Animal models, such as mouse models, are essential tools for studying cancer development and developing diagnostic and therapeutic techniques. One type of mouse model, the xenograft, involves implanting cultured tumor cells into the model and assessing the tumor growth and formation at later times. An alternate form of mouse model, the transgenic model, involves genetically manipulating the animal to produce naturally growing tumors, which commonly require much longer to grow than xenograft models. For tumors growing inside of the body, measurements often require sacrificing the animal and explanting the organ, which is difficult to perform and also prevents longitudinal monitoring of individual tumors.
One method of optical tumor assessment and diagnosis is to tag biomolecules of interest with a fluorescent contrast agent to enable detection with minimally invasive fluorescence endoscopy. The fluorescent marker can be introduced genetically, or through the application of dyes to bind to specific markers. However, utilizing fluorescence in vivo in a mouse model poses challenges due to the small and tortuous nature of the murine gastrointestinal tract.
Embodiments disclosed herein describe a device for imaging tissue at specific fluorescent wavelengths and collecting cells from areas of interest. In an embodiment, the device is an endoscope that includes a fiber optic lighting, a miniature imaging module, and a biopsy apparatus. The proximal end has a lighting apparatus that includes a broadband light source, a wavelength-adjustable filter wheel, a light guide, a collimator, and a fiber splitter. This endoscope may be configured with two parallel optical fibers that terminate at the distal tip of the endoscope. The distal end includes a miniature camera module and a multiband filter that blocks predetermined wavelength ranges tuned to biological fluorescent markers, such that signal from excitation wavelengths of light is not detected by the camera module. The multiband filter allows for the detection of a variety of clinically relevant fluorescence wavelengths without the need to remove the endoscope to change distal filters or devices, an advantage over similar devices. Images recorded from the detector are accessible to an operator via a cable connection to a computer.
In a first aspect, an imaging probe includes a device housing, illumination fiber optic cables, a camera, a wavelength filter, and a sample collector. The housing is sized for endoscopic and laparoscopic insertion and has a proximal end and a distal tip. The illumination fiber spans between the distal tip and a proximal end of the housing, and terminates at the distal tip, such that light carried by the illumination fiber illuminates a target in front of the distal tip. The camera captures an image in a field of view that overlaps a field of illumination of the illumination fiber. The band-stop filter is between the distal tip and the camera. The sample collector collects a sample from the target. And each of the illumination fiber, the camera, the wavelength filter, and the sample collector is at least partially inside the housing.
In a second aspect, an endoscope system includes the imaging probe described above, an illuminator, and an optical fiber. The imaging probe is disposed at a distal end of the endoscope system. The illuminator, disposed at a proximal end of the endoscope system, is operable to provide illumination having at least one selectable wavelength. The optical fiber has a first end optically coupled to the illuminator and a second end optically coupled to the illumination fiber.
Fluorescence is the process by which a substance emits light when the substance has absorbed electromagnetic radiation. The emitted light, in most cases, has a longer wavelength than the absorbed radiation. The specific wavelengths of absorption and emission depend on the molecular and energetic structure of the material. Fluorescence is widely used in biomedical sciences to label specific cells or tissues, either through genetic manipulation or by dye application, giving a signature by which to track and identify the target of interest [1, 2]. Fluorescence labeling is highly specific, and targeted fluorescence markers have exhibited utility enabling cancer researchers to label cell lines of interest and track tumor growth in animal models [3].
Although ex vivo fluorescence microscopy and imaging are frequently applied to gastrointestinal (GI) cancer studies in murine models, it can be challenging to visualize real-time fluorescence of in vivo tissues inside the GI tract of these models due to their small and tortuous GI anatomy [4]. Real-time, in vivo methods of fluorescence imaging would enable the longitudinal studies of fluorescently tagged mice, reducing the animal burden for studies of cancer by eliminating the need for sacrifice at each study timepoint. Furthermore, enabling animal survival would ensure that the same individual subjects may be re-evaluated during cancer progression at later times in longitudinal studies, resolving challenges with consistency between timepoints that are commonly incurred when unique individuals must be sacrificed for each timepoint measurement. Additionally, to yield richer information, models can be tagged with multiple distinct fluorophores, each targeting unique markers. This utility is confirmed in the case of so-called Rainbow mice, previously utilized to visualize the spread of cancer oncogenes in intestinal epithelium by employing multiple fluorescent tags in each mouse [5].
