The present invention relates to an optical coherence tomography (OCT) probe device comprising
From U.S. Pat. No. 6,564,089 B2, e.g., it is known to use optical imaging devices in the form of OCT (Optical Coherence Tomography) endoscope devices to scan subjects, as biological tissues, e.g. blood vessels, to obtain a high resolution tomogram of the inside of such tissues on the basis of low-coherent interference with scattered light from the tissue. Usually, the light of a low-coherence light source is coupled into an endoscope arm as well as into a reference arm arranged “in parallel” to the endoscope arm by means of an optical beam splitter. Light sent back from both arms is transmitted then by the optical coupler to a detector which detects the resulting interference signal.
Clinical application OCT endoscopy requires that the endoscope probes be replaceable without engineering intervention. Since uncompensated inter-endoscope pathlength differences of less than 1 mm adversely affect performance of conventional Michelson interferometer-based OCT devices, designs insensitive to endoscope pathlength are desirable. Thus, it has been intended e.g. to use a topology including a fiber stretching autocorrelator with Faraday mirrors to enable interchange of probes without a predefined probe length or compensation. Ultra high resolution OCT endoscopy presents a special challenge because dispersion and polarization matching between the signal and reference arms of the OCT device must be performed over a wide spectral bandwidth that usually involves a special combination of multiple materials with different dispersion profiles. Numerical methods for compensating dispersion are computationally expensive, suffer from acquisition noise, and if used, will perform best when the real dispersion mismatch is already well compensated in the system.
Frequency domain OCT (FD-OCT) operates on the principle that light combined from a sample scatterer and a reference mirror interfere to form a pattern that is dependant on the difference in path length between the sample scatterer and the reference mirror. If the scatterer and reference are nearly the same optical paths from the beamsplitter, the interference pattern is a low frequency modulation across the optical spectrum. If the optical path difference between the scatterer and reference from the beamsplitter is large, the interference pattern is a high frequency modulation across the optical spectrum. If the source emits a broad bandwidth of light, this modulated optical spectrum can be detected simultaneously with a spectrometer. If the source has a scanning wavelength emission, this modulated optical spectrum is encoded in time. In either case the original spatial distribution of many scatterers can be discertained by a simple Fourier transform of the modulated optical spectrum. The reference mirror must be placed at a nearly equal pathlength to the scattering object of interest to allow a detectable frequency of modulation on the optical spectrum.
FD-OCT simultaneously provides a signal-to-noise (SNR) advantage over the traditional time domain method (TD-OCT) and requires no moving parts in the reference arm, as are present in the device of U.S. Pat. No. 6,564,089 B2. FD-OCT devices without moving depth scanning components allow imaging at rates more than one order of magnitude higher than was previously possible and is responsible for the rapid development of OCT endoscopy. Faster imaging with FD-OCT enables to take endoscopic tomograms with reduced motion artifacts.
On the other hand, from A. B. Vakhtin, D. J. Kane, W. R. Wood, and K. A. Peterson, “Common-path interferometer for frequency-domain optical coherence tomography”, Applied Optics 42, 6953-6958 (2003), it has become known in a freespace FD-OCT interferometer device that the static reference arm can be replaced with a “common path” approach where the reference reflection comes from a surface within the path to the sample rather than from a physically separated reference arm. For example, a glass slide in contact with the sample can act as a beam splitter, and the reference reflector simultaneously. Since the reflectivity of this beam splitting surface is not only influencing the overall reflectivity in the reference arm, but also intrinsically changes the amount of light that is sent back from the sample, the freedom to select a specific splitting ratio and reference reflectivity is limited.
A comparable concept, without a separate reference arm extending from a beam splitting optical coupler in parallel to a signal light arm, is shown in P. Koch, G. Huettmann, D. Boller, J. Weltzel, and E. Koch, “Ultra high resolution Fourier domain OCT in dermatology,” presented at the Coherence domain optical methods and optical coherence tomography in biomedicine IX, San Jose, Calif., USA, 23-26 Jan. 2005; here, a handheld skin probe is presented that uses a fiber coupled light source and a detector, but uses a distal free space interferometer to reduce sensitivity to system vibration and fiber induced polarization and dispersion mismatch. However, this design lacks a compact structure, and this the more since both in the signal light arm and in the reference arm, focussing optics are located distally behind the beam splitter.
