Instrumentation for real-time fluorescence lifetime imaging in endoscopy

The fluorescence lifetime of living tissues is, in certain cases, related to their pathologic state and is therefore of interest for cancer detection. Measuring fluorescence lifetime in vivo during an endoscopic examination has thus been a challenging objective for several years. The present article deals with the development and first clinical trails of an instrumentation producing fluorescence lifetime images in real time. The acquisition of such fast phenomenon (nanosecond time scale) on an image has been made possible by using the homodyne detection approach, in which the excitation light and the detection gain are modulated in a phase-coherent way. Based on images acquired at different phase between the excitation and detection modulation, the fluorescence lifetime is calculated for each pixel of the image. Different configurations of excitation modulation characteristics (pulse train versus sine-wave amplitude modulation) have been investigated and compared using Fourier transforms. Interestingly, a...

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