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Arias A, Anastasopoulou M, Gorpas D, Ntziachristos V. Using reflectometry to minimize the dependence of fluorescence intensity on optical absorption and scattering. BIOMEDICAL OPTICS EXPRESS 2023; 14:5499-5511. [PMID: 37854563 PMCID: PMC10581795 DOI: 10.1364/boe.496599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 09/11/2023] [Indexed: 10/20/2023]
Abstract
The total diffuse reflectance RT and the effective attenuation coefficient µeff of an optically diffuse medium map uniquely onto its absorption and reduced scattering coefficients. Using this premise, we developed a methodology where RT and the slope of the logarithmic spatially resolved reflectance, a quantity related to µeff, are the inputs of a look-up table to correct the dependence of fluorescent signals on the media's optical properties. This methodology does not require an estimation of the medium's optical property, avoiding elaborate simulations and their errors to offer accurate and fast corrections. The experimental demonstration of our method yielded a mean relative error in fluorophore concentrations of less than 4% over a wide range of optical property variations. We discuss how the method developed can be employed to improve image fidelity and fluorochrome quantification in fluorescence molecular imaging clinical applications.
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Affiliation(s)
- Augusto Arias
- Chair of Biological Imaging at the Central Institute for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, 81675, Germany
- Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, 85764, Germany
| | - Maria Anastasopoulou
- Chair of Biological Imaging at the Central Institute for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, 81675, Germany
- Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, 85764, Germany
| | - Dimitris Gorpas
- Chair of Biological Imaging at the Central Institute for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, 81675, Germany
- Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, 85764, Germany
| | - Vasilis Ntziachristos
- Chair of Biological Imaging at the Central Institute for Translational Cancer Research (TranslaTUM), School of Medicine, Technical University of Munich, Munich, 81675, Germany
- Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, 85764, Germany
- DZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, 81675, Germany
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2
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Scolaro L, Lorenser D, Quirk BC, Kirk RW, Ho LA, Thomas E, Li J, Saunders CM, Sampson DD, Fuller RO, McLaughlin RA. Multimodal imaging needle combining optical coherence tomography and fluorescence for imaging of live breast cancer cells labeled with a fluorescent analog of tamoxifen. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:076004. [PMID: 35831923 PMCID: PMC9278982 DOI: 10.1117/1.jbo.27.7.076004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 06/28/2022] [Indexed: 06/15/2023]
Abstract
SIGNIFICANCE Imaging needles consist of highly miniaturized focusing optics encased within a hypodermic needle. The needles may be inserted tens of millimeters into tissue and have the potential to visualize diseased cells well beyond the penetration depth of optical techniques applied externally. Multimodal imaging needles acquire multiple types of optical signals to differentiate cell types. However, their use has not previously been demonstrated with live cells. AIM We demonstrate the ability of a multimodal imaging needle to differentiate cell types through simultaneous optical coherence tomography (OCT) and fluorescence imaging. APPROACH We characterize the performance of a multimodal imaging needle. This is paired with a fluorescent analog of the therapeutic drug, tamoxifen, which enables cell-specific fluorescent labeling of estrogen receptor-positive (ER+) breast cancer cells. We perform simultaneous OCT and fluorescence in situ imaging on MCF-7 ER+ breast cancer cells and MDA-MB-231 ER- cells. Images are compared against unlabeled control samples and correlated with standard confocal microscopy images. RESULTS We establish the feasibility of imaging live cells with these miniaturized imaging probes by showing clear differentiation between cancerous cells. CONCLUSIONS Imaging needles have the potential to aid in the detection of specific cancer cells within solid tissue.
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Affiliation(s)
- Loretta Scolaro
- The University of Adelaide, Australian Research Council Centre of Excellence for Nanoscale Biophotonics, Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia
- The University of Adelaide, Institute for Photonics and Advanced Sensing, Adelaide, South Australia, Australia
- The University of Western Australia, School of Engineering, Optical+Biomedical Engineering Laboratory, Crawley, Western Australia, Australia
| | - Dirk Lorenser
- The University of Western Australia, School of Engineering, Optical+Biomedical Engineering Laboratory, Crawley, Western Australia, Australia
| | - Bryden C. Quirk
- The University of Adelaide, Australian Research Council Centre of Excellence for Nanoscale Biophotonics, Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia
- The University of Adelaide, Institute for Photonics and Advanced Sensing, Adelaide, South Australia, Australia
- The University of Western Australia, School of Engineering, Optical+Biomedical Engineering Laboratory, Crawley, Western Australia, Australia
| | - Rodney W. Kirk
- The University of Adelaide, Australian Research Council Centre of Excellence for Nanoscale Biophotonics, Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia
- The University of Adelaide, Institute for Photonics and Advanced Sensing, Adelaide, South Australia, Australia
- The University of Western Australia, School of Engineering, Optical+Biomedical Engineering Laboratory, Crawley, Western Australia, Australia
| | - Louisa A. Ho
- The University of Western Australia, School of Molecular Sciences, Crawley, Western Australia, Australia
| | - Elizabeth Thomas
- The University of Western Australia, Medical School, Division of Surgery, Nedlands, Western Australia, Australia
| | - Jiawen Li
- The University of Adelaide, Australian Research Council Centre of Excellence for Nanoscale Biophotonics, Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia
- The University of Adelaide, Institute for Photonics and Advanced Sensing, Adelaide, South Australia, Australia
- The University of Western Australia, School of Engineering, Optical+Biomedical Engineering Laboratory, Crawley, Western Australia, Australia
- The University of Adelaide, School of Electrical and Electronic Engineering, Adelaide, South Australia, Australia
| | - Christobel M. Saunders
- The University of Western Australia, Medical School, Division of Surgery, Nedlands, Western Australia, Australia
- Fiona Stanley Hospital, Breast Centre, Murdoch, Western Australia, Australia
- Royal Perth Hospital, Breast Clinic, Perth, Western Australia, Australia
| | - David D. Sampson
- The University of Western Australia, School of Engineering, Optical+Biomedical Engineering Laboratory, Crawley, Western Australia, Australia
