Journal of Modern Optics, 2014 Vol. 61, No. 2, 85–101, http://dx.doi.org/10.1080/09500340.2013.873496 Optical detection strategies for centrifugal microfluidic platforms Damien King, Mary O’Sullivan and Jens Ducrée* Biomedical Diagnostics Institute, National Centre for Sensor Research, School of Physical Sciences, Dublin City University, Glasnevin, Dublin 9, Ireland Downloaded by [Dublin City University] at 06:14 24 August 2014 (Received 10 September 2013; accepted 4 December 2013) Centrifugal microfluidic systems have become one of the principal platforms for implementing bioanalytical assays, most notably for biomedical point-of-care diagnostics. These so-called ‘lab-on-a-disc’ systems primarily utilise the rotationally controlled centrifugal field in combination with capillary forces to automate a range of laboratory unit operations (LUOs) for sample preparation, such as metering, aliquoting, mixing and extraction for biofluids as well as sorting, isolation and counting of bioparticles. These centrifugal microfluidic LUOs have been regularly surveyed in the literature. However, even though absolutely essential to provide true sample-to-answer functionality of lab-on-a-disc platforms, systematic examination of associated, often optical, read-out technologies has been so far neglected. This review focusses on the history and state-of-the-art of optical read-out strategies for centrifugal microfluidic platforms, arising (commercial) application potential and future opportunities. Keywords: bioanalytical assay; centrifugal microfluidic platform; optical read-out strategy 1. Introduction 1.1. Background Centrifugal microfluidic platforms have been a focus of academic and industrial research efforts over the past 20 years. By exploiting the microfluidic liquid handling capabilities and coupling them with optical detection modules, a wide range of bioanalytical assays have been adapted in a ‘sample-to-answer’ fashion on these ‘lab-on-a-disc’ (LoaD) systems. Centrifugal liquid handling has proven to offer many intrinsic advantages compared to typical pump-driven lab-on-a-chip systems. On the one hand, the centrifugal force is directly controlled by the rotational frequency of system-innate spindle motor which can be dynamically varied over more than three orders of magnitude. As it scales with the square of the spinning frequency, the resulting centrifugal volume force and flow speeds cover a significantly wider range than can be achieved with pressures which can practically be applied to common, pneumatically or electrophoretically pumped polymer microfluidic chips. Furthermore, the centrifugal force can typically be set high enough to virtually rule out other, in some situations parasitic forces such as surface tension and capillarity. In addition, a flow-free, mere sedimentation akin to the simple particle hydrodynamics in conventional centrifuge tubes is possible. Due to the inertia of the disc, the spinning motion is also self-stabilising, thus eliminating jittering observed on pressure driven pumping methods. Another advantage of the lab-on-a-disc system *Corresponding author. Email: [email protected] © 2014 Taylor & Francis is the independence of the centrifugal force field from parameters such as viscosity, conductivity, pH and surface tension. This way the lab-on-a-disc platform can provide comparatively robust liquid handling across a substantial spread of fluidic properties for biofluids such blood, urine, and mucus as well as assay reagents, solvents and potential additives. The rotational actuation, which is typically provided by a conventional, low-cost spindle motor, also removes the requirement of external periphery such as pumps and their associated microfluidic interconnects and ‘world-tochip’ interfacing. Moreover, the modular nature of the centrifugal platform completely separates the electronic based driving instrumentation and conventional optical readout units from the microfluidic sample and reagents under test. The sample and/or reagents are exclusively handled by the micro-structured, typically disposable polymer test disc. These features are particularly beneficial for biological applications since the biofluids under test can be processed in an encapsulated system, thus minimising their potential contamination as well as their biohazard. By exploiting advancements made in the area of microfabrication, numerous research groups have enhanced the liquid handling capabilities of the centrifugal system by utilising geometrical control over capillary action and hydrodynamic flow resistance in their designs. While the concept of centrifugal analysers have been established towards the end of the 1960s, foundational work on microfluidic systems was initially reported by Downloaded by [Dublin City University] at 06:14 24 August 2014 86 D. King et al. Schembri et al. [1,2] in the early 1990s (leading to the company Abaxis Inc. (California, USA) [3]), followed by Madou and Kellogg in 1998 [4] within the activities of a company later acquired by Tecan (Mannedorf, Switzerland) [5] and, quite in parallel, by Gyros Microlabs (Uppsala, Sweden) [6]. Since these pioneering commercial ventures, numerous academic and other corporate research groups have developed microfluidic liquid handling operations such as volume metering, valving methods (capillary, hydrophobic, siphoning, sacrificial, etc.), mixing and routing onto their centrifugal systems. Madou et al. [7], Ducrée et al. [8] and Gorkin et al. [9] have provided comprehensive reviews on the area of centrifugal microfluidic devices. Burger et al. [10,11] have specifically surveyed centrifugal platforms for cell handling and analysis applications. Apart from advantages on behalf of liquid handling, the centrifugal platform also displays several intrinsic advantages in terms of optical detection compared to conventional lab-on-a-chip devices. The actuation and the detector as well as all moving parts can be entirely delegated to a robust macroscopic unit which resembles the “pickup” unit of a conventional optical disc drive (ODD), e.g. a compact disc (CD) or a digital versatile disc (DVD) player. The microfluidic lab-on-a-disc device thus constitutes a merely passive (optical as well as fluidic) module. Also, the mechanical interface between the polymer disc and the optical detection module is usually made up by a simple, central clamp holder. Other