Head and neck cancers are the 16th most prevalent globally, and survival relies on early detection. Widefield autofluorescence (WFAF) shows potential for identifying neoplastic sites but lacks specificity. We investigate multispectral WFAF imaging to identify spectral features from endogenous biomarkers in native and neoplastic oral mucosa, using a DMBA-treated hamster buccal pouch model, with the aim to increase specificity. Spatially resolved spectra revealed variations between nonneoplastic and neoplastic areas. Analyses will compare spectral features in benign, dysplastic, and carcinoma sites from preclinical animal model and human tissues. Refinements in the red/green WFAF approach, by analyzing spectral features, are considered.
This study explores the development of a multimodal imaging system for disease assessment. Various experiments were conducted to evaluate performance in terms of power density, illumination uniformity, and fluorescence emission properties, comparing the handheld setup to the benchtop system. Test samples included phantom gels and oral cancer samples. Preliminary results indicate that the compact LED ring illuminator provided sufficient power for detectable emission signals and improved emission distribution due to sample scattering. The presentation also discusses solutions for achieving a more uniform illumination field and provides insights into imaging in oral epithelial neoplasia with the compact widefield system, along with considerations for translating from a benchtop test system to a compact handheld multimodal system.
Multiphoton fluorescence imaging allows clinicians to identify early signs of oral cancer at its origin below the tissue surface. The high resolution required for adequate morphological assessment is only possible over a relatively small field of view, however, so an additional co-registered wide field of view, low resolution image is crucial for efficient device operation. To meet this need, we present the design of a handheld intraoral probe that includes a 0.50NA objective for multiphoton imaging and auxiliary cameras for region-of-interest identification. Because multiphoton image quality is most dependent on the high NA objective, we characterize its performance and correlate findings to expected system-level quality. Finally, we show concepts for the design and manufacturing strategy of a compact, monolithic, high NA freeform prism objective optimized for multiphoton imaging in the oral cavity.
There is increased interest in use of multiple optical imaging/sensing modalities together as a means to potentially improve diagnostic outcomes. This presentation will review aspects of analysis methods that have been employed when evaluating diagnostic potential of multimodal imaging. It will include discussion of our own current/previous approaches and a thorough commentary on the methods employed in the literature with literature review focusing on multimodal diagnostic imaging. This review includes investigational as well as clinical modalities, and beyond optical imaging to other modalities. Strategies and specific recommendations for consideration of analyses during the development of multimodal approaches will be presented.
The recognized need to develop better clinical approaches for detection of epithelial cancers and potentially malignant lesions than currently used has motivated work in development of noninvasive fluorescence imaging devices. While individual large area imaging and microscopic techniques are promising, recent trends have explored combinations that could merge strengths. The study will discuss a workflow to combine strengths of label-free nonlinear optical microscopy (NLOM) which has shown promise for optical biopsy but is limited in scannable area with widefield autofluorescence microscopy providing large surface area assessment, in studies conducted in both a hamster model for oral neoplasia and inflammation and in surgical oral cancer specimens.
Enabling technologies capable of rapid detection of severe acute respiratory syndrome coronavirus (SARS-CoV) and corona virus disease 2019 (COVID-19) and is the key for the rapid and effective control of the outbreaks. Reverse-transcription polymerase chain reaction (RT-PCR) is widely used technique for the detection of SARS-CoV-2, but it requires a time-consuming and labor-intensive platform, limiting its availability in some regions. Applications of optical detection technologies involving sensors and sensitive imaging modalities to the fast and low-cost detection of various types of viruses have been demonstrated. This paper will present a review of recent research reports involving such optical technologies for the detection of SARS-CoV-2 and COVID-19.
