Springer Theses Recognizing Outstanding Ph.D. Research Anna Siri Luthman Spectrally Resolved Detector Arrays for Multiplexed Biomedical Fluorescence Imaging Springer Theses Recognizing Outstanding Ph.D. Research Aims and Scope The series “Springer Theses” brings together a selection of the very best Ph.D. theses from around the world and across the physical sciences. Nominated and endorsed by two recognized specialists, each published volume has been selected foritsscientificexcellenceandthehighimpactofitscontentsforthepertinentfield of research. For greater accessibility to non-specialists, the published versions includeanextendedintroduction,aswellasaforewordbythestudent’ssupervisor explainingthespecialrelevanceoftheworkforthefield.Asawhole,theserieswill provide a valuable resource both for newcomers to the research fields described, and for other scientists seeking detailed background information on special questions. 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More information about this series at http://www.springer.com/series/8790 Anna Siri Luthman Spectrally Resolved Detector Arrays for Multiplexed Biomedical Fluorescence Imaging Doctoral Thesis accepted by the University of Cambridge, Cambridge, UK 123 Author Supervisor Dr. Anna SiriLuthman Dr. SarahBohndiek Department ofPhysics Department ofPhysics University of Cambridge University of Cambridge Cambridge, UK Cambridge, UK ISSN 2190-5053 ISSN 2190-5061 (electronic) SpringerTheses ISBN978-3-319-98254-0 ISBN978-3-319-98255-7 (eBook) https://doi.org/10.1007/978-3-319-98255-7 LibraryofCongressControlNumber:2018950799 ©SpringerNatureSwitzerlandAG2018 Thisworkissubjecttocopyright.AllrightsarereservedbythePublisher,whetherthewholeorpart of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission orinformationstorageandretrieval,electronicadaptation,computersoftware,orbysimilarordissimilar methodologynowknownorhereafterdeveloped. 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Doubt is the foundation of all knowledge and the engine of all change. Tage Danielsson Tankar från Roten (1974) To my grandfather Lars Luthman an engineer, an eternal student and a wonderful human being ’ Supervisor s Foreword Optical imaging plays an important role in the early diagnosis of cancer. In par- ticular, the use of optical endoscopes to relay image information from deep within the body to the external observer is widespread. At present, however, the optical information relayed is typically recorded using a standard colour camera, which integrates a Bayer filter array of red, green and blue colour filters to replicate the colour sensing capability of the human eye. This approach restricts the range of wavelengths that can be detected and the number of spectral features that can be resolved.Astheearlystagesofcanceroftenappearflat,andjustaslightlydifferent shade of pink from normal tissue, white light endoscopic imaging using standard colour cameras, provides limited contrast for early detection and hence high miss rates during endoscopic surveillance and screening. Theinteractionsoflightwithtissuegofarbeyondthesimplered,greenandblue. Inadditiontothoseinteractionsthat occurintrinsically withdifferent biomolecules in the tissue, it is also possible to use contrast agents that can specifically enhance the contrast between healthy and diseased tissues. These contrast agents may be untargeted and give rise to contrast due to differences in tissue structure or vas- cularisation, or they may be targeted to specific cell surface receptors or other biological processes that are known to change during disease progression. The detection of these contrast agents in tissue can often be difficult due to the high backgroundsignalsthatarisefromtheintrinsictissueinteractions.Furthermore,the numberofcontrastagentsthatcanbedetectedsimultaneouslyislimitedtojusttwo or three, due to the inability to resolve their spectral signatures. In this thesis, Siri Luthman describes the design, development, characterisation and application of two novel fluorescence instruments to address these challenges and enable imaging of multiple fluorescent contrast agents simultaneously. These instruments are based on recent advances in spectrally resolved detector arrays (SRDAs). The standard colour camera is a simple SRDA containing only three colour channels. The novel SRDAs usedin this thesis contain many more colours, ranging from 16 towards 100 colour channels. Using these compact and robust detectors, with potential for low-cost manufacture, in biomedical applications enables new avenues of exploration that were not possible before. ix x Supervisor’sForeword As with any study using a new technology, a careful technical characterisation ofthetechnologywasfirstrequiredandthefirstchapterofthethesisisdedicatedto developing a detailed understanding of the strengths and weaknesses of the tech- nology.AcomprehensiveassessmentoftheSRDAquantumefficienciesforarange of different filter implementations was performed. In particular, Siri paid attention totheangularacceptanceofthefiltersusedintheSRDAsandhowFnumberaffects the spectral resolution. With a detailed understanding of the SRDA performance, Siri then went on to apply these novel cameras in two different applications, namely in a wide-field fluorescence imaging system and in an endoscopic fluorescence imaging system. Theworkpresentedinthisthesisshowsforthefirsttimethatnotonlycanthisnew typeofcamerabeusedforfluorescenceimaging,butthatitisabletoresolvesignals from up to seven different dyes simultaneously, a level of multiplexing not previ- ously achieved. Furthermore, her bimodal endoscope was able to perform both reflectance and fluorescence spectral imaging using these cameras; this is the first exampleofsuchadevice,andthepotentialforfutureapplicationingastrointestinal imaging was demonstrated in an ex vivo pig oesophagus model. With her dissertation, Siri made an important contribution towards under- standing how this new SRDA technology can be applied in biomedicine. As highlighting the exciting potential of SRDAs in fluorescence imaging, she also identified the need for improved optical throughput and greater refinement in the peak wavelength and bandwidth of the available filters. These are active areas of ongoing research in my own laboratory and others around the world, illustrating how Siri’s work has opened up a new research direction in the field of biomedical imaging. Cambridge, UK Dr. Sarah Bohndiek July 2018 Abstract The ability to resolve multiple fluorescent emissions from different biological targets in video rate applications, such as endoscopy and intraoperative imaging, hastraditionallybeenlimitedbytheuseoffilter-basedimagingsystems.Hyper-and multispectral imaging facilitate the detection of both spatial and spectral informa- tion in a single data acquisition; however, instrumentation for spatiospectral data acquisition is typically complex, bulky and expensive. This thesis seeks to over- come these limitations by using recently commercialised compact and robust hyper-/multispectral cameras based on spectrally resolved detector arrays. Following sensor calibrations, which devoted particular attention to the angular sensitivity of the sensors, we integrated spectrally resolved detector arrays into a wide-field and an endoscopic imaging platform. This allowed multiplexed reflec- tance and fluorescence imaging with spectrally resolved detector array technology in vitro, in tissue-mimicking phantoms, in an ex vivo oesophageal model and invivoinamousemodel.Ahyperspectrallinescansensorwasfirstintegratedintoa wide-fieldnear-infraredreflectance-basedimagingset-uptoassessthesuitabilityof spectrally resolved detector arrays for in vivo imaging of exogenous fluorescent contrast agents. Using this fluorescence hyperspectral imaging system, we could accurately resolve the presence and concentration of seven fluorescent dyes in solution. We also demonstrated high spectral unmixing precision, signal linearity with dye concentration, at depth in tissue-mimicking phantoms and delineation of four fluorescent dyes in vivo. After the successful demonstration of multiplexed fluorescenceimaginginawide-fieldset-up,weproceededtocombinenear-infrared multiplexed fluorescence imaging with visible light spectral reflectance imaging in an endoscopic set-up. A multispectral endoscopic imaging system, capable of simultaneous reflectance and fluorescence imaging, was developed around two snapshot spectrally resolved detector arrays. In the process of system integration and characterisation, methods to characterise and predict the imaging performance of spectral endoscopes were developed. With the endoscope, we demonstrated xi
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