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Cortese L, Fernández Esteberena P, Zanoletti M, Lo Presti G, Aranda Velazquez G, Ruiz Janer S, Buttafava M, Renna M, Di Sieno L, Tosi A, Dalla Mora A, Wojtkiewicz S, Dehghani H, de Fraguier S, Nguyen-Dinh A, Rosinski B, Weigel UM, Mesquida J, Squarcia M, Hanzu FA, Contini D, Mora Porta M, Durduran T. In vivocharacterization of the optical and hemodynamic properties of the human sternocleidomastoid muscle through ultrasound-guided hybrid near-infrared spectroscopies. Physiol Meas 2023; 44:125010. [PMID: 38061053 DOI: 10.1088/1361-6579/ad133a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 12/07/2023] [Indexed: 12/28/2023]
Abstract
Objective.In this paper, we present a detailedin vivocharacterization of the optical and hemodynamic properties of the human sternocleidomastoid muscle (SCM), obtained through ultrasound-guided near-infrared time-domain and diffuse correlation spectroscopies.Approach.A total of sixty-five subjects (forty-nine females, sixteen males) among healthy volunteers and thyroid nodule patients have been recruited for the study. Their SCM hemodynamic (oxy-, deoxy- and total hemoglobin concentrations, blood flow, blood oxygen saturation and metabolic rate of oxygen extraction) and optical properties (wavelength dependent absorption and reduced scattering coefficients) have been measured by the use of a novel hybrid device combining in a single unit time-domain near-infrared spectroscopy, diffuse correlation spectroscopy and simultaneous ultrasound imaging.Main results.We provide detailed tables of the results related to SCM baseline (i.e. muscle at rest) properties, and reveal significant differences on the measured parameters due to variables such as side of the neck, sex, age, body mass index, depth and thickness of the muscle, allowing future clinical studies to take into account such dependencies.Significance.The non-invasive monitoring of the hemodynamics and metabolism of the sternocleidomastoid muscle during respiration became a topic of increased interest partially due to the increased use of mechanical ventilation during the COVID-19 pandemic. Near-infrared diffuse optical spectroscopies were proposed as potential practical monitors of increased recruitment of SCM during respiratory distress. They can provide clinically relevant information on the degree of the patient's respiratory effort that is needed to maintain an optimal minute ventilation, with potential clinical application ranging from evaluating chronic pulmonary diseases to more acute settings, such as acute respiratory failure, or to determine the readiness to wean from invasive mechanical ventilation.
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Affiliation(s)
- Lorenzo Cortese
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, E-08860 Castelldefels (Barcelona), Spain
| | - Pablo Fernández Esteberena
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, E-08860 Castelldefels (Barcelona), Spain
| | - Marta Zanoletti
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, E-08860 Castelldefels (Barcelona), Spain
- Politecnico di Milano, Dipartimento di Fisica, I-20133 Milano, Italy
| | - Giuseppe Lo Presti
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, E-08860 Castelldefels (Barcelona), Spain
| | | | - Sabina Ruiz Janer
- IDIBAPS, Fundació Clínic per la Recerca Biomèdica, E-08036 Barcelona, Spain
| | - Mauro Buttafava
- Politecnico di Milano, Dipartimento di Elettronica Informazione e Bioingegneria, I-20133 Milano, Italy
- Now at PIONIRS s.r.l., I-20124 Milano, Italy
| | - Marco Renna
- Politecnico di Milano, Dipartimento di Elettronica Informazione e Bioingegneria, I-20133 Milano, Italy
- Now at Athinoula A. Martinos Center for Biomedical Imaging, MGH, Harvard Medical School, Charlestown, MA 02129, United States of America
| | - Laura Di Sieno
- Politecnico di Milano, Dipartimento di Fisica, I-20133 Milano, Italy
| | - Alberto Tosi
- Politecnico di Milano, Dipartimento di Elettronica Informazione e Bioingegneria, I-20133 Milano, Italy
| | | | - Stanislaw Wojtkiewicz
- University of Birmingham, School of Computer Science, Edgbaston, Birmingham, B15 2TT, United Kingdom
- Now at Nalecz Institute of Biocybernetics and Biomedical Engineering, 02-109 Warsaw, Poland
| | - Hamid Dehghani
- University of Birmingham, School of Computer Science, Edgbaston, Birmingham, B15 2TT, United Kingdom
| | | | | | | | - Udo M Weigel
- HemoPhotonics S.L., E-08860 Castelldefels (Barcelona), Spain
| | - Jaume Mesquida
- Área de Crítics, Parc Taulí Hospital Universitari, E-08208 Sabadell, Spain
| | - Mattia Squarcia
- IDIBAPS, Fundació Clínic per la Recerca Biomèdica, E-08036 Barcelona, Spain
- Neuroradiology Department, Hospital Clínic of Barcelona, E-08036 Barcelona, Spain
| | - Felicia A Hanzu
- IDIBAPS, Fundació Clínic per la Recerca Biomèdica, E-08036 Barcelona, Spain
- Endocrinology and Nutrition Department, Hospital Clínic of Barcelona, E-08036 Barcelona, Spain
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), E-28029 Madrid, Spain
| | - Davide Contini
- Politecnico di Milano, Dipartimento di Fisica, I-20133 Milano, Italy
| | - Mireia Mora Porta
- IDIBAPS, Fundació Clínic per la Recerca Biomèdica, E-08036 Barcelona, Spain
- Endocrinology and Nutrition Department, Hospital Clínic of Barcelona, E-08036 Barcelona, Spain
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), E-28029 Madrid, Spain
| | - Turgut Durduran
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, E-08860 Castelldefels (Barcelona), Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), E-08010 Barcelona, Spain
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Dao E, Gohla G, Williams P, Lovrics P, Badr F, Fang Q, Farrell T, Farquharson M. Breast tissue analysis using a clinically compatible combined time-resolved fluorescence and diffuse reflectance (TRF-DR) system. Lasers Surg Med 2023; 55:769-783. [PMID: 37526280 DOI: 10.1002/lsm.23710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 06/29/2023] [Accepted: 07/11/2023] [Indexed: 08/02/2023]
Abstract
OBJECTIVE This work aims to develop a clinically compatible system that can perform breast tissue analysis in a more time efficient process than conventional histopathological assessment. The potential for such a system to be used in vivo in the operating room or surgical suite to improve patient outcome is investigated. METHOD In this work, 80 matched pairs of invasive ductal carcinoma and adjacent normal breast tissue were measured in a combined time-resolved fluorescence and diffuse reflectance (DA) system. Following measurement, the fluorescence intensity of collagen and flavin adenine dinucleotide (FAD); the fluorescence lifetime of collagen, nicotinamide adenine dinucleotide (NADH), and FAD; the DA; absorption coefficient; and reduced scattering coefficient were extracted. Samples then underwent histological processing and H&E staining to classify composition as tumor, fibroglandular, and/or adipose tissue. RESULTS Statistically significant differences in the collagen and FAD fluorescence intensity, collagen and FAD fluorescence lifetime, DA, and scattering coefficient were found between each tissue group. The NADH fluorescence lifetime and absorption coefficient were statistically different between the tumor and fibroglandular groups, and the tumor and adipose groups. While many breast tissue analysis studies label fibroglandular and adipose together as "normal" breast tissue, this work indicates that some differences between tumor and fibroglandular tissue are not the same as differences between tumor and adipose tissue. Observations of the reduced scatter coefficient may also indicate further classification to include fibro-adipose may be necessary. Future work would benefit from the additional tissue classification. CONCLUSION With observable differences in optical parameters between the three tissue types, this system shows promise as a breast analysis tool in a clinical setting. With further work involving samples of mixed composition, this combined system could potentially be used intraoperatively for rapid margin assessment.
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Affiliation(s)
- Erica Dao
- Department of Physics & Astronomy, McMaster University, Hamilton, Canada
| | - Gabriela Gohla
- St. Joseph's Healthcare, Hamilton, Canada
- Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada
| | - Phillip Williams
- St. Joseph's Healthcare, Hamilton, Canada
- Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada
| | - Peter Lovrics
- St. Joseph's Healthcare, Hamilton, Canada
- Department of Surgery, McMaster University, Hamilton, Canada
| | - Fares Badr
- Department of Engineering Physics, McMaster University, Hamilton, Canada
| | - Qiyin Fang
- Department of Engineering Physics, McMaster University, Hamilton, Canada
| | - Thomas Farrell
- School of Interdisciplinary Science, Hamilton, Canada
- Juravinski Hospital and Cancer Center, Hamilton, Canada
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Deng B, Gu H, Zhu H, Chang K, Hoebel KV, Patel JB, Kalpathy-Cramer J, Carp SA. FDU-Net: Deep Learning-Based Three-Dimensional Diffuse Optical Image Reconstruction. IEEE TRANSACTIONS ON MEDICAL IMAGING 2023; 42:2439-2450. [PMID: 37028063 PMCID: PMC10446911 DOI: 10.1109/tmi.2023.3252576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Near-infrared diffuse optical tomography (DOT) is a promising functional modality for breast cancer imaging; however, the clinical translation of DOT is hampered by technical limitations. Specifically, conventional finite element method (FEM)-based optical image reconstruction approaches are time-consuming and ineffective in recovering full lesion contrast. To address this, we developed a deep learning-based reconstruction model (FDU-Net) comprised of a Fully connected subnet, followed by a convolutional encoder-Decoder subnet, and a U-Net for fast, end-to-end 3D DOT image reconstruction. The FDU-Net was trained on digital phantoms that include randomly located singular spherical inclusions of various sizes and contrasts. Reconstruction performance was evaluated in 400 simulated cases with realistic noise profiles for the FDU-Net and conventional FEM approaches. Our results show that the overall quality of images reconstructed by FDU-Net is significantly improved compared to FEM-based methods and a previously proposed deep-learning network. Importantly, once trained, FDU-Net demonstrates substantially better capability to recover true inclusion contrast and location without using any inclusion information during reconstruction. The model was also generalizable to multi-focal and irregularly shaped inclusions unseen during training. Finally, FDU-Net, trained on simulated data, could successfully reconstruct a breast tumor from a real patient measurement. Overall, our deep learning-based approach demonstrates marked superiority over the conventional DOT image reconstruction methods while also offering over four orders of magnitude acceleration in computational time. Once adapted to the clinical breast imaging workflow, FDU-Net has the potential to provide real-time accurate lesion characterization by DOT to assist the clinical diagnosis and management of breast cancer.
