Medical transillumination imaging using short-pulse diode lasers

An all-optical technique enables instantaneous single-shot demodulation of images at high frequency

High-frequency demodulation of wide area optical signals in a snapshot manner remains a technological challenge. If solved, it could open tremendous perspectives in 3D imaging, vibrometry, free-space communications, automated vision, or ballistic photon imaging in scattering media with numerous applications in smart autonomous vehicles and medical diagnosis. We present here a snapshot quadrature demodulation imaging technique, capable of estimating the amplitude and phase from a single acquisition, without synchronization of emitter and receiver, and with the added capability of continuous frequency tuning. This all-optical optimized setup comprises an electro-optic crystal acting as a fast sinusoidal optical transmission gate, and allows four quadrature image channels to be recorded simultaneously with any conventional camera. We report the design, experimental validation and examples of applications of such wide-field quadrature demodulating system that allowed snapshot demodulation of images with good spatial resolution and continuous frequency selectivity up to a few 100s of kilohertz.

Traditional lock-in detection methods have been limited for wide-field imaging. Here, the authors present an all-optical design which enables four quadrature image channels to be recorded simultaneously, and show demodulation of wide-field images based on a single frame acquisition.

A VCSEL-Based NIR Transillumination System for Morpho-Functional Imaging

Transillumination with non-ionizing radiation followed by the observation of transmitted and diffused light is the simplest, and probably the oldest method to obtain qualitative information on the internal structure of tissues or body sections. Although scattering precludes formation of high-definition image (unless complex techniques are employed), low resolution pictures complemented by information on the functional condition of the living sample can be extracted. In this context, we have investigated a portable optoelectronic instrumental configuration for efficient transillumination and image detection, even in ambient day-light, of in vivo samples with thickness up to 5 cm, sufficient for visualizing macroscopic structures. Tissue illumination is obtained with an extended source consisting in a matrix of 36 near infrared Vertical Cavity Surface Emitting Lasers (VCSELs) that is powered by a custom designed low-voltage current driver. In addition to the successful acquisition of morphological images of the hand dorsal vein pattern, functional detection of physiological parameters (breath and hearth rate) is achieved non-invasively by means of a monochrome camera, with a Complementary Metal Oxide Semiconductor (CMOS) sensor, turned into a wavelength selective image detector using narrow-band optical filtering.

Development of low-cost photoacoustic imaging systems using very low-energy pulsed laser diodes

With the growing application of photoacoustic imaging (PAI) in medical fields, there is a need to make them more compact, portable, and affordable. Therefore, we designed very low-cost PAI systems by replacing the expensive and sophisticated laser with a very low-energy laser diode. We implemented photoacoustic (PA) microscopy, both reflection and transmission modes, as well as PA computed tomography systems. The images obtained from tissue-mimicking phantoms and biological samples determine the feasibility of using a very low-energy laser diode in these configurations.

Theoretical optimal modulation frequencies for scattering parameter estimation and ballistic photon filtering in diffusing media

The efficiency of using intensity modulated light for the estimation of scattering properties of a turbid medium and for ballistic photon discrimination is theoretically quantified in this article. Using the diffusion model for modulated photon transport and considering a noisy quadrature demodulation scheme, the minimum-variance bounds on estimation of parameters of interest are analytically derived and analyzed. The existence of a variance-minimizing optimal modulation frequency is shown and its evolution with the properties of the intervening medium is derived and studied. Furthermore, a metric is defined to quantify the efficiency of ballistic photon filtering which may be sought when imaging through turbid media. The analytical derivation of this metric shows that the minimum modulation frequency required to attain significant ballistic discrimination depends only on the reduced scattering coefficient of the medium in a linear fashion for a highly scattering medium.