than in ODD technology, the detection may also be performed by conventional optical equipment with the disc either at rest or by rotating at a sufficiently low frequency. In summary, the centrifugal platform bears great potential for comprehensive process integration and automation of liquid handling and optical detection on a conceptually simple, compact, robust and widely autonomous instrument for a wide range of bioanalytical assay formats. Compared to optical detection technologies for stationary microfluidic lab-on-a-chip systems, the specific characteristic of for centrifugal systems is the rotation of the disc substrate with respect to the optical detection system. In particular for deployment as full-fledged biomedical sample-to-answer devices in point-of-care settings, high-performance, yet cost-efficient and portable detection systems are needed. In this review, we will survey for the first time various optical detection concepts that have been developed for rotational lab-on-a-disc platforms. These technologies can be coarsely categorised as static, e.g. stop-and-go mode, and dynamic ‘on-the-fly’ read-out during rotation. A further distinction can be made between local ‘0D’ probing, 1D scanning and 2D imaging systems. For static readout, in principle most schemes available to conventional lab-on-a-chip systems can be implemented. However, manufacturing-process related geometrical and mechanical tolerances associated of the clamping and the typically poor accuracy of stop-and-go azimuthal positioning of spindle motors tends to compromise optical alignment. For detection during rotation, either linear (azimuthal) scanning by a (laser) beam [12], sometimes fully or partially compatible to the standards defined by the ODD industry [3,6,13,14], or (bright-field) stroboscopic imaging approaches [15] are most frequently pursued. Moreover, imaging-based surface-plasmon-resonance (SPR) detection has been successfully implemented [16]. 1.2. Optical detection for centrifugal microfluidic platforms Due to its high sensitivity, specificity and the wide array of available sensing techniques, optical detection has been the mainstay of microfluidics research. While other techniques such as electrochemical and impedance based detection systems may show some benefits in terms of cost, portability and ease of alignment over conventional optical systems, the on-chip integration of smaller optical components may circumvent these issues. The miniaturisation of light sources (LEDs, laser diodes, etc.) and optical detectors (photodiodes, CCD and CMOS chips) allows for the elimination of a number of cumbersome alignment steps with ‘off-chip’ light sources and detectors. The development of highly sensitive and miniaturised optical components may leverage further integration and simplification of optofluidic sensing schemes. Techniques such as interferometry, absorbance and fluorescence, Raman spectroscopy, holography and contact imaging are some of the most common optical detection schemes which can be used in conjunction with microfluidic systems [17–20]. Within this review article, the compatibility of the above mentioned optical detection techniques with the centrifugal microfluidic platform will be examined. The centrifugal microfluidic platform presents numerous advantages and challenges for implementing and integrating optical detection schemes. A rotational actuation scheme allows for periodic and essentially jitter free motion (which is self-stabilised by inertia of the rotor). A rotational setup also has an intrinsic 1D (annular) scanning capability and can be extended to a 2D scanning system by the addition of a simple linear stage moving in the radial direction (as employed by ODDs). The challenges include azimuthal alignment (stopping of the spindle motor at a pre-defined position), Z-axis alignment and depth of focus, short optical path length in the vertical direction due to the shallow nature of the common disc substrate, wobble during rotation and the lack of a permanent mechanical interface, e.g. optical connectors, between the rotating disc and the optical detection system (and in some cases even between Journal of Modern Optics Downloaded by [Dublin City University] at 06:14 24 August 2014 sub-components such as the light source and the optical detector). In the following sections, numerous optical detection systems will be discussed which exploit the inherent features of the centrifugal microfluidic platform; they simultaneously provide elegant methods to overcome the issues of optical detection measurements on lab-on-a-disc systems. Centrifugal microfluidic platforms can be broadly divided into two main categories. The first are ‘lab-on-adisc systems’ where microfluidic LUOs such as valving, metering etc. are carried out on-disc [21–23] and on-rotor/on-disc based optical detection systems are used. The optical detection methods most strongly associated with these systems include: absorbance label-free detection label-based detection. The second category is the ‘Bio-CD’, which is a term that has been coined to refer to platforms which utilise the immobilisation of biological samples on a CD- or DVD-style reflective surface. As surveyed in a 2009 review by Nolte [24], the main method of optical detection associated with Bio-CD platforms is spinning disc interferometry. Bio-CD platforms also utilise ODD technology as a common method for readout via the ODD pick-up head. Yu et al. have presented comprehensive reviews on the use of ODD technology in conjunction with Bio-CD systems [25,26]. The above mentioned optical detection systems and ODD-based technology will be outlined in the following sections. A summary of on-disc optical detection methods is presented in Table 1 and a summary of Bio-CD optical detection methods, along with the use of ODD technology is presented in Table 2. 