Fiber Optics
Fiber optics produced by special methods from
silica glass and quartz which
replaced copper wire is very useful in
telecommunications, long distance
telephone lines and in examining internal
parts of the body (endoscopy).
Equipment for photography is available
with all current fiber-optic endoscopes.
Through a process known as total
internal reflection, light rays beamed into the
fiber can propagate within
the core for great distances with remarkably little
attenuation or reduction
in intensity. In general, the methods of fiber
production fall into three
categories; (a) the extrusion method for synthetic
fibers; (b) hot drawing of
fibers from molten bulk material through an orifice;
and (c) drawing of
uncoated, coated and multiple fibers from assemblies of rods
and tubes fed
through a hollow cylindrical furnace. Three forms of fiber optics
components
have been proposed for the improvement of the image quality, field
angle and
photographic speed of various types of optical systems. These fiber
optics
elements, in the form of a field flattener, a conical condenser
and
distortion corrector, can be used separately or combined into a single
unit
called a "Focon". BOGAZIÇI ÜNIVERSITESI MAKINA
MÜHENDISLIGI
DEPARTMANI MALZEME DERSI DÖNEM PROJESI
YAZ OKULU 2000 ÖZET Günümüzde
bakir tellerin yerini alan silikon camindan
ve kristalinden üretilen fiber
optikler, telekomünikasyonda, uzun mesafeli
telefon hatlarinda ve insan
vücudunun iç kisimlarini
inceleyen endoskopilerde kullanilmaktadir. Fotograf
ekipmanlarinda
da bütün fiber-optik endoskoplara kullanilmaktadir. Tam iç
yansima
olarak bilinen islem yoluyla, fiberin içinde toplanan
isik
isinlari, uzun mesafeler boyunca siddetinde küçük
bir azalma ve
bozulmayla yol alabilmektedir. Genellikle, fiber üretimleri üç
kategoridedir;
Sentetik fiber üretiminde disina çikarma
methodu; Erimis dökme maddelerden
agizlarina dogru olusan
fiberlerin sicak çizimleriyle,
kaplanmis,kaplanmamis
veya karisik fiberlerin çizimleriyle. Üç çesit
olan
fiber optik parçalari; görüntü kalitesini, çesitli
optik
sistemlerdeki alan açisi ve fotografik hizlari gelistirmek
için
düsünülmüstür. Bu fiber optik elemanlari; alan düzlestirici,
konik
yogunlastirici ve sapma düzenleyici sekillerindedir
ve ayri veya "Focon" adi
verilen ünite için birlesmis
olarak kullanilabilirler. LIST OF FIGURES Figure
2.1 Photograph of the
earliest bundle of uncoated aligned fibers Page 7
Figure 3.1 Core of a step
index fiber Page 8 Figure 3.2 Schematic diagram of
a typical fiber drawing Page
9 Figure 3.3 Preform manufacturing apparatus
used in Silica-Quartz Page 11
Figure 3.4 Comparison of static,dynamic and
spitial filtering imagery Page 12
Figure 4.1 Field flattener system of
photography Page 13 Figure 4.2 Showing the
image transmission through a
conical fiber bundle Page 14 Figure 4.3 Fiber
optics distortion correctors
Page 14 Figure 4.4 Limiting resolution of Focon
system Page 15 Figure 5.1
Single lens reflex camera Page 16 TABLE OF CONTENTS 1.
INTRODUCTION 2.
HISTORY OF FIBER OPTICS 3. WHAT IS FIBER OPTICS? 3.1 WHAT IS
SILICA? 3.2
WHAT IS QUARTZ? 3.3 WHAT IS ENDOSCOPIC PHOTOGRAPHY? 4.