Early-photon fluorescence tomography of a heterogeneous mouse model with the telegraph equation

In this study, we investigate the performance of early-photon fluorescence tomography based on a heterogeneous mouse model. The telegraph equation is used to accurately describe the propagation of light in tissues at short times. The optimal time gate for early photons is determined by singular value analysis at first. Then, fluorescent targets located in different organs of the mouse model are investigated. The simulation results demonstrate that the reconstructed tomographic images based on early photons yield improvement in spatial resolution and quantification than the quasi-CW measurements. Meanwhile, compared with the homogeneous model, the use of the heterogeneous model can improve the accuracy of fluorescence distribution and quantification in early-photon fluorescence tomography.

Extraction of near-axis scattered light for transillumination imaging

To suppress the scattering effect in transillumination imaging, a technique was developed to extract a near-axis scattered light (NASL) component from diffused light through a scattering medium. A diffuser is inserted between the light source and the incident surface of a scattering medium. We can extract the NASL component by subtracting the light intensity at the output surface with a diffuser from that without a diffuser. The principle to determine the subtraction weight was presented. In experiments using model phantoms of mammalian tissue, the proposed technique's effectiveness was verified. The cross-section of the propagation area of scattered light was confined to an 8% area around the optical axis of the incident light beam. The usefulness of this technique was demonstrated by transillumination imaging of the blood column through a diffuse medium.

Early photon tomography allows fluorescence detection of lung carcinomas and disease progression in mice in vivo

Imaging of targeted fluorescent probes offers significant advantages for investigating disease and tissue function in animal models in vivo. Conversely, macroscopic tomographic imaging is challenging because of the high scatter of light in biological tissue and the ill-posed nature of the reconstruction mathematics. In this work, we use the earliest-transmitted photons through Lewis Lung Carcinoma bearing mice, thereby dramatically reducing the effect of tissue scattering. By using a fluorescent probe sensitive to cysteine proteases, the method yielded outstanding imaging performance compared with conventional approaches. Accurate visualization of biochemical abnormalities was achieved, not only in the primary tumor, but also in the surrounding tissue related to cancer progression and inflammatory response at the organ level. These findings were confirmed histologically and with ex vivo fluorescence microscopy. The imaging fidelity demonstrated underscores a method that can use a wide range of fluorescent probes to accurately visualize cellular- and molecular-level events in whole animals in vivo.

Semi-three-dimensional algorithm for time-resolved diffuse optical tomography by use of the generalized pulse spectrum technique

Although a foil three-dimensional (3-D) reconstruction with both 3-D forward and inverse models provide, the optimal solution for diffuse optical tomography (DOT), because of the 3-D nature of photon diffusion in tissue, it is computationally costly for both memory requirement and execution time in a conventional computing environment. Thus in practice there is motivation to develop an image reconstruction algorithm with dimensional reduction based on some modeling approximations. Here we have implemented a semi-3-D modified generalized pulse spectrum technique for time-resolved DOT, where a two-dimensional (2-D) distribution of optical properties is approximately assumed, while we retain 3-D distribution of photon migration in tissue. We have validated the proposed algorithm by reconstructing 3-D structural test objects from both numerically simulated and experimental date. We demonstrate our algorithm by comparing it with the calibrated 2-D reconstruction that is in widespread use as a shortcut to 3-D imaging and proving that the semi-3-D algorithm outperforms the calibrated 2-D algorithm.

Concentration measurement of gas embedded in scattering media by employing absorption and time-resolved laser spectroscopy

Diode-laser-based absorption spectroscopy for the evaluation of embedded gas concentrations in porous materials is demonstrated in measurements of molecular oxygen dispersed throughout scattering polystyrene foam, used here as a generic test material. The mean path length of light scattered in the material is determined with the temporal characteristics of the radiation transmitted through the sample. This combined with sensitive gas-absorption measurements employing wavelength-modulation spectroscopy yields an oxygen concentration in polystyrene foam of 20.4% corresponding to a foam porosity of 98%, which is consistent with manufacturing specifications. This feasibility study opens many possibilities for quantitative measurements by using the method of gas-in-scattering-media absorption spectroscopy.

