Two-photon imaging of human skin using ultra short laser pulses can be used to obtain information about the state of
cells and tissues by means of their natural autofluorescence. Using this method, it is possible to determine whether the
normal cell pattern is disturbed or the autofluorescence is influenced by internal or external stimuli. Two-photon
fluorescence lifetime imaging (FLIM) can further enhance this providing information about physiological processes,
fluorophores (like NAD(P)H, collagen, keratin, elastin, flavins, melanin,...) and external applied probes inside cells and
tissue parts. For example the part of the cells metabolism and energy level can be determined by analyzing the NADH
regarding its free / bound state and its oxidized / reduced state. The combination of two-photon imaging with FLIM may
lead to a better understanding and diagnosis of skin reactions and disorders. We also present some results of in vivo
simultaneous collagen and elastin measurements in skin dermis. Changes of dermal collagen and elastin content are
characteristic for skin aging as well as for pathological skin conditions.
Two-photon autofluorescence imaging offers the analysis of cells and tissues without the need of taking biopsies,
staining and complicated confocal detection systems. Therefore, it is of special interest for non- or minimal invasive
clinical diagnostics.
Until now, two-photon imaging was performed only on superficial surfaces like skin or of biopsies. To extend this
technique to deeper tissues or inside the body the optical properties have to be reduced to endoscopical sizes. This can be
achieved by tiny GRIN-optics, based on a radial gradient in the reflective index. A newly developed GRIN-lens
assembly with increased numerical aperture is of special interest which is shown by the quality of tissue constituents and
cell autofluorescence images.
A fiber directs the laser light to the specimen in an assembly like an endoscope. This well-characterized photonic crystal
fiber supports the high laser power of the femtosecond excitation impulses without the generation of non-linearities. A
sensitive PMT detector detects the fluorescence. First fluorescence images using a fiber-GRIN lens combination were
taken.
Multiphoton optical tomography provides non-invasive optical sectioning of skin with high spatial and intracellular
resolution. The imaging system DermaInspect based on femtosecond laser pulses and equipped with a SPC 830 card for
FLIM analysis was used to perform this technique in vivo in clinical studies on patients with abnormal pigmented tissues.
After examination in vivo, biopsies were taken and analyzed again. So far it was possible to distinguish between normal
and diseased tissues mainly due to their different morphological appearances in the imaging mode: melanoma tissues
show differences in the structure of the epidermal layers and the presence of dendritic cells compared to normal skin.
The optical analysis can be improved when using the system in the time-correlated single photon counting mode.
Fluorescence lifetime analysis reveals characteristic differences between healthy and melanoma tissues even before the
visible morphological changes in human tissue in vivo.
In vivo simultaneous collagen and elastin measurements using the multiphoton tomograph DermaInspect have been
performed in skin dermis. We showed it was possible to get simultaneous measurements of autofluorescence (AF) and
Second Harmonic Generation (SHG) with a newly developed device using 2 PMTs for time-correlated single photon
counting. Unlike elastin (AF), collagen structures are able to generate second harmonics (SHG). Comparing the images
and SHG / AF ratios recorded in the depth of the outer and inner sides of the forearm of two European female volunteers
(31 and 60 years old, respectively) shows differences in collagen and elastin fibres density. It decreases with depth in the
60 years old volunteer compared to the younger one, and the skin of younger volunteer shows more collagen.
Multiphoton autofluorescence imaging offers minimal-invasive examination of cells without the need of staining and
complicated confocal detection systems. Therefore, it is especially interesting for non-invasive clinical diagnostics.
To extend this sophisticated technique from superficial regions to deep lying cell layers, internal body parts and
specimens difficult of access, the bulky optics need to be reduced in diameter. This is done by tiny GRIN-optics, based
on a radial gradient in the reflective index. Of especial interest for multi-photon applications is the newly developed
GRIN-lens assembly with increased numerical aperture. High resolution images of plant tissue, hair and cells show the
improved image quality,compared to classical GRIN-lenses.
The rigid GRIN-endoscopes are already applied in wound healing studies. Here, the GRIN-lenses with diameters smaller
than 3 mm enter small skin depressions. They reproduce the focus of a conventional laser scanning tomograph tens of
mm apart in the specimen under study. We present first clinical measurements of elastin and SHG of collagen of in-vivo
human skin of venous ulcers (ulcer curis).
