Analysis of Human Breath by Millimeter-Wave/Terahertz Spectroscopy

Diabetes noninvasive diagnostics and monitoring through volatile biomarkers analysis in the exhaled breath using optical absorption spectroscopy

The review is aimed on the analysis the abilities of noninvasive diagnostics and monitoring of diabetes mellitus (DM) and DM-associated complications through volatile molecular biomarkers detection in the exhaled breath. The specific biochemical reactions in the body of DM patients and their associations with volatile molecular biomarkers in the breath are considered. The applications of optical spectroscopy methods, including UV, IR, and terahertz spectroscopy for DM-associated volatile molecular biomarkers measurements, are described. The applications of similar technique combined with machine learning methods in DM diagnostics using the profile of DM-associated volatile molecular biomarkers in exhaled air or "pattern-recognition" approach are discussed.

Multiwavelength Photoacoustic Breath Analysis Sensor for the Diagnosis of Lung Diseases: COPD and Asthma

Breath analysis is emerging as a universal diagnostic method for clinical applications. The possibility of breath analysis is being explored vigorously using different analytical techniques. We have designed and assembled a multiwavelength UV photoacoustic spectroscopy (PAS) sensor for the said application. To optimize laser wavelength for sample excitation, photoacoustic signals from disease and normal conditions are recorded with different laser excitations (213, 266, 355, and 532 nm) on exhaled breath samples. Principal component analysis (PCA) of the PA signals has shown that 213, 266, and 355 nm laser excitations are suitable for breath analysis, with reliable descriptive statistics obtained for 266 nm laser. The study has, therefore, been extended for breath samples collected from asthma, chronic obstructive pulmonary disease (COPD), and normal subjects, using 266 nm laser excitation. PCA of the PA data shows good classification among asthma, COPD, and normal subjects. Match/No-match study performed with asthma, COPD, and normal calibration set has demonstrated the potential of using this method for diagnostic application. Sensitivity and specificity are observed as 88 and 89%, respectively. The area under the curve of the ROC curve is found to be 0.948, which justifies the diagnostic capability of the device for lung diseases. The same samples were studied using a commercial E-Nose, and the measurement outcome strongly supports the PAS results.

Frequency stable and low phase noise THz synthesis for precision spectroscopy

We present a robust approach to generate a continuously tunable, low phase noise, Hz linewidth and mHz/s stability THz emission in the 0.1 THz to 1.4 THz range. This is achieved by photomixing two commercial telecom, distributed feedback lasers locked by optical-feedback onto a single highly stable V-shaped optical cavity. The phase noise is evaluated up to 1.2 THz, demonstrating Hz-level linewidth. To illustrate the spectral performances and agility of the source, low pressure absorption lines of methanol and water vapors have been recorded up to 1.4 THz. In addition, the hyperfine structure of a water line at 556.9 GHz, obtained by saturation spectroscopy, is also reported, resolving spectral features displaying a full-width at half-maximum of 10 kHz. The present results unambiguously establish the performances of this source for ultra-high resolution molecular physics.

Resonant Gas Sensing in the Terahertz Spectral Range Using Two-Wire Phase-Shifted Waveguide Bragg Gratings

The development of low-cost sensing devices with high compactness, flexibility, and robustness is of significance for practical applications of optical gas sensing. In this work, we propose a waveguide-based resonant gas sensor operating in the terahertz frequency band. It features micro-encapsulated two-wire plasmonic waveguides and a phase-shifted waveguide Bragg grating (WBG). The modular semi-sealed structure ensures the controllable and efficient interaction between terahertz radiation and gaseous analytes of small quantities. WBG built by superimposing periodical features on one wire shows high reflection and a low transmission coefficient within the grating stopband. Phase-shifted grating is developed by inserting a Fabry-Perot cavity in the form of a straight waveguide section inside the uniform gratings. Its spectral response is optimized for sensing by tailoring the cavity length and the number of grating periods. Gas sensor operating around 140 GHz, featuring a sensitivity of 144 GHz/RIU to the variation in the gas refractive index, with resolution of 7 × 10-5 RIU, is developed. In proof-of-concept experiments, gas sensing was demonstrated by monitoring the real-time spectral response of the phase-shifted grating to glycerol vapor flowing through its sealed cavity. We believe that the phase-shifted grating-based terahertz resonant gas sensor can open new opportunities in the monitoring of gaseous analytes.