Analysis of the picosecond magneto-optical phenomena in scattering media of biological interest

The behaviour of a magneto-optically active biological-like medium under picosecond optical excitation is analysed. The new technique is based on the fact that photons trapped in multiple scattering events inside the magneto-optical medium leave the medium with larger induced rotation angles, as they travel longer distances. Two- and three-dimensional displacements of the photons in the medium are separately analysed. The dependence of this effect on the applied magnetic field strength, the value of the magneto-optical constant of the medium and the standard deviation of the statistical distribution of the photons scattered inside the turbid medium are studied. The best values for the magnetic field and optical parameters of the biological medium are proposed for the experimental observation of the picosecond magneto-optical phenomena in scattering media of biological origin. We also make some prospective studies to evaluate the potential application of the magneto-optical effect as a tool for optical tissue biopsy. Values for the optimum magnetic field intensities and for the expected experimental sensitivity in diverse conditions are reported.

Improvement of image quality in diffuse optical tomography by use of full time-resolved data

In the field of diffuse optical tomography (DOT), it is widely accepted that time-resolved (TR) measurement can provide the richest information on photon migration in a turbid medium, such as biological tissue. However, the currently available image reconstruction algorithms for TR DOT are based mostly on the cw component or some featured data types of original temporal profiles, which are related to the solution of a time-independent diffusion equation. Although this methodology can greatly simplify the reconstruction process, it suffers from low spatial resolution and poor quantitativeness owing to the limitation of effectively applicable data types. To improve image quality, it has been argued that exploiting the full TR data is essential. We propose implementation of a DOT algorithm by using full TR data and furthermore a variant algorithm with time slices of TR data to alleviate the computational complexity and enhance noise robustness. Compared with those algorithms where the featured data types are used, our evaluations on the spatial resolution and quantitativeness show that a significant improvement in imaging quality can be achieved when full TR data are used, which convinces the DOT community of the potential advantage of the TR domain over cw and frequency domains.

Analysis of gas dispersed in scattering media

Monitoring of free gas embedded in scattering media, such as wood, fruits, and synthetic materials, is demonstrated by use of diode laser spectroscopy combined with sensitive modulation techniques. Gas detection is made possible by the contrast of the narrow absorptive feature of the free-gas molecules with the slow wavelength dependence of the absorption and scattering cross sections in solids and liquids. An absorption sensitivity of 2.5 x 10(-4), corresponding to a 1.25-mm air column, is demonstrated by measurements of dispersed molecular oxygen. These techniques open up new possibilities for characterization and diagnostics, including internal gas pressure and gas-exchange assessment, in organic and synthetic materials.

Diagnostic imaging with light

This paper reviews the evolution of optical imaging in diagnostic radiology and examines recent progress. Although the idea has been around for many decades, interest in the development of an effective method has never been so great. Optical imaging presents several potential advantages over existing radiological techniques. First, the radiation is non-ionizing and therefore reasonable doses can be repeatedly employed without harm to the patient. Second, optical methods offer the potential to differentiate between soft tissues with different optical absorption or scatter, but which are indistinguishable using other modalities. And third, specific absorption by natural chromophores (such as haemoglobin) allows functional information to be obtained. Principal clinical applications include a means of detecting breast disease and a cerebral imaging modality for mapping oxygenation and haemodynamics in the brain of newborn infants or cortical functional activity in adults. Past attempts to image tissues with light have been severely restricted by the overwhelming scatter which occurs when optical radiation spreads through tissue: however, recent innovations in technology have suggested once again that it may be a practical possibility.

