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Baria E, Giordano F, Guerrini R, Caporalini C, Buccoliero AM, Cicchi R, Pavone FS. Dysplasia and tumor discrimination in brain tissues by combined fluorescence, Raman, and diffuse reflectance spectroscopies. BIOMEDICAL OPTICS EXPRESS 2023; 14:1256-1275. [PMID: 36950232 PMCID: PMC10026567 DOI: 10.1364/boe.477035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 12/19/2022] [Accepted: 12/19/2022] [Indexed: 06/18/2023]
Abstract
Identification of neoplastic and dysplastic brain tissues is of paramount importance for improving the outcomes of neurosurgical procedures. This study explores the combined application of fluorescence, Raman and diffuse reflectance spectroscopies for the detection and classification of brain tumor and cortical dysplasia with a label-free modality. Multivariate analysis was performed to evaluate classification accuracies of these techniques-employed both in individual and multimodal configuration-obtaining high sensitivity and specificity. In particular, the proposed multimodal approach allowed discriminating tumor/dysplastic tissues against control tissue with 91%/86% sensitivity and 100%/100% specificity, respectively, whereas tumor from dysplastic tissues were discriminated with 89% sensitivity and 86% specificity. Hence, multimodal optical spectroscopy allows reliably differentiating these pathologies using a non-invasive, label-free approach that is faster than the gold standard technique and does not require any tissue processing, offering the potential for the clinical translation of the technology.
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Affiliation(s)
- Enrico Baria
- National Institute of Optics, National Research Council, Via Nello Carrara 1, Sesto Fiorentino 50019, Italy
- European Laboratory for Non-Linear Spectroscopy, University of Florence, Via Nello Carrara 1, Sesto Fiorentino 50019, Italy
| | - Flavio Giordano
- Division of Neurosurgery, Department of Neuroscience I, "A. Meyer" Children's Hospital, Viale Gaetano Pieraccini 24, Florence 50141, Italy
| | - Renzo Guerrini
- Division of Neurosurgery, Department of Neuroscience I, "A. Meyer" Children's Hospital, Viale Gaetano Pieraccini 24, Florence 50141, Italy
| | - Chiara Caporalini
- Division of Pathology, Department of Critical Care Medicine and Surgery, University of Florence, Viale Giovanni Battista Morgagni 85, Florence 50134, Italy
| | - Anna Maria Buccoliero
- Division of Pathology, Department of Critical Care Medicine and Surgery, University of Florence, Viale Giovanni Battista Morgagni 85, Florence 50134, Italy
| | - Riccardo Cicchi
- National Institute of Optics, National Research Council, Via Nello Carrara 1, Sesto Fiorentino 50019, Italy
- European Laboratory for Non-Linear Spectroscopy, University of Florence, Via Nello Carrara 1, Sesto Fiorentino 50019, Italy
| | - Francesco Saverio Pavone
- National Institute of Optics, National Research Council, Via Nello Carrara 1, Sesto Fiorentino 50019, Italy
- European Laboratory for Non-Linear Spectroscopy, University of Florence, Via Nello Carrara 1, Sesto Fiorentino 50019, Italy
- Department of Physics and Astrophysics, University of Florence, Via Sansone 1, Sesto Fiorentino 50019, Italy
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Shaik TA, Baria E, Wang X, Korinth F, Lagarto JL, Höppener C, Pavone FS, Deckert V, Popp J, Cicchi R, Krafft C. Structural and Biochemical Changes in Pericardium upon Genipin Cross-Linking Investigated Using Nondestructive and Label-Free Imaging Techniques. Anal Chem 2022; 94:1575-1584. [PMID: 35015512 DOI: 10.1021/acs.analchem.1c03348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Tissue cross-linking represents an important and often used technique to enhance the mechanical properties of biomaterials. For the first time, we investigated biochemical and structural properties of genipin (GE) cross-linked equine pericardium (EP) using optical imaging techniques in tandem with quantitative atomic force microscopy (AFM). EP was cross-linked with GE at 37 °C, and its biochemical and biomechanical properties were observed at various time points up to 24 h. GE cross-linked EP was monitored by the normalized ratio between its second-harmonic generation (SHG) and two-photon autofluorescence emissions and remained unchanged for untreated EP; however, a decreasing ratio due to depleted SHG and elevated autofluorescence and a fluorescence band at 625 nm were found for GE cross-linked EP. The mean autofluorescence lifetime of GE cross-linked EP also decreased. The biochemical signature of GE cross-linker and shift in collagen bands were detected and quantified using shifted excitation Raman difference spectroscopy as an innovative approach for tackling artifacts with high fluorescence backgrounds. AFM images indicated a higher and increasing Young's modulus correlated with cross-linking, as well as collagen structural changes in GE cross-linked EP, qualitatively explaining the observed decrease in the second-harmonic signal. In conclusion, we obtained detailed information about the biochemical, structural, and biomechanical effects of GE cross-linked EP using a unique combination of optical and force microscopy techniques in a nondestructive and label-free manner.
