Chronic-pain (CP) affects at least 10% of the world’s population, and costs our society $1T. There is currently no effective approach to treating CP. To this end, there is an urgent need in the pain-research community to enable monitoring pain-related biomarkers, e.g. circulating DNAs, cytokines, endocannabinoids, over a long-period of time (> 3 months). Here, we show how implant incorporated with photonic nanomaterials known as upconversion nanoparticles (UCNP) are particularly suited for such purposes. We will argue that the unique optical properties of UCNP make possible a simpler wearable readout electronics with low power consumption, thus greatly prolonging operation time.
Fetal hypoxic brain injury is the deprivation of oxygen during labour and is associated with up to 60% mortality. The gold standard of fetal monitoring during labour, the cardio tocograph (CTG) and fetal blood sampling are poor at diagnosing hypoxia continuously and non-invasively. Our research is towards developing a non-invasive, continuous hypoxia assessment system using long wavelength near-infrared spectroscopy through a fiber optic based reflectance. Lactate is a key biomarker for hypoxia determination in babies during birth. For successful implementation of this probe, it is required that it detects lactate in maternal environment and in presence of other spectroscopic interferences. In this paper we look at lactate sensing through a liquid phantom containing spectrally interfering components alongside lactate like glucose, urea, triacetin and albumin. Through these experiments we determine the relevant wavelengths and their combination for effective lactate sensing.
The interrogation of polarisation state of light is a developing technique in biomedical imaging. As polarised light interacts with structural changes in tissue, it has seen use in differentiation between (pre)cancerous and noncancerous tissue, for example. In biomedical imaging rapid diagnostics using minimally invasive techniques is desirable. Endoscopy is already very prevalent in medicine and therefore miniaturisation of polarimetry systems onto endoscopic platforms is a natural development. Flexibility of such a device allows navigation to more complicated parts of the body. All polarimetric systems consist of a polarisation state generator (PSG) and a polarisation state analyser (PSA) which need to be integrated into such a system. A rigid endoscope capable of imaging a full 4×4 Mueller matrix has been developed by Qi et al. This endoscope achieves the polarisation state generation a rigid rotating sheath. Partial polarimetric endoscopy which captures a 3×3 Mueller matrix has also been demonstrated and is easier to achieve since it does not require quarter wave plates in the generator or analyser. Clancy et al and Qi et al both demonstrate a rigid polarimetric endoscopy using a stereo endoscope and a standard rigid endoscopy, respectively. Integration of polarisation state analyser and generator into the tip has been demonstrated using complex mechanical designs. However questions have been raised regarding the electromagnetic compatibility of such a system due to the presence of motors in the tip. Forward et al present a flexible 3×3 fibre based probe that uses diced polarisers orientated at the horizontal, vertical, and -45 degree positions to generate and acquire the necessary polarisation states. This work presents an imaging probe designed to enable in-vivo polarimetry measurements using a micro camera on the tip as a sensor. A 3×3 Mueller matrix image of crossed linear polarisers, captured using a micro camera is demonstrated. This device demonstrates the potential of micro camera sensors in providing 2-dimensional polarimetry data in a flexible endoscopic system. For a device to be used in a clinical setting it needs to be capable of providing data rapidly when it is needed, as well as being navigable to the target location. A fibre optically illuminated endoscope with micro-camera sensor allows for rapid switching of illumination fibres using backend illumination systems as well as rapid acquisition of data. Optical fibres enable the probe to be rigid or flexible depending on application, and the camera at the tip ensures consistent image quality regardless of application area. An idealised system and its potential future of polarimetry in translational biophotonic devices is also discussed.