Near infrared diffuse reflection and laser-induced fluorescence spectroscopy for myocardial tissue characterisation

In order to evaluate the potential of cardiovascular tissue characterisation using near-infrared (NIR) spectroscopy, spectra in a previously unexplored wavelength region 0.8-2.3 micron were recorded from various pig heart tissue samples in vitro: normal myocardium (with and without endo/epicardium), aorta, fatty and fibrous heart tissue. The spectra were analysed with principal component analysis (PCA), revealing several spectroscopically characteristic features enabling tissue classification. Several of the identified spectral features could be attributed to specific tissue constituents by comparing the tissue signals with spectra obtained from water, elastin, collagen and cholesterol as well as with published data. The results obtained with the NIR spectroscopy technique in terms of its potential to classify different tissue types were compared with those from laser-induced fluorescence (LIF) using 337 nm excitation. LIF and NIR spectroscopy can in combination with PCA be used to discriminate between all previously mentioned tissue groups, apart from fatty versus fibrous tissue (LIF) and aorta versus fibrous tissue (NIR), respectively. The NIR analysis was improved by focusing the PCA to the wavelength segment 2.0-2.3 microns, resulting in successful spectral characterisation of all cardiovascular tissue groups.

Imaging very-low-contrast objects in breastlike scattering media with a time-resolved method

An investigation was performed of the effectiveness of a time-resolved method for imaging very-low-contrast features embedded in highly scattering media. Experiments employed slabs of breastlike material into which were inserted small cylindrical objects having either a scattering or an absorption coefficient of 4, 2, 1.5, and 1.1 times greater than the surrounding medium. An attempt was made to quantify the degree of contrast produced by each object. The results indicate that time-gating is far more effective at enhancing the contrast of the scattering inhomogeneities than of the absorbing inhomogeneities. This observation is shown to agree with a diffusion-based model, which also predicts that time-gating can decrease the contrast of absorbing inhomogeneities unless very short time-gates can be employed.

Fluorescence tomographic imaging in turbid media using early-arriving photons and Laplace transforms

We present a multichannel tomographic technique to detect fluorescent objects embedded in thick (6.4 cm) tissue-like turbid media using early-arriving photons. The experiments use picosecond laser pulses and a streak camera with single photon counting capability to provide short time resolution and high signal-to-noise ratio. The tomographic algorithm is based on the Laplace transform of an analytical diffusion approximation of the photon migration process and provides excellent agreement between the actual positions of the fluorescent objects and the experimental estimates. Submillimeter localization accuracy and 4- to 5-mm resolution are demonstrated. Moreover, objects can be accurately localized when fluorescence background is present. The results show the feasibility of using early-arriving photons to image fluorescent objects embedded in a turbid medium and its potential in clinical applications such as breast tumor detection.

Optical imaging in medicine: I. Experimental techniques

The overwhelming scatter which occurs when optical radiation propagates through tissue severely limits the ability to image internal structure using measurements of transmitted intensity. A broad range of methods has been proposed during the past decade or so in order to improve imaging performance. Direct methods involve isolating an unscattered or least-scattered component of transmitted scattered light. Indirect methods generally involve measuring some characteristic of the temporal distribution of transmitted light, or an equivalent in the frequency domain, and obtaining a computational solution to the inverse problem. In this paper, we review the experimental techniques which have been proposed in order to explore both direct and indirect imaging. The relative merits and limitations of the various experimental methods are discussed, and we consider the future directions and likelihood of success of optical imaging in medicine.

Picosecond magneto-optical phenomena in turbid media: toward magneto-optical characterization of highly scattering biological samples

The behavior of a Faraday-active turbid medium under ultrafast optical excitation is investigated. As the degree of polarization of early arriving photons is mostly preserved during the first 100 ps after the arrival of the ballistic component, the possibility of using the magneto-optical rotation of the light polarization as a new tool for tissue characterization is addressed. A technique is proposed for determining photon-scattering statistics in turbid biological media. The analysis is performed on the basis that photons trapped in multiple-scattering events leave the medium with larger induced rotation angles. A measurement of the magneto-optical rotatory power of turbid biological samples is possible if only the early arriving unscattered photons are probed.