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Ma Y, Zhang L, Jia M, Zhang P, Gao F. Combined multi-scale mesh and full-matrix inversion for enhancing time-domain breast diffuse optical tomography. APPLIED OPTICS 2022; 61:G38-G47. [PMID: 36255862 DOI: 10.1364/ao.457254] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 05/18/2022] [Indexed: 06/16/2023]
Abstract
Time-domain diffuse optical tomography can efficiently reconstruct both absorption and reduced scattering coefficients but is heavily limited by the ill-posedness in its inverse problem and low spatial resolution. To deal with these adversities, the truncated singular value decomposition (TSVD)-based whole-weighting-matrix inversion scheme can be a particularly suitable implementation. Unfortunately, TSVD is subject to a storage challenge for three-dimensional imaging of a bulk region, such as breast. In this paper, a multi-scale mesh strategy based on computed tomography (CT) anatomical geometry is adopted to solve the storage challenge, where a fine mesh is used in forward calculation to ensure accuracy, and a coarse mesh in the inversion process to enable TSVD-based inversion of the whole-weighting matrix. We validate the proposed strategy using simulated data for a single lesion model from clinical positron emission tomography images of a breast cancer patient, and further, for a complex model that is constructed by setting dual lesions at different separations in the CT breast geometry.
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Wang X, Hu R, Wang Y, Yan Q, Wang Y, Kang F, Zhu S. A Data Self-Calibration Method Based on High-Density Parallel Plate Diffuse Optical Tomography for Breast Cancer Imaging. Front Oncol 2021; 11:786289. [PMID: 34993144 PMCID: PMC8724432 DOI: 10.3389/fonc.2021.786289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 12/03/2021] [Indexed: 11/13/2022] Open
Abstract
When performing the diffuse optical tomography (DOT) of the breast, the mismatch between the forward model and the experimental conditions will significantly hinder the reconstruction accuracy. Therefore, the reference measurement is commonly used to calibrate the measured data before the reconstruction. However, it is complicated to customize corresponding reference phantoms based on the breast shape and background optical parameters of different subjects in clinical trials. Furthermore, although high-density (HD) DOT configuration has been proven to improve imaging quality, a large number of source-detector (SD) pairs also increase the difficulty of multi-channel correction. To enhance the applicability of the breast DOT, a data self-calibration method based on an HD parallel-plate DOT system is proposed in this paper to replace the conventional relative measurement on a reference phantom. The reference predicted data can be constructed directly from the measurement data with the support of the HD-DOT system, which has nearly a hundred sets of measurements at each SD distance. The proposed scheme has been validated by Monte Carlo (MC) simulation, breast-size phantom experiments, and clinical trials, exhibiting the feasibility in ensuring the quality of the DOT reconstruction while effectively reducing the complexity associated with relative measurements on reference phantoms.
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Affiliation(s)
- Xin Wang
- School of Life Science and Technology, Xidian University, Xi’an, China
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, Xi’an, China
| | - Rui Hu
- School of Life Science and Technology, Xidian University, Xi’an, China
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, Xi’an, China
| | - Yirong Wang
- Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China
| | - Qiang Yan
- School of Life Science and Technology, Xidian University, Xi’an, China
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, Xi’an, China
| | - Yihan Wang
- School of Life Science and Technology, Xidian University, Xi’an, China
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, Xi’an, China
- *Correspondence: Yihan Wang, ; Shouping Zhu,
| | - Fei Kang
- Department of Nuclear Medicine, Xijing Hospital, Fourth Military Medical University, Xi’an, China
| | - Shouping Zhu
- School of Life Science and Technology, Xidian University, Xi’an, China
- Engineering Research Center of Molecular and Neuro Imaging of Ministry of Education, Xi’an, China
- *Correspondence: Yihan Wang, ; Shouping Zhu,
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Xing Y, Duan Y, P Indurkar P, Qiu A, Chen N. Optical breast atlas as a testbed for image reconstruction in optical mammography. Sci Data 2021; 8:257. [PMID: 34593824 PMCID: PMC8484607 DOI: 10.1038/s41597-021-01037-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Accepted: 08/16/2021] [Indexed: 11/25/2022] Open
Abstract
We present two optical breast atlases for optical mammography, aiming to advance the image reconstruction research by providing a common platform to test advanced image reconstruction algorithms. Each atlas consists of five individual breast models. The first atlas provides breast vasculature surface models, which are derived from human breast dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) data using image segmentation. A finite element-based method is used to deform the breast vasculature models from their natural shapes to generate the second atlas, compressed breast models. Breast compression is typically done in X-ray mammography but also necessary for some optical mammography systems. Technical validation is presented to demonstrate how the atlases can be used to study the image reconstruction algorithms. Optical measurements are generated numerically with compressed breast models and a predefined configuration of light sources and photodetectors. The simulated data is fed into three standard image reconstruction algorithms to reconstruct optical images of the vasculature, which can then be compared with the ground truth to evaluate their performance.
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Affiliation(s)
- Yidan Xing
- Biomedical Engineering, National University of Singapore, Singapore, Singapore
| | - Yubo Duan
- Hangzhou One-North Medical Technologies, Hangzhou, China
| | - Padmeya P Indurkar
- Mechanical Engineering, National University of Singapore, Singapore, Singapore
| | - Anqi Qiu
- Biomedical Engineering, National University of Singapore, Singapore, Singapore
| | - Nanguang Chen
- Biomedical Engineering, National University of Singapore, Singapore, Singapore.
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Chen T, Liu L, Ma X, Zhang Y, Liu H, Zheng R, Ren J, Zhou H, Ren Y, Gao R, Chen N, Zheng H, Song L, Liu C. Dedicated photoacoustic imaging instrument for human periphery blood vessels: A new paradigm for understanding the vascular health. IEEE Trans Biomed Eng 2021; 69:1093-1100. [PMID: 34543187 DOI: 10.1109/tbme.2021.3113764] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
A novel photoacoustic imaging system based on a semi-ring transducer array is proposed to imageperipheralbloodvessels. The system's penetration depth is deep (~15 mm) with high spatial (~200 m) and temporal resolution. In a clinical study, volumetric photoacoustic data of limbs were obtained within the 50s (for a FOV of 15 cm4 cm) with the volunteers in the standing and sitting posture. Compared to the previous studies, our system has many advantages, including (1) Larger field of view; (2) Finer elevational and in-plane resolutions; (3) Enhanced 3D visualization of peripheralvascular networks; (4) Compact size and better portability. The 3D visualization and cross-sectional images of five healthy volunteers clearly show the vascular network and the system's ability to image submillimeter blood vessels. This high-resolution PA system has great potential for imaging human periphery vasculatures noninvasively in clinical research.
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Yun S, Kim Y, Kim H, Lee S, Jeong U, Lee H, Choi YW, Cho S. Three-compartment-breast (3CB) prior-guided diffuse optical tomography based on dual-energy digital breast tomosynthesis (DBT). BIOMEDICAL OPTICS EXPRESS 2021; 12:4837-4851. [PMID: 34513228 PMCID: PMC8407844 DOI: 10.1364/boe.431244] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 07/01/2021] [Accepted: 07/03/2021] [Indexed: 05/18/2023]
Abstract
Diffuse optical tomography (DOT) is a non-invasive functional imaging modality that uses near-infrared (NIR) light to measure the oxygenation state and the concentration of hemoglobin. By complementarily using DOT with other anatomical imaging modalities, physicians can diagnose more accurately through additional functional image information. In breast imaging, diagnosis of dense breasts is often challenging because the bulky fibrous tissues may hinder the correct tumor characterization. In this work, we proposed a three-compartment-breast (3CB) decomposition-based prior-guided optical tomography for enhancing DOT image quality. We conjectured that the 3CB prior would lead to improvement of the spatial resolution and also of the contrast of the reconstructed tumor image, particularly for the dense breasts. We conducted a Monte-Carlo simulation to acquire dual-energy X-ray projections of a realistic 3D numerical breast phantom and performed digital breast tomosynthesis (DBT) for setting up a 3CB model. The 3CB prior was then used as a structural guide in DOT image reconstruction. The proposed method resulted in the higher spatial resolution of the recovered tumor even when the tumor is surrounded by the fibroglandular tissues compared with the typical two-composition-prior method or the standard Tikhonov regularization method.
