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1. Microendoscope Assembly
The high-resolution microendoscope described here (figure 1a) should be considered as a base configuration with several variations possible in assembly and application. We describe in detail here an embodiment of the platform which is designed to be used with proflavine as a fluorescent contrast agent. Proflavine is a bright nuclear stain with peak absorption and emission wavelengths of 445 nm and 515 nm respectively. The use of other contrast agents will require the user to select excitation, emission, and dichroic filters appropriately. Several elements of the high-resolution microendoscope are generic and may be obtained from multiple vendors. For example, optomechanical positioning components are available from Thorlabs, Newport, Linos among others. Compact CCD cameras are available from companies including Point Grey Research, Prosilica, and Retiga; camera sensitivity should be chosen with consideration of the brightness of the fluorophore to be used, as well as the desired frame rate. High-power light emitting diodes (LEDs) may be obtained from Luxeon, Cree, and Nichia among others. Fiber-optic bundles are available from Sumitomo, Fujikura, and Schott. In selecting components for a specific application, the user should consider the inherent relationships involved in fluorescence microscopy between fluorophore concentration, photobleaching, illumination intensity, camera sensitivity, gain, and exposure time.
- Connect the 6" cage rods to the 1.5" cage rods, to form a pair of 7.5" long rods. Screw these rods into one face of the fold mirror unit. Screw the 0.5" rods into the opposite face. Slide the cage cube onto the cage rods, via the two lower through holes. Screw the 2" rods into the side face of the cage cube (figure 1b).
- Attach the camera to a cage plate by using a C-mount to SM1 adapter. Secure the cage plate on the 0.5" cage rods, flush with the face of the fold mirror unit.
- Insert the "tube" lens into a 3" long lens tube and secure the lens with a retaining ring. The focal length of the lens should be selected such that the cores of the fiber-optic bundle are sampled by at least two pixels when projected onto the camera. Drop the emission filter into the tube on top of the first retaining ring, and add another ring to secure the filter in place. Observe the filter orientation convention indicated by the filter manufacturer. Screw the lens tube into the side of the cage cube nearest to the CCD camera. Note that in figure 1c, this lens and filter are shown without the 3" lens tube for clarity.
- Connect the camera to a computer and view the image on screen. Direct the cage assembly at a distant object and slide the cage cube along the rails until an image appears in focus. Lock down the cage cube at this location. (This is a simple method of ensuring that the tube lens will form a focused image when combined with the infinity-corrected objective lens).
- Insert the dichroic mirror into the holder and place at 45° in the cage cube.
- Screw the objective lens, via a RMS to SM1 thread adapter and an adjustable lens tube, into the face of the cage cube opposite the tube lens holder. A z-translator may be used in place of the adjustable lens tube for easier focusing. Screw an SMA connector into a cage plate and mount this on the rods, approximately at the working distance of the objective lens.
- Mount an LED on a cage plate and slide onto the end of the 2" rods. Add a lens to a 0.5" lens tube such that when this tube is screwed into the side of the cage cube, it will form an image of the LED that fills the back aperture of the objective lens. This (Kohler illumination) configuration will ensure that the proximal face of the fiber-optic bundle is uniformly illuminated. Add the excitation filter to the 0.5" lens tube and secure in place with a retaining ring (figure 1c).
- Attach a SMA connector to a fiber-optic bundle. Screw the SMA connectorized bundle into the SMA receptacle mounted on the cage rods. Direct the distal end of the bundle towards a broadband light source (fluorescent lighting will suffice) and observe the image of the bundle proximal face on the CCD camera. Adjust the position of the objective lens by screwing in or out of the cage cube until the fiber bundle image appears in focus. The individual cores should be clearly visible (Figure 2).
2. GRIN Lens Assembly
The spatial resolution of the microendoscope can be increased by attaching a micro-lens or lens assembly to the distal tip of the fiber bundle. These optics are configured such that instead of placing the bundle tip directly on to the tissue, the tip is imaged onto the tissue surface with demagnification, thereby increasing the spatial sampling frequency imposed by the light-guiding cores of the fiber bundle. The degree of demagnification corresponds to the increase in spatial resolution, and at the same time, to a proportionate decrease in field-of-view. Gradient index (GRIN) lens components are compatible with fiber-optics and are available from GrinTech, NSG, Schott, among others, and can be directly bonded to the distal tip of a fiber bundle.
- Select a GRIN lens with the desired magnification and working distance for your application. Ensure that the diameter of the lens exceeds that of the fiber bundle you plan to work with. We recommend that the fiber bundle and GRIN lens be mounted on separate 3-axis manual positioning stages under a low power microscope or stereoscope for accurate alignment prior to bonding.
- Place a drop of optical adhesive (eg. Norland UV curing adhesive) on either the lens or bundle face. Bring the two components into contact by using the manual positioners. Expose the interface to UV light for the dose recommended by the manufacturer.
- To protect the GRIN lens and the bonded interface, a short length of aluminum capillary tubing (Small Parts Inc.) can be used to enclose the joint. Slide the tubing over the joint and secure in place with epoxy. Heat shrink tubing can be used to finish the assembly.
3. Microendoscope Imaging
- Apply the contrast agent to the cells or tissue to be imaged. With proflavine (0.01% w/v in PBS), in vitro imaging of cells in culture can be performed by brief incubation (< 1 minute) and thorough rinsing. Imaging of ex vivo tissue specimens or in vivo tissues is possible following topical application of the dye. Uptake of proflavine under these conditions has been found to be near-instantaneous, with imaging possible within a few seconds and lasting for several minutes.
- Place the fiber optic bundle in light contact with the sample to be imaged. When imaging cells in culture or ex vivo tissue specimens, we recommend mounting the distal end of the fiber bundle in a secure fixture with manual positioning stages on XYZ axes for stability during imaging.
4. Representative Results:
When assembled correctly, the microendoscope will operate as an epi-fluorescence microscope, relayed through a coherent fiber-optic bundle. For optimal imaging results, attention should be paid to ensuring that three key conditions are met:
- The proximal face of the fiber bundle should be imaged onto the CCD camera without defocus, in order to achieve the full resolution of the system. Figure 2a,b,c demonstrate a portion of a fiber bundle imaged with poor focus, slight defocus, and good focus, respectively. The optimum focus is found by adjusting the axial position of the objective lens relative to the bundle face.
- The proximal face of the fiber bundle should be uniformly illuminated over its full diameter (field-of-view). As described in the Protocol Text (1.7), this is achieved by configuring the illumination optics for Kohler illumination. Figure 2d shows an image acquired when a uniform fluorescent sample is illuminated in this preferred configuration, with Figure 2e demonstrating the corresponding result under critical illumination. In the latter case, the structure of the LED is imaged onto the fiber bundle face, resulting in the appearance of this unwanted pattern superimposed upon the true sample structure.
- Both the proximal and distal faces of the fiber bundle should be clean and free of scratches and chips. Figure 2f demonstrates the presence of debris attached to the bundle face, with damage in the form of a small chip at 5 o'clock on the fiber perimeter. Debris can be removed from the bundle faces by cleaning in the same fashion as conventional fiber-optic connectors, with lens paper and isopropanol, or standard fiber-optic cleaning tools. If either end of the fiber bundle is scratched or chipped, or if the bundle breaks along its length, the face may be polished flat by standard manual, or mechanical polishing techniques. We recommend 12-15 μm lapping paper for an initial coarse polish, with a final polish on 0.5-1.0 μm paper.
Figure 3a demonstrates imaging of 1483 cells in vitro, following labeling with proflavine and light placement of the bare fiber bundle on the sample. Figure 3b demonstrates the improvement in spatial resolution and reduction in field-of-view provided by a 2.5x GRIN lens bonded to the bundle tip. Movie 1 demonstrates in vivo imaging of the mammary fat pad in a mouse model. Here, a fiber bundle with 0.5 mm outer diameter (330 μm field-of-view) was passed through a 21-gauge needle and advanced into the tissue. Fat cells are clearly visible, with motion due to the cardiac cycle apparent in this acquisition at 15 frames per second. Figure 3c demonstrates imaging of the oral mucosa in a healthy human volunteer, this time using a larger fiber bundle with 1.5 mm outer diameter (1.4 mm field-of-view). In all examples shown, proflavine was used as a nuclear labeling fluorescent contrast agent.

