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Outline Why & How ?
Near Infrared Spectroscopy and Diffuse Optical Imaging
Juliette Selb
Optics Division Athinoula A. Martinos Center for Biomedical Imaging
Massachusetts General Hospital
March 29th, 2012
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The Optics Division
Director: David A. Boas http://www.nmr.mgh.harvard.edu/PMI/
The Optics Division at the Athinoula A. Martinos Center for Biomedical Imaging
Diffuse Optical Imaging of the Human Brain
Optical Breast Imaging for Cancer Applications
Microscopy for Cerebro-Vascular Physiology
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Why Optical Imaging of the Brain?
Spa
tial S
ensi
tivity
(log
mm
)
Temporal Sensitivity (log sec)
But also: Novel contrast that spans all other methods!
PET/SPECT
2
1.5
1
0.5
0 -3 -2 -1 0 1 2 3 4
millisecond second hour day
mm
cm
m
EEG/MEG
NIRS fMRI
Suitable for sensitive studies (children, neurocritical care, movement) Non-invasive, low-cost, transportable
MRI
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Optical Contrasts: Intrinsic & Extrinsic
Invasive: high spatial resolution, more contrast parameters
Non-invasive: routine continuous and real-time use in animals & humans
Hemodynamic • Oxy- & deoxy- hemoglobin • Blood volume • Blood flow
Metabolic • Cytochrome oxidase • NADH-FADH • CMRGlucose • CMRO2
Neuronal - Electrical • Voltage sensitive dyes • Calcium green • Scattering
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Near Infrared Spectroscopy (NIRS) Pulse oximeter
2 wavelengths
Detector
Global brain oxygenation monitoring
Source
Detector
Cope et al., Med.Biol.Eng.Comput. 26 (1998)
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Light Propagation in Biological Tissues
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Light – Tissue Interaction
Absorption + Scattering
What happens when light travels through a biological tissue?
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Absorption
HbO, HbR
Therapeutic window
Ultraviolet Near infrared
410 nm 600 nm 770 nm
Wavelength (nm) 300 400 500 600 700 800 900 1000 1100 1200 1300
0.01
0.1
1
10
100
Abs
orpt
ion
coef
ficie
nt (c
m-1
)
Cheong et al., IEEE J. Quantum Electron 26, 1990
Hale and Querry, Appl Opt 12, 1973
HbO, HbR
Water
Main chromophore (absorber) = Hemoglobin
Two or more wavelengths enable spectroscopy of oxy- / deoxy- hemoglobin
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Scattering
ls*
ls
µs = 1 / ls ls = Average distance between two scattering events (mostly forward scattering)
l* = Distance after which diffusion is isotropic (same in all directions)
µ’s = 1 / l*
In tissues
~ 100 µm
~ 1 mm
Scattering coefficient
Reduced scattering coefficient
After ~1mm depth, photons have lost all information about their initial direction
Microscopy techniques also use optical contrast but work at shallow depths where photons have not or little scattered ! Can only achieve a few 100 µm depth sensitivity.
DOI work in the diffusive regime at several cm depth using only diffuse photons.