Time-gated viewing studies on tissuelike phantoms

A time-gated technique to enhance viewing through highly scattering media such as tissue is discussed. Experiments have been performed on tissuelike plastic phantoms to determine the possibilities and limitations of the technique. The effects of the time-gate width and the localization, size, and optical properties of hidden objects have been studied. A computer model to simulate light propagation in tissue is also presented. The predictions of the model are compared with experimental results.

Low-coherence optical tomography in turbid tissue: theoretical analysis

On the basis of white-light interferometry and statistical optics, a theoretical model for low-coherence optical tomography is presented that establishes the relation of interference modulation with path-length-resolved reflectance and that can provide analytical expressions and numerical solutions by means of a Fourier transform. The Monte Carlo technique is used to simulate the path-length-resolved reflectance from different multilayer tissue phantoms. Theoretical analyses and preliminary experimental results suggest that, unlike time-resolved spectroscopy, low-coherence optical tomography detects the local relative variations of path-length-resolved reflectance from the turbid tissues.

Image quality in time-resolved transillumination of highly scattering media

Using a photon-counting setup and a streak-camera arrangement with time resolutions of 35 and 6 ps, respectively, we have investigated the spatial resolution of a time-gated transillumin tion technique applied to turbid media. In the case of large relative amounts of unscattered light, it is found that small detection angles improve the spatial resolution. For large concentrations of scatterers and large sample thicknesses, i.e., when the amount of unscattered light is negligible, the best time-gate position is found to be at times that are later than the minimum transit time. In this case (minimum transit time), temporal resolutions from small values up to approximately 50 ps yield almost the same image resolution. The only advantage of measuring systems with a higher than 50-ps temporal resolution is their ability to distinguish the diffused from the unscattered light, when a significant amount of the latter is present.

Three-dimensional imaging of objects embedded in turbid media with fluorescence and Raman spectroscopy

We present a single-ended technique for three-dimensional imaging of objects embedded in a turbid medium by the use of time-resolved fluorescence emission or Raman scattering. The technique uses the earliest arriving photons, which we show are not sensitive to the relatively long fluorescence lifetime, and thus can be used to extract the desired spatial information accurately, even at a distance equivalent to 100 mean free paths. The results also demonstrate the feasibility and the potential of one's combining time-resolved optical tomography with fluorescence or Raman spectroscopy to localize and identify the embedded objects. This technique may be valuable for the diagnosis of disease in highly scattering human tissue because it can provide spatial and biochemical information about the composition of embedded lesions.

Optical imaging through highly scattering media by use of heterodyne detection in the 1.3-microm wavelength region

Optical imaging through highly scattering media was studied in the 1.3-microm wavelength region by use of a continuous-wave Nd:YAG laser and an optical heterodyne detection technique. We measured and compared the extinction coefficients of the fat emulsion Intralipid-10% at 0.80, 1.064, and 1.319 microm and demonstrated that the low scattering at 1.319 microm will permit optical imaging through highly scattering media, which otherwise may not be achieved. A possible use of water absorption at 1.319 microm to image the interior structure of biological tissues is also presented and discussed.

Time-resolved multichannel imaging of fluorescent objects embedded in turbid media

We present a multichannel detection technique for three-dimensional imaging of objects embedded in turbid media by using time-resolved fluorescence. By using a streak camera, we can obtain the experimental data in a single measurement. The data, analyzed by means of a triangulation algorithm, provide accurate localization of a fluorescent object for path lengths of up to 120 scattering mean free paths. The results demonstrate the feasibility of combining fluorescence spectroscopy with time-resolved optical tomography for localizing and identifying embedded objects.

Absorption spectroscopy in tissue-simulating materials: a theoretical and experimental study of photon paths

A diffusion model of noninvasive absorption spectroscopy was used to determine how the change in signal resulting from a point absorber depends on the position of that absorber relative to the source and detector. This is equivalent to calculating the relative probability that a photon will visit a certain location in tissue before its detection. Experimental mapping of the point-target response in tissue-simulating materials confirmed the accuracy of the model. For steady-state spectroscopy a simple relation was derived between the mean depth visited by detected photons, the source-detector separation, and the optical penetration depth. It was also demonstrated theoretically that combining a pulsed source with time-gated detection provides additional control over the spatial distribution of the photon-visit probability.

