The present standard of blood cell analysis is an invasive procedure requiring the extraction of patient’s blood, followed by ex-vivo analysis using a flow cytometer or a hemocytometer. We are developing a noninvasive optical technique that alleviates the need for blood extraction. For in-vivo blood analysis we need a high speed, high resolution and high contrast label-free imaging technique. In this proceeding report, we reported a label-free method based on differential epi-detection of forward scattered light, a method inspired by Jerome Mertz's oblique back-illumination microscopy (OBM) (Ford et al, Nat. Meth. 9(12) 2012). The differential epi-detection of forward light gives phase contrast image at diffraction-limited resolution. Unlike reflection confocal microscopy (RCM), which detects only sharp refractive index variation and suffers from speckle noise, this technique is suitable for detection of subtle variation of refractive index in biological tissue and it provides the shape and the size of cells. A custom built high speed electronic detection circuit board produces a real-time differential signal which yields image contrast based on phase gradient in the sample. We recorded blood flow in-vivo at 17.2k lines per second in line scan mode, or 30 frames per second (full frame), or 120 frame per second (quarter frame) in frame scan mode. The image contrast and speed of line scan data recording show the potential of the system for noninvasive blood cell analysis.
Microglia are the resident immune cells of the central nervous system and play a crucial role in maintaining neuronal
health and function. Their dynamic behavior, that is, the constant extension and retraction of microglia processes, is
thought to be critical for communication between microglia and their cellular neighbors, such as neurons, astrocytes and
vascular endothelial cells.
Here, we investigated the morphology and dynamics of retinal microglia in vivo under normal conditions and in
response to focal laser injury of blood vessel endothelial wall, using a scanning laser ophthalmoscope (SLO) designed
specifically for imaging the retina of live mice. The multichannel confocal imaging system allows retinal microstructure,
such as the processes of microglia and retinal vasculature, to be visualized simultaneously. In order to generate focal
laser injury, a photocoagulator based on a continuous wave (cw) laser was coupled into the SLO. An acousto-optic
modulator chopped pulses from the cw laser. A tip-tilt-scanner was used to direct the laser beam into a blood vessel of
interest under SLO image guidance. Mild coagulation was produced using millisecond-long pulses.
Microglia react dynamically to focal laser injury of blood vessel endothelial walls. Under normal conditions,
microglia somas remain stationary and the processes probe a territory of their immediate environment. In response to
local injury, process movement velocity approximately doubles within minutes after injury. Moreover, the previously
unpolarized process movement assumes a distinct directionality towards the injury site, indicating signaling between the
injured tissue and the microglia. In vivo retinal imaging is a powerful tool for understanding the dynamic behavior of
retinal cells.
Zebrafish have become a powerful vertebrate model organism for drug discovery, cancer and stem cell research. A
recently developed transparent adult zebrafish using double pigmentation mutant, called casper, provide unparalleled
imaging power in in vivo longitudinal analysis of biological processes at an anatomic resolution not readily achievable in
murine or other systems.
In this paper we introduce an optical method for simultaneous visualization and cell quantification, which combines the
laser scanning confocal microscopy (LSCM) and the in vivo flow cytometry (IVFC). The system is designed
specifically for non-invasive tracking of both stationary and circulating cells in adult zebrafish casper, under
physiological conditions in the same fish over time. The confocal imaging part in this system serves the dual purposes of
imaging fish tissue microstructure and a 3D navigation tool to locate a suitable vessel for circulating cell counting. The
multi-color, multi-channel instrument allows the detection of multiple cell populations or different tissues or organs
simultaneously. We demonstrate initial testing of this novel instrument by imaging vasculature and tracking circulating
cells in CD41: GFP/Gata1: DsRed transgenic casper fish whose thrombocytes/erythrocytes express the green and red
fluorescent proteins. Circulating fluorescent cell incidents were recorded and counted repeatedly over time and in
different types of vessels. Great application opportunities in cancer and stem cell researches are discussed.
In vivo retinal imaging is an outstanding tool to observe biological processes unfold in real-time. The ability to image
microstructure in vivo can greatly enhance our understanding of function in retinal microanatomy under normal conditions and in disease. Transgenic mice are frequently used for mouse models of retinal diseases. However, commercially available retinal imaging instruments lack the optical resolution and spectral flexibility necessary to visualize detail comprehensively.