2. Challenges for optical detection systems on centrifugal microfluidic platforms As indicated in the introduction section, due to unavoidable manufacturing tolerances affecting their planarity, spinning discs tend to wobble, thus impairing the accuracy of optical alignment. There are two commonly adopted approaches taken to compensate to stabilise optical readout from the spinning disc. The first method uses a closed-loop feedback system with voice-coil magnetic actuators to dynamically position the laser head above the fluctuating position of the disc-based detection zone [27]. The shallow depth of focus can be related to strong refraction occurring at the abrupt change of the refractive indices at the disc surface. This highly dynamic active tracking is achieved using light-weight plastic lenses to minimise the inertia of the voice-coil actuators and a pair of detectors. As the 87 disc wobbles, the position of the laser head continuously adjusts in a closed-loop fashion to the signals obtained from the detector. Such active tracking method is implemented by ODD read heads where the laser spot size at the track needs to be reduced into the micron range in order to enable read-out of high-density data. This strong focussing at the disc surface implies a very shallow depth of focus, so active tracking to limit wobbling induced read-out errors. The alternate approach to the optical tracking method outlined previously is to utilise a passive system. Such a system can mechanically planarise the disc through a suitable holder in conjunction with an optical system based on low numerical aperture lenses, thus extending the length and the depth of focus. In this passive system no tracking of the disc is required and which significantly simplifies the optical setup [24]. However, while the resulting spot sizes can be much larger, e.g. tens of microns, which would be unacceptable for high data density ODD technologies; however, this optical scheme is still well suitable for the typically greater feature sizes of bioanalytical applications where the extended spot may even help to average out artefacts and inhomogeneities [24]. Another issue is the lack of a direct mechanical interface, e.g. opto-mechanical connectors, between the rotating disc the optical detection system. This can be addressed by free space optical components such as lenses, mirrors and cameras which can detect optical signals or image the rotating disc surface without the need for a direct opto-mechanical connection [28–30]. Numerous applications have also been reported to improve azimuthal alignment by placing reference markers on the disc under test [21–23]. The issue of vertical alignment has been addressed by adjustable positioning stages for the detector to obtain optimal focussing [31,32]. 3. Disc-based optical detection systems 3.1. Label-free optical detection systems Label-free optical detection principles can be categorised into absorbance, scattering and total internal reflection (TIR). These systems commonly utilise a 1D (annular) scanning approach as outlined in the following section. 3.1.1. Absorbance-based optical detection systems The absorbance (or optical density), as defined by the logarithm of the ratio of the intensities of incident and transmitted light. A wide range of optical components, low-cost systems such as paired LEDs and photodiodes, and more expensive components such as laser diodes and spectrometers (either in a free space optics or fibre coupled arrangement) has proven to be suitable for 2D imaging 2D imaging Lab on a disc Centrifugal test stand Spinit ® Lab on a disc system SAF reader Portable ELISA reader Centrifugal test stand PEDD 1D scanning 1D scanning Piccolo Xpress ® GyroLab ® Workstation 1D scanning 1D scanning 1D scanning 2D imaging 1D scanning 1D scanning System type Scattering via enhanced TIR Fluorescence Imaging and fluoresce Absorbance Surface Plasmon Resonance Absorbance Enhanced absorbance via TIR guidance Imaging Absorbance Fluorescence Detection method Water quality monitoring Closed loop process control Blood monitoring Cell handing ELISA Microfluidic operations Blood Analysis Blood analysis Automated protein and antigen capture Blood monitoring Application area On disc based optical detection methods and application areas. System Table 1. No Yes Yes No No Yes Yes Yes Yes No Label free detection No No No No Samsung Biosurfit No No Abaxis Inc. Gyros AB Commercially available High High Medium Medium High High Medium High High High High Medium Low High Medium Medium Low High Medium High Medium Medium Medium Low Medium High Medium High Low High Low Low Medium Medium Low Medium [44] [40] [37] [31,32] [16,45] [16] [15] [12] [3] [6] Ruggedness Maintenance Reference Medium High High Medium Sensitivity Cost Downloaded by [Dublin City University] at 06:14 24 August 2014 88 D. King et al. Interferometry Combined interferometry and absorbance Combined interferometry and fluorescence Modified ODD Standard ODD Standard ODD 2D scanning 2D scanning 2D scanning 2D imaging 2D scanning 2D scanning 2D scanning Bio-CD Bio-CD Bio-CD Bio-CD Bio-CD Modified ODD Modified ODD 2D imaging Discipher Platform Bio-CD Bio-CD Detection method System type Immunoassays Cell counting Cantilever based biomolecule detection ELISA Protein detection Cell counting and imaging Protein detection Picometrology Application area Bio-CD based optical detection methods and application areas. System Table 2. No Yes Yes Yes Yes Yes Yes Yes Label free detection No No No No No No No Ling Vitae Commercially available High High High High High High High High High Low Low Low Low High High High High High Low Low Low Low Low High High High Low [74] [63] [64] [66] [61] [51] [60] [13,62] Ruggedness Maintenance Reference High Low High Low Low Sensitivity Cost Downloaded by [Dublin City University] at 06:14 24 August 2014 Journal of Modern Optics 89 Downloaded by [Dublin City University] at 06:14 24 August 2014 90 D. King et al. centrifugal microfluidic platforms. An overview of absorbance-based optical detection methods is presented in Table 1. While absorbance measurements are highly compatible with ‘on-the-fly’ detection on a rotor, a major challenge to overcome constitutes the short (vertical) optical path length due to the typical shallowness of the disc substrate. According to the Beer–Lambert law, any decrease in the optical path length reduces the signal level of the detection system. Grumann et al. introduced the concept of on-disc optical beam guidance by total internal reflection (TIR) [12,33] to significantly extend the optical path length Iopt on a flat monolithic polymer disc compared to direct incidence (Figure 1). This technique has been widely used in a range of absorbancebased assays such as blood alcohol [34], blood glucose [12] and haemoglobin [35] with integrated upstream plasma extraction from whole blood [36]. Czugala et al. [37] have