Optoacoustic image mapping of tissue temperature

• US 10,123,707 B2
• Filed: 02/02/2015
• Issued: 11/13/2018
• Est. Priority Date: 01/31/2014
• Status: Active Grant

• Current Assignee: TomoWave Laboratories, Inc.
• Original Assignee: TomoWave Laboratories, Inc.
• Inventors: Oraevsky, Alexander A., Petrova, Elena, Ermilov, Sergey
• Primary Examiner(s): Lamprecht, Joel
• Application Number:
  US14/611,722
• Publication Number:
  US 20150216420A1
• Time in Patent Office: 1,380 Days
• CPC Class Codes: A61B 18/02 by cooling, e.g. cryogenic techniques devices for cooling specific reflex points of the body within cell-life limits A61H39/06
• CPC Class Codes: A61B 2018/00714 Temperature
• CPC Class Codes: A61B 2018/0293 using an instrument interstitially inserted into the body, e.g. needle
• CPC Class Codes: A61B 2090/378 using ultrasound
• CPC Class Codes: A61B 2560/0223 of calibration, e.g. protocols for calibrating sensors
• CPC Class Codes: A61B 5/0095 by applying light and detecting acoustic waves, i.e. photoacoustic measurements
• CPC Class Codes: A61B 5/015 By temperature mapping of body part
• CPC Class Codes: A61B 5/7425 Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61B 8/085 for locating body or organic structures, e.g. tumours, calculi, blood vessels, nodules
• CPC Class Codes: A61B 8/14 Echo-tomography
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/5207 involving processing of raw data to produce diagnostic data, e.g. for generating an image reconstruction G06T11/00

Abstract

Provided herein are system and methods for monitoring and guiding thermal therapy procedures within a human or animal tissue. The system comprises a therapeutic module configured to apply thermal treatment to a subject; an ultrasound imaging module; an optoacoustic imaging module; a processing module connected to both ultrasound and optoacoustic based imaging module; and an operating controlling module connected with said processing module and configured to manipulate at least one of said therapeutic module, ultrasound imaging module or optoacoustic imaging module. The calibration method is able to eliminate the inconsistency of optoacoustic based temperature measurements caused by sample-to-sample and spatial variations of Gruneisen parameter for different tissues. The method for temperature-structure imaging is able to generate both two dimensional and three dimensional co-registered structure and temperature images for the tissues inside a region of interest of a subject.

Claims

1. An imaging system for visualization and accurate mapping of temperature distribution in absolute values in the region of interest and anatomical structures of live human or animal tissue independently on spatial distribution of the optical fluence in the body and independently on spatial distribution of the tissue optical properties, comprising:

an optoacoustic imaging module that uses pulsed optical illumination at a preferred wavelength about 795 nm to about 805 nm or about 1300 nm to about 1305 nm;

an ultrasound imaging module having an ultrasonic probe communicably connected to an electronics system that also serves as a probe and to an electronics system for the optoacoustic imaging module and is configured to emit and to detect ultrasonic waves in an ultrasound imaging mode and to detect optoacoustic signals of thermal conditions dependent optoacoustic response of tissue in an optoacoustic imaging mode;

an image processing and calibration module connected to the optoacoustic imaging module and to the ultrasound imaging module and configured to generate an image co-registered in space and time from an image generated of the temperature distribution and an image generated of the anatomical structures of the live human or animal tissues;

an image display module configured to display the co-registered image;

a therapeutic module configured to apply a thermal treatment to the live human or animal tissue and to monitor and guide thermal therapy procedures therewithin; and

an operating and controlling module electronically connected with said image processing module and configured to control and manipulate at least one of the modules of the imaging system.

2. The imaging system of claim 1, wherein the optoacoustic imaging module integrates a pulsed laser connected with an imaging module through a light delivery subsystem configured to deliver the laser pulses to the region of interest.

3. The imaging system of claim 1, wherein said image processing and calibration module of the imaging system comprises:

a calculation module configured to calculate the location and temperature within specific anatomical tissue structures based on the information received in the processing module;

an image constructing module that generate images based on the calculation from the calculation module and the signals received in the processing module; and

an user interface communicably connected to said calculation module and said image constructing module.

4. A user-implemented method for calibrating a temperature-structure imaging system, comprising:

(a) illuminating a tissue with the pulsed optical illumination of the optoacoustic imaging module of claim 1 and acquiring optoacoustic signals from the illuminated tissue to generate a first optoacoustic image at human physiological temperature;

(b) applying an automatic self-focusing algorithm in the image processing and calibration module to determine the temperature dependent speed of sound in a region of interest of a patient'"'"'s body and obtain the optimal resolution for the first optoacoustic image;

(c) turning on a temperature cooling source and allowing time for the temperature of the region of interest to change and to create a temperature gradient of the spatial distribution of temperature, T(r);

(d) applying step (a) at a changed temperature and acquiring a second optoacoustic image;

(e) applying step (b) and optimizing resolution of the second optoacoustic image to achieve matching between localization of tissue structures in the first optoacoustic image and the second optoacoustic image;