ENDOSCOPIC
PHOTOGRAPHY ELEMENTS 4.1 FIELD FLATTENER 4.2 CONICAL CONDENSER
4.3 DISTORTION
CORRECTOR 4.4 FOCON RESOLUTION 5. ENDOSCOPIC PHOTOGRAPHY
TECHNIQUES 5.1 COLOUR
PHOTOGRAPHY WITH FIBRE-OPTIC ENDOSCOPES 5.2 CINE-
ENDOSCOPY 5.3 CLOSED CIRCUIT
COLOUR TELEVISION ENDOSCOPY 5.4
GASTRO-CAMERA EXAMINATION 6. CONCLUSION 7.
REFERENCES 8. APPENDIX 1.
INTRODUCTION The technology of fiber drawing for
nonoptical applications is
old and fairly standard. Very-small-diameter glass
and quartz fibers were
made as early as by Faraday. In the early stages of the
production of glass
fibers on an industrial scale, the main application of the
fibers was
envisaged in the textile industry. More recently, they have been used
for
insulation against sound, heat and electricity. Presently, very fine
fibers
are being made of materials such as glass, quartz, nylon,
polystyrene,
polymethylcrylate. Of these, glasses, quartz and plastics are
preferred for
optical use because of their higher visible light transmission,
longer thermal
working range, better surface characteristics and mechanical
strength.
Furthermore, it has been shown that glass fibers can have
greater tensile
strength than can be expected from the bulk material. 2.
HISTORY OF FIBER OPTICS
The conduction of light along transparent
cylinders by multiple total internal
reflections is a fairly old and well
known phenomenon. It is entirely possible
that grecian and other ancient
glassblowers observed and used this phenomenon in
fabricating their
decorative glassware. In fact, the basic techniques used by
the old Venetian
glassblowers for making ‘millifiore’ form an important
aspect of present-day
fiber optics technology. However, the earliest recorded
scientific
demonstration of this phenomenon was given by John Tyndall in 1870.
In
demostration Thyndall used an illuminated vessel of water and showed
that,
when a stream of water was allowed to flow through a hole in the side
of the
vessel, light was conducted along the curved path of the stream. In
1951 when
A.C.S. van Heel in Holland and H.H. Hopkins and N.S. Kapany
studied on the
transmission of images along an aligned bundle of flexible
glass fibers. But it
was the year 1956 that Kapany first applied the term
‘fiber optics’ to this
field and described its principle and various of
possible applications. Kapany
defines fiber optics as the art of the guidance
of light, in the ultraviolet,
visible and infrared regions of the spectrum,
along transparent fibers through
predetermined paths. Between 1957 and 1960
Potter, Reynolds, Reiffel and Kapany
investigated the use of scintillating
fibers for tracking high energy particles.
Potter also investigated the
theory of skew ray propagation along fibers in some
detail. One of the
biggest application area of fiber optics is in medicine.
Hirschowitz have
been working on the developement of fiber optics gastroduodenal
endoscopes
and Kapany have been researching fiber optics in gastrocopy,
bronchoscopy,
retroscopy and cyctoscopy. Kapany, Drougard and Ohzu have made
basic studies
on image transfer characteristics of fiber assemblies. 3. WHAT IS
OPTICAL
FIBRES? Optical fibres are glass or plastic waveguides for
transmitting
visible or infrared signals. Since plastic fibres have high
attenuation and are
used only in limited applications, they will not be
considered here. Glass
fibres are frequently thinner than human hair and are
generally used with LEDs
or semiconductor lasers that emit in the infrared
region. For wavelengths near
0.8 to 0.9 m, gallium arsenide-aluminum
gallium arsenide (GaAs-AlxGa1 - xAs)
sources are used, and, for those of 1.3
and 1.55 m, indium phosphide-gallium
indium arsenide phosphide (InP-GaxIn1 -
xAsyP1 - y) sources are employed. As
noted earlier, optical fibres consist of
a glass core region that is surrounded
by glass cladding. The core region has
a larger refractive index than the
cladding, so that the light is confined to
that region as it propagates along
the fibre. Fibre core diameters ranges
between 1 and 100 m, while cladding
diameters are between 100 and 300 m.
