The present invention relates generally to dental and maxillofacial optical coherence tomography (OCT) imaging and, more particularly, to a handheld intraoral OCT apparatus with improved speed and increased imaging range and methods related to same.
Optical coherence tomography (OCT) is a non-invasive imaging technique that employs interferometric principles to obtain high resolution, cross-sectional tomographic images that characterize the depth structure of a sample. Particularly suitable for in vivo imaging of human tissue, OCT has shown its usefulness in a range of biomedical research and medical imaging applications, such as in ophthalmology, dermatology, oncology, and other fields, as well as in ear-nose-throat (ENT) and dental imaging.
OCT has been described as a type of “optical ultrasound”, imaging reflected energy from within living tissue to obtain cross-sectional data. In an OCT imaging system, light from a wide-bandwidth source, such as a super luminescent diode (SLD) or other light source, is directed along two different optical paths: a reference arm or path of known optical path length and a sample arm or path that illuminates the tissue or other subject under study. Reflected and back-scattered light from the reference and sample arms is then recombined in the OCT apparatus and interference effects are used to determine characteristics of the surface and near-surface underlying structure of the sample. Interference data can be acquired by rapidly scanning the illumination across the sample. At each of several thousand points along the sample surface, the OCT apparatus obtains an interference profile which can be used to reconstruct an A-scan with an axial depth into the material that is largely a factor of light source coherence. For most tissue imaging applications, OCT uses broadband illumination sources and can provide image content at depths of up to a few millimeters (mm).
Among challenges for a hand-held, dental and maxillofacial optical coherence tomography (OCT) scanning system are obtaining sufficient imaging speed and having suitable imaging range for use as a diagnostic aid. While high speed is a key factor in minimizing imaging artifacts resulting from the motion of a hand-held scanner, the high-speed raster scanning used in most OCT systems induces artifacts such wobble, skew, and spatial aliasing. Artifact correction based on postprocessing fails to provide reliable results and the postprocessing time is often too long for real time imaging. Obtaining sufficient imaging range enables the OCT imaging apparatus to show more effectively the condition of tissue or other material beneath the surface of the imaged tooth or other sample.
One way to increase image acquisition speed is to utilize a high speed, swept laser source and a high-speed scanner. Real time OCT imaging has been demonstrated by using a high-speed Fourier Domain Mode Locking (FDML) laser. However, the FDML laser's increased complexity and high cost limits its application in dental applications. Additionally, an OCT system using an FDML laser can only provide a limited imaging range.
Recent availability of micro-electromechanical system (MEMS)-based swept sources, such as tunable vertical cavity surface emitting lasers, capable of providing high sweep rate operation in the megahertz range, may help to achieve increases in scanning speed, allowing faster image acquisition. Unfortunately, however, use of high-sweep rate swept sources has some disadvantages. For example, expensive, high-speed digitizers are required to achieve an increased imaging range when using a high rate swept source OCT system. Additionally, image quality suffers significantly at high sampling rates, because of photon noise and electrical noise.
Improvements in OCT acquisition speed are needed to make OCT more usable, but must be accomplished without significantly increasing cost, without compromising image quality, and without limiting imaging range. There is a need for a high speed, dental OCT system that offers improvement in high-speed image acquisition and enhanced imaging range, but without relying on a very high sweep rate swept source.
Broadly described, the present invention comprises a high speed, dental OCT system, including apparatuses and methods, that offers improvement in high-speed image acquisition and enhanced imaging range, but without relying on a very high sweep rate swept source. According to one aspect of the present invention, there is provided a dental optical coherence tomography system for scanning a sample that comprises (a) a swept source laser configured to generate an output light having a range of light wavelengths, (b) two or more optical channels that each include (i) a reference path and a sample path for the output light from the swept source laser and (ii) a corresponding detector that is configured to provide an output signal according to combined light from the sample and reference paths, the detector being operable to output a signal that characterizes back-reflected or back-scattered light returned from the sample path and over a range of depths below a sample surface, (c) a scanning reflector that is configured to simultaneously direct sample path output light from each of the two or more optical channels toward the sample surface and to direct the returned light from the sample to the corresponding sample path and detector, and (d) a processor that is in signal communication with the detector for each optical channel and that is configured to record and store results from the output signals received from each detector.
The foregoing and other aspects, features, and advantages of the present invention will be apparent from the following more particular description of example embodiments thereof and the accompanying drawings.
The following is a detailed description of example embodiments of the present invention with reference being made to the drawings in which the same reference numerals identify the same elements of structure or steps of a method in each of the several figures.
