Quantitative Micro-Elastography Enables In Vivo Detection of Residual Cancer in the Surgical Cavity during Breast-Conserving Surgery.

Unlabelled: Breast-conserving surgery (BCS) is commonly used for the treatment of early-stage breast cancer. Following BCS, approximately 20% to 30% of patients require reexcision because postoperative histopathology identifies cancer in the surgical margins of the excised specimen. Quantitative micro-elastography (QME) is an imaging technique that maps microscale tissue stiffness and has demonstrated a high diagnostic accuracy (96%) in detecting cancer in specimens excised during surgery.

Optical palpation for tumor margin assessment in breast-conserving surgery.

Intraoperative margin assessment is needed to reduce the re-excision rate of breast-conserving surgery. One possibility is optical palpation, a tactile imaging technique that maps stress (force applied across the tissue surface) as an indicator of tissue stiffness. Images (optical palpograms) are generated by compressing a transparent silicone layer on the tissue and measuring the layer deformation using optical coherence tomography (OCT).

Diagnostic Accuracy of Quantitative Micro-Elastography for Margin Assessment in Breast-Conserving Surgery.

Inadequate margins in breast-conserving surgery (BCS) are associated with an increased likelihood of local recurrence of breast cancer. Currently, approximately 20% of BCS patients require repeat surgery due to inadequate margins at the initial operation. Implementation of an accurate, intraoperative margin assessment tool may reduce this re-excision rate.

Handheld volumetric manual compression-based quantitative microelastography.

Compression optical coherence elastography (OCE) typically requires a mechanical actuator to impart a controlled uniform strain to the sample. However, for handheld scanning, this adds complexity to the design of the probe and the actuator stroke limits the amount of strain that can be applied. In this work, we present a new volumetric imaging approach that utilizes bidirectional manual compression via the natural motion of the user's hand to induce strain to the sample, realizing compact, actuator-free, handheld compression OCE.

Handheld probe for quantitative micro-elastography.

Optical coherence elastography (OCE) has been proposed for a range of clinical applications. However, the majority of these studies have been performed using bulky, lab-based imaging systems. A compact, handheld imaging probe would accelerate clinical translation, however, to date, this had been inhibited by the slow scan rates of compact devices and the motion artifact induced by the user's hand.

Complex direct comb spectroscopy with a virtually imaged phased array.

We demonstrate a simple interferometric technique to directly measure the complex optical transmittance over a large spectral range using a frequency-comb spectrometer based on a virtually imaged phased array. A Michelson interferometer encodes the phase deviations induced by a sample contained in one of its arms into an interferogram image. When combined with an additional image taken from each arm separately, along with a frequency-calibration image, this allows full reconstruction of the sample's optical transfer function.

Bidirectional microwave and optical signal dissemination.

We describe a technique to disseminate highly stable microwave and optical signals from physically separated frequency standards to multiple locations. We demonstrate our technique by transferring the frequency stability performance of a microwave frequency reference to the repetition-rate stability of an optical frequency comb in a different location. The stabilized optical frequency comb becomes available in both locations for measurements of both optical and microwave signals.

Coherent radio-frequency detection for narrowband direct comb spectroscopy.

We demonstrate a scheme for coherent narrowband direct optical frequency comb spectroscopy. An extended cavity diode laser is injection locked to a single mode of an optical frequency comb, frequency shifted, and used as a local oscillator to optically down-mix the interrogating comb on a fast photodetector. The high spectral coherence of the injection lock generates a microwave frequency comb at the output of the photodiode with very narrow features, enabling spectral information to be further down-mixed to RF frequencies, allowing optical transmittance and phase to be obtained using electronics commonly found in the lab.

Self-heterodyne interference spectroscopy using a comb generated by pseudo-random modulation.

We present an original instrument designed to accomplish high-speed spectroscopy of individual optical lines based on a frequency comb generated by pseudo-random phase modulation of a continuous-wave (CW) laser. This approach delivers efficient usage of the laser power as well as independent control over the spectral point spacing, bandwidth and central wavelength of the comb. The comb is mixed with a local oscillator generated from the same CW laser frequency-shifted by an acousto-optic modulator, enabling a self-heterodyne detection scheme.

Hermetic optical-fiber iodine frequency standard.

We have built an optical-frequency standard based on interrogating iodine vapor that has been trapped within the hollow core of a hermetically sealed kagome-lattice photonic crystal fiber. A frequency-doubled Nd:YAG laser locked to a hyperfine component of the P(142)37-0 I127 transition using modulation transfer spectroscopy shows a frequency stability of 3×10(-11) at 100 s. We discuss the impediments in integrating this all-fiber standard into a fully optical-fiber-based system, and suggest approaches that could improve performance of the frequency standard substantially.

A quantitative mode-resolved frequency comb spectrometer.

We have developed a frequency-comb spectrometer that records 35-nm (4 THz) spectra with 2-pm (250 MHz) spectral sampling and an absolute frequency accuracy of 2 kHz. We achieve a signal-to-noise ratio of ~400 in a measurement time of 8.2 s.

Nano-Kelvin thermometry and temperature control: beyond the thermal noise limit.

We demonstrate thermometry with a resolution of 80  nK/Hz using an isotropic crystalline whispering-gallery mode resonator based on a dichroic dual-mode technique. We simultaneously excite two modes that have a mode frequency ratio that is very close to two (±0.3  ppm).

Saturation spectroscopy of iodine in hollow-core optical fiber.

We present high-resolution spectroscopy of I(2) vapor that is loaded and trapped within the core of a hollow-core photonic crystal fiber (HC-PCF). We compare the observed spectroscopic features to those observed in a conventional iodine cell and show that the saturation characteristics differ significantly. Despite the confined geometry it was still possible to obtain sub-Doppler features with a spectral width of ~6 MHz with very high contrast.

High-performance iodine fiber frequency standard.

We have constructed a compact and robust optical frequency standard based around iodine vapor loaded into the core of a hollow-core photonic crystal fiber (HC-PCF). A 532 nm laser was frequency locked to one hyperfine component of the R(56) 32-0 (127)I(2) transition using modulation transfer spectroscopy. The stabilized laser demonstrated a frequency stability of 2.

Second generation 50 K dual-mode sapphire oscillator.

Low-temperature, high-precision sapphire resonators exhibit a turning point in mode frequency-temperature dependence at around 10 K. This, along with sapphire's extremely low dielectric losses at microwave frequencies, results in oscillator fractional frequency stabilities on the order of 10(-15). At higher temperatures the lack of a turning point makes single-mode oscillators very sensitive to temperature fluctuations.

Spherical Bragg reflector resonators.

In this paper we introduce the concept of the spherical Bragg reflector (SBR) resonator. The resonator is made from multiple layers of spherical dielectric, loaded within a spherical cavity. The resonator is designed to concentrate the energy within the central region of the resonator and away from the cavity walls to minimize conductor losses.

High-Q whispering modes in empty spherical cavity resonators.

This work presents the study of high-order modes in spherical cavity resonators. In general there are resonant mode families, degenerate in frequency, that "whisper" around the spherical surface. We call these whispering spherical (WS) mode sets.