Scatterers (Cell nuclei, mitochondria, whole cells, …)
Note:
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Tissue Penetration Absorption Scattering
la ~ 10 cm ls ~ 1 mm Average propagation distance
after which a photon is absorbed Average propagation distance after which a photon loses memory of its original direction
>>
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Light Propagation in the Head
Source
Detector
Source
Detector
• Diffuse light reaches the brain
• Source + detector probing a volume of a few cm3 (Superficial + cerebral)
• Sensitive to superficial cortex only (5-8 mm)
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Different NIRS modalities
Whole Temporal Point Spread Function
or moments of TPSF
or gated TPSF
TPSF
Time domain
Source Detector
Attenuation
Continuous wave
Source Detector
Attenuation (AC, DC)
Phase Shift
Frequency domain
Source Detector
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NIRS modalities: Continuous Wave
Source
Detector
! Least expensive ! High temporal resolution (25Hz) ! Not possible to distinguish between absorption and scattering changes ! Sensitive only to changes in hemoglobin
! Functional studies (fNIRS) ! Physiological oscillations
Continuous light intensity
Attenuation
NIRS signal
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Modified Beer-Lambert Law
Cuvette of hemoglobin (Absorbing)
OD
L
I(") = I0(") exp[- µa(").L]
µa = 1/L ln(I/I0)
I0(") Beer-Lambert Law
OD = log(I/I0)
Absorption
Optical Density
Scattering + Absorbing Medium
OD
I0(")
DPF = Differential Pathlength Factor
Modified Beer-Lambert Law
G = Losses due to Geometry
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Modified Beer-Lambert Law
Scattering + Absorbing Medium
DPF = Differential Pathlength Factor
I0(")
I(") I(t) = I(t=0) exp[- #µa(").DPF(!).L + G]
Δµa(t) = 1/(DPF.L) ln[ I(t) / I(t=0) ]
Cuvette of hemoglobin (Absorbing)
OD
L
I(") = I0(") exp[- µa(").L]
µa = 1/L ln(I/I0)
I0(") Beer-Lambert Law
OD = log(I/I0)
Absorption
Optical Density
Modified Beer-Lambert Law
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Near Infrared Spectroscopy
Changes in concentration
Chromophore extinction coefficient at each wavelength
Multi-wavelength measurements of
optical absorption
Changes in oxy-hemoglobin
and deoxy-hemoglobin
Changes in oxygenation and total hemoglobin
#OD("1) = ("#1HbR #[HbR] + "#1
HbO #[HbO]) x Leff
#OD("2) = ("#2HbR #[HbR] + "#2
HbO #[HbO]) x Leff
Source S
Detector D
SD
Leff = SD x DPF Change in intensity
Leff
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Changes in Oxy-hemoglobin [HbO]
Deoxy-hemoglobin [HbR]
Differential pathlength
Changes in absorption at multiple wavelengths
To Summarize: How does NIRS work? Source
Detector Measurements of changes in detected
light intensity
Changes in Total hemoglobin
[HbT] = [HbO] + [HbR] (blood volume)
& Oxygen saturation SO2 = HbO / HbT
Sel
b, P
our l
a S
cien
ce (2
005)
, in
Fren
ch
Arrays of sources and detectors
Hemoglobin maps
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Different NIRS geometries Local
Topography (2D)
Tomography (3D)
Global
Gibson Phys Med Biol (2005)
Franceschini Psychophysiol (2003)
Selb, Pour la Science (2005), in French
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Instrumentation
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Instrument evolution - CW
TechEn Inc., Milford, MA, www.nirsoptix.com
I0 It
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32 channel CW system: CW6
TechEn Inc., Milford, MA, www.nirsoptix.com
I0 It
! 32 laser diode sources (690 & 830nm), frequency encoded in 200 Hz steps between 4.0 kHz and 7.4 kHz
! 32 parallel APD detectors
! Real-time display of time courses of intensity changes and #OD
! Acquisition time per image (32x32 channels) can be as short as 10ms!!!
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Probe development
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Probe Considerations
Combination with other modalities
Number of optodes? (= “optical electrode”) Local Whole head
Obviously over the studied cortical region(s)… Need for control optodes elsewhere?
Location?
Adapt probe design to experiment!!!
MRI compatible (non-magnetic material) MEG compatible + space constraint Neuro-ICU: other headgear?
Co-registration!! (10-20 system, fiducial markers, 3D-digitizer)
1 cm
Optode for MEG study
EEG-NIRS cap
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Probe Considerations
Tolerance for movement? Infants, Children Clinical Postural changes, gait experiment Speech
Probe secured: Chin strap (problem if speech) Fiber weight (support fibers to avoid weight on the head)
Trade-off subject comfort / signal quality / time to setup
Adapt probe design to experiment!!!
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fNIRS (functional NIRS)
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What does fNIRS measure?
