Smaller, cheaper two-mode imaging system could help surgeons see and remove cancer
Before they excise a tumor, surgeons need to determine exactly where the cancerous cells lie. Now, research published today in The Optical Society’s (OSA) journal Optics Letters details a new technique that could give surgeons cheaper and more lightweight tools, such as goggles or hand-held devices, to identify tumors in real time in the operating room.
The new technology, developed by a team at the University of Arizona and Washington University in St. Louis, is a dual-mode imager that combines two systems—near-infrared fluorescent imaging to detect marked cancer cells and visible light reflectance imaging to see the contours of the tissue itself—into one small, lightweight package approximately the size of a quarter in diameter, just 25 millimeters across.
"Dual modality is the path forward because it has significant advantages over single modality," says author Rongguang Liang, associate professor of optical sciences at the University of Arizona.
Interest in multi-modal imaging technology has surged over the last 10 years, says Optics Letters topical editor Brian Applegate of Texas A&M University, who was not involved in the research. People have realized that in order to better diagnose diseases like cancer, he says, you need information from a variety of sources, whether it's fluorescence imaging, optical imaging or biochemical markers.
"By combining different modalities together, you get a much better picture of the tissue," which could help surgeons make sure they remove every last bit of the tumor and as small amount of healthy tissue as possible, Applegate says.
Currently, doctors can inject fluorescent dyes into a patient to help them pinpoint cancer cells. The dyes converge onto the diseased cells, and when doctors shine a light of a particular wavelength onto the cancerous area, the dye glows. In the case of a common dye called indocyanine green (ICG), it glows in near-infrared light. But because the human eye isn't sensitive to near-infrared light, surgeons have to use a special camera to see the glow and identify the tumor's precise location.
Surgeons also need to be able to see the surface of the tissue and the tumor underneath before cutting away, which requires visible light imaging. So researchers have been developing systems that can see in both fluorescent and visible light modes.
The trouble is that the two modes have opposing needs, which makes integration difficult. Because the fluorescent glow tends to be dim, a near-infrared light camera needs to have a wide aperture to collect as much fluorescent light as possible. But a camera with a large aperture has a low depth of field, which is the opposite of what's needed for visible-light imaging.
"The other solution is to put two different imaging systems together side by side," Liang says. "But that makes the device bulky, heavy and not easy to use."
To solve this problem, Liang’s group and that of his colleagues, Samuel Achilefua and Viktor Gruev at Washington University in St. Louis, created the first-of-its-kind dual-mode imaging system that doesn't make any sacrifices.
The new system relies on a simple aperture filter that consists of a disk-shaped region in the middle and a ring-shaped area on the outside. The middle area lets in visible and near-infrared light but the outer ring only permits near-infrared light. When you place the filter in the imaging system, the aperture is wide enough to let in plenty of near-infrared light. But since visible light can't penetrate the outer ring, the visible-sensitive part of the filter has a small enough aperture that the depth of field is large.
Liang’s team is now adapting its filter design for use in lightweight goggle-like devices that a surgeon can wear while operating. They are also developing a similar hand-held instrument.
Paper: “Dual-mode optical imaging system for fluorescence image-guided surgery,” N. Zhu et al., Optics Letters, vol. 39, issue 13, pp. 3830-3832 (2014)
EDITOR’S NOTE: Images are available to members of the media upon request. Contact Lyndsay Meyer, email@example.com.
About Optics Letters
Published by The Optical Society (OSA), Optics Letters offers rapid dissemination of new results in all areas of optics with short, original, peer-reviewed communications. Optics Letters covers the latest research in optical science, including optical measurements, optical components and devices, atmospheric optics, biomedical optics, Fourier optics, integrated optics, optical processing, optoelectronics, lasers, nonlinear optics, optical storage and holography, optical coherence, polarization, quantum electronics, ultrafast optical phenomena, photonic crystals, and fiber optics. This journal, edited by Xi-Cheng Zhang of the University of Rochester and published twice each month, is where readers look for the latest discoveries in optics. Visit www.OpticsInfoBase.org/OL.
Founded in 1916, The Optical Society (OSA) is the leading professional society for scientists, engineers, students and business leaders who fuel discoveries, shape real-world applications and accelerate achievements in the science of light. Through world-renowned publications, meetings and membership programs, OSA provides quality research, inspired interactions and dedicated resources for its extensive global network of professionals in optics and photonics. For more information, visit www.osa.org.
Lyndsay Meyer | Eurek Alert!
Vanderbilt Team First to Blend High-End Imaging Techniques
17.03.2015 | Vanderbilt University Medical Center
Developing radically new technologies for X-ray systems
04.02.2015 | Siemens AG
In an experiment at the Department of Energy's SLAC National Accelerator Laboratory, scientists precisely measured the temperature and structure of aluminum as...
The IPH presents a solution at HANNOVER MESSE 2015 to make ship traffic more reliable while decreasing the maintenance costs at the same time. In cooperation with project partners, the research institute from Hannover, Germany, has developed a sensor system which continuously monitors the condition of the marine gearbox, thus preventing breakdowns. Special feature: the monitoring system works wirelessly and energy-autonomously. The required electrical power is generated where it is needed – directly at the sensor.
As well as cars need to be certified regularly (in Germany by the TÜV – Technical Inspection Association), ships need to be inspected – if the powertrain stops...
When an earthquake hits, the faster first responders can get to an impacted area, the more likely infrastructure--and lives--can be saved.
The Atlantic overturning is one of Earth’s most important heat transport systems, pumping warm water northwards and cold water southwards. Also known as the Gulf Stream system, it is responsible for the mild climate in northwestern Europe.
Scientists now found evidence for a slowdown of the overturning – multiple lines of observation suggest that in recent decades, the current system has been...
Because they are regularly subjected to heavy vehicle traffic, emissions, moisture and salt, above- and underground parking garages, as well as bridges, frequently experience large areas of corrosion. Most inspection systems to date have only been capable of inspecting smaller surface areas.
From April 13 to April 17 at the Hannover Messe (hall 2, exhibit booth C16), engineers from the Fraunhofer Institute for Nondestructive Testing IZFP will be...
25.03.2015 | Event News
19.03.2015 | Event News
17.03.2015 | Event News
30.03.2015 | Press release
30.03.2015 | Life Sciences
30.03.2015 | Earth Sciences