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Affiliation(s)
- Tanveer Ahmed Shaik
- Leibniz Institute of Photonic Technology and Member of Leibniz Research Alliance "Health Technologies", Albert-Einstein-Strasse 9, 07745 Jena, Germany
| | - Enrico Baria
- National Institute of Optics, National Research Council (CNR-INO), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
| | - Xinyue Wang
- Institute of Physical Chemistry and Abbe Center of Photonics, Friedrich-Schiller-University, Helmholtzweg 4, 07743 Jena, Germany
| | - Florian Korinth
- Leibniz Institute of Photonic Technology and Member of Leibniz Research Alliance "Health Technologies", Albert-Einstein-Strasse 9, 07745 Jena, Germany
| | - João L Lagarto
- National Institute of Optics, National Research Council (CNR-INO), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
| | - Christiane Höppener
- Leibniz Institute of Photonic Technology and Member of Leibniz Research Alliance "Health Technologies", Albert-Einstein-Strasse 9, 07745 Jena, Germany.,Institute of Physical Chemistry and Abbe Center of Photonics, Friedrich-Schiller-University, Helmholtzweg 4, 07743 Jena, Germany
| | - Francesco S Pavone
- National Institute of Optics, National Research Council (CNR-INO), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
| | - Volker Deckert
- Leibniz Institute of Photonic Technology and Member of Leibniz Research Alliance "Health Technologies", Albert-Einstein-Strasse 9, 07745 Jena, Germany.,Institute of Physical Chemistry and Abbe Center of Photonics, Friedrich-Schiller-University, Helmholtzweg 4, 07743 Jena, Germany
| | - Jürgen Popp
- Leibniz Institute of Photonic Technology and Member of Leibniz Research Alliance "Health Technologies", Albert-Einstein-Strasse 9, 07745 Jena, Germany.,Institute of Physical Chemistry and Abbe Center of Photonics, Friedrich-Schiller-University, Helmholtzweg 4, 07743 Jena, Germany
| | - Riccardo Cicchi
- National Institute of Optics, National Research Council (CNR-INO), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
| | - Christoph Krafft
- Leibniz Institute of Photonic Technology and Member of Leibniz Research Alliance "Health Technologies", Albert-Einstein-Strasse 9, 07745 Jena, Germany
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Shaik TA, Lagarto JL, Baria E, Goktas M, Onoja PI, Blank KG, Pavone FS, Popp J, Krafft C, Cicchi R. Monitoring Changes in Biochemical and Biomechanical Properties of Collagenous Tissues Using Label-Free and Nondestructive Optical Imaging Techniques. Anal Chem 2021; 93:3813-3821. [PMID: 33596051 DOI: 10.1021/acs.analchem.0c04306] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
We demonstrate the ability of nondestructive optical imaging techniques such as second-harmonic generation (SHG), two-photon fluorescence (TPF), fluorescence lifetime imaging (FLIM), and Raman spectroscopy (RS) to monitor biochemical and mechanical alterations in tissues upon collagen degradation. Decellularized equine pericardium (EP) was treated with 50 μg/mL bacterial collagenase at 37 °C for 8, 16, 24, and 32 h. The SHG ratio (defined as the normalized ratio between SHG and TPF signals) remained unchanged for untreated EP (stored in phosphate-buffered solution (PBS)), whereas treated EP showed a trend of a decreasing SHG ratio with increasing collagen degradation. In the fluorescence domain, treated EP experienced a red-shifted emission and the fluorescence lifetime had a trend of decreasing lifetime with increasing collagen digestion. RS monitors collagen degradation, the spectra had less intense Raman bands at 814, 852, 938, 1242, and 1270 cm-1. Non-negative least-squares (NNLS) modeling quantifies collagen loss and relative increase of elastin. The Young's modulus, derived from atomic force microscope-based nanoindentation experiments, showed a rapid decrease within the first 8 h of collagen degradation, whereas more gradual changes were observed for optical modalities. We conclude that optical imaging techniques like SHG, RS, and FLIM can monitor collagen degradation in a label-free manner and coarsely access mechanical properties in a nondestructive manner.
