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Wenfeng Xia

Publications and source records attributed to Wenfeng Xia.

11 recordsLinked to original sources

Eversion-based robots can enable safe access,steering and endoscopic imaging within the spinal subarachnoid space

Safe navigation within the spinal subarachnoid space is constrained by its narrow, compliant, and delicate anatomy. Conventional catheters and continuum robots rely on proximal pushing, generating friction and shear along the tissue device interface that limit distal controllability and increase the risk of neural injury. Here, we present a 2 mm diameter eversion-growing robotic platform that enables friction minimised extension and steering within the human spinal subarachnoid space, validated through computational modelling, phantom experiments, and intact human cadaver studies. The robot integrates a miniature endoscope for real time intrathecal visualisation and advances by pressure driven tip eversion, localising motion to the distal tip while minimising translational sliding of the deployed body. Phantom experiments demonstrated reductions of 65.2% in mean interaction force and 48.0% in peak interaction force compared with matched push-based insertion. Physics based modelling showed that eversion based growth redistributed tissue loading, reducing local stress concentrations and interfacial shear relative to conventional insertion. In an intact human cadaver, the system achieved 150 mm of controlled intrathecal extension with concurrent fluoroscopic and endoscopic visualisation, providing access across multiple vertebral levels from a standard lumbar entry point. Postprocedural laminectomy and durotomy revealed no observable macroscopic disruption of the dura mater or surrounding neural structures. These results provide the first mechanically characterised and multimodally validated demonstration of eversion-based robotic navigation in intact human spinal anatomy, establishing a quantitative and procedural foundation for future intrathecal interventions. Further validation in larger anatomical cohorts and under physiological conditions will be required before clinical translation.

cs.RO

Real-time 3D Ultrasonic Needle Tracking with a Photoacoustic Beacon

Many minimally invasive procedures, such as core needle biopsy of focal liver lesions, nerve blocks, and fetal and vascular interventions, are typically performed under ultrasound guidance, which provides real-time, high-resolution visualisation of tissue anatomy. Accurate and efficient localisation of the needle tip relative to patient anatomy is essential for guiding the needle towards the procedure target, avoiding adverse events and reducing the need for repeat procedures. However, the 3D nature of the procedure and poor image contrast of the needle in heterogeneous tissue or at steep insertion angles often lead to confusion over the true location of the tip within the 2D guidance images, and existing methods to enhance needle visibility largely remain limited to 2D. Here, we present a novel interventional ultrasound system capable of 2D B-mode imaging and 3D needle tracking. The tip location is determined from the time-of-flight of ultrasound generated by a photoacoustic beacon embedded in the needle bevel and received by a sparse receiver array distributed around the imaging system's curvilinear ultrasound probe. The measured tracking accuracy was better than 2 mm for depths up to 140 mm in water, and approximately 2 mm on average in an ex vivo tissue phantom, with referenced positions derived from X-ray computed tomography. In a usability study involving 12 clinicians performing biopsy procedures in a ex vivo tissue phantom, the failure rate was reduced by 35%, from 15.8% to 10.3% after only a few minutes of training. These results demonstrate that the proposed system has strong potential to support a wide range of minimally invasive procedures by enabling clinicians to accurately target small anatomical structures, improving the efficiency and effectiveness of diagnostic sampling and therapeutic delivery or ablation, and reducing the risk of adverse events.

physics.med-ph

Volumetric ultrasound imaging with a sparse matrix array and integrated fiber-optic sensing for robust needle tracking in interventional procedures

Accurate visualization of interventional devices, such as medical needles, is essential for the safe and effective guidance of minimally invasive procedures. Ultrasound (US) imaging is widely used for needle guidance, but the two-dimensional nature of most clinical probes limits accurate three-dimensional (3D) localization, particularly of the needle tip. We present a novel system that integrates volumetric US imaging with 3D needle tracking by combining a fiber-optic hydrophone embedded in the needle and a sparse spiral US array. Real-time volumetric imaging was achieved using plane-wave techniques, while precise needle tip tracking was enabled through communication between the probe and hydrophone. The feasibility of the approach was demonstrated using a nerve block training phantom. This proof-of-concept system enables simultaneous volumetric anatomical imaging and 3D needle tip tracking, with strong potential to enhance the efficacy and safety of image-guided interventional procedures.

physics.med-ph

Learning-based sound speed estimation and aberration correction in linear-array photoacoustic imaging