Neuronal Activity
Hemodynamic Changes: [HbR] [HbO]
CBF CBV
Increased Oxygen
Consumption
Decrease in oxygenation
Increases in blood flow, volume and oxygenation
Arteriole Dilation
NIRS signal
Increase in blood flow exceeds increase in O2 consumption
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fNIRS - Sensorimotor
-1.0 -0.5 0.0 0.5
6 7
8
1 2
3
4 AB
5
Moving average of 5 points acquisition time 800 ms
Δ[Hb] (µM)
Franceschini et al, Optics Express 6, 2000
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fNIRS - Sensorimotor
-1.0 -0.5 0.0 0.5
6 7
8
1 2
3
4 AB
5
Moving average of 5 points acquisition time 800 ms
Franceschini et al, Optics Express 6, 2000
Δ[Hb] (µM)
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Finger opposition
Finger tactile
Electrical median nerve
Oxy
-hem
oglo
bin
Deo
xy-h
emog
lobi
n
fNIRS - Sensorimotor
Franceschini et al. Psychophysiology (2003)
3cm 1.9cm
Detectors Sources (690 & 830nm)
Hemoglobin maps
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Functional NIRS (fNIRS)
Developmental / cognitive studies in infants/children:
! Language development
! Object processing
! Number processing
! …
! Infants, Children, Adults, Healthy aging
! Normal / pathological: schizophrenia, depression, Alzheimer, Parkinson’s…
! Sensorimotor
! Cognitive ! Auditory ! Visual
! Cortical regions
fNIRS has been applied to a very broad range of studies
! Population
! Methodology ! Stand-alone
! Multimodality (+ fMRI, EEG, MEG, TCD, …)
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fNIRS - Language Processing in Infants
Infants 6-9 months
Audiovisual (animation + speech)
Visual (animation only)
Bortfeld et al., NeuroImage, 34, 407-415 (2007)
Single trial
Heather Bortfelt (Univ Connecticut, Texas A&M at the time)
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fNIRS - Language Processing in Infants
Audiovisual
Visual
Bortfeld et al., Developmental Neuropsychology, 34:1, 52-65 (2009)
Bortfeld et al., NeuroImage, 34, 407-415 (2007)
Subject average Grand average N = 35 Left-Right Comparison N = 21
Lateralization of language processing in
left temporal cortex Robust patterns of activation in left temporal
and primary visual regions of neocortex
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NIRS + fMRI
Hoge et al. NeuroImage 2005 Huppert et al, NeuroImage 2006 Huppert et al, J Biomed Opt 2006
Multimodality fNIRS Cross-validation
Cerebral metabolic rate of oxygen
Ou et al, NeuroImage 2009
NIRS - 90%, 75%, 50% of max Δ[HbR] at t= 3-5s
MEG - Neural activation at t=35 ms
NIRS + MEG Neuro-vascular coupling
NIRS + EEG
Rob Cooper Meryem Ayse Yucel David Boas
Epilepsy
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Limitations
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Spatial Resolution and Localization ! Poor lateral resolution ~ source-detector separation
Overlapping measurements
White et al, J Biomed Opt 15 (2010) Joseph et al, Appl Opt 45 (2006)
Very dense probe
1st-nearest 2nd-nearest DOT
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Spatial resolution and localization ! Localization (laterally and in depth)
Overlapping measurements
True subject anatomy
Custo et al NeuroImage 49(1): 561-567 (2010)
Atlas standard head
MRI structural constraint
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Motion Artifacts Removal • Visual identification (not objective!!)
Motion Artifact
Inte
nsity
(AU
)
Principal or independent component analysis filters can be used to separate and remove motion artifacts from physiology.