reported a wireless paired emitter detector diode device (PEDD) for optical water quality monitoring on a lab-on-a-disc. The centrifugal microfluidic platform is based on an ionogel sensing area combined with a very low-cost optical sensor. It is applied for quantitative pH and qualitative turbidity monitoring of water samples at the point-of-need, e.g. for monitoring environmentally sensitive areas. The PEDD detector consists of two pairs of surface mounted LEDs (for reference and sensing regions), placed above and below the sensing area of the disc (Figure 2). One LED in each pair acts as the light source while the other is reverse biased to act as a detector [38]. The PEDD method has shown excellent sensitivity and signal-tonoise ratio when compared to the more commonly employed method of pairing an LED and a photodiode [39]. Given its low-cost optical components along with its portable and rugged setup, the PEDD device also lends itself as a biomedical point-of-care in resourcepoor settings. Nwankire et al. [40] have demonstrated full integration of sample preparation with read-out of a multi-parameter liver assay panel (LAP) on a portable centrifugal microfluidic analysis system (CMAS). Dissolvable-film based centrifugo-pneumatic valves provide advanced flow control for plasma extraction (from finger-prick of blood), metering and aliquoting into separate reaction chambers for colorimetric quantification during rotation using a PEDD detection system. The device completes the 5-parameter LAP within 20 minutes while using a tenth of the reagent volumes, thus saving significant time, labour and costs compared to alternative technologies. Due to its comprehensive automation, autonomy from infrastructure and minimum requirements on operator skills the CMAS system has been successfully tested in resource-poor settings such as sub-Saharan Africa. 3.1.2. Scattering-based optical detection systems Scattering-based optical detection systems have also been implemented on centrifugal microfluidic platforms. Optical detection methods based on elastic scattering methods, such as Rayleigh and Mie scattering [41], as well as inelastic scattering with generation of molecular vibrations such as surface enhanced Raman spectroscopy (SERS) [42–44] and surface plasmon resonance (SPR) [16] have been reported. Similar to absorbance, scattering based detection systems can readily be devised for ‘on-the-fly’ detection using low-cost illumination and detection components. The main disadvantage is that the resultant measurement signals can be complex in nature (in particular from non-linear scattering based systems) and may require significant post-processing and classification. The Figure 1. Concept of on disc optical beam guidance by total internal reflection [33]. (© The Association for Laboratory Automation). (The colour version of this figure is included in the online version of the journal.) Downloaded by [Dublin City University] at 06:14 24 August 2014 Journal of Modern Optics 91 Figure 2. (a) Schematic of the electronic circuit used for the paired emitter detector diode (PEDD) system. (b) Prototype of the PEDD-based centrifugal microfluidic platform [37] (© The Royal Society of Chemistry). (The colour version of this figure is included in the online version of the journal.) components required for non-linear scattering detection tend to be also far more costly than their linear based counterparts. Kim et al. have demonstrated the adoption of a CD optical pick-up technology for Raman micro-spectroscopy by utilising both the focusing and the 2D (lateral) scanning capabilities of the ODD pickup [42]. Resolution was then characterised by scanning polystyrene micro-spheres and obtaining Raman images of the structures under test. Choi et al. have shown that signal amplification of SERS can be realised by pre-concentration on an opto-fluidic disc for effective, label-free environmental and bio-molecular detection [43]. Cho and Lee have reported integrated microfluidic SERS spectroscopy on a disc for high-throughput quantitative biomedical applications [44]. A SERS probe combined with a protein concentrator monitored the protein secretion dynamics as a function of trapped cell density, accumulation time, and the induced centrifugal force. Biosurfit (Lisbon, Portugal) have developed a centrifugal microfluidic platform based on label-free SPR detection for point-of-care applications [16]. SPR biosensors are used to probe refractive index changes that occur in the immediate vicinity of a thin metal film surface. The changes in the refractive index results from the binding between an analyte in solution and its ligand immobilised on the sensor surface. 3.1.3. TIR-based meniscus detection By expanding upon the previous works reported by Grumann et al. [12] and Steigert et al. [33], which utilised enhanced TIR at disc-based structures, Hoffmann et al. [41] presented a novel optical technique for the resolved localisation of liquid–gas interfaces on centrifugal microfluidic platforms. The setup consists of a line laser and a linear image sensor array mounted in a stationary instrument. Their system can locate menisci during rotation at frequencies up to 30 Hz, for instance to measure liquid volumes with a high precision, flow rates and viscosities. Also the presence of often unwanted gas bubbles can be detected. A systematic summary of both scattering- and TIR-based optical detection systems is also included in Table 1. 