St-Arnaud Karl, Aubertin Kelly, Strupler Mathias, Madore Wendy-Julie, Grosset Andrée-Anne, Petrecca Kevin, Trudel Dominique, Leblond Frédéric
Dept. of Engineering Physics, Polytechnique Montreal, CP 6079, Succ. Centre-Ville, Montreal, QC, H3C 3A7, Canada.
Imaging & Engineering, Centre Hospitalier Universitaire de Montréal Research Center (CRCHUM), 900 Rue Saint-Denis, Montréal, QC, H2X 0A9, Canada.
Med Phys. 2018 Jan;45(1):328-339. doi: 10.1002/mp.12657. Epub 2017 Nov 27.
Raman spectroscopy is a promising cancer detection technique for surgical guidance applications. It can provide quantitative information relating to global tissue properties associated with structural, metabolic, immunological, and genetic biochemical phenomena in terms of molecular species including amino acids, lipids, proteins, and nucleic acid (DNA). To date in vivo Raman spectroscopy systems mostly included probes and biopsy needles typically limited to single-point tissue interrogation over a scale between 100 and 500 microns. The development of wider field handheld systems could improve tumor localization for a range of open surgery applications including brain, ovarian, and skin cancers.
Here we present a novel Raman spectroscopy implementation using a coherent imaging bundle of fibers to create a probe capable of reconstructing molecular images over mesoscopic fields of view. Detection is performed using linear scanning with a rotation mirror and an imaging spectrometer. Different slits widths were tested at the entrance of the spectrometer to optimize spatial and spectral resolution while preserving sufficient signal-to-noise ratios to detect the principal Raman tissue features. The nonbiological samples, calcite and polytetrafluoroethylene (PTFE), were used to characterize the performance of the system. The new wide-field probe was tested on ex vivo samples of calf brain and swine tissue. Raman spectral content of both tissue types were validated with data from the literature and compared with data acquired with a single-point Raman spectroscopy probe. The single-point probe was used as the gold standard against which the new instrument was benchmarked as it has already been thoroughly validated for biological tissue characterization.
We have developed and characterized a practical noncontact handheld Raman imager providing tissue information at a spatial resolution of 115 microns over a field of view >14 mm and a spectral resolution of 6 cm over the whole fingerprint region. Typical integration time to acquire an entire Raman image over swine tissue was set to approximately 100 s. Spectra acquired with both probes (single-point and wide-field) showed good agreement, with a Pearson correlation factor >0.85 over different tissue categories. Protein and lipid content of imaged tissue were manifested into the measured spectra which correlated well with previous findings in the literature. An example of quantitative molecular map is presented for swine tissue and calf brain based on the ratio of protein-to-lipid content showing clear delineations between white and gray matter as well as between adipose and muscle tissue.
We presented the development of a Raman imaging probe with a field of view of a few millimeters and a spatial resolution consistent with standard surgical imaging methods using an imaging bundle. Spectra acquired with the newly developed system on swine tissue and calf brain correlated well with an establish single-point probe and observed spectral features agreed with previous finding in the literature. The imaging probe has demonstrated its ability to reconstruct molecular images of soft tissues. The approach presented here has a lot of potential for the development of surgical Raman imaging probe to guide the surgeon during cancer surgery.
拉曼光谱是一种很有前景的用于手术引导应用的癌症检测技术。它能够提供与包括氨基酸、脂质、蛋白质和核酸(DNA)在内的分子种类相关的、与结构、代谢、免疫和遗传生化现象有关的整体组织特性的定量信息。迄今为止,体内拉曼光谱系统大多包括探头和活检针,通常限于在100至500微米范围内进行单点组织检测。开发更宽视野的手持系统可以改善一系列开放手术应用(包括脑癌、卵巢癌和皮肤癌)中的肿瘤定位。
在此,我们展示了一种新颖的拉曼光谱实现方式,使用相干成像光纤束创建一个能够在介观视野上重建分子图像的探头。检测使用旋转镜和成像光谱仪进行线性扫描。在光谱仪入口处测试了不同的狭缝宽度,以优化空间和光谱分辨率,同时保持足够的信噪比以检测主要的拉曼组织特征。使用非生物样品方解石和聚四氟乙烯(PTFE)来表征系统的性能。新的宽视野探头在小牛脑和猪组织的离体样品上进行了测试。两种组织类型的拉曼光谱含量均与文献数据进行了验证,并与使用单点拉曼光谱探头获取的数据进行了比较。单点探头被用作金标准,新仪器以此为基准进行测试,因为它已经针对生物组织表征进行了充分验证。
我们已经开发并表征了一种实用的非接触式手持拉曼成像仪,其在大于14毫米的视野上提供115微米的空间分辨率和在整个指纹区域上6厘米的光谱分辨率的组织信息。在猪组织上获取整个拉曼图像的典型积分时间设定为约100秒。用两种探头(单点和宽视野)获取的光谱显示出良好的一致性,在不同组织类别上的皮尔逊相关系数>0.85。成像组织的蛋白质和脂质含量体现在测量光谱中,这与文献中先前的发现密切相关。基于蛋白质与脂质含量的比率给出了猪组织和小牛脑的定量分子图谱示例,显示出白质和灰质之间以及脂肪组织和肌肉组织之间的清晰界限。
我们展示了一种拉曼成像探头的开发,其视野为几毫米,空间分辨率与使用成像束的标准手术成像方法一致。新开发的系统在猪组织和小牛脑上获取的光谱与已建立的单点探头密切相关,并且观察到的光谱特征与文献中先前的发现一致。成像探头已证明其重建软组织分子图像的能力。这里提出的方法在开发手术拉曼成像探头以在癌症手术期间指导外科医生方面具有很大潜力。