualized anti-VEGF therapy for nAMD. Patients were classified as "good" or "poor" responders, requiring injections at less or more frequently than 6-week intervals, respectively. Cross-sectional PR-OCTA images were used to measure the distance between Bruch's membrane and highest CNV flow signal. The number of flow layers within the CNV and the distance between these flow layers (CNV flow thickness) were also analyzed. Two masked, independent graders measured the PR-OCTA parameters. We used 3D volume-rendered PR-OCTA to confirm the number of CNV flow layers and further evaluate CNV complexity.Poor responders had significantly greater distance between Bruch's membrane and highest CNV flow signal (P < 0.01), greater number of CNV flow layers (P = 0.022), and greater CNV flow thickness (P < 0.01). Volume-rendered PR-OCTA images confirmed the number of CNV flow layers.Cross-sectional and 3D volume-rendered PR-OCTA provides a novel approach for quantifying CNV complexity. Our results suggest that CNV acquiring more complex 3D vascular structure are associated with more frequent long-term anti-VEGF therapy, reflecting a particular pattern of normalization or complex CNV remodeling process that characterizes these less responsive eyes.

    View details for DOI 10.1167/iovs.17-23361

    View details for Web of Science ID 000429542700006

    View details for PubMedID 29677356

    View details for PubMedCentralID PMC5894925

  • OCT angiography and visible-light OCT in diabetic retinopathy VISION RESEARCH Nesper, P. L., Soetikno, B. T., Zhang, H. F., Fawzi, A. A. 2017; 139: 191–203

    Abstract

    In recent years, advances in optical coherence tomography (OCT) techniques have increased our understanding of diabetic retinopathy, an important microvascular complication of diabetes. OCT angiography is a non-invasive method that visualizes the retinal vasculature by detecting motion contrast from flowing blood. Visible-light OCT shows promise as a novel technique for quantifying retinal hypoxia by measuring the retinal oxygen delivery and metabolic rates. In this article, we discuss recent insights provided by these techniques into the vascular pathophysiology of diabetic retinopathy. The next milestones for these modalities are large multicenter studies to establish consensus on the most reliable and consistent outcome parameters to study diabetic retinopathy.

    View details for DOI 10.1016/j.visres.2017.05.006

    View details for Web of Science ID 000418311900023

    View details for PubMedID 28601429

    View details for PubMedCentralID PMC5723235

  • Optical coherence tomography angiography of retinal vascular occlusions produced by imaging-guided laser photocoagulation BIOMEDICAL OPTICS EXPRESS Soetikno, B. T., Shu, X., Liu, Q., Liu, W., Chen, S., Beckmann, L., Fawzi, A. A., Zhang, H. F. 2017; 8 (8): 3571–82

    Abstract

    Retinal vascular occlusive diseases represent a major form of vision loss worldwide. Rodent models of these diseases have traditionally relied upon a slit-lamp biomicroscope to help visualize the fundus and subsequently aid delivery of high-power laser shots to a target vessel. Here we describe a multimodal imaging system that can produce, image, and monitor retinal vascular occlusions in rodents. The system combines a spectral-domain optical coherence tomography system for cross-sectional structural imaging and three-dimensional angiography, and a fluorescence scanning laser ophthalmoscope for Rose Bengal monitoring and high-power laser delivery to a target vessel. This multimodal system facilitates the precise production of occlusions in the branched retinal veins, central retinal vein, and branched retinal arteries. Additionally, changes in the retinal morphology and retinal vasculature can be longitudinally documented. With our device, retinal vascular occlusions can be easily and consistently created, which paves the way for futures studies on their pathophysiology and therapeutic targets.