Flexible terahertz gas sensing platform based on substrate-integrated hollow waveguides and an opto-electronic light source

We report on a flexible platform for molecular sensing in the terahertz range. Merging the well-established technologies of near-infrared electro-optic modulation and photomixing realizes a spectrally adaptable terahertz source, which is combined with a new generation of compact gas cells, so-called substrate-integrated hollow waveguides (iHWGs). iHWGs have been developed in the mid-infrared and provide flexibility in the design of the optical absorption path. Here, we demonstrate its suitability for the terahertz domain by presenting its low propagation losses and by measuring rotational transitions of nitrious oxide (N₂O). A fast frequency sideband modulation technique results in substantially reduced measurement times and increased accuracy compared to a standard wavelength tuning method.

Detection of Asthma Inhaler Use via Terahertz Spectroscopy

Inhaled medications are commonplace for administering bronchodilators, anticholinergics, and corticosteroids. While they have a defined legitimate use, they are also used in sporting events as performance-enhancing drugs. These performance enhancers can be acquired via both legal (i.e., at a pharmacy through over-the-counter medications or through a prescription) and illicit (i.e., black market and foreign pharmacies) means, thus making monitoring procurement impossible. While urine tests can detect these pharmacological agents hours after they have been inhaled, there is a significant lag time before they are observed in urine. Direct detection of these inhaled agents is complicated and requires a multiplexed approach due to the sheer number of inhaled pharmacological agents. Therefore, detection of propellants, which carry the drug into the lungs, provides a simpler path forward toward detection of broad pharmacological agents. In this paper, we demonstrate the first use of terahertz spectroscopy (THz) to detect inhaled medications in human subjects. Notably, we were able to detect and quantitate the propellant, HFA-134a, in breath up to 30 min after using an asthma inhaler, enabling the use of a point-of-care device to monitor exhaled breath for the presence of propellants. We also demonstrate via simulations that the same approach can be leveraged to detect and identify next-generation propellants, specifically HFA-152a. As a result, we provide evidence that a single point-of-care THz sensor can detect when individuals have used pressure-mediated dose inhalers (pMDIs) without further modification of the hardware.

Terahertz Spectroscopic Molecular Sensor for Rapid and Highly Specific Quantitative Analytical Gas Sensing

Quantitative analytical gas sampling is of great importance in a range of environmental, safety, and scientific applications. In this article, we present the design, operation, and performance of a recently developed tabletop terahertz (THz) spectroscopic molecular sensor capable of rapid (minutes) and sensitive detection of polar gaseous analytes with near "absolute" specificity. A novel double-coil absorption cell design and an array of room-temperature sorbent-based preconcentration modules facilitate quantitative THz detection of light polar volatile compounds, which often challenge the capabilities of established gas sensing techniques. Acetone, ethanol, methanol, acetaldehyde, formaldehyde, and isoprene are detected at low parts-per-billion to high parts-per-trillion levels. This work evaluates performance-limiting factors for THz spectroscopy-based chemical identification: (1) spectral signal to noise and (2) preconcentrator efficiency.

