HANDHELD PROBE AND SYSTEM FOR IMAGING HUMAN TISSUE
20220409058 · 2022-12-29
Assignee
Inventors
Cpc classification
G01N21/4795
PHYSICS
G01N21/255
PHYSICS
A61B2560/0431
HUMAN NECESSITIES
G01N21/474
PHYSICS
A61B5/0075
HUMAN NECESSITIES
International classification
Abstract
A diffuse-optical-spectroscopy system and method for scanning human tissue is provided. The system includes: (a) a handheld probe operable to emit electromagnetic radiation at one or more wavelengths corresponding to absorption associated with one or more human-tissue constituents, respectively, the handheld probe being operable to detect received electromagnetic radiation at each of the wavelengths; and (b) a processor operable to produce, in response to the received electromagnetic radiation, one or more cross-sectional images of the human tissue respectively associated with the wavelengths.
The handheld probe includes first and second sources for emitting the electromagnetic radiation and one or more sensors for detecting the received electromagnetic radiation. The sensors are aligned along a first axis and face in an outward direction. The first and second sources are aligned along the first axis, face in the outward direction, and are disposed on either side of the sensors.
Claims
1-16. (canceled)
17. An-optical-spectroscopy system for scanning human tissue, the system comprising: a handheld probe having: at least one source configured to emit electromagnetic radiation at two or more wavelengths respectively corresponding to absorption associated with one or more human-tissue constituents, respectively, the handheld probe configured to detect reflected electromagnetic radiation at each of the two or more wavelengths; and at least one detector configured to detect emitted electromagnetic radiation reflected from the one or more human-tissue constituents; and a processor, coupled to the handheld probe, configured to produce, in response to the received electromagnetic radiation, one or more cross-sectional images of the human tissue respectively associated with one of the two or more wavelengths.
18. The system of claim 17, wherein the handheld probe comprises a sensor for detecting received electromagnetic radiation, wherein the sensor is aligned along a first axis and facing in an outward direction.
19. The system of claim 17 wherein the handheld probe comprises two sources for emitting the electromagnetic radiation, the sources being aligned along the first axis, facing in the outward direction, and disposed equidistant from the sensor.
20. The system of claim 17 wherein the handheld probe comprises three sources for emitting the electromagnetic radiation, each of the three sources facing in the outward direction and disposed about the sensor.
21. The system of claim 17 wherein the one or more wavelengths comprise at least four wavelengths corresponding to absorption associated with at least four human-tissue constituents, each of the at least four wavelengths being in at least one of a visible region, a near-infrared region, and an infrared region of the electromagnetic spectrum, said at least four human-tissue constituents comprising deoxyhemoglobin, oxyhemoglobin, water and fat.
22. The system of claim 17 wherein the source comprises first, second, third and fourth light sources configured to emit electromagnetic radiation at least at first, second, third and fourth wavelengths, respectively, wherein each of the at least first, second, third and fourth light sources comprising a light source selected from the group consisting of a light-emitting diode, an encapsulated light-emitting diode, and a laser.
23. The system of claim 17 wherein the handheld probe comprises a detector selected from the group consisting of a charge-coupled device and an array photodiode.
24. The system of claim 17 wherein the one or more wavelengths further comprises wavelengths from the group comprising 600 nm to 1100 nm.
25. The system of claim 17, further comprising at least a second detector configured to detect emitted electromagnetic radiation reflected from the one or more human-tissue constituents.
26. The system of claim 17, further comprising a sensor to detect a change in orientation of the axis with respect to the reflected electromagnetic radiation in relation to the one or more human-tissue constituents.
27. The system of claim 17, further comprising a sensor to detect pressure between the handheld probe and the at least one human-tissue constituent.
28. A method of scanning human tissue by diffuse-optical-spectroscopy, the method comprising: emitting electromagnetic radiation by at least one emitter source at one or more wavelengths corresponding to absorption associated with one or more human-tissue constituents, respectively, by a handheld probe while being placed in proximity to the human tissue at an axis or orientation; detecting by a detector housed in the handheld probe received electromagnetic radiation at each of the one or more wavelengths; and in response to the received electromagnetic radiation, executing computer-readable instructions at a processor to generate one or more cross-sectional images of the human tissue respectively associated with the one or more wavelengths.