3.2. Label-based optical detection systems Enzyme-linked immunosorbent assays (ELISAs) in well plates are still by far the most popular immunoassay format over any decades and are read out by previously described absorbance measurements. ELISA systems have also been implemented on centrifugal microfluidic platforms. Lee et al. from Samsung have reported a portable, fully automated lab-on-a-disc based ELISA system to test infectious diseases from whole blood [45]. A complete centrifugal spin stand test platform was developed which included thermal management of the enclosed test system, a laser diode to perform ferrowax valve actuation and an optical detection module made up of two sets of matched LEDs and photodiodes to perform absorbance measurements at 430 nm and 630 nm, respectively (Figure 3). For enhanced sensitivity, labelling by fluorescent bioconjugates of antibody or antigen has emerged. However, these fluorescent immunoassays require more complex read-out equipment for excitation and detection. Yet, cost and size of associated components are continuously falling to make this contact free detection method also attractive for the rotating lab-on-a-disc platforms. Compared to label-free methods, common sandwich immunoassay formats require a secondary (labelled) ntibody and at least one additional wash after exposure of the analyte, thus extending the liquid Downloaded by [Dublin City University] at 06:14 24 August 2014 92 D. King et al. Figure 3. Portable, lab-on-a-disc based ELISA system with an absorbance optical detection system [45]. (a) Photograph and (b) schematic of the blood analyser system. A detector module is installed to perform absorbance detection. (c) Top and bottom plate of the disc before UV bonding. (d) UV bonded disc image. (e) Photograph of the bonded disc with ferrowax valve formation. (f) Schematic and microscope image showing the side view of the disc mixing chamber. (© The Royal Society of Chemistry). (The colour version of this figure is included in the online version of the journal.) handling protocol and requiring further reagent storage / supply. Gyros AB (Uppsala, Sweden) have developed a platform which performs automated immunoassay processing utilising laser induced fluorescence (LiF) [6]. This ‘GyroLab’ workstation features a liquid-handling robot for pipetting from a standard well plate to the disc, a centrifugal platform which carries out the assay and an optical detection system employing LiF to fully automate the entire assay protocol between sample preparation to detection [6]. Puckett et al. have evaluated the effectiveness of incorporating a protein-based assay onto the centrifugal microfluidic platform [28]. The authors present a classselective, homogeneous assay for the detection of phenothiazine antidepressant drugs. The fluorescence detection utilised a spectrophotometer with a fibre optical coupler. This optical fibre was positioned perpendicular to the disc in the centre of the detection reservoir at a distance of ~2 mm and remained stationary throughout the experiment. The excitation wavelength was set at 488 nm, and the emission monochromator was set at 508 nm (with a slit width of 5 nm for both) for optimum detection of green fluorescent protein (GFP). Nagai et al. have reported a lab-on-a-disc platform for measurement of biomarkers for mental stress [29]. Upon completion of the disc rotation, fluorescence was measured using an imaging scanner and analysed using imaging analysis software. Riegger et al. have reported on read-out concepts for multiplexed bead-based fluorescence immunoassays on centrifugal microfluidic platforms [30]. Nwankire et al. report a centrifugal microfluidic lab-on-a-disc system for at-line monitoring of human immunoglobulin G (hIgG) in a typical bioprocess environment [46]. The novelty of this device is the combination of a heterogeneous sandwich immunoassay on a serial-siphon enabled microfluidic disc with automated sequential reagent delivery and surface-confined supercritical angle fluorescence (SAF) based detection selectively collects the fluorescence emanating from surface-bound emitters. The optical detection system comprises of a focussing lens for excitation with a laser beam at 635 nm (5-nW laser diode) and a spherical ring lens structure at the bottom. The fluorescent emission is transmitted through the spherical sector at the bottom of the SAF chip, thus avoiding total internal reflection (TIR), and is redirected by an elliptical mirror towards a photomultiplier tube (PMT) (Figure 4). Compared to conventional fluorescence detection setups, the SAF scheme constitutes a simpler and cost-efficient hardware Downloaded by [Dublin City University] at 06:14 24 August 2014 Journal of Modern Optics 93 Figure 4. (a) Optical paths of the SAF detection system showing the collection of supercritical angle emission. (b) 3D rendering of the SAF prototype reader and its key components. Inset: Photograph of the prototype system (with and without the housing unit) including laptop for control and the centrifugal microfluidic platform [46]. (© Elsevier). (The colour version of this figure is included in the online version of the journal.) system. A systemised summary of label-based optical detection systems is presented in Table 1. 4. Image capturing on centrifugal microfluidic platforms Grumann et al. developed a high-end experimental setup for microscopic image capturing on discs spinning [15]. By utilising a microscope-mounted CCD camera permitting short exposure times (~100 ns) to minimise smearing, thus achieving resolutions of 4.5 μm at rest and 10 μm while spinning at 150 Hz. Image capture was controlled by a real-time PC board which sends delayed trigger signals to the CCD camera and to a stroboscopic illumination device upon receiving the zero-crossing signal of the rotating disc (Figure 5). The common delay of the trigger signals is electronically adjusted according to the spinning frequency to appreciably improve the stability of the captured image sequences. Imaging of the entire disc area can be enabled by placing the imaging detector on a linear stage. This centrifugal ‘test stand’ is mainly devised for development of centrifugal microfluidic systems in development labs where its rather large footprint and the high costs are acceptable. Yet, as cost-efficiency and performance of opto-electronic components such as the camera have dramatically increased over recent years, test stands with significantly cheaper components and even without stroboscope illumination have demonstrated very reasonable performance for the majority applications in various labs. For absorbance or luminescence-based detection, associated optical equipment has been added to these test stands [21–23,47–51]. Burger et al. have demonstrated a centrifugal microfluidic platform for the highly efficient manipulation and analysis of bioparticles, e.g. for bead-based immunoassays [31]. The platform uses an array of geometrical Vcup barriers to trap particles using stopped-flow sedimentation under highly reproducible hydrodynamic conditions. The very high capture efficiency of nearly 100%, paired with the capability to establish sharply peaked, single-occupancy distributions, enables a novel, digital readout mode for colour multiplexed, particle-based assays with