Device and method for detection, localization, and characterization of inhomogeneities in turbid media

• US 5,752,519 A
• Filed: 10/04/1996
• Issued: 05/19/1998
• Est. Priority Date: 02/26/1993
• Status: Expired due to Term

• Current Assignee: JB IP Acquisitions LLC
• Original Assignee: Boris Rubinsky, David A. Benaron
• Inventors: Rubinsky, Boris, Benaron, David A.
• Primary Examiner(s): Casler, Brian L.
• Application Number:
  US08/725,239
• Time in Patent Office: 592 Days
• Field of Search: 128/664, 128/665, 128/633, 356/342, 356/237, 356/338, 250/574, 250/339, 250/341, 250/226
• US Class Current: 600/476
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 18/00 Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 18/14 Probes or electrodes therefor
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00508 using laser
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2560/0276 Determining malfunction
• CPC Class Codes: A61B 2562/0242 for varying or adjusting the optical path length in the tissue
• CPC Class Codes: A61B 2562/08 Sensors provided with means for identification, e.g. barcodes or memory chips
• CPC Class Codes: A61B 5/0073 by tomography, i.e. reconstruction of 3D images from 2D projections A61B5/0066 takes precedence
• CPC Class Codes: A61B 5/0075 by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy A61B5/0071 takes precedence
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/6848 Needles
• CPC Class Codes: G01N 21/4795 spatially resolved investigating of object in scattering medium in vivo A61B

Abstract

The present invention provides a detection or imaging device and method that measures an effect upon the path traveled by a radiative wave through a medium where scattering of the radiative wave is strong, and uses this measured path effect to detect, localize, or characterize inhomogeneities in the medium, as well as of the medium itself, over time or space. In this embodiment, a radiative source (43), temporally modulated or intensity quantitated, is emitted into the medium (47). A detector (48) records radiative effects detected after travel through said medium, and the detected signal is measured for a path effect (45). Based upon one or more of these path effects, such as the distance the latest arriving photons have traveled, a quantifiable parameter of the medium is determined (49). This parameter can be the location, distance, speed, or other characteristic of the medium or inhomogeneity. Measurement over space provides additional information as to spatial distribution; measurement over time provides information as to temporal changes in the medium. The device has application in medical and industrial imaging, detection, and localization of objects and other inhomogeneities, as well as characterization of the medium itself, in media which highly scatters radiative waves emitted into the medium.

Claims

1. An improved spectrophotometer for monitoring at least one inhomogeneity in a turbid medium, comprising:

(a) source means for illuminating said medium with electromagnetic radiation of at least one wavelength;

(b) detector means for detecting at least a portion of said illuminating radiation after it has propagated through said medium, said detected portion including at least one wavelength if said illuminating radiation, said detector means also providing output signals, said output signals being comprised of multiple regional component signals, each of said regional component signals comprised of detected radiation having propagated through a different region of the medium;

(c) path resolution means for receiving said output signals and for measuring an optical path effect on said output signals by said at least one regional inhomogeneity, and for providing a path influenced signal, said optical path effect being at least partially a function of the substantially non-parallel multiple courses through said medium taken by said illuminating radiation between said illumination and said detection; and

,

(d) regional quantitation means for receiving the path influenced signal, for resolving at least one of said multiple regional component signals, and for determining at least one quantifiable parameter affected by said at least one regional inhomogeneity in the medium based upon at least one of said resolved regional component signals.

2. The spectrophotometer of claim 1, wherein:

(a) said source means further includes variation means for producing temporally varying electromagnetic radiation of at least one wavelength; and

,

(b) said path resolution means further includes delay measurement means for measuring a function of a radiation propagation delay distribution, said distribution corresponding to a distribution of times required for radiation to traverse said medium between said illumination and said detection, said function representing at least a part of all information contained in said delay distribution.

3. The spectrophotometer of claim 2, wherein:

(a) said variation means includes pulse means for producing brief, discontinuous pulses of radiation; and

,

(b) said delay measurement means includes means for detection of photons arriving over at least one narrow range of propagation delays, each said narrow range of delays corresponding to a narrow range of times of flight taken by said photons through the medium.

4. The spectrophotometer of claim 2, wherein:

(a) said variation means includes intensity modulation means for providing amplitude modulation of source intensity; and

,

(b) said delay measurement means includes means for determining an effect of propagation delay through the medium based upon the angular phase of said detected signal.

5. The spectrophotometer of claim 4, wherein said means for resolving paths includes means to estimate a function of path lengths through said medium based upon said angular phase.

6. The spectrophotometer of claim 2, wherein said effect of optical path is selected from the group consisting of distribution of photon distances traveled, mean photon distance traveled, distribution of photon transit time through the medium, mean photon transit time through the medium, time of first detected photons, ratio of optical path length to physical path length, apparent absorbance, transmission, coherence, optical rotation, turbidity, and diffusivity, modulation phase angle, delay of first detected photons, and time of ballistic echo.

7. The spectrophotometer of claim 1, wherein said quantifiable parameter is a characterization of tissue by normal tissue type, said tissue type is selected from the group consisting of nerves, blood vessels, fat deposits, and other normal macroscopic inhomogeneities in tissue.