Millimeter-wave gas spectroscopy for breath analysis of COPD patients in comparison to GC-MS

The analysis of human breath is a very active area of research, driven by the vision of a fast, easy, and non-invasive tool for medical diagnoses at the point of care. Millimeter-wave gas spectroscopy (MMWGS) is a novel, well-suited technique for this application as it provides high sensitivity, specificity and selectivity. Most of all, it offers the perspective of compact low-cost systems to be used in doctors' offices or hospitals. In this work, we demonstrate the analysis of breath samples acquired in a medical environment using MMWGS and evaluate validity, reliability, as well as limitations and perspectives of the method. To this end, we investigated 28 duplicate samples from chronic obstructive lung disease patients and compared the results to gas chromatography-mass spectrometry (GC-MS). The quantification of the data was conducted using a calibration-free fit model, which describes the data precisely and delivers absolute quantities. For ethanol, acetone, and acetonitrile, the results agree well with the GC-MS measurements and are as reliable as GC-MS. The duplicate samples deviate from the mean values by only 6% to 18%. Detection limits of MMWGS depend strongly on the molecular species. For example, acetonitrile can be traced down to 1.8 × 10^-12mol by the MMWGS system, which is comparable to the GC-MS system. We observed correlations of abundances between formaldehyde and acetaldehyde as well as between acetonitrile and acetaldehyde, which demonstrates the potential of MMWGS for breath research.

Terahertz-Wave Absorption Gas Sensing for Dimethyl Sulfoxide

Gas sensing for dimethyl sulfoxide (DMSO) based on rotational absorption spectroscopy is demonstrated in the 220–330 GHz frequency range using a robust electronic THz-wave spectrometer. DMSO is a flammable liquid commonly used as a solvent in the food and pharmaceutical industries, materials synthesis, and manufacturing. DMSO is a hazard to human health and the work environment; hence, remote gas sensing for DMSO environmental and process monitoring is desired. Absorption measurements were carried out for pure DMSO at 297 K and 0.4 Torr (53 Pa). DMSO was shown to have a unique rotational fingerprint with a series of repeating absorption bands. The frequencies of transitions observed in the present study were found to be in good agreement with spectral simulations carried out based on rotational parameters derived in prior work. Newly, intensities of the rotational absorption lines were experimentally observed and reported for DMSO in this study. Measured intensities for major absorption lines were found in very good agreement with relative line intensities estimated by quantum mechanical calculations. The sensor developed here exhibited a detection limit of 1.3 × 1015–2.6 × 1015 DMSO molecules/cm3 per meter of absorption path length, with the potential for greater sensitivity with signal-to-noise improvements. The study illustrates the potential of all electronic THz-wave systems for miniaturized remote gas sensors.

Terahertz continuous wave spectroscopy: a portable advanced method for atmospheric gas sensing

Motivated by the increasing demand to monitor the air-quality, our study proved the feasibility of a new compact and portable experimental approach based on Terahertz (THz) continuous wave high resolution spectroscopy, to detect the presence of the air's contaminants as greenhouse gases (GHG) and volatile organic compounds (VOCs). In this specific work, we first characterized, determining their molar absorption coefficient in the spectral region (0.06-1.2) THz, the pure optical response of the vapor of five VOCs: methanol, ethanol, isopropanol, 1-butanol and 2-butanol. In particular, 1-butanol and 2-butanol are characterized for the first time in literature at THz frequencies. Then we studied the optical response of their mixtures achieved with ambient air and ethanol. The results show that it is possible for a differentiation of single components by describing their spectral absorption in terms of the linear combination of pure compounds absorption. This proof of concept for this apparatus study and set-up paves the way to the use of THz Continuous wave high resolution spectroscopy for the environmental tracking of air pollutants.

