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Li H, Bu Q, Shi X, Xu X, Li J. Non-invasive medical imaging technology for the diagnosis of burn depth. Int Wound J 2024; 21:e14681. [PMID: 38272799 PMCID: PMC10805628 DOI: 10.1111/iwj.14681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 01/03/2024] [Indexed: 01/27/2024] Open
Abstract
Currently, the clinical diagnosis of burn depth primarily relies on physicians' judgements based on patients' symptoms and physical signs, particularly the morphological characteristics of the wound. This method highly depends on individual doctors' clinical experience, proving challenging for less experienced or primary care physicians, with results often varying from one practitioner to another. Therefore, scholars have been exploring an objective and quantitative auxiliary examination technique to enhance the accuracy and consistency of burn depth diagnosis. Non-invasive medical imaging technology, with its significant advantages in examining tissue surface morphology, blood flow in deep and changes in structure and composition, has become a hot topic in burn diagnostic technology research in recent years. This paper reviews various non-invasive medical imaging technologies that have shown potential in burn depth diagnosis. These technologies are summarized and synthesized in terms of imaging principles, current research status, advantages and limitations, aiming to provide a reference for clinical application or research for burn specialists.
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Affiliation(s)
- Hang Li
- Department of Burns and Plastic SurgerySecond Affiliated Hospital of Air Force Medical UniversityXi'anP.R. China
| | - Qilong Bu
- Bioinspired Engineering and Biomechanics CenterXi'an Jiaotong UniversityXi'anP.R. China
| | - Xufeng Shi
- Department of Burns and Plastic SurgerySecond Affiliated Hospital of Air Force Medical UniversityXi'anP.R. China
| | - Xiayu Xu
- Bioinspired Engineering and Biomechanics CenterXi'an Jiaotong UniversityXi'anP.R. China
| | - Jing Li
- Department of Burns and Plastic SurgerySecond Affiliated Hospital of Air Force Medical UniversityXi'anP.R. China
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2
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Functional photoacoustic microscopy of hemodynamics: a review. Biomed Eng Lett 2022; 12:97-124. [PMID: 35529339 PMCID: PMC9046529 DOI: 10.1007/s13534-022-00220-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 01/24/2022] [Accepted: 01/30/2022] [Indexed: 12/19/2022] Open
Abstract
Functional blood imaging can reflect tissue metabolism and organ viability, which is important for life science and biomedical studies. However, conventional imaging modalities either cannot provide sufficient contrast or cannot support simultaneous multi-functional imaging for hemodynamics. Photoacoustic imaging, as a hybrid imaging modality, can provide sufficient optical contrast and high spatial resolution, making it a powerful tool for in vivo vascular imaging. By using the optical-acoustic confocal alignment, photoacoustic imaging can even provide subcellular insight, referred as optical-resolution photoacoustic microscopy (OR-PAM). Based on a multi-wavelength laser source and developed the calculation methods, OR-PAM can provide multi-functional hemodynamic microscopic imaging of the total hemoglobin concentration (CHb), oxygen saturation (sO2), blood flow (BF), partial oxygen pressure (pO2), oxygen extraction fraction, and metabolic rate of oxygen (MRO2). This concise review aims to systematically introduce the principles and methods to acquire various functional parameters for hemodynamics by photoacoustic microscopy in recent studies, with characteristics and advantages comparison, typical biomedical applications introduction, and future outlook discussion.
