Spatial super-resolution apparatus for fluorescence analysis of eye fundus
10905324 ยท 2021-02-02
Assignee
Inventors
Cpc classification
A61B3/10
HUMAN NECESSITIES
G02B21/361
PHYSICS
A61B3/12
HUMAN NECESSITIES
A61B3/14
HUMAN NECESSITIES
International classification
A61B3/00
HUMAN NECESSITIES
G02B21/36
PHYSICS
A61B3/14
HUMAN NECESSITIES
Abstract
Fluorescence microscopy apparatus for the analysis of a fundus of a sample eye, based on the use of an optical equipment configured to generate a Bessel beam inside a sample eye and an objective configured to increase the numerical aperture of an objective-cornea-lens assembly by reducing the overall focal length of the fluorescence microscopy apparatus, also allowing a significant increase in spatial resolution compared to conventional microscopy systems.
Claims
1. A fluorescence microscopy apparatus for analysing a fundus of a sample eye of a patient comprising: a generation optical unit configured to receive a basic light beam from a first light source and to generate an excitation light beam; a scanning system configured to receive the excitation light beam from the generation optical unit and to make the excitation light beam scan at least one portion of the fundus of the sample eye; an optical launch unit configured to receive the excitation light beam from the scanning system and to at least partially collimate an isotropic radiation of fluorescent molecules of the sample eye in a fluorescence beam, the optical launch unit comprising an objective having a focal length f.sub.obj and an optical power K.sub.obj equal to
K.sub.obj=1/f.sub.obj where n is a refractive index of the medium; a patient's head supporting and positioning unit configured to support the head with cornea and lens of the sample eye facing the optical launch unit and to position the sample eye (7) in a launch position at a distance d from the objective, wherein in the launch position the optical launch unit and cornea and lens of the sample eye form an optical launch assembly having an effective optical power K.sub.eff equal to
NA.sub.eff=n.sub.eye.Math.sin(R.sub.eye/f.sub.eff) is not lower than 0.9, where n.sub.eye is a refractive index of the sample eye and R.sub.eye is the radius of the sample eye.
2. The apparatus according to claim 1, wherein, when said patient's head supporting and positioning unit positions the sample eye in the launch position, the distance d of the sample eye from the objective is not longer than 20 mm, optionally not longer than 10 mm, more optionally not longer than 5 mm, still more optionally not longer than 2 mm.
3. The apparatus according to claim 1, further including at least one first narrowband cleaning filter configured to eliminate a spurious fluorescence background from the excitation light beam.
4. The apparatus according to claim 1, wherein the objective is a single or double adaptive lens.
5. The apparatus according to claim 4, wherein the objective is an adaptive contact lens whereby the distance d of the sample eye from the objective is zero.
6. The apparatus according to claim 1, further comprising an imaging optical unit configured to focus said fluorescence beam on the sensor device.
7. The apparatus according to claim 1, wherein the sensor device includes a plurality of sensing elements selected from the group comprising photomultipliers, avalanche diodes, CCDs, or SCMOSs.
8. The apparatus according to claim 7, including a plurality of microlenses placed upstream of the sensor device each one of which is biunivocally coupled to a respective element of the plurality of sensing elements of the sensor device.
9. The apparatus according to claim 1, including a second light source generating an additional excitation light beam configured to excite at least one additional portion of the sample eye, that internally includes said at least one portion of the sample eye scanned by the excitation light beam generated by the generation optical unit, said additional excitation light beam being configured to saturate an autofluorescence of intraocular tissues of the sample eye.
10. The apparatus according to claim 1, wherein the generation optical unit includes a static optical phase filter placed on the Fourier plane of the optical launch unit.
11. The apparatus according to claim 10, wherein the generation optical unit the static optical phase filter placed on the Fourier plane of the optical launch unit is selected from the group comprising a bidimensional grating made of multiple dielectric layers, an axicon lens, and an axicon lens provided with a phase mask.
12. The apparatus according to claim 1, wherein the generation optical unit includes a spatial light modulator.
13. The apparatus according to claim 12, wherein the spatial light modulator is a phase spatial light modulator or an amplitude spatial light modulator followed by a Fourier lens.
14. The apparatus according to claim 1, wherein the scanning system includes a first and a second wedges configured to independently rotate by means of two separated motors, configured to be controlled in a synchronous way.
