1
|
Villard A, Breuskin I, Casiraghi O, Asmandar S, Laplace-Builhe C, Abbaci M, Moya Plana A. Confocal laser endomicroscopy and confocal microscopy for head and neck cancer imaging: Recent updates and future perspectives. Oral Oncol 2022; 127:105826. [DOI: 10.1016/j.oraloncology.2022.105826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 02/18/2022] [Accepted: 03/15/2022] [Indexed: 02/06/2023]
|
2
|
Gawedzinski J, Schmeler KM, Milbourne A, Ramalingam P, Moghaddam PA, Richards-Kortum R, Tkaczyk TS. Toward development of a large field-of-view cancer screening patch (CASP) to detect cervical intraepithelial neoplasia. BIOMEDICAL OPTICS EXPRESS 2019; 10:6145-6159. [PMID: 31853391 PMCID: PMC6913391 DOI: 10.1364/boe.10.006145] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 10/24/2019] [Accepted: 10/27/2019] [Indexed: 06/10/2023]
Abstract
Cervical cancers are primarily diagnosed via colposcopy, in which the tissue is visually assessed by a clinician for abnormalities, followed by directed biopsies and histologic analysis of excised tissue. Optical biopsy technologies offer a less invasive method of imaging such that subcellular features can be resolved without removing tissue. These techniques, however, are limited in field-of-view by the distal end of the probe. We present a prototype that incorporates a rigid, machinable waveguide that is in direct contact with a fluorescently-labeled sample paired with a scanning fluorescent microscope. The system is capable of imaging large areas of tissue without the need to re-position the tissue-probe interface. A mosaicing algorithm was developed to quantify scanning shifts and stitch neighboring frames together to increase the field-of-view. Our prototype can yield a maximum axial resolution of <5 µm for individual frames and can produce mosaiced images with a field-of-view greater than 15 mm x 15 mm without sacrificing resolution. We validated the system with a 1951 USAF resolution target, fluorescent in vitro standards, and a patient study where ex vivo conization samples of squamous cervical epithelium were imaged. The results of the patient study indicate that architectural features of subcellular components could be detected and differentiated between normal tissue and precancerous lesions.
Collapse
Affiliation(s)
- John Gawedzinski
- Department of Bioengineering, Rice University, 6100 Main Street, Houston, TX 77005, USA
| | - Kathleen M. Schmeler
- Departments of Gynecologic Oncology and Pathology, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA
| | - Andrea Milbourne
- Departments of Gynecologic Oncology and Pathology, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA
| | - Preetha Ramalingam
- Department of Pathology, The University of Texas M.D.
Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030,
USA
| | - Parnian A. Moghaddam
- Department of Pathology and Laboratory Medicine, University of Texas Health Science Center, Lyndon B Johnson Hospital, 5656 Kelley St, Houston, TX 77026, USA
| | - Rebecca Richards-Kortum
- Department of Bioengineering, Rice University, 6100 Main Street, Houston, TX 77005, USA
- Department of Electrical and Computer Engineering, Rice University, 6100 Main Street, Houston, TX 77005, USA
| | - Tomasz S. Tkaczyk
- Department of Bioengineering, Rice University, 6100 Main Street, Houston, TX 77005, USA
- Department of Electrical and Computer Engineering, Rice University, 6100 Main Street, Houston, TX 77005, USA
| |
Collapse
|
3
|
Peterson G, Zanoni DK, Ardigo M, Migliacci JC, Patel SG, Rajadhyaksha M. Feasibility of a Video-Mosaicking Approach to Extend the Field-of-View For Reflectance Confocal Microscopy in the Oral Cavity In Vivo. Lasers Surg Med 2019; 51:439-451. [PMID: 31067360 PMCID: PMC6842028 DOI: 10.1002/lsm.23090] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2019] [Indexed: 12/24/2022]
Abstract
BACKGROUND Reflectance confocal microscopy (RCM) is a developing approach for noninvasive detection of oral lesions with label-free contrast and cellular-level resolution. For access into the oral cavity, confocal microscopes are being configured with small-diameter telescopic probes and small objective lenses. However, a small probe and objective lens allows for a rather small field-of-view relative to the large areas of tissue that must be examined for diagnosis. To extend the field-of-view for intraoral RCM imaging, we are investigating a video-mosaicking approach. METHODS A relay telescope and objective lens were adapted to an existing confocal microscope for access into the oral cavity. Imaging was performed using metal three-dimensional-printed objective lens front-end caps with coverslip windows to contact and stabilize the tissue and set depth. Four healthy volunteers (normal oral