    View details for DOI 10.1364/BOE.8.003571

    View details for Web of Science ID 000407011200006

    View details for PubMedID 28856036

    View details for PubMedCentralID PMC5560826

  • Parallel Three-Dimensional Tracking of Quantum Rods Using Polarization-Sensitive Spectroscopic Photon Localization Microscopy ACS PHOTONICS Dong, B., Soetikno, B. T., Chen, X., Backman, V., Sun, C., Zhang, H. F. 2017; 4 (7): 1747–52
  • Monitoring retinal vascular occlusions in rodents with OCT angiography Soetikno, B., Shu, X., Liu, Q., Liu, W., Chen, S., Beckmann, L., Fawzi, A. A., Zhang, H. F. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2017
  • Stochastic fluorescence switching of nucleic acids under visible light illumination OPTICS EXPRESS Dong, B., Almassalha, L. M., Soetikno, B. T., Chandler, J. E., The-Quyen Nguyen, Urban, B. E., Sun, C., Zhang, H. F., Backman, V. 2017; 25 (7): 7929–44

    Abstract

    We report detailed characterizations of stochastic fluorescence switching of unmodified nucleic acids under visible light illumination. Although the fluorescent emission from nucleic acids under the visible light illumination has long been overlooked due to their apparent low absorption cross section, our quantitative characterizations reveal the high quantum yield and high photon count in individual fluorescence emission events of nucleic acids at physiological concentrations. Owing to these characteristics, the stochastic fluorescence switching of nucleic acids could be comparable to that of some of the most potent exogenous fluorescence probes for localization-based super-resolution imaging. Therefore, utilizing the principle of single-molecule photon-localization microscopy, native nucleic acids could be ideal candidates for optical label-free super-resolution imaging.

    View details for DOI 10.1364/OE.25.007929

    View details for Web of Science ID 000398536000070

    View details for PubMedID 28380910

    View details for PubMedCentralID PMC5810907

  • Increased Retinal Oxygen Metabolism Precedes Microvascular Alterations in Type 1 Diabetic Mice INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE Liu, W., Wang, S., Soetikno, B., Yi, J., Zhang, K., Chen, S., Linsenmeier, R. A., Sorenson, C. M., Sheibani, N., Zhang, H. F. 2017; 58 (2): 981–89

    Abstract

    To investigate inner retinal oxygen metabolic rate (IRMRO2) during early stages of type 1 diabetes in a transgenic mouse model.In current study, we involved seven diabetic mice (Akita/+, TSP1-/-) and seven control mice (TSP1-/-), and applied visible-light optical coherence tomography (vis-OCT) to image functional parameters including retinal blood flow rate, oxygen saturation (sO2) and the IRMRO2 value longitudinally from 5 weeks of age to 13 weeks of age. After imaging at 13 weeks of age, we analyzed the imaging results, and examined histology of mouse retina.Between diabetic mice and the control group, we observed significant differences in venous sO2 from 9 weeks of age (P = 0.006), and significant increment in IRMRO2 from 11 weeks of age (P = 0.001) in diabetic mice compared with control group. We did not find significant differences in retinal blood flow rate as well as arterial sO2 during imaging between diabetic and control mice. Histologic examination of diabetic and control mice at 13 weeks of age also revealed no anatomical retinal alternations.In diabetic retinopathy, complications in retinal oxygen metabolism may occur before changes of retinal anatomical structure.

    View details for DOI 10.1167/iovs.16-20600

    View details for Web of Science ID 000396939600034

    View details for PubMedID 28535269

    View details for PubMedCentralID PMC5308771

  • Choriocapillaris Nonperfusion is Associated With Poor Visual Acuity in Eyes With Reticular Pseudodrusen AMERICAN JOURNAL OF OPHTHALMOLOGY Nesper, P. L., Soetikno, B. T., Fawzi, A. A. 2017; 174: 42–55