Backreflections occurring at the inside surface of an endoscope window element are usually considered a nuisance to be suppressed, and it has been proposed to coat window surfaces, to insert index matching fluid, and to use an off-normal beam exit angle, to possibly solve this problem.
It is now an object of this invention to provide an OCT probe device comprising an endoscope means which is simple in structure and inexpensive but yet highly efficient in operation.
It is a further object of the invention to provide an OCT probe device that has an improved imaging performance, and in particular allows to achieve ultra high resolution OCT application.
According to still another object, it is intended to provide an OCT probe device without compensation problems when a specific endoscope present in the device is to be replaced with another endoscope, and with a “plug-and-play” feature when starting operation of the device demanded by hygienic safety standards.
In accordance with this invention, an OCT probe device comprising the features as defined in the attached independent claim is provided; advantageous, preferred embodiments are defined in the dependent claims.
According to the invention, an OCT probe device, in particular a FD-OCT device, is provided which allows self-referenced interferometer topologies with simplified system construction and handling. In particular, the device may be fundamentally more compact and simpler to build in a tiny space than prior art devices. Problems of dispersion and polarization matching, as well as beam splitter spectral non-uniformity, are mitigated when the “interferometer” (signal and reference arm) is wholly contained in the endoscope tip portion.
According to an aspect of the invention, a common path approach is suggested where a reference reflection originating from the inside surface of the glass window is used. According to another aspect of the invention, an alternative approach is proposed which allows much more efficient collection of the reference reflection using a specific beam splitter design to achieve high speed in vivo ultra high axial resolution tomograms.
The FD-OCT system may use a compact mode-locked laser as light source, said laser emitting a broad spectrum, in combination with a photodetector array based, spectrally sensitive detector, as is known per se. Alternatively a spectrally scanning laser with single or multiple detectors may be implemented.
More in detail, the present concept of a distally integrated interferometer endoscope with optimized built-in components overcomes the most troublesome aspects of UHR (ultra high resolution)-OCT endoscopy. The present topology removes the need for a separate adjustable reference arm and therefore reduces system complexity and cost. There is no longer a need for tight tolerance on the length of the endoscope, potentially reducing the cost of this consumable element. No compensation is required when a new endoscope is attached to the system, allowing “plug-and-play” utility that is essential for widespread clinical use. System induced dispersion and polarization mismatch between sample and reference reflections is practically eliminated, allowing systems to achieve better resolution and sensitivity without dispersion or polarization compensating elements, and alignment time. Reduction in complexity shortens the troubleshooting process. It is to be expected that the beam splitters used are spectrally flat over a much wider range than the fiber beam splitters that are currently used in traditional Michelson interferometers. The spectral flatness of the present beam splitter configurations may be limited by the chromatic error in the focussing lens and the extent that the reference light is retroreflected into the spectrally dependant numerical aperture of a light carrying fiber. Swept source implementations may have no aligned optics outside the laser and have the potential to be extremely rugged.
The common path interferometer according to a first embodiment of the invention and using a reflection from the endoscope window as a reference is an extremely simple self-referenced solution, but image quality may be relatively low due to inefficient collection of the reference reflection. The image is stable relative to the window even if the mechanical tolerances of the endoscope allow the separation between the tip optics and protective wall envelope to vary. This stability improves image quality and may enable sensitive phase measurement. In tests, high signal amplification was required because the coupling of the unoptimized reference reflection was rather weak because of the focal offset inherently introduced by the optical path displacement in respect to the sample. Very good sensitivity is reached here when the interference term between the sample (signal) light and the reference light is maximized to fill as much of the dynamic range of the detector as possible. In practice with biological samples, which have inherently low backscattering, and where the illumination power is restricted either by the light source or the sample, one first attempts to get as much light back from the sample as possible. Then one usually tries to optimize the strength of the reference signal to fill the remaining dynamic range of the detector, which is a fixed ratio of the sampling light in the common path topology. The optimized reference power will generally be much stronger than the power returning from the sample. A single strong reference reflection improves the signal strength relative to the “autocorrelation signal”, and ghost reflections resulting from spurious “references” are relatively weak. The reflection of the window can be enhanced by adding a specifically highly reflecting (or backscattering) coating that will dominate over other weaker reflections. The obvious location preferably is the inner (or, possibly, the outer) surface of the window, although it is even conceivable to place this reflecting surface within the thickness of the window by placing a transparent jacket over the reflective coating. There are two significant problems with this solution which, nevertheless, would yet be workable for many applications. First, the coupling efficiency of the backreflected wave is low because the wavefront curvature does not match the shape of the window well, due to the displacement of the window away from focus. Lens design simulations predict that only few percent of the light reflected from the window is coupled back into the fiber. To achieve a strong reference signal, a highly reflective coating is required; then the interferometer might be inefficient in its collection of the sample beam. Second, if the reflection from one of the window surfaces is used as a reference, the reflection from the nearly parallel opposite surface of the window must be well suppressed in order to avoid a spurious reference. That is, e.g. about four percent reflection from an uncoated glass surface must be significant in comparison to an anti-reflective coating on the other glass surface. This is particularly important if one would use the outer surface as the reference.