The challenge of navigating small, tortuous lumens is not unique to GI cancer studies. For example, to traverse narrow lumens of other organs, such as human fallopian tubes, previous works have utilized sub-millimeter diameter fiber endoscopes with miniaturized biopsy systems [6, 7]. Despite their utility in the female reproductive system, the complex, expensive, and fragile components of these laser-illuminated, fiber-based imaging systems make them challenging to employ as GI cancer research tools for murine models. Similarly, the biopsy capabilities of these devices are unable to preserve tissue architecture, limiting utility of collected of cells to karyometry, rather than histology. In other works, multispectral scanning fiber endoscopes have been designed to suit the anatomical scale of murine colons [8]; however, these systems are limited to imaging as they are not equipped to biopsy suspected cancerous tissue for histological staining.
One aspect of the present embodiments is the realization that chip-on-tip endoscopes can acquire imaging data without the use of fragile fiber optics for signal transmission. The absence of said fiber optics improves system durability. Such a tool would be valuable in the context of animal research studies utilizing fluorescence markers.
The present disclosure details a miniature, multispectral, chip-on-tip fluorescence imaging tool to enable in vivo fluorescence imaging and biopsy of murine cancer models tagged with up to four unique fluorescent markers. This device, designed to fit in the working channel of commercially available gastroscopes, capitalizes on the miniaturization of both image sensors and multiband interference filters. This pairing results in a system capable of front-end filtering of incident light to enable imaging of multiple distinct bands (e.g., four bands) of fluorescence emission, without the need for filter tuning or other detector-end spectral selection methods. In concert, this system is designed to enable biopsy such that tissue architecture is collected for histological analysis at each timepoint of measurement over the course of longitudinal studies. We present the design of the system and characterize its performance through technical laboratory validation and demonstration on a fluorescent mouse model. The results indicate that the system performs with sufficient resolution and sensitivity to detect in vivo tissue fluorescence, and we demonstrate the ability to detect ex vivo tissue fluorescence.
Devices disclosed herein may be used in research setting to enable longitudinal studies of fluorescently labelled cancer cells in animal models. However, this device may be applied to other settings in which fluorescence imaging of sample or small spaces is required, especially in applications with more than one fluorescent emission wavelength. Accordingly, the term “target sample” is used herein and refers to a tangible physical medium capable of being rendered as an image.
In an alternate embodiment, proximal end 103 includes a plurality of narrow-band light sources. The plurality of narrow-band light sources may replace a broadband light source, such as light source 112, and may optically couple to a color filter. In an embodiment, the plurality of narrow-band light sources includes at least one narrow-band light source, such as a narrow-band LED. Example center wavelengths of the narrow-band LED include 405, 488, 561, and 640 nanometers. The narrow-band light sources may be communicably coupled to client device 118 for selecting a suitable narrow-band light source for the desired excitation wavelength.
Endoscope system 100 also includes an optical fiber 121. Filtered light from color filter 114 propagates in optical fiber 121 from proximal end 103 to distal end 101 for illuminating the target sample.
Distal end 101 includes an imaging probe 120. Imaging probe 120 includes an illumination fiber 124, an imaging module 130, and a sample collector 110. Illumination fiber 124 may be an extension of optical fiber 121 or may be optically coupled to optical fiber 121 with a coupler that may include at least one of an optical fiber coupler and a collimator. Sample collector 110 collects a sample while preserving tissue architecture. Sample collector 110 may be a cytology brush, a twisted wire, a miniature needle, a micro-brush, a sponge, a biopsy needle, a biopsy forceps, a microelectromechanical system, a liquid collector, or a combination thereof. In embodiments, when the target sample is comprised of cells, sample collector 110 may be capable of collecting at least 50,000 cells.
