A fiber optic imaging element includes medium-expansion and a fabrication method including: (1) matching a core glass rod with a cladding glass tube to perform mono fiber drawing; (2) arranging the mono fibers into a mono fiber bundle rod, and then drawing the mono fiber bundle rod into a multi fiber; (3) arranging the multi fiber into a multi fiber bundle rod, and then drawing the multi fiber bundle rod into a multi-multi fiber; (4) cutting the multi-multi fiber, and then arranging the multi-multi fiber into a fiber assembly buddle, then putting the fiber assembly buddle into a mold of heat press fusion process, and performing the heat press fusion process to prepare a block of the fiber optic imaging element with medium-expansion; and (5) edged rounding, cutting and slicing,

A method for manufacturing an optical preform including the steps of providing a substrate tube having deposited layers of glass on an inside surface thereof, increasing an outer diameter of the substrate tube by means of applying a traversing heat source to heat the substrate tube to above a softening temperature thereof and by providing an internal pressure in the substrate tube higher than an ambient pressure, and collapsing the substrate tube of increased outer diameter by means of applying the traversing heat source to heat the substrate tube to above the softening temperature thereof such that an optical preform is manufactured.