15. The apparatus according to claim 14, wherein the first and second wedges have a resolution of angular position equal to at least 1/50 of a degree, whereby a scanning resolution is equal to at least one microradian on a field of 1.
16. The apparatus according to claim 1, including a wide-field imaging system operating in near infrared (NIR) for imaging sub-retinal structures of the sample eye and an additional optical component, placed between the scanning system and the optical launch unit, said additional optical component being configured to be transparent to radiation in near infrared and to reflect the excitation light beam from the scanning system towards the optical launch unit and the fluorescence light beam from the optical launch unit towards the scanning system, the wide-field imaging system further comprising: a third light source configured to generate a first NIR light beam to be sent to said additional optical component; a NIR sensor device configured to detect a second NIR light beam reflected by sub-retinal structures of the sample eye and coming from the additional optical component; one or more NIR optical components configured to transmit said first NIR light beam from the third light source to said additional optical component and said second reflected NIR light beam coming from said additional optical component to the NIR sensor device.
17. The apparatus according to claim 16, wherein the wide-field imaging system further includes an imaging optical unit configured to focus the second NIR light beam on the NIR sensor device.
18. The apparatus according to claim 16, including at least one second narrowband cleaning filter configured to eliminate a spurious fluorescence background from said first NIR light beam.
19. The apparatus according to claim 16, wherein the NIR sensor device is a CCD sensor or a SCMOS sensor.
20. The apparatus according to claim 16, wherein the NIR sensor device is configured to operate at a frequency not lower than 100 frames/sec.
Description
(1) The present invention will be now described, by way of illustration and not by way of limitation, according to its preferred embodiments, by particularly referring to the Figures of the annexed drawings, in which:
(2)
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(9) In the Figures, identical reference numerals will be used for alike elements.
(10)
z.sub.R/(.Math.NA.sup.2)
(11) The excitation light beam passes through (at least) a first narrowband cleaning filter 3, configured to eliminate from the excitation light beam wavelengths due to other sources and a spurious fluorescence background that can be generated by the laser light when passing through the crossed optical components (optical fibres, lenses or other), and continues to a first dichroic filter 4 configured to reflect the excitation light beam towards a scanning system 5 configured to vary the position of the excitation light beam on a x-y plane orthogonal to the optical propagation axis of the excitation light beam (z-axis) and thus to perform a scanning of a plane of the fundus of the sample eye (7).
(12) The excitation light beam emerges from the scanning system 5 and passes through the optical launch unit 19 that includes an objective with one or more optical components, configured to minimise optical aberrations; during operation of the apparatus according to the invention, i.e. when the apparatus according to the invention is applied to the sample eye 7, the optical launch unit 19 forms along with the cornea and the lens 8 of the sample eye 7 an optical launch assembly. In the preferred embodiment, the objective is an adaptive lens that may be a single or double lens (such as the one indicated by reference numeral 6 in
(13) Since the eye is assimilable to a lens usually having a focal length f.sub.eye equal to about 20 millimeters (f.sub.eye=20 mm) and radius R.sub.eye equal to about 6 millimeters (R.sub.eye=6 mm), whereby the eye usually has a numerical aperture NA.sub.eye, given by the ratio between radius and focal length of this lens, equal to about 0.3 (NA.sub.eye0.3); actually, the human eye can also have lower values of numerical aperture, equal to about 0.2 (NA.sub.eye0.2). Neglecting the presence of the optical launch unit 19, the objective 6 (or 6) of which is placed at a distanced close to the cornea and lens 8 of the sample eye 7, since the transverse dimension t of a Bessel beam entering the eye is given by:
t=/(2*NA.sub.eye)[1]
where is the wavelength of the first light source 1, the values of the numerical aperture NA.sub.eye of the sample eye 7 would not allow to obtain a transverse resolution of the Bessel beam close to /2.
