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Fiber optics: Window on human biology
 H. Ra, W. Piyawattanametha, E. Gonzalez-Gonzalez, J.-W. Jeung, Y.
Taguchi, D. Lee, U. Krishnamoorthy, I.W. Jung, M. Mandela, J. Liu, K.
         Loewke, T. Wang G.S. Kino, C. Contag, O. Solgaard
                         Stanford University

                      Support: CIS, NIH, NSF                  O.Solgaard
                                                                Stanford
In-vivo Microscopy
          Tabletop                            Miniaturized
                                    Combined with image-guided,
         Microscope                           Microscope
                                       endoscopic surgery




 Tools for continuous observations of biological systems
     Fundamental biology
10 cm Optical microscopy is non-invasive with sub-cellular resolution
    
 How do we see through tissue with a miniaturized
  optical microscope?
                                                                  O.Solgaard
                                                                    Stanford
Use lasers, detectors, and lenses!




                               O.Solgaard
                                 Stanford
Optical Fiber

                                cladding (n2)

    ~10um                          core (n1)     125um




 Optical fibers are glass cylinders
    Highways of the internet
 Transmission band: 1,280 to 1,610 nm => 50 THz!
    Transmission band of coaxial cable <10GHz

                                                    O.Solgaard
                                                      Stanford
My Favorite Optical Device!




                              O.Solgaard
                                Stanford
Camera Obscura – Pin Hole Cam




 The pinhole projects a scene on the camera screen
 Object at any distance are imaged with high fidelity
  (but upside down)
 The pinhole must be small to give a sharp image
    => low light efficiency
                                                     O.Solgaard
                                                       Stanford
The LENS enabled Telescopes
        and Microscopes!

                                f

               a                    b

 The lens projects a scene on the camera screen
 Objects in focus (1/a+1/b=1/f) are imaged with high
  fidelity
 The lens can be large and still give a sharp image
    => high light efficiency
                                                    O.Solgaard
                                                      Stanford
Why combine a Pinhole Camera
    with a lens microscope?
                                              Detector


                                              Pinhole
 The lens projects a single volumetric pixel (voxel) on
  the pinhole
 Only light from the single voxel in focus is registered
  on the detector
 We scan the voxel around to get a 3-D image

                                                       O.Solgaard
                                                         Stanford
We get 3-D AND we can see
     through scattering media!
                                                      Detector




 We still see the voxel even if it is embedded in a
  scattering medium, e.g. tissue!
    We get a less bright voxel, but it is not obscured by light from
     other voxels
 We can see into the body! (Camera not-obscura?)
                                                                 O.Solgaard
                                                                   Stanford
Confocal Microscopy
              Confocal Microscopy
                                                                              Sample
Point Source
Illumination                 Beamsplitter




                                    Rejected
                                     Light
    Pinhole or                                                        Imag Rejected
                                                                       Image Reject
                                                                       Plane Plane
       SMF                          Accepted
                                    Accept
                                         Light

                        Detector




     M. Minsky, Memoir on inventing the confocal microscope, Scanning, Vol. 10, Issue 4, 1988.   O.Solgaard
                                                                                                   Stanford
MicroElectroMechanical System
        (MEMS) Mirror



                         substrate        1mm




   Top Device Layer
   Bottom Device Layer
   Substrate
   Thermal Oxide

                                          1mm
                           substrate
                                       O.Solgaard
                                         Stanford
Operation of 2-D Scanner
               GND    Outer axis rotation = V1 and V2
     V3               Inner axis rotation = V3 and V4



                            V2




                                 substrate     1mm
V1




                      GND

          V4                                   1mm
                                   substrate
                                               O.Solgaard
                                                 Stanford
2-D Scanner Characterization
                                                                                                                                                              V1 and V2 = Outer-axis rotation
                                                                                                                                                              V3 and V4 = Inner-axis rotation



                                                       Static mode                                                                                            Dynamic mode
                                    6

