The Institute of Biological and Medical Imaging at Helmholtz Zentrum München is heading the ”Hybrid optical and optoacoustic endoscope for esophageal tracking” (ESOTRAC) research project, in which engineers and physicians together develop a novel hybrid endoscopic instrument for early diagnosis and staging of esophageal cancer. The device may reduce the number of unnecessary biopsies and, importantly, facilitate early-disease detection leading to earlier start of therapy, which improves therapeutic efficacy over late-disease treatment and leads to immense cost-savings. ESOTRAC has been awarded four million Euros from Horizon 2020, the EU framework program for research and innovation.
With more than 450 000 new cases per year and a five-year survival rate of only ten percent when diagnosed late, esophageal cancer (EC) is the sixth-leading cause of cancer-related deaths. Currently EC is detected using white-light endoscopy or random tissue biopsies, followed by histopathological analysis of excised tissue. Due to limitations of the current detection methods, EC is typically detected at an advanced stage which is treated surgically and attains poor survival prognosis.
ESOTRAC, a 4-year research program bringing together engineers and physicians, aims to significantly improve the detection of early-stage EC. The interdisciplinary, 5-country research team will develop an innovative endoscope that combines sensing of pathophysiological tissue signatures resolved by multi-spectral optoacoustic (photoacoustic) tomography (MSOT) with morphological disease signatures provided by optical coherence tomography (OCT).
The resulting system will operate in label free mode and, due to its tomographic ability, visualize sub-surface tissue features, providing superior information of the esophageal wall compared to conventional video endoscopes. This comprehensive sub-surface information is expected to detect early-stage EC and enable disease staging, neither of which can be done reliably today. The novel endoscope can be further useful in reducing the number of unnecessary biopsies by providing more accurate guidance to suspicious areas over white-light endoscopy.
Raising the bar for endoscopic care – and beyond
The device developed by ESOTRAC promises to change the landscape of gastroenterological endoscopy – beyond diagnosis of EC – by allowing rapid three-dimensional imaging of the entire esophageal wall as well as quantitation of disease biomarkers. “The combination of MSOT and OCT can shape the way physicians look at the esophagus in the near future,” said Prof. Vasilis Ntziachristos, ESOTRAC Coordinator, Director of the Institute of Biological and Medical Imaging at Helmholtz Zentrum München and Professor and Chair of Biological Imaging at the Technical University of Munich.
“From a clinical perspective we desperately need new technologies that improve imaging and combine information on molecular markers for early detection of disease and this research is trying to do exactly that” said Prof. Rebecca Fitzgerald, a world-leading clinical expert in esophageal cancer and lead physician at the MRC Cancer Unit at the Cambridge Biomedical Campus in the UK, one of the ESOTRAC partners.
Since one of the goals of ESOTRAC is to offer quantitative metrics of EC disease, toward personalized and precision medicine, the device may help equalize the quality of endoscopy-based care in rural and urban settings. The ESOTRAC endoscope will also be built to be as small and patient-friendly as possible, reducing the risk of gag reflex and therefore the need for sedation. In these ways, ESOTRAC aims to create an endoscope that can be widely deployed in gastroenterology clinics. At the same time, the lessons learned in building the ESOTRAC endoscope may help guide the design of next-generation imaging devices for the other body cavities, including the colon.
