Measurements of the thermal coefficient of optical attenuation at different depth regions of in vivo human skins using optical coherence tomography: a pilot study

Towards phase-sensitive optical coherence tomography in smart laser osteotomy: temperature feedback

Thermal effects during bone surgery pose a common challenge, whether using mechanical tools or lasers. An irrigation system is a standard solution to cool the tissue and reduce collateral thermal damage. In bone surgery using Er:YAG laser, insufficient irrigation raises the risk of thermal damage, while excessive water lowers ablation efficiency. This study investigated the potential of optical coherence tomography to provide feedback by relating the temperature rise with the photo-thermal expansion of the tissue. A phase-sensitive optical coherence tomography system (central wavelength of λ=1.288 μm, a bandwidth of 60.9 nm and a sweep rate of 104.17 kHz) was integrated with an Er:YAG laser using a custom-made dichromatic mirror. Phase calibration was performed by monitoring the temperature changes (thermal camera) and corresponding cumulative phase changes using the phase-sensitive optical coherence tomography system during laser ablation. In this experiment, we used an Er:YAG laser with 230 mJ per pulse at 10 Hz for ablation. Calibration coefficients were determined by fitting the temperature values to phase later and used to predict the temperature rise for subsequent laser ablations. Following the phase calibration step, we used the acquired values to predict the temperature rise of three different laser-induced cuts with the same parameters of the ablative laser. The average root-mean-square error for the three experiments was measured to be around 4 °C. In addition to single-point prediction, we evaluated this method's performance to predict the tissue's two-dimensional temperature rise during laser osteotomy. The findings suggest that the proposed principle could be used in the future to provide temperature feedback for minimally invasive laser osteotomy.

Noninvasive examination of the cardiac properties of insect embryos enabled by optical coherence tomography

Understanding the cardiac properties of insect embryos at different development stages is important, however, few works have been conducted probably due to the lack of effective tools. Using locust embryos as an example, here we show, for the first time, that optical coherence tomography (OCT) is capable of obtaining detailed information of embryos' heart activities and irregularities, such as the heart rate, cardiac cycle, diastolic and systolic diameters, hemolymph pumping rate and ejection fraction at different stages of embryonic development and at different temperatures. We develop algorithms and mathematical methods for extracting and analyzing cardiac behavior information of locust embryos. We discover that locust embryos experienced suspended development (quiescence) caused by cold storage have a heart rate 20% more than that of embryos without experiencing quiescence and that the hemolymph pumping rate of the two types of embryos behaves differently as the embryos grow. In addition, using OCT as an accurate cardiac activity examination tool, we show that the heart rates of locust embryos are effectively reduced due to nitric oxide synthase gene silencing by RNA interference, indicating potential application of using locust embryos as a good model organism to study cardiovascular diseases, including the congenital heart disease and arrhythmia. Finally, the capabilities offered by OCT in the studies of locust embryonic development may also prove helpful to promote locust reproduction for nutritions or restrain locust reproduction for pest control.

Noninvasive OCT angiography-based blood attenuation measurements correlate with blood glucose level in the mouse retina

In this study, we investigated the correlation of the blood optical attenuation coefficient (OAC) and the blood glucose concentration (BGC). The blood OAC was measured in mouse retina in vivo by analyzing the depth attenuation of backscattered light under the guidance of OCT angiography (OCTA) vascular mapping, and then its correlation to the BGC was further investigated. The optical attenuation of the blood components presented a more reliable correlation to BGC than that of the background tissues. The arteries and veins presented a blood OAC change of ∼0.05-0.07 mm^-1 per 10 mg/dl and a significant (P < 0.001) elevation of blood OAC in diabetic mice was observed. Furthermore, different kinds of vessels also presented different performances. The veins had a higher correlation coefficient (R=0.86) between the measured blood OAC and BGC than that of the arteries (R=0.73). Besides, the blood OAC changes of the specific vessels occur without any obvious change in the vascular morphology in the retina. The blood OAC-BGC correlation suggests a concept of non-invasive OCTA-based glucometry, allowing a fast assessment of the blood glucose of specific vessels with superior motion immunity. A direct glucometry of the retina would be helpful for accurately monitoring the progression of diabetic retinopathy.

