WO2002088684A1 - Method and apparatus for improving image clarity and sensitivity in optical coherence tomography using dynamic feedback to control focal properties and coherence gating - Google Patents
Method and apparatus for improving image clarity and sensitivity in optical coherence tomography using dynamic feedback to control focal properties and coherence gating Download PDFInfo
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- WO2002088684A1 WO2002088684A1 PCT/US2002/013793 US0213793W WO02088684A1 WO 2002088684 A1 WO2002088684 A1 WO 2002088684A1 US 0213793 W US0213793 W US 0213793W WO 02088684 A1 WO02088684 A1 WO 02088684A1
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- G01N21/17—Systems in which incident light is modified in accordance with the properties of the material investigated
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- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
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Definitions
- the present invention relates to methods for optical imaging using a low coherence light beam reflected from a sample surface and compared to a reference light beam, wherein real time dynamic optical feedback is used to detect the surface position of a tissue sample with respect to a reference point and the necessary delay scan range.
- the present also relates to an imaging probe apparatus for implementing the method.
- Optical coherence tomography is an imaging technique that measures the interference between a reference beam of light and a detected beam of light that has impinged on a target tissue area and been reflected by scatterers within tissue back to a detector.
- OCT imaging of blood vessels an imaging probe is inserted into a blood vessel and a 360 degree circular scan is taken of the vessel wall in series of segments of a predetermined arc to produce a single cross sectional image.
- the probe tip is rotated axially to create a circular scan of a tissue section and also longitudinally to scan a blood vessel segment length, thus providing two-dimensional mapped information of tissue structure.
- the axial position of the probe within the lumen remains constant with respect to the axial center of the lumen.
- the surface of the wall may vary in topography or geometry, resulting in the variance of the distance between the probe tip and the surface. Since conventional OCT imaging uses a fixed waveform to create the incident light beam in a schematically rectangular "window" of a certain height, the variation in surface height of the wall may result in the failure to gather tissue data in certain regions of the blood vessel wall. It would desirable to have a feedback mechanism that would cause the modification of the waveform to shift the window based on where the probe is and what it sees.
- the identification of the tissue surface could be used to adjust the starting position of the scan to a different spot.
- the identification of the surface could also be used to adjust the focal location in the sample arm. It would additionally be desirable if the identification of the attenuation of light within the tissue were used to adjust the scan range.
- the attenuation identification could also be used to determine an optimal depth of focus or confocal parameter.
- the present invention provides methods for optical imaging using a low coherence light beam reflected from a sample surface and compared to a reference light beam, wherein real time dynamic optical feedback is used to detect the surface position of a tissue sample with respect to a reference point and the necessary delay scan range.
- the present also relates to an imaging probe apparatus for implementing the method.
- the probe initially scans along one line until it finds the tissue surface, identifiable as a sharp transition from no signal to a stronger signal. The next time the probe scans the next line it adjusts the waveform depending on the previous scan.
- the present invention provides a time delay scanning unit as described herein.
- the present invention also provides a focus adjusting mechanism for an optical scanning system.
- the present invention also provides a method of time delay scanning to more accurately determine probe to tissue surface distance variations due to surface topography and probe length/design.
- the present invention provides a rocking mirror, as one of several novel mechanisms, to create the delay line.
- a rocking mirror can be moved much faster and more accurately to retain synchronicity with the computer and the scanning probe.
- the present invention provides an algorithm to determine position to determine the changes to the galvanometric DC offset angle to conform to tissue distance from the probe tip.
- the present invention provides dynamic active feedback to alter the galvanometric AC angle to adjust the coherence gate scan depth to contain only useful image information.
- the present invention also is capable of using dynamic active feedback to adjust the focusing properties of the catheter (focal length, spot size, and confocal parameter).
- Fig. 1 is a graph of a seradyne waveform of a conventional DC baseline offset.
- Fig. 2 A is a graph of the vessel wall offset contour of one contour scan waveform.
- Fig. 2B is the normal (constant offset) scanning wave of ⁇ L R .
- Fig. 2C a graph of the superimposition of the contour ⁇ L of Fig. 2A onto the seradyne waveform of Fig. 2B.
- Fig. 2D is the compensated reference arm scan over a period of two axial scans ei and e 2 .
- Fig. 3 A is a graph of the scan depth control.
- Fig. 3B is a cross-sectional representation of the lumen and the scan range of Fig. 3 A.
- Fig. 3C is an image of the cross section of an actual scan.
- Fig. 4 is a comparison of the traditional OCT image window and a window using the present invention.
