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      Towards real-time wide-field fluorescence lifetime imaging of 5-ALA labeled brain tumors with multi-tap CMOS cameras

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          Abstract

          Fluorescence guided neurosurgery based on 5-aminolevulinic acid (5-ALA) has significantly increased maximal safe resections. Fluorescence lifetime imaging (FLIM) of 5-ALA could further boost this development by its increased sensitivity. However, neurosurgeons require real-time visual feedback which was so far limited in dual-tap CMOS camera based FLIM. By optimizing the number of phase frames required for reconstruction, we here demonstrate real-time 5-ALA FLIM of human high- and low-grade glioma with up to 12 Hz imaging rate over a wide field of view (11.0 x 11.0 mm). Compared to conventional fluorescence imaging, real-time FLIM offers enhanced contrast of weakly fluorescent tissue.

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          Author and article information

          Journal
          Biomed Opt Express
          Biomed Opt Express
          BOE
          Biomedical Optics Express
          Optical Society of America
          2156-7085
          26 February 2020
          01 March 2020
          : 11
          : 3
          : 1598-1616
          Affiliations
          [1 ]Medical University of Vienna, Center for Medical Physics and Biomedical Engineering, 1090 Vienna, Austria
          [2 ]Medical University of Vienna, Christian Doppler Laboratory OPTRAMED, 1090 Vienna, Austria
          [3 ]PCO AG, Science and Research, 93309 Kelheim, Germany
          [4 ]Carl Zeiss Meditec AG, 73447 Oberkochen, Germany
          [5 ]General Hospital and Medical University of Vienna, Institute of Neurology, 1090 Vienna, Austria
          [6 ]General Hospital and Medical University of Vienna, Department of Neurosurgery, 1090 Vienna, Austria
          [7 ]These authors contributed equally to this work
          Author notes
          Author information
          https://orcid.org/0000-0002-9593-6447
          https://orcid.org/0000-0002-1251-3001
          https://orcid.org/0000-0002-8212-0545
          Article
          PMC7075617 PMC7075617 7075617 382817
          10.1364/BOE.382817
          7075617
          32206431
          6b93bc2f-e8ce-4145-b9a9-3ea59d3caf5e
          © 2020 Optical Society of America under the terms of the OSA Open Access Publishing Agreement

          © 2020 Optical Society of America under the terms of the OSA Open Access Publishing Agreement

          History
          : 13 November 2019
          : 30 January 2020
          : 04 February 2020
          Funding
          Funded by: Carl Zeiss Meditec AG 10.13039/501100002806
          Funded by: Bundesministerium für Digitalisierung und Wirtschaftsstandort 10.13039/501100012416
          Funded by: Österreichische Nationalstiftung für Forschung, Technologie und Entwicklung 10.13039/100010132
          Funded by: H2020 Marie Skłodowska-Curie Actions 10.13039/100010665
          Award ID: 721766
          Funded by: Österreichischen Akademie der Wissenschaften 10.13039/501100001822
          Award ID: 25262
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