• Threshold on magnitude of intensity change
• Principal component analysis
Works well in infants but tends to remove too much of the activation signal in adults implemented in HomER
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Systemic Physiology Contamination
Boas et al. NeuroImage (2004)
Blood pressure Respiration
NIRS signal
NIRS signal very sensitive to spontaneous physiological fluctuations arising from cardiac pulse, respiration, heart rate variability, blood
pressure spontaneous oscillations, both of systemic and cerebral origins
Real biological signals, but hinder our capacity to measure cerebral activation (“physiological noise”)
Various approaches to remove this physiological contamination from activation response
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Other Diffuse Optical Modalities
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NIRS modalities: Frequency Domain
RF modulated light
DC AC Phase
! Absolute baseline properties (absorption AND scattering)
! Some depth resolution
" Baseline oxygenation and CBV
Source
Detector
ln(r
, Idc
)
r
intercept (µs’)
slope (µa, µs’)
phas
e
r intercept = 0
slope (µa, µs’)
O’Leary et al., Phys Rev Lett, 1992
(Multi-distance FD method)
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NIRS modalities: Time Domain
Light pulse
Times of flight of photons
! Most information content vs. most expensive ! Absolute optical properties
! Depth sensitivity
! 3D tomography
! Baseline oxygenation and CBV
Source
Detector
! fNIRS with depth resolution
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Diffuse Correlation Spectroscopy
! Blood Flow Index (relative value) ! Sensitive to microvasculature ! Alone or combined with NIRS modalities
Coherent light
Moving scatterers (Red Blood Cells)
Boas et al. Phys. Rev. Lett. 75(9):1855–8 (1995)
Durduran et al. Opt Lett 29(15): 1766-1768 (2004)
Static solution
Increased velocity
Intensity autocorrelation
Correlation time (s) In
tens
ity a
utoc
orre
latio
n
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Summary Diffuse Optical Modalities Modality Detection + _ Applications
CW Fast Inexpensive
Relative changes in Hb concentrations
Functional NIRS Cortical connectivity Cerebral autoregulation
FD Absolute hemoglobin quantification
Slower than CW Longitudinal studies: baseline SO2, CBV
TD Absolute hemoglobin quantification Depth sensitivity
Most complex and expensive instrumentation Lower temporal resolution
Longitudinal studies: baseline SO2, CBV Surgery monitoring fNIRS with depth Volumetric images
DCS Blood flow index Relative measure
Baseline CBF Flow variations during postural changes
Attenuation
DC AC Phase
Times of flight of photons
Autocorrelation
Correlation time
Time
Time
Time
Slope of decorrelation
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Baseline Measurements: Brain Metabolism in Infants
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Cerebral Development in Healthy Infants
47 healthy infants
Age: 0-50 wks Gestational age: 27.0-41.5wks
right temporal
right parietal left
temporal
occipital left parietal
Simple Probe / Measurement
• Frequency-Domain (Imagent ISS) • 7 wavelengths (670 to 830 nm) • 6-11 locations • ~10 s / location
Franceschini et al. Pediatr Res 61(5) (2007)
Hemoglobin fit
Measurement points
Relative cerebral metabolic rate of oxygen (rCMRO2)
7 wavelengths
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Cerebral Development in Healthy Infants
80
StO
2 (%
)
50
60
70
0 10 20 30 40 50 Age (wks)
1
3
5
7
$=3.5
rCM
RO
2 C
BV
(ml/1
00g)
2
3
4
5 Cerebral Blood Volume
Cerebral Oxygen Saturation
Cerebral Metabolic Rate of Oxygen CMRO2 increases over the first year of life
Consistent with increase in glucose metabolism (PET)
StO2 ~ constant with age
!
CBV increases over the first year of life ! Developing vasculature
Supply matches metabolic demand
!
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Brain Development in Infants
FD-NIRS: CBV and StO2
DCS: CBF index
Grubb flow-volume relationship from adults not valid in newborns ! Need to measure blood flow
11 premature neonates (28-34.5 wGA)
Roche-Labarbe et al Human Brain Mapping 31(3) (2010)
with CBF deduced from CBV with CBF measured
Evolution rCMRO2 with age with CBF deduced from CBV
Combination of two DOI modalities enables much more accurate estimation of oxygen consumption!