29. The method of claim 28 wherein the detecting further comprises detecting the received electromagnetic radiation by one or more sensors of said handheld probe when said one or more sensors are aligned along a first axis and facing in an outward direction.
30. The method of claim 28 wherein the emitting further comprises emitting electromagnetic radiation by first and second emitter sources when said first and second emitter sources are aligned along said first axis, facing in said outward direction, and disposed on either side of the detector.
31. The method of claim 28 the emitting further comprises emitting the electromagnetic radiation at said one or more wavelengths comprising at least four wavelengths corresponding to absorption associated with at least four human-tissue constituents, each of said at least four wavelengths being in at least one of a visible region, a near-infrared region, and an infrared region of the electromagnetic spectrum, said at least four human-tissue constituents comprising deoxyhemoglobin, oxyhemoglobin, water and fat.
32. The method of claim 28 the emitting comprises emitting said electromagnetic radiation by first, second, third and fourth emitter sources at first, second, third and fourth wavelengths, respectively, of the one or more wavelengths when each of the first, second, third and fourth light sources are selected from the group consisting of a light-emitting diode, an encapsulated light-emitting diode, and a laser.
33. The method of claim 28 the detecting further comprises detecting received electromagnetic radiation by at least one of a charge-coupled device and a photodiode array.
34. The method of claim 28 the emitting further comprises emitting continuous wave electromagnetic radiation.
35. The method of claim 28 further comprising: determining a first absorption coefficient associated with a first emitter source when the first emitter source is emitting first electromagnetic radiation, determining a second absorption coefficient associated with a second emitter source when the second emitter source is emitting second electromagnetic radiation; and determining a total absorption coefficient at an intersecting location within the human tissue by calculating a superposition value associated with the first absorption coefficient and the second absorption coefficient.
36. The method of claim 28 further comprising: detecting a pressure between the handheld probe and the one or more human-tissue constituents; and detecting an orientation with respect to the axis between the handheld probe and the one or more human-tissue constituents.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0015] In drawings which illustrate by way of example only embodiments of the invention:
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DETAILED DESCRIPTION
[0110] A system for scanning human tissue by diffuse-optical-spectroscopy includes: (a) source means for emitting electromagnetic radiation at one or more wavelengths corresponding to absorption associated with one or more human-tissue constituents, respectively; (b) receiving means for detecting received electromagnetic radiation at each of the one or more wavelengths; and (c) processing means for producing, in response to the received electromagnetic radiation, one or more cross-sectional images of the human tissue respectively associated with the one or more wavelengths.
[0111] With reference to the Figures, a handheld diffuse optical breast scanning probe, an exemplary prototype of which is variously referred to herein as the probe and/or the DOB-Scan probe 10, is operable for functional and compositional cross-sectional imaging of breast tissue 12 (
[0112] The DOB-Scan probe 10 is used to create two-dimensional cross-sectional images of breast tissue 12 in-vivo. In the probe, an array detector (e.g. CCD 18) is used to create cross-sectional images of breast tissue 12. The breast tissue 12 is illuminated with two eLEDs 16 which in an exemplary embodiment are located 60 mm away from each other (15 mm away from either side of the CCD 18) and are used to have symmetrical light illumination sources.
[0113] An exemplary embodiment of the DOB-Scan probe 10 for functional and compositional cross-sectional imaging of the breast tissue 12 employs multi-wavelength diffuse optical spectroscopy technique with four wavelengths encapsulated in an eLED 16 light source in the near infrared spectrum range. The device and associated system hardware provide four two-dimensional images of the breast tissue's function and composition. Each eLED 16 contains four wavelengths (e.g. 690 nm, 750 nm, 800 nm and 850 nm), which are illuminated into the breast tissue 12 once a time and the linear CCD 18 collects scattered light on the skin of the breast tissue 12. Then, the system processes the data and transfers them to a host computer 20 for further analysis and image reconstruction. From the collected data at one or more (e.g. four) different wavelengths, the system is able to create one or more cross-sectional optical absorption images for concentration of one or more different chromophores in the breast tissue such as Hb and HbO.sub.2 which are markers for cancerous tissue. Also, the prototypical probe and method accurately create cross-sectional optical absorption images such that there is no need to use laser diodes or fiber coupled laser diodes as an illumination source, although such illumination sources may be employed in variations of embodiments of the present invention. Real time data acquisition system components add functional imaging advantages to the probe. In the exemplary prototypical embodiment, the image reconstruction for each wavelength is performed at the rate of 24 Hz which is sufficient for functional imaging of biological activity.
