Methods and apparatus for optically imaging neuronal tissue and activity

• US 6,196,226 B1
• Filed: 06/07/1995
• Issued: 03/06/2001
• Est. Priority Date: 08/10/1990
• Status: Expired due to Fees

• Current Assignee: Washington University In St Louis
• Original Assignee: University of Washington
• Inventors: Hochman, Daryl, Haglund, Michael M.
• Primary Examiner(s): Casler, Brian L.
• Application Number:
  US08/474,754
• Time in Patent Office: 2,099 Days
• Field of Search: 128/633, 128/653.1, 128/664, 128/665, 128/741, 364/413.13
• US Class Current: 600/425
• 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 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/377 using evoked responses
• CPC Class Codes: A61B 5/383 Somatosensory stimuli, e.g. electric stimulation
• CPC Class Codes: A61B 5/398 Electrooculography [EOG], e.g. detecting nystagmus; Electroretinography [ERG]
• CPC Class Codes: A61B 5/4094 Diagnosing or monitoring seizure diseases, e.g. epilepsy
• CPC Class Codes: A61B 90/36 Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: G06T 5/50 using two or more images, e.g. averaging or subtraction
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing

Abstract

The present invention provides a method and apparatus for distinguishing neuronal tissue from surrounding tissue, for distinguishing functional neuronal tissue from dysfunctional tissue, and for imaging of functional neuronal areas in cerebral cortex by detecting changes in the optical properties of the neuronal tissue following stimulation of neuronal activity.

Claims

1. A physiologically non-invasive method for detecting optical changes indicative of neuronal activity or dysfunction in an area of interest in a human patient, comprising:

(a) illuminating the area of interest with an illumination source emitting electromagnetic radiation (emr) having at least one wavelength of from about 450 nm to about 2500 nm;

(b) detecting one or more optical properties of the area of interest when it is illuminated with the emr using a photon detector and acquiring and storing a control data set representing the one or more optical properties detected;

(c) detecting one or more properties of the area of interest at a time different from acquisition of the control data set and acquiring a subsequent data set representing the one or more optical properties detected during the different time; and

(d) comparing the subsequent data set with the control data set to produce a comparison data set that identifies changes in the one or more optical properties and thereby identifies areas of neuronal activity or dysfunction.

2. A method according to claim 1, additionally comprising inducing neuronal activity in the area of interest by administering an electrical stimulus to neuronal tissue.

3. A method according to claim 1, additionally comprising inducing neuronal activity in the area of interest by administering a paradigm that stimulates intrinsic neuronal activity.

4. A method according to claim 1, wherein neuronal activity is induced by a natural occurrence.

5. A method according to claim 1, wherein the illumination source and the photon detector are fixed in position relative to one another.

6. A method according to claim 1, wherein the illumination source and the photon detector are fixed relative to one another and are mounted to the human patient.

7. A method according to claim 1, wherein the area of interest includes a peripheral nerve.

8. A method according to claim 1, wherein the area of interest comprises neuronal cortex.

9. A method according to claim 1, wherein the photon detector is a video camera.

10. A method according to claim 1, additionally comprising amplifying portions of the control data set to enhance a contrast of the comparison data set.

11. A method according to claim 1, additionally comprising identifying data points in the comparison data set having intermediate values that represent optical changes indicative of neuronal activity, and mapping the data points having intermediate values to one of logarithmically and linearly increasing values to enhance the contrast of the comparison data set.

12. A method according to claim 1, wherein the control data set is a control image, the subsequent data set is a subsequent image, and the comparison data set is a comparison image.

13. A method according to claim 1, additionally comprising aligning corresponding spatial locations in the control and subsequent data sets to produce the comparison data set.

14. A method according to claim 1, additionally comprising mapping different pixel values comprising a comparison image to color values to enhance a contrast of the comparison image.

15. A method according to claim 14, wherein positive-going optical changes are mapped to a first color value and negative-going optical signals are mapped to a second color value.