To achieve these goals, ESOTRAC unites an international team of scientists and clinicians with world-leading know-how in bio-photonic imaging, ultrasound detectors, laser technology, software, catheters, medical device fabrication, EC clinical management and commercial exploitation. These researchers come from nine world-class universities, research institutes and medical device manufacturers in five European countries. The Helmholtz Zentrum München, as lead partner on the project, will drive the development not only of the endoscope but also of user-friendly operating software. Helmholtz researchers will explore the possibility of integrating an ultrasound module into the endoscope in order to enhance imaging performance and provide additional information that may assist in tumor staging. The ESOTRAC consortium partners are:
Helmholtz Zentrum München (Coordinator) - Germany
Amplitude Systemes SA – France
Ascenion GmbH – Germany
Denmarks Tekniske Universitet – Germany
Medizinische Universität Wien – Austria
Rayfos LTD – United Kingdom
Sonaxis SA - France
Statice SAS - France
University of Cambridge– United Kingdom
The Helmholtz Zentrum München, the German Research Center for Environmental Health, pursues the goal of developing personalized medical approaches for the prevention and therapy of major common diseases such as diabetes and lung diseases. To achieve this, it investigates the interaction of genetics, environmental factors and lifestyle. The Helmholtz Zentrum München is headquartered in Neuherberg in the north of Munich and has about 2,300 staff members. It is a member of the Helmholtz Association, a community of 18 scientific-technical and medical-biological research centers with a total of about 37,000 staff members. http://www.helmholtz-muenchen.de/en
The Institute of Biological and Medical Imaging (IBMI) conducts research into in vivo imaging technologies for the biosciences. It develops systems, theories and methods of imaging and image reconstruction as well as animal models to test new technologies at the biological, preclinical and clinical level. The aim is to provide innovative tools for biomedical laboratories, for diagnosis and for the therapeutic monitoring of human diseases. http://www.helmholtz-muenchen.de/ibmi
Contact for the media:
Department of Communication, Helmholtz Zentrum München - German Research Center for Environmental Health, Ingolstädter Landstr. 1, 85764 Neuherberg - Tel. +49 89 3187 2238 - Fax: +49 89 3187 3324 - E-mail: email@example.com
Prof. Dr. Vasilis Ntziachristos, Helmholtz Zentrum München - German Research Center for Environmental Health, Institute of Biological and Medical Imaging, Ingolstädter Landstr. 1, 85764 Neuherberg - Tel. +49 89 3187 3852 - E-mail: firstname.lastname@example.org
Sonja Opitz | Helmholtz Zentrum München - Deutsches Forschungszentrum für Gesundheit und Umwelt
Drugs for better long-term treatment of poorly controlled asthma discovered
15.10.2019 | University of South Florida (USF Health)
Epilepsy: Seizures not forecastable as expected
25.09.2019 | Rheinische Friedrich-Wilhelms-Universität Bonn
Researchers at Ludwig-Maximilians-Universitaet (LMU) in Munich have explored the initial consequences of the interaction of light with molecules on the surface of nanoscopic aerosols.
The nanocosmos is constantly in motion. All natural processes are ultimately determined by the interplay between radiation and matter. Light strikes particles...
Particles that are mere nanometers in size are at the forefront of scientific research today. They come in many different shapes: rods, spheres, cubes, vesicles, S-shaped worms and even donut-like rings. What makes them worthy of scientific study is that, being so tiny, they exhibit quantum mechanical properties not possible with larger objects.
Researchers at the Center for Nanoscale Materials (CNM), a U.S. Department of Energy (DOE) Office of Science User Facility located at DOE's Argonne National...
A new research project at the TH Mittelhessen focusses on the development of a novel light weight design concept for leisure boats and yachts. Professor Stephan Marzi from the THM Institute of Mechanics and Materials collaborates with Krake Catamarane, which is a shipyard located in Apolda, Thuringia.
The project is set up in an international cooperation with Professor Anders Biel from Karlstad University in Sweden and the Swedish company Lamera from...
Superconductivity has fascinated scientists for many years since it offers the potential to revolutionize current technologies. Materials only become superconductors - meaning that electrons can travel in them with no resistance - at very low temperatures. These days, this unique zero resistance superconductivity is commonly found in a number of technologies, such as magnetic resonance imaging (MRI).
Future technologies, however, will harness the total synchrony of electronic behavior in superconductors - a property called the phase. There is currently a...
How do some neutron stars become the strongest magnets in the Universe? A German-British team of astrophysicists has found a possible answer to the question of how these so-called magnetars form. Researchers from Heidelberg, Garching, and Oxford used large computer simulations to demonstrate how the merger of two stars creates strong magnetic fields. If such stars explode in supernovae, magnetars could result.
How Do the Strongest Magnets in the Universe Form?
02.10.2019 | Event News
02.10.2019 | Event News
19.09.2019 | Event News
15.10.2019 | Materials Sciences
15.10.2019 | Interdisciplinary Research
15.10.2019 | Life Sciences