mucosa), one patient (with an amalgam tattoo) in a clinical setting, and 20 anesthetized patients (with oral squamous cell carcinoma [OSCC]) in a surgical setting were imaged. Instead of the usual still RCM images, videos were recorded and then processed into video-mosaics. Thirty video-mosaics were read and qualitatively assessed by an expert reader of RCM images of the oral mucosa. RESULTS Whereas the objective lens' native field-of-view is 0.75 mm × 0.75 mm, the video-mosaics display larger areas, ranging from 2 mm × 2 mm to 4 mm × 2 mm, with resolution, morphologic detail, and image quality that is preserved relative to that observed in the original videos (individual images). Video-mosaics in healthy volunteers' and the patients' images showed cellular morphologic patterns in the lower epithelium and at the epithelial junction, and connective tissue along with capillary loops and blood flow in the deeper lamina propria. In OSCC, tumor nests could be observed along with normal looking mucosa in margin areas. CONCLUSIONS Video-mosaicking is a reasonably quick and efficient approach for extending the field-of-view of RCM imaging, which can, to some extent, overcome the inherent limitation of an intraoral probe's small field-of-view. Reading video-mosaics can mimic the procedure for examining pathology: initial visualization of the spatial cellular and morphologic patterns of the tumor and the spread of tumor margins over larger areas of the lesion, followed by digitally zooming (magnifying) for closer inspection of suspicious areas. However, faster processing of videos into video-mosaics will be necessary, to allow examination of video-mosaics in real-time at the bedside. Lasers Surg. Med. 51:439-451, 2019. © 2019 Wiley Periodicals, Inc.
Collapse
Affiliation(s)
- Gary Peterson
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, 10022, USA
| | - Daniella Karassawa Zanoni
- Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, 10065, USA
| | - Marco Ardigo
- Department of Clinical Dermatology, San Gallicano Dermatological Institute, 00144, Rome, Italy
| | - Jocelyn C Migliacci
- Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, 10065, USA
| | - Snehal G Patel
- Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, 10065, USA
| | - Milind Rajadhyaksha
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, 10022, USA
| |
Collapse
|
4
|
Orth A, Ploschner M, Wilson ER, Maksymov IS, Gibson BC. Optical fiber bundles: Ultra-slim light field imaging probes. SCIENCE ADVANCES 2019; 5:eaav1555. [PMID: 31032405 PMCID: PMC6486219 DOI: 10.1126/sciadv.aav1555] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Accepted: 03/06/2019] [Indexed: 05/02/2023]
Abstract
Optical fiber bundle microendoscopes are widely used for visualizing hard-to-reach areas of the human body. These ultrathin devices often forgo tunable focusing optics because of size constraints and are therefore limited to two-dimensional (2D) imaging modalities. Ideally, microendoscopes would record 3D information for accurate clinical and biological interpretation, without bulky optomechanical parts. Here, we demonstrate that the optical fiber bundles commonly used in microendoscopy are inherently sensitive to depth information. We use the mode structure within fiber bundle cores to extract the spatio-angular description of captured light rays-the light field-enabling digital refocusing, stereo visualization, and surface and depth mapping of microscopic scenes at the distal fiber tip. Our work opens a route for minimally invasive clinical microendoscopy using standard bare fiber bundle probes. Unlike coherent 3D multimode fiber imaging techniques, our incoherent approach is single shot and resilient to fiber bending, making it attractive for clinical adoption.
Collapse
Affiliation(s)
- A. Orth
- ARC Centre of Excellence for Nanoscale BioPhotonics, School of Science, RMIT University, Melbourne, VIC 3000, Australia
- Corresponding author.
| | - M. Ploschner
- ARC Centre of Excellence for Nanoscale BioPhotonics, Department of Physics and Astronomy, Macquarie University, Sydney, NSW 2109, Australia
| | - E. R. Wilson
- ARC Centre of Excellence for Nanoscale BioPhotonics, School of Science, RMIT University, Melbourne, VIC 3000, Australia
| | - I. S. Maksymov
- ARC Centre of Excellence for Nanoscale BioPhotonics, School of Science, RMIT University, Melbourne, VIC 3000, Australia
- Centre for Micro-Photonics, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
| | - B. C. Gibson
- ARC Centre of Excellence for Nanoscale BioPhotonics, School of Science, RMIT University, Melbourne, VIC 3000, Australia
| |
Collapse
|
5
|
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.
Collapse
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
| |
Collapse
|