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Affiliation(s)
- Sungho Yun
- Department of Nuclear and Quantum Engineering, KAIST, Daejeon 34141, Republic of Korea
| | - Yejin Kim
- Department of Nuclear and Quantum Engineering, KAIST, Daejeon 34141, Republic of Korea
| | - Hyeongseok Kim
- Department of Nuclear and Quantum Engineering, KAIST, Daejeon 34141, Republic of Korea
- KAIST Institute for Artificial Intelligence, KAIST, Daejeon 34141, Republic of Korea
| | - Seoyoung Lee
- Department of Nuclear and Quantum Engineering, KAIST, Daejeon 34141, Republic of Korea
| | - Uijin Jeong
- Department of Nuclear and Quantum Engineering, KAIST, Daejeon 34141, Republic of Korea
| | - Hoyeon Lee
- Department of Radiation and Oncology, MGH, Boston 02114, USA
| | - Young-wook Choi
- Korea Electrotechnology Research Institute, Ansan 15588, Republic of Korea
| | - Seungryong Cho
- Department of Nuclear and Quantum Engineering, KAIST, Daejeon 34141, Republic of Korea
- KAIST Institute for Artificial Intelligence, KAIST, Daejeon 34141, Republic of Korea
- KAIST Institutes for ITC and HST, KAIST, Daejeon 34141, Republic of Korea
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Algarawi M, Erkol H, Luk A, Ha S, Unlu MB, Gulsen G, Nouizi F. Multi-Wavelength Photo-Magnetic Imaging System for Photothermal Therapy Guidance. Lasers Surg Med 2021; 53:713-721. [PMID: 33169857 PMCID: PMC8107183 DOI: 10.1002/lsm.23350] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 09/24/2020] [Accepted: 10/26/2020] [Indexed: 11/09/2022]
Abstract
BACKGROUND AND OBJECTIVES In photothermal therapy, cancerous tissue is treated by the heat generated from absorbed light energy. For effective photothermal therapy, the parameters affecting the induced temperature should be determined before the treatment by modeling the increase in temperature via numerical simulations. However, accurate simulations can only be achieved when utilizing the accurate optical, thermal, and physiological properties of the treated tissue. Here, we propose a multi-wavelength photo-magnetic imaging (PMI) technique that provides quantitative and spatially resolved tissue optical absorption maps at any wavelength within the near-infrared (NIR) window to assist accurate photothermal therapy planning. STUDY DESIGN/MATERIALS AND METHODS The study was conducted using our recently developed multi-wavelength PMI system, which operates at four laser wavelengths (760, 808, 860, and 980 nm). An agar tissue-simulating phantom containing water, lipid, and ink was illuminated using these wavelengths, and the slight internal laser-induced temperature rise was measured using magnetic resonance thermometry (MRT). The phantom optical absorption was recovered at the used wavelengths using our dedicated PMI image reconstruction algorithm. These absorption maps were then used to resolve the concentration of the tissue chromophores, and thus deduce its optical absorption spectrum in the NIR region based on the Beer-Lambert law. RESULTS The optical absorption of the phantom was successfully recovered at the used four wavelengths with an average error of ~1.9%. The recovered absorption coefficient was then used to simulate temperature variations inside the phantom. A comparison between the modeled temperature maps and the MRT measured ones showed that these maps are in a good agreement with an average pseudo R2 statistic of 0.992. These absorption values were used to successfully recover the concentration of the used chromophores. Finally, these concentrations are used to accurately calculate the total absorption spectrum of the phantom in the NIR spectral window with an average error as low as ~2.3%. CONCLUSIONS Multi-wavelength PMI demonstrated a great ability to assess the distribution of tissue chromophores, thus providing its total absorption at any wavelength within the NIR spectral range. Therefore, applications of photothermal therapy applied at NIR wavelengths can benefit from the absorption spectrum recovered by PMI to determine important parameters such as laser power as well as the laser exposure time needed to attain a specific increase in temperature prior to treatment. Lasers Surg. Med. 00:00-00, 2020. © 2020 Wiley Periodicals LLC.
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Affiliation(s)
- Maha Algarawi
- Center for Functional Onco-Imaging, University of California Irvine, Irvine, California 92697, USA
- Department of Physics and Astronomy, University of California Irvine, Irvine, California 92697, USA
| | - Hakan Erkol
- Department of Physics, Bogazici University, Istanbul, 34342, Turkey
| | - Alex Luk
- Center for Functional Onco-Imaging, University of California Irvine, Irvine, California 92697, USA
| | - Seunghoon Ha
- Philips Healthcare, Pewaukee, Wisconsin 53072, USA
| | | | - Gultekin Gulsen
- Center for Functional Onco-Imaging, University of California Irvine, Irvine, California 92697, USA
- Department of Physics and Astronomy, University of California Irvine, Irvine, California 92697, USA
- Department of Radiological Sciences, University of California Irvine, Irvine, California 92697, USA
| | - Farouk Nouizi
- Center for Functional Onco-Imaging, University of California Irvine, Irvine, California 92697, USA
- Department of Radiological Sciences, University of California Irvine, Irvine, California 92697, USA
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Spink SS, Teng F, Pera V, Peterson HM, Cormier T, Sauer-Budge A, Chargin D, Brookfield S, Eggebrecht AT, Ko N, Roblyer D. High optode-density wearable diffuse optical probe for monitoring paced breathing hemodynamics in breast tissue. JOURNAL OF BIOMEDICAL OPTICS 2021; 26:JBO-200339SSR. [PMID: 34080400 PMCID: PMC8170390 DOI: 10.1117/1.jbo.26.6.062708] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 05/16/2021] [Indexed: 06/12/2023]
Abstract
SIGNIFICANCE Diffuse optical imaging (DOI) provides in vivo quantification of tissue chromophores such as oxy- and deoxyhemoglobin (HbO2 and HHb, respectively). These parameters have been shown to be useful for predicting neoadjuvant treatment response in breast cancer patients. However, most DOI devices designed for the breast are nonportable, making frequent longitudinal monitoring during treatment a challenge. Furthermore, hemodynamics related to the respiratory cycle are currently unexplored in the breast and may have prognostic value. AIM To design, fabricate, and validate a high optode-density wearable continuous wave diffuse optical probe for the monitoring of breathing hemodynamics in breast tissue. APPROACH The probe has a rigid-flex design with 16 dual-wavelength sources and 16 detectors. Performance was characterized on tissue-simulating phantoms, and validation was performed through flow phantom and cuff occlusion measurements. The breasts of N = 4 healthy volunteers were measured while performing a breathing protocol. RESULTS The probe has 512 unique source-detector (S-D) pairs that span S-D separations of 10 to 54 mm. It exhibited good performance characteristics: μa drift of 0.34%/h, μa precision of 0.063%, and mean SNR ≥ 24 dB up to 41 mm S-D separation. Absorption contrast was detected in flow phantoms at depths exceeding 28 mm. A cuff occlusion measurement confirmed the ability of the probe to track expected hemodynamics in vivo. Breast measurements on healthy volunteers during paced breathing revealed median signal-to-motion artifact ratios ranging from 8.1 to 8.7 dB. Median ΔHbO2 and ΔHHb amplitudes ranged from 0.39 to 0.67 μM and 0.08 to 0.12 μM, respectively. Median oxygen saturations at the respiratory rate ranged from 82% to 87%. CONCLUSIONS A wearable diffuse optical probe has been designed and fabricated for the measurement of breast tissue hemodynamics. This device is capable of quantifying breathing-related hemodynamics in healthy breast tissue.
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Affiliation(s)
- Samuel S. Spink
- Boston University, Department of Biomedical Engineering, Boston, Massachusetts, United States
| | - Fei Teng
- Boston University, Department of Electrical and Computer Engineering, Boston, Massachusetts, United States
| | - Vivian Pera
- Boston University, Department of Biomedical Engineering, Boston, Massachusetts, United States
| | - Hannah M. Peterson
- Boston University, Department of Biomedical Engineering, Boston, Massachusetts, United States
| | - Tim Cormier
- Boston University, Fraunhofer Center for Manufacturing Innovation, Boston, Massachusetts, United States
| | - Alexis Sauer-Budge
- Boston University, Fraunhofer Center for Manufacturing Innovation, Boston, Massachusetts, United States
| | - David Chargin
- Boston University, Fraunhofer Center for Manufacturing Innovation, Boston, Massachusetts, United States
| | - Sam Brookfield
- Boston University, Fraunhofer Center for Manufacturing Innovation, Boston, Massachusetts, United States
| | - Adam T. Eggebrecht
- Washington University, Department of Radiology, St. Louis, Missouri, United States
| | - Naomi Ko
- Boston Medical Center, Section of Hematology and Oncology, Women’s Health Unit, Boston, Massachusetts, United States
| | - Darren Roblyer
- Boston University, Department of Biomedical Engineering, Boston, Massachusetts, United States
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Vasudevan S, Campbell C, Liu F, O’Sullivan TD. Broadband diffuse optical spectroscopy of absolute methemoglobin concentration can distinguish benign and malignant breast lesions. JOURNAL OF BIOMEDICAL OPTICS 2021; 26:JBO-210073RR. [PMID: 34189876 PMCID: PMC8240868 DOI: 10.1117/1.jbo.26.6.065004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 06/15/2021] [Indexed: 06/13/2023]
Abstract
SIGNIFICANCE Noninvasive diffuse optical spectroscopy (DOS) is a promising adjunct diagnostic imaging technique for distinguishing benign and malignant breast lesions. Most DOS approaches require normalizing lesion biomarkers to healthy tissue since major tissue constituents exhibit large interpatient variations. However, absolute optical biomarkers are desirable as it avoids reference measurements which may be difficult or impractical to acquire. AIM Our goal is to determine whether absolute measurements of minor absorbers such as collagen and methemoglobin (metHb) can successfully distinguish lesions. We hypothesize that metHb would exhibit less interpatient variability and be more suitable as an absolute metric for malignancy. However, we would expect collagen to exhibit more variability, because unlike metHb, collagen is also present in the healthy tissue. APPROACH In this retrospective clinical study, 30 lesions with breast imaging reporting and database system score ( BIRADS ) > = 3 (12 benign and 18 malignant) measured with broadband quantitative DOS were analyzed for their oxyhemoglobin (HbO), deoxyhemoglobin (HHb), water, lipids, collagen, metHb concentrations, and optical scattering characteristics. Wilcoxon rank sum test was used to compare benign and malignant lesions for all variables in both normalized and absolute forms. RESULTS Among all absolute DOS parameters considered, only absolute metHb was observed to be significant for lesion discrimination (0.43 ± 0.18 μM for benign versus 0.87 ± 0.32 μM for malignant, p = 0.0002). Absolute metHb concentration was also determined to be the best predictor of malignancy with an area under the curve of 0.89. CONCLUSIONS Our findings demonstrate that lesion metHb concentration measured by DOS can improve noninvasive optical diagnosis of breast malignancies. Since metHb concentration found in normal breast tissue is extremely low, metHb may be a more direct indicator of malignancy that does not depend on other biomarkers found in healthy tissue with significant variability. Furthermore, absolute parameters require reduced measurement time and can be utilized in cases where healthy reference tissue is not available.