Terahertz Spectroscopic Analysis in Protein Dynamics: Current Status

Proteins play a key role in living organisms. The study of proteins and their dynamics provides information about their functionality, catalysis and potential alterations towards pathological diseases. Several techniques are used for studying protein dynamics, e.g., magnetic resonance, fluorescence imaging techniques, mid-infrared spectroscopy and biochemical assays. Spectroscopic analysis, based on the use of terahertz (THz) radiation with frequencies between 0.1 and 15 THz (3–500 cm−1), was underestimated by the biochemical community. In recent years, however, the potential of THz spectroscopy in the analysis of both simple structures, such as polypeptide molecules, and complex structures, such as protein complexes, has been demonstrated. The THz absorption spectrum provides some information on proteins: for small molecules the THz spectrum is dominated by individual modes related to the presence of hydrogen bonds. For peptides, the spectral information concerns their secondary structure, while for complex proteins such as globular proteins and viral glycoproteins, spectra also provide information on collective modes. In this short review, we discuss the results obtained by THz spectroscopy in the protein dynamics investigations. In particular, we will illustrate advantages and applications of THz spectroscopy, pointing out the complementary information it may provide.

Recent Advancements and Future Prospects on E-Nose Sensors Technology and Machine Learning Approaches for Non-Invasive Diabetes Diagnosis: A Review

Diabetes mellitus, commonly measured through an invasive process which although is accurate, has manifold drawbacks especially when multiple reading are required at regular intervals. Accordingly, there is a need to develop a dependable non-invasive diabetes detection technique. Recent studies have observed that other human serums such as tears, saliva, urine and breath indicate the presence of glucose in them. These parameters open quite a few ways for non-invasive blood glucose level prediction. The analysis of a persons breath poses as a good non-invasive technique to monitor the glucose levels. It is seen that in breath, there are many bio-markers and monitoring the levels of these bio-markers indicate the possibility of various chronic diseases. Among these bio-markers, acetone a volatile organic compound found in breath has shown a good correlation to the glucose levels present in blood. Therefore, by evaluating the acetone levels in breath samples it is possible to monitor diabetes non-invasively. This paper reviews the various approaches and sensory techniques used to monitor diabetes though human breath samples.

Performance Evaluation of a THz Pulsed Imaging System: Point Spread Function, Broadband THz Beam Visualization and Image Reconstruction

Terahertz (THz) technology is a promising research field for various applications in basic science and technology. In particular, THz imaging is a new field in imaging science, where theories, mathematical models and techniques for describing and assessing THz images have not completely matured yet. In this work, we investigate the performances of a broadband pulsed THz imaging system (0.2–2.5 THz). We characterize our broadband THz beam, emitted from a photoconductive antenna (PCA), and estimate its point spread function (PSF) and the corresponding spatial resolution. We provide the first, to our knowledge, 3D beam profile of THz radiation emitted from a PCA, along its propagation axis, without the using of THz cameras or profilers, showing the beam spatial intensity distribution. Finally, we evaluate the THz image formation on a test-sample composed by a regular linen natural pattern.

A Review of the State of the Art in Non-Contact Sensing for COVID-19

COVID-19, caused by SARS-CoV-2, has resulted in a global pandemic recently. With no approved vaccination or treatment, governments around the world have issued guidance to their citizens to remain at home in efforts to control the spread of the disease. The goal of controlling the spread of the virus is to prevent strain on hospitals. In this paper, we focus on how non-invasive methods are being used to detect COVID-19 and assist healthcare workers in caring for COVID-19 patients. Early detection of COVID-19 can allow for early isolation to prevent further spread. This study outlines the advantages and disadvantages and a breakdown of the methods applied in the current state-of-the-art approaches. In addition, the paper highlights some future research directions, which need to be explored further to produce innovative technologies to control this pandemic.

