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!
Bionic eye clinical trial results show long-term safety, efficacy vision-restoring implant
24.06.2015 | American Academy of Ophthalmology
The new version of syngo.via supports treatment decision-making in oncology
17.06.2015 | Siemens AG
New technique combines electron microscopy and synchrotron X-rays to track chemical reactions under real operating conditions
A new technique pioneered at the U.S. Department of Energy's Brookhaven National Laboratory reveals atomic-scale changes during catalytic reactions in real...
Think of an object made of iron: An I-beam, a car frame, a nail. Now imagine that half of the iron in that object owes its existence to bacteria living two and a half billion years ago.
Think of an object made of iron: An I-beam, a car frame, a nail. Now imagine that half of the iron in that object owes its existence to bacteria living two and...
A team of scientists including PhD student Friedrich Schuler from the Laboratory of MEMS Applications at the Department of Microsystems Engineering (IMTEK) of...
The three-year clinical trial results of the retinal implant popularly known as the "bionic eye," have proven the long-term efficacy, safety and reliability of...
On June 23, the second Sentinel mission was launched from the space mission launch center in Kourou. A critical component of Aachen is on board. Researchers at the Fraunhofer Institute for Laser Technology ILT and Tesat-Spacecom have jointly developed the know-how for space-qualified laser components. For the Sentinel mission the diode laser pump module of the Laser Communication Terminal LCT was planned and constructed in Aachen in cooperation with the manufacturer of the LCT, Tesat-Spacecom, and the Ferdinand Braun Institute.
After eight years of preparation, in the early morning of June 23 the time had come: in Kourou in French Guiana, the European Space Agency launched the...
25.06.2015 | Event News
16.06.2015 | Event News
11.06.2015 | Event News
02.07.2015 | Agricultural and Forestry Science
02.07.2015 | Materials Sciences
02.07.2015 | Health and Medicine