low-complexity instrumentation. Burger et al. have also reported a technology which integrates fluorescence-based detection and manipulation of individual particles with the previously reported, highly efficient, array-based particle trapping in scalematched V-cups under stagnant flow conditions [32]. The system demonstrates the capture and manipulation via optical tweezers of microbeads and HL 60 cells, along with bright field imaging (beads and cells) and fluorescent measurements (labelled cells). Based on a similar imaging system for rotational platforms, Chen et al. presented a means of detecting circulating endothelial cells (CECs) from peripheral blood mononuclear cells (PBMCs) via a microfluidic disc, with a model cell system of human umbilical vein endothelial cells (HUVECs) in PBMCs [47]. Hattori and Yashuda have demonstrated the efficacy of a microfluidic medium exchange method for single cells using the passive centrifugal force of a rotating microfluidic-chip based platform (Figure 6) [48]. Kubo et al. have reported a method for trapping and staining single cells in the micro-chambers of a disc shaped cell separation device [49]. Lee et al. have also demonstrated a single cell trapping method by utilising a lab on a disc setup [50]. A microfluidic method to construct an array on a disc for staining assays has been shown by Chen et al. [51]. Downloaded by [Dublin City University] at 06:14 24 August 2014 94 D. King et al. Figure 5. The experimental setup and operating principles of the stroboscopic ‘test stand’ for the development of centrifugal microfluidic platform [15]. (© American Institute of Physics). Figure 6. Centrifugal test stand for microfluidic medium exchange [48]. (a) System setup; (b) microfluidic chip design; (c) and (d) collection chamber of double Y-shape microfluidic pathway. (© MDPI). The centrifugal test stand (Figure 5) platform [15] has found numerous applications in the area of imaging complex microfluidic operations (such as valving, metering) [21–23]. Godino et al. presented a new integration and automation concept for a range of bioassays, leveraged by cascading a centrifugal pneumatic valving scheme to move several liquids through shared channel segments [21]. Nwankire et al. demonstrated all key fluidic steps for the full integration and automation of a 7-step homogeneous absorbance assay for quantifying nitrate and nitrite levels in whole blood within about 15 minutes [23]. A summary of image capturing systems for centrifugal microfluidic platforms is presented in Table 1. 5. Bio-CD based optical detection systems The term ‘Bio-CD’ has been coined to refer to centrifugal microfluidic platforms which utilise the immobilisation of biological samples on a reflective CD surface. The immobilised disc is then optically interrogated using either 1D scanning spinning disc interferometry [52–62] or 2D scanning optical readout on the analogy of ODD technology [25,26,63–75]. Interferometry based optical detection systems for the Bio-CD platform and the use of ODD pick up based readout is summarised in Table 2. 5.1. Spinning disc interferometry A comprehensive review by Nolte details the different classes of spinning disc interferometry, Bio-CD optical detection, Bio-CD quadrature classes and the main Bio-CD application areas [24]. While it has been demonstrated that spinning disc interferometry is a highly sensitive and reliable detection method [24,57,59], the associated optical set-up is bulky and expensive when Downloaded by [Dublin City University] at 06:14 24 August 2014 Journal of Modern Optics compared to other, more integrated and miniaturised detection schemes. Zhao et al. created a Bio-CD based on backscattering interferometry by patterning reference protein spots beside the target spots on λ/4 wavelength thick layers of SiO2, on a dielectric coated glass substrate [52]. When a Gaussian beam from a laser is incident on the Bio-CD, small phase differences occur in the reflected light, in a technique akin to the operation of a conventional CD with lands and pits. These differences in the signal beam lead to linear and highly sensitive changes in the interference intensity (Figure 7). Varma et al. demonstrated gold lands that were patterned radially in a spoke-wheel fashion onto a 3-inch silicon wafer or onto a 2-inch dielectric mirror disk [53]. Antibodies were deposited onto the gold ridges using PDMS stamps, creating selective binding sites for the target protein (Figure 8). The optical set-up for this Bio-CD example is very similar to that of Zhao et al. [54]. Additional methods of interferometric detection of protein on rotating microfluidic platforms include phase-contrast configurations that detect local changes in protein density [55], in-line configurations that detect the direct protein and disc surface topology [50], and Figure 7. Detection principle and optical setup of phase contrast Bio-CD [52]. (a) Principle of differential phase contrast detection. (b) A schematic of the far-field optical detection system. (© American Association for Clinical Chemistry). 95 approaches using adaptive beam mixers [56]. All of the Bio-CD quadrature classes incorporate high stability as a fundamental and intrinsic component of the detection [24,57,59]. By using a common-path configuration [53] in which both the signal and the reference waves are generated from the same location on the disc and share the same path to the detector, interferometry based optical detection systems also show great promise for multi-analyte detection, particularly when combined with centrifugally driven microfluidic channels for the protein patterning steps [60]. Other Bio-CD concepts utilise a combination of interferometry with other previously described detection methods. For example, interferometric scanning of a rotating disc can include absorption as an imaginary component of a refractive index because detection of common-path interferometry is an intensity-based measurement, similar to absorbance based detection [61]. While it is clearly a separate phenomenon, fluorescence can be combined with interferometric detection when the disc to be monitored is optimised for both detection wavelengths to maximise emission [62]. Wang et al. showed that in addition to the amplitude and phase interferometry channels; there can be other channels, such as for fluorescence detection or light scattering. Light scattering and fluorescence share a common detection configuration with the angle of view far from the specular reflection of the interferometry channel (Figure 9). Figure 8. Illustration of the radial gold ridge pattern on the Bio-CD [54]. The gold ridges are illuminated by a focussed Gaussian beam, such that 50% of the intensity falls on the substrate and 50% falls on the gold microstructure (© Elsevier). (The colour version of this figure is included in the online version of the journal.) 