                                                  V2                                                                                                      Outer axis
                                    5                                                                                                      10
                                                                                                                                                1

                                                  V1                                                                                                      Inner axis
                                    4
Optical deflection angle (degree)




                                                                                                       Optical deflection angle (degree)
                                                  V3
                                    3             V4
                                    2
                                                                                                                                                0
                                    1                                                                                                      10

                                    0

                                    -1

                                    -2
                                                                                                                                                -1
                                                                                                                                           10
                                    -3

                                    -4

                                    -5

                                    -6                                                                                                     10
                                                                                                                                                -2
                                         0   20   40    60    80   100   120   140   160   180   200                                                  2                            3
                                                                                                                                                 10                           10
                                                             DC voltage (V)                                                                                       Driving frequency (Hz)

                                                  − Outer axis: ±5.5°                                                                       − Outer axis: ±11.8°@1.18kHz
                                                  − Inner axis: ±3.8°                                                                        − Inner axis: ±8.8°@2.76kHz
                                                                                                                                                                                           13
                                                                                                                                                                                           O.Solgaard
                                                                                                                                                                                             Stanford
DAC Design




   Schematic of the dual-axis confocal (DAC) microscope
      HL: hemispherical lens
      MEMS: microelectromechanical systems scanning mirror
      PMT: photomultiplier tube
   The laser, PMT, and transimpedance amplifier setting and gains are
    constant within and across 3-D datasets for quantification.
                                                                     O.Solgaard
                                                                       Stanford
Dual Axes Confocal Microscope




                            O.Solgaard
                              Stanford
3-D MEMS Scanning




 Two MEMS mirrors are used to enable 3-D
  scanning
                                            O.Solgaard
                                              Stanford
Dual Axis Confocal Microscope




                            O.Solgaard
                              Stanford
Raytracing of 3-D Scanning
 Total scanning volume = 340um × 236um × 286um
           Z-scanning by 1-D depth scanner

                   27.5um

                                                       143um

           FOVz (z axis=+/-27.5um) = 286um
           X-Y scanning by 2-D lateral scanner

                      2.7º

                                                       170um

FOVx(q=+/- 2.7deg) = 340um / FOVy (q=+/- 1.9deg) = 236um
                                                      O.Solgaard
                                                        Stanford
Dual Axis Confocal microscopes




 10 mm with alignment optics
    Skin
 Miniaturized 5 mm for endoscopy
    GI tract
 10 mm with GRIN extender
    Brain imaging
 Implantable DAC
    ….
                                    O.Solgaard
                                      Stanford
Multimodality Package 1
Wide-Field Fluorescence + DAC Microscope




                                           O.Solgaard
                                             Stanford
Multimodality: DAC + Wide-field




                  300 micron FOV (confocal)




              70 deg. FOV (wide-field)


                                              O.Solgaard   21
                                                Stanford
Multimodality Package 2
Ultrasound + DAC Microscope




                              O.Solgaard
                                Stanford
DAC Applications:
                                          Cancer Screening



   The first in vivo imaging in the GI tract of a patient using a MEMS-
    based confocal microscope has been demonstrated with the 785 nm
    5-mm-diamter DAC microscope
      Images are taken at 5 Hz with 2 frame averaging, yielding FWHM
       transverse and axial resolutions of 4 um and 7 um
      The DAC endomicroscope was loaded in the instrument channel of a
       therapeutic upper GI endoscope
      Topical application of ICG (25 mg of medical grade ICG diluted in 4 ml of
       aqueous solvent)
   ICG is a chromophore as well as a fluorophore, so we identify areas
    where ICG is binding well with a wide-field CCD camera, and then
    bring the DAC into contact with the tissue of interest.
                                                                              O.Solgaard
                                                                                Stanford
Visualizing the Vasculature




 Normal                      Tumor

     Mouse Ear Tumor Model
                              Jonathan Liu
                                     O.Solgaard
                                       Stanford
Imaging of GFP in a Reporter Mouse of Medulloblastoma
                                                                     Jonathan Liu
In vivo tumor: through the skull   Ventral side of the brain
                     IVIS200       B.




