Multiparametric Cystoscopy for Detection of Bladder Cancer Using Real-time Multispectral Imaging.

BACKGROUND: Various imaging modalities can be used in addition to white light (WL) to improve detection of bladder cancer (BC). OBJECTIVE: To use real-time multispectral imaging (rMSI) during urethrocystoscopy to combine different imaging modalities to achieve multiparametric cystoscopy (MPC). DESIGN, SETTING, AND PARTICIPANTS: The rMSI system consisted of a camera with a spectral filter, a multi-LED light source, a microcontroller, and a computer for display and data acquisition. MSI with this system was achieved via temporal multiplexing. SURGICAL PROCEDURE: MPC was performed in ten patients with a diagnosed bladder tumor. MEASUREMENTS: We gathered evidence to prove the feasibility of our approach. In addition, experienced urologists performed post-interventional evaluation of images of individual lesions. Images were independently rated in a semiquantitative manner for each modality. A statistical model was built for pairwise comparisons across modalities. RESULTS AND LIMITATIONS: Overall, 31 lesions were detected using the rMSI set-up. Histopathology revealed malignancy in 27 lesions. All lesions could be visualized simultaneously in five modalities: WL, enhanced vascular contrast (EVC), blue light fluorescence, protoporphyrin IX fluorescence, and autofluorescence. EVC and photodynamic diagnosis images were merged in real time into one MP image. Using the recorded images, two observers identified all malignant lesions via MPC, whereas the single modalities did not arouse substantial suspicion for some lesions. The MP images of malignant lesions were rated significantly more suspicious than the images from single imaging modalities. CONCLUSIONS: We demonstrated for the first time the application of rMSI in endourology and we established MPC for detection of BC. This approach allows existing imaging modalities to be combined, and it may significantly improve the detection of bladder cancer. PATIENT SUMMARY: Real-time multispectral imaging was successfully used to combine different imaging aids for more comprehensive illustration of bladder tumors for surgeons. In the future, this technique may allow better detection of bladder tumors and more complete endoscopic resection in cases of cancer.

Spectral and temporal multiplexing for multispectral fluorescence and reflectance imaging using two color sensors.

Fluorescence imaging can reveal functional, anatomical or pathological features of high interest in medical interventions. We present a novel method to record and display in video rate multispectral color and fluorescence images over the visible and near infrared range. The fast acquisition in multiple channels is achieved through a combination of spectral and temporal multiplexing in a system with two standard color sensors. Accurate color reproduction and high fluorescence unmixing performance are experimentally demonstrated with a prototype system in a challenging imaging scenario. Through spectral simulation and optimization we show that the system is sensitive to all dyes emitting in the visible and near infrared region without changing filters and that the SNR of multiple unmixed components can be kept high if parameters are chosen well. We propose a sensitive per-pixel metric of unmixing quality in a single image based on noise propagation and present a method to visualize the high-dimensional data in a 2D graph, where up to three fluorescent components can be distinguished and segmented.

Laser perforated ultrathin metal films for transparent electrode applications.

Transmittance and conductivity are the key requirements for transparent electrodes. Many optoelectronic applications require additional features such as mechanical flexibility and cost-efficient fabrication at low temperatures. Here we demonstrate a simple method to fabricate high performance transparent electrodes that is based on perforation of thin silver layers using picosecond laser pulses. Transparent electrodes have been characterized optically and electrically in order to determine the influence of specific surface coverage. Special attention was paid to maintaining sufficient conductivity in the metal-free areas. As a result, transmittance of a much higher bandwidth was achieved as compared to unpatterned metal films. Transparent electrodes have been fabricated on glass and plastic foil, as well as wafer-based silicon heterojunction solar cells, demonstrating their applicability for most relevant cases.

Comparison of Ag and SiO2 Nanoparticles for Light Trapping Applications in Silicon Thin Film Solar Cells.

Plasmonic and photonic light trapping structures can significantly improve the efficiency of solar cells. This work presents an experimental and computational comparison of identically shaped metallic (Ag) and nonmetallic (SiO2) nanoparticles integrated to the back contact of amorphous silicon solar cells. Our results show comparable performance for both samples, suggesting that minor influence arises from the nanoparticle material. Particularly, no additional beneficial effect of the plasmonic features due to metallic nanoparticles could be observed.

Holographic control of motive shape in plasmonic nanogap arrays.

Here we demonstrate that 4-beam holographic lithography can be utilized to create plasmonic nanogaps that are 70 times smaller than the laser wavelength (488 nm). This was achieved by controlling phase, polarization, and laser beam intensity in order to tune the relative spacing of the two sublattices in the interference pattern of a compound-lattice in combination with the nonlinear resist response. Exemplarily, twin and triplet motive features were designed and patterned into polymer in a single exposure step and then transferred into gold nanogap arrays resulting in an average gap size of 22 nm and smallest features down to 7 nm. These results extend the utility of high-throughput, wafer-scale holographic lithography into the realm of nanoplasmonics.