According to another preferred embodiment, to optimize the strength of the reference reflection, a separate (short) beam path is introduced by means of a separate beam splitter behind the focussing lens. This embodiment of the present distally integrated interferometer shares many of the advantages of the common path topology because there is no fiber in the difference path, which is generally responsible for dispersion and polarization mismatch in endoscopic OCT. A wavefront matched radius on the reference reflector (mirror), as is preferred, allows efficient collection of the reflected beam and more than compensates for the theoretical efficiency advantage of a perfect common path arrangement. Changing the reflectivity of the beam splitter allows any ratio of sample power to reference power. The final choice for setting the beam splitter reflectivity depends on the source power available, the power that the sample can tolerate, the efficiency of the entire system, and the imaging speed desired. An adjustable cement spacer between the focussing lens, preferably a GRIN lens, and the beam splitter prism and or between the focussing lens and the fiber, proves to be a particularly advantageous element in the design to provide a compensator for manufacturing tolerances, by accordingly adjusting the thickness of this cement layer. Without this compensator, the radius of the reference mirror, the axial lengths of the focussing lens and the beam splitter prism, and the transmission of the beam splitter should all be specified rather tightly to achieve a reasonable yield of product with the expected collection of the reference beam. With a mature manufacturing process in a commercial environment, it is expected that tolerances are reduced enough to eliminate the need for this active alignment step. In the end, detector gain and imaging speed may be used as compensators to optimize system sensitivity. Changing the axial length of the second half of the beam splitter prism allows the reference to be placed at any depth, including beyond the endoscope window when a positive working distance is desired. The prism beam splitter also allows the flexibility to modify the dispersion of the reference arm to a small extent to compensate for water dispersion a short distance into the tissue.
This arrangement also allows the use of an intentionally off-normal beam exit angle to suppress unwanted backreflections, as an alternative to coatings or index matching. The added flexibility of this design comes at the cost of some loss in image stability.
Another preferred embodiment uses a split GRIN lens to split the beam at the end of the first element and focuses the reference beam with a further GRIN element onto a curved or planar reflector. The latter element might be replaced by non-GRIN material, which introduces a complex shape on the reflective surface for high throughput.
The “handicap” of limited freedom to adjust the reference arm in the common path interferometer is simultaneously one of its major advantages. Though +/− frequency ambiguity due to the real valued Fourier transform cannot be eliminated by modulation of the reference arm delay, transform mirror-artifacts do not appear because the zero delay point is inherently at a negative distance from the sample.
The invention will now be described in more detail with reference to the drawings where preferred exemplary embodiments of the invention are shown to which, of course, the invention should not be restricted. In particular,
In
More in detail, the light source 2 may be a compact femtosecond pulsed Ti:Sapphire (Ti:Al2O3) laser with 160 nm bandwidth at full-width-half-maximum (FWHM) centered at 800 nm for a theoretical axial resolution of 1.8 μm. For instance, a Femtosource Integral OCT laser commercially available from Femtolasers Produktions GmbH, Vienna, may be used. A 90/10 fiber beam splitter 8 is used to couple light from the laser light source 2 into the endoscope 6 and light from the endoscope 6 back to the detector 3. However, this fiber beam splitter 8 acts only as an optical coupler, i.e. as a spectrally flat optical circulator, and does not send a portion of the light beam which is received through fiber 9 to a pathlength matched reference arm, as has been provided for hitherto according to the prior art.
