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A Biomimetic Electrostatic Imaging System Proposed for Real-time In-vivo Surgical Guidance of Tumor Resection Jonathan Friedman, PhD, Peyman Golshani, MD/PhD, Mani Srivastava, PhD Networked and Embedded Systems Laboratory / Golshani Laboratory for Neuroscience --- University of California, Los Angeles . Contact Information Jonathan Friedman, PhD – [email protected] Peyman Golshani, MD/PhD – [email protected] Mani Srivastava, PhD – [email protected] Networked and Embedded Systems Laboratory (NESL) http://nesl.ee.ucla.edu Golshani Laboratory for Neuroscience http://golshanilab.neurology.ucla.edu/ Golshani Lab Department of Neurology David Geffen School of Medicine, UCLA Mark M. Souweidane, MD NewYork-Presbyterian Hospital/Weill Cornell Medical Center Future Work: Reduce Size and Scale of Electrodes Results: World’s First Biomimetic Electrostatic Imager The Problem: “Inoperable” Brain Tumors Proposed Approach: Biomimetic Electrostatic Imaging Generating the Background Field (in the Ocean) Modeling the Disturbance Field Background Field Conductive Object (Induced Dipole) In Field Disturbance Field Caused by Object Disturbance as Observed by Different Electrode Pairs 1 2 3 “Electric” Fish Detect Changes to a Self- Generated Electric Field Calibration and Compensation Expected Observed Calibrat ion Compensati on Induced Dipoles Rotate in the Field Model is Fit to Tank Measurements Custom Gantry & Cantilev er “Large” Scale Target Tank Trials Metal Pipe (Target) Gantry Moves Target Imager’s Electrodes Each Card Supports 17 Electrode s 68 Total Electrode s Multiple BEI Units Can Connect to the Same Host Inexpensive Disposable Flex-PCB Electrodes High Density AlphaSTAR Coated Electrodes Preparing for Real-time Imaging in Awake Behaving Animal Models 2-Photon uScope Provides Reference Craniotomy for Electrode Access Rig Images Courtesy Jiyoung Park World’s First 16 Electrode BEI Images Pipe Target Nearing Edge of Electrode Array – Accuracy Degrades Actual Locatio n of Pipe Target (Yellow Circle) Cross Section View of Tank at Depth Pipe Target Beyond Sensor Array – Accuracy Degrades Substantially White Pixels Show Areas of Increas ed Conduct ivity Real-time Functional Imaging of Cardiac Conduction ABSTRACT: Electric Field Disturbance Imaging Conductivity of Tumor Tissue is 10x Lower than Normal Brain Tissue The Brain! State of the Art Neuroprobes Destroy Tissue and Cannot Image Goal: Provide Simultaneous Real-Time Functional and Anatomical Imaging of Brain Tissue Using Quasi-Static Electric Fields Curren t Propos ed Determine Spatial Conductivity of Tissue from Disturbance to Self- Generated Electric Field (like MRI) Surface Probe (non- destructive ) Tumor Clearly Visible on MRI, BUT… …MRI Structure and RF Transducers Preclude Real- time Use in OR Stereotactic Camera Systems Register the Patient to the MRI – ineffective once the tissue resection begins Better Boundary Guidance Would Yield Better Outcomes & Enable Resections Currently Considered Too High Risk The Same Approach Could Be Used to Visualize the Conductive (Purkinje) Fibers -- Reducing 8 Hour Guess-and-Check Catheterization Lab Procedures to Less Than One Hour While Guaranteeing Efficacy of Treatment Fluroscope Imagery is Non- Functional and Cannot Visualize the Relevant Anatomy Fluroscope Uses Ionizing Radiation – Proposed Approach is Intrinsically Safe o>10,000 Sample Points oOver 6 Hours of Measurement oHighest Resolution Study Published

A Biomimetic Electrostatic Imaging System Proposed for Real-time In-vivo Surgical Guidance of Tumor Resection Jonathan Friedman, PhD, Peyman Golshani,

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Page 1: A Biomimetic Electrostatic Imaging System Proposed for Real-time In-vivo Surgical Guidance of Tumor Resection Jonathan Friedman, PhD, Peyman Golshani,

A Biomimetic Electrostatic Imaging System Proposed for Real-time In-vivo Surgical Guidance of Tumor Resection

Jonathan Friedman, PhD, Peyman Golshani, MD/PhD, Mani Srivastava, PhD

Networked and Embedded Systems Laboratory / Golshani Laboratory for Neuroscience --- University of California, Los Angeles.

