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Nanosensitive optical coherence tomography to monitor corneal burn and treatment response in vivo. 纳米光学相干断层扫描监测角膜烧伤和治疗反应在体内。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-12 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.599649
Eanna Johnston, Sergey Alexandrov, Rajib Dey, Ellen Donohoe, Aoife Canning, Thomas Ritter, Martin Leahy

Chemical burns account for 10-22% of ocular injuries, with alkali burns being the most frequent and severe. There is a significant need for treatment of these injuries, as well as an effective imaging method to monitor both the injury and treatment progression. Currently, there are limited options for monitoring the burn and treatment response of the sub-micron structures within the corneal tissue in vivo and non-destructively, due to factors such as the resolution limit of optical imaging systems. Optical coherence tomography (OCT) is a non-invasive imaging technique that provides high-resolution, cross-sectional imaging of biological tissue at good imaging depths. Due to the diffraction limit, OCT resolution is limited to the micron scale, preventing monitoring of nanoscale changes. Nanosensitive optical coherence tomography (nsOCT) overcomes this limitation by recovering high spatial frequency information through spectral encoding, enabling assessment of sub-micron tissue features. Here, we present variations of nsOCT with improved sensitivity for detecting nanoscale tissue changes. These methods were applied to a corneal alkali burn model and a treatment model using mesenchymal stromal cell-derived extracellular vesicles. Correlation of axial spatial frequency profiles (ASFP) and mapping of ASFP differences enabled sensitive detection of nanoscale structural changes post-injury and during treatment progression. A statistically significant disruption of the sub-micron structure was observed after injury, followed by partial restoration during the reparative phase. The proposed methods provide improved sensitivity to nanoscale tissue changes and may support monitoring of cell therapy and other medical applications for diagnostic purposes.

化学烧伤占眼部损伤的10-22%,其中碱烧伤最为常见和严重。对于这些损伤的治疗,以及一种有效的成像方法来监测损伤和治疗进展,都是非常必要的。目前,由于光学成像系统的分辨率限制等因素,在体内和非破坏性地监测角膜组织内亚微米结构的烧伤和治疗反应的选择有限。光学相干断层扫描(OCT)是一种非侵入性成像技术,可在良好的成像深度下提供高分辨率的生物组织横断面成像。由于衍射极限的限制,OCT分辨率被限制在微米尺度,无法监测纳米尺度的变化。纳米光学相干断层扫描(nsOCT)克服了这一限制,通过光谱编码恢复高空间频率信息,使亚微米组织特征的评估成为可能。在这里,我们提出了nsOCT的变化,提高了检测纳米级组织变化的灵敏度。将这些方法应用于角膜碱烧伤模型和间充质间质细胞来源的细胞外囊泡治疗模型。轴向空间频率谱(ASFP)的相关性和ASFP差异的绘制能够灵敏地检测损伤后和治疗过程中的纳米级结构变化。损伤后观察到亚微米结构有统计学意义的破坏,随后在修复阶段部分恢复。所提出的方法提高了对纳米级组织变化的敏感性,并可能支持监测细胞治疗和用于诊断目的的其他医学应用。
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引用次数: 0
Deep learning fusion of multi-channel imaging from polarization-sensitive optical coherence tomography. 偏振敏感光学相干层析成像的多通道深度学习融合。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-11 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.597049
Yunlong Liu, Chen Wang, Paul Calle, Justin Reynolds, Sinaro Ly, Haoyang Cui, Alberto J de Armendi, Shashank S Shettar, Kar-Ming Fung, Qi Li, Rupa Haldavnekar, Qinggong Tang, Chongle Pan

