Vanderbilt University Department of Biomedical Engineering NCIIA Grant Proposal: Hadamard Transform Imaging 04 November 2004 Team Members: Paul Holcomb Tasha Nalywajko Melissa Walden Project Description Brain tumors are among the most lethal types of cancer, with an average mortality rate of 71% of diagnosed cases.1 Studies have shown a correlation between complete or near-complete tumor resection and improved prognosis, both in adults and children.2-4 In order for optimal tumor resection to be performed, however, an imaging modality is needed to distinguish between normal and cancerous tissue, especially at the tumor margins. Optical spectroscopy, specifically fluorescence and diffuse reflectance, has been found effective in differentiating between normal and tumor tissue, both in vitro and in vivo.5-7 Implementation of this technique in spectral imaging has not been examined for use in guidance of surgical resectioning. Spectral imaging techniques are currently limited by the low level of autofluorescence of tissue; the weak signal obtained from current spectral imaging modalities requires long image acquisition and analysis times in order to resolve the image with the degree of clarity necessary for it to be useful. The proposed tool, a Hadamard transform-based spectral imaging system using a digital micro-mirror device (DMD), has the potential to increase signal to noise ratio within the imaging system substantially, thus reducing the image acquisition and analysis time. This will allow for near real-time intraoperative imaging of brain tumors and their margins, and will contribute to higher survival rates for patients. Currently, three methods are widely used for spectral imaging: line scanning using motors and a spectrograph, wavelength scanning using filter wheels or electronically tunable filters, and multiplexing methods using Fourier interferometry. Line-scanning methods, though ideal for small areas of interest, are relatively slow when large areas must be scanned and the motors can induce motion artifacts within the images. While wavelength-scanning systems are rugged and simple to construct, filter wheels only allow spectral measurement at a limited number of wavelengths within the spectrum. Electronically tunable filters can spectrally resolve emission over broad wavelength ranges, but they only transmit a narrow band of the emission at a time, and the transmission within this band generally peaks around 65%. Multiplexing via Fourier interferometry increases the signal-to-noise ratio over wavelength scanning methods by collecting 50% of the emission, but the application of the inverse Fourier transform during postprocessing significantly increases the overall acquisition time. Through application of Hadamard transform multiplexing, many of the problems with the previous imaging techniques can be resolved. The implementation of this technique is made possible by the use of a digital micro-mirror device, which consists of an array (1024x768) of 13μm x 13μm micro-mirrors that can be independently positioned to reflect light at two discrete angles (0º and 12º) relative to the normal axis of the mirror. A Hadamard matrix, which consists of an array of ones, zeros, and negative ones, can be implemented by positioning these mirrors for the application of the Hadamard transform to our image. The mirrors are controlled using CMOS technology, and can change position within 20μs, allowing for rapid repositioning of the Hadamard matrix during image acquisition. Nearly all of the light passed to the DMD can be transmitted to the next stage of the system, as the micro-mirrors are almost 100% reflective, which provides an advantage over previous Hadamard systems which employed liquid-crystal transmission masks.8 After application of the Hadamard transform, the two reflected images (0º and 12º, or 1 and -1 of the Hadamard transform) are individually compressed in separate system “legs” to one dimensional line images using cylindrical optics and then passed to a dispersion grating. The gratings disperse the spectral components of each line image along an axis perpendicular to the image, and the resulting two-dimensional (one dimension of emitted wavelength and one of spatial position within the image) images are collected by a CCD camera. The number of image samples required for this technique is equal to the order of our Hadamard matrix (n); after each sample, the Hadamard matrix is shifted to the left one column, with the first column being added to the end. After all sampling has been accomplished, the inverse Hadamard transform can be applied and the second spatial dimension of our image recovered. This inversion consists of addition and subtraction of matrix components, making the process much faster than the inverse Fourier transform which relies on multiplication and division. By assigning a color gradient to the image based on the wavelength acquired, the output can be overlaid on a standard camera image or optical microscope view for real-time use in surgery. Initially, testing of the Hadamard transform imaging system will be performed using a single-leg system, examining only one output image from the digital micro-mirror device. A type of Hadamard matrix called an S-matrix will be used to transform the output data; the Smatrix is essentially a binary form of the Hadamard matrix, allowing for the mirrors to be represented as either “on” or “off” depending upon their state.9 This initial testing procedure allows for reduced cost at the outset, as well as a reduction in time required for alignment and testing. As both outputs of the DMD will eventually be passed through identical optical compression systems, the design of this single-leg system can be easily extended to the full Hadamard application. Size of our system is also another important consideration, as the device must be small enough to be used conveniently in an operating environment. Minimization of the system will be accomplished through reflective optics, thereby reducing the distance between optical components. Many aspects of the Hadamard transform imaging technique make it ideal for use in spectral imaging. The high transition rate of the DMD micro-mirrors and the rapid application of the