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Fu B, Cheng Y, Shang C, Li J, Wang G, Zhang C, Sun J, Ma J, Ji X, He B. Optical ultrasound sensors for photoacoustic imaging: a narrative review. Quant Imaging Med Surg 2022; 12:1608-1631. [PMID: 35111652 DOI: 10.21037/qims-21-605] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 09/23/2021] [Indexed: 11/06/2022]
Abstract
Optical ultrasound sensors have been increasingly employed in biomedical diagnosis and photoacoustic imaging (PAI) due to high sensitivity and resolution. PAI could visualize the distribution of ultrasound excited by laser pulses in biological tissues. The information of tissues is detected by ultrasound sensors in order to reconstruct structural images. However, traditional ultrasound transducers are made of piezoelectric films that lose sensitivity quadratically with the size reduction. In addition, the influence of electromagnetic interference limits further applications of traditional ultrasound transducers. Therefore, optical ultrasound sensors are developed to overcome these shortcomings. In this review, optical ultrasound sensors are classified into resonant and non-resonant ones in view of physical principles. The principles and basic parameters of sensors are introduced in detail. Moreover, the state of the art of optical ultrasound sensors and applications in PAI are also presented. Furthermore, the merits and drawbacks of sensors based on resonance and non-resonance are discussed in perspectives. We believe this review could provide researchers with a better understanding of the current status of optical ultrasound sensors and biomedical applications.
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Affiliation(s)
- Bo Fu
- BUAA-CCMU Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.,School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.,Key Laboratory of Big Data-Based Precision Medicine, Ministry of Industry and Information Technology, Interdisciplinary Innovation Institute of Medicine and Engineering, Beihang University, Beijing, China
| | - Yuan Cheng
- School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China
| | - Ce Shang
- BUAA-CCMU Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.,School of Biological Science and Medical Engineering, Beihang University, Beijing, China
| | - Jing Li
- BUAA-CCMU Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.,School of Biological Science and Medical Engineering, Beihang University, Beijing, China
| | - Gang Wang
- School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China
| | - Chenghong Zhang
- School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China
| | - Jingxuan Sun
- School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China
| | - Jianguo Ma
- BUAA-CCMU Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.,School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.,Key Laboratory of Big Data-Based Precision Medicine, Ministry of Industry and Information Technology, Interdisciplinary Innovation Institute of Medicine and Engineering, Beihang University, Beijing, China
| | - Xunming Ji
- Neurosurgery Department of Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Boqu He
- BUAA-CCMU Advanced Innovation Center for Big Data-Based Precision Medicine, School of Engineering Medicine, Beihang University, Beijing, China.,School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China
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Ravina K, Lin L, Liu CY, Thomas D, Hasson D, Wang LV, Russin JJ. Prospects of Photo- and Thermoacoustic Imaging in Neurosurgery. Neurosurgery 2020; 87:11-24. [PMID: 31620798 DOI: 10.1093/neuros/nyz420] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 07/25/2019] [Indexed: 12/25/2022] Open
Abstract
The evolution of neurosurgery has been, and continues to be, closely associated with innovations in technology. Modern neurosurgery is wed to imaging technology and the future promises even more dependence on anatomic and, perhaps more importantly, functional imaging. The photoacoustic phenomenon was described nearly 140 yr ago; however, biomedical applications for this technology have only recently received significant attention. Light-based photoacoustic and microwave-based thermoacoustic technologies represent novel biomedical imaging modalities with broad application potential within and beyond neurosurgery. These technologies offer excellent imaging resolution while generally considered safer, more portable, versatile, and convenient than current imaging technologies. In this review, we summarize the current state of knowledge regarding photoacoustic and thermoacoustic imaging and their potential impact on the field of neurosurgery.