A study evaluating the use of multimodal widefield fluorescence imaging with nonlinear optical microscopy for detection of oral neoplasia was carried out using human clinical samples alongside a preclinical model with the goal of optimizing the most relevant endpoint measures to facilitate development and translation. Samples (in vivo buccal mucosa and surgical samples of oral cancer) were imaged by WF imaging using filter selection of red and green spectral windows, multispectral WF imaging to obtain WF spectral characteristics, and multiphoton autofluorescence microscopy. Features between preclinical and human samples were compared. Similarities and relevant endpoints for pursuing further development of a multimodal workflow will be discussed.
Significance: Early detection of epithelial cancers and precancers/neoplasia in the presence of benign lesions is challenging due to the lack of robust in vivo imaging and biopsy guidance techniques. Label-free nonlinear optical microscopy (NLOM) has shown promise for optical biopsy through the detection of cellular and extracellular signatures of neoplasia. Although in vivo microscopy techniques continue to be developed, the surface area imaged in microscopy is limited by the field of view. FDA-approved widefield fluorescence (WF) imaging systems that capture autofluorescence signatures of neoplasia provide molecular information at large fields of view, which may complement the cytologic and architectural information provided by NLOM.
Aim: A multimodal imaging approach with high-sensitivity WF and high-resolution NLOM was investigated to identify and distinguish image-based features of neoplasia from normal and benign lesions.
Approach:In vivo label-free WF imaging and NLOM was performed in preclinical hamster models of oral neoplasia and inflammation. Analyses of WF imaging, NLOM imaging, and dual modality (WF combined with NLOM) were performed.
Results: WF imaging showed increased red-to-green autofluorescence ratio in neoplasia compared to inflammation and normal oral mucosa (p < 0.01). In vivo assessment of the mucosal tissue with NLOM revealed subsurface cytologic (nuclear pleomorphism) and architectural (remodeling of extracellular matrix) atypia in histologically confirmed neoplastic tissue, which were not observed in inflammation or normal mucosa. Univariate and multivariate statistical analysis of macroscopic and microscopic image-based features indicated improved performance (94% sensitivity and 97% specificity) of a multiscale approach over WF alone, even in the presence of benign lesions (inflammation), a common confounding factor in diagnostics.
Conclusions: A multimodal imaging approach integrating strengths from WF and NLOM may be beneficial in identifying oral neoplasia. Our study could guide future studies on human oral neoplasia to further evaluate merits and limitations of multimodal workflows and inform the development of multiscale clinical imaging systems.
Volumetric Multiphoton Autofluorescence Microscopy (MPAM) and Second Harmonic Generation Microscopy (SHGM) show promise for revealing indicators of neoplasia representing the complex microstructural organization of mucosa, potentially providing high specificity for detection of neoplasia, but is limited by small imaging area. Large area fluorescence methods on the other hand show high sensitivity appropriate for screening but are hampered by low specificity. In this study, we apply MPAM-SHGM following guidance from large area fluorescence, by either autofluorescence or a targeted metabolic fluorophore, as a potentially clinically viable approach for detection of oral neoplasia.
Sites of high neoplastic potentially were identified by large area red/green autofluorescence or by a fluorescently labelled deoxy-glucose analog, 2-deoxy-2-[(7-nitro-2,1,3-benzoxadiazol-4-yl)amino]-D-glucose (2-NBDG) to highlight areas of high glucose uptake across the buccal pouch of a hamster model for OSCC. Follow-up MPAM-SHGM was conducted on regions of interests (ROIs) to assess whether microscopy would reveal microscopic features associated with neoplasia to confirm or exclude large area fluorescence findings. Parameters for analysis included cytologic metrics, 3D epithelial connective tissue interface metrics (MPAM-SHGM) and intensity of fluorescence (widefield). Imaged sites were biopsied and processed for histology and graded by a pathologist. A small sample of human ex vivo tissues were also imaged.
A generalized linear model combining image metrics from large area fluorescence and volumetric MPAM-SHGM indicated the ability to delineate normal and inflammation from neoplasia.