Photoacoustic (PA) image reconstruction involves acoustic inversion that necessitates the specification of the speed of sound (SoS) within the medium of propagation. Due to the lack of information on the spatial distribution of the SoS within heterogeneous soft tissue, a homogeneous SoS distribution (such as 1540 m/s) is typically assumed in PA image reconstruction, similar to that of ultrasound (US) imaging. Failure to compensate the SoS variations leads to aberration artefacts, deteriorating the image quality. Various methods have been proposed to address this issue, but they usually involve complex hardware and/or time-consuming algorithms, hindering clinical translation. In this work, we introduce a deep learning framework for SoS estimation and subsequent aberration correction in a dual-modal PA/US imaging system exploiting a clinical US probe. As the acquired PA and US images were inherently co-registered, the estimated SoS distribution from US channel data using a deep neural network was incorporated for accurate PA image reconstruction. The framework comprised an initial pre-training stage based on digital phantoms, which was further enhanced through transfer learning using physical phantom data and associated SoS maps obtained from measurements. This framework achieved a root mean square error of 10.2 m/s and 15.2 m/s for SoS estimation on digital and physical phantoms, respectively and structural similarity index measures of up to 0.86 for PA reconstructions as compared to the conventional approach of 0.69. A maximum of 1.2 times improvement in signal-to-noise ratio of PA images was further demonstrated with a human volunteer study. Our results show that the proposed framework could be valuable in various clinical and preclinical applications to enhance PA image reconstruction.

eess.IV

Improving needle visibility in LED-based photoacoustic imaging using deep learning with semi-synthetic datasets

Photoacoustic imaging has shown great potential for guiding minimally invasive procedures by accurate identification of critical tissue targets and invasive medical devices (such as metallic needles). The use of light emitting diodes (LEDs) as the excitation light sources accelerates its clinical translation owing to its high affordability and portability. However, needle visibility in LED-based photoacoustic imaging is compromised primarily due to its low optical fluence. In this work, we propose a deep learning framework based on U-Net to improve the visibility of clinical metallic needles with a LED-based photoacoustic and ultrasound imaging system. To address the complexity of capturing ground truth for real data and the poor realism of purely simulated data, this framework included the generation of semi-synthetic training datasets combining both simulated data to represent features from the needles and in vivo measurements for tissue background. Evaluation of the trained neural network was performed with needle insertions into blood-vessel-mimicking phantoms, pork joint tissue ex vivo and measurements on human volunteers. This deep learning-based framework substantially improved the needle visibility in photoacoustic imaging in vivo compared to conventional reconstruction by suppressing background noise and image artefacts, achieving 5.8 and 4.5 times improvements in signal-to-noise ratio (SNR) and the modified Hausdorff distance (MHD) respectively. Thus, the proposed framework could be helpful for reducing complications during percutaneous needle insertions by accurate identification of clinical needles in photoacoustic imaging.

eess.IV

Spatiotemporal singular value decomposition for denoising in photoacoustic imaging with low-energy excitation light source

Photoacoustic (PA) imaging is an emerging hybrid imaging modality that combines rich optical spectroscopic contrast and high ultrasonic resolution and thus holds tremendous promise for a wide range of pre-clinical and clinical applications. Compact and affordable light sources such as light-emitting diodes (LEDs) and laser diodes (LDs) are promising alternatives to bulky and expensive solid-state laser systems that are commonly used as PA light sources. These could accelerate the clinical translation of PA technology. However, PA signals generated with these light sources are readily degraded by noise due to the low optical fluence, leading to decreased signal-to-noise ratio (SNR) in PA images. In this work, a spatiotemporal singular value decomposition (SVD) based PA denoising method was investigated for these light sources that usually have low fluence and high repetition rates. The proposed method leverages both spatial and temporal correlations between radiofrequency (RF) data frames. Validation was performed on simulations and in vivo PA data acquired from human fingers (2D) and forearm (3D) using a LED-based system. Spatiotemporal SVD greatly enhanced the PA signals of blood vessels corrupted by noise while preserving a high temporal resolution to slow motions, improving the SNR of in vivo PA images by 1.1, 0.7, and 1.9 times compared to single frame-based wavelet denoising, averaging across 200 frames, and single frame without denoising, respectively. The proposed method demonstrated a processing time of around 50 \mus per frame with SVD acceleration and GPU. Thus, spatiotemporal SVD is well suited to PA imaging systems with low-energy excitation light sources for real-time in vivo applications.

eess.IV

Ultrathin, high-speed, all-optical photoacoustic endomicroscopy probe for guiding minimally invasive surgery

Photoacoustic (PA) endoscopy has shown significant potential for clinical diagnosis and surgical guidance. Multimode fibres (MMFs) are becoming increasing attractive for the development of miniature endoscopy probes owing to ultrathin size, low cost and diffraction-limited spatial resolution enabled by wavefront shaping. However, current MMF-based PA endomicroscopy probes are either limited by a bulky ultrasound detector or a low imaging speed which hindered their usability. In this work, we report the development of a highly miniaturised and high-speed PA endomicroscopy probe that is integrated within the cannula of a 20 gauge medical needle. This probe comprises a MMF for delivering the PA excitation light and a single-mode optical fibre with a plano-concave microresonator for ultrasound detection. Wavefront shaping with a digital micromirror device enabled rapid raster-scanning of a focused light spot at the distal end of the MMF for tissue interrogation. High-resolution PA imaging of mouse red blood cells covering an area 100 microns in diameter was achieved with the needle probe at ~3 frames per second. Mosaicing imaging was performed after fibre characterisation by translating the needle probe to enlarge the field-of-view in real-time. The developed ultrathin PA endomicroscopy probe is promising for guiding minimally invasive surgery by providing functional, molecular and microstructural information of tissue in real-time.