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Affiliation(s)
- Tanveer Ahmed Shaik
- Leibniz Institute of Photonic Technology, Albert-Einstein-Strasse 9, 07745 Jena, Germany
| | - João L Lagarto
- National Institute of Optics (INO), National Research Council (CNR), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
| | - Enrico Baria
- National Institute of Optics (INO), National Research Council (CNR), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
| | - Melis Goktas
- Mechano(bio)chemistry, Max Planck Institute of Colloids and Interfaces, Am Mühlenberg 1, 14476 Potsdam, Germany
| | - Patrick Igoche Onoja
- Leibniz Institute of Photonic Technology, Albert-Einstein-Strasse 9, 07745 Jena, Germany
| | - Kerstin G Blank
- Mechano(bio)chemistry, Max Planck Institute of Colloids and Interfaces, Am Mühlenberg 1, 14476 Potsdam, Germany
| | - Francesco S Pavone
- National Institute of Optics (INO), National Research Council (CNR), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
| | - Jürgen Popp
- Leibniz Institute of Photonic Technology, Albert-Einstein-Strasse 9, 07745 Jena, Germany.,Institute of Physical Chemistry, Friedrich Schiller University, Helmholtzweg 4, 07743 Jena, Germany.,Abbe Center of Photonics, Friedrich Schiller University, Albert-Einstein-Strasse 6, 07745 Jena, Germany
| | - Christoph Krafft
- Leibniz Institute of Photonic Technology, Albert-Einstein-Strasse 9, 07745 Jena, Germany
| | - Riccardo Cicchi
- National Institute of Optics (INO), National Research Council (CNR), Largo E. Fermi 6, 50125 Florence, Italy.,European Laboratory for Non-Linear Spectroscopy (LENS), University of Florence, Via Nello Carrara 1, 50019 Sesto Fiorentino, Italy
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Heng HPS, Shu C, Zheng W, Lin K, Huang Z. Advances in real‐time fiber‐optic Raman spectroscopy for early cancer diagnosis: Pushing the frontier into clinical endoscopic applications. TRANSLATIONAL BIOPHOTONICS 2020. [DOI: 10.1002/tbio.202000018] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Affiliation(s)
- Howard Peng Sin Heng
- Optical Bioimaging Laboratory, Department of Biomedical Engineering, Faculty of Engineering National University of Singapore Singapore Singapore
- NUS Graduate School for Integrative Sciences and Engineering National University of Singapore Singapore Singapore
| | - Chi Shu
- Optical Bioimaging Laboratory, Department of Biomedical Engineering, Faculty of Engineering National University of Singapore Singapore Singapore
| | - Wei Zheng
- Optical Bioimaging Laboratory, Department of Biomedical Engineering, Faculty of Engineering National University of Singapore Singapore Singapore
| | - Kan Lin
- Optical Bioimaging Laboratory, Department of Biomedical Engineering, Faculty of Engineering National University of Singapore Singapore Singapore
| | - Zhiwei Huang
- Optical Bioimaging Laboratory, Department of Biomedical Engineering, Faculty of Engineering National University of Singapore Singapore Singapore
- NUS Graduate School for Integrative Sciences and Engineering National University of Singapore Singapore Singapore
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Baria E, Pracucci E, Pillai V, Pavone FS, Ratto GM, Cicchi R. In vivo detection of murine glioblastoma through Raman and reflectance fiber-probe spectroscopies. NEUROPHOTONICS 2020; 7:045010. [PMID: 33274251 PMCID: PMC7707056 DOI: 10.1117/1.nph.7.4.045010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 10/14/2020] [Indexed: 05/29/2023]
Abstract