- Fig. 5 is a graph of the initial offset and ⁇ z the useful scan range.
- Fig. 6 is a graph of the modified galvanometric waveform mapped to conform the reference arm delay to the tissue surface contour.
- Figs. 7A-C show successive delay scan lines of the reference arm.
- Fig. 8A shows the ⁇ x versus ⁇ L.
- Fig. 8B shows time versus L R .
- Fig. 9 shows a flow diagram of the algorithm according to one embodiment of the present invention.
- Fig. 10 shows four possible hits of signal threshold strength and potential tissue surface boundary.
- Fig. 11 shows a scan line
- Fig. 12 shows the array of the output/storage of the galvanometric waveform to computer memory.
- Fig. 13A shows the old and Fig. 13B new window attainable from block 28 of Fig. 9.
- Fig. 14 shows a flow diagram for an alternative embodiment of the present invention providing an autofocus algorithm.
- Fig. 15 shows an algorithm for confocal parameter adjustment during confocal microscopy analysis.
- Fig. 16 shows a schematic of an apparatus according to one embodiment of the present invention.
- Fig. 17 shows a schematic of the delay line.
- Fig. 18 is a schematic diagram of an alternative system in which the delay line is created by a mirror 84 is reciprocatingly mounted on a linear translator 85.
- Fig. 19 is a schematic diagram showing a further alternative system in which a drum 65 controlled by a computer 25.
- Fig. 20 illustrates an alternative using an acousto-optic modulator.
- Fig. 21 shows a catheter according to the present invention.
- Fig. 22 shows a detail of a catheter according to one embodiment of the present invention.
- Fig. 22A shows an inset of Fig. 22 illustrating the movement of the lens with respect to the fiber tip.
- Fig. 23 is a detail of a catheter design incorporating a balloon or an expansion chamber to control lens-fiber distance offset.
- Fig. 24 shows a schematic view of a system for changing focus.
- Fig. 25 shows a schematic view of an alternative embodiment system where the fiber-lens separation is fixed and the separation between the lens and the reflector/prism is changed.
- Fig. 26 shows a schematic view of a system where the gap between the fiber and a compound lens composed of multiple elements.
- Fig. 1 is a graph of a seradyne waveform of a conventional DC baseline offset, where L R is the reference arm optical delay distance offset and t is time (e.g., 0-20kHz).
- L R is the reference arm optical delay distance offset and t is time (e.g., 0-20kHz).
- e One scan image length is shown as “e” and a second is shown as “e 2 ".
- the peak-to-peak amplitude is called the AC component.
- Fig. 2A shows a graph of the vessel wall offset contour of one contour scan waveform where the x-axis is time and the y-axis is ⁇ L.
- Fig. 2B shows the normal (constant offset)
- Optical delay ( ⁇ L) is calculated as
- ⁇ Ls is the distance of the sample arm to the tissue surface and ⁇ L R is the optical path of the reference arm.
- Fig. 2C shows the superimposition of the contour ⁇ L of Fig. 2A onto the seradyne waveform of Fig. 2B.
- “A” is the start gate;
- “B” is the tissue or vessel surface;
- “C” is the inside tissue;
- “D” is the end gate; and
- e is the waveform period.
- Fig. 2D shows the compensated reference arm scan over a period of two axial scans e and e 2 .
- a small image window is desirable to reduce signal to noise level.
- the scan is started at offset "a" (start gate) which is slightly away from the vessel surface so that the vessel surface is at the top of the scan. This is useful in establishing the initial scan offset (starting measurement) for determination of the algorithm (as discussed in detail below).
- Fig. 3 A is a graph of the scan depth control.
- Fig. 3B is a cross-sectional representation of the lumen and the scan range of Fig. 3 A.
- the innermost circle is the catheter 1, the next circle outwar is the vessel lumen 2, the next circle outward is the blood vessel wall 3, and the maximum scan range is indicated at 4.
- the "+" in a circle area is the useful scan range; the - (minus sign) in a circle is beyond the useful scan range.
- Fig. 3 C is an image of the cross section of an actual scan.
- Fig. 4 shows a comparison of the traditional OCT image window, shown as a square labeled 5 (in solid line) and a window obtainable using the algorithm of the present invention where the image window labeled as 6 (in dashed line).
- the smaller window 6 has much higher signal to noise ratio and therefore provides significantly increased sensitivity, resulting in an improved image quality.
- the scan waveform has a constant AC component and a fixed DC, or slowly varying component,.