Contact Information

Jonathan Friedman, PhD – [email protected] Golshani, MD/PhD – [email protected] Srivastava, PhD – [email protected]

Networked and Embedded Systems Laboratory (NESL)http://nesl.ee.ucla.edu

Golshani Laboratory for Neurosciencehttp://golshanilab.neurology.ucla.edu/

Golshani LabDepartment of NeurologyDavid Geffen School of Medicine, UCLA

Mark M. Souweidane, MDNewYork-Presbyterian Hospital/Weill Cornell Medical Center

Future Work: Reduce Size and Scale of Electrodes

Results: World’s First Biomimetic Electrostatic Imager

The Problem: “Inoperable” Brain Tumors

Proposed Approach: Biomimetic Electrostatic Imaging

Generating the Background Field (in the Ocean)

Modeling the Disturbance Field

Background FieldBackground Field Conductive Object (Induced Dipole) In Field

Conductive Object (Induced Dipole) In Field

Disturbance Field Caused by Object

Disturbance Field Caused by Object

Disturbance as Observed by Different Electrode Pairs

Disturbance as Observed by Different Electrode Pairs

11 22

33

“Electric” Fish Detect Changes to a Self-

Generated Electric Field

“Electric” Fish Detect Changes to a Self-

Generated Electric Field

Calibration and Compensation

ExpectedExpected

ObservedObserved

CalibrationCalibration

CompensationCompensation

Induced Dipoles Rotate in the FieldInduced Dipoles

Rotate in the Field

Model is Fit to Tank Measurements

Model is Fit to Tank Measurements

Custom Gantry & Cantilever

Custom Gantry & Cantilever

“Large” Scale Target Tank Trials

Metal Pipe (Target)

Metal Pipe (Target)

Gantry Moves Target

Gantry Moves Target

Imager’s ElectrodesImager’s Electrodes

Each Card Supports 17 Electrodes

Each Card Supports 17 Electrodes

68 Total Electrodes68 Total

Electrodes

Multiple BEI Units Can Connect to the Same Host

Multiple BEI Units Can Connect to the Same Host

Inexpensive Disposable Flex-PCB Electrodes

Inexpensive Disposable Flex-PCB Electrodes

High Density AlphaSTAR Coated Electrodes

High Density AlphaSTAR Coated Electrodes

Preparing for Real-time Imaging in Awake Behaving

Animal Models

Preparing for Real-time Imaging in Awake Behaving

Animal Models

2-Photon uScope Provides Reference2-Photon uScope

Provides Reference

Craniotomy for Electrode AccessCraniotomy for

Electrode Access

Rig Images Courtesy Jiyoung Park

World’s First 16 Electrode BEI Images

Pipe Target Nearing Edge of Electrode Array – Accuracy Degrades

Pipe Target Nearing Edge of Electrode Array – Accuracy Degrades

Actual Location of Pipe Target

(Yellow Circle)

Actual Location of Pipe Target

(Yellow Circle)

Cross Section View of Tank at Depth

Cross Section View of Tank at Depth

Pipe Target Beyond Sensor Array – Accuracy Degrades Substantially

Pipe Target Beyond Sensor Array – Accuracy Degrades Substantially

White Pixels Show Areas of Increased Conductivity

White Pixels Show Areas of Increased Conductivity

Real-time Functional Imaging of Cardiac Conduction

ABSTRACT: Electric Field Disturbance Imaging

Conductivity of Tumor Tissue is 10x Lower than

Normal Brain Tissue

Conductivity of Tumor Tissue is 10x Lower than

Normal Brain Tissue

The Brain!The Brain!

State of the Art Neuroprobes Destroy

Tissue and Cannot Image

State of the Art Neuroprobes Destroy

Tissue and Cannot Image

Goal: Provide Simultaneous Real-Time Functional and Anatomical Imaging of Brain Tissue Using Quasi-Static Electric Fields

CurrentCurrent ProposedProposed

Determine Spatial Conductivity of Tissue from Disturbance to

Self-Generated Electric Field (like

MRI)

Determine Spatial Conductivity of Tissue from Disturbance to

Self-Generated Electric Field (like

MRI)

Surface Probe (non-destructive)Surface Probe

(non-destructive)

Tumor Clearly Visible on MRI, BUT…

Tumor Clearly Visible on MRI, BUT…

…MRI Structure and RF Transducers Preclude Real-time Use in OR

…MRI Structure and RF Transducers Preclude Real-time Use in ORStereotactic Camera Systems Register

the Patient to the MRI – ineffective once the tissue resection begins

Stereotactic Camera Systems Register the Patient to the MRI – ineffective once

the tissue resection begins

Better Boundary Guidance Would Yield Better Outcomes & Enable Resections Currently Considered

Too High Risk

Better Boundary Guidance Would Yield Better Outcomes & Enable Resections Currently Considered

Too High Risk

The Same Approach Could Be Used to Visualize the Conductive (Purkinje)

Fibers -- Reducing 8 Hour Guess-and-Check Catheterization Lab Procedures

to Less Than One Hour While Guaranteeing Efficacy of Treatment

The Same Approach Could Be Used to Visualize the Conductive (Purkinje)

Fibers -- Reducing 8 Hour Guess-and-Check Catheterization Lab Procedures

to Less Than One Hour While Guaranteeing Efficacy of Treatment

Fluroscope Imagery is Non-Functional and Cannot Visualize the Relevant Anatomy

Fluroscope Imagery is Non-Functional and Cannot Visualize the Relevant Anatomy

Fluroscope Uses Ionizing Radiation – Proposed Approach is Intrinsically

Safe

Fluroscope Uses Ionizing Radiation – Proposed Approach is Intrinsically

Safe

o>10,000 Sample PointsoOver 6 Hours of MeasurementoHighest Resolution Study Published

o>10,000 Sample PointsoOver 6 Hours of MeasurementoHighest Resolution Study Published