Ultrathin, high-speed, all-optical photoacoustic endomicroscopy probe for guiding minimally invasive surgery

Photoacoustic (PA) endoscopy has shown significant potential for clinical diagnosis and surgical guidance. Multimode fibres (MMFs) are becoming increasing attractive for the development of miniature endoscopy probes owing to ultrathin size, low cost and diffraction-limited spatial resolution enabled by wavefront shaping. However, current MMF-based PA endomicroscopy probes are either limited by a bulky ultrasound detector or a low imaging speed which hindered their usability. In this work, we report the development of a highly miniaturised and high-speed PA endomicroscopy probe that is integrated within the cannula of a 20 gauge medical needle. This probe comprises a MMF for delivering the PA excitation light and a single-mode optical fibre with a plano-concave microresonator for ultrasound detection. Wavefront shaping with a digital micromirror device enabled rapid raster-scanning of a focused light spot at the distal end of the MMF for tissue interrogation. High-resolution PA imaging of mouse red blood cells covering an area 100 microns in diameter was achieved with the needle probe at ~3 frames per second. Mosaicing imaging was performed after fibre characterisation by translating the needle probe to enlarge the field-of-view in real-time. The developed ultrathin PA endomicroscopy probe is promising for guiding minimally invasive surgery by providing functional, molecular and microstructural information of tissue in real-time.

Improving needle visibility in LED-based photoacoustic imaging using deep learning with semi-synthetic datasets

Photoacoustic imaging has shown great potential for guiding minimally invasive procedures by accurate identification of critical tissue targets and invasive medical devices (such as metallic needles). Recently, the use of light-emitting diodes (LEDs) as the excitation light sources further accelerates its clinical translation owing to its high affordability and portability. However, needle visibility in LED-based photoacoustic imaging is compromised primarily due to its low optical fluence. In this work, we propose a deep learning framework based on a modified U-Net to improve the visibility of clinical metallic needles with a LED-based photoacoustic and ultrasound imaging system. This framework included the generation of semi-synthetic training datasets combining both simulated data to represent features from the needles and in vivo measurements for tissue background. Evaluation of the trained neural network was performed with needle insertions into a blood-vessel-mimicking phantom, pork joint tissue ex vivo, and measurements on human volunteers. This deep learning-based framework substantially improved the needle visibility in photoacoustic imaging in vivo compared to conventional reconstructions by suppressing background noise and image artefacts, achieving ~1.9 times higher signal-to-noise ratios and an increase of the intersection over union (IoU) from 16.4% to 61.9%. Thus, the proposed framework could be helpful for reducing complications during percutaneous needle insertions by accurate identification of clinical needles in photoacoustic imaging.

Deep learning the high variability and randomness inside multimode fibres

Multimode fibres (MMF) are remarkable high-capacity information channels owing to the large number of transmitting fibre modes, and have recently attracted significant renewed interest in applications such as optical communication, imaging, and optical trapping. At the same time, the optical transmitting modes inside MMFs are highly sensitive to external perturbations and environmental changes, resulting in MMF transmission channels being highly variable and random. This largely limits the practical application of MMFs and hinders the full exploitation of their information capacity. Despite great research efforts made to overcome the high variability and randomness inside MMFs, any geometric change to the MMF leads to completely different transmission matrices, which unavoidably fails at the information recovery. Here, we show the successful binary image transmission using deep learning through a single MMF, which is stationary or subject to dynamic shape variations. We found that a single convolutional neural network has excellent generalisation capability with various MMF transmission states. This deep neural network can be trained by multiple MMF transmission states to accurately predict unknown information at the other end of the MMF at any of these states, without knowing which state is present. Our results demonstrate that deep learning is a promising solution to address the variability and randomness challenge of MMF based information channels. This deep-learning approach is the starting point of developing future high-capacity MMF optical systems and devices, and is applicable to optical systems concerning other diffusing media.