Intravascular near-infrared fluorescence (NIRF) imaging is a new approach for characterizing the physiological features of atherosclerotic plaque, but random catheter positioning within the vessel results in non-quantitative measurements due to light attenuation through variable distances through blood. We hypothesized that the construction of a combined NIRF-intravascular ultrasound (IVUS) catheter would enable tracking of the catheter position within the blood vessel and permit corrections to NIRF measurements taken at variable distances from the vessel wall. In this study, a combined NIRF-IVUS catheter was designed, co-registered NIRF and IVUS data was acquired in vessel phantoms and ex vivo arteries, depth-dependent attenuation of the fluorescent signal was corrected by an analytical light propagation model. Average root-mean-square error between NIRF estimates of fluorophore concentrations and known concentrations of fluorescent targets in coronary artery phantoms improved from 94.9% to 16.2% following NIRF corrections. We demonstrate that catheter-to-vessel wall distances derived from IVUS imaging can be employed to correct for inaccuracies caused by random NIRF catheter sensing distances.

Date Published: 8 March 2013
PDF: 9 pages
Proc. SPIE 8565, Photonic Therapeutics and Diagnostics IX, 85653S (8 March 2013); doi: 10.1117/12.2000878

Published in SPIE Proceedings Vol. 8565:
Photonic Therapeutics and Diagnostics IX
Andreas Mandelis; Brian Jet-Fei Wong; Anita Mahadevan-Jansen; Henry Hirschberg M.D.; Hyun Wook Kang; Nikiforos Kollias; Melissa J. Suter; Kenton W. Gregory M.D.; Guillermo J. Tearney M.D.; Stephen Lam; Bernard Choi; Steen J. Madsen; Bodo E. Knudsen M.D.; E. Duco Jansen; Justus F. Ilgner M.D.; Haishan Zeng; Matthew Brenner; Laura Marcu, Editor(s)