Martin Stark, Daniel Dörr, Alexander Ehlers, Daniel Sauer, Rainer Bückle, Sven Martin, Friederike Ehrhart, Jennifer Baunach, Alisa Katsen-Globa, Heiko Zimmermann, Karsten König
Monitoring the functional status of cryo-preserved cells and tissue in-situ, i.e. in the frozen state, might allow for optimal
adjustment of preservation conditions and might provide the information necessary to predict a functionality recovery
rate. Here, an imaging approach with compositional sensitivity seems favourable.
In our approach we use multiphoton microscopy in combination with fluorescence lifetime imaging to investigate cells,
human and plant tissue at cryogenic conditions. By the non-linearity of multiphoton excitation we largely suppress image
distortions attributed to scattering of incoming light. Only where the intensity of the pulsed near-infrared laser beam is
sufficiently large, significant fluorescence is excited. This allows reaching penetration depth in ice comparable to the
liquid state. As additional information we use the fluorescence decay to assign compositional entities. Results obtained
on cells and tissues are discussed with respect to temperature dependencies and the related use for applications.
In skin, the most common form of cancer is the basal cell carcinoma, affecting about 800.000 people in US each year.
One of the treatments is photodynamic therapy (PDT) with a topical application of 5-aminolevulinic acid (ALA)
derivates. These photosensitizers accumulate mainly in cancerous cells and can be activated by light resulting in a
destruction of the cells.
We performed multiphoton tomography based on near-infrared (NIR) femtosecond laser pulses on skin biopsies in order
to study the biosynthesis of protoporphyrine IX and the effect of treatment with submicron resolution. The fluorescence
of the photosensitizer was excited using two-photon processes and monitored through the epidermis towards the basal
layer. In comparison with normal skin the cancerous cells showed different morphology and fluorescence behavior.
Multiphoton tomography might become a useful tool for high resolution imaging of cancerous tissue and to evaluate the
therapeutical effects.
Multiphoton autofluorescence imaging became an important technique for minimal invasive examination of cells in
biological tissue. Rigid and flexible endoscopes based on gradient index lenses (GRIN-lenses) extend this minimalinvasive
technique to deep lying cell layers, inner body and specimens, difficult to access.
In the rigid endoscope, a GRIN-lens overcomes the limited depth range, given by the working distance of the microscope
objective. The focus of the conventional laser scanning tomography is reproduced tens of millimeters in the specimen
under study by the GRIN-lens (diameter 1.8 and 3 &mgr;m). We will present images of fluorescent beads, proteins cells and
skin tissue, as well as first in vivo measurements on human skin. The autofluorescence signal stems from the endogenous
fluorophore elastin and SHG from collagen.
The flexible endoscope dispenses completely the need of a microscope next to the specimen of interest. The excitation
laser pulses is delivered via a well-characterized photonic crystal fiber and subsequently focused by a newly designed
GRIN-lens system. The fluorescence, also transferred by a fiber is detected by a PMT detector. We will show the
excellent imaging qualities of a newly developed GRIN-lens system with high-resolution images of proteins, cells and
plant tissue and give an out-look on multiphoton endoscopy.
Confocal and multi-photon imaging systems are currently miniaturized to fit them to endoscopic size requirements of
probe diameters often less than 2.8 mm. High resolution in lateral dimensions of less than 1 micron and in axial
dimensions of less than 10 microns is desired to resolve sub-cellular details of in-vivo tissue. GRIN rod lens systems
have been widely used as high numerical aperture objectives in these applications because of their small size, good
image quality and favourable geometry with plane optical surfaces, which allows easy assembly. Image generation has
been enabled by combination with coherent imaging fiber bundles, GRIN relay lenses and scanning single fibers or
photonic band gap fibers. With previous GRIN systems of maximum NA of 0.50, a resolution limit laterally of approx.
1.0 micron and axially of 5.5 to 10 microns was obtained in the case of two-photon excitation. Here, we introduce a
novel concept of a GRIN lens objective system with significantly higher NA yielding resolution improved by a factor of
two (lateral) and four (axial). The image quality of initial 1.0 mm GRIN components will be characterized by the signal
analysis of 0.2 micron fluorescent beads in the multi-photon scheme and by conventional image tests using test grids
with transmitting illumination. Potentials for further miniaturization and for changing the direction of view will be
discussed.
Multiphoton tomography with the clinical femtosecond laser system DermaInspect has become an important non-invasive
high resolution imaging tool for skin research, melanoma detection, and in situ drug monitoring of
pharmaceutical and cosmetical components. The detection of endogenous fluorophores and SHG active biostructures
such as mitochondrial NAD(P)H, melanin in melancytes and basal cells, as well as the extracellular matrix components
elastin and collagen is achieved with submicron resolution when using high NA focusing optics. So far, the working
distance was limited to 200 µm. In addition, the focusing optics was large in diameter (2-3 cm).