96 D. King et al. Downloaded by [Dublin City University] at 06:14 24 August 2014 5.2. Optical disc drive (ODD) pick-up based readout ODDs represent promising optical readout systems for centrifugal microfluidic platforms performing chemical sensing and bio-sensing applications [25,26]. Their primary advantages encompass the large installation base as nowadays almost every manufactured computer contains an ODD, the low price due to high-volume production and high data resolution with even sub-micron features. ODD technology for digital data storage has implemented a 2D scanning mode enabled by the combination a linear translation stage in the radial direction and the rotor in the annular scanning in the perpendicular direction, thus enabling, in principle, a 2D scan of the entire disc. Intrinsic challenges such as the only loosely defined distance and planarity and rotationally induced periodic ‘wobble’ of the focal plane have been elegantly solved using a dynamically adjustable lens, disc-based guide structures (tracks) and software [25–27]. With some additions such as optical detectors and lenses along with modifications to the CD or DVD surface, an ODD’s functionality can also be extended to a 2D imaging system similar to a laser scanning microscope [63,64]. This section will survey optical readout methods based on standard ‘off-the-shelf’ ODDs along with systems which are based around modified ODDs. 5.2.1. Standard ODD based optical readout In order to utilise conventional laser read heads (‘pickups’) on ODDs in the detection of biological information, substrates need to be compliant to common ODD data storage standards such as CDs or DVDs. Numerous methods have been reported to chemically functionalise the surfaces of conventional CDs or DVDs, without adversely affecting their optical and mechanical properties. These methods have been covered in great detail in the review articles presented by Nolte [24] and Yu et al. [25,26]. Imaad et al. have shown a centrifugal microfluidic platform for microparticle and cell counting using a standard ODD and a disc derived from a standard CD [65]. This five-layer disc consists of a PDMS microfluidic layer, a thin polycarbonate layer, a photosensitive dye layer or data layer, a metallic reflective layer and a plastic protective layer (Figure 10). Bioparticles such as cells are introduced into the microfluidic channel and will interfere with the converging laser beam in the optical pickup, thus causing reading errors in the encoded digital data previously burned on the dye layer. The data errors are detected, analysed and correlated with the number of particles in the microfluidic channel. La Clair and Burkart presented a method to screen the interaction between ligands immobilised on standard CDs and biomolecules [66]. The data on the CD was then read out in an ODD and the binding of the biomolecules was assessed by the error rate induced by the scattering of the laser beam. Bosco et al. have demonstrated a centrifugal microfluidic platform for label-free detection of biomolecules based on cantilever chips [67]. The deflection of the biofunctionalised cantilevers resulting from binding of analyte molecules was recorded by an ODD pick up head. Li et al. demonstrated a digital signal readout protocol for screening disc based bioassays with standard ODDs. Three different types of biochemical recognition Figure 9. Experimental layout using the 488-nm line from an Argon laser incident at 30° and focused on the Bio-CD [62]. The interferometric signal is detected in the reflected light, while the fluorescence signal is collected by a lens above the disk. The oblique-incidence design spatially separates the two detection channels (© Optical Society of America). Downloaded by [Dublin City University] at 06:14 24 August 2014 Journal of Modern Optics 97 Figure 10. Cross-sectional view and optical operating principles of a digital microfluidic CD using standard ODD detection and readout [65]. (© The Royal Society of Chemistry). (The colour version of this figure is included in the online version of the journal.) reactions (biotin-streptavidin binding, DNA hybridisation and protein–protein interaction) were performed directly on a CD in a line array format [68]. By applying a screen-printing process, Potyrailo et al. demonstrated a laboratory-scale automated production of sensing films with an average thickness of ~10 μm [69]. This technique was then used to deposit colorimetric calciumsensitive sensor films onto a DVD which were exposed to water with different concentrations of Ca2+, and these concentrations were then quantified in an ODD [70]. Chen et al. used a double-spiral setup to generate 384 × 384 hybridisation arrays on a standard CD [71]. 5.2.2. Modified ODD based optical readout The 2D scanning functionality outlined in the previous section may be expanded by further modifications to the standard ODD. Ramachandraiah et al. modified a standard ODD as well as standard DVD medium to convert the ODD to a 2D laser scanning microscope [63]; another photodiode is added to the ODD to detect transmitted and forward-scattered light through the disc (Figure 11). Furthermore, the DVD is replaced with a disposable, multilayer, semi-transparent polymer disc that contains microfluidic channels in addition to the standard, 0.74-μm pitch spiral track. The inner walls of the fluidic channels are functionalised to specifically capture the targeted bioparticles. Samples of blood (or another liquid of interest) are then pumped into the channels and the ODD is switched on. The additional photodiode records the transmission of the ODD’s 658-nm semiconductor laser through the spinning disc, eventually providing a two-dimensional image featuring the bound particles which is saved onto a hard drive. To date, the system has successfully imaged polymer beads of various sizes (1 μm, 2.8 μm and 