    Abstract

    To study choriocapillaris blood flow in age-related macular degeneration (AMD) using optical coherence tomography angiography (OCTA) and study its correlation to visual acuity (VA) in eyes with reticular pseudodrusen (RPD) vs those with drusen without RPD (drusen).Cross-sectional study.Patients with either drusen or RPD in early AMD underwent OCTA imaging of the superior, inferior, and/or nasal macula. We quantified "percent choriocapillaris area of nonperfusion" (PCAN) in eyes with RPD vs those with drusen. We assessed the repeatability of PCAN and its correlations with VA.Twenty-nine eyes of 26 patients with RPD and 21 eyes of 16 age-matched AMD patients with drusen were included. Qualitatively, the choriocapillaris in areas with RPD showed focal dark regions without flow signal on OCTA (nonperfusion). The repeatability coefficient of PCAN was 0.49%. Eyes with RPD had significantly greater PCAN compared with eyes with drusen (7.31% and 3.88%, respectively; P < .001). We found a significant correlation between PCAN and VA for the entire dataset (r = 0.394, P = .005). When considering eyes with RPD separately, this correlation was stronger (r = 0.474, P = .009) but lost significance when considering eyes with drusen separately (r = 0.175, P = .45).Eyes with RPD have significantly larger areas of choriocapillaris nonperfusion compared with eyes with drusen and no RPD. The correlation between PCAN and VA in this RPD population provides a potential mechanistic explanation for vision compromise in RPD compared with other forms of drusen in AMD.

    View details for DOI 10.1016/j.ajo.2016.10.005

    View details for Web of Science ID 000393148800006

    View details for PubMedID 27794427

    View details for PubMedCentralID PMC5253325

  • Imaging hemodynamic response after distal middle cerebral artery occlusion with combined laser speckle imaging and visible-light optical coherence tomography Liu, Q., Chen, S., Soetikno, B., Tong, S., Zhang, H. F., IEEE IEEE. 2017: 62–65
  • CHARACTERIZATION OF THE MIDDLE CAPILLARY PLEXUS USING OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY IN HEALTHY AND DIABETIC EYES RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES Park, J. J., Soetikno, B. T., Fawzi, A. A. 2016; 36 (11): 2039–50

    Abstract

    To assess the ability of optical coherence tomography angiography to image the retinal middle capillary plexus (MCP), and to characterize the MCP as a unique vascular network separate from the superficial and deep capillary plexus (DCP).Healthy and diabetic eyes were imaged using the Avanti XR optical coherence tomography angiography instrument (Optovue Inc, Fremont, CA). Using manual segmentation of the retinal layers, the authors generated en face angiograms to distinguish the three capillary plexuses (superficial capillary plexus, MCP, DCP).In healthy eyes, arterioles gave rise to distinct branches in the MCP, and venules gave rise to prominent vortex like branches in the DCP. The foveal avascular zone was most well-defined at the level of the MCP, and had a larger area in the DCP. In diabetic eyes, the three capillary plexuses showed varying degrees of nonperfusion, including variable shapes and extent of the foveal avascular zone, with loss of border integrity at the MCP. Microaneurysms appeared in all the three capillary plexuses.Using customized segmentation analysis in optical coherence tomography angiography, the authors demonstrate that the MCP is qualitatively and functionally distinct from the superficial capillary plexus and DCP, which may help clarify the pathogenesis of different middle retinal ischemic entities and provide new insights into retinal ischemia in diabetic retinopathy.

    View details for DOI 10.1097/IAE.0000000000001077

    View details for Web of Science ID 000387079800008

    View details for PubMedID 27205895

    View details for PubMedCentralID PMC5077697

  • Visible-Light Optical Coherence Tomography Angiography for Monitoring Laser-Induced Choroidal Neovascularization in Mice INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE Shah, R. S., Soetikno, B. T., Yi, J., Liu, W., Skondra, D., Zhang, H. F., Fawzi, A. A. 2016; 57 (9): OCT86–OCT95