- University of Surrey, School of Biosciences and Medicine, Surrey Biophotonics, Guildford, United Kingdom
- University of Surrey, Advanced Technology Institute, School of Physics, Surrey Biophotonics, Guildford, United Kingdom
| | - Rebecca O. Fuller
- The University of Western Australia, School of Molecular Sciences, Crawley, Western Australia, Australia
- University of Tasmania, School of Natural Sciences – Chemistry, Hobart, Tasmania, Australia
| | - Robert A. McLaughlin
- The University of Adelaide, Australian Research Council Centre of Excellence for Nanoscale Biophotonics, Faculty of Health and Medical Sciences, Adelaide, South Australia, Australia
- The University of Adelaide, Institute for Photonics and Advanced Sensing, Adelaide, South Australia, Australia
- The University of Western Australia, School of Engineering, Optical+Biomedical Engineering Laboratory, Crawley, Western Australia, Australia
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Fisher C, Harty J, Yee A, Li CL, Komolibus K, Grygoryev K, Lu H, Burke R, Wilson BC, Andersson-Engels S. Perspective on the integration of optical sensing into orthopedic surgical devices. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:010601. [PMID: 34984863 PMCID: PMC8727454 DOI: 10.1117/1.jbo.27.1.010601] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 11/23/2021] [Indexed: 06/14/2023]
Abstract
SIGNIFICANCE Orthopedic surgery currently comprises over 1.5 million cases annually in the United States alone and is growing rapidly with aging populations. Emerging optical sensing techniques promise fewer side effects with new, more effective approaches aimed at improving patient outcomes following orthopedic surgery. AIM The aim of this perspective paper is to outline potential applications where fiberoptic-based approaches can complement ongoing development of minimally invasive surgical procedures for use in orthopedic applications. APPROACH Several procedures involving orthopedic and spinal surgery, along with the clinical challenge associated with each, are considered. The current and potential applications of optical sensing within these procedures are discussed and future opportunities, challenges, and competing technologies are presented for each surgical application. RESULTS Strong research efforts involving sensor miniaturization and integration of optics into existing surgical devices, including K-wires and cranial perforators, provided the impetus for this perspective analysis. These advances have made it possible to envision a next-generation set of devices that can be rigorously evaluated in controlled clinical trials to become routine tools for orthopedic surgery. CONCLUSIONS Integration of optical devices into surgical drills and burrs to discern bone/tissue interfaces could be used to reduce complication rates across a spectrum of orthopedic surgery procedures or to aid less-experienced surgeons in complex techniques, such as laminoplasty or osteotomy. These developments present both opportunities and challenges for the biomedical optics community.
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Affiliation(s)
- Carl Fisher
- Biophotonics@Tyndall, IPIC, Tyndall National Institute, Lee Maltings, Dyke Parade, Cork, Ireland
| | - James Harty
- Cork University Hospital and South Infirmary Victoria University Hospital, Department of Orthopaedic Surgery, Cork, Ireland
| | - Albert Yee
- University of Toronto, Sunnybrook Research Institute, Department of Surgery, Holland Bone and Joint Program, Division of Orthopaedic Surgery, Sunnybrook Health Sciences; Orthopaedic Biomechanics Laboratory, Physical Sciences Platform, Toronto, Canada
| | - Celina L. Li
- Biophotonics@Tyndall, IPIC, Tyndall National Institute, Lee Maltings, Dyke Parade, Cork, Ireland
| | - Katarzyna Komolibus
- Biophotonics@Tyndall, IPIC, Tyndall National Institute, Lee Maltings, Dyke Parade, Cork, Ireland
| | - Konstantin Grygoryev
- Biophotonics@Tyndall, IPIC, Tyndall National Institute, Lee Maltings, Dyke Parade, Cork, Ireland
| | - Huihui Lu
- Biophotonics@Tyndall, IPIC, Tyndall National Institute, Lee Maltings, Dyke Parade, Cork, Ireland
| | - Ray Burke
- Biophotonics@Tyndall, IPIC, Tyndall National Institute, Lee Maltings, Dyke Parade, Cork, Ireland
| | - Brian C. Wilson
- University of Toronto, Princess Margaret Cancer Centre/University Health Network, Department of Medical Biophysics, Toronto, Canada
| | - Stefan Andersson-Engels
- Biophotonics@Tyndall, IPIC, Tyndall National Institute, Lee Maltings, Dyke Parade, Cork, Ireland
- University College Cork, Department of Physics, Cork, Ireland
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Belcastro L, Jonasson H, Strömberg T, Saager RB. Handheld multispectral imager for quantitative skin assessment in low-resource settings. JOURNAL OF BIOMEDICAL OPTICS 2020; 25:1-12. [PMID: 32755076 PMCID: PMC7399474 DOI: 10.1117/1.jbo.25.8.082702] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Accepted: 07/06/2020] [Indexed: 05/28/2023]
Abstract
SIGNIFICANCE Spatial frequency domain imaging (SFDI) is a quantitative imaging method to measure absorption and scattering of tissue, from which several chromophore concentrations (e.g., oxy-/deoxy-/meth-hemoglobin, melanin, and carotenoids) can be calculated. Employing a method to extract additional spectral bands from RGB components (that we named cross-channels), we designed a handheld SFDI device to account for these pigments, using low-cost, consumer-grade components for its implementation and characterization. AIM With only three broad spectral bands (red, green, blue, or RGB), consumer-grade devices are often too limited. We present a methodology to increase the number of spectral bands in SFDI devices that use RGB components without hardware modification. APPROACH We developed a compact low-cost RGB spectral imager using a color CMOS camera and LED-based mini projector. The components' spectral properties were characterized and additional cross-channel bands were calculated. An alternative characterization procedure was also developed that makes use of low-cost equipment, and its results were compared. The device performance was evaluated by measurements on tissue-simulating optical phantoms and in-vivo tissue. The measurements were compared with another quantitative spectroscopy method: spatial frequency domain spectroscopy (SFDS). RESULTS Out of six possible cross-channel bands, two were evaluated to be suitable for our application and were fully characterized (520 ± 20 nm; 556 ± 18 nm). The other four cross-channels presented a too low signal-to-noise ratio for this implementation. In estimating the optical properties of optical phantoms, the SFDI data have a strong linear correlation with the SFDS data (R2 = 0.987, RMSE = 0.006 for μa, R2 = 0.994, RMSE = 0.078 for μs'). CONCLUSIONS We extracted two additional spectral bands from a commercial RGB system at no cost. There was good agreement between our device and the research-grade SFDS system. The alternative characterization procedure we have presented allowed us to measure the spectral features of the system with an accuracy comparable to standard laboratory equipment.