In certain embodiments, imaging module 130 is optically coupled to a multiband filter 132, which filters one or more ranges of wavelengths, where such filtering prevents certain spectral bands of light from reaching imaging module 130. In some embodiments, multiband filter 132 suppresses at least one wavelength range (e.g., center wavelength±10 nm) selected from wavelength ranges having center wavelengths of 405, 488, 561, and 640 nanometers. For example, when a fluorescent dye of coumarin is used, multiband filter 132 filters excitation wavelength of 405 nanometers while transmitting emission peak wavelength of 443 nanometers for detection by imaging module 130. Imaging module 130 may be communicably coupled to client device 118 and transmit imaging data for processing.
In some embodiments, imaging probe 220 includes a housing 280, which may be a cylindrical shape, as shown in
Illumination fiber 224 is optically coupled to light source 112 or color filter 114 (
Imaging module 230 may be a chip-on-tip module capable of fluorescence imaging. For example, imaging module 230 may include a miniature CMOS image sensor. Imaging module 230 has dimensions that may be of up to 1 mm (width)×1 mm (height)×1.6 mm (depth). Imaging module 230 may have an imaging resolution of at least 249×250 pixels. In embodiments, imaging module 230 has a field of view of at least 90 degrees. Imaging module 230 may be capable of capturing images or video in the field of view and transferring the captured data to client device 118.
Multiband filter 232 is between a distal tip 221 of imaging probe 220 and imaging module 230. In some embodiments, multiband filter 232 is a band-stop filter that prevents a specific range of frequencies from passing to the output. For example, multiband filter 232 prevents excitation light (e.g., emitted by illumination fibers 224) from saturating the image data by not allowing the excitation light while allowing emission light to propagate to imaging module 230. The predetermined wavelength, or the stop band of the band-stop filter, may include, but are not limited to, any combination of center wavelengths of 405, 488, 561, and 640 nanometers, such that transmission of excitation wavelengths of commonly used fluorescent dyes into the imaging module 230 is suppressed.
Sample collector 210 is used to collect a target sample. Sample collector 210 may be movable to aid in collecting samples. For example, sample collector 210 may extend and/or rotate along z direction and may be controlled from the proximal end manually or by an instruction from a client device, such as client device 118.
Lighting apparatus 300 may also include an optical light guide 317, such as an optical fiber or a fiber bundle, for optically coupling the output of color filter 314 to an illumination fiber 324. Illumination fiber 324 may optically couple to illumination fiber 224 using optical couplers or splitters. Illumination fiber 324 may also extend to an imaging probe at distal end and become illumination fiber 224. Optical light guide 317 may include an optical receiver 316, such as a lens, for collecting the light from color filter 314. Lighting apparatus 300 may also include a fiber collimator 318 between optical light guide 317 and illumination fiber 324 for collimating the light. The collimated light may be split by a fiber splitter 329 into more than one illumination fibers 324.
An endoscope system having a miniature fluorescence imaging probe (e.g., imaging probe 220), and equipped with a lighting apparatus (e.g., lighting apparatus 300) is described in a use scenario in an example below. The example describes a prototype endoscope system, an embodiment of endoscope system 100, that was fabricated as an imaging and biopsy device to image and sample fluorescently tagged, xenografted tumors as the tumors develop in mouse models. Specifically, described below are design and characterization of a device, which is an embodiment of imaging probe 220, and measurements of the modulation transfer function and ex vivo imaging performance. Such a device may be a valuable tool to advance cancer research in xenograft models, enabling the development of imaging biomarkers for cancer detection in a clinical setting without the need for exogenous contrast.
The fabrication requirements for the prototype endoscope system were determined in accordance with constraints introduced by the type of data to be acquired, such as the dimensional scale of the murine GI tract, and requirements for histological analysis of GI tissues, as summarized in Table 1 below.
