Temperature Distribution Mapping Using an FBG-Equipped Probe for Solid Tumor Laser Ablation

In recent years, laser ablation treatments have become promising therapies for early-stage solid tumors, although the anatomical variability within the irradiated organs (i.e., presence of blood vessels and other inhomogeneities) greatly challenges the control of the tissue temperature throughout the medical procedure and thus the optical therapeutic outcome. To help getting around these limitations, a new fiber optic probe able to both deliver the laser light with optimal irradiation pattern and measure the temperature in the tumor region had been previously developed. This paper, using simulations validated with experimental data, aims at demonstrating how this probe, combined with suitable hyperthermal treatment planning, can be used to overcome the discrepancies between ex-vivo and in-vivo laser ablation procedures

Fiber Bragg Gratings for Medical Applications and Future Challenges: A Review

[EN] In the last decades, fiber Bragg gratings (FBGs) have become increasingly attractive to medical applications due to their unique properties such as small size, biocompatibility, immunity to electromagnetic interferences, high sensitivity and multiplexing capability. FBGs have been employed in the development of surgical tools, assistive devices, wearables, and biosensors, showing great potentialities for medical uses. This paper reviews the FBG-based measuring systems, their principle of work, and their applications in medicine and healthcare. Particular attention is given to sensing solutions for biomechanics, minimally invasive surgery, physiological monitoring, and medical biosensing. Strengths, weaknesses, open challenges, and future trends are also discussed to highlight how FBGs can meet the demands of next-generation medical devices and healthcare system.This work was supported in part by INAIL (the Italian National Institute for Insurance against Accident at Work), through the BRIC (Bando ricerche in collaborazione) 2018 SENSE-RISC (Sviluppo di abiti intelligENti Sensorizzati per prevenzione e mitigazione di Rischi per la SiCurezza dei lavoratori) Project under Grant ID10/2018, in part by the UCBM (Universita Campus Bio-Medico di Roma) under the University Strategic HOPE (HOspital to the PatiEnt) Project, in part by the EU Framework Program H2020-FETPROACT-2018-01 NeuHeart Project under Grant GA 824071, by FCT/MEC (Fundacao para a Ciencia e Tecnologia) under the Projects UIDB/50008/2020 - UIDP/50008/2020, and by REACT (Development of optical fiber solutions for Rehabilitation and e-Health applications) FCT-IT-LA scientific action.Lo Presti, D.; Massaroni, C.; Leitao, CSJ.; Domingues, MDF.; Sypabekova, M.; Barrera, D.; Floris, I.... (2020). Fiber Bragg Gratings for Medical Applications and Future Challenges: A Review. IEEE Access. 8:156863-156888. https://doi.org/10.1109/ACCESS.2020.3019138S156863156888

Fibre optic intravascular measurements of blood flow: A review

Fibre optic sensors are well suited to measuring fluid flow in many contexts, and recently there has been burgeoning interest in their application to direct, invasive measurement of blood flow within human vasculature. Depending on the sensing method used and assumptions made, these intravascular measurements of blood flow can provide information about local blood velocity, volumetric flow, and flow-derived parameters. Fibre optic sensors can be readily integrated into medical devices, which are positioned into arteries and veins to obtain measurements that are inaccessible or cumbersome using non-invasive imaging modalities. Measurements of flow within coronary arteries is a particularly promising application of fibre optic sensing; recent studies have demonstrated the clinical utility of certain flow-based parameters, such as the coronary flow reserve (CFR) and the index of microcirculatory resistance (IMR). In this review, research and development of fibre optic flow sensors relevant to intravascular flow measurements are reviewed, with a particular focus on biomedical clinical translation

'ACOUSTO-OPTIC SENSING FOR SAFE MRI PROCEDURES'

In this work, a novel sensor platform is developed for safer and more effective magnetic resonance imaging (MRI). This is achieved by tracking interventional devices, such as guidewires and catheters during interventional MRI procedures, and by measuring the radio frequency (RF) field to assess RF safety of patients with implants, such as pacemakers, during diagnostic MRI. The sensor is based on an acousto-optic modulator coupled with a miniature antenna. This structure is realized on an optical fiber which is immune to the RF field and eliminates the need for conducting lines. The acousto-optic modulator consists of a piezo-electric transducer and a fiber Bragg grating (FBG). The piezoelectric transducer is electrically connected to the miniature antenna and mechanically coupled to the FBG. Local RF signal received by the miniature antenna is converted to acoustic waves by the piezoelectric transducer. Acoustic waves change the grating geometry on the FBG, thus the reflected light from the FBG is modulated. For diagnostic imaging, short dipole antennas are used for sensing the local electric field, which is the primary cause of RF induced heating. For tracking purposes, small loop antennas are used for capturing local MRI signal which contains the location information. In this thesis, a comprehensive model for the acousto-optic modulator is developed and validated through sensitivity and linearity tests. Prototype RF field sensors are built and characterized: sensitivity of 1.36mV/nT and 98 μV/V/m with minimum detectable field strength of 8.2pT/√Hz and 2.7V/m/√Hz and dynamic range of 117dB/√Hz at 23MHz are achieved with 4mm single loop and 8mm short dipole antennas, respectively. These figures are competitive with commercial sensors with much larger form factors. Catheter tracking capability of the sensor under MRI is demonstrated in-vivo in swine in a 0.55T scanner using an 8F catheter in addition to phantom studies under 0.55T and 1.5T clinical MRI systems.Ph.D