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Affiliation(s)
- Luigi Belcastro
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
| | - Hanna Jonasson
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
| | - Tomas Strömberg
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
| | - Rolf B. Saager
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
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Beaulieu E, Laurence A, Birlea M, Sheehy G, Angulo-Rodriguez L, Latour M, Albadine R, Saad F, Trudel D, Leblond F. Wide-field optical spectroscopy system integrating reflectance and spatial frequency domain imaging to measure attenuation-corrected intrinsic tissue fluorescence in radical prostatectomy specimens. BIOMEDICAL OPTICS EXPRESS 2020; 11:2052-2072. [PMID: 32341866 PMCID: PMC7173915 DOI: 10.1364/boe.388482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Revised: 02/13/2020] [Accepted: 03/08/2020] [Indexed: 06/11/2023]
Abstract
The development of a multimodal optical imaging system is presented that integrates endogenous fluorescence and diffuse reflectance spectroscopy with single-wavelength spatial frequency domain imaging (SFDI) and surface profilometry. The system images specimens at visible wavelengths with a spatial resolution of 70 µm, a field of view of 25 cm2 and a depth of field of ∼1.5 cm. The results of phantom experiments are presented demonstrating the system retrieves absorption and reduced scattering coefficient maps using SFDI with <6% reconstruction errors. A phase-shifting profilometry technique is implemented and the resulting 3-D surface used to compute a geometric correction ensuring optical properties reconstruction errors are maintained to <6% in curved media with height variations <20 mm. Combining SFDI-computed optical properties with data from diffuse reflectance spectra is shown to correct fluorescence using a model based on light transport in tissue theory. The system is used to image a human prostate, demonstrating its ability to distinguish prostatic tissue (anterior stroma, hyperplasia, peripheral zone) from extra-prostatic tissue (urethra, ejaculatory ducts, peri-prostatic tissue). These techniques could be integrated in robotic-assisted surgical systems to enhance information provided to surgeons and improve procedural accuracy by minimizing the risk of damage to extra-prostatic tissue during radical prostatectomy procedures and eventually detect residual cancer.
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Affiliation(s)
- Emile Beaulieu
- Polytechnique Montreal, Dept. of
Engineering Physics, C.P. 6079, Succ. Centre-ville, Montreal, QC H3C
3A7, Canada
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
| | - Audrey Laurence
- Polytechnique Montreal, Dept. of
Engineering Physics, C.P. 6079, Succ. Centre-ville, Montreal, QC H3C
3A7, Canada
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
| | - Mirela Birlea
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
- University of Montreal, Dept. of Pathology
and Cellular Biology, C.P. 6128, Succ. Centre-ville, Montreal, QC
H3 T 1J4, Canada
| | - Guillaume Sheehy
- Polytechnique Montreal, Dept. of
Engineering Physics, C.P. 6079, Succ. Centre-ville, Montreal, QC H3C
3A7, Canada
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
| | - Leticia Angulo-Rodriguez
- Polytechnique Montreal, Dept. of
Engineering Physics, C.P. 6079, Succ. Centre-ville, Montreal, QC H3C
3A7, Canada
| | - Mathieu Latour
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
- University of Montreal, Dept. of Pathology
and Cellular Biology, C.P. 6128, Succ. Centre-ville, Montreal, QC
H3 T 1J4, Canada
| | - Roula Albadine
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
- University of Montreal, Dept. of Pathology
and Cellular Biology, C.P. 6128, Succ. Centre-ville, Montreal, QC
H3 T 1J4, Canada
| | - Fred Saad
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
| | - Dominique Trudel
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
- University of Montreal, Dept. of Pathology
and Cellular Biology, C.P. 6128, Succ. Centre-ville, Montreal, QC
H3 T 1J4, Canada
| | - Frédéric Leblond
- Polytechnique Montreal, Dept. of
Engineering Physics, C.P. 6079, Succ. Centre-ville, Montreal, QC H3C
3A7, Canada
- Centre Hospitalier Universitaire de
Montreal Research Center (CRCHUM), 900 Rue Saint-Denis, Montreal, QC
H2X 0A9, Canada
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Gioux S, Mazhar A, Cuccia DJ. Spatial frequency domain imaging in 2019: principles, applications, and perspectives. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-18. [PMID: 31222987 PMCID: PMC6995958 DOI: 10.1117/1.jbo.24.7.071613] [Citation(s) in RCA: 62] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Accepted: 05/09/2019] [Indexed: 05/20/2023]
Abstract
Spatial frequency domain imaging (SFDI) has witnessed very rapid growth over the last decade, owing to its unique capabilities for imaging optical properties and chromophores over a large field-of-view and in a rapid manner. We provide a comprehensive review of the principles of this imaging method as of 2019, review the modeling of light propagation in this domain, describe acquisition methods, provide an understanding of the various implementations and their practical limitations, and finally review applications that have been published in the literature. Importantly, we also introduce a group effort by several key actors in the field for the dissemination of SFDI, including publications, advice in hardware and implementations, and processing code, all freely available online.
