Temperature profile mapping and guided thermotherapy

• US 8,452,383 B2
• Filed: 03/02/2009
• Issued: 05/28/2013
• Est. Priority Date: 02/29/2008
• Status: Active Grant

• Current Assignee: Tomophase Corporation
• Original Assignee: Tomophase Corporation
• Inventors: Norris, Peter E., Li, Xiao-Li, Vertikov, Andrey
• Primary Examiner(s): Cattungal, Sanjay
• Application Number:
  US12/920,309
• Publication Number:
  US 20110066035A1
• Time in Patent Office: 1,548 Days
• Field of Search: 600473-480, 606 41- 52
• US Class Current: 600/478
• CPC Class Codes: A61B 1/00096 Optical elements
• CPC Class Codes: A61B 1/00172 with means for scanning
• CPC Class Codes: A61B 18/18 by applying electromagnetic radiation, e.g. microwaves radiation therapy A61N5/00
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2017/320069 for ablating tissue
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/015 By temperature mapping of body part
• CPC Class Codes: A61B 5/6852 Catheters

Abstract

Techniques, apparatus and systems that use an optical probe head to deliver light to a target and to collect light from the target for imaging and monitoring a target while a separate radiation is applied to treat the target.

Claims

1. An endoscope device for providing guided thermotherapy, comprising:

an endoscope tube comprising a hollow working channel;

an optical catheter comprising an optical fiber located inside the hollow working channel to guide an optical probe beam and, an optical probe head, located at a distal end of the fiber, to reflect a first portion of the optical probe beam back to the fiber and to direct a section portion of the optical probe beam to a target tissue as an optical imaging beam, the optical probe head receiving light returned from the target tissue under illumination of the optical imaging beam to overlap the light returned from the target tissue with the first portion to co-propagate in the fiber away from the optical probe head;

an optical delay device coupled to the fiber to receive the first portion and the light returned from the target tissue to produce a variable relative phase delay between the first portion and the light returned from the target tissue;

an optical detector that detects the light of the first portion and the light returned from the target tissue from the optical delay device;

a processing unit to receive output from the optical detector and to extract a temperature at a location illuminated by the optical imaging beam from information of the target carried by the light returned from the target tissue;

an RF applicator engaged to the endo scope tubing and near the optical probe head to apply RF energy to the target tissue to raise a temperature at a location of the target where the RF energy is applied; and

a control mechanism that controls an amount of the RF energy to be applied by the RF applicator to the target tissue based on the measured temperature,

wherein the RF applicator includes a hollow tube that both conducts the RF energy for application of the RF energy to the target tissue and carries a cooling liquid or gas inside the hollow tube to cool a surface of the target to allow a temperature at a location underneath the surface to be higher than a temperature of the surface under application of the RF energy.

2. The device as in claim 1, wherein:

the optical probe head includes a partial reflector that reflects the first portion of the optical probe beam back to the fiber and transmits the second portion of the optical probe beam as the optical imaging beam to the target tissue.

3. The device as in claim 1, wherein:

the optical delay device includes a beam splitter to separate the light from the fiber into a first light beam along a first optical path and a second light beam along a second optical path;

a variable optical delay element in one of the first and the second optical paths to cause the relative phase delay between the first light beam and the second light beam; and

a beam combiner to combine the first light beam and the second light beam to produce combined light.

4. The device as in claim 1, wherein:

the optical probe head includes a prism that reflects light to the target and collects the light returned from the target into the fiber.

5. The device as in claim 1, wherein:

the processing unit is configured to perform a time-domain Fourier transform of the obtained signals at different relative phase delays between the first portion and the light returned from the target tissue.

6. The device as in claim 1, wherein:

the processing unit performs a frequency-domain Fourier transform of spectra of the light from the optical probe head.

7. The device as in claim 1, comprising:

a beam scanning mechanism to scan the optical imaging beam on the target tissue to direct the optical imaging beam to different positions on the target tissue.

8. The device as in claim 7, wherein:

the beam scanning mechanism is configured to scan the optical imaging beam on the target tissue to enable the processing unit to obtain a two-dimensional map of temperatures at locations of the target tissue; and

the control mechanism is configured to use the two-dimensional map of temperatures at locations of the target tissue to control the application of the RF energy to the target tissue.

9. The device as in claim 1, wherein:

the RF applicator is structured to surround the hollow working channel; and

a rotation mechanism engaged to the optical catheter to allow the optical catheter to rotate within the hollow working channel.

10. The device as in claim 1, wherein:

the RF applicator comprises an expandable basket that can carry RF energy, the expandable basket structured to expand when the expandable basket is located outside a distal opening of the hollow working channel and to collapse when the expandable basket is pulled into the distal opening of the hollow working channel.

11. The device as in claim 1, wherein:

the control mechanism is configured to control an amount of the RF energy at the target tissue to control the temperature at the target tissue between a low limit above which a thermotherapeutic effect is present and a high limit above which a damage to the target tissue occurs.

12. The device as in claim 1, wherein:

the processing unit is configured to further use the optical imaging beam to obtain an image of a location of the target tissue illuminated by the optical imaging beam, in addition to obtaining the measured temperature; and

the control mechanism is configured to use both the measured temperature and the obtained image from the optical imaging beam to monitor and control application of the RF energy to the target tissue.

13. The device as in claim 1, wherein:

the processing unit is configured to detect a change in an optical interference between the first portion of the optical probe beam that is directed back to the fiber and does not reach the target tissue, and the light returned from the target tissue caused by the application of the RF energy to the target tissue to measure a change in density of the target tissue; and

the processing unit is further configured to use the measured change in density of the target tissue to obtain the measured temperature.

14. The device as in claim 13, wherein:

the processing unit is configured to perform a frequency-domain Fourier transform of spectra of light in the fiber that combines the light returned from the target tissue and the first portion of the optical probe beam that is directed back to the fiber and does not reach the target tissue to extract a change to the optical interference caused by the application of the RF energy to the target tissue and to measure a change in density of the target tissue.

15. The device as in claim 1, wherein:

the processing unit is configured to obtain image contrasts from the light returned from the target tissue before and after the application of the RF energy, compare the obtained image contrasts from the light returned from the target tissue before and after the application of the RF energy to obtain a contrast variation caused by application of the RF energy, and use the contrast variation to obtain the measured temperature.