Two-dimensional correlation (2D) method for improving the accuracy of OCT-based noninvasive blood glucose concentration (BGC) monitoring

The optical scattering coefficient (μ_s) in the dermis layer of human skin obtained with optical coherence tomography (OCT) has shown to have a strong correlation with the blood glucose concentration (BGC), which can be used for noninvasive BGC monitoring. Unfortunately, the nonhomogeneity in the skin may cause inaccuracies for the BGC analysis. In this paper, we propose a 2D correlation analysis method to identify 2D regions in the skin with μ_s sensitive to BGC variations and only use data in these regions to calculate μ_s for minimizing the inaccuracy induced by nonhomogeneity and therefore improving the accuracy of OCT-based BGC monitoring. We demonstrate the effectiveness of the 2D method with OCT data obtained with in vivo human forearm skins of nine different human subjects. In particular, we present a 3D OCT data set in a two-dimensional (2D) map of depth vs. a lateral dimension and calculate the correlation coefficient R between the μ_s and the BGC in each region of the 2D map with the BGC data measured with a glucose meter using finger blood. We filter out the μ_s data from regions with low R values and only keep the μ_s data with R values sufficiently high (R-filter). The filtered μ_s data in all the regions are then averaged to produce an average μ_s data. We define a term called overall relevancy (OR) to quantify the degree of correlation between the filtered/averaged μ_s data and the finger-blood BGC data to determine the optimal R value for such an R-filter with the highest obtained OR. We found that the optimal R for such an R-filter has an absolute value (|R|) of 0.6 or 0.65. We further show that the R-filter obtained with the 2D correlation method yields better OR between μ_s and the BGC than that obtained with the previously reported 1D correlation method. We believe that the method demonstrated in this paper is important for understanding the influence of BGC on μ_s in human skins and therefore for improving the accuracy of OCT-based noninvasive BGC monitoring, although further studies are required to validate its effectiveness.

In Vivo Spectral Distortions of Infrared Luminescent Nanothermometers Compromise Their Reliability

Luminescence nanothermometry has emerged over the past decade as an exciting field of research due to its potential applications where conventional methods have demonstrated to be ineffective. Preclinical research has been one of the areas that have benefited the most from the innovations proposed in the field. Nevertheless, certain questions concerning the reliability of the technique under in vivo conditions have been continuously overlooked by most of the scientific community. In this proof-of-concept, hyperspectral in vivo imaging is used to explain how unverified assumptions about the thermal dependence of the optical transmittance of biological tissues in the so-called biological windows can lead to erroneous measurements of temperature. Furthermore, the natural steps that should be taken in the future for a reliable in vivo luminescence nanothermometry are discussed together with a perspective view of the field after the findings here reported.

Feeling the Heat: Evolutionary and Microbial Basis for the Analgesic Mechanisms of Photobiomodulation Therapy

Background: The clinical therapeutic benefits of Photobiomodulation (PBM) therapy have been well established in many clinical scenarios. However, we are far from having developed a complete understanding of the underlying mechanisms of photon-biological tissue interactions. Concurrent to ongoing PBM studies, there are several parallel fields with evidences from cell and tissue physiology such as evolutionary biology, photobiology, and microbiology among others. Objective: This review is focused on extrapolating evidences from an expanded range of studies that may contribute to a better understanding of PBM mechanisms especially focusing on analgesia. Further, the choice of a PBM device source and relevant dosimetry with regards to specific mechanisms are discussed to enable broader clinical use of PBM therapies. Materials and methods: This discussion article is referenced from an expanded range of peer reviewed publications, including literature associated with evolutionary biology, microbiology, oncology, and photo-optical imaging technology, amongst others. Results and discussion: Materials drawn from many disparate disciplines is described. By inference from the current evidence base, a novel theory is offered to partially explain the cellular basis of PBM-induced analgesia. It is proposed that this may involve the activity of a class of transmembrane proteins known as uncoupling proteins. Furthermore, it is proposed that this may activate the heat stress protein response and that intracellur microthermal inclines may be of significance in PBM analgesia. It is suggested that the PBM dose response as a simple binary model of PBM effects as represented by the Arndt-Schulz law is clinically less useful than a multiphasic biological response. Finally, comments are made concerning the nature of photon to tissue interaction that can have significance in regard to the effective choice and delivery of dose to clinical target. Conclusions: It is suggested that a re-evaluation of phototransduction pathways may lead to an improvement in outcome in phototheraphy. An enhanced knowledge of safe parameters and a better knowledge of the mechanics of action at target level will permit more reliable and predictable clinical gain and assist the acceptance of PBM therapy within the wider medical community.