We developed an adaptive optics scanning laser ophthalmoscope (AO-SLO) specifically for mouse eyes. Our SLO is a sensor-less adaptive optics system (no Shack Hartmann sensor) that employs a stochastic parallel gradient descent algorithm to modulate a deformable mirror, ultimately aiming to correct wavefront aberrations by optimizing confocal image sharpness.
The resulting resolution allows detailed observation of retinal microstructure. The AO-SLO can resolve retinal microglia
and their moving processes, demonstrating that microglia processes are highly motile, constantly probing their immediate environment. Similarly, retinal ganglion cells are imaged along with their axons and sprouting dendrites.
Retinal blood vessels are imaged both using evans blue fluorescence and backscattering contrast.
Selective laser targeting of the retinal pigment epithelium (RPE) is an attractive method for treating RPE-associated disorders. We are developing a method for optically detecting intracellular microcavitation that can potentially serve as an immediate feedback of the treatment outcome. Thermal denaturation or intracellular cavitation can kill RPE cells during selective targeting. We examined the cell damage mechanism for laser pulse durations from 1 to 40 µs ex vivo. Intracellular cavitation was detected as a transient increase in the backscattered treatment beam. Cavitation and cell death were correlated for individual cells after single-pulse irradiation. The threshold radiant exposures for cell death (ED50,d) and cavitation (ED50,c) increased with pulse duration and were approximately equal for pulses of up to 10 µs. For 20 µs, the ED50,d was about 10% lower than the ED50,c; the difference increased with 40-µs pulses. Cells were killed predominantly by cavitation (up to 10-µs pulses); probability of thermally induced cell death without cavitation gradually increases with pulse duration. Threshold measurements are discussed by modeling the temperature distribution around laser-heated melanosomes and the scattering function from the resulting cavitation. Detection of intracellular cavitation is a highly sensitive method that can potentially provide real-time assessment of RPE damage during selective laser targeting.
Purpose: An in vivo flow cytometer was developed recently, providing quantification of fluorescently labeled cells in live animals without extracting blood samples. This non-invasive procedure allows continuously tracking a cell population of
interest over long periods of time to examine its dynamic changes in the circulation. However, it has not been shown
that counting signals arise from individual cells. Furthermore, cell morphology and cell-cell interaction in the blood
stream (e.g. aggregation) are not visualized. Here we describe an imaging in vivo flow cytometer.
Material and Methods: Fluorescence images are obtained simultaneously with quantitative information on a DiD-labeled cell population. As
fluorescent cells pass through the slit of light focused across a blood vessel, the excited fluorescence is detected
confocally. This cell counting signal triggers a strobe beam and an intensified CCD camera to capture a snapshot image
of the cell as it moves down-stream from the slit.
Results: Nearly all peaks counted as circulating T-cells originate from individual cells, while cell aggregates were rarely
observed (<2%). Counting signal amplitude variation is attributed to uneven dye-loading among cells. We identify
non-T-cells by their abnormal shape and size. Cell velocity was measured by determining the traveled distance from the
slit within the delay of the strobe pulse or by applying multiple strobe pulses during the integration time of the CCD
camera. Conclusions: An improved in vivo imaging flow cytometer can be a useful tool for studying cell populations in circulation.
KEYWORDS: In vitro testing, Angiography, Luminescence, In vivo imaging, Eye, Continuous wave operation, Retina, Scanners, Laser scanners, Frequency modulation
Selective targeting of the retinal pigment epithelium (RPE) is a new strategy for treating certain retinal disorders while preserving adjacent photoreceptors. The treatment currently relies on a complex laser system to produce the required microsecond pulse structure. In our new approach, we scan the focus of a continuous-wave (cw) laser beam with acousto-optic deflectors to produce microsecond-long exposures at each RPE cell. Experiments were performed in vitro with a bench-top scanner on samples of young bovine RPE and in vivo on Dutch belted rabbits with a slit-lamp adapted scanner. Effective dose 50% (ED50) for RPE damage was determined in vitro by fluorescence cell viability assay and in vivo by fluorescein angiography. Damage to individual RPE cells was achieved with laser power on the order of 100 mW. Using separated scan lines, we demonstrate selectivity in the form of alternating lines of dead and surviving cells that resemble the scan pattern. Selectivity is also shown by the absence of retinal thermal coagulation in vivo. Selective RPE damage is feasible by rapidly scanning a cw laser beam. The scanning device is an attractive alternative to conventional laser coagulation and pulsed laser targeting of the RPE.
