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Optical Imaging in Healthcare: Current Challenges and Future Solutions

24 February 2021

On 17 February 2021 we hosted our 6th WEISS virtual symposium, this time on the topic of optical imaging in healthcare.

Digital posters for optical imaging in healthcare symposium showing an image of a doctor holding an endoscope

This symposium, chaired by Dale Waterhouse, brought together world-leading imaging researchers with track records of clinical translation to help showcase the biggest successes of novel imaging technologies as well as summarising the key outstanding barriers to clinical implementation and discussing future strategies to accelerate translation.

Brian Pogue (Dartmouth College) began the symposium with his talk titled ‘Biomedical Optics: The single largest technology sector in medicine’. He provided an overview of biomedical optics, describing the enormous variation in design and economics of clinical optical devices, ranging from otoscopy and ophthalmology to robotic surgery.

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This was followed by a presentation from Sylvain Gioux (Intuitive Surgical Inc.) on the current progress and challenges for spatial frequency domain imaging for surgical guidance.

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Next, Dimitris Gorpas (Technical University of Munich) discussed the challenges and prospects for near infrared fluorescence image-guided interventions, using the example of intra-operative tumour-specific fluorescent imaging in ovarian cancer by folate receptor-a targeting.

Laura Marcu (University of California, Davis) spoke about intra-procedural fluorescence lifetime imaging (iFLIM), focusing on the iFLIM technology that exploits the unique fluorescence signatures of endogenous biomolecules to provide a map of tissue biochemical features and metabolic state.

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Thomas Wang (University of Michigan) discussed early cancer detection in the digestive tract. Certain cell surface targets are over overexpressed in cancerous cells, so Thomas and his group have been developing a strategy to image these targets using peptide imaging agents.

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Elizabeth Hillman’s (Columbia University) talk covered high-speed 3D microscopy for in-vivo, in-situ, instant histology. Her lab has been developing a technology called SCAPE (swept confocally aligned planar excitation) microscopy which is a form of light sheet microscopy. This has the ability to perform motionless ultra-fast 3D acquisition at high sensitivity and low phototoxicity.  

Following this, Nick Stone (University of Exeter) gave his talk ‘Raman spectroscopy: more than a real-time, point-of-care, spectroscopic measure of pathology?’

George Gordon (University of Nottingham) discussed holographic imaging through optical fibres. For the purposes of his talk, he defined holographic imaging as the use of coherent light for illumination and also using coherent detection of the light coming back.

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Frédéric Leblond (Polytechnique Montreal) spoke about clinical translation challenges in Raman spectroscopy, specifically for surgical applications. Raman spectroscopy is a technique used to determine vibrational modes of molecules, providing a structural ‘fingerprint’ by which molecules can be identified in a non-invasive way.

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Next, Calum Williams (University of Cambridge) gave his talk ‘Shedding Light on Cancer: Towards Bespoke Snapshot Spectral Imaging’. His work focuses on building cost effective custom multispectral filter arrays (which are required for targeted applications) using multi-layer grayscale lithography for early-stage cancer detection.

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Lise Lyngsnes Randeberg (Norwegian University of Science and Technology) spoke about her work using hyperspectral imaging as a diagnostic tool, specifically for arthritis. An average patient can wait between 4-10 years for the correct diagnosis of arthritis, and therefore there is a need for new modalities and new tools to aid diagnosis. Hyperspectral imaging is an ideal diagnostic tool as it provides high spatial and spectral resolution, as well as being non-contact, fast and with the ability for real-time analysis.   
 
Finally, Kristen Maitland (Texas A&M University) ended the symposium by discussing multimodal optical imaging for early detection of oral cancer. Precancerous lesions can be diffuse, multifocal, and/or heterogeneous making them very difficult to diagnose. Kristen’s research focuses on using florescence lifetime imaging to detect specific changes in endogenous fluorescence resulting from malignant transformation, and reflectance confocal microscopy to detect changes in cellular morphology and tissue architecture.

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Following the talks there was a panel discussion which centred around the question: ‘How much emphasis should we put on technology push vs market pull?’  
 

The symposium had a fantastic turn out of 115 people from 16 different countries. We look forward to hosting more symposia in the near future – make sure to keep checking the Events pages on our website for details!