The majority of oral cancers are comprised of oral squamous cell carcinoma in which neoplastic epithelial cells invade across the epithelial connective tissue interface (ECTI). Invasion is preceded by a multi-component process including epithelial hyperproliferation, loss of cell polarity, and remodeling of the extracellular matrix. Multiphoton Autofluorescence Microscopy (MPAM) and Second Harmonic Generation Microscopy (SHGM) show promise for revealing indicators of neoplasia. In particular, volumetric imaging by these methods can reveal aspects of the 3D microstructure that are not possible by other methods and which could both further our understanding of neoplastic transformation and be explored for development of diagnostic approaches in this disease having only 55% 5-year survival rate. MPAM-SHG were applied to reveal the 3D structure of the critical ECTI interface that plays an integral part toward invasion.
Epithelial dysplasia was induced in an established hamster model. MPAM-SHGM was applied to lesion sites, using 780 nm excitation (450-600nm emission) for autofluroescence of cellular and extracellular components; 840 nm using 420 nm bandpass filter for SHG. The ECTI surface was identified as the interface at which SHG signal began following the epithelium and was modeled as a 3D surface using Matlab. ECTI surface area and cell features at sites of epithelial expansion where ECTI was altered were measured; Imaged sites were biopsied and processed for histology.
ROC analysis using ECTI image metrics indicated the ability to delineate normal from neoplasia with high sensitivity and specificity and it is noteworthy that inflammation did not significantly alter diagnostic potential of MPAM-SHGM .
Sensitive imaging techniques for small animals are needed to assess drug toxicity in preclinical studies. Optical coherence tomography (OCT) provides a noninvasive tool for high-resolution, depth-resolved visualization of drug-induced changes in tissue morphology. In a mouse model, we utilize OCT to assess vaginal tissue integrity following the application of topical microbicides (drugs used to prevent infection). Mice are challenged with herpes simplex virus-2 (HSV-2) to determine the correlation of tissue damage as quantified by OCT to increased susceptibility. The microbicide benzalkonium chloride (BZK) (0.02, 0.2, or 2%) or phosphate buffered saline control is administered intravaginally. In vivo OCT imaging and collection of tissue samples are performed after treatment. A quantitative OCT scoring system is applied to assess epithelial damage, and the results are compared with those of histology. A separate group of mice are treated similarly then challenged with HSV-2. Epithelial morphology quantified noninvasively by OCT and histology are dose-dependent (p<0.0001 ). The OCT scoring system detected a significant increase in epithelial damage with increasing BZK concentration (p<0.0001 ). These results paralleled an increase in HSV-2 susceptibility (p<0.005 ). OCT can be used as a noninvasive tool to assess topical drug toxicity in a small animal model with potential to predict increased susceptibility to vaginal infection.
Multiphoton Autofluorescence Microscopy (MPAM) and Second Harmonic Generation Microscopy (SHGM) have shown the potential for noninvasive assessment of oral precancers and cancers. We have explored a combination of these nonlinear optical microscopic imaging techniques with widefield fluorescence imaging to assess morphometry similar to that of pathologic evaluation as well as information from endogenous fluorophores, which are altered with neoplastic transformation. Widefield fluorescence revealed areas of interest corresponding to sites with precancers or early tumors, generally resulting in a decrease in green emission or increase in red emission. Subsequent microscopy revealed significant differences in morphology between normal, dysplastic/neoplastic mucosa for all layers. Combination of a widefield and a microscopic technique provides a novel approach for tissue morphometric analysis along with large area assessment of tissue autofluorescence properties.
Multiphoton autofluorescence microscopy (MPAM) offers the ability to assess morphometry similar to that of
pathologic evaluation as well as biochemical information from endogenous fluorophores which are altered with
neoplastic transformation. In this study the spectroscopic properties of normal and neoplastic oral epithelium were
evaluated toward the goal of identifying image/spectroscopic based indicators of neoplastic transformation using
nonlinear optical microscopy.