(14) In order to improve this transverse resolution of the Bessel beam, the objective 6 (or 6) is placed in proximity of the eye and is configured to increase the effective numerical aperture NA.sub.eff of the overall system formed by the launch group and by the sample eye 7 from the value of the numeric aperture NA.sub.eye of the eye, as stated equal to about 0.2 (NA.sub.eye0.2), to a value larger than 0.9 (NA.sub.eye>0.9). In fact, such effective numerical aperture NA.sub.eye is defined as
NA.sub.eff=n.sub.eye.Math.sin(R.sub.eye/f.sub.eff)[2]
where n is the refractive index of the medium (i.e. of the sample eye 7), R.sub.eye is the radius of the sample eye 7 and f.sub.eff is the effective focal length of the launch assembly, formed by the optical launch unit 19 and by the cornea and lens 8 of the sample eye 7.
(15) Such definition of the effective numerical aperture NA.sub.eff takes account of the advantageous mode of use wherein the radius r of the excitation light beam incident on the objective 6 (or 6) is not shorter than the radius R.sub.eye of the sample eye 7. However, it should be noted that, in the case where the radius r of the excitation light beam incident on the objective 6 (or 6) is shorter than the radius R.sub.eye of the sample eye 7, the effective numerical aperture is equal to n.sub.eye.Math.sin(r/f.sub.eff).
(16) As known, the effective optical power K.sub.eff of a system comprising two thin lenses, having optical powers K.sub.obj and K.sub.eye, respectively, placed at a distance d from each other, is equal to:
(17)
and n.sub.i is the refractive index of the medium between eye sample 7 and objective 6 (or 6); in particular, in the case of air, n.sub.i can be assumed to be equal to 1, whereas in the case of an adaptive lens 6 in contact with the sample eye 7 shown in
(18) In particular, all the optical properties relating to the sample eye, namely focal length f.sub.eye, radius R.sub.eye, refraction index n.sub.eye, and consequently numerical aperture NA.sub.eye and optical power K.sub.eye can be considered as constants, e.g. equal to an average or to limit values of a population.
(19) Therefore, in order to make the effective numerical aperture NA.sub.eff given by equation [2] assume values higher than 0.9, the apparatus according to the invention positions an objective having focal length f.sub.obj and, consequently, optical power K.sub.obj at a distance d from the sample eye 7 (namely from the cornea of the sample eye 7), whereby given a distance d (or a range thereof), the value of the focal length f.sub.obj of the objective is determined by equation [3].
(20) To this end, the apparatus according to the invention comprises a conventional patient's head supporting and positioning unit (not shown in the Figures) configured to support the head so that the cornea and lens 8 of the patient's sample eye 7 are facing the objective 6 (or 6) of the optical launch unit 19, and configured to position the patient's sample eye 7 in a launch position in which the sample eye 7 (namely the cornea thereof) is at a distance d from the objective 6 (or 6) of the optical launch unit 19; in this way, the optical launch unit 19 and the cornea and lens 8 of the sample eye 7 form the optical launch assembly having the effective numerical aperture NA.sub.eff given by equation [2]. Advantageously, when the sample eye 7 is in the launch position, the distance d of the sample eye 7 from the objective 6 (or 6) of the optical launch unit 19 is not longer than 20 mm, optionally not longer than 10 mm, more optionally not longer than 5 mm, still more optionally not longer than 2 mm (e.g., in the case of
(21) This configuration of the launch assembly, formed by the objective 6 (or 6) of the optical launch unit 19 and by the cornea and lens 8 of the sample eye 7, allows to increase the spatial resolution of the system that depends on the diameter of the excitation light beam, potentially providing a resolution equal to /2 at the fundus of the sample eye 7, where X is the wavelength of the first light source 1, optionally equal to /4 using over-sampling techniques of a scanning and using algorithms such as the deconvolution ones applied to over-sampling. In fact, as mentioned, thanks to its non-diffractivity, a Bessel beam has a transverse dimension with respect to the propagation direction equal to about /(2.Math.NA), whereby, with a NA=1, a diameter of about /2 is given. Since a Bessel beam propagates without divergence and allows to reach a diameter equal to /2, such value is also the angular resolution / the plane x-y with which a plane of the fundus of the sample eye 7 can be scanned.