Multi-contrast polarization-sensitive optical coherence tomography (PS-OCT) provides complementary structural and polarization information that may improve epidural tissue classification. Here, we evaluated deep learning fusion of four PS-OCT channels, including intensity, phase retardation, degree of polarization uniformity (DOPU), and optic axis, using porcine (n = 6) and human (n = 5) spinal specimens. We benchmarked six multi-channel fusion strategies: Probability averaging, feature concatenation, trainable weighted output, shared-stage resnet, merged multi-channel input, and pooled data. Across subject-level nested cross-validation, multi-channel methods achieved modest but consistent accuracy improvements over the best single-channel baselines while reducing subject-to-subject variability. On porcine data, Probability Averaging increased mean validation accuracy by 3.46% (93.07% vs. 89.61% for the best single-channel baseline). On human data, fusion methods maintained the high single-channel baseline (approximately 97% to 98%) while modestly improving stability, with probability averaging achieving the highest mean validation accuracy (98.26%). In cross-testing, trainable weighted output achieved 92.32% versus 91.53% for the best porcine single-channel baseline, and probability averaging achieved 97.87% versus 97.75% for the best human single-channel baseline. On the human cohort, the gain in mean accuracy was small, but multi-channel fusion produced a statistically significant reduction in between-subject variance (Levene's p = 0.0108) and removed the need to know in advance which single channel would generalize best. Overall, multi-channel fusion improved classification performance and robustness, with probability averaging offering a favorable balance between accuracy and complexity because it requires no additional training beyond single-channel models.

多对比偏振敏感光学相干断层扫描(PS-OCT)提供了互补的结构和偏振信息,可以改善硬膜外组织分类。在这里,我们以猪(n = 6)和人(n = 5)脊柱标本为样本,评估了深度学习融合的4个PS-OCT通道,包括强度、相位延迟、偏振均匀度(DOPU)和光轴。我们对六种多通道融合策略进行了基准测试:概率平均、特征拼接、可训练加权输出、共享阶段重网、合并多通道输入和池化数据。跨主题级嵌套交叉验证,多通道方法在减少受试者之间的可变性的同时,比最佳的单通道基线实现了适度但一致的准确性改进。在猪数据上,概率平均法将平均验证准确率提高了3.46%(最佳单通道基线为93.07%,最佳单通道基线为89.61%)。在人类数据上,融合方法保持了较高的单通道基线(约97%至98%),同时适度提高了稳定性,平均概率达到最高的平均验证精度(98.26%)。在交叉测试中,最佳猪单通道基线的可训练加权输出为92.32%,而最佳猪单通道基线为91.53%;最佳人单通道基线的平均概率为97.87%,而最佳人单通道基线为97.75%。在人类队列中,平均准确性的增加很小,但多通道融合在统计上显著减少了受试者之间的方差(Levene's p = 0.0108),并且无需事先知道哪一个通道可以最好地泛化。总的来说,多通道融合提高了分类性能和鲁棒性,概率平均在准确性和复杂性之间提供了良好的平衡,因为除了单通道模型之外不需要额外的训练。
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引用次数: 0
Retinal layer segmentation in OCT images with a 2.5D cross-slice feature fusion module for glaucoma assessment. 基于2.5D横切面特征融合模块的OCT图像视网膜层分割用于青光眼评估。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-11 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.599609
Hyunwoo Kim, Heesuk Kim, Chaewon Lee, Wungrak Choi, Jae-Sang Hyun

For accurate glaucoma diagnosis and monitoring, reliable retinal layer segmentation in OCT images is essential. However, existing 2D segmentation methods often suffer from slice-to-slice inconsistencies due to the lack of contextual information across adjacent B-scans. 3D segmentation methods are better for capturing slice-to-slice context, but they require expensive computational resources. To address these limitations, we propose a 2.5D segmentation framework that incorporates a novel cross-slice feature fusion (CFF) module into a U-Net-like architecture. The CFF module fuses inter-slice features to effectively capture contextual information, enabling consistent boundary detection across slices and improved robustness in noisy regions. The framework was validated on both a clinical dataset and the publicly available DUKE DME dataset. Compared to other segmentation methods without the CFF module, the proposed method achieved an 8.56% reduction in mean absolute distance and a 13.92% reduction in root mean square error, demonstrating improved segmentation accuracy and robustness. Overall, the proposed 2.5D framework balances contextual awareness and computational efficiency, enabling anatomically reliable retinal layer delineation for automated glaucoma evaluation and potential clinical applications.