                                                     Maestro Image

    C.                                   DAC                         DAC




                 Medulloblastoma                    Normal brain
                                                                           O.Solgaard
                                                                             Stanford
In vivo sequential imaging: siRNA silencing
 Experimental methods
     Silencing the GFP reporter gene in the epidermis by intradermal
      injection of siRNA
     Intradermally inject irrelevant control siRNA and specific siRNA
      (targeting GFP mRNA) in each footpad for 14 days
     siRNA potently and specifically inhibits GFP expression in the
      epidermis, control siRNA has no effect

                    Standard fluorescence microscope
                                                                       Stratum corneum
                                                                       Granulosum


Ex vivo
                                                                       Footpad skin
  skin
                                           gene silencing              Green – GFP
sections

                                   20 µm                       20 µm

            Irrelevant control siRNA          Specific siRNA
                                                                              O.Solgaard
                                                                                Stanford
Clinical test
 Topical application of IC-GREEN cream formulation
   Excess cream removed with cotton pads after 15 - 30
    mins
   Gel used as an optical coupling agent

 Volunteer

 PC patient
   Prior treatment
      Intradermal injection of TD101 siRNA (right) and
       vehicle control solution (left) in symmetric plantar
       calluses
      Twice weekly for 17 weeks
   Imaged 48 days after last siRNA treatment
                                    Leachman, et al., Mol Ther, 2010
                                                              O.Solgaard
                                                                Stanford
siRNA as a
    Therapeutic




                                         Lieberman et al., Cell (2006)
       Short, 19-23 nucleotides long,
           double stranded RNA
       Any gene can be theoretically
                be silenced
             Easy to synthesize
         Can target multiple genes
   Highly specific and efficient (in
             cell culture)
        Delivery is the rate limiting
             step to translation

    More than $4 billion worth of deals struck since 2000.
     Yet, no effective delivery tools described to date.
                                                                         O.Solgaard
                                                                           Stanford
Evolution of the
DAC Microscope
  at Stanford




                   O.Solgaard   29
                     Stanford
System Concept
Spatial Light      Multimode Fiber       Focused Light in
 Modulator              (MMF)                  3D
   (SLM)




  A cylindrical, step-index waveguide can support    	
   propagating modes
  NA = 1.33, a = 50 µm, λ = 550 nm => N ~ 175,000 = 4202

                                                            O.Solgaard
                                                              Stanford
Impact
 Studies of mammalian gene function and
  regulation
 Models of human diseases
 Molecular reporters
    Fluorescent markers
 Continuous intravital optical microscopy
  will lead to new understanding of
  fundamental biological processes
    Investigations of Biological processes over
     extended time
    Cancer progression and metastasis
    Stem cell regeneration and differentiation
    Neurology
    Optogenetics

                                                   O.Solgaard
                                                     Stanford

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Fiber Optics - Window on Human Biology: Olav Solgaard

