# US 10,478,253 B2 · System and method for providing surgical guidance based on polarization-sensitive optical coherence tomography

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- Number: US 10,478,253 B2
- Document ID: US10478253B2
- Status: Granted
- Kind: B2
- Application number: 15/533,840
- Filed: 2017-01-16
- Published: 2018-02-22
- Granted: 2019-11-19
- Earliest claimed: 2016-02-05
- Assignees: Synaptive Medical (Barbados) Inc.
- Applicants: Synaptive Medical (Barbados) Inc.
- Inventors: Siu Wai Jacky Mak
- Web page: https://patentgrep.com/patent/US10478253B2

## CPC

- A61B 34/10: Computer-aided planning, simulation or modelling of surgical operations
- A61B 5/00: Measuring for diagnostic purposes (radiation diagnosis A61B6/00; diagnosis by ultrasonic, sonic or infrasonic waves A61B8/00); Identification of persons
- A61B 5/0066: {Optical coherence imaging}
- A61B 34/00: Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B 90/37: {Surgical systems with images on a monitor during operation}
- G01B 9/02091: Tomographic interferometers, e.g. based on optical coherence
- A61B 5/0035: {adapted for acquisition of images from more than one imaging mode, e.g. combining MRI and optical tomography}
- A61B 5/0084: {for introduction into the body, e.g. by catheters (A61B5/1459 takes precedence)}
- A61B 17/3421: {Cannulas}
- A61B 2034/107: {Visualisation of planned trajectories or target regions}
- A61B 2034/2055: {Optical tracking systems}
- A61B 2090/365: {augmented reality, i.e. correlating a live optical image with another image}
- A61B 2090/3735: {Optical coherence tomography [OCT]}
- G01N 21/4795: {spatially resolved investigating of object in scattering medium (in vivo A61B)}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G01B: MEASURING LENGTH, THICKNESS OR SIMILAR LINEAR DIMENSIONS; MEASURING ANGLES; MEASURING AREAS; MEASURING IRREGULARITIES OF SURFACES OR CONTOURS
- G01N: INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES (measuring or testing apparatus or processes other than immunoassay, involving enzymes or microorganisms C12M, C12Q)

## Abstract

Systems and methods are provided for identifying a suitable surgical location and/or trajectory for proceeding with a surgical procedure based on local polarization-sensitive optical coherence tomography imaging (PSOCT). PSOCT images are obtained of a tissue region and are processed to provide a spatial map of anisotropic structure within the tissue region. The anisotropic structure is processed to determine one or more suitable surgical locations and/or trajectories for avoiding or reducing damage to local anisotropic tissue structure identified within the tissue region. The spatial map of the anisotropic structure is registered with pre-operative volumetric image data identifying anisotropic tissue structure within a second tissue region that is larger than the tissue region imaged by PSOCT.

## Claims

### Claim 1

A system comprising:
a laser emitting linearly polarized light; one or more fiber couplers; an Optical Coherence Tomography (OCT) reference arm including a first quarter wave plate (QWP); an OCT sample arm including a second QWP; one or more polarization beam splitters (PBS); a first detector and a second detector for each of the one or more PBSs,
the linearly polarized light being split between the OCT reference arm and the OCT sample arm by the one or more fiber couplers, the OCT reference arm configured to: reflect reference polarized light back to the one or more fiber couplers after the reference polarized light passes twice through the first QWP; and the OCT sample arm configured to scan polarized light across a sample after the linearly polarized light passes through the second QWP; and convey sample light from the sample back through the second QWP to the one or more fiber couplers,
the one or more fiber couplers further interfering the reference polarized light with the sample light into combined light, and conveying the combined light to the one or more PBSs, the one or more PBSs splitting the combined light into first polarization state light and second polarization state light, the first polarization state light detected by the first detector, and the second polarization state light detected by the second detector,
wherein light is conveyed between optical components using polarization-maintaining (PM) optical fibers,
wherein respective PM optical fibers conveying the light between the one or more fiber couplers and each of the OCT reference arm and the OCT sample arm comprises: respective fiber pigtails optically connected to the one or more fiber couplers using a connector-free optical connection, and
wherein one or more of the respective fiber pigtails is respectively connected to the OCT reference arm and the OCT sample arm using a respective connector-free optical connection.

### Claim 2 (depends on 1)

The system of claim 1, further comprising a polarizer between the laser and the one or more fiber couplers, a PM optical fiber conveying the linearly polarized light from the polarizer to the one or more fiber couplers.

### Claim 3 (depends on 1)

The system of claim 1, wherein a length of each of the respective fiber pigtails is between about 10 meters and 40 meters long, to within a 2 cm tolerance.

### Claim 4 (depends on 1)

The system of claim 1, wherein a respective coherence function of each of the first polarization state light and the second polarization state light are matched to within one pixel in depth.

### Claim 5 (depends on 1)

The system of claim 1, wherein each of the PM optical fibers are from a same production batch.

### Claim 6 (depends on 1)

The system of claim 1, wherein respective polarization axes of the laser and the one or more fiber couplers are aligned.

### Claim 7 (depends on 1)

The system of claim 1, wherein a polarization axis of the laser is aligned with one respective polarization axis of a PM optical fiber optically connecting the laser to at least the one or more fiber couplers.

### Claim 8 (depends on 1)

The system of claim 1, wherein the one or more fiber couplers includes a 50/50 fiber coupler that at least conveys the combined light to the one or more PBSs.

### Claim 9 (depends on 1)

The system of claim 1, wherein the one or more fiber couplers includes: a first fiber coupler that at least splits the linearly polarized light between the OCT reference arm and the OCT sample arm; and a second fiber coupler that that at least conveys the combined light to the one or more PBSs.

### Claim 10 (depends on 1)

The system of claim 1, wherein respective polarization axes of the optical components and the PM optical fibers are open.

### Claim 11 (depends on 1)

The system of claim 1, wherein the optical components and the PM optical fibers are operational at a center wavelength of about 1310 nm, +/−50 nm.

### Claim 12 (depends on 1)

The system of claim 1, further comprising a data acquisition (DAQ) device in communication with each of the first detector and the second detector.

### Claim 13 (depends on 9)

The system of claim 9, further comprising a display device in communication with the DAQ device, the display device configured to render images corresponding to detector data received by the DAQ device from the first detector and the second detector.

### Claim 14 (depends on 1)

The system of claim 1, wherein at least the one or more fiber couplers and the one or more PBSs are contained in a housing, with the respective fiber pigtails extending from the housing.

### Claim 15 (depends on 1)

The system of claim 1, wherein optical interfaces to the first detector and the second detector are connector-less.

### Claim 16 (depends on 1)

The system of claim 1, wherein the OCT reference arm comprises a motorized OCT reference arm that includes a motor configured to move a retroreflector through a length to determine a position of maximum signal strength.