[0114] A photograph of the DOB-Scan probe 10 prototype with its system hardware housed within the DOB-Scan probe 10 is shown in
[0115] Eight near infrared light sources are used to illuminate the breast tissue 12 through two eLEDs 16. A Schematic diagram of the instrument is shown in
[0116] Two eLEDs 16 (e.g. from Marubeni America Corporation L690/750/800/850) are used in the probe 10, which are located 15 mm away from each end-side of the detector (e.g. CCD 18) as shown in
[0117] Penetrations of photons in these wavelengths are maximized due to low absorption of breast fat at the chosen wavelengths. In total, the probe has eight LEDs which can turn on and off individually or sequentially by the time period of 200 milliseconds. Intensity of each LED can be calibrated by trimmer potentiometer on the instrument (e.g. DOB-Scan probe 10).
[0118] The light detector plays an important role in the instrument. In order to have high resolution images, it should have large number of light sensors with small size and patches. The light sources are located at two ends of the detector and the illuminated photons are travelling in different path lengths to reach to the photodetectors. The photodetectors which are located close to the active light source will be exposed to a higher light intensity and the ones that are placed far from active light source, will receive lower light intensity. Therefore, the photodetectors must have a large dynamic range to allow measurement for both small and large source-photodetector separations. The photodetector circuit of the prototype is specially designed to address these challenges. The light detector (ILX511, SONY™) used for the probe 10 is a linear charge coupled device 18, which has a fixed capacitor associated with each photodetector (pixel). The photodetector chip of the prototype has 2086 pixels in total which is called one frame. 3.2 pixels at the beginning of the frame and 6 pixels at the end of the frame are dummy pixels. Therefore, the photodetector of the prototype has 2048 effective pixels with 14 μm pixel pitch; consequently the effective imaging area of the prototype is 28.672 mm (2048×14 μm).
[0119] NIR photons migration in biological tissue and optical properties of the breast tissue are compatible with diffusion optical spectroscopy. Four main absorbers in the breast tissue in NIR range (650 nm to 1100 nm) are deoxyhemoglobin (Hb), oxyhemoglobin (HbO.sub.2), water and fat. The optical properties of the breast tissue are widely studied and published in academic journal articles. These studies demonstrate that absorption of water and fat are low in NIR range, which allows photons to travel deeply into the breast tissue.
[0120] The raw data acquired from the linear CCD 18 (2048 pixels, pixels pitch: 14 μm), two light sources and four NIR wavelengths are one frame which obtained from surface of the breast tissue. Therefore, total numbers of measurement points for one frame scan are 16384 (2048×2×4). The propagation of the light in a highly scattering medium like the breast tissue 12 can be precisely modeled utilising the diffusion equation. As illustrated in
[0121] In particular, in a highly scattering medium such as breast tissue 12, the radiative transfer equation can be simplified by the diffusion equation as follows:
∇D(r)∇Φ.sub.d(r)−μ.sub.ac.sub.mΦ.sub.d(r)=−S(r) (1)
where Φ.sub.d represents the intensity at the detector located r mm away from the illumination source(S(r)). c.sub.m and μ.sub.a are the photons velocity in the medium and absorption coefficient, respectively. D represents diffusion coefficient.
[0122] Within the NIR spectrum range (650 nm to 1100 nm), the photons' migration in the biological tissue is in the scattering region and diffusion equation can be used to describe photons propagation. The following expression (2) presents analytical solution for the diffusion equation in a homogeneous media while the illumination source and detector setting in reflectance geometry.
Where the parameters are defined as follows: [0123] μ.sub.a Absorption coefficient [0124] μ.sub.s Scattering coefficient [0125] μ′.sub.s Reduced scattering coefficient [0126] μ.sub.eff Effective attenuation coefficient [0127] μ′.sub.t Total attenuation coefficient [0128] R(d) Measured scattered photon intensity at the distance of d from illumination source [0129] A Internal reflection parameter
[0130] The diffusion equation is effective while r is greater than 10×(μ.sub.a+μ′.sub.s).sup.−1 and μ.sub.a«μ′.sub.s.