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Brain Injury in Infants
Not statistically significant elevated StO2 in brain injured with respect to healthy group
CBV significantly higher in brain injured than in
all other groups
Cerebral perfusion may adapt to normalize StO2
after injury
Elevation in CBV is consistent with a
hyperperfusion state
rCMRO2 significantly higher in brain injured
than in all other groups
CLINICAL GROUP
0.002
0
1
2
3
0.001 0.002
stable brain unstable healthy
$=2.6
CLINICAL GROUP stable brain unstable healthy 50
54
58 62
66 70
74
78 0.012
StO2 (%)
CLINICAL GROUP brain unstable stable healthy 1.2
1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.2
0.0010 0.0008 0.0005
CBV (ml/100mg) rCMRO2
Increased CMRO2 suggests post-injury
excitotoxic mechanisms
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Brain Injury in Infants sensitivity & specificity
CBV vs. rCMRO2 by clinical group
1.2 1.6 2.0 2.4 2.8 3.2 3.6 4.0 0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
2.0
2.2
2.4
2.6
rCM
RO
2 (w
ith re
spec
t to
norm
als)
CBV (ml/100mg)
sensitivity: 78.6% specificity: 96.6%
HII
Mit-HII
choroid plexus bleeds WM injury
MCA
HII
HII
Hypoglycemia
Mit
HII
Cerebral edema HII +10d hc
HII
WM injury
stable brain injured unstable healthy
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Cerebral Health and Development in Infants StO2 has been the most commonly used
parameter to evaluate hemodynamics in infants
but
StO2 relatively insensitive to brain maturation age or brain condition
It is the wrong parameter to look at. Probable reason why NIRS failed to be
implemented in the clinic in the ’90s
Fortunately, NIRS provide additional measures:
- Cerebral Blood Volume - Cerebral Blood Flow - Cerebral Metabolic Rate of Oxygen
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Summary
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NIRS principle Measurements of
changes in detected light intensity
Changes in Oxy-hemoglobin [HbO]
Deoxy-hemoglobin [HbR]
Changes in Total hemoglobin [HbT]
(blood volume) & Oxygen saturation
Changes in absorption at multiple wavelengths
Source
Detector
Hemodynamic Metabolic
Measurement or estimation of
Cerebral Blood Flow (CBF)
CMRO2
Novel contrast: hemodynamics + metabolic
Suitable for sensitive studies (children, neurocritical care, movement)
Non-invasive, low-cost, transportable
High temporal resolution (~ 10ms)
Relatively low spatial resolution (~ 1cm)
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Summary Diffuse Optical Imaging
• NIRS: Intrinsic absorption of oxy- and deoxy-hemoglobin
• DCS: Sensitive to motion of red blood cells
• Sensitive to microvasculature (as opposed to large vessels)
• Continuous Wave: Relative changes in Hb
! Functional imaging
• Frequency-Domain and Time-Domain: Absolute Hb content
! Longitudinal studies, Measurements over minutes to hours
Advantages
• Low cost
• Non-ionizing
• Transportable
• Functional contrast: HbO & HbR
• High temporal resolution
Limitations & difficulties
• Modest spatial resolution
• Limited penetration depth
• Superficial contamination
• Probe design
• Motion artifacts
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Summary
Applications:
• Functional brain imaging:
• Infants, children, adults, healthy aging
• Sensorimotor (gait, pain studies); Developmental studies in infants (language processing, number processing, object processing (shape/color), etc…); Psychiatric studies (cognitive side effects in depression)
• Combination with other modalities: cross-validation, neurovascular coupling, CMRO2
• Baseline measurements: brain monitoring during surgery and anesthesia, healthy and pathological infant cerebral development
• Applications to other parts of the body:
• Muscle oxygenation
• Breast imaging (tumor characterization, treatment monitoring)
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Thank You! Diffuse Optical Imaging of the Adult Brain
David Boas
Rob Cooper
Jay Dubb
Louis Gagnon
Katherine Perdue
Juliette Selb
Meryem Ayse Yucel
Neonate Studies
Stefan Carp
Mathieu Dehaes
Angela Fenoglio
Maria Angela Franceschini
Pei-Yi (Ivy) Lin
Genevieve Nave
Breast Imaging
Stefan Carp
Qianqian Fang
Mark Martino
Bernhard Zimmermann