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Affiliation(s)
- Kristine Ravina
- Neurorestoration Center, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Li Lin
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, Department of Electrical Engineering, California Institute of Technology, Pasadena, California.,Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, Missouri
| | - Charles Y Liu
- Neurorestoration Center, Keck School of Medicine, University of Southern California, Los Angeles, California.,Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.,Department of Biology and Biological Engineering, California Institute of Technology, Pasadena, California.,Tianqiao and Chrissy Chen Brain-machine Interface Center, California Institute of Technology, Pasadena, California
| | - Debi Thomas
- Department of Surgery, University of California Davis, Davis, California
| | - Denise Hasson
- Division of Critical Care Medicine, Cincinnati Children's Hospital, Cincinnati, Ohio
| | - Lihong V Wang
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, Department of Electrical Engineering, California Institute of Technology, Pasadena, California
| | - Jonathan J Russin
- Neurorestoration Center, Keck School of Medicine, University of Southern California, Los Angeles, California.,Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California
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Liu K, Chen Z, Zhou W, Xing D. Towards quantitative assessment of burn based on photoacoustic and optical coherence tomography. JOURNAL OF BIOPHOTONICS 2020; 13:e202000126. [PMID: 32609427 DOI: 10.1002/jbio.202000126] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 06/18/2020] [Accepted: 06/22/2020] [Indexed: 06/11/2023]
Abstract
Accurate and timely assessment of the severity of burn is essential for the treatment of burns. Currently, although most first-degree and third-degree burns are easily diagnosed through visual inspection or auxiliary diagnostic methods, the second-degree burn is still difficult to distinguish due to the ambiguity boundaries of second-degree with first-degree and third-degree burns. In this study, we proposed a non-invasive technique by combing photoacoustic imaging (PAI) and optical coherence tomography (OCT) to multi-parameter quantitatively assess the burns. The feasibility and capacity of the dual-mode PAT/OCT for assessing the burns was first testified by tissue-mimicking phantom and burn wounds in mouse pinna in vivo. The further experiments conducted on the back of rats showed that the changes in skin scattering structure, vascular morphology and blood flow provided by the dual-mode PAI/OCT system can determine distinct boundaries and depth of the burns. The experimental results prove that combined PAI/OCT as a novel method can be used to assess the severity of burn, which has the potential to diagnose the burns in clinic.
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Affiliation(s)
- Kang Liu
- MOE Key Laboratory of Laser Life Science & Institute of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
- Guangdong Provincial Key Laboratory of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
| | - Zhongjiang Chen
- MOE Key Laboratory of Laser Life Science & Institute of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
- Guangdong Provincial Key Laboratory of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
| | - Wangting Zhou
- MOE Key Laboratory of Laser Life Science & Institute of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
- Guangdong Provincial Key Laboratory of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
| | - Da Xing
- MOE Key Laboratory of Laser Life Science & Institute of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
- Guangdong Provincial Key Laboratory of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, 510631, China
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Liu N, Chen Z, Xing D. Integrated photoacoustic and hyperspectral dual-modality microscopy for co-imaging of melanoma and cutaneous squamous cell carcinoma in vivo. JOURNAL OF BIOPHOTONICS 2020; 13:e202000105. [PMID: 32406187 DOI: 10.1002/jbio.202000105] [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: 03/23/2020] [Revised: 05/02/2020] [Accepted: 05/06/2020] [Indexed: 05/09/2023]
Abstract
Skin carcinoma such as melanoma (MM) and cutaneous squamous cell carcinoma (cSCC) are considered as the highest mortality and the most aggressive skin cancers in dermatology. In view that early diagnosis and treatment can greatly improve the survival rate and life quality of the patients, developing noninvasive and effective evaluation methods is of great significance for the detection and identification of early stage cutaneous cancers. In this article, we propose a hybrid photoacoustic and hyperspectral dual-modality microscopy to evaluate and differentiate skin carcinoma by structural and multiphysiological parameters. The proposed system's imaging abilities are verified by mimic phantoms and normal mice experiments. Furthermore, in vivo characterization and evaluation results of MM and cSCC mice are obtained successfully, which prove this novel method could be used as a reliable and useful method for skin cancer detection in early stages.