- the AC component of the waveform as well as the DC component vary with the feedback from the algorithm. See Fig. 5: "D”, the initial offset and ⁇ z the useful scan range is observed to determine how to modify the waveform for the next scan.
- Fig. 6 is a graph of the modified galvanometric waveform mapped to conform the reference arm delay to the tissue surface contour.
- Figs. 7A-C show successive delay scan lines of the reference arm.
- Fig. 7A1 and 7A2 shows amplitude a. and ⁇ zj.
- Fig. 8A shows ⁇ x versus ⁇ L.
- Fig. 8B shows time versus L R .
- the DC offset follows the curve representing the tissue surface contour, as in Fig. 8B.
- Scan 1, Scan 2, etc., of Fig. 8 A maps onto Scan 1 and Scan 2 of Fig. 8B.
- Successive scans 3, 4, ... N are adjusted for tissue surface offset and optimal scan range in a similar manner.
- Examination of the data in the present scan line (axial scan) or scan lines determines the offset to the tissue surface and the optimal coherence gate for the following N scan lines. In this manner, real-time dynamic feedback is provided and enables imaging of irregular tissue contours with an optimal sensitivity.
- Fig. 9 shows a flow diagram of the algorithm according to one embodiment of the present invention.
- a first scan line is taken at block 10 sufficient to find the tissue surface "S" at block 12 at a relatively large scan range (block 14) (for example, about 3-10 mm, although other ranges can be used as appropriate).
- block 14 a relatively large scan range
- To find the surface one of at least three methods can be used.
- the first method is to use the adaptive threshold ("T").
- Such filtration may be achieved using any of a number of filters known to those skilled in the art, including, but not limited to, linear blur, Gaussian, windows, low pass filters, convolution, morphology, and the like. If the surface is not found, repeat block 10, but change the range offset based on the results at block 12. For example, if there is no signal, the offset and range may be altered in a random manner. If there is a signal but it is weak and did not exceed an adaptive threshold, the offset is adjusted (i.e., move the S and gate toward the signal and try again). That offset is made based on the intensity of reflect light detected by the detector.
- sheath plus internal reflections is catheter based, or signal based, where the highest signal is inside the tissue. In such a case there may be more than one location "z" which has the derivatives >T.
- Fig. 10 shows four possible hits. There is only one that corresponds to the tissue surface, ⁇ is a small increment. Peak "A" shows an isolated hit where there is no
- Peak "B” shows a peak where there is no signal before (i.e., to the left)
- Fig. 10 shows four cases where the signal (image
- Peak “A” has no signal before or after it (i.e., within the next pixel, increment or ⁇ ) it (sometimes referred to as above (zo) or below (z max )); therefore, it is discounted.
- Peak “D” is discounted for the same reason/rule: it has no signal before or after it. For peak “C” there is signal before it and after it, therefore it cannot be at the surface. For peak “B” there is signal after it, but not before it. Therefore, peak “B” indicates the start of the tissue surface boundary.
- Fig. 11 shows a scan line.
- the optimal scan range R is what is to be determined.
- the curve is smoothed (see methods mentioned above).
- a basic operating parameter is that one wants minimal signal outside of and as much signal as possible inside of the scan range R. This can be achieved by zeroth order, first derivative, second derivative, probability distribution functions statistics (e.g., standard deviation), fitting to exponential and other standard data analysis procedures known in the art.
- Spikes in noise, but which are artifacts which could be counted in a signal solution can be a potential problem.
- the reference arm delay waveform is modified at block 16.
- S and R can be used to modify the waveform controlling the optical delay line.
- S and R now need to be inserted into an equation which controls the galvanometric waveform.
- G(t) f(S,R,t), where G(t) is the galvanometric waveform and f is a function.
- This' G(t) is sent digitally or analog to the galvanometric waveform.
- Fig. 12 shows the array of the output/storage of the galvanometric waveform to computer memory block 20 and which goes to remapping at block 28, where "N" is the number of axial scans per image.
- This S,R array indicates how to remap the data into real space again for block 28 (of Fig. 9).
- Fig. 13A shows the old and Fig. 14B shows the new window attainable from block 28 (refer back to Fig. 9 and accompanying description of reference letters).
- I(x,z) are inserted into a remapping function with the inputs being an array of S, R to create the remapped image of block 28.
- S and R For every line, x, there are different elements, S and R, in the array (i.e., So corresponds to I(xo,z) and z is continuous. This relates to the distance between the probe and the chosen range.
- Remapping (block 28 of Fig. 9) is preferably done after each scan.
- the image is remapped after acquisition.