Here we report for the first time on clinical deep-tissue high-resolution imaging with a novel high NA rigid GRIN
microendoscope which extends the potential of clinical multiphoton tomography significantly. We performed the very
first clinical in vivo measurements with two-photon endoscopes and studied wounds of patients with ulcus cruris.
Multiphoton tomography offers a painless method to examine patients under natural physiological conditions in vivo.
Multiphoton excitation induces a weak autofluorescence of naturally endogenous fluorescent bio-molecules, such as
flavines, NAD(P)H, metal-free porphyrines, components of lipofuscin, elastin and keratin. Additionally, collagen can be
detected by second harmonic generation (SHG). Due to the nonlinearity, the effects occur only in a very tight focus,
where the photon density is high enough. This leads to high axial and lateral resolution of <1μm without any need of a
confocal detection and avoids out-of-focus damage. The limited depth range, given by the working distance of the
focusing optics, is overcome with a gradient index-lens (GRIN-lens) based endoscope.
In this work we present the first results of clinical applications in vivo of gradient-index lens endoscopes. Images of e.g.
elastin and collagen (SHG) in the dermal layer of human skin are presented.
Multiphoton tomography based on femtosecond laser NIR (near infrared) pulses was used to perform non-invasive
optical sectioning of skin with high spatial and intracellular resolution. Scar formation due to formation of collagen
fibers is an important aspect during wound healing processes in skin and tissues and was monitored in vivo using the
system DermaInspect. Multiphoton tomography was performed of a dermal wound after nevi extraction. The healing
process and the aggregation of collagen fibers could be long term monitored due to the autofluorescence of endogenous
fluorophores and SHG of collagen. The system DermaInspect might become a high resolution diagnostic tool for
dermatological diagnostics and monitoring therapeutic effects.
KEYWORDS: Tissues, In vivo imaging, Collagen, Heart, Skin, Near infrared, Optical fibers, Second-harmonic generation, Optical tomography, In vitro testing
Multiphoton optical tomography based on NIR (near-infrared) femtosecond laser pulses provides non-invasive optical sectioning of skin with high spatial intracellular resolution and high tissue penetration. The imaging system DermaInspect was used to perform this technology in clinical studies in vivo on patients with suspicious melanoma. Pigmented cell clusters based on non-linear luminescence were clearly distinguished from non-pigmented cells in the epidermis using the autofluorescence of endogenous fluorophores like NAD(P)H, flavins, keratin, elastin, collagen and melanin. Some of the investigated tissues showed differences in the structure of the epidermal layers and the presence of dendritic cells compared to normal skin. Multiphoton laser microscopy was used to visualize extracellular matrix (ECM) structures of native and tissueengineered heart valves. The quality of the resulting 3-D images allowed an exact differentiation between collagenous and elastic fibers. The analysis of heart valve tissues of patients with cardiomyopathy revealed a dramatic loss of its capability to generate SH (second harmonic), indicating a structural deformation of the collagenous fibers, which was virtually impossible to obtain by routine histological or immunohistological staining. These results indicate that NIR femtosecond laser scanning systems can be employed as novel non-invasive optical technology for 3-D resolved ECM component imaging and in vitro and in vivo tissue diagnosis.
Multiphoton imaging has developed into an important technique for in-vivo research in life sciences. With the laser System DermaInspect (JenLab, Germany) laser radiation from a Ti:Sapphire laser is used to generate multiphotonabsorption deep in the human skin in vivo. The resulting autofluorescence radiation arises from endogenous fluorophores such as NAD(P)H, flavines, collagen, elastin, porphyrins und melanin. Second harmonic generation (SHG) was used to detect collagen structures in the dermal layer. Femtosecond laser multiphoton imaging offers the possibility of high resolution optical tomography of human skin as well as fluorescence lifetime imaging (FLIM) with picosecond time resolution. In this work a photon detector with ultrashort rise time of less than 30ps was applied to FLIM measurements of human skin and hair with different pigmentation. Fluorescence lifetime images of different human hair types will be discussed.