为了准确诊断和监测青光眼,可靠的OCT图像视网膜层分割是必不可少的。然而,由于缺乏相邻b扫描的上下文信息,现有的2D分割方法往往存在切片到切片的不一致性。3D分割方法更适合于捕获片到片的上下文,但它们需要昂贵的计算资源。为了解决这些限制,我们提出了一种2.5D分割框架,该框架将一种新颖的横切片特征融合(CFF)模块集成到类似u - net的架构中。CFF模块融合了片间特征来有效捕获上下文信息,实现了片间一致的边界检测,并提高了噪声区域的鲁棒性。该框架在临床数据集和公开可用的DUKE DME数据集上进行了验证。与没有CFF模块的其他分割方法相比,该方法的平均绝对距离减少了8.56%,均方根误差减少了13.92%,显示了更高的分割精度和鲁棒性。总的来说,所提出的2.5D框架平衡了上下文感知和计算效率,实现了解剖学上可靠的视网膜层描绘,用于自动青光眼评估和潜在的临床应用。
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引用次数: 0
Dual-scale and dual-channel oblique plane microscopy for multi-resolution imaging of large tissue specimens. 用于大组织标本多分辨率成像的双尺度双通道斜平面显微镜。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-11 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.596780
Jisang Lee, Suil Jeon, Jihyun Chun, Dongjun Jung, Euiheon Chung, Seung-Mo Hong, Ki Hean Kim

Oblique plane microscopy (OPM) is a single-objective implementation of light sheet fluorescence microscopy (LSFM) that enables volumetric imaging in an open-top configuration suitable for large tissue specimens. Such applications require both detailed visualization of cellular structures and rapid coverage of large areas. However, achieving these two capabilities simultaneously within a single OPM system remains challenging. Here, we present a dual-scale and dual-channel OPM platform (D2OPM) that alternates between two primary objectives mounted on a turret to enable micro-scale high-resolution imaging and meso-scale high-throughput imaging within a unified optical architecture. To maintain consistent remote-focus performance during objective switching, the illumination geometry is adjusted without introducing additional imaging arms. The micro-scale mode provides submicron lateral resolution for cellular assessment, while the meso-scale mode enables rapid centimeter-scale image acquisition. Because high-resolution volumetric imaging inherently limits acquisition speed, controlled under-sampling is applied in the micro-scale mode and combined with deep learning-based image restoration to preserve morphologic detail while increasing throughput. Dual-channel fluorescence imaging is achieved using dual-wavelength excitation and spectral separation onto a single camera. Imaging of human colon, stomach, and pancreatic specimens demonstrates structural and cytologic features comparable to hematoxylin and eosin histology, with quantitative agreement in nucleus size measurements. These results establish D2OPM as a compact multi-resolution LSFM platform for rapid histomorphologic assessment.

斜平面显微镜(OPM)是单物镜实现光片荧光显微镜(LSFM),使体积成像在一个开放的顶部配置适合大型组织标本。这样的应用既需要蜂窝结构的详细可视化,又需要大面积的快速覆盖。然而,在单个OPM系统中同时实现这两种功能仍然具有挑战性。在这里,我们提出了一个双尺度和双通道OPM平台(D2OPM),它在安装在炮塔上的两个主要物镜之间交替,在统一的光学架构内实现微尺度高分辨率成像和中尺度高通量成像。为了在物镜切换期间保持一致的远程聚焦性能,无需引入额外的成像臂即可调整照明几何形状。微尺度模式为细胞评估提供亚微米横向分辨率,而中尺度模式能够快速获取厘米尺度图像。由于高分辨率体积成像固有地限制了采集速度,因此将控制欠采样应用于微尺度模式,并结合基于深度学习的图像恢复,以在提高吞吐量的同时保留形态细节。双通道荧光成像是利用双波长激发和光谱分离到单个相机上实现的。人类结肠、胃和胰腺标本的成像显示了与苏木精和伊红组织学相当的结构和细胞学特征,与核大小测量的定量一致。这些结果建立了D2OPM作为一个紧凑的多分辨率LSFM平台,用于快速组织形态学评估。
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引用次数: 0
Proto-clinical optoretinography dependence on temporal and spatial resolution. 原始临床视网膜造影对时间和空间分辨率的依赖。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-10 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.596045
Arman Athwal, Ringo Ng, Ayoub Faraji, Yifan Jian, Jem Love, Thomas Smart, Mohammad Shahidul Islam, Myeong Jin Ju, Marinko V Sarunic

Optoretinography (ORG) enables non-invasive measurement of stimulus-evoked photoreceptor deformation using phase-sensitive optical coherence tomography (OCT). In this study, we evaluated how lateral resolution, acquisition speed, and spatial and inter-trial averaging influence velocity-based phase ORG measured with a raster-scanning spectral-domain OCT platform configured to resemble clinically realistic hardware. Seven healthy eyes were imaged while varying beam diameter (1.6-4.8 mm), B-scan rate (400-800 Hz), and averaging strategies. The characteristic biphasic response, a rapid contraction followed by slower elongation, was consistently observed across all conditions. Increasing NA improved structural cone visibility but did not proportionally enhance averaged ORG metrics, while moderate NA often yielded more stable signals. Higher acquisition speeds sharpened the measured contraction dynamics but reduced the signal-to-noise ratio due to increased phase noise. Both spatial and trial averaging substantially improved SNR. These findings demonstrate that repeatable phase-based ORGs can be achieved without cellular resolution or ultrahigh scan rates, and provide practical guidance for implementing proto-clinical ORG on conventional OCT systems.

