Recent discoveries suggest that ovarian cancer has its origins in the oviducts (Fallopian tubes) and may exist as intraepithelial carcinoma for up to 6 years. One route of access to the oviducts and ovaries is through the wall of the vagina. We have developed an approximately 3.8 mm diameter rigid salpingoscope for surveillance of high-risk women and early detection of ovarian cancer. The salpingoscope contains multiple advanced imaging modalities, as well as a channel for instillation of saline or dyes, and another channel for introduction of biopsy forceps. The single optical channel combines the modalities of multispectral fluorescence and reflectance wide-field imaging, multiphoton microscopy (MPM), and optical coherence tomography (OCT). Multiple modalities through a single channel are achieved by a novel lens system with dichroic coatings which create separate optical paths for visible wavelengths (low numerical aperture (NA) imaging) and near-infrared wavelengths (high NA imaging). A quartered piezoelectric tube actuator scans a dual-clad fiber with added mass to facilitate both relatively slow (OCT) and fast (wide field and MPM) scanning. Visible wavelength laser diodes are the source for wide field reflectance and fluorescence imaging, with remitted light collected through 12 high NA multimode fibers. A novel femtosecond laser with near-infrared output provides the source for OCT and MPM, with remitted light collected through the core and inner cladding of the dual-clad fiber, respectively. Detectors include high sensitivity photodiodes for wide field, a linear array with spectrometer for OCT, and photomultiplier tubes to collect twoand three-photon signals for MPM imaging.
Early detection of cancer through medical imaging has a critical impact on patient survival rates. There are many efforts for detecting early cancer <i>in situ</i> using modalities other than traditional medical optical imaging, which contain additional information over conventional micrographs of surface morphology acquired without staining. We analyzed the Mueller matrix components of human colon tissue obtained with an imaging polarimeter microscope at an illumination wavelength of 442 nm by principal components analysis in order to separate the traditional non-polarized gray image and to investigate the structure of the parameter space of polarization transformation by tissue. We also analyzed Mueller matrix by mapping it to a coherent matrix and performed eigenvalue analysis. The 1st to 4th principal components contain 99% of the information present in the images; polarization information contributes less than 10% of the information in the Mueller matrix. In one individual, 80% of the cancer was detected, without the first components which contains traditional non-polarized gray image for traditional diagnosis. Microscopic fine structures were observed, particularly in the 3rd and 4th principal components’ score images. The entropy image of corrugated cancer tissue was smoother than that of the traditional gray image. There were several abnormal regions identified in adjacent regions of cancer, whose residues exceeded the noise level of the instrument used.
Mueller polarimetric imaging in dark-field observation shows a contrast enhancement between healthy and cancerous human colon tissue in some reports. We have developed a Mueller-matrix microscope system that combines a dark-field polarization illuminator with an imaging polarimeter to measure the polarization characteristics of scattered light from human colon tissue samples. A multichannel light source permits the acquisition of multispectral Mueller matrices of the sample. The wavelength and polarization state selections are automated, as is the Mueller matrix measurement. The imaging polarimeter permits the system to perform fast, stable measurements. Calibration allows us to reduce the error associated with the illumination and imaging optics in the microscope system. Our system indicates a clear difference between the average Mueller matrix measurements of healthy and cancerous human colon tissue, which agrees well with previously reported results.