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Affiliation(s)
- Sandhya Vasudevan
- University of Notre Dame, Department of Electrical Engineering, Notre Dame, Indiana, United States
| | - Chris Campbell
- University of Notre Dame, Department of Electrical Engineering, Notre Dame, Indiana, United States
| | - Fang Liu
- University of Notre Dame, Department of Applied and Computational Mathematics and Statistics, Notre Dame, Indiana, United States
| | - Thomas D. O’Sullivan
- University of Notre Dame, Department of Electrical Engineering, Notre Dame, Indiana, United States
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12
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Lin L, Tong X, Hu P, Invernizzi M, Lai L, Wang LV. Photoacoustic Computed Tomography of Breast Cancer in Response to Neoadjuvant Chemotherapy. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2021; 8:2003396. [PMID: 33854889 PMCID: PMC8025032 DOI: 10.1002/advs.202003396] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 12/01/2020] [Indexed: 05/29/2023]
Abstract
Neoadjuvant chemotherapy (NAC) has contributed to improving breast cancer outcomes, and it would ideally reduce the need for definitive breast surgery in patients who have no residual cancer after NAC treatment. However, there is no reliable noninvasive imaging modality accepted as the routine method to assess response to NAC. Because of the inability to detect complete response, post-NAC surgery remains the standard of care. To overcome this limitation, a single-breath-hold photoacoustic computed tomography (SBH-PACT) system is developed to provide contrast similar to that of contrast-enhanced magnetic resonance imaging, but with much higher spatial and temporal resolution and without injection of contrast chemicals. SBH-PACT images breast cancer patients at three time points: before, during, and after NAC. The analysis of tumor size, blood vascular density, and irregularity in the distribution and morphology of the blood vessels on SBH-PACT accurately identifies response to NAC as confirmed by the histopathological diagnosis. SBH-PACT shows its near-term potential as a diagnostic tool for assessing breast cancer response to systemic treatment by noninvasively measuring the changes in cancer-associated angiogenesis. Further development of SBH-PACT may also enable serial imaging, rather than the use of current invasive biopsies, to diagnose and follow indeterminate breast lesions.
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Affiliation(s)
- Li Lin
- Caltech Optical Imaging LaboratoryAndrew and Peggy Cherng Department of Medical EngineeringCalifornia Institute of TechnologyPasadenaCA91125USA
| | - Xin Tong
- Caltech Optical Imaging LaboratoryAndrew and Peggy Cherng Department of Medical EngineeringCalifornia Institute of TechnologyPasadenaCA91125USA
| | - Peng Hu
- Caltech Optical Imaging LaboratoryAndrew and Peggy Cherng Department of Medical EngineeringCalifornia Institute of TechnologyPasadenaCA91125USA
| | - Marta Invernizzi
- Division of Surgical OncologyDepartment of SurgeryCity of Hope Comprehensive Cancer CenterDuarteCA91010USA
| | - Lily Lai
- Division of Surgical OncologyDepartment of SurgeryCity of Hope Comprehensive Cancer CenterDuarteCA91010USA
| | - Lihong V. Wang
- Caltech Optical Imaging LaboratoryAndrew and Peggy Cherng Department of Medical EngineeringCalifornia Institute of TechnologyPasadenaCA91125USA
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Wang M, Zhao L, Wei Y, Li J, Qi Z, Su N, Zhao C, Zhang R, Tang T, Liu S, Yang F, Zhu L, He X, Li C, Jiang Y, Yang M. Functional photoacoustic/ultrasound imaging for the assessment of breast intraductal lesions: preliminary clinical findings. BIOMEDICAL OPTICS EXPRESS 2021; 12:1236-1246. [PMID: 33796349 PMCID: PMC7984794 DOI: 10.1364/boe.411215] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 11/20/2020] [Accepted: 01/27/2021] [Indexed: 05/18/2023]
Abstract
This study aimed to identify features of breast intraductal lesions in photoacoustic/ultrasound (PA/US) imaging and compare PA/US with color Doppler flow/ultrasound (CDFI/US) in the evaluation of breast intraductal lesions. In the nine patients with 10 breast intraductal lesions and 8 patients with 8 benign lesions, total vessel scores evaluated from PA/US are significantly greater than those from CDFI/US (p=0.005). PA internal vessel scores and oxygen saturation (SO2) score are significantly increased in breast intraductal lesions than in benign lesions (p=0.016, p=0.006). With a cutoff PA score (sum of PA internal vessel score and SO2 score) of 2.5, we obtained a sensitivity of 90% and a specificity of 87.5% in differentiation of two groups. PA/US upgraded 40% of breast intraductal lesions, and downgraded 50% of benign lesions from the Breast Imaging Reporting and Data System grading results based on CDFI/US. PA/US functional imaging has the potential in differentiating breast intraductal lesions.
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Affiliation(s)
- Ming Wang
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Lingyi Zhao
- Department of Biomedical Engineering, College of Engineering, Peking University, Beijing, China
| | - Yao Wei
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Jianchu Li
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Zhenhong Qi
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Na Su
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Chenyang Zhao
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Rui Zhang
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Tianhong Tang
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
- Department of Ultrasound, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, China
| | - Sirui Liu
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Fang Yang
- Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Shenzhen, China
| | - Lei Zhu
- Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Shenzhen, China
| | - Xujin He
- Shenzhen Mindray Bio-Medical Electronics Co., Ltd., Shenzhen, China
| | - Changhui Li
- Department of Biomedical Engineering, College of Engineering, Peking University, Beijing, China
| | - Yuxin Jiang
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Meng Yang
- Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
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14
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Lin L, Hu P, Tong X, Na S, Cao R, Yuan X, Garrett DC, Shi J, Maslov K, Wang LV. High-speed three-dimensional photoacoustic computed tomography for preclinical research and clinical translation. Nat Commun 2021; 12:882. [PMID: 33563996 PMCID: PMC7873071 DOI: 10.1038/s41467-021-21232-1] [Citation(s) in RCA: 57] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 01/15/2021] [Indexed: 01/30/2023] Open
Abstract
Photoacoustic computed tomography (PACT) has generated increasing interest for uses in preclinical research and clinical translation. However, the imaging depth, speed, and quality of existing PACT systems have previously limited the potential applications of this technology. To overcome these issues, we developed a three-dimensional photoacoustic computed tomography (3D-PACT) system that features large imaging depth, scalable field of view with isotropic spatial resolution, high imaging speed, and superior image quality. 3D-PACT allows for multipurpose imaging to reveal detailed angiographic information in biological tissues ranging from the rodent brain to the human breast. In the rat brain, we visualize whole brain vasculatures and hemodynamics. In the human breast, an in vivo imaging depth of 4 cm is achieved by scanning the breast within a single breath hold of 10 s. Here, we introduce the 3D-PACT system to provide a unique tool for preclinical research and an appealing prototype for clinical translation.
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Affiliation(s)
- Li Lin
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
| | - Peng Hu
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
| | - Xin Tong
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
| | - Shuai Na
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
| | - Rui Cao
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
| | - Xiaoyun Yuan
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA ,grid.12527.330000 0001 0662 3178Present Address: Department of Electronic Engineering, Tsinghua University, Haidian District, Beijing, China
| | - David C. Garrett
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
| | - Junhui Shi
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA ,Present Address: Zhejiang Lab, China Artificial Intelligence Town, Hangzhou Zhejiang, China
| | - Konstantin Maslov
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
| | - Lihong V. Wang
- grid.20861.3d0000000107068890Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA USA
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15
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Thomas A, Paul S, Mitra J, Singh MS. Enhancement of Photoacoustic Signal Strength with Continuous Wave Optical Pre-Illumination: A Non-Invasive Technique. SENSORS (BASEL, SWITZERLAND) 2021; 21:1190. [PMID: 33567650 PMCID: PMC7914629 DOI: 10.3390/s21041190] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/25/2020] [Revised: 01/22/2021] [Accepted: 01/23/2021] [Indexed: 11/16/2022]
Abstract
Use of portable and affordable pulse light sources (light emitting diodes (LED) and laser diodes) for tissue illumination offers an opportunity to accelerate the clinical translation of photoacoustic imaging (PAI) technology. However, imaging depth in this case is limited because of low output (optical) power of these light sources. In this work, we developed a noninvasive technique for enhancing strength (amplitude) of photoacoustic (PA) signal. This is a photothermal-based technique in which a continuous wave (CW) optical beam, in addition to short-pulse ~ nsec laser beam, is employed to irradiate and, thus, raise the temperature of sample material selectively over a pre-specified region of interest (we call the process as pre-illumination). The increase in temperature, in turn enhances the PA-signal strength. Experiments were conducted in methylene blue, which is one of the commonly used contrast agents in laboratory research studies, to validate change in temperature and subsequent enhancement of PA-signal strength for the following cases: (1) concentration or optical absorption coefficient of sample, (2) optical power of CW-optical beam, and (3) time duration of pre-illumination. A theoretical hypothesis, being validated by numerical simulation, is presented. To validate the proposed technique for clinical and/or pre-clinical applications (diagnosis and treatments of cancer, pressure ulcers, and minimally invasive procedures including vascular access and fetal surgery), experiments were conducted in tissue-mimicking Agar phantom and ex-vivo animal tissue (chicken breast). Results demonstrate that pre-illumination significantly enhances PA-signal strength (up to ~70% (methylene blue), ~48% (Agar phantom), and ~40% (chicken tissue)). The proposed technique addresses one of the primary challenges in the clinical translation of LED-based PAI systems (more specifically, to obtain a detectable PA-signal from deep-seated tissue targets).
