Abstract

We present the design and feasibility testing of a multimodal co-registered endoscope based on a dual-path optical system integrated with a scanning piezo. This endoscope incorporates three different imaging modalities. A large field of view reflectance imaging system enables visualization of objects several millimeters in front of the endoscope, while optical coherence microscopy and multiphoton microscopy are employed in contact with tissue to further analyze suspicious areas. The optical system allows multiple different imaging modalities by employing a dual optical path. One path features a low numerical aperture and wide field of view to allow reflectance imaging of distant objects. The other path features a high numerical aperture and short working distance to allow microscopy techniques such as optical coherence microscopy and multiphoton microscopy. Images of test targets were obtained with each imaging modality to verify and characterize the imaging capabilities of the endoscope. The reflectance modality was demonstrated with a 561 nm laser to allow high contrast with blood vessels. It achieved a lateral resolution of 24.8 μm at 5 mm and a working distance from 5 mm to 30 mm. Optical coherence microscopy (OCM) was performed with a 1300 nm super-luminescent diode since this wavelength experiences low relative scattering to allow for deeper tissue imaging. Measured OCM lateral and axial resolution was 4.0 μm and 14.2 μm, respectively. Multiphoton microscopy (MPM) was performed with a custom 1400 nm femtosecond fiber laser, a wavelength suitable for exciting multiple exogenous and some endogenous fluorophores, as well as providing information on tissue composition through harmonic generation processes. A 4.0 μm MPM lateral resolution was measured.

Highlights

  • It is estimated that cancer affects about 450 per 100,000 people in the United States alone.[1]

  • The FOV was reduced to ∼0.25 × 0.25 mm by controlling the piezo oscillation amplitude voltage

  • We present an endoscope that enables three optical imaging modalities through the same optical system

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Summary

Introduction

It is estimated that cancer affects about 450 per 100,000 people in the United States alone.[1] Cancer detection at early stages is critical to a patient’s outcome since cancer is localized and is most responsive to treatment at the early stages. Detecting localized precancerous lesions is difficult due to the lack of symptoms and the microscopic size of early neoplastic lesions. Making a definitive diagnosis with histology requires a destructive surgical biopsy that can miss the affected tissue area. A faster and less invasive detection method that can survey more tissue is desired to make the process efficient and accurate. Optical imaging has been proven to detect several types of early cancer effectively.

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