Shortwave-infrared device could improve ear infection diagnosis

Aug. 23, 2016
An otoscope-like device that could improve ear infection diagnosis uses shortwave-infrared light instead of visible light.

Researchers at the Massachusetts Institute of Technology (MIT; Cambridge, MA) and a physician at Connecticut Children’s Medical Center (Hartford, CT‎) have developed a device that could improve accuracy of ear infection diagnosis. The device, which aims to resemble and work like existing otoscopes, uses shortwave-infrared (SWIR) light, which can penetrate much deeper than conventional otoscopes that use visible light and can only see a few millimeters into the tissues of the ear.

Related: Handheld optical devices for the physician's toolbox

The device could drastically reduce the amount of ear infections that are incorrectly diagnosed and prescribed unnecessary antibiotics. Such overprescriptions are considered a major cause of antibiotic resistance.

The one clear diagnostic sign of an infection in the ear is a buildup of fluid behind the eardrum, explains Jessica Carr, an MIT doctoral student who is an author of the paper describing the work. But the view through a conventional otoscope cannot penetrate deeply enough into the tissues to reveal such buildups. More expensive specialized equipment can offer more information needed for a firm diagnosis, but these tools are usually only available in the offices of specialists, who are not consulted in the vast majority of cases.

"A lot of times, it's a 50/50 guess as to whether there is fluid there," Carr says. "If there's no fluid, there's no chance of an infection. One of the limitations of the existing technology is that you can't see through the eardrum, so you can't easily see the fluid. But the eardrum basically becomes transparent to our device." Fluid within the ear, by contrast, "becomes very dark and very apparent," she adds.

While there are more advanced systems under development that do provide data on these deeper parts of the ear, Carr says that they haven't been widely adopted because they are unfamiliar to physicians, and some of these devices require a trained audiologist to run them. So the MIT team worked to make the new device as familiar as possible, closely resembling the otoscopes that doctors already use.

After initial successful tests on 10 adult subjects, the team is now in the process of carrying out tests on pediatric patients to confirm the accuracy of the diagnostic results. Assuming the tests go well, the team hopes to commercialize the device. The ultimate cost, Carr says, will depend on the cost of the SWIR imaging system. The cost of those devices, originally developed for military uses, has already fallen drastically over the last couple of years, she says, and widespread production could drop those costs rapidly.

Full details of the work appear in the Proceedings of the National Academy of Sciences (PNAS); for more information, please visit

About the Author

BioOptics World Editors

We edited the content of this article, which was contributed by outside sources, to fit our style and substance requirements. (Editor’s Note: BioOptics World has folded as a brand and is now part of Laser Focus World, effective in 2022.)

Sponsored Recommendations

Request a quote: Micro 3D Printed Part or microArch micro-precision 3D printers

April 11, 2024
See the results for yourself! We'll print a benchmark part so that you can assess our quality. Just send us your file and we'll get to work.

Request a free Micro 3D Printed sample part

April 11, 2024
The best way to understand the part quality we can achieve is by seeing it first-hand. Request a free 3D printed high-precision sample part.

How to Tune Servo Systems: The Basics

April 10, 2024
Learn how to tune a servo system using frequency-based tools to meet system specifications by watching our webinar!

Precision Motion Control for Sample Manipulation in Ultra-High Resolution Tomography

April 10, 2024
Learn the critical items that designers and engineers must consider when attempting to achieve reliable ultra-high resolution tomography results here!

Voice your opinion!

To join the conversation, and become an exclusive member of Laser Focus World, create an account today!