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Affiliation(s)
- Anjali Thomas
- Biomedical Instrumentation and Imaging Laboratory (BIIL), School of Physics (SoP), Indian Institute of Science Education and Research Thiruvananthapuram (IISER-TVM), Thiruvananthapuram 695551, India; (A.T.); (S.P.)
| | - Souradip Paul
- Biomedical Instrumentation and Imaging Laboratory (BIIL), School of Physics (SoP), Indian Institute of Science Education and Research Thiruvananthapuram (IISER-TVM), Thiruvananthapuram 695551, India; (A.T.); (S.P.)
| | - Joy Mitra
- Scanning Probe Microscopy and Plasmonics Lab, School of Physics (SoP), Indian Institute of Science Education and Research Thiruvananthapuram (IISER-TVM), Thiruvananthapuram 695551, India;
| | - Mayanglambam Suheshkumar Singh
- Biomedical Instrumentation and Imaging Laboratory (BIIL), School of Physics (SoP), Indian Institute of Science Education and Research Thiruvananthapuram (IISER-TVM), Thiruvananthapuram 695551, India; (A.T.); (S.P.)
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16
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Cochran JM, Leproux A, Busch DR, O’Sullivan TD, Yang W, Mehta RS, Police AM, Tromberg BJ, Yodh AG. Breast cancer differential diagnosis using diffuse optical spectroscopic imaging and regression with z-score normalized data. JOURNAL OF BIOMEDICAL OPTICS 2021; 26:JBO-200331RR. [PMID: 33624457 PMCID: PMC7901858 DOI: 10.1117/1.jbo.26.2.026004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Accepted: 01/22/2021] [Indexed: 06/12/2023]
Abstract
SIGNIFICANCE Current imaging paradigms for differential diagnosis of suspicious breast lesions suffer from high false positive rates that force patients to undergo unnecessary biopsies. Diffuse optical spectroscopic imaging (DOSI) noninvasively probes functional hemodynamic and compositional parameters in deep tissue and has been shown to be sensitive to contrast between normal and malignant tissues. AIM DOSI methods are under investigation as an adjunct to mammography and ultrasound that could reduce false positive rates and unnecessary biopsies, particularly in radiographically dense breasts. METHODS We performed a retrospective analysis of 212 subjects with suspicious breast lesions who underwent DOSI imaging. Physiological tissue parameters were z-score normalized to the patient's contralateral breast tissue and input to univariate logistic regression models to discriminate between malignant tumors and the surrounding normal tissue. The models were then used to differentiate malignant lesions from benign lesions. RESULTS Models incorporating several individual hemodynamic parameters were able to accurately distinguish malignant tumors from both the surrounding background tissue and benign lesions with area under the curve (AUC) ≥0.85. Z-score normalization improved the discriminatory ability and calibration of these predictive models relative to unnormalized or ratio-normalized data. CONCLUSIONS Findings from a large subject population study show how DOSI data normalization that accounts for normal tissue heterogeneity and quantitative statistical regression approaches can be combined to improve the ability of DOSI to diagnose malignant lesions. This improved diagnostic accuracy, combined with the modality's inherent logistical advantages of portability, low cost, and nonionizing radiation, could position DOSI as an effective adjunct modality that could be used to reduce the number of unnecessary invasive biopsies.
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Affiliation(s)
- Jeffrey M. Cochran
- University of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania, United States
| | - Anais Leproux
- University of California Irvine, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - David R. Busch
- University of Texas Southwestern Medical Center, Departments of Anesthesiology and Pain Management & Neurology and Neurotherapeutics, Dallas, Texas, United States
| | - Thomas D. O’Sullivan
- University of Notre Dame, Department of Electrical Engineering, Notre Dame, Indiana, United States
| | - Wei Yang
- University of Texas MD Anderson Cancer Center, Department of Diagnostic Radiology, Houston, Texas, United States
| | - Rita S. Mehta
- University of California Irvine, Department of Medicine, Irvine, California, United States
| | - Alice M. Police
- Northwell Health Breast Care Centers, Sleepy Hollow, New York, United States
| | - Bruce J. Tromberg
- University of California Irvine, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
- National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, Maryland, United States
| | - Arjun G. Yodh
- University of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania, United States
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17
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Lin L, Wang LV. Photoacoustic Imaging. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2021; 3233:147-175. [PMID: 34053027 DOI: 10.1007/978-981-15-7627-0_8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Photoacoustic imaging (PAI) is an emerging imaging modality that shows great potential for preclinical research and clinical practice. As a hybrid technique, PAI uniquely combines the advantages of optical excitation and of acoustic detection. Optical excitation provides a rich contrast mechanism from either endogenous or exogenous chromophores, allowing PAI to perform biochemical, functional, and molecular imaging. Acoustic detection benefits from the low scattering of ultrasound in biological tissue, enabling PAI to generate high-resolution images in both the optical ballistic and diffusive regimes. Accordingly, this hybrid imaging modality features high sensitivity to optical absorption and wide scalability of spatial resolution with the desired imaging depth. Over the past two decades, the photoacoustic technique has led to a variety of exciting discoveries and applications from laboratory research to clinical patient care. In biological research, PAI has become an irreplaceable tool, providing functional optical contrast with high spatiotemporal resolution. Translational PAI also attracted growing interest in clinical applications including tumor margin examination, internal organ imaging, breast cancer screening, and sentinel lymph node mapping, among others.
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Affiliation(s)
- Li Lin
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA, USA
| | - Lihong V Wang
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, Pasadena, CA, USA. .,Caltech Optical Imaging Laboratory, Department of Electrical Engineering, California Institute of Technology, Pasadena, CA, USA.
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18
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Batool S, Nisar M, Mangini F, Frezza F, Fazio E. Scattering of Light from the Systemic Circulatory System. Diagnostics (Basel) 2020; 10:E1026. [PMID: 33266018 PMCID: PMC7760138 DOI: 10.3390/diagnostics10121026] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 11/21/2020] [Accepted: 11/23/2020] [Indexed: 11/16/2022] Open
Abstract
There are many factors of methodological origin that influence the measurement of optical properties of the entire circulatory system which consists of blood as the basic component. The basic idea of this review article is to provide the optical properties of the circulatory system with all those factors of influence that have been employed in biomedical optics for different applications. We begin with the available optical properties, i.e., absorption, scattering and, reduced scattering coefficient, in general for any tissue inside the human body and prominent scattering theories (e.g., light, X-rays, neutrons) that are helpful in this regard. We have reviewed and compiled already available formulas and their respective available data for different human tissues for these optical properties. Then we have descended to the blood composition and to different scattering techniques available in the literature to study scattering and light propagation inside blood. We have reviewed both computational and theoretical scattering techniques.
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Affiliation(s)
- Sidra Batool
- Department of Information Engineering, Electronics and Telecommunications, Sapienza University of Rome, Via Eudossiana 18, 00184 Rome, Italy; (M.N.); (F.F.)
| | - Mehwish Nisar
- Department of Information Engineering, Electronics and Telecommunications, Sapienza University of Rome, Via Eudossiana 18, 00184 Rome, Italy; (M.N.); (F.F.)
- Department of Fundamental and Applied Sciences for Engineering, Sapienza University of Rome, Via A. Scarpa 16, 00161 Rome, Italy;
| | - Fabio Mangini
- Department of Information Engineering, University of Brescia, Via Branze 59, 25123 Brescia, Italy;
| | - Fabrizio Frezza
- Department of Information Engineering, Electronics and Telecommunications, Sapienza University of Rome, Via Eudossiana 18, 00184 Rome, Italy; (M.N.); (F.F.)
| | - Eugenio Fazio
- Department of Fundamental and Applied Sciences for Engineering, Sapienza University of Rome, Via A. Scarpa 16, 00161 Rome, Italy;
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Rehman AU, Ahmad I, Qureshi SA. Biomedical Applications of Integrating Sphere: A Review. Photodiagnosis Photodyn Ther 2020; 31:101712. [DOI: 10.1016/j.pdpdt.2020.101712] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 02/05/2020] [Accepted: 03/02/2020] [Indexed: 10/24/2022]
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Han M, Choi W, Ahn J, Ryu H, Seo Y, Kim C. In Vivo Dual-Modal Photoacoustic and Ultrasound Imaging of Sentinel Lymph Nodes Using a Solid-State Dye Laser System. SENSORS 2020; 20:s20133714. [PMID: 32630827 PMCID: PMC7374351 DOI: 10.3390/s20133714] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 06/27/2020] [Accepted: 07/01/2020] [Indexed: 12/22/2022]
Abstract
Photoacoustic imaging (PAI) is being actively investigated as a non-invasive and non-radioactive imaging technique for sentinel lymph node (SLN) biopsy. By taking advantage of optical and ultrasound imaging, PAI probes SLNs non-invasively with methylene blue (MB) in both live animals and breast cancer patients. However, these PAI systems have limitations for widespread use in clinics and commercial marketplaces because the lasers used by the PAI systems, e.g., tunable liquid dye laser systems and optical parametric oscillator (OPO) lasers, are bulky in size, not economical, and use risky flammable and toxic liquid dyes. To overcome these limitations, we are proposing a novel dual-modal photoacoustic and ultrasound imaging system based on a solid-state dye laser (SD-PAUSI), which is compact, convenient, and carries far less risk of flammability and toxicity. Using a solid-state dye handpiece that generates 650-nm wavelength, we successfully imaged the MB tube positioned deeply (~3.9 cm) in chicken breast tissue. The SLNs were also photoacoustically detected in the in vivo rats beneath a 2.2-cm-thick layer of chicken breast, which is deeper than the typical depth of SLNs in humans (1.2 ± 0.5 cm). Furthermore, we showed the multispectral capability of the PAI by switching the dye handpiece, in which the MB-dyed SLN was selectively highlighted from the surrounding vasculature. These results demonstrated the great potential of the SD-PAUSI as an easy but effective modality for SLN detection.