Results indicated measureable differences between normal, dysplasia, and SCC that could be helpful in delineating
between the three conditions. In particular, a blue shift in autofluorescence emission was experienced for dysplasia
relative to normal. However, in the case of SCC the epithelial emission experienced a significant red shift relative to
both dysplasia and normal and displayed in an additional red peak that was not present in either normal or dysplastic
mucosa. Results were consistent with published results for SCC in the single-photon literature. The study
demonstrates that multiphoton autofluorescence spectroscopy may reveal features of oral mucosa that can be useful for
differentiating normal and neoplastic mucosa. When combined with morphometry provided by MPAM, a potentially
powerful technique for imaging of the oral cavity could be developed which provides both morphometric and
spectroscopic information.
We have explored the use of optical coherence tomography (OCT) as a noninvasive tool for assessing the toxicity of topical microbicides, products used to prevent HIV, by monitoring the integrity of the vaginal epithelium. A novel feature-based segmentation algorithm using a nearest-neighbor classifier was developed to monitor changes in the morphology of vaginal epithelium. The two-step automated algorithm yielded OCT images with a clearly defined epithelial layer, enabling differentiation of normal and damaged tissue. The algorithm was robust in that it was able to discriminate the epithelial layer from underlying stroma as well as residual microbicide product on the surface. This segmentation technique for OCT images has the potential to be readily adaptable to the clinical setting for noninvasively defining the boundaries of the epithelium, enabling quantifiable assessment of microbicide-induced damage in vaginal tissue.
The spatial and temporal activation of NF-kB (p65) was monitored in the retina of a transgenic mouse model
(cis-NFkB-EGFP) in vivo after receiving varying grades of laser induced thermal injury in one eye. Baseline images of the
retinas from 26 mice were collected prior to injury and up to five months post-exposure using a Heidelberg Spectralis
HRA confocal scanning laser ophthalmoscope (cSLO) with a spectral domain optical coherence tomographer (SDOCT).
Injured and control eyes were enucleated at discrete time points following laser exposure for cryosectioning to
determine localization of NF-kB dependent enhanced green fluorescent protein (EGFP) reporter gene expression within
the retina using fluorescence microscopy. In addition, EGFP basal expression in brain and retinal tissue from the
cis-NFkB-EGFP was characterized using two-photon imaging. Regions of the retina exposed to threshold and supra-threshold
laser damage evaluated using fluorescence cSLO showed increased EGFP fluorescence localized to the exposed region
for a duration that was dependent upon the degree of injury. Fluorescence microscopy of threshold damage revealed
EGFP localized to the outer nuclear region and retinal pigment epithelial layer. Basal expression of EGFP imaged using
two-photon microscopy was heterogeneously distributed throughout brain tissue and confined to the inner retina. Results
show cis-NF-kB-EGFP reporter mouse can be used for in vivo studies of light induced injury to the retina and possibly
brain injury.
The survival rate for individuals diagnosed with oral cancer is correlated with the stage of detection. Thus the
development of novel techniques for the earliest possible detection of malignancies is of critical importance. Single
photon (1P) autofluorescence spectroscopy has proven to be a powerful diagnostic tool in this regard, but 2P (two
photon) spectroscopy remains essentially unexplored. In this investigation, a spectroscopic system was incorporated into
a custom-built 2P laser scanning microscope. Oral cancer was induced in the buccal pouch of Syrian Golden hamsters by
tri-weekly topical application of 9,10-dimethyl-1,2-benzanthracene (DMBA).Three separated sites where investigated in
each hamster at four excitation wavelengths from 780 nm to 890 nm. A Total of 8 hamsters were investigated (4 normal
and 4 DMBA treated). All investigated sites were imaged via 2p imaging, marked for biopsy, processed for histology
and H&E staining, and graded by a pathologist. The in vivo emission spectrum for normal, mild/high grade dysplasia and
squamous cell carcinoma is presented. It is shown that the hamsters with various stages of dysplasia are characterized by
spectral differences as a function of depth and excitation wavelength, compared to normal hamsters.