(f) normalizing the second optoacoustic image to the first optoacoustic image by dividing every pixel of the second optoacoustic image intensity to that of a corresponding pixel of the first optoacoustic image, and thereby producing a normalized image of the optoacoustic image intensity ratio proportional to temperature ratio;

(g) measuring temperature within a range of temperatures that include a temperature of zero optoacoustic response and the physiological temperature of a human body with thermocouples placed in the region of interest along the temperature gradient to calibrate the map generated in step (g) in absolute temperature value, said temperature range enabling an increase in accuracy of absolute calibration of temperature;

(h) repeating steps d) through g) to acquire a sequence of optoacoustic images and a display of temperature distribution maps, which undergo changes in the course of calibration procedure; and

(i) recording calibration curve data from images of spatial distribution of the temperature in the calibration tissues or in phantoms that resemble properties of the region of interest in the human body.

5. The calibration method of claim 4, wherein, the method comprises replacing step 9b with speed of sound tomography to generate the map of speed of sound in the region of interest and then to generate the most accurate high resolution optoacoustic image.

6. The calibration method of claim 4, wherein the temperature of zero optoacoustic response is the temperature at which Gruneisen parameter becomes zero at 4°

C. for water and at −

12°

C. for blood and the optoacoustic image disappears and the physiological temperature of a human body is about 36.5°

C.

7. A method for mapping the temperature of a tissue in the course of a thermal therapy procedure, comprising the steps of:

(a) illuminating a tissue inside a region of interest of a subject using the pulsed optical illumination of the optoacoustic imaging module of claim 1, at a wavelength within preferred spectral range and safe optical fluence;

(b) measuring an optoacoustic response of the tissue by using the ultrasonic probe;

(c) constructing a first optoacoustic image at a physiological temperature inside said subject;

(d) applying an automatic self-focusing algorithm for the first optoacoustic image to determine the temperature dependent speed of sound in the region of interest of a subject and achieve an optimal resolution for the first optoacoustic image;

(e) creating a spatial distribution for temperature in the subject by performing thermal therapy on said subject;

(f) illuminating the tissue in the same region of interest at the second temperature point, in the same position of the subject, using laser pulses at the same preferred laser wavelength and the same optical fluence;

(g) constructing a second optoacoustic image at the second temperature;

(h) applying the automatic self-focusing algorithm for the second optoacoustic image to determine the temperature dependent speed of sound in the region of interest of a subject and achieve an optimal resolution for the second optoacoustic image at the second temperature;

(i) generating a normalized image of the optoacoustic image intensity ratio by dividing every pixel value of the second optoacoustic image to corresponding pixel value on the first optoacoustic image;

(j) calibrating the normalized optoacoustic image using a calibration curve;

(k) producing a map of temperature distribution on the tissues inside the region of interest of the subject;

(l) repeating step f) to step k) generating a map of absolute temperature distribution in real time;

(m) using the map of the temperature distribution inside the region of interest of the subject to guide the thermal therapy procedure.

8. The method of claim 7, further comprising generating coregistered overlaid ultrasound and temperature distribution images, displaying the temperature map within anatomical tissue structures in the region of interest and guiding the thermal therapy procedure based on the real time overlaid images.

9. The method of claim 7, wherein blood is the dominating tissue chromophore and the preferred spectral range of laser wavelengths is about 795 nm to about 805 nm.

10. The method of claim 9, wherein the absolute measurement of temperature is conducted within a temperature range that includes two characteristic temperatures, one of which is a physiological temperature of about 36.6°

C. and the second is the temperature about −

10°

C. at which blood reaches its maximum density and optoacoustic image intensity flips its polarity.

11. The method of claim 7, wherein water is the dominating tissue chromophore and the preferred spectral range of laser wavelengths is from about 1300 nm to about 1305 nm.

12. The method of claim 11, wherein the absolute measurement of temperature is conducted within a temperature range that includes two characteristic temperatures, one of which is a physiological temperature of about 36.6°

C. and the second is the temperature about 4°

C. at which water reaches its maximum density and optoacoustic image intensity flips its polarity.

13. The method of claim 7, wherein the absolute measurement of temperature is conducted within a temperature range that includes two characteristic temperatures, one of which is a physiological temperature of about 36.6°

C. and the second is a protein denaturation temperature of about 52°

C.

14. The method of claim 8, wherein said ultrasound and temperature distribution images are real-time two-dimensional and three-dimensional images of tissues in the subject.

15. The method of claim 14, wherein said three-dimensional images are generated by assembling two-dimensional slices though the depth of tissues, said two-dimensional slices are obtained by scanning a hand-held ultrasound probe on the surface of an area of a patient'"'"'s body.

16. The method of claim 7, wherein the method provides guidance for cryotherapy based on the phenomenon of change of sign of the optoacoustic signal from positive to negative when temperature in the specified region of interest reaches and surpasses the point of maximum density and zero thermal expansion.