The present disclosure is generally directed to an optical system and methods for real-time synchronous detection of vibration modes in biotic and abiotic systems, including but not limited to real-time steatosis and quantitative fat content determination.
The obesity epidemic has resulted in an increased incidence of fatty liver disease in our population, including potential organ donors. M. Charlton. “Cirrhosis and liver failure in nonalcoholic fatty liver disease: Molehill or mountain?” Hepatology 47 (2008) 1431-1433. Y. F. Cheng, et al., “Assessment of donor fatty livers for liver transplantation” Transplantation 71 (2001) 1221-1225. When transplanted, fatty livers place patients at a higher risk for graft dysfunction and lower survival rates.
The gold standard to detect the amount of fat in the liver is with a liver biopsy, but unfortunately there is usually insufficient time to obtain and process biopsies during organ retrieval and subsequent transplantation. As such, many potentially viable donor livers are discarded based on a subjective assessment of fat content by the surgeon during organ retrieval; and conversely unviable ones may be transplanted. There are other applicable methods available for liver steatosis assessment, such as Magnetic resonance imaging (MRI), computational tomography (CT), and biochemical analysis. Each of these methods has their own standards for what is considered a normal liver, and at which point the liver is considered to be fatty or have non-alcoholic fatty liver disease (NAFLD). For histology a liver is considered to have normal amounts of fat if less than 5 percent of the hepatocytes (liver cells) in the sample contain macroscopic fat droplets: anything greater than this is considered to have fatty liver disease. E. Brunt. “Nonalcoholic Fatty Liver Disease: Pros and Cons of Histologic Systems of Evaluation” Int. J. Mol. Sci. 17 (2016) 97.
Other methods define a liver to be normal when the amount of fat in it is less than 5 percent by volume or by weight. Hoyumpa. A. M., Greene. H. L., Dunn. G. D. et al. “Fatty liver: Biochemical and clinical considerations” Digest Dis Sci 20, 1142-1170 (1975). Fabbrini E. Sullivan S. Klein S. “Obesity and nonalcoholic fatty liver disease: biochemical, metabolic, and clinical implications” Hepatology. 2010 February: 51 (2): 679-89.
MRI uses the natural magnetic properties in a sample (human, animal, phantom, etc.) to produce detailed images and spectra, based on Nuclear Magnetic resonance phenomenon. The hydrogen nucleus (single proton) is mainly used due to the large quantities of it in both water and fat. MRI is regarded as the most accurate non-invasive method to assess liver steatosis. It determines the fat signal fraction to estimate the liver triglyceride concentration. S. Meisamy et al., “Quantification of Hepatic Steatosis with T1-independent. T2*-corrected MR Imaging with Spectral Modeling of Fat: Blinded Comparison with MR Spectroscopy” Radiology 258 (2011) 767-775. Using this technique, livers with 5 percent of liver cells with macroscopic fat determined by histology correspond to a fat fraction of 6.4 percent. A. Tang et al., “Nonalcoholic Fatty Liver Disease: MR Imaging of Liver Proton Density Fat Fraction to Assess Hepatic Steatosis” Radiology 267 (2013) 422-431. Therefore, systems and methods that determine the fraction of macroscopic fat in liver cells should be able to detect as low as 5 percent of macroscopic fat content, as that is the cut-off for normal livers.
Raman spectroscopy is a non-destructive, inelastic light scattering technique that provides a spectral fingerprint by which molecules, such as triglycerides, can be identified. When light interacts with matter it gets scattered. There are multiple scattering effects that occurs, the most common being elastic Rayleigh scattering. In this process a photon excites an electron to a virtual state then the electron returns to the ground state and emits a photon of the same frequency as the incident photon. In ˜0.0000001% of scattering interactions the electron will fall to an excited vibration state, thus releasing a photon of lower energy therefore longer wavelength. This phenomenon is known as Stokes Raman scattering. An even more unlikely scattering effect is anti-Stokes Raman scattering. In this process, an electron is already in its excited vibrational state and after being excited to a virtual state it falls to the ground state, releasing a photon of higher energy and shorter wavelength. These vibrational states are specific to molecules and therefore so are the energy differences. For this reason, these processes can be used to identify functional groups. A. Kudelski. “Analytical applications of Raman spectroscopy” Talanta 76 (2008) 1-8. Accordingly. Raman Spectroscopy can rapidly detect the vibration state of C—H bonds in triglycerides and to provide a quantitative and qualitative assessment of fat in livers simply by collecting light scattered from the surface or internal parts (if combined with biopsy) of the liver. K. C. Hewitt et al., “Accurate assessment of liver steatosis in animal models using a high throughput Raman fiber optic probe” Analyst 140 (19) (2015) 6602-6609.