KEYWORDS: Tissues, Signal detection, In vivo imaging, Cancer, Gold, Luminescence, Two photon excitation microscopy, Tumor growth modeling, Confocal microscopy, Nanorods
Gold nanorods (GNRs) combined with two-photon microscopy were explored for
potential application in imaging of oral carcinogenesis. GNRs have been shown to be effective
contrast agents for two photon luminescence in that excitation laser powers required for imaging
are low compared to traditional fluorophores. Imaging of cells, ex vivo tissues, and in vivo oral
mucosa labeled with GNRs was performed to evaluate potential advantages of these agents in
molecular imaging of epithelial carcinogenesis. Powers required to elicit a two-photon
luminescence signal from GNRs were determined for cells as well as normal and malignant
transformed lesions, 24 hours following injection of GNRs in a hamster model for oral cancer.
The strength of the detected emission as the function of the average incident laser power was
measured in tissues with and without GNRs to compare the sensitivity of GNRs against tissue
autofluorescence. Finally, in vivo imaging was performed immediately following GNR injection
to establish the ability to image microvasculature at low incident powers.
The pilot study demonstrated uptake of GNRs by cells and in tissues yielding bright
fluorescence signals using significantly lower incident powers than those needed to excite tissue
autofluorescence. The in vivo imaging aspect of the study demonstrated the localization of GNRs
within the microvasculature of the oral cancer model. These preliminary studies demonstrated
the ability of GNRs to function as photostable, high contrast imaging agents and suggest that
GNRs and multi-photon imaging have great potential for applications in the field of molecular
imaging and early detection of cancer.
A method is presented for decreasing radiant exposures required for photocoagulation of cutaneous blood vessels using a hyperosmotic agent applied to skin prior to laser irradiation. The 50% probability for a given radiant exposure (RE50) to result in photocoagulation of vessels classified by type (arteriole, venule) and diameter was determined following direct (subcutaneous) laser irradiation of 84 vessels in a dorsal skin preparation pretreated with glycerol. Values were compared against results without glycerol pretreatment. A second set of experiments involved irradiation of blood vessels through the skin from the epidermal surface after application of glycerol. Subcutaneous RE50s for vessels treated with glycerol were typically several factors lower than untreated vessels. For example, arterioles in the 80- to 110-µm-diam range in untreated skin had RE50 values ~12 J/cm2, compared to ~2 J/cm2 in glycerol-treated cases. Results from epidermal irradiations also indicate that pretreatment with glycerol decreases radiant exposures required for photocoagulation. Vessels were successfully coagulated from the epidermal side in glycerol-treated samples using radiant exposures ranging from 1.6 J/cm2 to 5 J/cm2, compared to the 12 to >16 J/cm2 range for control cases. We believe that this method could be a powerful technique for reducing the radiant exposures required for vessel photocoagulation.
In this work, we demonstrate the use of Two-Photon Fluorescence Lifetime Imaging Microscopy (TP-FLIM) for
intracellular calcium ([Ca2+]i) measurement with a calcium sensitive fluorescent dye in a neuronal cell model and brain
tissue. Calcium perturbations were induced via chemical stimulation and our results signify the potential of TP-FLIM
for quantitative ([Ca2+]i) measurement within the physiological range of intracellular [Ca2+].
Light delivery by fiber can directly excite the desired region. In recent years a number of
methods have been proposed for fiber-based multiphoton microscopy. Of particular
interest is the type of fiber used for both excitation with femtosecond pulses and method
of collection of emitted fluorescence. In our efforts towards the development of a
compact multiphoton microendoscope, we have conducted a study comparing the
performance of three types of fibers (single mode fiber, hollow core photonic crystal
fiber, and double clad fiber) in order to provide an objective comparison between various
excitation approaches. In this study, we have demonstrated the ability of multiphoton
microscopy and second harmonic generation microscopy for high resolution intensity and
life time imaging of the oral mucosa and submucosa in vivo based on the use of double
clad photonic crystal fiber.
