Combined Fluorescence and Bright Field Imaging via a Single CMOS Detector Without Filters to Improve on Patient Safety during Endoscopic Procedures – An Experimental Study Analysing the Output of both LASER and LED Near Infrared Sources on In Vitro Samples
Paper #3396 received 18 Nov 2020; revised manuscript received 19 Dec 2020; accepted for publication 20 Dec 2020; published online 31 Dec 2020.
DOI: 10.18287/JBPE20.06.040303
Abstract
Many endoscopic systems combine white light and NIR light via LED multiplexing in order to image tissue stained with Near Infrared (NIR) fluorescent markers such as Indocyanine Green (ICG). This can result in unnecessary in vivo energy exposure which can cause irreversible damage to tissue. A simple, single detector system is proposed in this work comprising a single excitation channel at a wavelength of 780 nm. We have demonstrated that a single 1.6 Megapixel CMOS camera with quantum efficiency of less than 30% is appropriate to capture both fluorescent and non-fluorescent landmarks at NIR wavelengths. Experimental results indicate that a LASER source generating between up to 10 mW of optical power at 780 nm could be considered as an alternative to LED.
Keywords
Full Text:
PDFReferences
1. NIR/ICG – Near-Infrared Fluorescence, KARL STORZ (accessed May 16 2018).
2. A. C. I. Nakassa, E. W. Wang, J. C. Fernandez-Miranda, C. H. Snyderman, and P. A. Gardner, “Usefulness of Indocyanine Green Fluorescence Endoscopy for Intraoperative Differentiation of Intracranial Tumors and Adjacent Structures,” Journal of Neurological Surgery Part B 78(S 01), S1–S156 (2017).
3. Pde-neo II Near infrared fluorescence imager C10935-300, HAMAMATSU (accessed July 2 2018).
4. SPY Portable Handheld Imaging System, Stryker SPY-PHI (accessed August 7 2018).
5. S. L. Troyan, V. Kianzad, S. L. Gibbs-Strauss, S. Gioux, A. Matsui, R. Oketokoun, L. Ngo, A. Khamene, F. Azar, and J. V. Frangioni, “The FLARETM Intraoperative Near-Infrared Fluorescence Imaging System: A First-in-Human Clinical Trial in Breast Cancer Sentinel Lymph Node Mapping,” Annals of Surgical Oncology 16(10), 2943–2952 (2009).
6. S. L. Gibbs, “Near infrared fluorescence for image-guided surgery,” Quantitative Imaging in Medical Surgery 2(3), 177–187 (2012).
7. J. T. Alander, I. Kaartinen, A. Laakso, T. Pätilä, T. Spillmann, V. V. Tuchin, M. Venermo, and P. Välisuo, “A Review of Indocyanine Green Fluorescent Imaging in Surgery,” International Journal of Biomedical Imaging 2012, 940585 (2012).
8. F. Schmidt, A. Dittberner, S. Koscielny, I. Petersen, and O. Guntinas–Lichius, “Feasibility of real-time near-infrared indocyanine green fluorescence endoscopy for the evaluation of mucosal head and neck lesions,” Head and Neck 39(2), 234–240 (2017).
9. Y. Suo, F. Wu, P. Xu, H. Shi, T. Wang, H. Liu, and Z. Cheng, “NIR-II Fluorescence Endoscopy for Targeted Imaging of Colorectal Cancer,” Advanced Healthcare Materials 8(23), 1900974 (2019).
10. K. Amano, Y. Aihara, S. Tsuzuki, Y. Okada, and T. Kawamata, “Application of indocyanine green fluorescence endoscopic system in transsphenoidal surgery for pituitary tumors,” Acta Neurochirurgica 161, 695–706 (2019).
11. J. V. Frangioni, “New Technologies for Human Cancer Imaging,” Journal of Clinical Oncology 26(24), 4012–4021 (2008).
12. E. D. Kozin, A. Lehmann, M. Carter, E. Hight, M. Cohen, H. H. Nakajima, and D. J. Lee, “Thermal effects of endoscopy in human temporal bone model: implications for endoscopic ear surgery,” Laryngoscope 124(8), E332–E339 (2014).
13. I. M. Modlin, D. G. Begos, and G. H. Ballantyne, “Laparoscopic Gastrointestinal Surgery: Current State of the Art,” in Clinical Gastroenterology, H. M. Spiro (ed.),
14. C. S. Envemeka, “Attenuation and penetration of visible 632.8 nm and invisible infra-red 904nm light in soft tissues,” Laser Therapy 13(1), 95–101 (2001).
15. S. Ohnishi, S. J. Lomnes, R. G. Laurence, A. Gogbashian, G. Mariani, and J. V. Frangioni, “Organic Alternatives to Wuantum Dots for Intraoperative Near-Infrared Fluorescent Sentinel Lymph Node Mapping,” Molecular Imaging 4(3), 172–181 (2005).
16. M. Hutteman, J. S. D. Mieog, J. R. van der Vorst, G. J. Liefers, H. Putter, C. W. G. M. Löwik, J. V. Frangioni, C. J. H. van de Velde, and A. L. Vahrmeijer, “Randomized, double-blind comparison of indocyanine green with or without albumin premixing for near-infrared fluorescence imaging of sentinel lymph nodes in breast cancer patients,” Breast Cancer Research and Treatment 127(1), 163–70 (2011).
17. S. Gioux, H. Choi, and J. Frangioni, “Image-Guided Surgery using Invisible Near-Infrared Light: Fundamentals of Clinical Translation,” Molecular Imaging 9(5), 237–255 (2010).
18. J. Qi, E. Nabavi, Y. Hu, D. R. Whippey, A. Curtis, C. Price, N. Copner, C. Sannassy, M. Leiloglou, D. Leff, G. Hanna, and D. Elson, “A light-weight near infrared fluorescence endoscope based on a single color camera: a proof-of-concept study,” in 2017 Conference on Lasers and Electro-Optics Pacific Rim, 31 July – 4 August 2017, s2562 (2017).
19. A. Bozkurt, B. Onaral, “Safety assessment of near infrared light emitting diodes for diffuse optical measurements,” Biomedical Engineering OnLine 3(9) (2004).
20. K. J. Hachey, D. M. Gilmore, K. W. Armstrong, S. E. Harris, J. L. Hornick, Y. L. Colson, and J. O. Wee, “Safety and Feasability of Near Infrared Image-Guided Lymphatic Mapping of Regional Lymph Nodes in ESophogeal Cancer,” Journal of Thoracic Cardiovascular Surgery 152(2), 546–554 (2016).
21. M. Nairat, A. Konar, M. Kaniecki, V. V. Lozovoy, and M. Dantus, “Investigating the role of human serum albumin protein pocket on the excited state dynamics of indocyanine green using shaped femtosecond laser pulses,” Royal Society of Chemistry PCCP 17(8), 5872–5877 (2017).
22. J. W. Crull, S. A. Schafer, “Indocyanine Green Degradation During High-Intensity Laser Irradiation,” Proceedings of SPIE 2671, 243–250 (1996).
23. B. Yuan, N. Chen, and Q. Zhu, “Emission and absorption properties of indocyanine green in Intralipid solution,” Journal of Biomedical Optics 9(3), 497–503 (2004).
© 2014-2025 Authors
Public Media Certificate (RUS). 12+