- remapping is done interactively. Add each S that is known for each of the scan lines (the vertical bars) to the data and the contour is remapped. S is added to the offset of the image. In other words, shifting the data for any given exposition by S.
- Each vertical bar gets (axial scan) remapped (shifted) based on their respective S value. For example, is the z values in xj are offset by Si.
- I(x bulk,z) I acq (x n ,z-S n )
- I(X n ,z) I acq (Xn,Z-S n- ⁇ )
- n identifies a specific axial scan and where n is close to where mapping is occurring.
- the output is sent to the reference arm at block 18 and also saved in the computer at block 20. If the image is not done at block 22, the next scan line is taken at block 24 by cycling back repeatedly to block 12 until the image is acquired. If the image is done, then the image is remapped at block 28 using the surface S information and the modified reference arm delay waveform stored and recalled from the computer memory from block 20. The image is then saved or displayed at block 30. If no other image at block 32 is to be taken, the process is done at block 40.
- the algorithm queries at block 34 whether a new location is taken. If yes, then at line 36 the first scan line is taken back at block 10. If no image is scanned at line 38, then the next surface location S is found at block 12.
- Fig. 14 shows a flow diagram for an autofocus algorithm.
- Sn and Rn are known, then an optimal focal length is also known and the optimal spot size and confocal parameters can be calculated. If some function "g" is applied to the catheter which ca ⁇ ses a change in focus by Z f , and which occurs at pixel "n" where one knows S n , then all one needs to know is, if one is at S then one can calculate how g changes as (S k -S n ). Therefore, for a given n, one knows what one has to do to the catheter to obtain a focus of Z(n). S n is also known. So, S n+ ⁇ creates g(n+l) for all n.
- S allows one to adjust the focus so that it is optimally present within or at the surface of the tissue.
- R allows one to adjust the confocal parameter so that the spot size is minimized over the optimal scan range.
- a key feature of the present invention is that one can calculate where to move the focus if one position is known. One does not have to iteratively modify the focus until it is optimized each time, only once, and, once S is calculated, modify focus thereafter using the previous or present S of the scan.
- the present invention allows imaging of tissue with an irregular surface and keeping substantially the entire image in view. Moreover, the scan range is decreased so as to only include useful image information, therefore decreasing the bandwidth of the signal and increasing the image sensitivity of even possibly up to some 3-5 times.
- the sensitivity increase may be implemented by decreasing the bandwidth of the filter used reject noise while performing heterodyne or lock-in detection. This filter bandwidth may be adjusted dynamically by using diode switched capacitor arrays. Increasing sensitivity is equivalent to increasing speed while keeping accuracy.
- the present invention also has the advantage of compensating for probe length variation.
- the present invention provides a time delay scanning unit as described herein.
- the present invention also provides a focus adjusting mechanism for an optical scanning system.
- the present invention also provides a method of time delay scanning to more accurately determine probe to tissue surface distance variations due to surface topography and probe length/design.
- Fig. 15 shows an algorithm for confocal parameter adjustment during confocal microscopy analysis.
- the confocal parameter is optimized to R, the optimal scan gate range.
- the optimal grating range R (as previously described hereinabove) is determined, block 212.
- the optimal confocal parameter 2Z R is calculated at block 214.
- the beam radius; ⁇ is wavelength, and 2Z R is the confocal parameter.
- Fig. 16 shows a schematic of an apparatus according to one embodiment of the present invention.
- the basic description of this and the subsequent drawings is found in Ozawa et al., U.S. Patent No. 6,069,698, which is inco ⁇ orated herein.
- the basic description of the relevant parts of Fig. 16 corresponds to Figure 1 of Ozawa et al.
- Fig. 17 shows a schematic of the delay line.
- the galvanometer is a motor that attaches to the mirror and actuates partial tilt/rotation of the mirror. Only one delay is necessary, although more than one delay line is possible.
- a diffraction grating having a period which changes as a function of time to make the mirror fixed and not rotating. Simple, blazed, or other grating known to those of ordinary skill in the art, can be used.
- the grating sends different wavelengths to a lens and a galvanometric scanning mirror which alters the optical delay in the reference arm as a function of mirror angle.
- Fig. 18 is a schematic diagram of an alternative system in which the delay line is created by a mirror 84 is reciprocatingly mounted on a linear translator 85 which is controlled by a motor/driving unit 86 and 87.
- a description of basic components Fig. 18 is found in the specification corresponding to Figure 11 of Ozawa et al.
- the mirror 84 oscillates at a certain rate.