The above information is presented as background information only to assist with an understanding of the present disclosure. No assertion or admission is made as to whether any of the above, or anything else in the present disclosure, unless explicitly stated, might be applicable as prior art with regard to the present disclosure.
The present disclosure describes a system and method that allow transplant surgeons to obtain accurate measurements of liver fat content during donor surgeries. The measurement results are obtained rapidly and guide the surgeon in deciding whether the liver is safe to use for transplantation. This can lead to fewer discarded livers, reduced waitlists for liver transplantation and improved quality of life for many individuals with end-stage liver disease.
Disclosed herein is an optical system and methods for real-time synchronous detection of vibration and/or rotation modes in biotic (e.g., fat, glyceride, vitamins. bilirubin, etc.) and abiotic systems (for example, alcohol contents). The system may include a sample holder, incident light shaping optics, a collection system collecting the light scattered by the sample, informative channels selecting light spectral bands, photoelectric detectors converting scattered photons into electric signals, transimpedance, voltage and lock-in amplifiers amplifying and extracting informative signals, data acquisition and measurement control hardware and software systems, as well as data processing and analysis system which analyze informative signals and outputs the fat content of the sample.
Further provided herein are three example and non-limiting embodiments, which comprise different incident light shaping optics and light paths and scattering collection systems composed of different number of lenses, mirrors, optical pass filters, and optical fibers.
In an embodiment, the weak signal of optical characteristic peaks of target biotic indicators (e.g., glyceride, vitamins. bilirubin, etc.) and abiotic molecules (e.g., alcohol) are identified using sensitive lock-in amplification and/or current or voltage amplification techniques, which supersede the state-of-the-art for other similar approaches and allows for the collection of spectral information in the dark and ambient light (e.g., LED and luminescent light) conditions. Without restricting the generality of the present disclosure, the system can provide a quantitative result of the fat content quickly and accurately in (i) lipid phantoms and (ii) liver samples, demonstrating a strong linear correlation (e.g., r>0.98) between output voltage signals, and fat contents in the clinically relevant range. Without restricting the generality of the present disclosure, the system can provide a quantitative result of the fat content of human liver tissues, demonstrating a strong linear correlation (e.g., r>0.82) between the fat contents and the degree of steatosis in the clinically relevant range.
The foregoing summary provides some example aspects and features according to the present disclosure. It is not intended to be limiting in any way. For example, the summary is not necessarily meant to identify important or crucial features of the disclosure. Rather, it is merely meant to introduce some concepts according to the disclosure. Other aspects and features of the present disclosure are apparent to those ordinarily skilled in the art upon review of the following description of specific example embodiments in conjunction with the accompanying figures.
Embodiments of the present disclosure are described by way of example only, with reference to the attached figures, wherein:
The relative sizes and relative positions of elements in the drawings are not necessarily drawn to scale. For example, the shapes of various elements and angles are not necessarily drawn to scale, and some of these elements may be arbitrarily enlarged and/or positioned to improve the readability of the drawings. Further, the particular shapes of the elements as drawn are not necessarily intended to convey any information regarding the actual shape of the particular elements, and have been solely selected for ease of recognition in the drawings.
An optical system and associated methods have been developed for real-time synchronous detection of vibration and/or vibration modes in biotic (e.g., fat, glyceride, vitamins. bilirubin, etc.) and abiotic systems (e.g., alcohol contents).
In some embodiments, the system includes a modulated light source (e.g., a 1064 nm CW laser), laser beam shaping and light collecting optics, optical detectors, appropriately selected optical filters, a mechanical or electronic laser beam modulator, transimpedance amplifiers, voltage and lock-in amplifiers, and data acquisition and measurement control hardware and software systems, as well as data processing and analysis systems. A lock-in amplifier is used to extract weak informative signals from a noisy background.