Figure 1. Assembling the high-resolution microendoscope (HRME). (a) Schematic diagram of the HRME system. (b) Assembly of the main optomechanical support structure. (c) Addition of optical elements, illumination LED, and CCD camera. (d) Photograph of the HRME system, packaged in a 10" x 8" x 2.5" enclosure.

Figure 2. Setting up the HRME. Examples of imaging with the fiber-optic bundle in (a) poor focus, (b) close to good focus, (c) ideal focus. In (d), a uniform fluorescent target at the bundle's distal tip is imaged under Kohler (uniform) illumination. (e) A uniform fluorescent target imaged under critical illumination, with the source structure apparent on the object. (f) Loose tissue and cells can stick to the fiber bundle face, which is also prone to minor damage at its periphery.

Figure 3. Imaging with the HRME. (a) 1483 cells in vitro, imaged with a bare fiber bundle (IGN-08/30) following labeling with proflavine 0.01% (w/v). (b) The same 1483 cell culture as shown in (a), imaged with a fiber bundle with 2.5x GRIN lens attached. (c) Image of normal human oral mucosa in vivo, following topical application of proflavine 0.01% (w/v).
Movie 1. Imaging the mammary fat pad of a mouse via insertion of a 450 μm outer diameter fiber bundle within the lumen of a 21-gauge needle passed into the tissue. Proflavine 0.01% (w/v) was delivered to the imaging site through the same needle prior to insertion of the imaging fiber. Click here to watch video