KEYWORDS: Short wave infrared radiation, Hypoxia, Fetus, Near infrared spectroscopy, Spectroscopy, Monte Carlo methods, Reflectivity, Sensors, Reflectance spectroscopy, Photon transport, Near infrared
Intra-partum hypoxia is the principal cause of death for every 2 in 10000 infants. Monitoring hypoxia during child-birth will not only prevent infant mortality, but also help prevent cerebral palsy in 10-20% of the surviving babies. Current monitoring techniques either use an indirect biomarker (heart-rate in cardiotocograph) or measure downstream biomarkers intermittently and invasively (fetal blood sampling). For complete fetal wellbeing monitoring, a continuous non-invasive assessment of multiple biomarkers is needed during birth. To address this gap we are developing a noninvasive, continuous sensor based on long wavelength near infrared (LW-NIR) spectroscopic technique for the detection of fetal hypoxia through multiple biomarkers. For specific hypoxia assessment we have identified key optical spectroscopy compatible biomarkers from a list of various biomarkers effected in the physiological processes leading to the development of hypoxia. The key biomarkers identified are – cytochrome-C oxidase, oxygenated and deoxygenated hemoglobin, lactate, pyruvate and pH in the connective tissue in presence of other interferences such as lipids, proteins and other sugars. To translate these biomarkers into a viable diffuse-reflectance probe we assessed the light-tissue interaction in the low-scattering, water-absorption dominated LW-NIR window of 1350-2500 nm using Monte Carlo photon migration model and experimentally verified the penetration depth achievable in fetal tissue phantom to ~0.5 mm, only targeting the capillary bed.
We propose a handheld single photon avalanche diode (SPAD) micro-camera probe for wide-field in-vivo fluorescence lifetime imaging (FLIm) applications. The presented probe includes a novel 3D stacked 1.4 mm × 1.4 mm SPAD array, an integrated excitation light source, and imaging optics. The spatial and temporal performance of the integrated system was characterised using a USAF test target and range of fluorescence lifetime beads.
Significance: Gas in scattering media absorption spectroscopy (GASMAS) enables noninvasive gas sensing in the body. It is developing as a tool for diagnosis and monitoring of respiratory conditions in neonates. Phantom models with relevant features to the clinical translation of GASMAS technology are necessary to understand technical challenges and potential applications of this technique. State-of-the-art phantoms designed for this purpose have focused on the optical properties and anthropomorphic geometry of the thorax, contributing to the source–detector placement, design, and optimization. Lung phantom mimicking the alveolar anatomy has not been included in the existent models due to the inherent complexity of the tissue. We present a simplified model that recreates inflated alveoli embedded in lung phantom.
Aim: The goal of this study was to build a lung model with air-filled structures mimicking inflated alveoli surrounded by optical phantom with accurate optical properties (μa = 0.50 cm − 1 and μs′=5.4 cm−1) and physiological parameters [37°C and 100% relative humidity (RH)], and to control the air volume within the phantom to demonstrate the feasibility of GASMAS in sensing changes in pulmonary air volume.
Approach: The lung model was built using a capillary structure with analogous size to alveolar units. Part of the capillaries were filled with liquid lung optical phantom to recreate scattering and absorption, whereas empty capillaries mimicked air filled alveoli. The capillary array was placed inside a custom-made chamber that maintained pulmonary temperature and RH. The geometry of the chamber permitted the placement of the laser head and detector of a GASMAS bench top system (MicroLab Dual O2 / H2O), to test the changes in volume of the lung model in transmittance geometry.
Results: The lung tissue model with air volume range from 6.89 × 10 − 7 m3 to 1.80 × 10 − 3 m3 was built. Two measurement sets, with 10 different capillary configurations each, were arranged to increase or decrease progressively (in steps of 3.93 × 10 − 8 m3) the air volume in the lung model. The respective GASMAS data acquisition was performed for both data sets. The maximum absorption signal was obtained for configurations with the highest number of air-filled capillaries and decreased progressively when the air spaces were replaced by capillaries filled with liquid optical phantom. Further studies are necessary to define the minimum and maximum volume of air that can be measured with GASMAS-based devices for different source–detector geometries.
Conclusions: The optical properties and the structure of tissue from the respiratory zone have been modeled using a simplified capillary array immersed in a controlled environment chamber at pulmonary temperature and RH. The feasibility of measuring volume changes with GASMAS technique has been proven, stating a new possible application of GASMAS technology in respiratory treatment and diagnostics.
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