[0131] There are several studies demonstrating that there is not remarkable changes on the total attenuation coefficient (μ′.sub.t) of normal and cancerous breast tissue. Because, μ.sub.a of the breast tissue is much smaller than so fluctuation in μ.sub.a will not have remarkable variation on μ′.sub.t. These studies demonstrate that μ.sub.a, and μ′.sub.s of the breast tissue are in the range of 0.002 mm.sup.−1 to 0.012 mm.sup.−1 and 0.6 mm.sup.−1 to 1.5 mm.sup.−1, respectively, at the NIR spectrum range. It has also been shown that variation on μ′.sub.t does not have notable results on the back scattered photons at the photodetector position.
[0132] Oxy-hemoglobin (HbO.sub.2), deoxy-hemoglobin (Hb), water (H.sub.2O), and fat are the four primary chromophores in the breast tissue which contribute to the attenuation at wavelength λ and concentration of HbO.sub.2 and Hb vary by the time. The direct-approach-method equation (3) can be used to create cross-sectional images for the four chromophores concentration and concentration variations in Hb (ΔcHb) and HbO.sub.2 (ΔcHbO.sub.2) shown in the cross-sectional images.
Where ε.sub.n.sup.λ is the molar absorption extinction coefficient for the chromophore type n (n should be Hb, HbO.sub.2, H.sub.2O and Fat) at illuminated wavelength of λ (690 nm, 750 nm, 800 nm, 850 nm) and C, is the total concentration of the chromophore in the photons path lengths. While the exemplary wavelengths of 690, 750, 800 and 850 nm are mentioned herein in association with the chromophores of Hb, HbO.sub.2, H.sub.2O and Fat, it is understood that each of the wavelengths may vary in any range that is suitably associated with a corresponding chromophore or other human-tissue constituent or type.
[0133] In the wider source-detector separation, back scattered light travels through deeper and longer paths in the tissue. Concentrations of Hb and HbO.sub.2 vary by the heartbeat. Concentration distribution of four absorbers can be calculated by solving equation (3) for different light paths to reconstruct images for the absorbers and visualize the variation of them in the breast tissue.
[0134] The obtained raw data from the exemplary prototype having 2048 pixels, 2 sources and 4 wavelengths are measurement points collected from surface of the tissue. A reconstruction algorithm is useful for converting the surface measured light intensity into two-dimensional cross-sectional images of the chromophores. In the first step, the absorption coefficient (μ.sub.a) of each light paths are calculated by utilizing equation (2) while the tissue is illuminated by each wavelength. In order to reduce effect of the noise on the measurements, we reduced the number of measurement points to 128 points (P1 to P128) by averaging 16 pixels. It can be assumed that the origin of the coordinate is located on the center of light source #1 as showed in
[0135] Table 1 presents a brief specification of the exemplary DOB-Scan probe in prototype form.
TABLE-US-00001 TABLE 1 DOB-Scan Probe characteristics and parameter Parameter Value Wavelength 2 × (690 nm, 750 nm, 800 nm, 850 nm) Detector type Linear CCD Detector resolution 2048 pixels Image resolution 128 × 128 pixels Image length 28.67 mm Image depth 24 mm Detector sensitivity 1800 (V/Lx .Math. S)@660 nm Illumination tech. Continuous wave Max. frame rate 24 Power consumption 100 mA @ 5 V
A MATLAB® (MATLAB R2012b, MathWorks®) based software interface gives the user complete controls of the hardware in addition to allowing them to collect, store, analyze data and create images, including color-mapped images, on the host computer. The software interface communicates with the DOB-Scan probe 10 via USB2.0 (or other serial communications technology) virtual comport and contains a graphical user interface (GUI) 34, as shown in
Experimental Results
[0136] To verify performance of the exemplary prototype of the designed DOB-Scan probe 10, a study based upon tissue equivalent material was conducted. In this study, we used an incomplete (truncated) cylindrical shaped (8 cm diameter and 28 cm length) acetal resin rod 14 (Delrin®) and Intralipid® to mimic background breast tissue 12 due to similarity in optical properties to the breast fat. (μ′.sub.s=2.3 mm.sup.−1 and μ.sub.a=0.002 nm.sup.−1). Also, optical properties of these two materials are well-documented and known. In order to mimic cancerous lesions, a 5 mm hole 36 is placed on the side wall of the cylinder 14; located 15 mm below the incomplete side of the Acetal resin rod 14, as shown in