Selective targeting of the Retinal Pigment Epithelium (RPE), by either applying trains of microsecond laser pulses or, in our approach, by repetitively scanning a tightly focused spot across the retina, achieves destruction of RPE cells while avoiding damage to the overlying photoreceptors. Both techniques have been demonstrated as attractive methods for the treatment of retinal diseases that are caused by a dysfunction of the RPE. Because the lesions are ophthalmoscopically invisible, an online control system that monitors cell death during irradiation is essential to ensure efficient and selective treatment in a clinical application. Bubble formation inside the RPE cells has been shown to be the cell damage mechanism for nano- and picosecond pulses. We built an optical system to investigate whether the same mechanism extends into the microsecond regime. The system detects changes in backscattered light of the irradiating beam during exposure. Samples of young bovine eyes were exposed in vitro using single pulses ranging from 3 μs to 50 μs. Using the viability assay calcein-AM the ED50 threshold for cell death was determined and compared to the threshold for bubble formation. We also set up a detection system on our slit lamp adapted scanning system in order to determine the feasibility of monitoring threshold RPE damage during selective laser treatment in vivo.
Intracellular cavitation was detected as a transient increase in backscattering signal, either of an external probe beam or of the irradiation beam itself. Monitoring with the irradiation beam is both simpler and more sensitive. We found the threshold for bubble formation to coincide with the threshold for cell damage for pulse durations up to 20 μs, suggesting that cavitation is the main mechanism of cell damage. For pulse widths longer than 20 μs, the cell damage mechanism appears to be increasingly thermal as the two thresholds diverge. We conclude that bubble detection can be used to monitor therapeutic endpoint for pulse durations up to 20 μs (or equivalent dwell time in a scanning approach). We have integrated a detection module into our slit lamp adapted laser scanner in order to determine threshold RPE damage during selective laser treatment in vivo.
Selective targeting the retinal pigment epithelium (RPE) while sparing adjacent tissue such as the photoreceptors has been demonstrated by repetitively irradiating the fundus with a train of green microsecond(s) -laser pulses. The aim of this study was to investigate selective RPE effects alternatively by means of rapidly scanning a cw-laser beam across the RPE to obtain the required microsecond(s) -illumination times. The radiation of an Ar+ laser (514 nm) was transmitted through a 25-micrometers core diameter fiber to a scanner unit. The fiber tip was imaged onto the object plane with a magnification of 0.75. The beam was repetitively scanned across porcine RPE samples in vitro providing an irradiation time of 1.6 microsecond(s) . Cell damage was investigated with a fluorescence viability assay.
Laser photocoagulation is a well-established treatment modality for a variety of retinal disorders, but is difficult to use near the fovea due to thermal retinal destruction. Certain diseases, such as drusen maculopathy, are thought to be caused by a dysfunction of the Retinal Pigment Epithelium. For those diseases selective targeting of the RPE, sparing the adjoining photoreceptors, might be the appropriate treatment to avoid laser scotoma, as it has been shown with application of a train of ms laser pulses by Birngruber and Roider. Our new approach is to use a conventional green cw laser and rapidly scan a small laser spot over the retina so as to produce microsecond(s) -illumination at each RPE cell. Two scanning devices were developed using acousto-optic deflectors. For the in vitro experiments the ED50 value RPE cell damage was 170 mW with 100 exposures, scanning with a speed of 1 spot diameter/3 microsecond(s) . In vivo experiments demonstrated an angiographic ED50 threshold of 66 mW for 100 exposures while scanning with an effective illumination time of 5 microsecond(s) . The ophthalmoscopic threshold was higher than a factor of 2 times the angiographic ED50. Using separated scan lines we show selectivity in the form of surviving cells in between irradiated lines. Selective destruction of RPE cells is possible using laser-scanning devices.
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