  • 1. Fiber optics: Window on human biology H. Ra, W. Piyawattanametha, E. Gonzalez-Gonzalez, J.-W. Jeung, Y. Taguchi, D. Lee, U. Krishnamoorthy, I.W. Jung, M. Mandela, J. Liu, K. Loewke, T. Wang G.S. Kino, C. Contag, O. Solgaard Stanford University Support: CIS, NIH, NSF O.Solgaard Stanford
  • 2. In-vivo Microscopy Tabletop Miniaturized Combined with image-guided, Microscope Microscope endoscopic surgery  Tools for continuous observations of biological systems  Fundamental biology 10 cm Optical microscopy is non-invasive with sub-cellular resolution   How do we see through tissue with a miniaturized optical microscope? O.Solgaard Stanford
  • 3. Use lasers, detectors, and lenses! O.Solgaard Stanford
  • 4. Optical Fiber cladding (n2) ~10um core (n1) 125um  Optical fibers are glass cylinders  Highways of the internet  Transmission band: 1,280 to 1,610 nm => 50 THz!  Transmission band of coaxial cable <10GHz O.Solgaard Stanford
  • 5. My Favorite Optical Device! O.Solgaard Stanford
  • 6. Camera Obscura – Pin Hole Cam  The pinhole projects a scene on the camera screen  Object at any distance are imaged with high fidelity (but upside down)  The pinhole must be small to give a sharp image  => low light efficiency O.Solgaard Stanford
  • 7. The LENS enabled Telescopes and Microscopes! f a b  The lens projects a scene on the camera screen  Objects in focus (1/a+1/b=1/f) are imaged with high fidelity  The lens can be large and still give a sharp image  => high light efficiency O.Solgaard Stanford
  • 8. Why combine a Pinhole Camera with a lens microscope? Detector Pinhole  The lens projects a single volumetric pixel (voxel) on the pinhole  Only light from the single voxel in focus is registered on the detector  We scan the voxel around to get a 3-D image O.Solgaard Stanford
  • 9. We get 3-D AND we can see through scattering media! Detector  We still see the voxel even if it is embedded in a scattering medium, e.g. tissue!  We get a less bright voxel, but it is not obscured by light from other voxels  We can see into the body! (Camera not-obscura?) O.Solgaard Stanford
  • 10. Confocal Microscopy Confocal Microscopy Sample Point Source Illumination Beamsplitter Rejected Light Pinhole or Imag Rejected Image Reject Plane Plane SMF Accepted Accept Light Detector M. Minsky, Memoir on inventing the confocal microscope, Scanning, Vol. 10, Issue 4, 1988. O.Solgaard Stanford
  • 11. MicroElectroMechanical System (MEMS) Mirror substrate 1mm Top Device Layer Bottom Device Layer Substrate Thermal Oxide 1mm substrate O.Solgaard Stanford
  • 12. Operation of 2-D Scanner GND  Outer axis rotation = V1 and V2 V3  Inner axis rotation = V3 and V4 V2 substrate 1mm V1 GND V4 1mm substrate O.Solgaard Stanford
  • 13. 2-D Scanner Characterization V1 and V2 = Outer-axis rotation V3 and V4 = Inner-axis rotation Static mode Dynamic mode 6 V2 Outer axis 5 10 1 V1 Inner axis 4 Optical deflection angle (degree) Optical deflection angle (degree) V3 3 V4 2 0 1 10 0 -1 -2 -1 10 -3 -4 -5 -6 10 -2 0 20 40 60 80 100 120 140 160 180 200 2 3 10 10 DC voltage (V) Driving frequency (Hz) − Outer axis: ±5.5° − Outer axis: ±11.8°@1.18kHz − Inner axis: ±3.8° − Inner axis: ±8.8°@2.76kHz 13 O.Solgaard Stanford
  • 14. DAC Design  Schematic of the dual-axis confocal (DAC) microscope  HL: hemispherical lens  MEMS: microelectromechanical systems scanning mirror  PMT: photomultiplier tube  The laser, PMT, and transimpedance amplifier setting and gains are constant within and across 3-D datasets for quantification. O.Solgaard Stanford
  • 15. Dual Axes Confocal Microscope O.Solgaard Stanford
  • 16. 3-D MEMS Scanning  Two MEMS mirrors are used to enable 3-D scanning O.Solgaard Stanford
  • 17. Dual Axis Confocal Microscope O.Solgaard Stanford
