Francois Baribeau

Determination of reference values for optical properties of liquid phantoms based on Intralipid and India ink

A multi-center study has been set up to accurately characterize the optical properties of diffusive liquid phantoms based on Intralipid and India ink at near-infrared (NIR) wavelengths. Nine research laboratories from six countries adopting different measurement techniques, instrumental set-ups, and data analysis methods determined at their best the optical properties and relative uncertainties of diffusive dilutions prepared with common samples of the two compounds. By exploiting a suitable statistical model, comprehensive reference values at three NIR wavelengths for the intrinsic absorption coefficient of India ink and the intrinsic reduced scattering coefficient of Intralipid-20% were determined with an uncertainty of about 2% or better, depending on the wavelength considered, and 1%, respectively. Even if in this study we focused on particular batches of India ink and Intralipid, the reference values determined here represent a solid and useful starting point for preparing diffusive liquid phantoms with accurately defined optical properties. Furthermore, due to the ready availability, low cost, long-term stability and batch-to-batch reproducibility of these compounds, they provide a unique fundamental tool for the calibration and performance assessment of diffuse optical spectroscopy instrumentation intended to be used in laboratory or clinical environment. Finally, the collaborative work presented here demonstrates that the accuracy level attained in this work for optical properties of diffusive phantoms is reliable.

Inter-Laboratory Comparison of Optical Properties Performed on Intralipid and India Ink

Intrinsic reduced scattering coefficient of Intralipid and intrinsic absorption coefficient of Indian ink at NIR wavelengths are accurately assessed in a multi-center study involving different techniques, instrumental set-ups, and analysis methods.

Surgical instrument biocontaminant fluorescence detection in ambient lighting conditions for hospital reprocessing and sterilization department (Conference Presentation)

Hospitals currently rely on simple human visual inspection for assessing cleanliness of surgical instruments. Studies showed that surgical site infections are in part attributed to inadequate cleaning of medical devices. Standards groups recognize the need to objectively quantify the amount of residues on surgical instruments and establish guidelines. We developed a portable technology for the detection of contaminants on surgical instruments through fluorescence following cleaning. Weak fluorescence signals are usually detected in the obscurity only with the lighting of the excitation source. The key element of this system is that it works in ambient lighting conditions, a requirement to not disturb the normal workflow of hospital reprocessing facilities. A biocompatible fluorescent dye is added to the detergent and labels the proteins of organic residues. It is resistant to the harsh environment in a washer-disinfector. Two inspection devices have been developed with a 488nm laser as the excitation source: a handheld scanner and a tabletop station using spectral-domain and time-domain ambient light cancellation schemes. The systems are eye safe and equipped with image processing and interfacing software to provide visual or audible warnings to the operator based on a set of adjustable signal thresholds. Micron-scale residues are detected by the system which can also evaluate soil size and mass. Unlike swabbing, it can inspect whole tools in real-time. The technology has been validated in an independent hospital decontamination research laboratory. It also has potential applications in the forensics, agro-food, and space fields. Technical aspects and results will be presented and discussed.

Calibration of fluorescence reflectance reference phantoms

Fluorescence intensity is often standardized by comparing the unknown sample signal to that of a reference solution with a known concentration of a reference fluorophore. To use this technique for in vivo fluorescence reflectance measurements standardization, a reference sample that also mimics the scattering and absorption properties of the tissue would need to be used. A simpler approach to fluorescence reflectance measurements standardization is to express the intensity of the measured fluorescence as a ratio of the excitation irradiance to the fluorescence radiance. This ratio of radiometric quantities can be measured by normalizing the measured fluorescence image to a reflectance image acquired with a reflection standard at the excitation wavelength (without the emission filter). Instruments could be calibrated to report their intensity results using this dimensionless ratio. The calibration could also be transferred from a reference calibrated instrument to other instruments through the use of fluorescence phantoms. Reporting fluorescence intensity measurements using this dimensionless ratio will ease instrument standardization and comparison of fluorescence reflectance results between instruments, vendors and applications.