Fiber bragg gratings in polymer optical fibers

Polymer optical fibers (POF) have received increased attention in recent years in the fields of data communication and sensing applications. The lower cost and higher flexibility are the main advantages of POF compared to silica fibers and make them interesting candidates for Fiber Bragg grating (FBG) sensor applications. FBG are convenient measurement devices for strain and temperature measurements, as they can be multiplexed within one fiber yielding a sensor array and the fiber can be embedded in structures. This work investigated the possibility of producing FBG in polymer fibers and their use as sensor units. It could be shown that using excimer laser irradiation at 308 nm, it is possible to write FBG in single-mode POF employing a standard phase mask, side writing technique. Index changes of up to 1.7 × 10-4 and reflectivies of up to 87% could be reached. The induced refractive index change due to pulsed UV irradiation was shown to be negative. The polymer material of the core (Polystyrene (PS) / Polymethyl methacrylate (PMMA)) was not sensitized prior to irradiation. During the grating formation an irradiation induced insertion loss of up to 11 dB/cm was observed. Excimer laser written FBG showed stability of over 9 months for approximately 40% of written FBG. Results of FBG writing using femto second laser irradiation showed FBG with reflectivities of up to 1.2 × 10-4, however these POFBG were not stable. The POFBG were characterized using optical low coherence reflectometry (OLCR) which enables to calculate the FBG location and length as well as the induced amplitude Δnac and mean refractive index change Δndc. Taking into account fiber and insertion losses, good agreement of these calculations and measurements were found. The results show that large variations of the induced index change result from irradiation. Local index change peaks of up to 4 times the mean value were observed, indicating inhomogeneity of the fiber material. Birefringence in the core of the POF (≈ 1.2 × 10-3) is up to a factor 3 higher than in the cladding which is due to the PS content within the core. The birefringence is due to inelastic strain and stress induced in the drawing process. Annealing, uniform irradiation and FBG writing using 308 nm excimer laser light induces a decrease of the absolute birefringence value. The changes upon irradiation are confined to the core of the fiber. Large variations in the initial and final birefringence before and after irradiation support the findings of the OLCR measurements indicating material inhomogeneities in the fiber. POFBG were found to be sensitive to relative humidity, temperature and strain. This is in contrast to glass fiber FBG which do not show humidity sensitivity. POFBG relative humidity sensitivity is non-linear with a change of up to 8 nm for a RH change of ≈ 100%. The non-linearity is introduced by a non-linear water sorption process. The POF grating response to temperature changes under dry conditions (1.5±1 % RH) is –10±0.5 pm/°C. The temperature response of the FBG submerged in water is –36±2 pm/°C due to an increased thermal expansion coefficient and a change in polarizability. Under ambient conditions the grating response to heating is typically ≈ –138 pm/°C, predominantly due to a change in POF swelling, i.e changes in relative humidity and POF water content. The diffusion coefficient of water in this POF at 23.5°C is 6.7 × 10-9cm2/s for sorption and 10 × 10-9cm2/s for desorption. Equilibrium of water content within the fiber and the surrounding air is typically reached after approximately one hour. Calculation showed that a reduction of the fiber diameter can increase this humidity sensitivity response time down to approximately 5 minutes for a fiber diameter of 25 µm

Sensorisation of a novel biologically inspired flexible needle

Percutaneous interventions are commonly performed during minimally invasive brain surgery, where a straight rigid instrument is inserted through a small incision to access a deep lesion in the brain. Puncturing a vessel during this procedure can be a life-threatening complication. Embedding a forward-looking sensor in a rigid needle has been proposed to tackle this problem; however, using a rigid needle, the procedure needs to be interrupted if a vessel is detected. Steerable needle technology could be used to avoid obstacles, such as blood vessels, due to its ability to follow curvilinear paths, but research to date was lacking in this respect. This thesis aims to investigate the deployment of forward-looking sensors for vessel detection in a steerable needle. The needle itself is based on a bioinspired programmable bevel-tip needle (PBN), a multi-segment design featuring four hollow working channels. In this thesis, laser Doppler flowmetry (LDF) is initially characterised to ensure that the sensor fulfils the minimum requirements for it to be used in conjunction with the needle. Subsequently, vessel reconstruction algorithms are proposed. To determine the axial and off-axis position of the vessel with respect to the probe, successive measurements of the LDF sensor are used. Ideally, full knowledge of the vessel orientation is required to execute an avoidance strategy. Using two LDF probes and a novel signal processing method described in this thesis, the predicted possible vessel orientations can be reduced to four, a setup which is explored here to demonstrate viable obstacle detection with only partial sensor information. Relative measurements from four LDF sensors are also explored to classify possible vessel orientations in full and without ambiguity, but under the assumption that the vessel is perpendicular to the needle insertion axis. Experimental results on a synthetic grey matter phantom are presented, which confirm these findings. To release the perpendicularity assumption, the thesis concludes with the description of a machine learning technique based on a Long Short-term memory network, which enables a vessel's spatial position, cross-sectional diameter and full pose to be predicted with sub-millimetre accuracy. Simulated and in-vitro examinations of vessel detection with this approach are used to demonstrate effective predictive ability. Collectively, these results demonstrate that the proposed steerable needle sensorisation is viable and could lead to improved safety during robotic assisted needle steering interventions.Open Acces