16. A method according to claim 1, comprising detecting one or more optical properties selected from the group consisting of:

reflection;

refraction;

diffraction;

absorption;

scattering;

birefringence;

refractive index; and

Kerr effect.

17. A method according to claim 1, comprising continuously illuminating the area of interest.

18. A method according to claim 1, comprising illuminating the area of interest non-continuously.

19. A method according to claim 18, comprising illuminating the area of interest using a short pulse (time domain), pulsed time, or amplitude modulated (frequency domain) illumination source.

20. A method according to claim 1, comprising illuminating the area of interest uniformly.

21. A method according to claim 1, comprising illuminating the area of interest with an illumination source emitting emr having at least one wavelength in the infrared range.

22. A method according to claim 1, performed intraoperatively.

23. A method for optically imaging changes indicative of changes in neuronal activity in an area of interest in a human patient, comprising:

(a) illuminating an area of interest with an illumination source emitting electromagnetic radiation (emr) having a wavelength of from about 450 nm to about 2500 nm by connecting the illumination source to an illumination probe and implementing the illumination probe in the area of interest;

(b) detecting one or more optical properties of the area of interest when it is illuminated with the emr using a photon detector connected to a detection probe implanted in the area of interest that produces detection signals;

(c) conveying control detection signals to a data processor and producing a control data set representing the one or more optical properties detected;

(d) detecting one or more optical properties of the area of interest during neuronal activity, producing subsequent detection signals, conveying the subsequent detection signals to the data processor, and producing a subsequent data set representing the one or more optical properties detected during neuronal activity; and

(e) comparing the subsequent data set with the control data set to produce a comparison data set that identifies changes in one or more optical properties and thereby identifies areas of neuronal activity.

24. A method for identifying spatial locations corresponding to functional properties of neuronal tissue in a human patient comprising:

(a) illuminating neuronal tissue with an illumination source emitting electromagnetic radiation (emr) having one or more wavelengths of from about 450 nm to about 2500 nm;

(b) detecting one or more optical properties of identifiable spatial locations of the neuronal tissue when it is illuminated and acquiring a control image that maps the one or more detected optical properties to identifiable spatial locations of the neuronal tissue;

(c) detecting one or more optical properties of neuronal tissue during neuronal stimulation and acquiring a subsequent image that maps the one or more detected optical properties during neuronal stimulation to identifiable spatial locations of the neuronal tissue; and

(d) comparing the control image to the subsequent image to produce a comparison image that spatially locates changes in neuronal activity.

25. A method according to claim 24, additionally comprising inducing neuronal activity in the neuronal tissue by administering a paradigm that stimulates intrinsic neuronal signals.

26. A physiologically non-invasive method for optically imaging changes indicative of changes in retinal function in a retina in a human patient, comprising:

(a) illuminating the retina with an illumination source emitting electromagnetic radiation (emr) having at least one wavelength of from about 450 nm to about 2500 nm;

(b) detecting one or more optical properties of the retina when it is illuminated with the emr using a photon detector and acquiring and storing a control data set representing the one or more optical properties detected;

(c) detecting one or more optical properties of the retina during retinal activity and acquiring a subsequent data set representing the one or more optical properties detected during retinal activity; and

(d) comparing the subsequent data set with the control data set to produce a comparison data set that identifies changes in the one or more optical properties and thereby identifies areas of retinal dysfunction.

27. A method for monitoring the neuronal activity and dysfunction in a human patient, comprising:

(a) illuminating neuronal tissue with an illumination source emitting electromagnetic radiation (emr) having at least one wavelength of from about 450 nm to about 2500 nm;

(b) detecting one or more optical properties of the illuminated neuronal tissue and acquiring a baseline data set representing one or more of the optical properties detected;

(c) detecting one or more optical properties of the illuminated neuronal tissue at a time subsequent to acquisition of the baseline data set and acquiring a subsequent data set; and

(d) comparing the subsequent data set with the baseline data set to identify changes in optical properties of the illuminated neuronal tissue that are indicative of neuronal activity or dysfunction.