Prototype endoscope system 400 includes, at its proximal end, a light source 412, a 1-to-4 fanout fiber bundle 514, an aspheric condensing lens 522, a filter wheel 414, an additional aspheric condensing lens 524, a 1×2 multimode fiber coupler 517, and two multimode fibers 419. Light source 412 and filter wheel 414 are respective examples of light source 112 and color filter 114. At distal end, endoscope system 400 includes a probe handle 418 and imaging probe 420. Two multimode fibers 419 extend from the proximal end to the distal end and exit at the distal end of imaging probe 420 to produce illumination 531.
For the lighting apparatus, to provide sufficient illumination at each target wavelength, light source 412 includes four LED light sources, described in Table 2 below. The LED light sources are connected via a 400 μm core 1-to-4 fanout fiber bundle 514 to aspheric condensing lens 522. The output light is filtered through corresponding bandpass filters (Table 2) mounted in filter wheel 414 and focused with additional aspheric condensing lens 524 onto a 1×2 multimode fiber coupler 517, which pairs with two multimode fibers 419. Multimode fibers 419 extend to the distal end of the imaging probe and exit at distal tip 421.
Imaging probe 420 includes a glass coverslip 602 (
Multiband interference filter 432 is selected to suppress four distinct fluorescence excitation wavelength bands centered at 405 nm, 488 nm, 561 nm, and 640 nm, which correspond to fluorescent compositions Alexa Fluor 405 (AF405), Green Fluorescent Protein (GFP), Tandem dimer Tomato (tdTomato), and Cyanine 5 (Cy5), respectively. Multiband interference filter 432, however, allows transmission of fluorescent emission wavelengths centered at 420 nm, 510 nm, 580 nm, and 666 nm, corresponding to AF405, GFP, tdTomato, and Cy5, respectively. Multiband interference filter 432 is custom fabricated with a size of 1.5 mm×1.5 mm (x×y) to allow 90% transmission of fluorescence emission wavelengths while simultaneously preventing the transmission of fluorescence excitation wavelengths with an optical density of at least five.
The components of imaging probe 420 are then housed in a stainless-steel shell measuring 3 mm×14 mm (y×z). This housing is inserted into probe handle 418, a stylus-like stereolithography (SLA) 3D-printed shell using rigid resin. The housing is terminated with a flexible, SLA 3D-printed strain relief to protect the exiting illumination fibers and cables. All components are secured with a polyvinyl alcohol adhesive. The lighting system is controlled with a computer-interfaced driver and software. The camera module is computer-operated with an image processing system using an associated software.
The system resolution of the prototype endoscope system 400 is assessed by measuring its Modulation Transfer Function (MTF). To derive the MTF of the system, data are collected in a configuration that simulated conditions during normal use, and the slanted-edge MTF analytical technique is employed.
To perform the analysis, test images are captured of the interface of a slightly tilted, sharpened blade, and a fluorescently illuminated background slide that is back-illuminated with the 405 nm LED light source from Table 2.
Analysis of the slanted-edge MTF method yields the line spread function 822 shown in plot 820 in
Features described above as well as those claimed below may be combined in various ways without departing from the scope hereof. The following enumerated examples illustrate some possible, non-limiting combinations.
(A1) An imaging probe includes a housing, an illumination fiber, a camera, a band-stop filter, and a sample collector. The housing has a distal tip. The illumination fiber spans between the distal tip and a proximal end of the housing, and terminates at the distal tip, such that light carried by the illumination fiber illuminates a target in front of the distal tip. The camera captures an image in a field of view that overlaps a field of illumination of the illumination fiber. The band-stop filter is between the distal tip and the camera. The sample collector collects a sample from the target. And each of the illumination fiber, the camera, the band-stop filter, and the sample collector is at least partially inside the housing.
(A2) In embodiments of imaging probe (A1), the sample collector is operable to extend from the distal tip and rotate for collecting the sample.
