Using the shortwave infrared to image middle ear pathologies

Imaging with shortwave infrared (SWIR) light has great potential for visualizing biological structures previously undetectable with visible light. To demonstrate the clinical potential of SWIR imaging, we developed a medical otoscope sensitive to SWIR light. We show that the unique transmission of SWIR light through tissue improves resolution of anatomical structures lying behind thin tissue membranes like the ear drum. We therefore significantly improve imaging of underlying middle ear anatomy. SWIR imaging also allows identification of disease characterized by fluid accumulation, as in the diagnosis of otitis media. With successful diagnosis of otitis media estimated at 51% for US pediatricians, objectifying this diagnosis could curb the antibiotic resistance associated with an estimated 2 million overdiagnoses each year.