resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined...

24
Slide 21 Our approach... medical diagnosis micro-machining microwaves Micromachined, high- resolution, microwave diagnostic tool for skin cancer 2mm Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Transcript of resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined...

Page 1: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 21

Our approach...

medicaldiagnosis

micro-machining

microwaves Micromachined, high-resolution, microwave

diagnostic toolfor skin cancer2mm

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 2: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 22

KTH’s micromachined mm-wave skin-cancer probe

Töpfer, Dudorov, Oberhammer, IEEE IMS 2012.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 3: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 23

Probe size and design

WR-10 waveguide (75-110GHz)

Tapered dielectric-rod waveguide(metallized Silicon-core)

Optimized broad-band dielectric wedge transition

Probe tip(non metallized)

Subwavelength probe tip size:0.2λ in skin tissue at 100GHz

Probe tipWR-10 WG

HRSS: 4000Ωcmtanδ=6E-4

Au: 1.4µm

Töpfer et al, IEEE IMS 2012.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 4: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 24

H planeA

B

C

D

E

F

0um

G

100um

H

300um

E plane

BA C D E F

G

H

@100 GHzCST Microwave Studio, FDTD

HE

Design & simulations

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 5: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 25

Calibration with silicon of ‘tailor-made’ permittivity

probe

silicon air

test sample

close uptest sample

standard WR-10 waveguideconnected to aVNA

holder

Sub-wavelength perforated silicon:- permittivity by design from 1.5 to 10- losses by using doped substrate- micromachined (DRIEtched)

Töpfer, Dudorov, Oberhammer, IEEE MEMS 2013.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 6: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 26

Technical probe characterization

• high responsivity

• high reproducibility (<1.5%)

• high stability (<0.6%/6h)

Töpfer, Dudorov, Oberhammer, IEEE IMS 2012.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 7: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 27

Probe resolution

• lateral resolution ~100um

• tested on tailor-made samples mimicking permittivity modulation corresponding to healthy and cancer tissue

Töpfer, Dudorov, Oberhammer, IEEE MEMS 2013.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 8: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 28

Part 5. In-vivo studies

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 9: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 29

Measurement setup for on-skin measurements

X-y-z stage to move probe onto and over skin

Micromachined millimeter-wave probe, connected to VNA through standard waveguide

E8163A Agilent vector network analyzer (VNA) with millimeter-wave extender heads, up to 110 GHz

Arm of test subject (here: my supervisor)

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 10: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 30

• Different S11

measured on different body sites

for skin cancer diagnostics reference measurement on surrounding tissue required

Measurements ondifferent body sites

Töpfer, Dudorov, Oberhammer, IEEE IMS 2014.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 11: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 31

Skin burn measurements

Newly grown skin

Normal skin

Burned skin

• Clear differences in S11 measurements with our mm-wave probe between burned, newly grown and normal skin.

Töpfer, Dudorov, Oberhammer, IEEE IMS 2014.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 12: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 32

Monitoring of skinhealing process

• day 5: normal/new/burnt still distinguishable

• day 7: normal/new indistinguishable; burnt approaching normal

“new”“burnt”

“normal”

Day 5

Day 7

@107.6 GHz

“normal” “new” “burnt”

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 13: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 33

Discrimination benign skin neoplasms from subdermal nevi

lower

higher

wa

ter

co

nte

nt

benign skinneoplasm

(intradermal nevi)

subdermalpigmentation

(junctional nevi)

raisedmole

subdermalmole

normal skin

references

normal skin

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 14: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 34

Töpfer, Dudorov, Oberhammer, IEEE IMS 2014.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 15: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 35

Standardized dermatological tests

• artificially stimulated skin irritation with chemicals, similar to allergy tests

• patches with different concentration levels (0%, 1%, 2%, 5%, 10%) applied for 24 hours

• monitored every day

• references:

– examination by dermatologist

– trans-epidermal water-loss instrument

Töpfer, IEEE IMS 2014.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 16: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 36

Measurements on homogeneous cell cultures

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 17: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 37

Probe pressure operator independency

• stable signal after skin displacement of ~0.1mm

reference (air)before after

aboveskin

skin displaced(pushed)

skincontact

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 18: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 38

It works – what’s next?

Studies on real melanoma.

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 19: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 39

Murine skin cancer model

• 6-weeks-old female athymic Nude-Foxn1nu mice

• Subcutaneous injection of 0.5 million 106 B16F10 murine melanoma cells in 200 µl PBS

• Palpable tumor of ~1 cm size after 12 – 14 days termination

Injection of B16F10 cells Malignant melanoma tumor

12-14 days

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 20: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 40

Measurement setup

VNA

Millimeter-waveprobe

x-y-z stage to move probe

Mouse anesthetized during measurement

Heating mat and temperature sensor for stable mouse body temperature

Page 21: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 41

Results: Histology

Mouse 1 Mouse 2

Skin and fat

layer ~600 µm

Tumor

Skin layer

~100 µm

Tumor

Tumor inside skin represents realistic skin tumor

Tumor beneath skin and fat not representing skin cancer

Page 22: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 42Joachim Oberhammer, KTH, 2016 WF08 Microwave Technologies for Medical …

Murine skin cancer model

Mouse 1: Tumor inside skin Mouse 2: Tumor beneath skin (not representing skin cancer) (represents realistic skin tumor)

Clear difference in S11 between the realistic tumor and the surrounding tissue (6.7 times the average stand. deviations on the same spot)

Page 23: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 43

Acknowledgements

Ethical approvals by Regional Research Ethics Board Stockholm, fulfilling requirements according to the Swedish Ethical Review Act of 2003-06-03 (SFS no 2003:460):

• N80/15 (2014)

• N100/16 (2016)

Funding provided by VINNOVA – Swedish Governmental Agency for Innovation Systems

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]

Page 24: resolution, microwave diagnostic tool for skin cancer€¦ · Slide 22 KTH’s micromachined mm-wave skin- cancer probe Töpfer, Dudorov, Oberhammer, IEEE IMS 2012. Joachim Oberhammer,

Slide 44

Conclusions

• microwave interaction with tissue exists and can be used for medical diagnosis

• millimeter and submillimeter-wave frequencies offer many opportunities in medical diagnosis

• a tailor-made, micromachined 100 GHz near-field probe for skin cancer diagnosis was designed and implemented

• successfully characterized was carried out technically and in-vivo, on human and animal models

• the senseor is clearly able to discriminate melanoma from healthy tissue at the targeted tissue depth

Joachim Oberhammer, KTH; FSM workshop, 2019-06-18; [email protected]