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Affiliation(s)
- Sylvain Gioux
- University of Strasbourg, ICube Laboratory, Strasbourg, France
- Address all correspondence to Sylvain Gioux, E-mail:
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Gioux S, Mazhar A, Cuccia DJ. Spatial frequency domain imaging in 2019: principles, applications, and perspectives. JOURNAL OF BIOMEDICAL OPTICS 2019. [PMID: 31222987 DOI: 10.1117/1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Spatial frequency domain imaging (SFDI) has witnessed very rapid growth over the last decade, owing to its unique capabilities for imaging optical properties and chromophores over a large field-of-view and in a rapid manner. We provide a comprehensive review of the principles of this imaging method as of 2019, review the modeling of light propagation in this domain, describe acquisition methods, provide an understanding of the various implementations and their practical limitations, and finally review applications that have been published in the literature. Importantly, we also introduce a group effort by several key actors in the field for the dissemination of SFDI, including publications, advice in hardware and implementations, and processing code, all freely available online.
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Affiliation(s)
- Sylvain Gioux
- University of Strasbourg, ICube Laboratory, Strasbourg, France
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8
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Sibai M, Wirth DJ, Leblond F, Roberts DW, Paulsen KD, Wilson BC. Quantitative subsurface spatial frequency-domain fluorescence imaging for enhanced glioma resection. JOURNAL OF BIOPHOTONICS 2019. [PMID: 30358162 DOI: 10.1002/jbio.2019.12.issue-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
The rate of complete resection of glioma has improved with the introduction of 5-aminolevulinic acid-induced protoporphyrin IX (PpIX) fluorescence image guidance. Surgical outcomes are further enhanced when the fluorescence signal is decoupled from the intrinsic tissue optical absorption and scattering obtained from diffuse reflectance measurements, yielding the absolute PpIX concentration, [PpIX]. Spatial frequency domain imaging was used previously to measure [PpIX] in near-surface tumors under blue fluorescence excitation. Here, we extend this to subsurface [PpIX] fluorescence under red-light excitation. The decay rate of the modulation amplitude of the fluorescence signal was used to calculate the PpIX depth, which was then applied in a forward diffusion model to estimate [PpIX] at depth. For brain-like optical properties in phantoms with PpIX fluorescent inclusions, the depth can be recovered up to depths of 9.5 mm ± 0.4 mm, with [PpIX] ranging from 5 to 15 μg/mL within an average deviation of 15% from the true [PpIX] value.
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Affiliation(s)
- Mira Sibai
- Princess Margaret Cancer Center, University Health Network, Toronto, Ontario, Canada
- Department of Medical Biophysics, University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada
| | - Dennis J Wirth
- Dartmouth-Hitchcock Medical Center, Dartmouth College, Thayer School of Engineering, Hanover, New Hampshire
| | - Frederic Leblond
- Department of Engineering Physics, École Polytechnique De Montreal, Montreal, Quebec, Canada
| | - David W Roberts
- Department of Neurosurgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire
| | - Keith D Paulsen
- Dartmouth-Hitchcock Medical Center, Dartmouth College, Thayer School of Engineering, Hanover, New Hampshire
| | - Brian C Wilson
- Princess Margaret Cancer Center, University Health Network, Toronto, Ontario, Canada
- Department of Medical Biophysics, University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada
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9
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Sibai M, Wirth DJ, Leblond F, Roberts DW, Paulsen KD, Wilson BC. Quantitative subsurface spatial frequency-domain fluorescence imaging for enhanced glioma resection. JOURNAL OF BIOPHOTONICS 2019; 12:e201800271. [PMID: 30358162 PMCID: PMC6470016 DOI: 10.1002/jbio.201800271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Revised: 09/20/2018] [Accepted: 10/23/2018] [Indexed: 05/03/2023]
Abstract
The rate of complete resection of glioma has improved with the introduction of 5-aminolevulinic acid-induced protoporphyrin IX (PpIX) fluorescence image guidance. Surgical outcomes are further enhanced when the fluorescence signal is decoupled from the intrinsic tissue optical absorption and scattering obtained from diffuse reflectance measurements, yielding the absolute PpIX concentration, [PpIX]. Spatial frequency domain imaging was used previously to measure [PpIX] in near-surface tumors under blue fluorescence excitation. Here, we extend this to subsurface [PpIX] fluorescence under red-light excitation. The decay rate of the modulation amplitude of the fluorescence signal was used to calculate the PpIX depth, which was then applied in a forward diffusion model to estimate [PpIX] at depth. For brain-like optical properties in phantoms with PpIX fluorescent inclusions, the depth can be recovered up to depths of 9.5 mm ± 0.4 mm, with [PpIX] ranging from 5 to 15 μg/mL within an average deviation of 15% from the true [PpIX] value.
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Affiliation(s)
- Mira Sibai
- Princess Margaret Cancer Center/University Health Network, 101 College Street, Toronto, ON M5G 1L7 Canada, Canada
- Dept. of Medical Biophysics, University of Toronto, Faculty of Medicine, 101 College Street, Toronto, ON M5G 1L7 Canada
| | - Dennis J. Wirth
- Dartmouth College, Thayer School of Engineering, 14 Engineering Drive Hanover, NH USA 03755 USA
| | - Frederic Leblond
- Dept. of Engineering Physics, École Polytechnique De Montreal, 2900, boul. Édouard-Montpetit Montréal, Québec H3T 1J4 Canada
| | - David W. Roberts
- Dept. of Neurosurgery, Dartmouth Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA
| | - Keith D. Paulsen
- Dartmouth College, Thayer School of Engineering, 14 Engineering Drive Hanover, NH USA 03755 USA
| | - Brian C. Wilson
- Princess Margaret Cancer Center/University Health Network, 101 College Street, Toronto, ON M5G 1L7 Canada, Canada
- Dept. of Medical Biophysics, University of Toronto, Faculty of Medicine, 101 College Street, Toronto, ON M5G 1L7 Canada
- Corresponding Author, Brian C. Wilson PhD,
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10
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Aguénounon E, Dadouche F, Uhring W, Gioux S. Single snapshot of optical properties image quality improvement using anisotropic two-dimensional windows filtering. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-21. [PMID: 30927346 PMCID: PMC6996016 DOI: 10.1117/1.jbo.24.7.071611] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 02/12/2019] [Indexed: 05/04/2023]
Abstract
Imaging methods permitting real-time, wide-field, and quantitative optical mapping of biological tissue properties offer an unprecedented range of applications for clinical use. Following the development of spatial frequency domain imaging, we introduce a real-time demodulation method called single snapshot of optical properties (SSOPs). However, since this method uses only a single image to generate absorption and reduced scattering maps, it was limited by a degraded image quality resulting in artifacts that diminished its potential for clinical use. We present filtering strategies for improving the image quality of optical properties maps obtained using SSOPs. We investigate the effect of anisotropic two-dimensional filtering strategies for spatial frequencies ranging from 0.1 to 0.4 mm - 1 directly onto N = 10 hands. Both accuracy and image quality of the optical properties are quantified in comparison with standard, multiple image acquisitions in the spatial frequency domain. Overall, using optimized filters, mean errors in predicting optical properties using SSOP remain under 8.8% in absorption and 7.5% in reduced scattering, while significantly improving image quality. Overall this work contributes to advance real-time, wide-field, and quantitative diffuse optical imaging toward clinical evaluation.