Evaluation of a standardized collection device for exhaled breath sampling onto thermal desorption tubes

The Respiration Collector for In Vitro Analysis (ReCIVA) sampler, marketed by Owlstone Medical, provides a step forward in exhaled breath sampling through active sampling directly onto thermal desorption (TD) tubes. Although an improvement to the issues surrounding breath bag sampling, the ReCIVA device, first released in 2015, is a relatively new research and clinical tool that requires further exploration. Here, data are presented comparing two distinct ReCIVA devices. The results, comparing ReCIVA serial numbers #33 and #65, demonstrate that overall statistically insignificant results are obtained via targeted isoprene quantitation (p > 0.05). However, when the data are parsed by the TD tube type used to capture breath volatiles, either Tenax TA or the dual bed Tenax/Carbograph 5TD (5TD), a statistical difference (p < 0.05) among the two different TD tubes was present. These data, comparing the two ReCIVA devices with both Tenax TA and 5TD tubes, are further supported by a global metabolomics analysis yielding 85% of z-scores, comparing ReCIVA devices, below the limit for significance. Experiments to determine the effect of breathing rate on ReCIVA function, using guided breathing for low (7.5 breaths min^-1) and high (15 breaths min^-1) breathing rates, demonstrate the ReCIVA device shows no statistical difference among breathing rates for quantitated isoprene (p > 0.05). Global metabolomics analysis of the guided breathing rate data shows more than 87% of the z-scores, comparing high and low breathing rates using both the Tenax and the 5TD tubes, are below the level for significance. Finally, data are provided from a single participant who displayed background levels of isoprene while illustrating levels of acetone consistent with the remaining participants. Collectively, these data support the use of multiple ReCIVA devices for exhaled breath collection and provide evidence for an instance where exhaled isoprene is consistent with background levels.

Terahertz Gas-Phase Spectroscopy Using a Sub-Wavelength Thick Ultrahigh-Q Microresonator

The terahertz spectrum provides tremendous opportunities for broadband gas-phase spectroscopy, as numerous molecules exhibit strong fundamental resonances in the THz frequency range. However, cutting-edge THz gas-phase spectrometer require cumbersome multi-pass gas cells to reach sufficient sensitivity for trace level gas detection. Here, we report on the first demonstration of a THz gas-phase spectrometer using a sub-wavelength thick ultrahigh-Q THz disc microresonator. Leveraging the microresonator's ultrahigh quality factor in excess of 120,000 as well as the intrinsically large evanescent field, allows for the implementation of a very compact spectrometer without the need for complex multi-pass gas cells. Water vapour concentrations as low as 4 parts per million at atmospheric conditions have been readily detected in proof-of-concept experiments.

Quantitative analysis of direct oral anticoagulant rivaroxaban by terahertz spectroscopy

Rivaroxaban, as a direct oral anticoagulant, has been widely used in the treatment and prevention of thrombosis disease (TD). However, even if the same dose of rivaroxaban is taken, different pathophysiological characteristics of TD patients determine the differences in plasma concentrations between individuals, leading to the difficulties of dosage selection and plasma concentration control. Conventional rivaroxaban detection methods, including prothrombin time method, anti-Xa assay and liquid chromatography-tandem mass spectrometry (LC-MS/MS), are not widely used in clinical practice due to the limitations of accuracy, speed and cost. Here, we present a simple quantitative detection method for rivaroxaban by terahertz (THz) spectroscopy. Combining density functional theory (DFT) method and THz spectroscopy, the THz absorption peaks of rivaroxaban and the corresponding low-frequency vibrational modes are studied theoretically and experimentally. We find linear relationships between the amplitudes of these characteristic peaks and the concentrations of rivaroxaban. Based on these linear functions, we can analyse the rivaroxaban concentration with a detection time of 1 minute per test and the lowest detection limit of 2 μmol mL^-1. As compared to Raman spectroscopy method (its detection limit is about 80 μmol mL^-1), our method has more potential and is practical for the clinical quantitative detection of rivaroxaban as well as other direct oral anticoagulants.

Industrial Applications of Terahertz Sensing: State of Play

This paper is a survey of existing and upcoming industrial applications of terahertz technologies, comprising sections on polymers, paint and coatings, pharmaceuticals, electronics, petrochemicals, gas sensing, and paper and wood industries. Finally, an estimate of the market size and growth rates is given, as obtained from a comparison of market reports.