光视网膜造影(ORG)能够使用相敏光学相干断层扫描(OCT)非侵入性测量刺激诱发的光感受器变形。在这项研究中,我们评估了横向分辨率、采集速度、空间和试验间平均对基于速度的相位ORG的影响,该相位ORG采用光栅扫描光谱域OCT平台测量,配置成类似于临床实际硬件。7只健康的眼睛在不同的光束直径(1.6-4.8 mm)、b扫描率(400-800 Hz)和平均策略下进行成像。特征双相反应,快速收缩后缓慢伸长,在所有条件下一致观察到。增加NA可提高结构锥的可见度,但不能按比例提高平均ORG指标,而适度NA通常产生更稳定的信号。较高的采集速度使测量到的收缩动态变得锐利,但由于相位噪声的增加而降低了信噪比。空间平均和试验平均都大大提高了信噪比。这些发现表明,在没有细胞分辨率或超高扫描速率的情况下,可以实现可重复的基于相的组织,并为在传统OCT系统上实现临床原型组织提供了实用指导。
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引用次数: 0
Quantification and mitigation of system background fluorescence in fiber-optic-based imaging systems. 光纤成像系统中系统背景荧光的定量与抑制。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-09 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.597273
Eric Brace, Jeanie Malone, Adrian Tanskanen, Laura Paulus, Kevin Bennewith, Calum MacAulay, Pierre Lane

Autofluorescence imaging provides a snapshot of tissue biochemistry that can be used to identify dysplastic tissue. However, deployment in multimodal single-fiber imaging systems is limited by system background fluorescence. We propose to improve the signal-to-background ratio (SBR) through the removal of background emission in fiber-optic catheters for autofluorescence and optical coherence tomography. We collected power and spectral measurements of optical components to characterize their emissions using 450 nm excitation. We measured the per-meter fluorescence contribution of single-mode, double-clad, and multimode optical fibers. By tailoring the detection filter to the emission spectra of the target tissue and system background, we have demonstrated an average of 7.9x improvement in SBR.

自体荧光成像提供了组织生物化学的快照,可用于识别发育不良组织。然而,多模态单光纤成像系统的部署受到系统背景荧光的限制。我们提出通过去除光纤导管中的背景辐射来提高自身荧光和光学相干断层扫描的信本比(SBR)。我们收集了光学元件的功率和光谱测量值,以表征它们在450nm激发下的发射。我们测量了单模、双包层和多模光纤的每米荧光贡献。通过根据目标组织和系统背景的发射光谱定制检测滤波器,我们已经证明SBR平均提高了7.9倍。
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引用次数: 0
Erratum: Defining the optimal imaging time point for fluorescence-lifetime-based tumor identification using the non-targeting near-infrared dye indocyanine green and post-processed high-dynamic-range images: errata. 勘误:使用非靶向近红外染料吲哚菁绿和后处理的高动态范围图像,定义基于荧光寿命的肿瘤鉴定的最佳成像时间点:勘误。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-08 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.603944
S Janssen, T Van den Dries, N Lina Kheiro, T Lapauw, J de Geeter, S Sahakian, M Stroet, M Kuijk, H de Rooster, H Ingelberts, S Hernot

[This corrects the article on p. 1953 in vol. 17, PMID: 42110997.].