At least some of the embodiments of the present disclosure use Raman spectroscopy. Out of every million scattered photons approximately one is a Stokes Raman photon. In the Stokes Raman scattering process, a low energy photon is generated when the electron falls to an excited vibration state instead of ground state. The probability of Stokes Raman photon generation is 1:109. These vibrational states are specific to molecules and therefore so are the energy differences. Raman scattering can thus be used to identify optically active substances in a sample.
By detecting the intensity of different characteristic Raman scattering peaks, the present disclosure provides a quantitative result of target substances in samples simply by illuminating the surface of the samples with an infrared laser beam. Unlike conventional spectrometers, embodiments of the present disclosure do not need many technically demanding and expensive spectroscopic elements (e.g. gratings. CCD arrays etc.) in appointed tasks. The weak signal of optical characteristic peaks of target biotic indicators (e.g., glyceride, vitamins. bilirubin, etc.) and abiotic molecules (e.g., alcohol) are identified using a sensitive lock-in amplification technique that allows one to detect weak informative signal in the dark and in ambient light (e.g., LED light) conditions.
Without restricting the generality of the present disclosure, those quantitative results of the present disclosure reflect the fat content and the degree of steatosis in various samples. The present disclosure can provide transplant surgeons with quantitative and objective real-time results of the fat content in the liver by collecting light scattered by the surface or internal parts (if combined with biopsy) of the liver.
Without restricting the generality of the present disclosure, the present disclosure shows three configurations/embodiments for in-situ and ex-situ end uses-(i) tabletop probe. (ii) handheld probe and (iii) miniature handheld probe. The handheld probe is for ex-situ and open surgery whereas the tabletop probe can be combined with other systems for ex-situ (monitoring) assessments, and the miniature handheld probe can be used in conjunction with needle biopsies. The present disclosed invention has been shown to provide a quantitative result on the fat content quickly and accurately in (i) lipid phantoms and (ii) liver samples, demonstrating a strong linear correlation between intensities of output voltage signals. MRI readings, and fat contents in the clinically relevant range.
In an aspect, the present disclosure is directed to an optical system for real-time synchronous detection of vibration and/or rotation modes in biotic and abiotic systems, the system comprising: a light source, an incident light path, a sample stage, a scattering collection system, single or multiple informative channels, single or multiple current-to-voltage converters, single or multiple current or voltage amplifiers, single or multiple lock-in amplifiers and/or current or voltage amplifiers, photoelectric detectors, and a data analysis system, wherein a modulated light beam from the light source passes through the incident light path and excites the sample on the sample stage, and the collection system collects the scattered light emanating from the sample and focuses the light on the photoelectric detectors of the informative channels and the reference channel, and the current-to-voltage converter, current or voltage amplifier, and lock-in amplifiers amplify the output electric signals of the photoelectric detectors, and the data analysis system analyzes amplified signals collected by the channels and outputs the substance content of the sample.
In an embodiment, the data analysis system analyzes informative and reference signals extracted by the lock-in amplifiers and outputs the substance content of the sample.
In an embodiment, the lock-in amplifiers extract informative and reference signals directly or not directly from the pre-amplified signals output from the transimpedance amplifiers and/or voltage amplifiers.
In an embodiment, the system outputs a signal which is agnostic to ambient light conditions, including but are not limited to LED light conditions, or other means.
In an embodiment, the light source includes but is not limited to an infrared laser or other means alternative to lasers.
In an embodiment, the initial light is modulated in a periotic manner by an optical modulator or an electronic gating, or other means.
In an embodiment, the incident light path guides the output light beam from the laser source, shapes the beam, and alters the incident angle of the beam to a sample.
In an embodiment, the wavelength of the near infrared laser source and photoelectric detectors ranges from approximately 800 nm to approximately 1700 nm, and the optical elements are optimized for that wavelength range.
In an embodiment, the light passes through a combination of any number of optical elements including but not limited to lenses, mirrors, filters, beam splitters, or optical fibres.
In an embodiment, the photoelectric detectors, including but not limited to InGaAs photodiode detectors, convert optical signals into electric signals.
In an embodiment, one or multiple transimpedance amplifiers amplify electric signals directly or indirectly from the photoelectric detectors, including but not limited to informative, reference, background or noise signals.