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Affiliation(s)
| | - Foudil Dadouche
- University of Strasbourg, ICube Laboratory, Illkirch, France
| | - Wilfried Uhring
- University of Strasbourg, ICube Laboratory, Illkirch, France
| | - Sylvain Gioux
- University of Strasbourg, ICube Laboratory, Illkirch, France
- Address all correspondence to Sylvain Gioux, E-mail:
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11
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Jia MJ, Bruza P, Jarvis LA, Gladstone DJ, Pogue BW. Multi-beam scan analysis with a clinical LINAC for high resolution Cherenkov-excited molecular luminescence imaging in tissue. BIOMEDICAL OPTICS EXPRESS 2018; 9:4217-4234. [PMID: 30615721 PMCID: PMC6157777 DOI: 10.1364/boe.9.004217] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 07/16/2018] [Accepted: 08/06/2018] [Indexed: 05/22/2023]
Abstract
Cherenkov-excited luminescence scanned imaging (CELSI) is achieved with external beam radiotherapy to map out molecular luminescence intensity or lifetime in tissue. Just as in fluorescence microscopy, the choice of excitation geometry can affect the imaging time, spatial resolution and contrast recovered. In this study, the use of spatially patterned illumination was systematically studied comparing scan shapes, starting with line scan and block patterns and increasing from single beams to multiple parallel beams and then to clinically used treatment plans for radiation therapy. The image recovery was improved by a spatial-temporal modulation-demodulation method, which used the ability to capture simultaneous images of the excitation Cherenkov beam shape to deconvolve the CELSI images. Experimental studies used the multi-leaf collimator on a clinical linear accelerator (LINAC) to create the scanning patterns, and image resolution and contrast recovery were tested at different depths of tissue phantom material. As hypothesized, the smallest illumination squares achieved optimal resolution, but at the cost of lower signal and slower imaging time. Having larger excitation blocks provided superior signal but at the cost of increased radiation dose and lower resolution. Increasing the scan beams to multiple block patterns improved the performance in terms of image fidelity, lower radiation dose and faster acquisition. The spatial resolution was mostly dependent upon pixel area with an optimized side length near 38mm and a beam scan pitch of P = 0.33, and the achievable imaging depth was increased from 14mm to 18mm with sufficient resolving power for 1mm sized test objects. As a proof-of-concept, in-vivo tumor mouse imaging was performed to show 3D rendering and quantification of tissue pO2 with values of 5.6mmHg in a tumor and 77mmHg in normal tissue.
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Affiliation(s)
- Mengyu Jeremy Jia
- Thayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA
| | - Petr Bruza
- Thayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA
| | - Lesley A. Jarvis
- Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA
| | - David J. Gladstone
- Thayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA
- Norris Cotton Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
- Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA
| | - Brian W. Pogue
- Thayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA
- Norris Cotton Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
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12
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Angelo JP, Chen SJ, Ochoa M, Sunar U, Gioux S, Intes X. Review of structured light in diffuse optical imaging. JOURNAL OF BIOMEDICAL OPTICS 2018; 24:1-20. [PMID: 30218503 PMCID: PMC6676045 DOI: 10.1117/1.jbo.24.7.071602] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Accepted: 05/31/2018] [Indexed: 05/11/2023]
Abstract
Diffuse optical imaging probes deep living tissue enabling structural, functional, metabolic, and molecular imaging. Recently, due to the availability of spatial light modulators, wide-field quantitative diffuse optical techniques have been implemented, which benefit greatly from structured light methodologies. Such implementations facilitate the quantification and characterization of depth-resolved optical and physiological properties of thick and deep tissue at fast acquisition speeds. We summarize the current state of work and applications in the three main techniques leveraging structured light: spatial frequency-domain imaging, optical tomography, and single-pixel imaging. The theory, measurement, and analysis of spatial frequency-domain imaging are described. Then, advanced theories, processing, and imaging systems are summarized. Preclinical and clinical applications on physiological measurements for guidance and diagnosis are summarized. General theory and method development of tomographic approaches as well as applications including fluorescence molecular tomography are introduced. Lastly, recent developments of single-pixel imaging methodologies and applications are reviewed.