[这是对第17卷1953页文章的更正,PMID: 42110997]。
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引用次数: 0
Towards generalizable contactless oximetry from multispectral video via deep domain-adaptive learning strategy. 基于深度域自适应学习策略的多光谱视频非接触式血氧测量推广。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-08 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.595711
Wang Liao, Fengyuan Liang, Chen Zhang, Gunther Notni

Camera-based contactless oxygen saturation estimation enables comfort and hygienic long-term monitoring. Deep learning methods have shown promise in extracting rich spatiotemporal features from facial videos, yet they often struggle to generalize across domain shifts, such as inter-subject variability, skin tone differences, spectral discrepancies, sensor system changes, and lab-to-clinic transitions. To address this, we propose a multi-level target unsupervised domain adaptation framework for contactless oximetry from multispectral facial video. Building upon a previously established spatiotemporal 3D CNN baseline, the proposed method aligns source and target feature distributions across multiple network hierarchies together with a dynamically weighted training scheduler and adaptive batch normalization. The framework is systematically evaluated on three custom datasets acquired with two different sensor systems, covering controlled laboratory experiments and real-world clinical recordings. In leave-one-participant-out validation on a breath-holding dataset of 23 healthy subjects, the proposed method reduces the mean absolute error (MAE) from 2.31 % to 1.98 %, desaturation-specific MAE from 3.26 % to 2.60 %, and improves Pearson's correlation coefficient from 0.64 to 0.71. Consistent performance gains are observed under cross-skin-type, cross-spectral, and cross-sensor-system domain shifts. In a clinical validation involving real sleep apnea patients with 796 oxygen desaturation events, the error between our estimations and polysomnography ground truth stays within 2 % for 90 % of the recorded time. These results demonstrate that the proposed deep domain adaptation framework substantially enhances the robustness and generalization of camera-based contactless oximetry, demonstrating its potential for practical deployment in clinical and real-world monitoring.

基于摄像机的非接触式血氧饱和度估计使舒适和卫生的长期监测。深度学习方法在从面部视频中提取丰富的时空特征方面显示出了希望,但它们往往难以跨越领域转移进行概括,例如主体间可变性、肤色差异、光谱差异、传感器系统变化以及实验室到临床的转变。为了解决这个问题,我们提出了一个多光谱面部视频非接触式血氧测量的多层次目标无监督域自适应框架。基于先前建立的时空三维CNN基线,该方法将源和目标特征分布跨多个网络层次进行对齐,并使用动态加权训练调度程序和自适应批处理归一化。该框架在三个定制数据集上进行了系统评估,这些数据集由两种不同的传感器系统获得,涵盖受控实验室实验和现实世界的临床记录。在23名健康受试者屏气数据集的留一参与者验证中,该方法将平均绝对误差(MAE)从2.31%降低到1.98%,将去饱和特异性MAE从3.26%降低到2.60%,并将Pearson相关系数从0.64提高到0.71。在跨皮肤类型、跨光谱和跨传感器系统域移位下,可以观察到一致的性能增益。在一项涉及796个氧去饱和事件的真实睡眠呼吸暂停患者的临床验证中,在90%的记录时间内,我们的估计与多导睡眠图的基本事实之间的误差保持在2%以内。这些结果表明,所提出的深度域适应框架大大增强了基于相机的非接触式血氧仪的鲁棒性和泛化性,显示了其在临床和现实世界监测中的实际部署潜力。
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引用次数: 0
Focusing scattered light through live tissue with channel-selected wavefront shaping. 聚焦散射光通过活组织与通道选择波前整形。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-04 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.603402
Conger Jia, Yuecheng Shen, Zhengyang Wang, Jiawei Luo, Zhiling Zhang, Dalong Qi, Yunhua Yao, Lianzhong Deng, Shian Zhang

Wavefront shaping (WS) is a powerful technique to overcome optical scattering in biological tissue, enabling deep-tissue focusing and advancing biomedical optics. For practical in vivo applications, WS must adapt to dynamic scattering environments induced by physiological activities such as blood flow. Conventional strategies to address this challenge rely solely on accelerating operational speed, yet still face the challenge of keeping pace with rapid decorrelation caused by fast-varying components such as flowing red blood cells, leading to degraded focusing efficiency. To overcome this limitation, we propose a channel-selected WS (CS-WS) strategy that classifies scattering channels into slow-varying (extravascular tissue) and fast-varying (blood vessels) based on speckle decorrelation speed, optimizing only slow-varying channels while deactivating fast-varying ones. We validate CS-WS via in vivo experiments on live mouse ears using a fast closed-loop feedback system with a single iteration time of 4 ms. Results show that CS-WS achieves 38% faster convergence (398 vs. 642 iterations) and 27% higher focal enhancement (14.85 vs. 11.68) than conventional full-aperture WS. This simple approach provides a practical solution for dynamic in vivo scenarios, offering broad potential for robust deep-tissue optical focusing in biomedical applications.