- the algorithms would have the mirror 84 scan back and forth and gradually shifts its translation over time to track the surface of the tissue. Each time the mirror 84 scans, it is called one scan or one axis of probing.
- Fig. 18 is a schematic diagram of an alternative system in which the delay line is created by a mirror 84 is reciprocatingly mounted on a linear translator 85 which is controlled by a motor/driving unit 86 and 87.
- the mirror 84 oscillates at a certain rate.
- the algorithms would have the mirror 84 scan back and forth and gradually shifts its translation over time to track the surface of the tissue.
- FIG. 19 is a schematic diagram showing a further alternative system in which a drum 65 controlled by a computer 25. Small changes to the diameter of the drum, induced by piezoelectrics, stretch the thin fibers wound around the drum. The increased fiber length contributes a delay line.
- Fig. 20 illustrates an alternative using an acousto-optic modulator 153 is a computer controlled diffraction grating where the periodicity of the grating can be changed based on the frequency to the acousto-optic modulator.
- Fig. 21 shows a catheter according to the present invention, and is a modification of Figure 4 of Ozawa et al.
- Fig. 22 shows a detail of a catheter according to one embodiment of the present invention.
- the design is based on Figure 4 of Ozawa et al.
- Fig. 22 A (a detail of Fig. 21) shows the distal end of the catheter having an optical fiber fixed into block 49, which fixes the fiber to the spring.
- the present invention uses a block which can have its length altered.
- the block is a piezoelectric transducer ("piezo") 49A connected by a wire 49B.
- the voltage changes the length of the piezo 49A and therefore changes the separation (the gap) between the lens 56 and the tip of the optical fiber. Movement of the lens with respect to the fiber tip is shown in the inset Fig. 22A.
- 58 is the output beam.
- 58a is the output beam at piezo voltage Va
- 58b is the output beam at piezo voltage Vb.
- Figs. 24 and 25 are two general ways to translate a focus.
- Fig. 24 shows a schematic view of a system which illustrates that as the distance between the fiber and the lens changes, the location of the focus changes.
- the focus is shown as a solid ray tracing line.
- the focus is shown as the dashed ray tracing line.
- Magnification M i/d.
- Fig. 25 shows a schematic view of a system where the fiber-lens separation is fixed and the separation between the lens and the reflector/prism is changed.
- the light beam at distance dl has a different focal point than the light beam at distance d2.
- the translation can be achieved by any of the mechanisms described above.
- Fig. 26 shows a schematic view of a system where the gap between the fiber and a compound lens composed of multiple elements is fixed and, e.g., the gap between the lens and the reflector is fixed, but the relative separation of the gap between individual lens elements changes.
- An alternative embodiment utilizes a lens having a flexible cover and filled with an optically transparent fluid (e.g., saline, oil), gas or other substance. As the fluid composition, flexible cover shape or the like is changed, the focal length also changes.
- an optically transparent fluid e.g., saline, oil
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Priority Applications (4)
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EP10182892.9A EP2333521B1 (en) | 2001-04-30 | 2002-04-30 | Method and apparatus for improving image clarity and sensitivity in optical coherence tomography using dynamic feedback to control focal properties and coherence gating |
EP02734125.4A EP1402244B1 (en) | 2001-04-30 | 2002-04-30 | Method and apparatus for improving image clarity and sensitivity in optical coherence tomography using dynamic feedback to control focal properties and coherence gating |
JP2002585939A JP2004528111A (en) | 2001-04-30 | 2002-04-30 | Method and apparatus for improving image clarity and sensitivity in optical interference tomography using dynamic feedback to control focus characteristics and coherence gate |
EP10182896.0A EP2333523B1 (en) | 2001-04-30 | 2002-04-30 | Method and apparatus for improving image clarity and sensitivity in optical coherence tomography using dynamic feedback to control focal properties and coherence gating |
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Also Published As
Publication number | Publication date |
---|---|
EP2333523A1 (en) | 2011-06-15 |
EP1402244B1 (en) | 2020-03-11 |
EP2333521B1 (en) | 2019-12-04 |
US20020198457A1 (en) | 2002-12-26 |
JP2004528111A (en) | 2004-09-16 |
EP1402244A1 (en) | 2004-03-31 |
EP2333523B1 (en) | 2020-04-08 |
JP2013063323A (en) | 2013-04-11 |
JP5738834B2 (en) | 2015-06-24 |
US9897538B2 (en) | 2018-02-20 |
EP2333521A1 (en) | 2011-06-15 |
JP2015096240A (en) | 2015-05-21 |
EP2333522A1 (en) | 2011-06-15 |
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