Where they are used in the context of the present disclosure, the terms “first”, “second”, and so on, do not necessarily denote any ordinal, sequential, or priority relation, but are simply used to more clearly distinguish one step, element, or set of elements from another, unless specified otherwise.
The general term “scanner” relates to an optical system that is energizable to project a scanned light beam of light, such as broadband near-IR (BNIR) light that is directed to the tooth surface through a sample arm and acquired, as reflected and scattered light returned in the sample arm, for measuring interference with light from a reference arm used in OCT imaging of a surface. The term “raster scanner” relates to the combination of hardware components that sequentially scan light toward uniformly spaced locations along a sample, as described in more detail below.
In the context of the present disclosure, the phrase “imaging range” relates to the effective distance (generally considered in the z-axis or A-scan direction) over which OCT measurement is available. The OCT beam is considered to be within focus over the imaging range. Image depth relates to imaging range, but has additional factors related to signal penetration through the sample tooth or other tissue.
By way of example, the simplified schematic diagram of
In the
Control logic processor 70 (also sometimes referred to herein as “control processing unit CPU 70” or “CPU 70”) is in signal communication with tuned laser 50 and its programmable filter 10 and with detector 60. Processor 70 can control the scanning function of probe 46 and store any needed calibration data for obtaining a linear response to scan signals. Processor 70 obtains and processes the output from detector 60. CPU 70 is also in signal communication with a display 72 for command entry and OCT results display.
It should be noted that the swept-source architecture of
Among the proposed strategies for obtaining higher image acquisition speeds in an OCT system is simply using a high sweep-rate swept source. However, as previously described above, the problem is more complex. Attempts to operate at faster sweep rates have led to increased cost and can yield disappointing results with regards to the diagnostic benefits and overall quality of the OCT image content.
By way of further background,
From the above description, it can be appreciated that a significant amount of data is acquired during a single B-scan sequence. In order to process this data efficiently, a Fast Fourier Transform (FFT) is used, transforming the time-based signal data to corresponding frequency-based data from which image content can more readily be generated.
In Fourier domain OCT, the A scan corresponds to one line of spectrum acquisition which generates a line of depth (z-axis) resolved OCT signal. The B scan data generates a two-dimensional (“2-D”) OCT image along the corresponding scanned line.
Raster scanning is used to obtain multiple B-scan data by incrementing the raster scanner 90 acquisition in the C-scan (y-axis) direction. This is represented schematically in
The wavelength or frequency sweep sequence that is used at each A-scan point 82 can be modified from the ascending or descending wavelength sequence that is typically used. Arbitrary wavelength sequencing can alternatively be used. In the case of arbitrary wavelength sequencing, which may be useful for some particular implementations of OCT, only a portion of the available wavelengths are provided as a result of each sweep. In arbitrary wavelength sequencing, each wavelength can be randomly selected, in arbitrary sequential order, to be used in the OCT system during a single sweep. A-scan points 82 can be uniformly spaced from each other with respect to the x axis, providing a substantially equal x-axis distance between adjacent points 82 along any B-scan image. Similarly, the distance between lines of scan points 82 for each B scan can be uniform with respect to the y axis. X-axis spacing may differ from y-axis spacing; alternatively, spacing along these orthogonal axes of the scanned surface may be equal.
For conventional OCT approaches, image acquisition speed is related to factors of sweep rate and digitizer capability. Faster sweep rates can, in turn, allow improved A-scan frequencies, but at the cost of higher noise. High-speed digitization components are also needed at higher acquisition rates, with significant increase in component cost for the needed performance. Thus, there are some practical limits to scanning speed and overall OCT performance that can limit the use of OCT for chairside diagnosis and treatment.
An example embodiment of the present disclosure, displayed schematically in
As illustrated in
As is displayed in the schematic of
Fiber array 54 within probe 46 can have a number of different configurations.
In scanning with a one-dimensional optical array using the
Since each channel scans only part of the field of view, the multi-channel system can achieve a much faster speed as compared to a single channel system. Using N multiple channels, scanning simultaneously, the complete FOV can be scanned in a fraction 1/N of the time required for the conventional single-channel arrangement.
Because the source laser output is split between N channels, some increase in laser power is needed in order to provide multi-channel OCT imaging capability. According to an embodiment of the present disclosure, a 40 mW laser is used to drive four channels, with output power subdivided to provide 10 mW in each channel.
In general, to achieve the same scanning speed, the swept laser source in an N-channel system only requires 1/N the sweep rate used in a single channel system. Lowering of the sweep rate accordingly lowers the digitization speed requirement of the data acquisition card, which can dramatically reduce the system cost.