波前整形(WS)是克服生物组织光散射的一种有效技术,可实现深层组织聚焦,促进生物医学光学的发展。在实际的体内应用中,WS必须适应由血流等生理活动引起的动态散射环境。解决这一挑战的传统策略仅依赖于加快操作速度,但仍然面临着跟上快速变化的成分(如流动的红细胞)导致聚焦效率下降的快速去相关的挑战。为了克服这一限制,我们提出了一种通道选择WS (CS-WS)策略,该策略根据散斑去相关速度将散射通道分为慢变通道(血管外组织)和快变通道(血管),仅优化慢变通道,同时使快变通道失效。我们使用单次迭代时间为4 ms的快速闭环反馈系统,通过活体小鼠耳朵实验验证了CS-WS。结果表明,CS-WS的收敛速度比常规全光圈WS快38%(398次迭代比642次迭代),焦强提高27%(14.85次迭代比11.68次迭代)。这种简单的方法为动态体内场景提供了实用的解决方案,为生物医学应用中强大的深层组织光学聚焦提供了广阔的潜力。
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引用次数: 0
Radiotherapy beam tracking by dual-modality injectable fiducial marker for X-ray CT and Cherenkov luminescence imaging. x线CT和切伦科夫发光成像的双模可注射基准标记物放射束跟踪。
IF 3.2 2区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Pub Date : 2026-06-04 eCollection Date: 2026-07-01 DOI: 10.1364/BOE.597050
Xu Cao, Matthew S Reed, Wesley S Culberson, Brian W Pogue

Accurate beam targeting is critical in radiation therapy, particularly for stereotactic treatments of mobile organs where fiducial markers are routinely used for image guidance. However, current approaches do not provide real-time confirmation that the therapeutic radiation beam is accurately delivered to the intended target during irradiation. This study presents a preliminary proof-of-concept evaluation of a dual-modality fiducial marker that combines a liquid injectable fiducial material for X-ray computed tomography (CT) contrast with a biocompatible radioluminescent ink, enabling both pre-treatment localization and intra-treatment optical verification. The proposed formulation can be delivered by syringe into anatomical sites and readily visualized on CT for treatment planning and alignment. During irradiation, Cherenkov light generated within tissue excites the marker, producing visible luminescence detectable with a time-gated imaging system and enabling Cherenkov-excited luminescence imaging (CELI) of beam position in real time. Phantom studies demonstrated detection sensitivity for injected volumes as small as 20 µL and radiation doses as low as 2.8 cGy, with measurable signals at depths up to 8 mm in tissue-mimicking media. The liquid fiducial provided clear CT visualization of the injection site prior to treatment, while CELI enabled real-time visualization of the radiation beam during irradiation in vivo. A strong spatial correlation was observed between emitted luminescence and radiation beam location. These results demonstrate the feasibility of a simple subcutaneous injectable fiducial marker system for real-time beam verification in radiation therapy using clinically Cherenkov imaging cameras.

精确的光束定位在放射治疗中是至关重要的,特别是对于移动器官的立体定向治疗,其中基准标记通常用于图像引导。然而,目前的方法不能提供实时确认治疗放射束在照射期间准确地传递到预期的目标。本研究提出了一种双模基准标记物的初步概念验证评估,该标记物将用于x射线计算机断层扫描(CT)对比的液体可注射基准材料与生物相容性放射发光墨水结合在一起,可实现治疗前定位和治疗内光学验证。建议的配方可以通过注射器输送到解剖部位,并易于在CT上可视化,用于治疗计划和对齐。在辐照过程中,组织内产生的切伦科夫光激发标记物,产生可被时间门控成像系统检测到的可见发光,并实现实时光束位置的切伦科夫激发发光成像(CELI)。幻影研究表明,在模拟组织介质中,检测灵敏度低至20 μ L,辐射剂量低至2.8 cGy,深度可达8 mm。液体基准在治疗前提供了注射部位的清晰CT显示,而CELI则在体内照射期间实现了辐射束的实时显示。发射发光与辐射束位置之间存在很强的空间相关性。这些结果证明了一种简单的皮下注射基准标记系统的可行性,该系统用于使用临床切伦科夫成像相机进行放射治疗的实时光束验证。
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Biomedical optics express
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