Micro-scale compact device for in vivo medical diagnosis combining optical imaging and point fluorescence spectroscopy

• US 20050215911A1
• Filed: 01/18/2005
• Published: 09/29/2005
• Est. Priority Date: 01/16/2004
• Status: Active Grant

• Current Assignee: The City College of The University of New York
• Original Assignee: The City College of The University of New York
• Inventors: Alfano, Scott, Alfano, R. R., Katz, Alvin
• Granted Patent: US 8,082,024 B2
• Time in Patent Office: Days
• US Class Current: 600/476
• CPC Class Codes: A61B 1/041 Capsule endoscopes for imaging
• CPC Class Codes: A61B 1/043 for fluorescence imaging
• CPC Class Codes: A61B 1/0638 providing two or more wavelengths
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 5/0071 by measuring fluorescence emission
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence

Abstract

An apparatus and method for medical practitioners to detect the presence of abnormal cells including cancerous and pre-cancerous cells by using a transport capsule containing an imaging apparatus including UV sources and fluorescence detectors for obtaining images and fluorescence data of biological cells and tissue. The method includes the steps of scanning biological tissue using an ultra-violet (UV) source to obtain fluorescence data, transferring fluorescence data and/or images using a radio frequency (RF) or other suitable means to a personal computer (PC) system, analyzing the image and/or fluorescence data in the PC, identifying -tissues with precancerous and cancerous cells, and optionally determining their precise location, and assessing the accuracy of the calculated fluoroscopic images.

Claims

1. An apparatus for visually assessing and detecting abnormalities in biological tissue in vivo, the apparatus comprising:

an emitter for emitting a light beam having an excitation wavelength suitable for causing biological tissue to emit fluorescence at an emission wavelength;

a detector for detecting the fluorescence;

a controller for controlling the emitter and detector;

a transmitter for transmitting data received from the detector to a remote receiver, the transmitter being controlled by the controller; and

a transport capsule for containing at least the emitter, the detector, the controller and the transmitter.

2. The apparatus according to claim 1, wherein the emitter includes a plurality of light-emitting diodes (LEDs), the emitter being capable of emitting at a plurality of predetermined wavelengths so as to be able to excite different tissue fluorophores.

3. The apparatus according to claim 2, wherein each of the LEDs emits at a different wavelength.

4. The apparatus according to claim 3, wherein each of the LEDs is activated at any given time exclusive of at least one of the other LEDs so as to reduce crosstalk between optical wavelengths.

5. The apparatus according to claim 1, further comprising a visible light (VL) emitter and an optical image sensor for visible light imaging, the VL emitter including a plurality of LEDs.

6. The apparatus according to claim 5, wherein VL emitter includes a red LED, a blue LED and a green LED.

7. The apparatus according to claim 1, further comprising a visible light (VL) emitter and an optical image sensor for visible light imaging, the VL emitter including a white-light LED.

8. The apparatus according to claim 1, wherein the detector includes a plurality of photodetectors, with each of the plurality of photodetectors being capable of detecting at least a different predetermined wavelengths, so that the detector is capable of detecting a plurality of emission wavelengths.

9. The apparatus according to claim 1, wherein the emitter includes at least one LED and the detector includes at least one photodetector, the number of LEDs and the number of photodetectors are selected so as to match the number of fluorescent wavelengths having desired diagnostic information.

10. The apparatus according to claim 1, wherein the emitter includes at least one LED and the detector includes at least one photodetector, the number of LEDs and the number of photodetectors are selected so as to at least be able to excite multiple tissue fluorophores and detect the corresponding fluorescence.

11. The apparatus according to claim 10, wherein the tissue fluorophores include at least one of tryptophon, tyrosine, collagen, elastin and NADH.

12. The apparatus according to claim 1, further comprising at least one optical filter for filtering the emission wavelengths and allowing only one or more desired emission wavelengths to be detected by the detector.

13. A method for visually assessing and detecting abnormalities in biological tissue in vivo using a capsule, the method comprising the steps of:

emitting a light beam from the capsule having an excitation wavelength suitable for causing biological tissue to emit native fluorescence at an emission wavelength, the light beam being directed at the biological tissue and being formed by at least one emitter;

detecting the fluorescence from biological tissue using at least one detector; and

transmitting data related to the detected fluorescence to a remote receiver.

14. The method according to claim 13, further comprising the step of creating fluorescence by exciting multiple tissue fluorophores using a plurality of light beams each having a predetermined wavelength.

15. The method according to claim 13, wherein the step of emitting the light beam comprises emitting a plurality of light beams, with each light beam having a different predetermined wavelength so as to be able to excite a plurality of tissue fluorophores.

16. The method according to claim 15, wherein a plurality of light-emitting diodes (LEDs) are provided to emit light at different wavelengths.

17. The method according to claim 13, wherein the light beam is visible light (VL) light created using a plurality of LEDs and a visible image is captured using an optical image sensor.

18. The method according to claim 13, wherein the light beam is visible light (VL) created using a single white-light LED and a visible image is captured using an optical image sensor.

19. The method according to claim 17, wherein the emission wavelength includes a plurality of wavelengths, and a number of emitters and a number of detectors are selected so as to match a number of wavelengths having desired diagnostic information.

20. The method according to claim 13, wherein a visual image of the biological tissue is obtained and the presence of at least one of cancer and precancer of the biological tissue can be determined, by:

illuminating the biological tissue with visible light and obtaining a visible light image of the biological tissue;

exciting the biological tissue using at least two excitation wavelengths so that the biological tissue emits fluorescence at a given emission wavelength corresponding to the at least two excitation wavelengths;

detecting the intensity of the fluorescence at an emission wavelength for each of the excitation wavelengths; and

comparing a ratio of the detected intensities to a predetermined threshold to determine the presence of at least one of cancer or precancer.

21. A method for receiving image and fluorescence data taken from biological tissue in vivo, the method comprising the steps of:

receiving data related to detected fluorescence from a capsule; and

processing the received data to determine a fluorescence intensity ratio (FIR).

22. A Mobile terminal (MT) apparatus for receiving image data including fluorescence data for visually assessing and detecting abnormalities in biological tissue in vivo, the apparatus comprising:

a receiver for receiving image and fluorescence data transmitted from a capsule device;

a processor for processing the image and fluorescence data received from the capsule device; and

a transmitter for transmitting the received image and fluorescence data.