    Abstract

    This study sought to determine the earliest time-point at which evidence of choroidal neovascularization (CNV) could be detected with visible-light optical coherence tomography angiography (vis-OCTA) in a mouse model of laser-induced CNV.Visible light-OCTA was used to study laser-induced CNV at different time-points after laser injury to monitor CNV development and measure CNV lesion size. Measurements obtained from vis-OCTA angiograms were compared with histopathologic measurements from isolectin-stained choroidal flatmounts.Choroidal neovascularization area measurements between the vis-OCTA system and isolectin-stained choroidal flatmounts were significantly different in area for days 2 to 4 postlaser injury, and were not significantly different in area for days 5, 7, and 14. Choroidal neovascularization area measurements taken from the stained flatmounts were larger than their vis-OCTA counterparts for all time-points. Both modalities showed a similar trend of CNV size increasing from the day of laser injury until a peak of day 7 postlaser injury and subsequently decreasing by day 14.The earliest vis-OCTA can detect the presence of aberrant vessels in a mouse laser-induced CNV model is 5 days after laser injury. Visible light-OCTA was able to visualize the maximum of the CNV network 7 days postlaser injury, in accordance with choroidal flatmount immunostaining. Visible light-OCTA is a reliable tool in both detecting the presence of CNV development, as well as accurately determining the size of the lesion in a mouse laser-induced CNV model.

    View details for DOI 10.1167/iovs.15-18891

    View details for Web of Science ID 000383985400068

    View details for PubMedID 27409510

    View details for PubMedCentralID PMC4968775

  • Simultaneous comparison of mouse laser induced choroidal neovascularization histology with visible-light optical coherence tomography angiography Shah, R., Soetikno, B., Yi, J., Liu, W., Skondra, D., Zhang, H. F., Fawzi, A. A. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2016
  • Artifact Removal and 3D Visualization for OCT Angiography Soetikno, B., Park, J., Zhang, H. F., Fawzi, A. A. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2016
  • Optical Coherence Tomography Angiography of Three Retinal Capillary Networks Park, J., Soetikno, B., Nesper, P. L., Fawzi, A. A. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2016
  • Imaging hemodynamic response after ischemic stroke in mouse cortex using visible-light optical coherence tomography. Biomedical optics express Chen, S., Liu, Q., Shu, X., Soetikno, B., Tong, S., Zhang, H. F. 2016; 7 (9): 3377–89

    Abstract

    Visible-light optical coherence tomography (Vis-OCT) is an emerging technology that can image hemodynamic response in microvasculature. Vis-OCT can retrieve blood oxygen saturation (sO2) mapping using intrinsic optical absorption contrast while providing high-resolution anatomical vascular structures at the same time. To improve the accuracy of Vis-OCT oximetry on vessels embedded in highly scattering medium, i.e., brain cortex, we developed and formulated a novel dual-depth sampling and normalization strategy that allowed us to minimize the detrimental effect of ubiquitous tissue scattering. We applied our newly developed approach to monitor the hemodynamic response in mouse cortex after focal photothrombosis. We observed vessel dilatation, which was negatively correlated with the original vessel diameter, in the penumbra region. The sO2 of vessels in the penumbra region also dropped below normal range after focal ischemia.

    View details for PubMedID 27699105

  • Imaging hemodynamic response after ischemic stroke in mouse cortex using visible-light optical coherence tomography BIOMEDICAL OPTICS EXPRESS Chen, S., Liu, Q., Shu, X., Soetikno, B., Tong, S., Zhang, H. F. 2016; 7 (9): 3376–89
  • Visible-light OCT to quantify retinal oxygen metabolism (Conference Presentation) Zhang, H. F., Yi, J., Chen, S., Liu, W., Soetikno, B. T., Izatt, J. A., Fujimoto, J. G., Tuchin, V. V. SPIE-INT SOC OPTICAL ENGINEERING. 2016

    View details for DOI 10.1117/12.2214830

    View details for Web of Science ID 000378122900058

  • A Mouse Model for Laser-induced Choroidal Neovascularization JOVE-JOURNAL OF VISUALIZED EXPERIMENTS Shah, R. S., Soetikno, B. T., Lajko, M., Fawzi, A. A. 2015: e53502