Multiphoton microscopy and second harmonic generation microscopy were used to image epithelial changes in a hamster model for oral malignant transformation. In vivo imaging was performed to characterize morphometric alterations in normal and precancerous regions. Morphometric measurements such as cell nucleus area and epithelial thicknesses obtained from MPM-SHGM were in excellent agreement with histology obtained after in vivo imaging. MPM-SHGM was highly sensitive to spectroscopic and architectural alterations throughout carcinogenesis, showing statistically significant changes in morphology. MPM revealed hyperkeratosis, nuclear enlargement/crowding in dysplasia, and immune cell infiltration. SHGM revealed alterations in submucosal architecture, with a decrease in SHG density evident during early stages of precancer. By combining MPM with SHGM, the basement membrane could be identified in normal, hyperplasia, and dysplasia samples and in some cases of early invasion. The combined technique of MPM-SHGM has the potential to serve as an adjunct to biopsy for assessing precancerous changes and will be investigated further for that purpose. Additionally, the method can provide spatiotemporal assessment of early neoplastic changes in order to elucidate the stages of transformation in vivo and could be used to assess therapeutic efficacy of agents being tested for the treatment of epithelial precancers/cancer.
Our recent research has shown that skin becomes temporarily transparent when a hyper-osmotic agent such as glycerol is introduced into the tissue. Local dehydration and index matching reduce light scattering which increases the penetration depth of collimated light. We have shown that when glycerol is applied to in vivo hamster skin, the resulting transparency is sufficient to allow visualization of blood vessels, and there is a temporary reduction in local blood flow. The reduced blood flow combined with greater light delivery significantly reduces the laser fluence rate [W/cm2] required to coagulate dermal blood vessels.
Previous studies suggest that optimal port wine stain (PWS) laser treatment parameters require knowledge of skin characteristics such as blood vessel size, depth, and distribution. Effective and rapid imaging modalities are not widely available. In the present study, photothermal tomography (PTT) images of an in vivo hamster window model and human PWS skin were obtained and analyzed. Subtherapeutic laser light pulses at 585 and 600 nm were applied to skin surface and image sequences acquired with an infrared camera. A nonnegatively constrained conjugate gradient algorithm was used to reconstruct a PTT image of the initial temperature distribution immediately following pulsed laser irradiation. Vessel dimensions determined from PTT images of hamster window model skin compared well with those measured directly using video microscopy. PTT images of human PWS skin contained vessels with estimated diameters of 200-250 μm over a 250-320 μm depth range. Use of dual wavelength excitation (DWE) analysis allowed for imaging of shallow vessels.
The purpose of this study was to investigate the dynamics oflaser light attenuation during cryogen spray cooling (CSC). Two detection schemes were used to approximate col]imated and diffuse light transmittance measurements of continuous-wave (?= 594 nm) and pulsed (?= 585 nm) laser light during application of short (20-100 ms duration) cryogen spurts on a glass substrate. High-speed video images were also obtained during CSC. Collimated light transmittance varied considerably during CSC. Comparison of collimated and total transmitted light detection indicated that the diffuse component was substantial. Light attenuation occurred despite transparency of the liquid cryogen layer. Light scattering by cryogen results in a diverging laser beam incident on the skin surface. Since specular reflectance at the cryogen-skin interface may differ for diffuse light, further study of light scattering during CSC is warranted. Due to the differences in optical properties of glass and skin, experiments on skin need to be performed to extrapolate our results to the clinical scenario. For dermatologic procedures such as laser port wine stain and vascular lesion removal, hair removal, and nonablative skin rejuvenation, recommended ?d are 10-80 ms. This range of td appears to be appropriate, although more studies are required to arrive at a definite conclusion.