  • 18. Raytracing of 3-D Scanning Total scanning volume = 340um × 236um × 286um Z-scanning by 1-D depth scanner 27.5um 143um FOVz (z axis=+/-27.5um) = 286um X-Y scanning by 2-D lateral scanner 2.7º 170um FOVx(q=+/- 2.7deg) = 340um / FOVy (q=+/- 1.9deg) = 236um O.Solgaard Stanford
  • 19. Dual Axis Confocal microscopes  10 mm with alignment optics  Skin  Miniaturized 5 mm for endoscopy  GI tract  10 mm with GRIN extender  Brain imaging  Implantable DAC  …. O.Solgaard Stanford
  • 20. Multimodality Package 1 Wide-Field Fluorescence + DAC Microscope O.Solgaard Stanford
  • 21. Multimodality: DAC + Wide-field 300 micron FOV (confocal) 70 deg. FOV (wide-field) O.Solgaard 21 Stanford
  • 22. Multimodality Package 2 Ultrasound + DAC Microscope O.Solgaard Stanford
  • 23. DAC Applications: Cancer Screening  The first in vivo imaging in the GI tract of a patient using a MEMS- based confocal microscope has been demonstrated with the 785 nm 5-mm-diamter DAC microscope  Images are taken at 5 Hz with 2 frame averaging, yielding FWHM transverse and axial resolutions of 4 um and 7 um  The DAC endomicroscope was loaded in the instrument channel of a therapeutic upper GI endoscope  Topical application of ICG (25 mg of medical grade ICG diluted in 4 ml of aqueous solvent)  ICG is a chromophore as well as a fluorophore, so we identify areas where ICG is binding well with a wide-field CCD camera, and then bring the DAC into contact with the tissue of interest. O.Solgaard Stanford
  • 24. Visualizing the Vasculature Normal Tumor Mouse Ear Tumor Model Jonathan Liu O.Solgaard Stanford
  • 25. Imaging of GFP in a Reporter Mouse of Medulloblastoma Jonathan Liu In vivo tumor: through the skull Ventral side of the brain IVIS200 B. Maestro Image C. DAC DAC Medulloblastoma Normal brain O.Solgaard Stanford
  • 26. In vivo sequential imaging: siRNA silencing  Experimental methods  Silencing the GFP reporter gene in the epidermis by intradermal injection of siRNA  Intradermally inject irrelevant control siRNA and specific siRNA (targeting GFP mRNA) in each footpad for 14 days  siRNA potently and specifically inhibits GFP expression in the epidermis, control siRNA has no effect Standard fluorescence microscope Stratum corneum Granulosum Ex vivo Footpad skin skin gene silencing Green – GFP sections 20 µm 20 µm Irrelevant control siRNA Specific siRNA O.Solgaard Stanford
  • 27. Clinical test  Topical application of IC-GREEN cream formulation  Excess cream removed with cotton pads after 15 - 30 mins  Gel used as an optical coupling agent  Volunteer  PC patient  Prior treatment  Intradermal injection of TD101 siRNA (right) and vehicle control solution (left) in symmetric plantar calluses  Twice weekly for 17 weeks  Imaged 48 days after last siRNA treatment Leachman, et al., Mol Ther, 2010 O.Solgaard Stanford
  • 28. siRNA as a Therapeutic Lieberman et al., Cell (2006)  Short, 19-23 nucleotides long, double stranded RNA  Any gene can be theoretically be silenced  Easy to synthesize  Can target multiple genes  Highly specific and efficient (in cell culture)  Delivery is the rate limiting step to translation More than $4 billion worth of deals struck since 2000. Yet, no effective delivery tools described to date. O.Solgaard Stanford
  • 29. Evolution of the DAC Microscope at Stanford O.Solgaard 29 Stanford
  • 30. System Concept Spatial Light Multimode Fiber Focused Light in Modulator (MMF) 3D (SLM)  A cylindrical, step-index waveguide can support propagating modes  NA = 1.33, a = 50 µm, λ = 550 nm => N ~ 175,000 = 4202 O.Solgaard Stanford
  • 31. Impact  Studies of mammalian gene function and regulation  Models of human diseases  Molecular reporters  Fluorescent markers  Continuous intravital optical microscopy will lead to new understanding of fundamental biological processes  Investigations of Biological processes over extended time  Cancer progression and metastasis  Stem cell regeneration and differentiation  Neurology  Optogenetics O.Solgaard Stanford