physics.med-ph

Video-rate dual-modal forward-viewing photoacoustic and fluorescence endo-microscopy through a multimode fibre

Multimode fibres are becoming increasingly attractive in optical endoscopy as they promise to enable unparalleled miniaturisation, spatial resolution and cost as compared to conventional fibre bundle-based counterpart. However, achieving high-speed imaging through a multimode fibre (MMF) based on wavefront shaping has been challenging due to the use of liquid crystal spatial light modulators with low frame rates. In this work, we report the development of a video-rate dual-modal forward-viewing photoacoustic (PA) and fluorescence endo-microscopy probe based on a MMF and a high-speed digital micromirror device (DMD). Light transmission characteristics through the fibre were characterised with a real-valued intensity transmission matrix algorithm, and subsequently, optimal binary patterns were calculated to focus light through the fibre with wavefront shaping. Raster-scanning of a tightly focused beam (1.5 μm diameter) at the distal end of the fibre was performed for imaging. With the DMD running at 10 kHz, the PA imaging speed and spatial resolution of were controlled by varying the scanning step size, ranging from 1 to 25 frames per second (fps) and from 1.7 to 3 μm, respectively, over a field-of-view of 50 μm x 50 μm. High-resolution PA images of carbon fibres, and mouse red blood cells were acquired through a MMF with high image fidelity at unprecedented speed with MMF-based PA endoscope. The capability of dual-modal PA and fluorescence imaging was demonstrated by imaging phantoms comparing carbon fibres and fluorescent microspheres. We anticipate that with further miniaturisation of the ultrasound detector, this probe could be integrated into a medical needle to guide minimally invasive procedures in several clinical contexts including tumour biopsy and nerve blocks.

physics.med-ph

Seeing through multimode fibers with real-valued intensity transmission matrices

Image transmission through multimode optical fibers has been an area of immense interests driven by the demand for miniature endoscopes in biomedicine and higher speed and capacity in telecommunications. Conventionally, a complex-valued transmission matrix is obtained experimentally to link the input and output light fields of a multimode fiber for image retrieval, which complicates the experimental setup and increases the computational complexity. Here, we report a simple and high-speed method for image retrieval based on our discovery of a pseudo-linearity between the input and output light intensity distributions of multimode fibers. We studied the impact of several key parameters to image retrieval, including image pixel count, fiber core diameter and numerical aperture. We further demonstrated that a wide variety of input binary images could be faithfully retrieved from measured output speckle patterns using this method, promising to be useful for highly miniaturized endoscopy in biomedicine and spatial-mode-division multiplexing in telecommunications.

physics.optics

A new acoustic lens material for large area detectors in photoacoustic breast tomography

Acoustic lenses made of acrylic plastic (PMMA) have been used to enlarge the acceptance angle of sensitive large surface area detectors and improve lateral resolution. However, PMMA lenses introduce image artifacts due to ultrasound internal reflections within the lenses. In this work we investigated this issue proposing a new lens material Stycast 1090SI. We characterized the acoustic properties of the proposed material in comparison with PMMA. Detector performance using negative lenses with the two materials, was tested using finite element simulation and experiment. Further the image quality of a photoacoustic tomography system was studied using k-Wave simulation and experiment. Our acoustic characterization showed that Stycast 1090SI has tissue-like acoustic impedance, high speed of sound and low acoustic attenuation. Both acoustic lenses show significant enlargement of detector acceptance angle and lateral resolution improvement. However, image artifacts induced by acoustic lenses are reduced using the proposed lens compared to PMMA lens.

physics.med-ph

An optimized ultrasound detector for photoacoustic breast tomography

Photoacoustic imaging has proven to be able to detect vascularization-driven optical absorption contrast associated with tumors. In order to detect breast tumors located a few centimeter deep in tissue, a sensitive ultrasound detector is of crucial importance for photoacoustic mammography. Further, because the expected photoacoustic frequency bandwidth (a few MHz to tens of kHz) is inversely proportional to the dimensions of light absorbing structures (0.5 to 10+ mm), proper choices of materials and their geometries, and proper considerations in design have to be made for optimal photoacoustic detectors. In this study, we design and evaluate a specialized ultrasound detector for photoacoustic mammography. Based on the required detector sensitivity and its frequency response, a selection of active material and matching layers and their geometries is made leading to a functional detector models. By iteration between simulation of detector performances, fabrication and experimental characterization of functional models an optimized implementation is made and evaluated. The experimental results of the designed first and second functional detectors matched with the simulations. In subsequent bare piezoelectric samples the effect of lateral resonances was addressed and their influence minimized by sub-dicing the samples. Consequently, using simulations, the final optimized detector could be designed, with a center frequency of 1 MHz and a -6 dB bandwidth of ~80%. The minimum detectable pressure was measured to be 0.5 Pa, which will facilitate deeper imaging compared to the currrent systems. The detector should be capable of detecting vascularized tumors with resolution of 1-2 mm. Further improvements by proper electrical grounding and shielding and implementation of this design into an arrayed detector will pave the way for clinical applications of photoacoustic mammography.

physics.med-ph