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Affiliation(s)
- Joseph P. Angelo
- National Institute of Standards and Technology, Sensor Science Division, Gaithersburg, Maryland, United States
- Address all correspondence to: Joseph P. Angelo, E-mail: ; Sez-Jade Chen, E-mail:
| | - Sez-Jade Chen
- Rensselaer Polytechnic Institute, Department of Biomedical Engineering, Troy, New York, United States
- Address all correspondence to: Joseph P. Angelo, E-mail: ; Sez-Jade Chen, E-mail:
| | - Marien Ochoa
- Rensselaer Polytechnic Institute, Department of Biomedical Engineering, Troy, New York, United States
| | - Ulas Sunar
- Wright State University, Department of Biomedical Industrial and Human Factor Engineering, Dayton, Ohio, United States
| | - Sylvain Gioux
- University of Strasbourg, ICube Laboratory, Strasbourg, France
| | - Xavier Intes
- Rensselaer Polytechnic Institute, Department of Biomedical Engineering, Troy, New York, United States
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13
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Optical Characterization of Neurosurgical Operating Microscopes: Quantitative Fluorescence and Assessment of PpIX Photobleaching. Sci Rep 2018; 8:12543. [PMID: 30135440 PMCID: PMC6105612 DOI: 10.1038/s41598-018-30247-6] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2018] [Accepted: 07/25/2018] [Indexed: 01/01/2023] Open
Abstract
Protoporphyrin IX (PpIX) induced by 5-aminolevulinic acid (5-ALA) is increasingly used as a fluorescent marker for fluorescence-guided resection of malignant gliomas. Understanding how the properties of the excitation light source and PpIX fluorescence interact with the surgical microscope is critical for effective use of the fluorescence-guided tumor resection technique. In this study, we performed a detailed assessment of the intensity of the emitted blue light and white light and the light beam profile of clinical grade operating microscopes used for PpIX visualization. These measurements revealed both recognized fluorescence photobleaching limitations and unrecognized limitations that may alter quantitative observations of PpIX fluorescence obtained with the operating microscope with potential impact on research and clinical uses. We also evaluated the optical properties of a photostable fluorescent standard with an excitation-emission profile similar to PpIX. In addition, we measured the time-dependent dynamics of 5-ALA-induced PpIX fluorescence in an animal glioma model. Finally, we developed a ratiometric method for quantification of the PpIX fluorescence that uses the photostable fluorescent standard to normalize PpIX fluorescence intensity. This method increases accuracy and allows reproducible and direct comparability of the measurements from multiple samples.
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14
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Honda N, Ishii K, Kajimoto Y, Kuroiwa T, Awazu K. Determination of optical properties of human brain tumor tissues from 350 to 1000 nm to investigate the cause of false negatives in fluorescence-guided resection with 5-aminolevulinic acid. JOURNAL OF BIOMEDICAL OPTICS 2018; 23:1-10. [PMID: 30006993 DOI: 10.1117/1.jbo.23.7.075006] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2017] [Accepted: 06/22/2018] [Indexed: 05/18/2023]
Abstract
The optical properties of human brain tumor tissues, including glioblastoma, meningioma, oligodendroglioma, and metastasis, that were classified into "strong," "vague," and "unobservable" fluorescence by a neurosurgeon were measured and compared. The optical properties of the tissues were measured with a double integrating sphere and the inverse Monte Carlo technique from 350 to 1000 nm. Using reasons of ex-vivo measurement, the optical properties at around 420 nm were potentially affected by the hemoglobin content in tissues. Significant differences were not observed between the optical properties of the glioblastoma regions with "strong" and "unobservable" fluorescence. Sections of human brain tumor tissue with "strong" and "unobservable" fluorescence were stained with hematoxylin and eosin. The cell densities [mean ± standard deviation (S.D.)] in regions with "strong" and "unobservable" fluorescence were 31 ± 9 × 102 per mm2 and 12 ± 4 × 102 per mm2, respectively, which is a statistically significant difference. The higher fluorescence intensity is associated with higher cell density. The difference in cell density modified the scattering coefficient yet it does not lead to significant differences in the reduced scattering coefficient and thus does not affect the propagation of the diffuse fluorescent light. Hence, the false negatives, which mean a brain tumor only shows "unobservable" fluorescence and is hence classified incorrectly as nontumor, in using 5-ALA for detection of human glioblastoma do not result from the differences in optical properties of human brain glioblastoma tissues. Our results suggest that the primary cause of false negatives may be a lack of PpIX or a low accumulation of PpIX.
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15
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Tsukiyama A, Murai Y, Matano F, Shirokane K, Morita A. Optical effects on the surrounding structure during quantitative analysis using indocyanine green videoangiography: A phantom vessel study. JOURNAL OF BIOPHOTONICS 2018; 11:e201700254. [PMID: 29193774 DOI: 10.1002/jbio.201700254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 11/26/2017] [Indexed: 06/07/2023]
Abstract
Various reports have been published regarding quantitative evaluations of intraoperative fluorescent intensity studies using indocyanine green (ICG) with videoangiography (VAG). The effects of scattering and point-spread functions (PSF) on quantitative ICG-VAG evaluations have not been investigated. Clinically, when ICG is administered through the peripheral vein, it reaches the tissue intra-arterially. To achieve more reliable intraoperative quantitative intensity evaluations, we examined the impact of high-intensity structures on close areas. The study was conducted using a phantom model and surgical fluorescent microscope. A region of interest (ROI) was created for the vessel model and another ROI was created within 3 cm of that. With an ROI of 6.8 mm in the vessel phantom model, 10% intensity was confirmed, even though there was no fluorescent structure. Intensity decreased gradually as the ROI moved further from the vessel model. Our study results suggest that the presence of a high-intensity structure and the size of the ROI may affect quantitative intensity evaluations using ICG-VAG. Results of linear regression analysis indicate that the relationship of intensity (Y) and distance (X) is as follows: Y(real/A) = 29 Exp(-0.062X) + 164.3 Exp(-1.81X). The optical effect should be considered when performing an intraoperative intensity study with a surgical microscope.