Ultrasound-assisted photothermal therapy and real-time treatment monitoring

Photothermal therapy (PTT) has the capability for selective treatment, in which light delivered to the target is converted into heat and subsequently causes coagulative necrosis. However, optical scattering in biological media limits light penetration, thus reducing therapeutic efficacy. Here, we demonstrate that the temperatures generated by light and ultrasound energies can be added constructively in resected melanoma cancers, which causes an increase in treatment depth. This method is called dual thermal therapy (DTT). It is also shown that combined ultrasound and photoacoustic images acquired using the pulse sequence proposed in this paper can be used for real-time monitoring of DTT.

Skin cancer detection using non-invasive techniques

Skin cancer is the most common form of cancer and is globally rising. Historically, the diagnosis of skin cancers has depended on various conventional techniques which are of an invasive manner. A variety of commercial diagnostic tools and auxiliary techniques are available to detect skin cancer. This article explains in detail the principles and approaches involved for non-invasive skin cancer diagnostic methods such as photography, dermoscopy, sonography, confocal microscopy, Raman spectroscopy, fluorescence spectroscopy, terahertz spectroscopy, optical coherence tomography, the multispectral imaging technique, thermography, electrical bio-impedance, tape stripping and computer-aided analysis. The characteristics of an ideal screening test are outlined, and the authors pose several points for clinicians and scientists to consider in the evaluation of current and future studies of skin cancer detection and diagnosis. This comprehensive review critically analyses the literature associated with the field and summarises the recent updates along with their merits and demerits.

Increased light penetration due to ultrasound-induced air bubbles in optical scattering media

Light is an attractive tool for high spatial- and contrast-resolution imaging, highly sensitive molecular imaging, and target-selective therapy, and it does not exhibit the risks associated with ionizing radiation. The main limitation of using light in clinical applications is its superficial imaging and therapeutic depth caused by high optical scattering in biological media. Here, we demonstrate that the scattering and thus defocusing of the incident light can be alleviated when simultaneously delivered ultrasound generates air bubbles in the pathway of the incident light, thus increasing the light penetration. The bubbles are temporally induced by ultrasound with an intensity that is sufficiently low to avoid tissue damage and act as a Mie scattering medium in which light is scattered predominantly in the forward direction. The change in the optical scattering property caused by the ultrasound is undone after cessation of the insonification. From the results, it is expected that this proposed method will open a new route for overcoming the limitations of current optical imaging and therapeutic techniques.

Rapid measurement of transversal flow velocity vector with high spatial resolution using speckle decorrelation optical coherence tomography

We propose and demonstrate a novel method that uses only three sets of B-scans to accurately determine both the direction and the speed of a transversal flow using speckle decorrelation optical coherence tomography. Our tri-scan method has the advantages of high measurement speed, high spatial resolution, and insensitivity to the flow speed. By introducing error maps, we show that the flow angle inaccuracy can be minimized by choosing the measurement result with a lesser error between results obtained from the x- and y-scans. Finally, we demonstrate that the flow angle measurement accuracy can be further improved for the high-speed flows by increasing the speed of the x- and y-scans.

Demonstration of Shot-noise-limited Swept Source OCT Without Balanced Detection

Optical coherence tomography (OCT) has been utilized in a rapidly growing number of clinical and scientific applications. In particular, swept source OCT (SS-OCT) has attracted many attentions due to its excellent performance. So far however, the limitations of existing photon detectors have prevented achieving shot-noise-limited sensitivity without using balanced-detection scheme in SS-OCT, even when superconducting single-photon detectors were used. Unfortunately, balanced-detection increases OCT system size and cost, as it requires many additional components to boost the laser power and maintain near ideal balanced performance across the whole optical bandwidth. Here we show for the first time that a photon detector is capable of achieving shot noise limited performance without using the balanced-detection technique in SS-OCT. We built a system using a so-called electron-injection photodetector, with a cutoff-wavelength of 1700 nm. Our system achieves a shot-noise-limited sensitivity of about -105 dB at a reference laser power of ~350 nW, which is more than 30 times lower laser power compared with the best-reported results. The high sensitivity of the electron-injection detector allows utilization of micron-scale tunable laser sources (e.g. VCSEL) and eliminates the need for fiber amplifiers and highly precise couplers, which are an essential part of the conventional SS-OCT systems.