Significance: Glioblastoma (GBM) is the most common and aggressive malignant brain tumor in adults. With a worldwide incidence rate of 2 to 3 per 100,000 people, it accounts for more than 60% of all brain cancers; currently, its 5-year survival rate is < 5 % . GBM treatment relies mainly on surgical resection. In this framework, multimodal optical spectroscopy could provide a fast and label-free tool for improving tumor detection and guiding the removal of diseased tissues. Aim: Discriminating healthy brain from GBM tissues in an animal model through the combination of Raman and reflectance spectroscopies. Approach: EGFP-GL261 cells were injected into the brains of eight laboratory mice for inducing murine GBM in these animals. A multimodal optical fiber probe combining fluorescence, Raman, and reflectance spectroscopy was used to localize in vivo healthy and tumor brain areas and to collect their spectral information. Results: Tumor areas were localized through the detection of EGFP fluorescence emission. Then, Raman and reflectance spectra were collected from healthy and tumor tissues, and later analyzed through principal component analysis and linear discriminant analysis in order to develop a classification algorithm. Raman and reflectance spectra resulted in 92% and 93% classification accuracy, respectively. Combining together these techniques allowed improving the discrimination between healthy and tumor tissues up to 97%. Conclusions: These preliminary results demonstrate the potential of multimodal fiber-probe spectroscopy for in vivo label-free detection and delineation of brain tumors, and thus represent an additional, encouraging step toward clinical translation and deployment of fiber-probe spectroscopy.
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Affiliation(s)
- Enrico Baria
- University of Florence, Department of Physics, Sesto Fiorentino, Italy
- European Laboratory for Non-Linear Spectroscopy, Sesto Fiorentino, Italy
| | - Enrico Pracucci
- Scuola Normale Superiore, National Enterprise for Nanoscience and Nanotechnology, Pisa, Italy
| | - Vinoshene Pillai
- Scuola Normale Superiore, National Enterprise for Nanoscience and Nanotechnology, Pisa, Italy
| | - Francesco S. Pavone
- University of Florence, Department of Physics, Sesto Fiorentino, Italy
- European Laboratory for Non-Linear Spectroscopy, Sesto Fiorentino, Italy
- National Institute of Optics – National Research Council, Sesto Fiorentino, Italy
| | - Gian M. Ratto
- Scuola Normale Superiore, National Enterprise for Nanoscience and Nanotechnology, Pisa, Italy
| | - Riccardo Cicchi
- European Laboratory for Non-Linear Spectroscopy, Sesto Fiorentino, Italy
- National Institute of Optics – National Research Council, Sesto Fiorentino, Italy
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Lagarto JL, Shcheslavskiy V, Pavone FS, Cicchi R. Real-time fiber-based fluorescence lifetime imaging with synchronous external illumination: A new path for clinical translation. JOURNAL OF BIOPHOTONICS 2020; 13:e201960119. [PMID: 31742905 DOI: 10.1002/jbio.201960119] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 11/13/2019] [Accepted: 11/15/2019] [Indexed: 05/22/2023]
Abstract
Time-correlated single photon counting is the "gold-standard" method for fluorescence lifetime measurements and has demonstrated potential for clinical deployment. However, the translation of the technology into clinic is hindered by the use of ultrasensitive detectors, which make the fluorescence acquisition impractical with bright lighting conditions such as in clinical settings. We address this limitation by interleaving periodic fluorescence detection with synchronous out-of-phase externally modulated light source, thus guaranteeing specimen illumination and a fluorescence signal free from bright background light upon temporal separation. Fluorescence lifetime maps are generated in real-time from single-point measurements by tracking a reference beam and using the phasor approach. We demonstrate the feasibility and practicality of this technique in a number of biological specimens, including real-time mapping of degraded articular cartilage. This method is compatible and can be integrated with existing clinical microscopic, endoscopic and robotic modalities, thus offering a new pathway towards label-free diagnostics and surgical guidance in a number of clinical applications.