Fibres with a larger core diameter are
called multimode fibres, because more
than one electromagnetic-field
configuration can propagate through such a
fibre. A single-mode fibre has a
small core diameter, and the difference in
refractive index between the core and
cladding is smaller than for the
multimode fibre. Only one electromagnetic-field
configuration propagates
through a single-mode fibre. Such fibres have the
lowest losses and are the
most widely used, because they permit longer
transmission distances. They
have a constant refractive index in the core with a
diameter between 1 and 10
m. The index in the cladding layer decreases by
roughly 0.1 to 0.3 percent.
This type of fibre is called a step-index fibre. The
multimode fibres may be
step-index fibres with diameters between 40 and 100 m.
The refractive
index step between the core and cladding is approximately 0.8 to
3
percent. In a graded-index fibre, the core refractive index varies as
a
function of radial distance. In such a fibre, a ray in the centre of the
core
travels more slowly than one near the edge, because the speed of
propagation v
is related to refractive index n as v = c/n, where c is the
speed of light. The
ray near the edge has a longer zigzag path than the ray
in the centre. The
transit times of the rays are thus equalized. Both
single-mode and multimode
fibres are made of silica glass. The refractive
indexes of the silica are varied
with dopants such as germanium dioxide
(GeO2), phosphoric oxide (P2O5), and
boric oxide (B2O3). Vapour-phase growth
reactions are used to obtain the "preform"
rod, which is then drawn into
optical fibres. For example, a GeO2-SiO2 film may
be deposited inside a
silica tube. In this case, the GeO2 increases the core
refractive index. In
another method, preforms for low-loss, single-mode fibres
are made by first
depositing a low-index borosilicate layer on the inner surface
of the silica
tube and then depositing a silica layer or inserting a pure fused
silica rod
before collapsing the preform. The preform is then drawn into the
optical
fibre and covered with a polymer coating. There are a number of factors
that
contribute to attenuation in an optical fibre. Rayleigh scattering is
caused
by microscopic variations in the refractive index of a fibre and
is
proportional to 4. Absorption by hydroxyl (OH) ions increases the
absorption and
gives the minim in loss at 1.3 and 1.55 m. At longer
wavelengths; absorption by
the atomic vibrations in the silicon-oxygen atoms
rapidly increases the loss.
Single-mode fibres commercially available for
communications systems have losses
as low as 0.2 decibel per kilometre. The
low fibre loss permits increased
repeater spacing and lower system cost.
High-bit-rate digital systems without
repeaters have been demonstrated for
fibre lengths of more than 100 kilometres.
Fibre splicing techniques have
been developed so that repairs can be made in the
field with losses of only
0.1 to 0.3 decibel. A variety of optical connectors
are used, providing both
ease of use and low loss of only a few tenths of a
decibel. Fibres are
combined into many different kinds of cables, which can be
laid both in the
ground and under the sea. 3.1 WHAT IS SILICA? Of the various
glass families
of commercial interest, most are based on silica, or silicon
dioxide (SiO2),
a mineral that is found in great abundance in
nature--particularly in quartz
and beach sands. Glass made exclusively of silica
is known as silica glass,
or vitreous silica. (It is also called fused quartz if
derived from the
melting of quartz crystals.) Silica glass is used where high
service
temperature, very high thermal shock resistance, high chemical
durability,
very low electrical conductivity, and good ultraviolet transparency
are
desired. However, for most glass products, such as containers, windows,
and
lightbulbs, the primary criteria are low cost and good durability, and
the
glasses that best meet these criteria are based on the soda-lime-silica
system.
After silica, the many "soda-lime" glasses have as their
primary
constituents soda, or sodium oxide (Na2O; usually derived from sodium
carbonate,
or soda ash), and lime, or calcium oxide (CaO; commonly derived
from roasted
limestone). To this basic formula other ingredients may be added
in order to
obtain varying properties. For instance, by adding sodium
fluoride or calcium
fluoride, a translucent but not transparent product known
as opal glass can be
obtained. Another silica-based variation is borosilicate
glass, which is used
where high thermal shock resistance and high chemical
durability are desired--as
in chemical glassware and automobile headlamps.