To achieve the same imaging range, the frequency of the OCT signal, fOCT, can be much lower with the multi-channel system than the frequency used in a single channel system. fOCT may be expressed as follows:
wherein: Δλ is the bandwidth of the laser spectrum;
λ is the central wavelength;
Z is the imaging range;
α is the duty cycle of the laser; and
fs is the frequency of the swept laser source.
Since, in an N-channel system, the frequency of the OCT signal is only 1/N of the frequency used in a single channel system, the digitizer can operate at a lower sampling rate. Thus, N-channel design can reduce both cost and system noise. Alternatively, if the same high-speed digitizer that is used for a single scanner OCT probe is used in an N-channel system, performance can be improved, at up to N times of the imaging range.
The multi-channel system also has the ability to extend the effective imaging range of the scanner without impact on the sampling rate. By introducing additional optical path difference (OPD) in the reference arm or the sampling arm, the beam from each channel can scan a different range of the target as shown schematically in
By simultaneously scanning N channels and using image processing to stitch together the image content of the individual channels, embodiments of the present disclosure can process the corresponding image content in parallel and significantly reduce the overall scan time needed for OCT imaging over a given sample region and at desired scanning range.
Simultaneous multichannel scanning, with each channel scanning at a different range, effectively expands the overall imaging range available from the OCT scanner. The scanning arrangement of
Within the interferometry system for each channel, the reference arm 42 typically includes some type of mirror or other reflective surface. The distance that light travels towards and back from the reflective surface, that is, the optical path delay for the reference arm, directly relates to a particular range within the sampled material. Thus, by adjusting the optical distance between the reflective or back-scattering material and interferometry combining components, returned light from variable depths within the sample contributes to the detection signal. An alternate approach for scanning at different range, not shown in
Methods for changing the optical path delay can include adding a length of optical fiber between two points along the light path, adding an optical stretcher, or adding a variable fiber delay line using a fiber collimator and movable reflectors or fiber stretcher, or adding light guides or other transmissive features of higher or lower refractive index into the light path.
It can readily be seen that using a switched delay arrangement with multiple scanning channels as represented in
The multi-channel OCT system can also provide the option of adaptive region of interest (ROI) scanning.
Additionally, by combining ROI selectivity with adjustable range scanning, as described previously with respect to
One inherent difficulty with multichannel embodiments relates to range shifting or z-axis offset between channels, due to factors related to OPD changes between the sample and reference arms. These shift offset effects can be due to variable factors related to cable routing and bending changes within the sample arm during handling, temperature shift, and vibration, for example, or mechanical drift of the optical mount. Relative range shifting, unless properly compensated, can introduce significant error in surface reconstruction. Although frequent calibration checks can help to compensate for static drift, the dynamic drift that results during handling and operation of the probe can be difficult to measure to sufficient levels of accuracy and without cumbersome instrumentation.
An example embodiment of the present invention compensates for the relative drift within each channel by employing an alternative back-scattering, reflective, or diffusive (i.e., diffused reflective) surface or feature that is disposed in a fixed position along the optical path as a spatial reference for measuring a corresponding range offset for the channel. The back-scattering, reflective, or diffusive feature can be formed in any of a number of ways, including formed by treatment of a surface that is part of the optical path or provided as a surface that is disposed at a fixed position in the optical path, such as at a predetermined, fixed position in the sample path, and within the field of view (FOV) of the intraoral scanner.
Referring to the schematic diagram of
With the configurations shown, each scan by a channel (during scan portion 92 of
The schematic diagrams of
The OCT signal from diffusive or back-scattering surface or other type of reference feature 110 can also be used to measure the intensity variation, or monitor the status of scanner and laser, such as to determine that the laser or scanner are active and operating, for example. Additionally, reference feature 110 can be used to resample the OCT signal and represent the OCT signal in a linear wavenumber space without using MZI 28, where the dispersion variation of the optical fiber during scanning can be eliminated.
A method for OCT scanning disposes a reference feature in the path of scanned light in the sample arm, wherein the reference feature redirects a portion of the scanned light back through the sample arm and to a detector for k-clock sampling and synchronization.
According to an alternate embodiment of the OCT imaging system, polarization selective OCT can be provided. This imaging method can be used to show aspects of materials interaction within the sample, for example. The schematic diagram of
As displayed schematically in the sequence of
A sequence to correct for this type of artifact and effectively remove it from the A-scan signal is as follows and is shown in
(i) retrieve A-scan signals, including the reference feature and any artifacts;
(ii) set the amplitude of reference feature 110 as the background (or base noise) level; and
(iii) subtract the A-scan signal from other A-scans in the B-scan image.