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Affiliation(s)
- Ning Liu
- MOE Key Laboratory of Laser Life Science, Institute of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, China
| | - Zhongjiang Chen
- MOE Key Laboratory of Laser Life Science, Institute of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, China
| | - Da Xing
- MOE Key Laboratory of Laser Life Science, Institute of Laser Life Science, College of Biophotonics, South China Normal University, Guangzhou, China
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Zhou W, Chen Z, Zhou Q, Xing D. Optical Biopsy of Melanoma and Basal Cell Carcinoma Progression by Noncontact Photoacoustic and Optical Coherence Tomography: In Vivo Multi-Parametric Characterizing Tumor Microenvironment. IEEE TRANSACTIONS ON MEDICAL IMAGING 2020; 39:1967-1974. [PMID: 31880548 DOI: 10.1109/tmi.2019.2962614] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Measuring the structural and functional status of tumor microenvironment for malignant melanoma (MM) and basal cell carcinoma (BCC) is of profound significance in understanding dermatological condition for biopsy. However, conventional optical imaging techniques are limited to visualize superficial skin features and parameter information is deficient to depict pathophysiology correlations of skin diseases. Here, we demonstrate a preclinical device, all-optically integrated photoacoustic and optical coherence tomography (AOPA/OCT), that, for the first time, can simultaneously provide label-free biomarkers of vascular patterns, temporal and spatial heterogeneity of blood flow, and tissue micro-structure changes during tumor growth with pathophysiological correlations in mice models. We found that tumor microenvironment of MM and BCC led to the alternation in spatial-temporal heterogeneity that affected morphological and functional parameters, performing the AOPA/OCT quantitative metrics. A robust correlation between imaging biomarkers derived from this in vivo technique and histopathology validation ex vivo in distinguishing benign from malignant is also presented. In receiver operating characteristics (ROC) analysis, multi-parametric AOPA/OCT yields improved diagnostic accuracy of 98.4% and 95.8% for MM and BCC respectively, which indicate that AOPA/OCT represents a high-performance and clinically translatable technique for accurate diagnosis and therapy monitoring in dermatology.
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Chang Y, Hu Y, Chen Z, Xing D. Co-impulse multispectral photoacoustic microscopy and optical coherence tomography system using a single supercontinuum laser. OPTICS LETTERS 2019; 44:4459-4462. [PMID: 31517906 DOI: 10.1364/ol.44.004459] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2019] [Accepted: 08/11/2019] [Indexed: 05/23/2023]
Abstract
A combination of multispectral photoacoustic microscopy (PAM) and optical coherence tomography (OCT) by a single light source was previously realized discretely; however, this is unfavorable for visualizing vital physiological and pathological activities in vivo. Here, a co-impulse dual-mode imaging system that simultaneously enables multispectral PAM and OCT using a megahertz supercontinuum pulse laser in vivo is presented. The 500-600 nm band is used for functional PAM imaging, which can flexibly switch between different wavelengths, while the 600-840 nm band is selected for OCT imaging. A mimicking phantom experiment and in vivo imaging of normal and melanoma mouse ears demonstrate that the co-impulse multispectral PAM-OCT system can simultaneously provide structural and functional information for bioimaging.
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Park S, Rim S, Kim Y, Lee BH. Noncontact photoacoustic imaging based on optical quadrature detection with a multiport interferometer. OPTICS LETTERS 2019; 44:2590-2593. [PMID: 31090739 DOI: 10.1364/ol.44.002590] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
A noncontact photoacoustic imaging method based on optical quadrature detection is proposed. The photo-induced acoustic signal is detected by an optical method without contacting the specimen. By utilizing the intrinsic phase difference of a multiport optical interferometer, the quadrature signal of a conventional interferometric signal could be obtained. With this quadratic signal pair, we could reconstruct the photoacoustic signal without suffering from the initial phase drift that usually occurs in a conventional interferometric system. The performance of the proposed system is verified by imaging human hairs embedded in a polydimethylsiloxane resin block. The system's lateral and axial resolutions are measured to be 84 and 86 μm at a 1.5 mm depth of a PDMS resin block, respectively. The experimental result is good enough to distinguish the hairs staggered in depth.
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