    Abstract

    The mouse laser-induced choroidal neovascularization (CNV) model has been a crucial mainstay model for neovascular age-related macular degeneration (AMD) research. By administering targeted laser injury to the RPE and Bruch's membrane, the procedure induces angiogenesis, modeling the hallmark pathology observed in neovascular AMD. First developed in non-human primates, the laser-induced CNV model has come to be implemented into many other species, the most recent of which being the mouse. Mouse experiments are advantageously more cost-effective, experiments can be executed on a much faster timeline, and they allow the use of various transgenic models. The miniature size of the mouse eye, however, poses a particular challenge when performing the procedure. Manipulation of the eye to visualize the retina requires practice of fine dexterity skills as well as simultaneous hand-eye-foot coordination to operate the laser. However, once mastered, the model can be applied to study many aspects of neovascular AMD such as molecular mechanisms, the effect of genetic manipulations, and drug treatment effects. The laser-induced CNV model, though useful, is not a perfect model of the disease. The wild-type mouse eye is otherwise healthy, and the chorio-retinal environment does not mimic the pathologic changes in human AMD. Furthermore, injury-induced angiogenesis does not reflect the same pathways as angiogenesis occurring in an age-related and chronic disease state as in AMD. Despite its shortcomings, the laser-induced CNV model is one of the best methods currently available to study the debilitating pathology of neovascular AMD. Its implementation has led to a deeper understanding of the pathogenesis of AMD, as well as contributing to the development of many of the AMD therapies currently available.

    View details for DOI 10.3791/53502

    View details for Web of Science ID 000368574400069

    View details for PubMedID 26779879

    View details for PubMedCentralID PMC4780856

  • Inner retinal oxygen metabolism in the 50/10 oxygen-induced retinopathy model SCIENTIFIC REPORTS Soetikno, B. T., Yi, J., Shah, R., Liu, W., Purta, P., Zhang, H. F., Fawzi, A. A. 2015; 5: 16752

    Abstract

    Retinopathy of prematurity (ROP) represents a major cause of childhood vision loss worldwide. The 50/10 oxygen-induced retinopathy (OIR) model mimics the findings of ROP, including peripheral vascular attenuation and neovascularization. The oxygen metabolism of the inner retina has not been previously explored in this model. Using visible-light optical coherence tomography (vis-OCT), we measured the oxygen saturation of hemoglobin and blood flow within inner retinal vessels, enabling us to compute the inner retinal oxygen delivery (irDO2) and metabolic rate of oxygen (irMRO2). We compared these measurements between age-matched room-air controls and rats with 50/10 OIR on postnatal day 18. To account for a 61% decrease in the irDO2 in the OIR group, we found an overall statistically significant decrease in retinal vascular density affecting the superficial and deep retinal vascular capillary networks in rats with OIR compared to controls. Furthermore, matching the reduced irDO2, we found a 59% decrease in irMRO2, which we correlated with a statistically significant reduction in retinal thickness in the OIR group, suggesting that the decreased irMRO2 was due to decreased neuronal oxygen utilization. By exploring these biological and metabolic changes in great detail, our study provides an improved understanding of the pathophysiology of OIR model.

    View details for DOI 10.1038/srep16752

    View details for Web of Science ID 000364900700001

    View details for PubMedID 26576731

    View details for PubMedCentralID PMC4649746

  • Histopathological correlation of optical coherence tomography angiography in laser-induced choroidal neovascularization Shah, R. S., Soetikno, B., Liu, W., Yi, J., Zhang, H. F., Fawzi, A. A. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2015
  • Longitudinal monitoring of choroidal neovascularization by OCT angiography in mice Liu, W., Yi, J., Shah, R. S., Soetikno, B., Fawzi, A. A., Zhang, H. F. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2015
  • Oxygen Metabolism of the Inner Retina in the 50/10 Rat Model of Retinopathy of Prematurity Soetikno, B., Yi, J., Purta, P., Liu, W., Shah, R. S., Zhang, H. F., Fawzi, A. A. ASSOC RESEARCH VISION OPHTHALMOLOGY INC. 2015
  • Simultaneous photoacoustic microscopy of microvascular anatomy, oxygen saturation, and blood flow OPTICS LETTERS Ning, B., Kennedy, M. J., Dixon, A. J., Sun, N., Cao, R., Soetikno, B. T., Chen, R., Zhou, Q., Shung, K., Hossack, J. A., Hu, S. 2015; 40 (6): 910–13