The multiphoton tomograph DermaInspect was used to perform first clinical studies on the early non-invasive detection of skin cancer based on non-invasive optical sectioning of skin by two-photon autofluorescence and second harmonic generation. In particular, deep-tissue pigmented lesions -nevi- have been imaged with intracellular resolution using near infrared (NIR) femtosecond laser radiation. So far, more than 250 patients have been investigated. Cancerous tissues showed significant morphological differences compared to normal skin layers. In the case of malignant melanoma, the occurrence of luminescent melanocytes has been detected. Multiphoton tomography will become a novel non-invasive method to obtain high-resolution 3D optical biopsies for early cancer detection, treatment control, and in situ drug
screening.
KEYWORDS: Skin, Tissues, Luminescence, Tissue optics, In vivo imaging, Near infrared, Femtosecond phenomena, Second-harmonic generation, Ultraviolet radiation, Imaging systems
High resolution non-invasive 3D imaging devices are required to detect pathogenic microorganisms such as Anthrax spores, bacteria, viruses, fungi and chemical agents entering biological tissues such as the epidermis. Due to the low light penetration depth and the biodamage potential, ultraviolet light sources can not be employed to realize intratissue imaging of bio- and chemohazards. We report on the novel near infrared laser technology multiphoton tomography and the high resolution 4D imaging tool DermaInspect for non-invasive detection of intratissue agents and their influence on cellular metabolism based on multiphoton autofluorescence imaging (MAI) and second harmonic generation (SHG). Femtosecond laser pulses in the spectral range of 750 nm to 850 nm have been used to image in vivo human skin with subcellular spatial and picosecond temporal resolution. The non-linear induced autofluorescence of both, skin tissues and microorganisms, originates mainly from naturally endogenous fluorophores/protein structures like NAD(P)H, flavins, keratin, collagen, elastin, porphyrins and melanin. Bacteria emit in the blue/green spectral range due to NAD(P)H and flavoproteins and, in certain cases, in the red spectral range due to the biosynthesis of Zn-porphyrins, coproporphyrin and protoporphyrin. Collagen and exogenous non-centrosymmetric molecules can be detected by SHG signals. The system DermaInspect consists of a wavelength-tunable compact 80/90 MHz Ti:sapphire laser, a scan module with galvo scan mirrors, piezo-driven objective, fast photon detector and time-resolved single photon counting unit. It can be used to perform optical sectioning and 3D autofluorescence lifetime imaging (τ-mapping) with 1 μm spatial resolution and 270 ps temporal resolution. The parameter fluorescence lifetime depends on the type of fluorophore and its microenvironment and can be used to distinguish bio- and chemohazards from cellular background and to gain information for pathogen identification. The novel in vivo non-invasive imaging system offers the possibility to detect and to localize CB agents in tissues and to gain information on their impact on respiratory chain activity, cell division and metabolism. The system DermaInspect can also be used to detect food and water contamination.
High resolution optical tomography studies on topically applied probes and UVA exposed skin were performed with the novel imaging system DermaInspect. 3D images with submicron resolution based on the two-photon excitation of the probes and the autofluorescence of epidermal cells and structures with femtosecond laser pulses in the near infrared (NIR) spectral range between 750 nm and 850 nm were obtained. The distribution of natural endogenous fluorophores, mainly keratin and NAD(P)H, as well as of the exogenous probe molecules was detected in situ. The high resolution imaging system DermaInspect offers an unique chance of in situ, non-invasive drug screening in skin on a molecular level and to study the effect of UV exposure.
Multiphoton imaging has developed into an important technique for in-vivo research in life sciences in the last few years. A near-infrared laser beam is focused into a sample such that multiphoton-absorption can be generated which stimulates a fluorescence signal as well as second harmonic generation (SHG). Recently it has been shown
that it is possible to image the epidermis in vivo with a resolution of about 1 μm. It was possible to produce 3-dimensional autofluorescence maps of the investigated tissue. However, the depth range of this technique is limited through the working distance of the focusing optics mostly to the epidermal part of the skin. Gradient index lenses offer possibilities to expand the imaging depth into the dermal layer. With typical diameters of up to 2mm and lengths between 2 and 6 cm they are capable of transmitting the laser, fluorescence and SHG radiation and to be integrated into an imaging system. First results of the applicability of gradient index lenses for imaging of skin are presented.
Access to the requested content is limited to institutions that have purchased or subscribe to SPIE eBooks.
You are receiving this notice because your organization may not have SPIE eBooks access.*
*Shibboleth/Open Athens users─please
sign in
to access your institution's subscriptions.
To obtain this item, you may purchase the complete book in print or electronic format on
SPIE.org.
INSTITUTIONAL Select your institution to access the SPIE Digital Library.
PERSONAL Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.