"Crystal" tableware
was made of glass containing high amounts of lead oxide
(PbO), which imparted to
the product a high refractive index (hence the
brilliance), a high elastic
modulus (hence the sonority, or "ring"), and a
long working range of
temperatures. Lead oxide is also a major component in
glass solders or in
sealing glasses with low firing temperatures. 3.2 WHAT IS
QUARTZ? Quartz has
attracted attention from the earliest times; water - clear
crystals were known
to the ancient Greeks as krystallos - hence the name
crystal, or more commonly
rock crystal, applied to this variety. The name
quartz is an old German word of
uncertain origin first used by Georgius
Agricola in 1530. Quartz has great
economic importance. Many varieties are
gemstones, including amethyst, citrine,
smoky quartz, and rose quartz.
Sandstone, composed mainly of quartz, is an
important building stone. Large
amounts of quartz sand (also known as silica
sand) are used in the
manufacture of glass and ceramics and for foundry molds in
metal casting.
Crushed quartz is used as an abrasive in sandpaper, silica sand
is employed
in sandblasting, and sandstone is still used whole to make
whetstones,
millstones, and grindstones. Silica glass (also called fused quartz)
is used
in optics to transmit ultraviolet light. Tubing and various vessels of
fused
quartz have important laboratory applications, and quartz fibres are
employed
in extremely sensitive weighing devices. Quartz is the second most
abundant
mineral in the Earth's crust after feldspar. It occurs in nearly
all-acid
igneous, metamorphic, and sedimentary rocks. It is an essential mineral
in
such silica-rich felsic rocks as granites, granodiorites, and rhyolites.
It
is highly resistant to weathering and tends to concentrate in sandstones
and
other detrital rocks. Secondary quartz serves as a cement in sedimentary
rocks
of this kind, forming overgrowths on detrital grains. Microcrystalline
varieties
of silica known as chert, flint, agate, and jasper consist of a
fine network of
quartz. Metamorphism of quartz-bearing igneous and
sedimentary rocks typically
increases the amount of quartz and its grain
size. Quartz exists in two forms:
(1) alpha-, or low, quartz, which is stable
up to 573º C (1,063º F), and (2)
beta-, or high, quartz, stable above 573º C.
The two are closely related, with
only small movements of their constituent
atoms during the alpha-beta
transition. The structure of beta-quartz is
hexagonal, with either a left- or
right-handed symmetry group equally
populated in crystals. The structure of
alpha-quartz is trigonal, again with
either aright- or left-handed symmetry
group. At the transition temperature
the tetrahedral framework of beta-quartz
twists, resulting in the symmetry of
alpha-quartz; atoms move from special space
group positions to more general
positions. At temperatures above 867º C (1,593º
F), beta-quartz changes
into tridymite, but the transformation is very slow
because bond breaking
takes place to form a more open structure. At very high
pressures
alpha-quartz transforms into coesite and at still higher
pressures,
stishovite. Such phases have been observed in impact craters.
Quartz is
piezoelectric: a crystal develops positive and negative charges on
alternate
prism edges when it is subjected to pressure or tension. The
charges are
proportional to the change in pressure. Because of its
piezoelectric property, a
quartz plate can be used as a pressure gauge, as in
depth-sounding apparatus.
Just as compression and tension produce
opposite charges, the converse effect is
that alternating opposite charges
will cause alternating expansion and
contraction. A section cut from a quartz
crystal with definite orientation and
dimensions have a natural frequency of
this expansion and contraction (ie.
vibration) that is very high measured in
millions of vibrations per second.