(A3) In embodiments of either imaging probes (A1) or (A2), the sample collector is one of a cytology brush, a twisted wire, a miniature needle, a micro-brush, a sponge, a biopsy needle, a biopsy forceps, a microelectromechanical system, and a liquid collector.
(A4) In embodiments of any of imaging probes (A1)-(A3), the band-stop filter comprises a multiband interference filter.
(A5) In embodiments of any of imaging probes (A1)-(A4), the band-stop filter suppresses a fluorescence excitation wavelength of a fluorescent compound and allows a fluorescence emission wavelength of the fluorescent compound to pass through the band-stop filter.
(A6) In embodiments of imaging probe (A5), the fluorescent compound includes at least one of Alexa Fluor 405, Green Fluorescent Protein, tandem dimer Tomato, and Cyanine 5.
(A7) In embodiments of any of imaging probes (A1)-(A6), an outer diameter of the housing is less than three millimeters.
(A8) In embodiments of any of imaging probes (A1)-(A7), the housing is rigid or flexible.
(A9) Embodiments of any of imaging probes (A1)-(A8) further include a stylus that surrounds the imaging probe.
(B1) An endoscope system includes an illuminator, an optical fiber, and any one of imaging probes (A1)-(A8). The imaging probe is disposed at a distal end of the endoscope system. The illuminator, disposed at a proximal end of the endoscope system. The optical fiber has a first end optically coupled to the illuminator and a second end optically coupled to the illumination fiber.
(B2) Embodiments of system (B1) further include a display device communicatively coupled to the camera.
(B3) In embodiments of either system (B1) or (B2), the illuminator provides illumination having at least one spectral band.
(B4) In embodiments of system (B3), the at least one spectral band includes one of the following electromagnetic wavelengths: 405 nanometers, 488 nanometers, 561 nanometers, and 640 nanometers.
(B5) In embodiments of system (B4), the illumination includes an additional spectral band that includes electromagnetic wavelengths not overlapping the spectral band.
(B6) In embodiments of system (B5), the additional spectral band includes one of the following electromagnetic wavelengths: 405 nanometers, 488 nanometers, 561 nanometers, and 640 nanometers.
(B7) In embodiments of any of systems (B1)-(B6), the illuminator includes a broadband light source and a bandpass filter between the broadband light source and the optical fiber.
(B8) In embodiments of system (B7), the broadband light source includes a plurality of narrow-band light sources.
(B9) In embodiments of either system (B6) or (B7), the bandpass filter is a tunable bandpass filter.
(B10) In embodiments of any of systems (B6)-(B9), the bandpass filter has a transmission spectrum that includes at least one of 405 nanometers, 488 nanometers, 561nanometers, and 640 nanometers.
(B11) In embodiments of system (B10), a spectral width of the bandpass filter's passband does not exceed ten nanometers.
Changes may be made in the above methods and systems without departing from the scope of the present embodiments. It should thus be noted that the matter contained in the above description or shown in the accompanying drawings should be interpreted as illustrative and not in a limiting sense. Herein, and unless otherwise indicated the phrase “in embodiments” is equivalent to the phrase “in certain embodiments,” and does not refer to all embodiments. The following claims are intended to cover all generic and specific features described herein, as well as all statements of the scope of the present method and system, which, as a matter of language, might be said to fall therebetween.
[6] Cordova, R., Kiekens, K., Burrell, S., Drake, W., Kmeid, Z., Rice, P., Rocha, A., Diaz, S., Yamada, S., et al., “Sub-millimeter endoscope demonstrates feasibility of in vivo reflectance imaging, fluorescence imaging, and cell collection in the fallopian tubes,” Journal of Biomedical Optics 26(07), (2021).
This application claims priority to U.S. Provisional Patent Application No. 63/266,791, filed Jan. 14, 2022, the disclosure of which is incorporated herein by reference in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US2023/010708 | 1/12/2023 | WO |
Number | Date | Country | |
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63266791 | Jan 2022 | US |