Light is transmitted then to the proximal portion 6.1 of the endoscope 6 and within the endoscope 6 by a fiber 10, so that an optical (light) path 101 is defined, and is focussed by a focussing lens, in particular a gradient index lens 11, and redirected by an air-spaced mirror 12 through the e.g. 100 μm thick fused silica window 5 into the tissue 7 at the distal tip portion 6.2 of the endoscope 6. The inner surface 4 of the window 5 acts as a thin beam splitter 13 of a common path interferometer built in within tip portion 6.2. A water-based lubricant 14 may be used for index matching at the interface between window 5 and finger-skin (tissue 7, and in particular to avoid an air gap at that interface). The dominant reference reflection comes from the inside surface 4 of the window 5. The window 5 introduces dispersion and resolution loss approximately equal to the same thickness of water.
The interference signal obtained by composing the sample light and the reference light in the tip portion 6.2 and returning from the endoscope 6 is directed into a spectrometer detector 3 consisting, in a manner known per se, of a polarization controller 14 to optimize transmission at a diffraction grating 15 focussed by a commercial camera objective onto a high speed linear CCD array 16 operating at e.g. 20,000 samples per second. The resolution of the CCD array 16 allows calculation to an optical depth of e.g. 1.4 mm, however limited spectrometer resolution causes a finite spectral bandwidth to be measured at each pixel and thereby may limit usable depth range to less than 1 mm. The axial pixel dimension after Fourier transform (the usual computer therefore not being shown in
Preferably, the reference mirror 20 may be curved (also nonspherical) as shown in
A for instance 49° beam splitter angle (compare
With respect to the gradient index (GRIN) focussing lens 11 as shown in
With specific respect to
Then, with respect to
Therefore, to get high efficiency, the surface of the mirror 17 (compare
Instead of these cases of specular reflection, also the principle of special sampling may be applied, compare the mirror 17 of
It should be mentioned that moreover, a subset of a scattering beam splitter may be used, where surfaces can be manufactured on planar materials that specifically alter the phase of the backscattered wavefront so that it may be collected with high efficiency (not shown).
In a test setup, the lateral scan was performed at 14.3 mm/s corresponding to a sampling density of 1400 a-lines/mm. The 2 mm outer diameter endoscope 6 achieved a lateral scan by pushing and pulling the tip optics (compare
System performance is quantified by examining resulting tomograms. Axial resolution is measured from the specular reflection originating from the outer surface of the window 5. The dynamic range is calculated from the maximum valued pixel in each a-line, excluding the top 200 pixels which contain the specular reflections from the outer window and skin surfaces, and comparing that to the standard deviation of the noise in an area near the bottom of the image.
In a specific test of the device described above and with reference to
The in vivo tomogram of the ventral surface of a human fingertip showed that high axial resolution (corresponding to 4.0 μm in air or 2.9 μm in tissue with index=1.4) has been achieved with no effort to match pathlength, dispersion, or polarization between sample and reference arms. The tomogram exhibited an average dynamic range of 27 dB (38 dB max), with 3 mW incident on the tissue. The tomogram was displayed with dimensions corrected for an average tissue index of 1.4. Sweat ducts were clearly resolved in the stratum corneum, and penetration reached slightly below the stratum granulosum, approximately 0.5 mm into the tissue. A lack of signal at the bottom of the tomogram was characteristic of the dermal papillae reaching up into the stratum spinosum, but could also easily be confused with signal falloff at this depth. The reflection from the outer surface of the endoscope window 5 was observed as a thin line, frequently in contact with tissue 7, 145 μm in optical thickness from the top of the image. The outer surface of the window 5, which was relatively close to the beam focus, would present a stronger back reflection than the inside surface, but did not because the lubricant 14 provided efficient index matching to the glass of the window 5. A faint double image displaced ˜100 μm, or 145 μm in optical thickness, vertically was the result of this second “reference” reflection coming from the outer surface of the endoscope window. This double image was noticeable at the top of the image space “inside” the window.
For testing the device described with reference to
Number | Date | Country | Kind |
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A 1118/2005 | Jul 2005 | AT | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/AT2006/000277 | 6/30/2006 | WO | 00 | 4/2/2008 |