Properly cut plates of quartz are used
for frequency control in radios,
televisions, and other electronic
communications equipment and for
crystal-controlled clocks and watches. 3.3
WHAT IS ENDOSCOPIC PHOTOGRAPHY? With
the use of modern light -weight single
lens reflex cameras employing either
automatic exposure control or
through-the-lens metering, good half or whole
frame 35mm colour photographs
can be taken. Distal cameras (intragastric
cameras), producing 5mm or 6mm
colour pictures and electronic distal flash, are
also available in some
fibre-endoscopes. Endoscopic photography is the available
equipment and the
best method of obtaining the best possible colour photographs.
It is
possible to obtain high-quality colour transparencies of bowel
lesions.
These are generally employed for patient records, teaching and
research. They
are not usually employed for diagnosis since visual inspection
and biopsy will
already have been performed. An exception is in so called
gastro-camera
diagnosis where miniature photographs are taken from within the
stomach as an
aid to the detection of early gastric cancer. Endoscopic
cine-photography is
useful for recording motility, endoscopic techniques, and
unusual lesions. It
can be also be used to make teaching films. Close circuit
colour television
endoscopy is already in routine use in some centres of
Japan, the United States
and Europe and will undoubtedly find a wider use,
especially for teaching and
training. This equipment is naturally very costly
but cheaper equipment can be
anticipated. 4. ENDOSCOPIC PHOTOGRAPHY ELEMENTS
4.1 FIELD FLATTENER In lens
design, it is desirable that the image coincide
with the Gaussian image plane so
that the whole field may be in focus
simultaneously. In this case, the Petzval
sum of the optical system must be
zero or, at most, be a small residual to
compensate for the secondary effects
of higher-order astigmatism and oblique
spherical aberration. When the
third-order astigmatism coefficient is zero, it
is well-known that the
sagittal and tangential image surfaces coincide with the
Petzval surface.
The curved fields of such an astigmatic lens system can be
flattened by using
a bundle of fibers. The shape and curvature of the entrance
end of the bundle
is determined by the image surface of the lens system that
precedes it. The
other end of the fiber bundle may be flat if the system is to
be used for
direct observation or photography, as shown in Fig. 4.1.However,
when an
image is field flattened in this manner, there is an interaction between
the
lens distortion coefficient and a distortion term introduced on
field
flattening. Distortion term shows the exit pupil of a lens system
through which
a principal ray passes at an inclination U’ and intersects the
Petzval surface
at the point P and the Gaussian image plane at the point Q.
Since the principal
ray does not intersect the Gaussian plane when a field
flattener is used but is
intercepted by a fiber at the Petzval surface, the
effective image size is
changed by an amount OQ’ = dh. And dh = hG - h where
hG is the
Gausiian image height and h is the intersection height of the
principal ray at
the Gaussian image plane. There are several methods
available for the production
of a field flattener. In one of these methods,
the fibers are ground and
polished along the curve desired according to the
Fresnel element, and then the
entrance ends of the fibers are displaced to
lie on the curved image surface.
Obviously, this method suffers from
technological limitations and is acceptable
only when low-resolutison field
flatteners are required. A second method
consisting of lapping the field
flattener in against a metallic master. In the
third, most promising method,
a Fresnel surface is produced at the curved
surface of the fiber assembly
with a master, employing an epoxy of the type used
for making diffraction
grating replicas. 4.2 CONICAL CONDENSER A conical fiber
bundle is placed at
the focal end of a lens system to increase the photographic
speed of the
system by utilizing the flux-condensing property of a cone.