8. The spectrophotometer of claim 1, wherein

(a) said detector means further includes intensity measurement means for measuring an intensity of said detected electromagnetic radiation at said at least one wavelength;

and,

(b) said path resolution means further includes apparent absorbance computation means for estimating a path effect based upon spatial and temporal changes in measured intensity.

9. The spectrophotometer of claim 8, wherein said effect of optical path is selected from the group consisting of distribution of photon distances traveled, mean photon distance traveled, distribution of photon transit time through the medium, mean photon transit time through the medium, time of first detected photons, ratio of optical path length to physical path length, apparent absorbance, transmission, coherence, optical rotation, turbidity, and diffusivity, modulation phase angle, delay of first detected photons, and time of ballistic echo.

10. The spectrophotometer of claim 1, wherein said quantifiable parameter is a characterization of tissue by tissue state, said tissue state is selected from the group consisting of frozen, thawed, heated, living and dead.

11. A method for noninvasively detecting at least one regional inhomogeneity in a turbid medium, comprising:

(a) illuminating said medium with electromagnetic radiation of at least one wavelength;

(b) detecting at least a portion of said illuminating radiation after said radiation has propagated through said medium over multiple non-parallel paths, and for providing output signals, said output signals being comprised of multiple regional component signals, said component signals detected after propagating through different regions of the medium;

(c) measuring at least one optical path effect on said output signals by said regional inhomogeneity, said optical path effect influenced by the presence of said at least one regional inhomogeneity;

(d) resolving at least one of said multiple regional component signals; and

,

(e) determining from said measured path effect, at least one quantifiable parameter influenced by said at least one regional inhomogeneity in the medium based upon at least one of said regional component signals.

12. The method of claim 11, wherein:

(a) said step of illuminating the medium further includes the step of generating temporally varying electromagnetic radiation of at least one wavelength; and

,

(b) said step of measuring a path effect further includes the step of measuring a function of a radiation propagation delay distribution, said distribution corresponding to a distribution of times required for radiation to traverse said medium between said illumination and said detection, said function representing at least a part of all information contained in said delay distribution.

13. The method of claim 12, wherein the step of generating temporally varying electromagnetic radiation further includes the steps of:

(a) producing brief, discontinuous pulses of radiation; and

,

(b) said step of measuring a function of the delay includes the step of detecting photons arriving over at least one narrow range of propagation delays, each said narrow range of delays corresponding to a narrow range of times of flight taken by said photons through the medium.

14. The method of claim 12, wherein:

(a) the step of illumination further includes the step of modulating the intensity of said source; and

,

(b) the step of measuring a function of the delay includes the step of determining a propagation delay though the medium based upon the angular phase of said detected signal.

15. An apparatus for detecting at least one region of inhomogeneity in a medium that scatters a radiative wave, comprising:

(a) source means for emitting said radiative wave into said medium;

(b) detector means for detecting at least a portion of said emitted radiative wave after a propagated through said medium and for generating output signals, said output signals being comprised of multiple regional component signals, each of said regional component signals comprised of detected radiation having propagated through a different region of the medium;

(c) path resolution means for receiving said output signals and for measuring an optical path effect on said output signals by said at least one region of inhomogeneity and providing resolved signals, said optical path effect being at least partially a function of the substantially non-parallel multiple courses through said medium taken by said detected portion of the emitted wave between emission and detection;

(d) regional quantitation means for receiving the resolved signals, and for determining at least one quantifiable parameter affected by said at least one regional inhomogeneity in the medium based upon at least one of said regional component signals.

16. An improved medical instrument for identification in a living body of at least one unknown tissue by tissue type, comprising:

(a) means for illumination of at least a portion of said living body with electromagnetic radiation;

(b) detector means for detecting portions of scattered illuminating radiation having propagated through said at least a portion of said living body, and for providing output signals;

(c) quantification means for receiving said output signals, said received signal being comprised of multiple regional component signals, each of said regional component signals comprised of detected radiation having propagated through a different region of the living body, and for determining at least one quantifiable parameter affected by said at least one unknown tissue based upon at least one of said regional component signals; and

,

(d) classification means for classifying at least one of said at least one unknown tissue by tissue type, where said tissue type is selected from the group consisting of nerve, blood vessel, bleeding in tissue, tumor, and other tissue types in accordance with at least one of said at least one quantified parameter.

17. A method of monitoring a change in state within a turbid medium, said method comprising the steps of:

(a) illuminating said medium with electromagnetic radiation;

(b) detecting portions of said illuminating radiation having propagated through said medium, said detected portions comprised of multiple regional component signals, each of said component signals comprised of detected radiation having propagated through a different region of the medium;

(c) measuring at least one optical path effect based upon said detected portions of the illuminating radiation, said optical path effect being at least partially a function of the substantially non-parallel multiple courses through said medium taken by said illuminating radiation between said illumination and detection, and influenced by said change of state; and

,

(d) characterizing, based upon said measurement of at least one optical path effect, at least one changing region of said medium based upon at least one of said multiple regional component signals.