[0137] In the first experiment, we used phantom #1 14 in which the hole 36 was filled with tumor-like liquid phantom. The liquid-phantom is a solution consisting of 1 L water, 50 mL Intralipid® and 1.5 mL India black ink. In this case, we put the probe 10 in three different locations on the phantom 14 in which the middle line of the probe 10 (middle of the CCD 18) is aligned: a) along the center of the hole 36, b) 7 mm to the left of the hole 36 center, and c) 7 mm to the right of the hole 36 center, as shown in
[0138]
[0139] In the second experiment, we evaluated performance of the probe 10 to accurately create a separate image for different absorbers such as Hb and HbO.sub.2. Therefore, we used protein assay reagent (PAR) to form inhomogeneity inside the phantom which has similar optical properties to HbO.sub.2 in the NIR spectrum range. We used a solution of 1.5 mL Pierce™ 660 nm PAR (Thermo Scientific™ Inc.) mixed with 10 μL Pre-diluted protein assay standards: Bovine Serum Albumin (BSA), with 1000 μg/mL in 0.9% saline and 0.05% sodium azide to make a PAR. The absorption coefficient of RBSA at 690 nm wavelength is 0.17 mm.sup.−1 which is much higher than its absorption coefficient at 750 nm, 800 nm and 850 nm (0,015 mm.sup.−1).
[0140] Since, absorption coefficient of the RBSA is much higher than surrounded material the probe 10 can capture this difference.
[0141] In order to evaluate the probe's effectiveness in monitoring the effect of therapy on the size of a tumor, we have done one more experiment in which the absorption coefficient of a cancerous-mimicking phantom 14 is gradually increased by adding India black ink to a reference solution of water and Intralipid™ (50 ml/l), In this experiment, India black ink was added in 0.125 ml/l increments from 0.125 ml/l to 0.75 ml/l; however, the scattering coefficient of the medium was not affected by increasing the ink concentration.
[0142] Four images are reconstructed for each step. Therefore 24 images are created, in total. As mentioned before, we just present one image 48 (690 nm) for each step, because India black ink has a flat absorption spectrum in the NIR range, which is shown in
[0143] The reddish areas 40 and the non-reddish areas 42 in images 48 of
[0144] The performance of an exemplary prototype of the probe 10 was evaluated by testing it on breast tissue-like phantom 14. The test results of the exemplary probe being used on breast tissue-like phantom show that the probe 10 can create functional images and chromophores composition images of the phantom 14.
Initial Clinical Study
[0145] Extended data collected for cancerous tissue further demonstrates the probe's performance in its prototypical form, A technique to identify malignant breast tumors using contralateral healthy body tissue as a control is used to produce preliminary results for ten cases presented below.
A clinical study was performed on ten patients who have been diagnosed with breast cancer. Before any measurements are taken, subjects' height, weight, age and gender were recorded. Details of subjects' breast cancer (for example, type of cancer, date of diagnosis, etc.) were also recorded. The subjects were asked to lie down on their back and then we placed the probe on the location of the breast that had cancer. The skin to which the probe is located is cleaned with alcohol prep pads. The same procedure has been done on the contralateral side of the breast. The test procedure takes approximately twenty minutes. We obtained preliminary data with DOB-Scan probe while that is located on the breast where diagnosed to have malignant tissue and its contralateral location on the healthy breast. Data gathered with cross sectional diffuse optical imaging modality processed and analysed to explore performance of the exemplary probes to detect and characterize malignant tissue in the breast, in-vivo.
[0146] The reconstructed preliminary images show that the DOB-San probe can distinguish the cancerous region from the surrounding healthy tissue. The cancerous region is observable in the images (red area) due to a higher level of absorption caused by higher levels of vascularization. The red area on the images reflexes location of anomaly tissue in the breast.