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Affiliation(s)
- Moongyu Han
- Department of Electrical Engineering, Creative IT Engineering and Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang 37673, Korea; (M.H.); (W.C.); (J.A.)
| | - Wonseok Choi
- Department of Electrical Engineering, Creative IT Engineering and Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang 37673, Korea; (M.H.); (W.C.); (J.A.)
| | - Joongho Ahn
- Department of Electrical Engineering, Creative IT Engineering and Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang 37673, Korea; (M.H.); (W.C.); (J.A.)
| | - Hanyoung Ryu
- R&D Center, Wontech Co. Ltd., Daejeon 34028, Korea; (H.R.); (Y.S.)
| | - Youngseok Seo
- R&D Center, Wontech Co. Ltd., Daejeon 34028, Korea; (H.R.); (Y.S.)
| | - Chulhong Kim
- Department of Electrical Engineering, Creative IT Engineering and Mechanical Engineering, Pohang University of Science and Technology (POSTECH), Pohang 37673, Korea; (M.H.); (W.C.); (J.A.)
- Correspondence: ; Tel.: +82-54-279-8805
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21
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Quantitative analysis of breast tumours aided by three-dimensional photoacoustic/ultrasound functional imaging. Sci Rep 2020; 10:8047. [PMID: 32415203 PMCID: PMC7229157 DOI: 10.1038/s41598-020-64966-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 04/27/2020] [Indexed: 12/11/2022] Open
Abstract
In this pilot study, we explored a quantitative method to analyse characteristics of breast tumours using 3D volumetric data obtained from a three-dimensional (3D) photoacoustic/ultrasound (PA/US) functional imaging system. Imaging results from 24 Asian patients with maximum tumour diameters less than 2 cm, including 8 benign tumours, 16 T1 stage invasive breast cancers (IBCs), and 22 normal breasts, were analysed. We found that the volumetric mean oxygenation saturation (SO2) in tumour regions of T1 stage IBCs was 7.7% lower than that of benign tumours (P = 0.016) and 3.9% lower than that of healthy breasts (P = 0.010). The volumetric mean SO2 in tumour surrounding regions of T1 stage IBCs was 4.9% lower than that of benign tumours (P = 0.009). For differentiating T1 stage IBCs and benign tumours, with a cut-off SO2 value of 78.2% inside tumours, we obtained a sensitivity of 100%, a specificity of 62.5%, and an AUC of 0.81; with a cut-off SO2 value of 77.9% in regions surrounding tumours, we obtained a sensitivity of 100%, a specificity of 75% and an AUC of 0.84. Our preliminary results demonstrate that 3D PA/US functional imaging has the potential to provide valuable quantitative physiological information that may be useful for the detection and evaluation of breast tumours.
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Hachadorian RL, Bruza P, Jermyn M, Gladstone DJ, Pogue BW, Jarvis LA. Imaging radiation dose in breast radiotherapy by X-ray CT calibration of Cherenkov light. Nat Commun 2020; 11:2298. [PMID: 32385233 PMCID: PMC7210272 DOI: 10.1038/s41467-020-16031-z] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Accepted: 03/31/2020] [Indexed: 01/01/2023] Open
Abstract
Imaging Cherenkov emission during radiation therapy cancer treatments can provide a real-time, non-contact sampling of the entire dose field. The emitted Cherenkov signal generated is proportional to deposited dose, however, it is affected by attenuation from the intrinsic tissue optical properties of the patient, which in breast, ranges from primarily adipose to fibroglandular tissue. Patients being treated with whole-breast X-ray radiotherapy (n = 13) were imaged for 108 total fractions, to establish correction factors from the linear relationships between Cherenkov light and CT number (HU). This study elucidates this relationship in vivo, and a correction factor approach is used to scale each image to improve the linear correlation between Cherenkov emission intensity and dose ([Formula: see text]). This study provides a major step towards direct quantitative radiation dose imaging in humans by utilizing non-contact camera sensing of Cherenkov emission during the radiation therapy treatment.
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Affiliation(s)
- R L Hachadorian
- Thayer School of Engineering, Dartmouth College, 14 Engineering Dr., Hanover, NH, 03755, USA
| | - P Bruza
- Thayer School of Engineering, Dartmouth College, 14 Engineering Dr., Hanover, NH, 03755, USA
| | - M Jermyn
- Thayer School of Engineering, Dartmouth College, 14 Engineering Dr., Hanover, NH, 03755, USA
- DoseOptics LLC, 16 Cavendish Ct., Lebanon, NH, 03766, USA
| | - D J Gladstone
- Thayer School of Engineering, Dartmouth College, 14 Engineering Dr., Hanover, NH, 03755, USA
- Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH, 03755, USA
- Norris Cotton Cancer Center at Dartmouth Hitchcock Medical Center, 1 Medical Center Dr., Lebanon, NH, 03756, USA
| | - B W Pogue
- Thayer School of Engineering, Dartmouth College, 14 Engineering Dr., Hanover, NH, 03755, USA
- DoseOptics LLC, 16 Cavendish Ct., Lebanon, NH, 03766, USA
- Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH, 03755, USA
- Norris Cotton Cancer Center at Dartmouth Hitchcock Medical Center, 1 Medical Center Dr., Lebanon, NH, 03756, USA
| | - L A Jarvis
- Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH, 03755, USA.
- Norris Cotton Cancer Center at Dartmouth Hitchcock Medical Center, 1 Medical Center Dr., Lebanon, NH, 03756, USA.
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23
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Shokoufi M, Haeri Z, Lim ZY, Ramaseshan R, Golnaraghi F. Translation of a portable diffuse optical breast scanner probe for clinical application: a preliminary study. Biomed Phys Eng Express 2020; 6:015037. [PMID: 33438625 DOI: 10.1088/2057-1976/ab6e19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Most breast cancer lesions absorb higher levels of near-infrared (NIR) radiation compared to healthy breast tissue due to its increased vascularity. Oxy-hemoglobin (HbO2) and deoxy-hemoglobin (Hb) primarily found in cancerous vascular lesions, absorbs higher levels of radiation in the 650 nm to 850 nm wavelength range than the surrounding fatty tissue and water in the human breast. NIR diffuse optical spectroscopy (DOS) provides real-time functional and compositional information based on the optical properties of biological tissues, which cannot be accomplished by other portable breast imaging modalities. Here we present the first set of clinical trials using a non-invasive, hand-held diffuse optical breast scanner (DOB-Scan probe3) to capture in vivo cross-sectional images of the breast. The scanner uses four NIR illuminating sources with different wavelengths, 690 nm, 750 nm, 800 nm, and 850 nm, to determine the concentrations of the four main constituents of breast tissue, oxy-hemoglobin (HbO2), deoxy-hemoglobin (Hb), water (H2O), and fat. In this paper, we briefly explain the hardware design and image reconstruction algorithm of the DOB-Scan probe, the data collection process, and the imaging results of four different participants, selected from twenty, all who are diagnosed with breast cancer. For each patient, images were scanned from two locations, the first over the cancerous lesion and the second over the same region on the contralateral healthy breast, as a means of establishing controls for comparison. During each scan, four cross-sectional images of the breast, corresponding to four different NIR wavelengths, are reconstructed and displayed on a user interface for reference. Clinical results confirm that the absorption coefficients of cancerous lesions are significantly higher than the normal surrounding tissue. We propose to deploy the probe to effectively identify cancerous breast tissue at an early stage in a primary care setting, which could increase the efficiency of screening programs.
