RESUMO
Identification of tumour margins during resection of the brain is critical for improving the post-operative outcomes. Due to the highly infiltrative nature of glioblastoma multiforme (GBM) and limited intraoperative visualization of the tumour margin, incomplete surgical resection has been observed to occur in up to 80 % of GBM cases, leading to nearly universal tumour recurrence and overall poor prognosis of 14.6 months median survival. This research presents a miniaturized, SiPMT-based optical system for simultaneous measurement of powerful DRS and weak auto-fluorescence for brain tumour detection. The miniaturisation of the optical elements confined the spatial separation of eight select wavelengths into footprint measuring 1.5 × 2 × 16 mm. The small footprint enables this technology to be integrated with existing surgical guidance instruments in the operating room. It's dynamic ability to subtract any background illumination and measure signal intensities across a broad range from pW to mWs make this design much more suitable for clinical environments as compared to spectrometer-based systems with limited dynamic ranges and high integration times. Measurements using optical tissue phantoms containing mixed fluorophores demonstrate correlation coefficients between the fitted response and actual concentration using PLS regression being 0.95, 0.87 and 0.97 for NADH, FAD and PpIX , respectively. These promising results indicate that our proposed miniaturized instrument could serve as an effective alternative in operating rooms, assisting surgeons in identifying brain tumours to achieving positive surgical outcomes for patients.
RESUMO
This work is an overview of silicon photomultipliers (SiPMs) with a view to defining their importance for bio-photonic and clinical applications. SiPMs are benchmarked against other common photodetectors, namely, PIN diodes and avalanche photodetectors (APDs) and are compared with respect to important circuit design parameters. It will be shown that careful selection of the design bias voltage, overvoltage, gain defining components and device integration to micro-optics can allow SiPM detectors to achieve considerable sensitivity for auto-fluorescence (AF) detection and a wide dynamic range at low optical powers (~1 pW to ~4 µW). The SiPM has a manageable bias voltage (~25 V to ~30 V DC) for systems integration, and with optimised sensitivity it will enhance bio-photonic research in the area of AF to detect intraoperatively, for example, brain tumour margins.
Assuntos
Óptica e Fotônica , FótonsRESUMO
Spatial attention modulations of initial afferent activity in area V1, indexed by the first component "C1" of the human visual evoked potential, are rarely found. It has thus been suggested that early modulation is induced only by special task conditions, but what these conditions are remains unknown. Recent failed replications-findings of no C1 modulation using a certain task that had previously produced robust modulations-present a strong basis for examining this question. We ran 3 experiments, the first to more exactly replicate the stimulus and behavioral conditions of the original task, and the second and third to manipulate 2 key factors that differed in the failed replication studies: the provision of informative performance feedback, and the degree to which the probed stimulus features matched those facilitating target perception. Although there was an overall significant C1 modulation of 11%, individually, only experiments 1 and 2 showed reliable effects, underlining that the modulations do occur but not consistently. Better feedback induced greater P1, but not C1, modulations. Target-probe feature matching had an inconsistent influence on modulation patterns, with behavioral performance differences and signal-overlap analyses suggesting interference from extrastriate modulations as a potential cause.