However, the
condensing ratio of a glass-coated glass cone is determined by the
ratio f-
ratio and the field angle of the preceding image forming system, as
well as
the refractive indices of the fiber core and coating materials. If we
make
some simplifying assumptions of a meridional ray propagation in a cone
with
axial length many times greater than its diameter. For cones located
off-axis at
the image plane and with bend sides, there are obvious
deviations. Figure 4.2
shows an image transmitted by a conical fiber bundle
having a 2,5 : 1 ratio. 4.3
DISTORTION CORRECTOR It is possible to
fabricate fiber bundles with the
capability of correcting for pin-cushion and
barrel distortion. It is also
possible to evolve techniques for fabricating
fiber bundles to compensate for
the distortion term introduced in large-angle
line scan systems and S-shaped
distortion of the type introduced in
electron-optical systems. Figure 4.3 shows
images transmitted through two
fiber plates, demonstrating the correction
capability for pin-cushion and
barrel distortion. Such fused fiber assemblies
are fabricated by subjecting
to well defined thermal and pressure gradients. As
another intersting example
of the application of a combination of field
flattener and distortion
corrector, we shall cite the problem of a wide-angle
spot scan systems in
which a severe distortion term proportional to the field
angle is introduced
because of a change in spot size. In such a system, it is
also desirable to
use a curved image fieldto facilitate the mechanical
synchronization of the
two scanning functions of the data-acqusition and
print-out systems. 4.4
FOCON RESOLUTION Of importance in the determination of
the overall
performance of a lens-fiber optics combination is the angular
resolution
(Rang) of an image-forming system of a aperture diameter, D, which,
according
to classical theory, is given by the formula: Rang = D/1.22? By
inserting the
value of the focal ratio (F), it is possible to determine the
linear
resolution (Rang), which is given by the following expression; Rlin
=
1/1.22F? On the other hand, the linear displacement between two
points
which can be resolved by static fiber optics is between 2d + 3t and d
+ 2t,
where d is the fiber diameter and t (˜ 0.5 µ) is the spacing
between
them. The resolution is then given by the reciprocal of this
quantity. Waveguide
effects and evanescent wave coupling between the fibers
can be avoided if the
fiber diameter is greater than or equal to p? when the
fiber numerical
aperture is close to unity. Such a fiber will propagate
approximately 20 modes
of wavelength, ?. Thus the optimum static resolution
that can be obtained
with fibers is approximately 1/ p? + 2t. Consequently,
for ? =
0.5 µ, a maximum static resolution of 220 to 350 lines / mm can
be expected
with high resolution fiber optics. Of course, dynamic scanning
can be used to
improve the resolution. Thus the highest linear resolution
obtainable with a
fiber bundle is considered to be equivalent to that of a
diffraction-limited f/4
lens. Figure 4.4 shows a curve of the resolution of
fiber conical condenser used
in conjunction with diffraction-limited lenses
of a given f-number. Each curve
corresponds to a conical condenser of f =
a2/a1 (no2 – n’2)1/2, where
a1/a2 is the cone ratio, and no and n’ are the
refractive indices of the fiber
core and coating, respectively. 5. ENDOSCOPIC
PHOTOGRAPHY TECHNIQUES 5.1 COLOUR
PHOTOGRAPHY WITH FIBRE-OPTIC ENDOSCOPES
This technique is the one of employed in
great majority of endoscopic
examinations. Photographs are taken through the
endoscope by a camera placed
on the eyepiece. This means that whatever the
operator sees will be recorded
photographically. The disadvantages of this
method are that the fibre-matrix
is also photographed. In addition, any
imperfections in the operator’s view,
such as poor focus or bad picture
composition, will be reflected in the
photograph. To this extent the problems
are similar to those of conventional
photography, but otherwise there are few
similarities. When employing a
proximal camera for endoscopic photography the
following points should be
remembered. 1. A single lens reflex (SLR) camera must
be employed. 2. Through
the lens exposure metering (TTL metering) must be
employed, unless there is
automatic exposure control of the light source output.
3. A medium focal
length lens, eg 70-105 mm or ‘telephoto’ lens, may be
required with some
endoscopes and must be focussed at infinity. 4. The camera
lens must be
focussed at infinity. 5. Photography must be carried out at
aperture if a
camera lens is employed. 6. It may not with some endoscopes be
necessary to
use a camera lens. 7. It is not usually possible to vary the
ligthing. 8.