5 μm) suspended in solution, as well as blood-borne CD4+ cells which are an important marker for the immune status of patients with HIV infections (Figure 12). This technology (both the modified ODD and DVDs) has also become commercially available as the ‘Discipher’ platform developed by Ling Vitae (Husoysund, Norway) [13]. Lange et al. converted an ODD to a laser scanning microscope to monitor the light reflection from gold nanoparticle-stained immunoassays, which were contact printed on CD surfaces [64]. With the addition of a second laser-based detector attached on the upper part of an ODD, Alexandre et al. fabricated a double-sided reader to examine both numeric and genomic information on Bio-CDs [72]. Barathur et al. reported that a modified ODD can measure signals from DNA microarrays with embedded microfluidic channels on a disc [73]. Banuls et al. detected DNA hybridisation spots and immunoassays located on the top side of a CD by installing an additional photodiode in the ODD to monitor the light transmitted through the CD [74]. Morais et al. developed an ELISA for atrazine on a polycarbonate CD, where absorption of the immuno-reagents took place on the CD surface. The various probes were spotted manually on the disc surface. Due to the absence of microfluidic function, the end user also needs to perform all the liquid handling steps involved. Quantitative optical detection was performed using a standard ODD with an additional integrated planar photodiode to measure the transmittance through the surface of the disc [75]. 6. Commercial devices Recently, Chin et al. have comprehensively reviewed on the commercialisation of microfluidic lab-on-a-chip Downloaded by [Dublin City University] at 06:14 24 August 2014 98 D. King et al. Figure 11. Modified ODD constituting a laser scanning microscope [13,63]. (a) Overview of the DVD laser scanning microscope system. (b) Operating principle of the ODD laser scanning microscope. (© The Royal Society of Chemistry). (The colour version of this figure is included in the online version of the journal.) Figure 12. DVD laser scanning microscope image of polymer beads of 1 μm, 2.8 μm and 5 μm diameter (scale bar 20 μm) [13,63]. (© The Royal Society of Chemistry). (The colour version of this figure is included in the online version of the journal.) devices for point-of-care applications in general [76]. Since the early 1990s, numerous commercial avenues have been explored for centrifugal microfluidic lab-on-adisc platforms with integrated optical detection techniques. In the mid-1990s, Abaxis Inc. (California, USA) [12] launched the Piccolo xpress® portable blood analyser based on colorimetric absorbance measurements for medical diagnostics. In the meantime they have established a wide range of disc panels for human and veterinary diagnostics. Gyros AB (Uppsala, Sweden) [11] have developed the GyroLab workstation which performs automated immunoassay processing resorting to LiF based detection. Samsung (Seoul, South Korea) [13] Downloaded by [Dublin City University] at 06:14 24 August 2014 Journal of Modern Optics have successfully implemented an ELISA assay system on their proprietary lab-on-a-disc platform. Roche Diagnostics (Basel Switzerland) offer fluorescent based optical readout systems for centrifugal microfluidic platforms [77]. Various start-up companies have also entered the market. Quadraspec (Indiana, USA) [78] have developed the Bio-CD system based on spinning disc interferometry for multiplexed, label-free assays for protein analysis. Biosurfit (Lisbon, Portugal) [16] launched a centrifugal microfluidic platform based on label-free SPR imaging for point-of-care diagnostics. Radisens Diagnostics (Cork, Ireland) [79] develop a miniaturised centrifugal microfluidic platform for point-of-care applications which utilises fluorescence, absorbance and (elastic) scattering. They have reached an agreement on licensing microfluidics patent portfolio and from Tecan (Mannedorf, Switzerland) [5]. 7. Summary and conclusion Centrifugal microfluidic platforms have shown to the ability to integrate and automate even rather complex liquid handling protocols of bioanalytical assays in a high-performance but still robust and user-friendly fashion. Yet, a full-fledged point-of-care with true sample-to-answer fashion also requires suitable detection technologies. Amongst the broad scope of technologies implemented in the lab-on-a-chip world, contact-free optical detection has been most commonly used for lab-on-a-disc systems. On the one hand these schemes can be categorised in 1D scanning and 2D imaging devices based on direct, i.e. analogue signals or resorting to optical configurations for digital data encoding and tracking derived from ODD technology. On the other hand, one can distinguish between signal generation schemes such as elastic (e.g. absorbance, interferometry, TIR, forward and side scatter) and inelastic scattering (e.g. SPR, Raman, FTIR), and luminescence (e.g. fluorescence, chemiluminescence) which require different optical setups and components (Tables 1 and 2). The schemes might be label-free or require tagging with a direct or indirect optical signal generator. From an application point of view, one can also differentiate between surface-bound heterogeneous as well as homogeneous assay formats that have been implemented on the lab-on-a-disc platform. While there is a rapidly growing number of academic groups entering the scene, lab-on-a-disc technologies have been pioneered and are still strongly impacted by (historic and present) corporate players such as Abaxis Inc., Gyros AB, Gamera/Tecan, Burstein Technologies, LifeBits, Bayer, Boehringer Ingelheim and Roche Diagnostics) and more recently founded companies (Ling Vitae, Biosurfit and Radisens Diagnostics). 99 Apart from plasma-based molecular biomarkers, we expect a continued growth in research and development in the areas of blood cell counting, e.g. CD4 counts in HIV diagnostics, detection of circulating tumour cells (CTCs) and complete blood counts. The unique combination of low-cost equipment akin to a conventional CD drive interfacing with a cheap, mass manufacturable, disposable disc incorporating all reagents for fully integrated sample preparation and detection will pave the route towards commercial success in the point-of-care market. 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