Assessment of Treatment in Diabetic Ulcer by Using Optical Coherence Tomography (OTC) and Optical Coherence Tomography Angiography(OTCA)

The procedure of wound healing depends on complicated interactions between a number of highly controlled factors. This system of events occurs normally in the majority of wounds; however, it can go perverse at several steps along the path, specifically with underlying disease like diabetes. Diabetic ulcer has a high burden and it has been estimated that a diabetic ulcer needs a charge of around $50,000. Different methods have been run through, to manage such ulcers, like wound dressings, Growth factors, skin substitutes, hyperbaric oxygen, negative pressure wound therapy, and also numerous options are widely used in management of diabetic foot. It derives as no wonder that the field of wound healing is an extremely dynamic field. New research in wound healing apply different methods and different combination of methods to promote the outcome of wound healing, though, need to an assessment device is intellectual more than before. In clinical dermatology, categorize the subsurface structural and vascular features but not using an invasive diagnostic tool was very challenging, but by presenting optical coherence tomography (OTC) it is possible to identify different stages of wound healing in ulcers non-invasively. Some methods of Optical coherence tomography angiography (OTCA) which are advanced and can detail anatomical features and also vascularization of the wound healing processes seem to be useful in supervision the treatment pathway in diabetic foot ulcer management.OCT AND OCTA can evaluate the stage and response to healing methods, and also vascularization response in diabetic food ulcer management, and in the future, may help to promote more effective treatment options. We consider that OCT and OCTA are of devices which are very efficient in skin lesions and can have a significant place in future wound healing managing assessment and especially in diabetic ulcer.

کلیدواژه ها:

Diabetic Ulcer ، Optical Coherence Tomography ، Optical Coherence Tomography Angiography ، Wound Healing ، Supervision Treatment