inverse Hadamard transform leads to decreased time between image acquisition and display. By using the reflective properties of the digital micro-mirror device to implement the Hadamard matrix in a two leg system, 100% of the light from our image can be used, as opposed to other spectral imaging techniques which use a maximum of 50%. The use of the Hadamard transform also leads to increased signal-to-noise ratio (SNR) of the output; theoretically, the SNR of the image can be improved by a factor of √n, where n is equal to the order of the Hadamard matrix.9 Application of the S-matrix, as is the case for our preliminary testing, still yields a SNR increase by a factor of √n/2. This signal improvement has been confirmed experimentally in several studies.8,10-11 A higher signal to noise ratio creates more accurate edges in our image, guaranteeing better tumor margin visualization. Market Potential Because of the near real-time imaging that this design provides, the Hadamard transform imaging system will be used in conjunction with operating microscopes during brain surgery. Ideally, this system will augment the operating microscopes already in place, thus reducing cost to the consumer. As operating microscopes are used by almost all hospitals for microsurgical procedures, and especially for neurosurgical procedures, the potential market is very large. The hardware for the Hadamard transform-based spectral imaging system is not a disposable product; we will be marketing an operating device that should not need replacing, however the opportunity for technical support is available. Updates to the DMD control and image processing software allows for possible avenues of profit after product deployment. Testing this device will require minimal paperwork, as image acquisition is completely non-invasive and has no foreseeable negative effects on the patient. References [1] National Cancer Institute, “Adult Brain Tumor Treatment”, http://www.nci.nih.gov/cancertopics/pdq/treatment/adultbrain/healthprofessional [2] Bucci MK et al., “Near complete surgical resection predicts a favorable outcome in pediatric patients with nonbrainstem, malignant gliomas…” Cancer 101(4):817-24, 2004 [3] Lacroix, Michel et al., “A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival”, J Neurosurg 95: 190-198, 2001 [4] Jaing TH et al., “Multivariate analysis of clinical prognostic factors in children with intracranial ependymomas” J Neurooncol. 68(3):255-61, 2004 [5] Lin WC et al., “Brain tumor demarcation using optical spectroscopy; an in vitro study” J Biomed Opt. 5(2):214-20, 2000 [6] Lin WC et al., “In vivo brain tumor demarcation using optical spectroscopy” Photochem Photobiol. 73(4):396-402, 2001 [7] Marcu, Laura et al., “Fluorescence Lifetime Spectroscopy of Glioblastoma Multiforme” Photochem Photobiol. 80: 98-103, 2004 [8] Hanley QS et al., “Three-dimensional spectral imaging by Hadamard transform spectroscopy in a programmable array microscope” J Microscopy 197(1): 5-14, 2000 [9] Harwit, Martin, Hadamard Transform Optics, Ch. 1 & 3, New York: Academic Press, 1979. [10] DeVerse RA et al., “Realization of the Hadamard Multiplex Advantage Using a Programmable Optical Mask…”, Applied Spectroscopy 54(12): 1751-1758, 2000 [11] Hanley QS et al., “Spectral Imaging in a Programmable Array Microscope by Hadamard Transform Fluorescence Spectroscopy”, Applied Spectroscopy 53(1): 1-10, 1999 Design Team Paul Holcomb is a senior biomedical engineering student at Vanderbilt University. Four years of management experience and previous group leadership positions have provided Paul with experience in budgeting, time management, and networking. His previous research experience includes examination of the role of the EphA2 receptor in tumor angiogenesis with Dr. Jin Chen at Vanderbilt University Medical Center (2003-present). Besides assisting with development of the design for the imaging system, Paul will be organizing the assembly timeline and acting as liaison between the team and advisory and support staff. After graduating, Paul will be pursuing a PhD in neural engineering. Tasha Nalywajko is a senior biomedical engineering and molecular biology double major at Vanderbilt University. She has performed research for the past two years in intracellular engineering, focusing on microarrays and dynamic hybridization. Most recently, her work includes dynamic virus attachment and detection. Tasha’s skills include image acquisition and analysis, as well as knowledge of imaging equipment. For this project, Tasha has contributed ideas and calculations for the optical design, and will assist with system assembly and data analysis. She hopes to pursue a career in biotechnology. Melissa Walden is a senior biomedical engineering student at Vanderbilt University. She has experience working with computers, including webpage design and use of several programming languages. She also has strong electrical engineering skills, especially bioelectrical components of nerves and stimuli in the body. Melissa’s role in the project includes design and design calculations, implementation and assembly of the design, and maintaining technical contacts for the team web presence. After graduation, she hopes to attend medical school and pursue rural and family practice medicine. Timeline September October November December January February February March April May June July August Design X X X X Build (Single-Leg) Calibration/Testing Data Analysis Calibration/Testing X X X Data Analysis X X X Miniaturization Build (Dual-Leg) X X X X X X X X X X X X X X X X March and April will also be spent writing and preparing for presentation of our design and results at the Senior Design Day poster session on April 27, 2005. Budget Equipment Optics Hardware Supplies Travel Expenses Total $3,500 ($1,200) ($2,300) $500 $2,000 $6,000 Equipment/Resources Needed Laboratory facilities have been provided by the Vanderbilt University Biomedical Engineering department, as have the digital micro-mirror device and CCD camera. The components required for the single-leg portion of the build have been purchased using grant money provided by Dr. Anita Mahadevan-Jansen. Additional components for the dual-leg device and miniaturization have not been purchased.