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Affiliation(s)
- João L Lagarto
- National Institute of Optics, National Research Council (INO-CNR), Sesto Fiorentino, Italy
- European Laboratory for Non-linear Spectroscopy (LENS), Sesto Fiorentino, Italy
| | | | - Francesco S Pavone
- National Institute of Optics, National Research Council (INO-CNR), Sesto Fiorentino, Italy
- European Laboratory for Non-linear Spectroscopy (LENS), Sesto Fiorentino, Italy
- Department of Physics, University of Florence, Sesto Fiorentino, Italy
| | - Riccardo Cicchi
- National Institute of Optics, National Research Council (INO-CNR), Sesto Fiorentino, Italy
- European Laboratory for Non-linear Spectroscopy (LENS), Sesto Fiorentino, Italy
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Multispectral Depth-Resolved Fluorescence Lifetime Spectroscopy Using SPAD Array Detectors and Fiber Probes. SENSORS 2019; 19:s19122678. [PMID: 31200569 PMCID: PMC6631026 DOI: 10.3390/s19122678] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 06/10/2019] [Accepted: 06/12/2019] [Indexed: 01/29/2023]
Abstract
Single Photon Avalanche Diode (SPAD) arrays are increasingly exploited and have demonstrated potential in biochemical and biomedical research, both for imaging and single-point spectroscopy applications. In this study, we explore the application of SPADs together with fiber-optic-based delivery and collection geometry to realize fast and simultaneous single-point time-, spectral-, and depth-resolved fluorescence measurements at 375 nm excitation light. Spectral information is encoded across the columns of the array through grating-based dispersion, while depth information is encoded across the rows thanks to a linear arrangement of probe collecting fibers. The initial characterization and validation were realized against layered fluorescent agarose-based phantoms. To verify the practicality and feasibility of this approach in biological specimens, we measured the fluorescence signature of formalin-fixed rabbit aorta samples derived from an animal model of atherosclerosis. The initial results demonstrate that this detection configuration can report fluorescence spectral and lifetime contrast originating at different depths within the specimens. We believe that our optical scheme, based on SPAD array detectors and fiber-optic probes, constitute a powerful and versatile approach for the deployment of multidimensional fluorescence spectroscopy in clinical applications where information from deeper tissue layers is important for diagnosis.
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Krafft C, von Eggeling F, Guntinas-Lichius O, Hartmann A, Waldner MJ, Neurath MF, Popp J. Perspectives, potentials and trends of ex vivo and in vivo optical molecular pathology. JOURNAL OF BIOPHOTONICS 2018; 11:e201700236. [PMID: 28971622 DOI: 10.1002/jbio.201700236] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Revised: 09/21/2017] [Accepted: 09/26/2017] [Indexed: 06/07/2023]
Abstract
It is pivotal for medical applications, such as noninvasive histopathologic characterization of tissue, to realize label-free and molecule-specific representation of morphologic and biochemical composition in real-time with subcellular spatial resolution. This unmet clinical need requires new approaches for rapid and reliable real-time assessment of pathologies to complement established diagnostic tools. Photonic imaging combined with digitalization offers the potential to provide the clinician the requested information both under in vivo and ex vivo conditions. This report summarizes photonic approaches and their use in combination with image processing, machine learning and augmented virtual reality that might solve current challenges in modern medicine. Details are given for pathology, intraoperative diagnosis in head and neck cancer and endoscopic diagnosis in gastroenterology.
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Affiliation(s)
| | - Ferdinand von Eggeling
- Leibniz Institute of Photonic Technology, Jena, Germany
- Institute of Physical Chemistry and Abbe Center of Photonics, University Jena, Germany
- Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany
- Jena Biophotonic and Imaging Laboratory, Jena, Germany
| | | | - Arndt Hartmann
- Institute of Pathology, University Erlangen-Nürnberg, Erlangen-Nürnberg, Germany
| | - Maximilian J Waldner
- Department of Medicine, University Hospital Erlangen-Nürnberg, Erlangen-Nürnberg, Germany
| | - Markus F Neurath
- Department of Medicine, University Hospital Erlangen-Nürnberg, Erlangen-Nürnberg, Germany
| | - Jürgen Popp
- Leibniz Institute of Photonic Technology, Jena, Germany
- Institute of Physical Chemistry and Abbe Center of Photonics, University Jena, Germany
- Jena Biophotonic and Imaging Laboratory, Jena, Germany
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