A ball lens coupled fiber-optic probe design is described for depth-resolved measurements of the fluorescence and reflectance properties of epithelial tissue. A reflectance target, fluorescence targets, and a two-layer tissue phantom consisting of fluorescent microspheres suspended in collagen are used to characterize the performance of the probe. Localization of the signal to within 300 µm of the probe tip is observed by use of reflectance and fluorescence targets in air. Differential enhancement of the fluorescence signal from the top layer of the two-layer tissue phantom is observed.
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NIH-PA Author ManuscriptOptical spectroscopy is emerging as an effective diagnostic technique for noninvasive detection of cancers and precancers that originate in the epithelial lining of organs such as the uterine cervix, the oral cavity, the urinary bladder, and the esophagus. 1 The progression of precancer in these tissues produces morphologic and biochemical changes in the epithelium and supporting stroma. These changes include alterations in epithelial cell morphology and metabolic activity, changes in stromal protein morphology and cross-linking, and increasing stromal angiogenesis. As a result, the concentration and distribution of endogenous fluorophores such as reduced nicotinamide adenine dinucleotide, flavin adenine dinucleotide, keratin, tryptophan, and collagen cross-links, and absorbers such as hemoglobin, are altered with the progression of precancer. 2 Thus knowledge of the depth-dependent distribution of chromophores may have important diagnostic significance.Endogenous chromophores can be detected noninvasively in vivo by use of fiber-optic fluorescence and reflectance spectroscopy. Many fiber-optic probe designs collect the integrated signal from both the epithelium (which is typically of the order of 300 µm thick) and the underlying stroma. In these systems, sophisticated analysis strategies are required for deconvolution of spectroscopic data to yield quantitative concentrations of chromophores, and little information about depth-related changes is obtained. Fiber probes that can localize spectroscopic information by depth to distinguish epithelial and stromal optical signatures should improve the ability of spectroscopy to evaluate noninvasively the progression of precancerous changes.A variety of probe designs for obtaining localized or depth-resolved spectroscopic data have been reported. 3,4 Single-fiber probe configurations, in which the same fiber is used for illumination and collection, are sensitive to light scattering from superficial tissue regions. 5,6 However, the use of single-fiber probes for optical measurements is limited by lower signalto-noise ratios that are due to autofluorescence generated by impurities in the fiber core and by specular reflection from fiber surfaces. With multiple-fiber probes, many configurations are possible. Straight-fiber geometries with different source-detector separations permit some depth discrimination; ...