Apparatus and methods for analysing epithelial tissue histology

• US 20030139672A1
• Filed: 09/26/2002
• Published: 07/24/2003
• Est. Priority Date: 05/06/2000
• Status: Abandoned Application

• Current Assignee: Astron Clinica Ltd. (Boston Scientific Corporation)
• Original Assignee: Astron Clinica Ltd. (Boston Scientific Corporation)
• Inventors: Cane, Michael Roger, Carter, Thomas Scott, Schumann, Matthew Alexander, Cotton, Symon D?apos;oyly, White, Philip James Churchill, Beadman, Michael Andrew
• Application Number:
  US10/240,071
• Publication Number:
  US 20030139672A1
• Time in Patent Office: Days
• US Class Current: 600/473
• CPC Class Codes: A61B 2560/0233 Optical standards
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/443 Evaluating skin constituents, e.g. elastin, melanin, water
• CPC Class Codes: A61B 5/444 Evaluating skin marks, e.g. mole, nevi, tumour, scar
• CPC Class Codes: A61B 5/742 using visual displays A61B5/339 takes precedence

Abstract

The present invention relates to apparatus and methodology for determining the distribution and concentration of chromophores within the epithelial tissue by illuminating an area of an epithelial tissue surface with visible and infrared spectral light. The epithelial tissue is illuminated with light of selected wavelength at a first intensity and an image of light remitted from the epithelial tissue surface is detected. The tissue is then illuminated at a second intensity and a second image is detected. A combined image is then produced such that each point of the image corresponds to a value of the percentage remittance at that position and has an intensity within that of the usable dynamic range of the detector.

Claims

1. An apparatus configured to create one or more spectral images of an epithelial surface for determination of the concentration and distribution of chromophores within the epithelial tissue surface comprising

a light source to illuminate an area of the epithelial tissue surface with visible and infrared spectral light;

wavelength selection means for selecting the wavelength of light remitted from the epithelial tissue surface;

intensity selection means for selecting the intensity of light remitted from one or more points of the epithelial tissue surface, and

detection means for detecting the intensity of remitted light at one or more points from the epithelial tissue surface to create an image such that each point of the image corresponds to a value of the percentage of incident light remitted.

2. An apparatus as claimed in claim 1, wherein said detection means is a charge coupled display having a usable dynamic range of detection.

3. An apparatus as claimed in claim 2, wherein the intensity of said remitted light at each point of said image is selected such that said intensity is within the dynamic range of the detector.

4. An apparatus as claimed in any preceding claim, wherein said apparatus further comprises a computer having a display screen and image analysis software such that images obtained by the detection means are processed by the image analysis software and displayed on the display screen.

5. An apparatus as claimed in claim 4, wherein the display screen is a touch-sensitive screen enabling the selection of software options by selecting icons on the screen by touch.

6. An apparatus as claimed in any preceding claim, wherein the light source is a xenon-arc bulb.

7. An apparatus as claimed in any preceding claim, wherein the wavelength selection means is selected from the group of wavelength filters, diffraction gratings and prisms.

8. An apparatus as claimed in claim 7, wherein the wavelength selection means is one or more filters mounted about an axis of rotation such that, upon rotation about that axis, each filter can be individually orientated within the light path.

9. An apparatus as claimed in any preceding claim, wherein the intensity selection means for selecting the intensity of the remitted light is selected from the group consisting of apertures of varying dimensions and neutral density filters.

10. An apparatus as claimed in claim 2, wherein the charge-coupled display is fitted with an anti-blooming device.

11. An apparatus as claimed in claim 1, wherein the detection means and wavelength selection means for selecting the wavelength of remitted light is a spectrometer.

12. An apparatus as claimed in any preceding claim, wherein said apparatus is configured to calibrate the intensity of light remitted from the epithelial surface and further comprises:

(i) means to detect the dark current image from the detector;

(ii) one or more calibration patches with surfaces of known remittance mounted within the detective field of the detector such that, upon illumination, the intensity of light reflected by said patches is detected; and

(iii) a surface of defined remittance distribution selectably mountable in the image area of the detector such that, upon illumination, the homogeneity of the incident illumination across the image field can be detected.

13. Apparatus as claimed in claim 12, wherein the calibration patches are one or more grey patches of defined remittance.

14. Apparatus as claimed in claim 12, wherein the surface of defined remittance is a surface of homogenous remittance.

15. A method of determining the concentration and distribution of chromophores within an epithelial tissue using a detector having a defined usable dynamic range, wherein said method comprises the steps of

calibrating the intensity of light source and the homogeneity of the incident illumination

illuminating the epithelial tissue surface at a first intensity of illumination;

detecting the intensity of light remitted from the epithelial tissue surface; and

illuminating the epithelial tissue with at least one further level of illumination and detecting the image such that substantially each point of the image is detected within the dynamic range of the detector.

16. A method according to claim 15, wherein said calibration further comprises the steps of:

obtaining a dark current image from the detector in the absence of illumination;

calibrating the intensity of the light source illumination by detecting the intensity of light reflected from a series of calibration patches, with surfaces of defined remittance, mounted within the detective field of the detector; and

illuminating a surface of defined remittance distribution, obtaining an image and calculating a correction factor for each point of the image to account for inhomogeneities in the illumination intensity of the surface.

17. A method as claimed in claim 15, which further comprises the additional steps of:

correcting said image for inhomogeneities in the illumination intensity the light source; and

correcting the image for variations in intensity across the image.

18. A method as claimed in claim 16, wherein the calibration patches are one or more grey surfaces of defined remittance.

19. A method of creating a combined image having each point of the image detected within the usable dynamic range of the detector wherein said method comprises the steps of:

calibrating the intensity of light source and the homogeneity of the incident illumination;

illuminating the epithelial tissue surface at a first intensity of illumination;

detecting the intensity of light remitted from the epithelial tissue surface; and

illuminating the epithelial tissue with at least one further level of illumination different from said first level

detecting said image and, for each point of said image, selecting said first or second illumination intensity such that substantially each point of the image is detected within the dynamic range of the detector.

20. A method according to claim 19, wherein said calibration further comprises the steps of:

obtaining a dark current image from the detector in the absence of illumination;

calibrating the intensity of the light source illumination by detecting the intensity of light reflected from a series of calibration patches, with surfaces of defined remittance, mounted within the detective field of the detector; and

illuminating a surface of defined remittance distribution, obtaining an image and calculating a correction factor for each point of the image to account for inhomogeneities in the illumination intensity of the surface.

21. A method as claimed in claim 19 or 20, which further comprises the additional steps of:

correcting said image for inhomogeneities in the illumination intensity the light source; and

correcting the image for variations in intensity across the image.