    Abstract

    Capitalizing on the optical absorption of hemoglobin, photoacoustic microscopy (PAM) is uniquely capable of anatomical and functional characterization of the intact microcirculation in vivo. However, PAM of the metabolic rate of oxygen (MRO2) at the microscopic level remains an unmet challenge, mainly due to the inability to simultaneously quantify microvascular diameter, oxygen saturation of hemoglobin (sO2), and blood flow at the same spatial scale. To fill this technical gap, we have developed a multi-parametric PAM platform. By analyzing both the sO2-encoded spectral dependence and the flow-induced temporal decorrelation of photoacoustic signals generated by the raster-scanned mouse ear vasculature, we demonstrated-for the first time-simultaneous wide-field PAM of all three parameters down to the capillary level in vivo.

    View details for DOI 10.1364/OL.40.000910

    View details for Web of Science ID 000351056500016

    View details for PubMedID 25768144

  • Three-dimensional arbitrary trajectory scanning photoacoustic microscopy. Journal of biophotonics Yeh, C. n., Soetikno, B. n., Hu, S. n., Maslov, K. I., Wang, L. V. 2015; 8 (4): 303–8

    Abstract

    We have enhanced photoacoustic microscopy with three-dimensional arbitrary trajectory (3-DAT) scanning, which can rapidly image selected vessels over a large field of view (FOV) and maintain a high signal-to-noise ratio (SNR) despite the depth variation of the vessels. We showed that hemoglobin oxygen saturation (sO2 ) and blood flow can be measured simultaneously in a mouse ear in vivo at a frame rate 67 times greater than that of a traditional two-dimensional raster scan. We also observed sO2 dynamics in response to switching from systemic hypoxia to hyperoxia. 3-DAT-scanning photoacoustic microscopy. Schematic diagram of the 3D scanning stage and method.

    View details for DOI 10.1002/jbio.201400055

    View details for PubMedID 25077689

    View details for PubMedCentralID PMC4312269

  • Microvascular quantification based on contour-scanning photoacoustic microscopy. Journal of biomedical optics Yeh, C. n., Soetikno, B. n., Hu, S. n., Maslov, K. I., Wang, L. V. 2014; 19 (9): 96011

    Abstract

    Accurate quantification of microvasculature remains of interest in fundamental pathophysiological studies and clinical trials. Current photoacoustic microscopy can noninvasively quantify properties of the microvasculature, including vessel density and diameter, with a high spatial resolution. However, the depth range of focus (i.e., focal zone) of optical-resolution photoacoustic microscopy (OR-PAM) is often insufficient to encompass the depth variations of features of interest—such as blood vessels—due to uneven tissue surfaces. Thus, time-consuming image acquisitions at multiple different focal planes are required to maintain the region of interest in the focal zone. We have developed continuous three-dimensional motorized contour-scanning OR-PAM, which enables real-time adjustment of the focal plane to track the vessels’ profile. We have experimentally demonstrated that contour scanning improves the signal-to-noise ratio of conventional OR-PAM by as much as 41% and shortens the image acquisition time by 3.2 times. Moreover, contour-scanning OR-PAM more accurately quantifies vessel density and diameter, and has been applied to studying tumors with uneven surfaces.

    View details for DOI 10.1117/1.JBO.19.9.096011

    View details for PubMedID 25223708

    View details for PubMedCentralID PMC4164706