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Affiliation(s)
- Atsushi Tsukiyama
- Department of Neurological Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-86, Japan
| | - Yasuo Murai
- Department of Neurological Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-86, Japan
| | - Fumihiro Matano
- Department of Neurological Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-86, Japan
| | - Kazutaka Shirokane
- Department of Neurological Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-86, Japan
| | - Akio Morita
- Department of Neurological Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-86, Japan
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16
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McClatchy DM, Rizzo EJ, Meganck J, Kempner J, Vicory J, Wells WA, Paulsen KD, Pogue BW. Calibration and analysis of a multimodal micro-CT and structured light imaging system for the evaluation of excised breast tissue. Phys Med Biol 2017; 62:8983-9000. [PMID: 29048330 PMCID: PMC5729028 DOI: 10.1088/1361-6560/aa94b6] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
A multimodal micro-computed tomography (CT) and multi-spectral structured light imaging (SLI) system is introduced and systematically analyzed to test its feasibility to aid in margin delineation during breast conserving surgery (BCS). Phantom analysis of the micro-CT yielded a signal-to-noise ratio of 34, a contrast of 1.64, and a minimum detectable resolution of 240 μm for a 1.2 min scan. The SLI system, spanning wavelengths 490 nm to 800 nm and spatial frequencies up to 1.37 [Formula: see text], was evaluated with aqueous tissue simulating phantoms having variations in particle size distribution, scatter density, and blood volume fraction. The reduced scattering coefficient, [Formula: see text] and phase function parameter, γ, were accurately recovered over all wavelengths independent of blood volume fractions from 0% to 4%, assuming a flat sample geometry perpendicular to the imaging plane. The resolution of the optical system was tested with a step phantom, from which the modulation transfer function was calculated yielding a maximum resolution of 3.78 cycles per mm. The three dimensional spatial co-registration between the CT and optical imaging space was tested and shown to be accurate within 0.7 mm. A freshly resected breast specimen, with lobular carcinoma, fibrocystic disease, and adipose, was imaged with the system. The micro-CT provided visualization of the tumor mass and its spiculations, and SLI yielded superficial quantification of light scattering parameters for the malignant and benign tissue types. These results appear to be the first demonstration of SLI combined with standard medical tomography for imaging excised tumor specimens. While further investigations are needed to determine and test the spectral, spatial, and CT features required to classify tissue, this study demonstrates the ability of multimodal CT/SLI to quantify, visualize, and spatially navigate breast tumor specimens, which could potentially aid in the assessment of tumor margin status during BCS.
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Affiliation(s)
- David M McClatchy
- Thayer School of Engineering, Dartmouth College, 14 Engineering Dr., Hanover, NH 03755, United States of America
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17
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Angelo JP, van de Giessen M, Gioux S. Real-time endoscopic optical properties imaging. BIOMEDICAL OPTICS EXPRESS 2017; 8:5113-5126. [PMID: 29188107 PMCID: PMC5695957 DOI: 10.1364/boe.8.005113] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Revised: 10/11/2017] [Accepted: 10/11/2017] [Indexed: 05/18/2023]
Abstract
With almost 50% of all surgeries in the U.S. being performed as minimally invasive procedures, there is a need to develop quantitative endoscopic imaging techniques to aid surgical guidance. Recent developments in widefield optical imaging make endoscopic implementations of real-time measurement possible. In this work, we introduce a proof-of-concept endoscopic implementation of a functional widefield imaging technique called 3D single snapshot of optical properties (3D-SSOP) that provides quantitative maps of absorption and reduced scattering optical properties as well as surface topography with simple instrumentation added to a commercial endoscope. The system's precision and accuracy is validated using tissue-mimicking phantoms, showing a max error of 0.004 mm-1, 0.05 mm-1, and 1.1 mm for absorption, reduced scattering, and sample topography, respectively. This study further demonstrates video acquisition of a moving phantom and an in vivo sample with a framerate of approximately 11 frames per second.
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Affiliation(s)
- Joseph P. Angelo
- Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
- Department of Biomedical Engineering Boston University, Boston, MA 02215, USA
| | | | - Sylvain Gioux
- Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
- ICube Laboratory, University of Strasbourg, 300 Bd S. Brant, Illkirch, 67412 France
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18
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Abstract
Intraoperative fluorescence imaging allows real-time identification of diseased tissue during surgery without being influenced by brain shift and surgery interruption. 5-Aminolevulinic acid, useful for malignant gliomas and other tumors, is the most broadly explored compound approved for fluorescence-guided resection. Intravenous fluorescein sodium has recently received attention, highlighting tumor tissue based on extravasation at the blood-brain barrier (defective in many brain tumors). Fluorescein in perfused brain, unselective extravasation in brain perturbed by surgery, and propagation with edema are concerns. Fluorescein is not approved but targeted fluorochromes with affinity to brain tumor cells, in development, may offer future advantages.
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Affiliation(s)
- Walter Stummer
- Department of Neurosurgery, Univerity Hospital Münster, Münster, Germany.
| | - Eric Suero Molina
- Department of Neurosurgery, Univerity Hospital Münster, Münster, Germany
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19
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Valdes PA, Angelo JP, Choi HS, Gioux S. qF-SSOP: real-time optical property corrected fluorescence imaging. BIOMEDICAL OPTICS EXPRESS 2017; 8:3597-3605. [PMID: 28856038 PMCID: PMC5560828 DOI: 10.1364/boe.8.003597] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Revised: 07/06/2017] [Accepted: 07/06/2017] [Indexed: 05/20/2023]
Abstract
Fluorescence imaging is well suited to provide image guidance during resections in oncologic and vascular surgery. However, the distorting effects of tissue optical properties on the emitted fluorescence are poorly compensated for on even the most advanced fluorescence image guidance systems, leading to subjective and inaccurate estimates of tissue fluorophore concentrations. Here we present a novel fluorescence imaging technique that performs real-time (i.e., video rate) optical property corrected fluorescence imaging. We perform full field of view simultaneous imaging of tissue optical properties using Single Snapshot of Optical Properties (SSOP) and fluorescence detection. The estimated optical properties are used to correct the emitted fluorescence with a quantitative fluorescence model to provide quantitative fluorescence-Single Snapshot of Optical Properties (qF-SSOP) images with less than 5% error. The technique is rigorous, fast, and quantitative, enabling ease of integration into the surgical workflow with the potential to improve molecular guidance intraoperatively.