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Affiliation(s)
- Majid Shokoufi
- School of Mechatronic Systems Engineering, Simon Fraser University, 250-13450 102 Avenue, Surrey, BC, V3T 0A3, Canada
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24
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Yuan Y, Cassano P, Pias M, Fang Q. Transcranial photobiomodulation with near-infrared light from childhood to elderliness: simulation of dosimetry. NEUROPHOTONICS 2020; 7:015009. [PMID: 32118086 PMCID: PMC7039173 DOI: 10.1117/1.nph.7.1.015009] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2019] [Accepted: 02/05/2020] [Indexed: 05/15/2023]
Abstract
Significance: Major depressive disorder (MDD) affects over 40 million U.S. adults in their lifetime. Transcranial photobiomodulation (t-PBM) has been shown to be effective in treating MDD, but the current treatment dosage does not account for head and brain anatomical changes due to aging. Aim: We study effective t-PBM dosage and its variations across age groups using state-of-the-art Monte Carlo simulations and age-dependent brain atlases ranging between 5 and 85 years of age. Approach: Age-dependent brain models are derived from 18 MRI brain atlases. Two extracranial source positions, F3-F4 and Fp1-Fpz-Fp2 in the EEG 10-20 system, are simulated at five selected wavelengths and energy depositions at two MDD-relevant cortical regions-dorsolateral prefrontal cortex (dlPFC) and ventromedial prefrontal cortex (vmPFC)-are quantified. Results: An overall decrease of energy deposition was found with increasing age. A strong negative correlation between the thickness of extracerebral tissues (ECT) and energy deposition was observed, suggesting that increasing ECT thickness over age is primarily responsible for reduced energy delivery. The F3-F4 position appears to be more efficient in reaching dlPFC compared to treating vmPFC via the Fp1-Fpz-Fp2 position. Conclusions: Quantitative simulations revealed age-dependent light delivery across the lifespan of human brains, suggesting the need for personalized and age-adaptive t-PBM treatment planning.
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Affiliation(s)
- Yaoshen Yuan
- Northeastern University, Department of Electrical and Computer Engineering, Boston, Massachusetts, United States
| | - Paolo Cassano
- Massachusetts General Hospital, Depression Clinical and Research Program, Center for Anxiety and Traumatic Stress Disorders, Boston, Massachusetts, United States
- Harvard Medical School, Department of Psychiatry, Boston, Massachusetts, United States
| | - Matthew Pias
- Northeastern University, Department of Bioengineering, Boston, Massachusetts, United States
| | - Qianqian Fang
- Northeastern University, Department of Electrical and Computer Engineering, Boston, Massachusetts, United States
- Northeastern University, Department of Bioengineering, Boston, Massachusetts, United States
- Address all correspondence to Qianqian Fang, E-mail:
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25
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Broadband Time Domain Diffuse Optical Reflectance Spectroscopy: A Review of Systems, Methods, and Applications. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9245465] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
This review presents recent developments and a wide overview of broadband time domain diffuse optical spectroscopy (TD-DOS). Various topics including physics of photon migration, advanced instrumentation, methods of analysis, applications covering multiple domains (tissue chromophore, in vivo studies, food, wood, pharmaceutical industry) are elaborated. The key role of standardization and recent studies in that direction are discussed. Towards the end, a brief outlook is presented on the current status and future trends in broadband TD-DOS.
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26
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Mahmoodkalayeh S, Ansari MA, Tuchin VV. Head model based on the shape of the subject's head for optical brain imaging. BIOMEDICAL OPTICS EXPRESS 2019; 10:2795-2808. [PMID: 31259052 PMCID: PMC6583357 DOI: 10.1364/boe.10.002795] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 04/24/2019] [Accepted: 05/09/2019] [Indexed: 05/05/2023]
Abstract
Optical imaging methods such as near-infrared spectroscopy and diffuse optical tomography rely on models to solve the inverse problem. Imaging an adult human head also requires a head model. Using a model, which makes describing the structure of the head better, leads to acquiring a more accurate absorption map. Here, by combining the key features of layered slab models and head atlases, we introduce a new two-layered head model that is based on the surface geometry of the subject's head with variable thickness of the superficial layer. Using the Monte Carlo approach, we assess the performance of our model for fitting the optical properties from simulated time-resolved data of the adult head in a null distance source-detector configuration. Using our model, we observed improved results at 70 percent of the locations on the head and an overall 20 percent reduction in relative error compared to layered slab model.
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Affiliation(s)
- Sadreddin Mahmoodkalayeh
- Department of Physics, Shahid Beheshti University, Velenjak, Tehran, Iran
- Laser and Plasma Research Institute, Shahid Beheshti University, 1983969411, Tehran, Iran
| | - Mohammad Ali Ansari
- Laser and Plasma Research Institute, Shahid Beheshti University, 1983969411, Tehran, Iran
| | - Valery V. Tuchin
- Research-Educational Institute of Optics and Biophotonics, Saratov State University, Saratov, Russia
- Interdisciplinary Laboratory of Biophotonics, Tomsk State University, Tomsk, Russia
- Laboratory of Laser Diagnostics of Technical and Living Systems, Institute of Precision Mechanics and Control of the Russian Academy of Sciences, Saratov, Russia
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27
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Bosschaart N, Leproux A, Abdalsalam O, Chen WP, McLaren CE, Tromberg BJ, O'Sullivan TD. Diffuse optical spectroscopic imaging for the investigation of human lactation physiology: a case study on mammary involution. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-8. [PMID: 31124346 PMCID: PMC6532824 DOI: 10.1117/1.jbo.24.5.056006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Accepted: 05/03/2019] [Indexed: 05/03/2023]
Abstract
Relatively few imaging and sensing technologies are employed to study human lactation physiology. In particular, human mammary development during pregnancy as well as mammary involution after lactation have been poorly described, despite their importance for breast cancer diagnosis and treatment during these phases. Our case study shows the potential of diffuse optical spectroscopic imaging (DOSI) to uniquely study the spatiotemporal changes in mammary tissue composition during the involution of the lactating breast toward its pre-pregnant state. At nine time intervals over a period of eight months after the cessation of breastfeeding, we reconstructed 2-D maps of mammary water content, lipid content, total hemoglobin (THb) concentration, oxygen saturation (StO2), and tissue optical scattering. Mammary lipid content in the nonareolar region showed a significant relative increase of 59%, whereas water content and THb concentration showed a significant relative decrease of 50% and 48%, respectively. Significant changes were also found in StO2 and tissue optical scattering. Our findings are consistent with the gradual replacement of fibroglandular tissue by adipose tissue and vascular regression during mammary involution. Moreover, our data provide unique insight into the dynamics of breast tissue composition and demonstrate the effectiveness of DOSI as a technique to study human lactation physiology.
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Affiliation(s)
- Nienke Bosschaart
- University of Twente, Technical Medical Center, Biomedical Photonic Imaging Group, Enschede, The Netherlands
| | - Anaïs Leproux
- University of California Irvine, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Ola Abdalsalam
- University of Notre Dame, Department of Electrical Engineering, Notre Dame, Indiana, United States
| | - Wen-Pin Chen
- University of California Irvine, Chao Family Comprehensive Cancer Center, Orange, California, United States
| | - Christine E. McLaren
- University of California Irvine, Department of Epidemiology, Irvine, California, United States
| | - Bruce J. Tromberg
- University of California Irvine, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Thomas D. O'Sullivan
- University of Notre Dame, Department of Electrical Engineering, Notre Dame, Indiana, United States
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28
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Detection and Differentiation of Breast Cancer Sub-Types using a cPLA2α Activatable Fluorophore. Sci Rep 2019; 9:6122. [PMID: 30992473 PMCID: PMC6467920 DOI: 10.1038/s41598-019-41626-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2018] [Accepted: 02/01/2019] [Indexed: 12/26/2022] Open
Abstract
Cytosolic phospholipase A2α (cPLA2α) has been shown to be elevated in breast cancer and is a potential biomarker in the differentiation of molecular sub-types. Using a cPLA2α activatable fluorophore, DDAO arachidonate, we explore its ability to function as a contrast agent in fluorescence-guided surgery. In cell lines ranging in cPLA2α expression and representing varying breast cancer sub-types, we show DDAO arachidonate activates with a high correlation to cPLA2α expression level. Using a control probe, DDAO palmitate, in addition to cPLA2α inhibition and genetic knockdown, we show that this activation is a result of cPLA2α activity. In mouse models, using an ex vivo tumor painting technique, we show that DDAO arachidonate activates to a high degree in basal-like versus luminal-like breast tumors and healthy mammary tissue. Finally, we show that using an in vivo model, orthotopic basal-like tumors give significantly high probe activation compared to healthy mammary fat pads and surrounding tissue. Together we conclude that cPLA2α activatable fluorophores such as DDAO arachidonate may serve as a useful contrast agent for the visualization of tumor margins in the fluorescence-guided surgery of basal-like breast cancer.
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29
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Behera A, Di Sieno L, Pifferi A, Martelli F, Mora AD. Instrumental, optical and geometrical parameters affecting time-gated diffuse optical measurements: a systematic study. BIOMEDICAL OPTICS EXPRESS 2018; 9:5524-5542. [PMID: 30460145 PMCID: PMC6238916 DOI: 10.1364/boe.9.005524] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Revised: 08/23/2018] [Accepted: 09/09/2018] [Indexed: 05/23/2023]
Abstract
In time-domain diffuse optics the sensitivity to localized absorption changes buried inside a diffusive medium depends strongly on the interplay between instrumental, optical and geometrical parameters, which can hinder the theoretical advantages of novel measurement strategies like the short source-detector distance approach. Here, we present a study based on experimental measurements and simulations to comprehensively evaluate the effect of all different parameters. Results are evaluated exploiting standardized figures of merit, like contrast and contrast-to-noise ratio, to quantify the system sensitivity to deep localized absorption perturbations. Key findings show that the most critical hardware parameter is the memory effect which ultimately limits the dynamic range. Further, a choice of the source-detector distance around 10 mm seems to be a good compromise to compensate non-idealities in practical systems still preserving the advantages of short distances. This work provides both indications for users about the best measurement conditions and strategies, and for technology developers to identify the most crucial hardware features in view of next generation diffuse optics systems.