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(25) In the presence of sources contained in the eye fundus, such as proteins, labeled with fluorescent molecules, such as for example curcumin (referred to herein merely by way of example), the fluorescent molecule emits an isotropic radiation, with a longer wavelength than the one of the excitation light beam, that will pass in part through the optical unit 19 emerging from it as a fluorescence light beam. It should be noted that the fluorescence light beam is substantially parallel to the excitation light beam, the illumination of the eye and the excited fluorescent beam take place along the same direction, whereby the apparatus according to the invention is based on a backscattering system, wherein illumination and detection occur along the same longitudinal axis. The first dichroic filter 4 is configured to transmit the fluorescence light beam towards an interferential emission filter 9 that allows to maximise the sensitivity of the apparatus with respect to the wavelength of the fluorescence due to specific markers with respect to the autofluorescence of the intraocular tissues and to the residual background due to scattering and/or reflections of the excitation light beam.
(26) After having passed through the interferential emission filter 9, the fluorescence beam passes through an imaging optical unit 10 (indicated in
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(28) Optionally, the hereinbefore described embodiments may have a second light source (not shown in the Figures) in parallel with the first light source 1, generating an additional excitation light beam configured to excite an additional portion of the sample eye 7 that is larger than the one scanned by the excitation light beam that is composed in the Bessel beam (for example 100100 times larger) and that includes such scanned portion, so as to saturate the autofluorescence of intraocular tissues. In fact, the autofluorescence of the intraocular tissues has a very rapid decay time compared to the one of the fluorescence of markers usable for the identification of proteins, or other specific molecules to be found in the retina, whereby a first exposure with wider field can be used to saturate the autofluorescence of a determined scanning portion and to then analyse the portion with a Bessel excitation beam in order to make a super-resolved mapping (i.e. /2, optionally /4) thereof. In other words, once it has been excited, the autofluorescence is saturated and requires a much longer regeneration time than the decay time of a marker, whereby it is possible to excite a portion with a single non-focused light pulse and to then scan the saturated portion devoid of autofluorescence with a Bessel beam. In a preferred embodiment of the present invention, the second light source parallel to the first light source 1 is periodically activated with a single pulse with a period equal to the decay time of the autofluorescence of the intraocular tissues.
(29)
(30) The wide-field imaging system 400 operating in the near infrared includes a third light source 29 that generates the first NIR light beam that passes through a second cleaning filter 14 and continues to a third dichroic filter 15 configured to reflect the first NIR light beam, through the second dichroic filter 12 and the optical launch unit 19, towards the sample eye 7. Sub-retinal structures of the sample eye 7 reflect the NIR light so that a second reflected NIR light beam returns backwards, passing through the optical launch unit 19, towards the second dichroic filter 12, that transmits it to the third dichroic filter 15, that is in turn configured to transmit said second reflected NIR light beam towards a second interferential emission filter 16, that allows to maximise the sensitivity of the device with respect to the wavelength of the second reflected NIR light beam. After having passed through the second interferential emission filter 16, the second reflected NIR light beam passes through a third lens 17 for imaging that focuses it on a NIR sensor device 18 for imaging, optionally a CCD sensor or a SCMOS sensor.
(31) Optionally, the NIR sensor device 18 is operated at an imaging frequency of at least 100 frames/sec in order to provide a numerical indication of the drift of the position of the eye and to thus calculate from the sequence of the images a tracking of the area under observation, so as to compensate for the angular position data of the excitation light beam.
(32) The Bessel beam generation optical unit 2 of the apparatus according to the invention can advantageously include a static optical phase filter placed on the Fourier plane of the optical launch unit 19 such as a bidimensional grating made of multiple dielectric layers, optionally an axicon lens 21, still more optionally provided with a phase mask 22 as schematically shown in
(33) Alternatively, the Bessel beam generation optical unit 2 of the apparatus according to the invention can advantageously include a dynamic optical filter placed on the Fourier plane of the optical launch unit 19 such as a spatial light modulator (SLM) that may be a phase SLM modulator 23 for the beam emitted by the first light source 1 or an amplitude SLM modulator 24 for the beam emitted by the first light source 1 followed by (i.e. positioned upstream of) a Fourier lens 25 that allows to make the Fourier transform of the field of the light beam exiting the SLM modulator 24, as schematically shown in
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(35) The scanning system 5 of the apparatus according to the invention can be of a standard type, such as for instance a scanning system with galvanometer mirrors 26 of which
(36) The preferred embodiments of this invention have been described and a number of variations have been suggested hereinbefore, but it should be understood that those skilled in the art can make other variations and changes without so departing from the scope of protection thereof, as defined by the attached claims.