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Affiliation(s)
- Pablo A. Valdes
- Department of Neurosurgery, Harvard Medical School, Brigham and Women’s/Boston Children’s Hospitals, Building for Transformative Medicine, 60 Fenwood Road, Boston, MA 02115, USA
- Co-first authorship shared
| | - Joseph P. Angelo
- Department of Biomedical Engineering, Boston University, 44 Cummington Mall, Boston, MA 02215, USA
- Department of Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02115, USA
- Co-first authorship shared
| | - Hak Soo Choi
- Gordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 149 13th Street, Charlestown, MA 02129, USA
| | - Sylvain Gioux
- Department of Surgery, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02115, USA
- ICube Laboratory, University of Strasbourg, 4 rue Kirschleger, 67085 Strasbourg, France
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20
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Sibai M, Fisher C, Veilleux I, Elliott JT, Leblond F, Roberts DW, Wilson BC. Preclinical evaluation of spatial frequency domain-enabled wide-field quantitative imaging for enhanced glioma resection. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:76007. [PMID: 28697235 PMCID: PMC5995142 DOI: 10.1117/1.jbo.22.7.076007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 06/21/2017] [Indexed: 05/19/2023]
Abstract
5-Aminolevelunic acid-induced protoporphyrin IX (PpIX) fluorescence-guided resection (FGR) enables maximum safe resection of glioma by providing real-time tumor contrast. However, the subjective visual assessment and the variable intrinsic optical attenuation of tissue limit this technique to reliably delineating only high-grade tumors that display strong fluorescence. We have previously shown, using a fiber-optic probe, that quantitative assessment using noninvasive point spectroscopic measurements of the absolute PpIX concentration in tissue further improves the accuracy of FGR, extending it to surgically curable low-grade glioma. More recently, we have shown that implementing spatial frequency domain imaging with a fluorescent-light transport model enables recovery of two-dimensional images of [PpIX], alleviating the need for time-consuming point sampling of the brain surface. We present first results of this technique modified for <italic<in vivo</italic< imaging on an RG2 rat brain tumor model. Despite the moderate errors in retrieving the absorption and reduced scattering coefficients in the subdiffusive regime of 14% and 19%, respectively, the recovered [PpIX] maps agree within 10% of the point [PpIX] values measured by the fiber-optic probe, validating its potential as an extension or an alternative to point sampling during glioma resection.
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Affiliation(s)
- Mira Sibai
- University of Toronto, Department of Medical Biophysics, Faculty of Medicine, Ontario, Canada
- University Health Network, Princess Margaret Cancer Center, Ontario, Canada
| | - Carl Fisher
- University of Toronto, Department of Medical Biophysics, Faculty of Medicine, Ontario, Canada
- University Health Network, Princess Margaret Cancer Center, Ontario, Canada
| | - Israel Veilleux
- University Health Network, Princess Margaret Cancer Center, Ontario, Canada
| | - Jonathan T. Elliott
- Dartmouth College, Thayer School of Engineering, New Hampshire, United States
| | - Frederic Leblond
- École Polytechnique De Montreal, Department of Engineering Physics, Québec, Canada
| | - David W. Roberts
- Dartmouth Hitchcock Medical Center, Department of Neurosurgery, New Hampshire, United States
| | - Brian C. Wilson
- University of Toronto, Department of Medical Biophysics, Faculty of Medicine, Ontario, Canada
- University Health Network, Princess Margaret Cancer Center, Ontario, Canada
- Address all correspondence to: Brian C. Wilson, E-mail:
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21
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van Straten D, Mashayekhi V, de Bruijn HS, Oliveira S, Robinson DJ. Oncologic Photodynamic Therapy: Basic Principles, Current Clinical Status and Future Directions. Cancers (Basel) 2017; 9:cancers9020019. [PMID: 28218708 PMCID: PMC5332942 DOI: 10.3390/cancers9020019] [Citation(s) in RCA: 561] [Impact Index Per Article: 80.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Revised: 02/10/2017] [Accepted: 02/12/2017] [Indexed: 12/12/2022] Open
Abstract
Photodynamic therapy (PDT) is a clinically approved cancer therapy, based on a photochemical reaction between a light activatable molecule or photosensitizer, light, and molecular oxygen. When these three harmless components are present together, reactive oxygen species are formed. These can directly damage cells and/or vasculature, and induce inflammatory and immune responses. PDT is a two-stage procedure, which starts with photosensitizer administration followed by a locally directed light exposure, with the aim of confined tumor destruction. Since its regulatory approval, over 30 years ago, PDT has been the subject of numerous studies and has proven to be an effective form of cancer therapy. This review provides an overview of the clinical trials conducted over the last 10 years, illustrating how PDT is applied in the clinic today. Furthermore, examples from ongoing clinical trials and the most recent preclinical studies are presented, to show the directions, in which PDT is headed, in the near and distant future. Despite the clinical success reported, PDT is still currently underutilized in the clinic. We also discuss the factors that hamper the exploration of this effective therapy and what should be changed to render it a more effective and more widely available option for patients.
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Affiliation(s)
- Demian van Straten
- Cell Biology, Department of Biology, Science Faculty, Utrecht University, Utrecht 3584 CH, The Netherlands.
| | - Vida Mashayekhi
- Cell Biology, Department of Biology, Science Faculty, Utrecht University, Utrecht 3584 CH, The Netherlands.
| | - Henriette S de Bruijn
- Center for Optical Diagnostics and Therapy, Department of Otolaryngology-Head and Neck Surgery, Erasmus Medical Center, Postbox 204, Rotterdam 3000 CA, The Netherlands.
| | - Sabrina Oliveira
- Cell Biology, Department of Biology, Science Faculty, Utrecht University, Utrecht 3584 CH, The Netherlands.
- Pharmaceutics, Department of Pharmaceutical Sciences, Science Faculty, Utrecht University, Utrecht 3584 CG, The Netherlands.
| | - Dominic J Robinson
- Center for Optical Diagnostics and Therapy, Department of Otolaryngology-Head and Neck Surgery, Erasmus Medical Center, Postbox 204, Rotterdam 3000 CA, The Netherlands.
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22
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Pavone FS, Hillman E, Leblond F, Shoham S. Introduction to the optics and the brain 2015 feature issue. BIOMEDICAL OPTICS EXPRESS 2015; 6:4992-4993. [PMID: 26713211 PMCID: PMC4679271 DOI: 10.1364/boe.6.004992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Indexed: 06/05/2023]
Abstract
The Optics and the Brain conference brought together leaders in the neuroscience optics field whose contributions are significantly advancing the state of the art in biological and medical research through the development and implementation of innovative optical technologies. In this conference, the latest advances in neurophotonic imaging, novel optical modulation approaches and applications across scales from small organisms to clinical settings were presented.
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