Multicolor fluorescence microscopy for surgical guidance using a chip-scale imager with a low-NA fiber optic plate

Micah Roschelle1,2, Rozhan Rabbani1, Efthymios Papageorgiou1

  • 1Department of Electrical Engineering and Computer Sciences, University of California, Berkeley, California 94720, USA.

PubMed

Insights

A new lens-less fluorescence imaging chip, VISION, enables sensitive, multiplexed detection for cancer surgery. This compact system visualizes both tumors and nerves, improving disease removal and preserving critical structures.

Area of Science:

  • Medical Imaging
  • Optical Engineering
  • Cancer Surgery

Background:

  • Intraoperative fluorescence imaging aids cancer surgery by distinguishing diseased from healthy tissue.
  • Current fluorescence-guided surgery (FGS) systems have limitations in sensitivity, maneuverability, and multiplexed imaging.
  • Existing FGS technology is restricted to detecting single targets at millimeter scales.

Purpose of the Study:

  • To develop a scalable, lens-less fluorescence imaging chip for improved intraoperative guidance.
  • To overcome the trade-offs between sensitivity and maneuverability in current FGS systems.
  • To enable sensitive, multiplexed fluorescence detection in a compact form factor.

Main Methods:

  • Designed a novel optical frontend combining a low-numerical-aperture fiber optic plate (LNA-FOP) and a multi-bandpass interference filter.
  • Integrated the optical frontend with a custom CMOS image sensor for a lens-less design.
  • Utilized the LNA-FOP as a planar collimator to enhance resolution and filter angle-sensitivity.

Main Results:

  • The VISION chip achieves sensitive and multiplexed fluorescence imaging without lenses.
  • Demonstrated detection of tumor foci comprising fewer than 100 cells at near video framerates.
  • Successfully visualized both tumors and nerves simultaneously in ex vivo prostate tissue.

Conclusions:

  • The lens-less VISION chip offers a compact and high-performance solution for fluorescence-guided surgery.
  • This technology has the potential to improve the accuracy of tumor resection and minimize damage to surrounding tissues.
  • VISION enables simultaneous visualization of multiple fluorescent targets, advancing the capabilities of intraoperative imaging.