[0147] For each patient, two locations are scanned over cancerous lesion with the control as a contralateral healthy breast tissue. Four cross-sectional images are reconstructed for four NIR sources on each location. The test results below show that absorption coefficient of cancerous lesions are significantly higher than normal surrounding tissue. The main objective of this study was to validate the usability of developed DOB-Scan imaging set up to create cross-sectional images of the breast tissue and detect anomalies inside inhomogeneous breast tissue, based upon optical properties of the anomaly to the surrounding material.
[0148] Table 2 represents brief clinical reports for the patients who enrolled in the further clinical study.
TABLE-US-00002 TABLE 2 Brief clinical reports for ten patients enrolled in the study. Patient Tumor Cancerous Diagnosis no. age position breast Tumor size Tumor type tools 1 53 10-12 left 2.5*0.8*0.8 Invasive Mammography o'clock lobular carcinoma 2 62 3-4 left 2.2 × 1.7 × solid Mammography o'clock 1.7 cm lobulated irregular mass 3 84 1 left 10 mm ductal Mammography o'clock carcinoma 4 79 9 right 7 mm Invasive Mammography, O'clock mammary MRI carcinoma 5 44 2 left 2.5 cm × 1.7 lobulated Mammography o'clock cm × 3.5 cm irregular mass 6 42 1 right 24 mm in Solid Mammography o'clock diameter mass with and US irregular margin 7 59 10-11 right 23*22*15 mm lobulated Mammography o'clock in diameter irregular mass 8 56 12-1 left 1.6 cm Lobulated Mammography o'clock in maximal hypoechoic and US dimension lesion 9 63 2 left 12 × 9 × Solid Mammography o'clock 9 mm Lesions and CBE 10 53 5 left 1.7 × 1.2 × Invasive Mammography o'clock 2.4 cm ductal and US carcinoma
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[0150] Referring to
TABLE-US-00003 TABLE 3 Test parameters associated with FIGS. 12a to 20h FIG. Identification Wavelength Breast a 690 nm left b 690 nm right c 750 nm left d 750 nm right e 800 nm left f 800 nm right g 850 nm left h 850 nm right
Each of the ten cases are described below.
[0151] Case 1: There was two cancerous lesions in the left breast and the probe 10 located on the one located at 10 o'clock of the left breast.
[0152] Case 2: There was two cancerous lesions in the left breast and the probe 10 located on the one located at 4 o'clock of the left breast.
[0153] Case 3: There was a cancerous lesions in the left breast at 1 o'clock.
[0154] Case 4: There was a cancerous lesions in the right breast at 9 o'clock. This patient had large breasts with a cancerous lesion positioned near to the chest wall. In these cases, the probe 10 captures the cancerous lesion with difficulty due to the depth of the tumor in the breast (
[0155] Case 5: There was a cancerous lesions in the left breast at 2 o'clock. Reconstructed images for the left breast of patient #5 (
[0156] Case 6: There was a cancerous lesions in the right breast at 1 o'clock.
[0157] Case 7: There was a cancerous lesions in the right breast between 10 and 11 o'clock.
[0158] Case 8: Data collection failed due to technical problem. Thus, images corresponding to this case are not provided in association with the present invention.
[0159] Case 9: There was a cancerous lesions in the left breast at 1 o'clock.
[0160] Case 10: There was a cancerous lesions in the left breast at 5 o'clock.
[0161] As shown, the DOB-Scan probe 10 can be used to capture cross-sectional images of the female breast's interior using NIR light sources associated with a linear CCD. The reconstructed preliminary images show that DOB-San probe can identify the cancerous region from the surrounding healthy tissue. The cancerous region is observed in the images due to the higher level of absorption caused by higher levels of vascularization in the cancerous region.
[0162] Thus, there is provided a diffuse-optical-spectroscopy system for scanning human tissue. The system includes: (a) a handheld probe operable to emit electromagnetic radiation at one or more wavelengths corresponding to absorption associated with one or more human-tissue constituents, respectively, the handheld probe being operable to detect received electromagnetic radiation at each of the one or more wavelengths: and (b) a processor operable to produce, in response to the received electromagnetic radiation, one or more cross-sectional images of the human tissue respectively associated with the one or more wavelengths.
[0163] While embodiments of the invention have been described and illustrated, such embodiments should be considered illustrative of the invention only. The invention may include variants not described or illustrated herein in detail. Thus, the embodiments described and illustrated herein should not be considered to limit the invention as construed in accordance with the accompanying claims.