Optical imaging through turbid media with a degenerate four wave mixing correlation time gate

A novel method for detection of ballistic light and rejection of unwanted diffusive light to image structures inside highly scattering media is demonstrated. Degenerate four wave mixing (DFWM) of a doubled YAG laser in Rhodamine 6G is used to provide an ultrafast correlation time gate to discriminate against light that has undergone multiple scattering and therefore lost memory of the structures inside the scattering medium. We present preliminary results that determine the nature of the DFWM grating, confirm the coherence time of the laser, prove the phase-conjugate nature of the signal beam, and determine the dependence of the signal (reflectivity) on dye concentration and laser intensity. Finally, we have obtained images of a test cross-hair pattern through highly turbid suspensions of whole milk in water that are opaque to the naked eye. These imaging experiments demonstrate the utility of DFWM for imagingthrough turbid media. Based on our results, the use of DFWM as an ultrafast time gate for the detectionof ballistic light in optical mammography appears to hold great promise for improving the current state of the art.

Time-gated transillumination of biological tissues and tissuelike phantoms

The applicability and limits of time-resolved transillumination to determine the internal details of biological tissues are investigated by phantom experiments. By means of line scans across a sharp edge, the spatial resolution (Δx) and its dependence on the time-gate width (Δt) can be determined. Additionally, measurements of completely absorbing bead pairs embedded in a turbid medium demonstrate the physical resolution in a more realistic case. The benefit of time resolution is especially high for a turbid medium with a comparatively small reduced scattering coefficient of approximately µ(s)' = 0.12 mm(-1). Investigations with partially absorbing beads and filled plastic tubes demonstrate the high sensitivity of time-resolving techniques with respect to spatial variations in scattering or absorption coefficients that are due to the embedded disturber. In particular, it is shown that time gating is sensitive to variations in scattering coefficients.

Localization of absorbers in scattering media by use of frequency-domain measurements of time-dependent photon migration

Frequency-domain studies of time-dependent light propagation in tissuelike phantoms that contain optical heterogeneities are described. Specifically the phase shift and amplitude modulation of reemergent light were measured when illuminated by an amplitude-modulated light source. Changes in the phase angle and the extent of modulation revealed the presence of a light-absorbing object. Furthermore the magnitude and direction of these changes were sensitive to the absorber depth and the light modulation frequency in a manner that could be used to infer the location of the heterogeneity. These data suggest the feasibility of optical imaging by frequency-domain methods.

Multispectral tissue characterization with time-resolved detection of diffusely scattered white light

A novel technique for the noninvasive measurement of tissue optical properties simultaneously at all visible and near-infrared wavelengths is presented. The technique is based on the time-resolved detection of multicolor diffusely scattered light. Short pulses of white light are produced by using self-phase modulation by focusing the light from a short-pulsed high-power laser into a cuvette filled with water. After spectral dispersion in a polychromator and temporal dispersion in a streak tube, a two-dimensional CCD camera was used as a detector, with one dimension used for time resolution and the other one for wavelength separation.

Effects of optical constants on time-gated transillumination of tissue and tissue-like media

Light transillumination was used to study structures inside turbid media. Time-gated viewing was performed to suppress multiply-scattered light and thus improve spatial resolution. We demonstrate that, for the case of scattering-dominated attenuation (scattering coefficient much greater than the absorption coefficient), the detection of early transmitted light will be practically insensitive to variations in the absorption coefficient. This is an important observation for the development of time-gated optical mammography, since optical mammography using continuous-wave light is based on increased light absorption in the tumour region caused by the neovascularization surrounding a tumour. In order to detect tumours in time-gated viewing it is the scattering coefficient of the tumour that must be characteristic. The scattering coefficient is measured to be lower in the tumour region than in the surrounding breast tissue for one resected breast specimen.