论文标题

超薄,高速,全光光声性内在探针,用于指导微创手术

Ultrathin, high-speed, all-optical photoacoustic endomicroscopy probe for guiding minimally invasive surgery

论文作者

Zhao, Tianrui, Pham, Truc Thuy, Baker, Christian, Ma, Michelle T., Ourselin, Sebastien, Vercauteren, Tom, Zhang, Edward, Beard, Paul C., Xia, Wenfeng

论文摘要

光声(PA)内窥镜检查显示出临床诊断和手术指导的显着潜力。多模纤维(MMF)由于超薄尺寸,低成本和衍射限制的空间分辨率而越来越有吸引力的微型内窥镜探针的吸引力。但是,当前基于MMF的PA内分球体镜探针受其笨重的超声检测器的限制,或者是低成像速度的限制,从而阻碍了其可用性。在这项工作中,我们报告了一个高度微型和高速PA内分物探针的发展,该探针集成在20量规医疗针的套管中。该探针包括用于传递PA激发灯的MMF和带有Plano-Concave微孔子的单模光纤,用于超声检测。使用数字微龙器设备的波前塑形使MMF远端的集中光点可以快速栅格扫描,以进行组织询问。用针头探针以每秒约3帧的速度实现覆盖面积为100微米的面积100微米的小鼠红细胞的高分辨率PA成像。通过将针头探针实时翻译以扩大视野的图表,在纤维表征后进行镶嵌成像。开发的超薄PA内分学探针有望通过实时提供组织的功能,分子和微结构信息来指导微创手术。

Photoacoustic (PA) endoscopy has shown significant potential for clinical diagnosis and surgical guidance. Multimode fibres (MMFs) are becoming increasing attractive for the development of miniature endoscopy probes owing to ultrathin size, low cost and diffraction-limited spatial resolution enabled by wavefront shaping. However, current MMF-based PA endomicroscopy probes are either limited by a bulky ultrasound detector or a low imaging speed which hindered their usability. In this work, we report the development of a highly miniaturised and high-speed PA endomicroscopy probe that is integrated within the cannula of a 20 gauge medical needle. This probe comprises a MMF for delivering the PA excitation light and a single-mode optical fibre with a plano-concave microresonator for ultrasound detection. Wavefront shaping with a digital micromirror device enabled rapid raster-scanning of a focused light spot at the distal end of the MMF for tissue interrogation. High-resolution PA imaging of mouse red blood cells covering an area 100 microns in diameter was achieved with the needle probe at ~3 frames per second. Mosaicing imaging was performed after fibre characterisation by translating the needle probe to enlarge the field-of-view in real-time. The developed ultrathin PA endomicroscopy probe is promising for guiding minimally invasive surgery by providing functional, molecular and microstructural information of tissue in real-time.

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