Thermodynamic induced changes in birefringence of nasal septal cartilage following Nd:YAG laser irradiation were investigated using a polarization-sensitive optical coherence tomography (PSOCT) system. Birefringence in cartilage is due to the asymmetrical collagen fibril structure and may change if the underlying structure is disrupted due to local heat generation by absorption of laser radiation. A PSOCT instrument and an infrared imaging radiometer were used to record, respectively, depth-resolved images of the Stokes parameters of light backscattered from ex vivo porcine nasal septal cartilage and radiometric temperature following laser irradiation. PSOCT images of cartilage were recorded before (control), during, and after laser irradiation. From the measured Stokes parameters (I,Q,U, and V), an estimate of the relative phase retardation between two orthogonal polarizations was computed to determine birefringence in cartilage. Stokes parameter images of light backscattered from cartilage show significant changes due to laser irradiation. From our experiments we differentiate dehydration and thermal denaturation effects and observe the birefringence changes only in the dehydration effect. Therefore, a dynamic measurement of birefringence changes in cartilage using PSOCT as a feedback control methodology to monitor thermal denaturation is problematic in non-ablative surgical procedures such as laser assisted cartilage reshaping.
The potential application of an Erbium:YAG (Er:YAG) laser (Qo equals 50 mJ/pulse; (tau) p equals 275 microsecond(s) ; rep. rate equals 2, 10 Hz) with a sapphire delivery fiber for intracorporeal laser lithotripsy was explored. Preliminary measurements on calculus mass-loss and fragmentation efficiency were conducted and results were compared with that of Ho:YAG laser lithotripsy. Laser induced bubble and lithotripsy dynamics were investigated to assess the mechanism(s) involved in the fragmentation process. Results showed that the fragmentation efficiency (mass-loss/Ho - g.micrometers 2/J) in Er:YAG laser lithotripsy was about 2.4 times that of Ho:YAG laser lithotripsy (used: Qo equals 500 mJ/pulse; (tau) p equals 250 microsecond(s) ; rep. rate equals 10 Hz). Acoustic transients were found to have minimal effect during Er:YAG laser lithotripsy. Schlieren flash images suggested a predominantly photothermal mechanism due to direct laser energy absorption, which resulted in recrystallization and plume formation. These events indicated melting and chemical decomposition of the calculus composition. Another observation led to the possibility of a plasma-mediated photothermal mechanism. The 'Moses effect' facilitating pulsed mid-infrared laser delivery appeared more efficient for the Er:YAG laser than for the Ho:YAG laser. With the sapphire fiber, experimental results suggested the potential of an improved treatment modality by the Er:YAG laser for intracorporeal laser lithotripsy.
This study investigates the threshold radiant exposures required to irreversibly damage cutaneous blood vessels using a pulsed dye laser (PDL) operating at 585 nm. Evaluation of blood vessel damage and blood flow stoppage was achieved using Doppler imaging in a color Doppler optical coherence tomographic (CDOCT) system. Hamster dorsal skin flap window vessels were irradiated with radiant exposures ranging from 2.5 - 8 J/cm2. A 5 mm spot size and 360 microsecond pulse duration were used. Irradiation sites were imaged with CDOCT prior to, immediately after, and a minimum of 24 hours after delivery of laser energy. Magnitude and color Doppler images provided information such as approximate vessel size, depth, and changes in blood flow velocity. Vessel stenosis, temporary occlusion, permanent occlusion, hemorrhaging, and changes in flow velocity were frequent results of laser irradiation visualized with CDOCT and video imaging. Probit analysis was used to estimate the 50% probability that a blood vessel of given size and type will be destroyed by a given radiant exposure. In most instances, arterioles required higher radiant exposures to be irreversibly damaged than venules of the same size. However, arteriole/venule pairs required approximately the same radiant exposures for visible damage to occur. Vessels of larger diameter required higher radiant exposures to coagulate than vessels of smaller diameter.