In an embodiment, the combination of dichroic mirrors and optical pass filters selects specific optical wavelength bands of one or multiple informative channels.
In an embodiment, the samples include but not limited to in-situ and ex-situ liver organs or tissues.
In an aspect, the present disclosure is directed to a method of detecting vibration and/or rotation modes of a biotic or abiotic sample, comprising: placing a sample to be tested onto a test stage, illuminating the sample with a light beam to excite the sample, collecting scattered light from the illuminated sample and selecting characteristic optical bands with beam splitters and optical pass filters, converting light signals to electric signals with at least one photoelectric detector, converting current signals to voltage signals with current-to-voltage converters, extracting signals from noise with at least one lock-in amplifier and/or voltage amplifier, and calculating the amount of the substance content in the sample using the analysing system and the extracted voltage signals.
In an embodiment, the intensity of the extracted voltage signal of either channel represents the strength of characteristic vibration and/or rotation modes of the target substance.
In an aspect, the present disclosure is directed to an optical system for real-time synchronous detection of vibration and/or rotation modes in biotic and abiotic systems comprising a light source, an incident light path, a sample stage, a scattering collection system, single or multiple informative channels, single or multiple current-to-voltage converters, single or multiple lock-in amplifiers and/or operational amplifiers, photoelectric detectors, and a data analysis system, wherein a modulated light beam from the light source passes through the incident light path and excites the sample on the sample stage, and the scattering collection system collects the scattering light emanating from the sample and focuses the light on photoelectric detectors of the informative channels and a reference channel, and the current-to-voltage converter and lock-in amplifiers and/or operational amplifiers amplify the output electric signals of the photoelectric detectors, and the data analysis system analyzes amplified signals collected by the informative channels and outputs the substance content of the sample.
In an embodiment, the data analysis system analyzes informative signals extracted by the lock-in amplifiers and/or operational amplifiers and outputs the substance content results of the sample.
In an embodiment, the lock-in amplifiers and/or operational amplifiers extract informative signals directly or not directly from the pre-amplified signals output from the transimpedance amplifiers and/or operational amplifiers.
In an embodiment, the system outputs a signal which is unaffected by ambient light conditions, including but are not limited to LED shadowless light conditions in operating rooms, or other such means.
In an embodiment, the light source emits at least near-infrared light beams with a power of 500 mW or lower.
In an embodiment, the initial light is modulated in a periotic repetition rate by an optical modulator or an electronic gating, or other such means.
In an embodiment, the incident light path guides the output light beam from the laser source, expands the beam, and alters the incident angle of the beam to a sample.
In an embodiment, the wavelength of the near infrared laser source ranges from approximately 800 nm to approximately 1700 nm, and the optical elements are optimized for that wavelength range
In an embodiment, the light passes through a combination of any amount of optical elements including but not limited to lenses, mirrors, filters, beam splitters, or optical fibres.
In an embodiment, the photoelectric detectors, including but are not limited to InGaAs photodiode detectors, convert optical signals into electric signals.
In an embodiment, one or multiple transimpedance amplifiers amplify electric signals directly or indirectly from the photoelectric detectors, including but not limited to informative signals and noise signals.
In an embodiment, the combination of dichroic mirrors and optical pass filters selects specific optical wavelength bands of one or multiple informative channels.
In an embodiment, the samples include but are not limited to in-situ and ex-situ liver organs or tissues.
In an aspect, the present disclosure is directed to a method of detecting vibration and/or rotation modes of a biotic or abiotic sample, comprising the steps of placing a sample to be tested onto a test stage, illuminating the sample with a light beam to excite the sample, collecting scattered light from the illuminated sample and selecting characteristic optical bands with beam splitters and optical pass filters, converting light signals to electric signals with at least one photoelectric detector, converting current signals to voltage signals with current-to-voltage converters, extracting signals from noise with at least one lock-in amplifier and/or operational amplifier, and calculating the amount of the substance content results of the sample using the analysing system and the extracted voltage signals.
In an embodiment, the intensity of the extracted voltage signal of each channel represents the strength of characteristic vibration and/or rotation modes of the target substance, and the calculations of the substance content are based on common chemical knowledge.