In
Example embodiments of the present invention show improvements for expanding the imaging range as well as increasing the effective speed of OCT scanning, both without requiring an increase in the scanner speed or improved digitizer response time. It should be appreciated and understood that various arrangements of the OCT scanner system can also achieve both increased speed and enhanced range, with corresponding changes to system design as taught herein.
The present invention has been described above in detail with particular reference to presently understood exemplary embodiments, but it should be appreciated and understood that variations and modifications may be affected within the spirit and scope of the disclosure. For example, control logic processor 70 can be any of a number of types of logic processing device, including a computer or computer workstation, a dedicated host processor, a microprocessor, logic array, or other device that executes stored program logic instructions. The interferometer that is used for one or more channels, described in the example configurations given hereinabove as a type of Mach-Zehnder interferometer, can alternatively be another appropriate type, such as a Michelson interferometer, for example, with appropriate component re-arrangement.
The presently disclosed exemplary embodiments are, therefore, considered in all respects to be illustrative and not restrictive. The scope of the present invention is indicated by the appended claims, and all changes that come within the meaning and range of equivalents thereof are intended to be embraced therein.
Consistent with at least one exemplary embodiment, exemplary methods/apparatus can use a computer program with stored instructions that perform on image data that is accessed from an electronic memory. As can be appreciated by those skilled in the image processing arts, a computer program of an exemplary embodiment herein can be utilized by a suitable, general-purpose computer system, such as a personal computer or workstation. However, many other types of computer systems can be used to execute the computer program of described example embodiments, including for example, an arrangement of one or networked processors.
A computer program for performing methods of certain example embodiments described herein may be stored in a computer readable storage medium. This medium may comprise, for example; magnetic storage media such as a magnetic disk such as a hard drive or removable device or magnetic tape; optical storage media such as an optical disc, optical tape, or machine readable optical encoding; solid state electronic storage devices such as random access memory (RAM), or read only memory (ROM); or any other physical device or medium employed to store a computer program. Computer programs for performing methods of described example embodiments may also be stored on computer readable storage medium that is connected to the image processor by way of the Internet or other network or communication medium. Those skilled in the art will further readily recognize that the equivalent of such a computer program product may also be constructed in hardware.
It should be noted that the term “memory”, equivalent to “computer-accessible memory” in the context of the application, can refer to any type of temporary or more enduring data storage workspace used for storing and operating upon image data and accessible to a computer system, including for example, a database. The memory could be non-volatile, using, for example, a long-term storage medium such as magnetic or optical storage. Alternatively, the memory could be of a more volatile nature, using an electronic circuit, such as random-access memory (RAM) that is used as a temporary buffer or workspace by a microprocessor or other control logic processor device. Display data, for example, is typically stored in a temporary storage buffer that can be directly associated with a display device and is periodically refreshed as needed in order to provide displayed data. This temporary storage buffer can also be considered to be a memory, as the term is used in the application. Memory is also used as the data workspace for executing and storing intermediate and final results of calculations and other processing. Computer-accessible memory can be volatile, non-volatile, or a hybrid combination of volatile and non-volatile types.
It should be appreciated and understood that computer program products for example embodiments herein may make use of various image manipulation algorithms and/or processes that are well known. It should be further appreciated and understood that example computer program product embodiments herein may embody algorithms and/or processes not specifically shown or described herein that are useful for implementation. Such algorithms and processes may include conventional utilities that are within the ordinary skill of the image processing arts. Additional aspects of such algorithms and systems, and hardware and/or software for producing and otherwise processing the images or co-operating with the computer program product of the application, are not specifically shown or described herein and may be selected from such algorithms, systems, hardware, components and elements known in the art.
Example embodiments according to the present invention can include various features described herein (individually or in combination).
While the invention has been illustrated with respect to one or more implementations, alterations and/or modifications can be made to the illustrated examples without departing from the spirit and scope of the appended claims. In addition, while a particular feature of the invention can have been disclosed with respect to only one of several implementations/example embodiments, such feature can be combined with one or more other features of the other implementations/example embodiments as can be desired and advantageous for any given or particular function.
The term “a” or “at least one of” is used to mean one or more of the listed items can be selected. The term “about” indicates that the value listed can be somewhat altered, as long as the alteration does not result in nonconformance of the process or structure to the illustrated example embodiment.
Other embodiments of the invention will be apparent to those skilled in the art from consideration of the specification and practice of the invention disclosed herein. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the invention being indicated by the following claims.
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/US2020/022362 | 3/12/2020 | WO | 00 |
Number | Date | Country | |
---|---|---|---|
62817195 | Mar 2019 | US |