KEYWORDS: Signal detection, Tissue optics, Skin, Luminescence, Scattering, Tissues, In vitro testing, In vivo imaging, Optical properties, Fluorescence spectroscopy
In this study, we used a technique that alters the optical properties of tissue to study the effects of tissue scattering on the detected fluorescence from a target placed under the tissue sample. By using hyper-osmotic solutions of glycerol or dimethyl sulfoxide, scattering in tissue samples was reduced substantially. A fluorescent film was placed underneath in vitro and in vivo samples of hamster skin. Excitation of the fluorescent film was achieved through the tissue and the fluorescent signal from the film monitored over time as an osmotically active agent was added to the tissue. The film had an absorption peak at 542 nm and an emission peak at 585 nm. The reduction in tissue scattering caused by the optical clearing agents led to an increase in the detected fluorescent signal (up to double the original signal). The increase was greater for 14 M dimethyl sulfoxide than for 13 M glycerol, and greater for in vivo skin than for in vitro skin. The study serves as a demonstration of the benefits of optical tissue clearing by osmotically active agents to the detected signal in an optical application. Temporary reduction of scattering in tissue will be useful in therapeutic and diagnostic applications that can benefit from an increase in the penetration depth of light.
The objectives of this study were to determine if the optical absorption properties of urinary calculi affect the threshold fluence for ablation or fragmentation and the ablation efficiency due to laser irradiation. The Vanderbilt free electron laser was tuned to selected wavelengths based on the absorption spectrum of various types of urinary calculi. The threshold fluences for ablation of the calculi were measured at different wavelengths. A preliminary study of the ablation efficiency (ablation depth per unit incidence fluence) was performed. The results were fond to be in agreement with a thermal ablation model for which the threshold fluences were proportional to l/(mu) a. The ablation efficiencies were higher in regions of the infrared spectra in which absorption was higher. For a fixed laser irradiation, the lower threshold fluences within regions of high optical absorption allowed more energy to enhance calculus ablation. This study provided insight into determining the optimum wavelengths for ablation and laser lithotripsy.
Quantitative data regarding photothermal and damage processes during pulsed laser irradiation of blood are necessary to achieve a better understanding of laser treatment of cutaneous vascular lesions and improve numerical models. In this study, multiple experimental techniques were employed to quantify the effects os single- pulse KTP laser (λ = 532 nm, τp= 10 ms) irradiation of whole blood in vitro: high-speed temperature measurement with a thermal camera in line-scan mode (8 kHz); optical coherence tomography; and transmission measurement with a co-aligned laser beam (λ=635 nm). Threshold radiant exposures for coagulation (4.4-5.0 J/cm2) and ablation (~ 12 J/cm2) were identified. Thermal camera measurements indicated threshold coagulation temperatures of 90-100°C, and peak temperatures of up to 145°C for sub-ablation radiant exposures. Significant changes in coagulum thickness and consistency, and a corresponding decrease in transmission, were observed with increasing radiant exposure. The Arrhenius equation was shown to produce accurate predictions of coagulation onset. The significant of dynamic effects such as evaporative loss and dynamic changes in optical properties was indicated. Implications for numerical modeling are discussed. Most importantly, the threshold temperatures typically quoted in the literature for pulsed laser coagulation (60-70 °C) and ablation (100 °C) of blood do not match the result of this study.
The effects of cooling, laser irradiation, and laser irradiation with cooling on blood vessels were investigated with Color Doppler Optical Coherence Tomography (CDOCT). CDOCT may contribute to an understanding of the dynamics of laser-blood vessel interactions and aid in better optimization of laser parameters to be used. In this study, hamster dorsal skin flap window vessels were irradiated with a KTP laser operating at 532 nm. Irradiation sites were imaged with CDOCT prior to, during, immediately after, and several days after irradiation. KTP laser parameters were: radiant exposures in the range of 7-14 J/cm2, 3 mm spot size, and 10 ms pulse duration. Magnitude and color Doppler images provided information such as vessel size, depth, and changes in blood flow velocity. Vessel constriction, temporary occlusion, and changes in flow were frequent results of laser irradiation visualized with CDOCT. In addition, the effects of cooling alone were imaged with CDOCT and its effects on blood vessel flow and morphology were investigated before and after laser irradiation.
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