High speed film is usually necessary and must be of the correct
type. 5.2
CINE ENDOSCOPY Although cine endoscopy is employed routinely by
some
authorities to record lesions, motility , etc, it is usually reserved
for
occasional use in teaching because of the cost equipping with suitable
cameras
and films. Suitable cine cameras include: Super-8 Kodak M-30 with
power-operated
zoom lens (from f/1.9) and Beaulieu R-16 B medical camera (16
mm). The Beaulieu
R-16 B Euratom camera is undergoing evaluation at
present. It houses an
automatic light control system in place of the lens
turret consisting of a
graded neutral density filter wheel coupled to the
exposure meter. This wheel is
adjusted by a small servo motor so that the
light reaching the film remains
constant. This novel form of light control
provides and alternative to the iris
diaphragm which, as we have already
seen, is not possible with endoscopy
photography. At the present, however,
this camera is nut fully tested. Probably
the best currently available system
is the standard 16 mm Beaulieu R-16 B
medical camera, employing a suitable
adaptor supplied by the manufacturer for
their endoscopes. 5.3 CLOSED CIRCUIT
COLOUR TELEVISION ENDOSCOPY In a number of
Japanese centers and in some
centers in the USA and Europe, closed circuit
colour television endoscopy is
employed for demonstration and teaching. The
results, as might be expected,
are variable, but it is possible, by employing
the best available equipment
to produce excellent television images with good
colour reproduction.
Television technology is highly developed, nevertheless it
will be useful to
discuss the items that make up an effective system for
endoscopy and to point
out the weak links. A succesful system for use in
gastro-intestinal endoscopy
would consist of: a colour television camera; a
flexible optical coupling
between the television camera and the endoscope; a
light control system;
colour television monitor(s); a fibre-optic endoscope, and
a suitable light
source. 5.4 GASTRO-CAMERA EXAMINATION Gastro-camera examination
of the
stomach is an investigation in which a flexible tube is passed into
the
stomach and multiple colour photographs taken employing a miniature
camera and
flash lamp mounted distally on the tube. This method was developed
by the
Japanese in 1950 in an attempt to diagnose gastric cancer, a
disease that
accounts for more deaths in Japan than any other form of cancer.
Diagnosis is
based on a complete photographic survey of the stomach, followed
by careful
inspection of the transparencies. Suspicious areas are noted and
the patient
called back for full fibre-endoscopy and biopsy, or alternatively
surgical
biopsy. The term gastro-camera is understood to include ‘blind’
gastro
–cameras which do not have visual control and ‘visually
controlled’
instruments with image blundles. With the ‘blind’ gastro-cameras
the tip of
the instrument is positioned by observing the light from it
through the
abdominal wall. Clearly this must take place in darkened room. 6.
CONCLUSION
Fibre-optic endoscopy has established itself as an important
diagnostic tool in
the investigation and management of disease of the
gastric-intestinal tract.
Considerable advances have been made in the
design and construction of fibre-optic
endoscopes and their support systems,
over the past ten years. It is unlikely
that development will take place at
the same pace over the next decade. We are
now entering a phase of
consolidation during which objective evaluation of each
area of endoscopy
will take place as the techniques become more widely used.
Advances will
be made in producing serviceable instruments and local servicing
facilities
are likely to be increased and streamlinid. Fibre bundle technology
will
probably not strive to produce smaller fibres since the limit has
already
been nearly reached. Design will probably concentrate on reliability,
and
cheaper meth-pds of production. Endoscope support systems, such as
light
sources, will probably improve with the development of more powerful,
cooler and
reliable lamps. The great advantage of flexibility provides the
key to the use
of optical communication within as well as outside medicine.
As a result of this
technology medical fibre-optics are likely to receive the
benefit of cheaper
more dispensible fibre-bundles. These are, at present, the
most expensive items
in a Fibre endoscope.
Bibliography
1)
Kapany, N.S., Fiber Optics, Academic Press, New York, 1967 2) Buck,
J.A.,
Fundamentals of Optical Fibers, Wiley-Interscience Publication, New
York, 1995
3) Salmon, P.R., Fibre Optic Endoscopy, Pitman Medical
Publishing, New York,
1974 4) http://www.britanicca.com 5) http://www.ibmpatent.com