The following paragraphs provide definitions of some of the terms used herein. All terms used herein, including those specifically described below in this section, are used in accordance with their ordinary meanings unless the context or definition indicates otherwise. Also, unless indicated otherwise, except within the claims the use of “or” includes “and” and vice-versa. Non-limiting terms are not to be construed as limiting unless expressly stated (for example. “including” is to be understood as meaning “including without limitation” unless expressly stated otherwise).
The “clinically relevant range” represents the fat content larger than 5% by volume fraction.
“Initial light” is the light emitted by a monochromatic light source.
“Incident light” or “excitation light” is the light used to irradiate the sample at a sample stage.
An “incident light path” is a light path from a light source to a sample. The path may comprise an optical modulator (mechanical chopper or an electronic gating), a coupling lens, a fiber optic cable, and a collimator and other beam shaping elements.
A “scattering collection system” is a combination of lenses, optical filters and mirrors through which light emanating from a sample is collected and focused on the photoelectric detectors. Light emanating from a sample includes light that being reflected by a sample, light transmitted through a sample, or light being generated within the sample. In the present application, such emanating light comprises Raman scatted light.
An “informative channel” is a combination of one or multiple optical filters and a photoelectric detector where the signal of a characteristic spectrum peak is the strongest and other signals are filtered.
A “data acquisition and analysis system” is a combination of a computer and necessary accessories, where the electric signals carrying information are acquired, digitized, and analyzed to output the content of target substances.
Other terms and phrases in this application are defined in accordance with the above definitions and in other portions of this application.
A phase scan technique was used to find the maximum signal for the sunflower oil, pork lard phantoms, duck fat phantoms and animal organ tissues of varying fat concentrations. A total of eight pork lard phantoms, eleven duck phantoms, twelve sunflower oil phantoms, and five animal organ samples were examined. The scan technique uses a step size of one degree from −180 degrees to +180 degrees. A triglyceride quantification colorimetric kit was used to determine the reference fat content in the animal organ tissues. The nominal fat content in the phantoms was calculated by the volume fractions of pork lard, duck fat, or sunflower oil in them.
Computerized system 1800 may include one or more of a computer processor device 1802, memory 1804, a mass storage device 1810, an input/output (I/O) interface 1806, and a communications subsystem 1808. A computer processor device may be any suitable device(s), and encompasses various devices, systems, and apparatus for processing data and instructions. These include, as examples only, one or more of a hardware processor, programmable processor, a computer, a system on a chip, and special purpose logic circuitry such as an ASIC (application-specific integrated circuit) and/or FPGA (field programmable gate array).
Memory 1804 may be configured to store computer readable instructions, that when executed by processor 1802, cause the performance of operations, including operations in accordance with the present disclosure.
One or more of the components or subsystems of computerized system 1800 may be interconnected by way of one or more buses 1812 or in any other suitable manner.
The bus 1812 may be one or more of any type of several bus architectures including a memory bus, storage bus, memory controller bus, peripheral bus, or the like. The processor 1802 may comprise any type of electronic data processor. The memory 1804 may comprise any type of system memory such as dynamic random access memory (DRAM), static random access memory (SRAM), synchronous DRAM (SDRAM), read-only memory (ROM), a combination thereof, or the like. In an embodiment, the memory may include ROM for use at boot-up, and DRAM for program and data storage for use while executing programs.
The mass storage device 1810 may comprise any type of storage device configured to store data, programs, and other information and to make the data, programs, and other information accessible via the bus 1812. The storage device may be adapted to store one or more databases and/or data repositories, each of which is generally an organized collection of data or other information stored and accessed electronically via a computer. The term database or repository may thus refer to a storage device comprising a database. The mass storage device 1810 may comprise one or more of a solid state drive, hard disk drive, a magnetic disk drive, an optical disk drive, or the like. In some embodiments, data, programs, or other information may be stored remotely, for example in the cloud. Computerized system 1800 may send or receive information to the remote storage in any suitable way, including via communications subsystem 1808 over a network or other data communication medium.
The I/O interface 1806 may provide interfaces for enabling wired and/or wireless communications between computerized system 1800 and one or more other devices or systems. Furthermore, additional or fewer interfaces may be utilized. For example, one or more serial interfaces such as Universal Serial Bus (USB) (not shown) may be provided. Further, system 1800 may comprise or be communicatively connectable to a display device, and/or speaker device, a microphone device, an input device such as a keyboard, pointer, mouse, touch screen display or any other type of input device.
Computerized system 1800 may be used to configure, operate, control, monitor, sense, and/or adjust devices, systems, and/or methods according to the present disclosure.
A communications subsystem 1808 may be provided for one or both of transmitting and receiving signals over any form or medium of digital data communication, including a communication network. Examples of communication networks include a local area network (LAN), a wide area network (WAN), telecommunications network, cellular network, an inter-network such as the Internet. and peer-to-peer networks such as ad hoc peer-to-peer networks. Communications subsystem 1808 may include any component or collection of components for enabling communications over one or more wired and wireless interfaces. These interfaces may include but are not limited to USB. Ethernet (e.g. IEEE 802.3), high-definition multimedia interface (HDMI). Firewire™ (e.g. IEEE 1374). Thunderbolt™. WiFi™ (e.g. IEEE 802.11). WiMAX (e.g. IEEE 802.16), Bluetooth™, or Near-field communications (NFC), as well as General Packet Radio Service (GPRS). Universal Mobile Telecommunications System (UMTS). Long-Term Evolution (LTE). LTE-A, 5G NR (New Radio), satellite communication protocols, and dedicated short range communication (DSRC). Communication subsystem 1808 may include one or more ports or other components (not shown) for one or more wired connections. Additionally or alternatively, communication subsystem 1808 may include one or more transmitters, receivers, and/or antenna elements (none of which are shown). Further, system 1800 may comprise clients and servers.
Computerized system 1800 of
Logical operations of the various embodiments according to the present disclosure may be implemented as (i) a sequence of computer implemented steps, procedures, or operations running on a programmable circuit in a computer. (ii) a sequence of computer implemented operations, procedures, or steps running on a specific-use programmable circuit; and/or (iii) interconnected machine modules or program engines within the programmable circuits. The computerized device or system 1800 of
As will now be apparent to those of skill in the art, the present disclosure provides a novel system and method for analyzing biotic and abiotic system to determine fat concentrations. The system employs an ingenious combination of beam splitters/dichroic mirrors and optical pass filters and a lock-in or/and current or voltage amplification technique. The system is easy-to-use and can provide real-time and quantitative results about the content of molecules of end-users interests in the system.
Embodiments according to the present disclosure can be represented as a computer program product stored in a machine-readable medium (also referred to as a computer-readable medium, a processor-readable medium, or a computer usable medium having a computer-readable program code embodied therein). The machine-readable medium can be any suitable tangible, non-transitory medium, including magnetic, optical, or electrical storage medium including a diskette, compact disk read only memory (CD-ROM), memory device (volatile or non-volatile), or similar storage mechanism. The machine-readable medium can contain various sets of instructions, code sequences, configuration information, or other data, which, when executed, cause a processor to perform steps in a method according to an embodiment of the disclosure. Those of ordinary skill in the art will appreciate that other instructions and operations necessary to implement the described implementations can also be stored on the machine-readable medium. The instructions stored on the machine-readable medium can be executed by a processor or other suitable processing device and can interface with circuitry to perform the described tasks.
The structure, features, accessories, and/or alternatives of embodiments described and/or shown herein, including one or more aspects thereof, are intended to apply generally to all of the teachings of the present disclosure, including to all of the embodiments described and illustrated herein, insofar as they are compatible. Thus, the present disclosure includes embodiments having any combination or permutation of features of embodiments or aspects herein described.
In addition, the steps and the ordering of the steps of methods and data flows described and/or illustrated herein are not meant to be limiting. Methods and data flows comprising different steps, different number of steps, and/or different ordering of steps are also contemplated. Furthermore, although some steps are shown as being performed consecutively or concurrently, in other embodiments these steps may be performed concurrently or consecutively, respectively.
The above-described embodiments of the present invention are intended to be examples only. Alterations, modifications, and variations may be applied to the particular embodiment by those of skill in the art without departing from the scope of the invention, which is defined solely by the claims appended hereto.
Filing Document | Filing Date | Country | Kind |
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PCT/CA2023/050059 | 1/20/2023 | WO |
Number | Date | Country | |
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63301239 | Jan 2022 | US |