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Affiliation(s)
- Anurag Behera
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Laura Di Sieno
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
- Consiglio Nazionale delle Ricerche, Istituto di Fotonica e Nanotecnologie, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Fabrizio Martelli
- Università degli Studi di Firenze, Dipartimento di Fisica e Astronomia, Via G. Sansone 1, 50019 Sesto Fiorentino, Firenze, Italy
| | - Alberto Dalla Mora
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
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30
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Tan JWY, Lee CH, Kopelman R, Wang X. Transient Triplet Differential (TTD) Method for Background Free Photoacoustic Imaging. Sci Rep 2018; 8:9290. [PMID: 29915177 PMCID: PMC6006254 DOI: 10.1038/s41598-018-27578-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Accepted: 06/01/2018] [Indexed: 12/21/2022] Open
Abstract
With the capability of presenting endogenous tissue contrast or exogenous contrast agents in deep biological samples at high spatial resolution, photoacoustic (PA) imaging has shown significant potential for many preclinical and clinical applications. However, due to strong background signals from various intrinsic chromophores in biological tissue, such as hemoglobin, achieving highly sensitive PA imaging of targeting probes labeled by contrast agents has remained a challenge. In this study, we introduce a novel technique called transient triplet differential (TTD) imaging which allows for substantial reduction of tissue background signals. TTD imaging detects directly the triplet state absorption, which is a special characteristic of phosphorescence capable dyes not normally present among intrinsic chromophores of biological tissue. Thus, these triplet state absorption PA images can facilitate "true" background free molecular imaging. We prepared a known phosphorescent dye probe, methylene blue conjugated polyacrylamide nanoparticles, with peak absorption at 660 nm and peak lowest triplet state absorption at 840 nm. We find, through studies on phantoms and on an in vivo tumor model, that TTD imaging can generate a superior contrast-to-noise ratio, compared to other image enhancement techniques, through the removal of noise generated by strongly absorbing intrinsic chromophores, regardless of their identity.
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Affiliation(s)
- Joel W Y Tan
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, 48109, USA
| | - Chang H Lee
- Department of Chemistry, University of Michigan, Ann Arbor, Michigan, 48109, USA
| | - Raoul Kopelman
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, 48109, USA. .,Department of Chemistry, University of Michigan, Ann Arbor, Michigan, 48109, USA.
| | - Xueding Wang
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, 48109, USA. .,Department of Radiology, University of Michigan Medical School, Ann Arbor, Michigan, 48109, USA.
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31
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Lin L, Hu P, Shi J, Appleton CM, Maslov K, Li L, Zhang R, Wang LV. Single-breath-hold photoacoustic computed tomography of the breast. Nat Commun 2018; 9:2352. [PMID: 29907740 PMCID: PMC6003984 DOI: 10.1038/s41467-018-04576-z] [Citation(s) in RCA: 224] [Impact Index Per Article: 37.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 04/19/2018] [Indexed: 12/22/2022] Open
Abstract
We have developed a single-breath-hold photoacoustic computed tomography (SBH-PACT) system to reveal detailed angiographic structures in human breasts. SBH-PACT features a deep penetration depth (4 cm in vivo) with high spatial and temporal resolutions (255 µm in-plane resolution and a 10 Hz 2D frame rate). By scanning the entire breast within a single breath hold (~15 s), a volumetric image can be acquired and subsequently reconstructed utilizing 3D back-projection with negligible breathing-induced motion artifacts. SBH-PACT clearly reveals tumors by observing higher blood vessel densities associated with tumors at high spatial resolution, showing early promise for high sensitivity in radiographically dense breasts. In addition to blood vessel imaging, the high imaging speed enables dynamic studies, such as photoacoustic elastography, which identifies tumors by showing less compliance. We imaged breast cancer patients with breast sizes ranging from B cup to DD cup, and skin pigmentations ranging from light to dark. SBH-PACT identified all the tumors without resorting to ionizing radiation or exogenous contrast, posing no health risks.
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Affiliation(s)
- Li Lin
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA, 91125, USA.,Department of Biomedical Engineering, Washington University in St. Louis, One Brookings Dr., St. Louis, MO, 63130, USA
| | - Peng Hu
- Department of Biomedical Engineering, Washington University in St. Louis, One Brookings Dr., St. Louis, MO, 63130, USA
| | - Junhui Shi
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA, 91125, USA
| | - Catherine M Appleton
- Breast Imaging Section, Washington University School of Medicine in St. Louis, 510 South Kingshighway Blvd, St. Louis, MO, 63108, USA
| | - Konstantin Maslov
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA, 91125, USA
| | - Lei Li
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA, 91125, USA.,Caltech Optical Imaging Laboratory, Department of Electrical Engineering, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA, 91125, USA
| | - Ruiying Zhang
- Department of Biomedical Engineering, Washington University in St. Louis, One Brookings Dr., St. Louis, MO, 63130, USA
| | - Lihong V Wang
- Caltech Optical Imaging Laboratory, Andrew and Peggy Cherng Department of Medical Engineering, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA, 91125, USA. .,Caltech Optical Imaging Laboratory, Department of Electrical Engineering, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA, 91125, USA.
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32
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Petrosyan T, Theodorou M, Bamber J, Frenz M, Jaeger M. Rapid scanning wide-field clutter elimination in epi-optoacoustic imaging using comb LOVIT. PHOTOACOUSTICS 2018; 10:20-30. [PMID: 29755937 PMCID: PMC5945922 DOI: 10.1016/j.pacs.2018.02.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Revised: 12/22/2017] [Accepted: 02/13/2018] [Indexed: 05/07/2023]
Abstract
Epi-style optoacoustic (OA) imaging provides flexibility by integrating the irradiation optics and ultrasound receiver, yet clutter generated by optical absorption near the probe obscures deep OA sources. Localised vibration tagging (LOVIT) retrieves OA signal from images that are acquired with and without a preceding ultrasonic pushing beam: Radiation force leads to a phase shift of signals coming from the focal area resulting in their visibility in a difference image, whereas clutter from outside the pushing beam is eliminated. Disadvantages of a single-focus approach are residual clutter from inside the pushing beam above the focus, and time-intensive scanning of the focus to retrieve a large field-of-view. To speed up acquisition, we propose to create multiple foci in parallel, forming comb-shaped ARF patterns. By subtracting OA images obtained with interleaved combs, this technique moreover results in greatly improved clutter reduction in phantoms mimicking optical, acoustic and elastic properties of breast tissue.
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Affiliation(s)
- Tigran Petrosyan
- Institute of Applied Physics, University of Bern, Sidlerstrasse 5, 3012, Bern, Switzerland
| | - Maria Theodorou
- Joint Department of Physics and CRUK-EPSRC Cancer Imaging Centre, Institute of Cancer Research, and Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey, SM2 5PT, UK
| | - Jeff Bamber
- Joint Department of Physics and CRUK-EPSRC Cancer Imaging Centre, Institute of Cancer Research, and Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey, SM2 5PT, UK
| | - Martin Frenz
- Institute of Applied Physics, University of Bern, Sidlerstrasse 5, 3012, Bern, Switzerland
| | - Michael Jaeger
- Institute of Applied Physics, University of Bern, Sidlerstrasse 5, 3012, Bern, Switzerland
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33
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Bocoum M, Gennisson JL, Venet C, Chi M, Petersen PM, Grabar AA, Ramaz F. Two-color interpolation of the absorption response for quantitative acousto-optic imaging. OPTICS LETTERS 2018; 43:399-402. [PMID: 29400869 DOI: 10.1364/ol.43.000399] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 12/13/2017] [Indexed: 06/07/2023]
Abstract
Diffuse optical tomography (DOT) is a reliable and widespread technique for monitoring qualitative changes in absorption inside highly scattering media. It has been shown, however, that acousto-optic (AO) imaging can provide significantly more qualitative information without the need for inversion algorithms due to the spatial resolution afforded by ultrasound probing. In this Letter, we show how, by using multiple-wavelength AO imaging, it is also possible to perform quantitative measurements of absorber concentration inside scattering media.
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34
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Cong W, Intes X, Wang G. Optical tomographic imaging for breast cancer detection. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:1-6. [PMID: 28933069 PMCID: PMC5605673 DOI: 10.1117/1.jbo.22.9.096011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Accepted: 08/21/2017] [Indexed: 06/07/2023]
Abstract
Diffuse optical breast imaging utilizes near-infrared (NIR) light propagation through tissues to assess the optical properties of tissues for the identification of abnormal tissue. This optical imaging approach is sensitive, cost-effective, and does not involve any ionizing radiation. However, the image reconstruction of diffuse optical tomography (DOT) is a nonlinear inverse problem and suffers from severe illposedness due to data noise, NIR light scattering, and measurement incompleteness. An image reconstruction method is proposed for the detection of breast cancer. This method splits the image reconstruction problem into the localization of abnormal tissues and quantification of absorption variations. The localization of abnormal tissues is performed based on a well-posed optimization model, which can be solved via a differential evolution optimization method to achieve a stable reconstruction. The quantification of abnormal absorption is then determined in localized regions of relatively small extents, in which a potential tumor might be. Consequently, the number of unknown absorption variables can be greatly reduced to overcome the underdetermined nature of DOT. Numerical simulation experiments are performed to verify merits of the proposed method, and the results show that the image reconstruction method is stable and accurate for the identification of abnormal tissues, and robust against the measurement noise of data.
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Affiliation(s)
- Wenxiang Cong
- Rensselaer Polytechnic Institute, Biomedical Imaging Center, Department of Biomedical Engineering, Troy, New York, United States
| | - Xavier Intes
- Rensselaer Polytechnic Institute, Biomedical Imaging Center, Department of Biomedical Engineering, Troy, New York, United States
| | - Ge Wang
- Rensselaer Polytechnic Institute, Biomedical Imaging Center, Department of Biomedical Engineering, Troy, New York, United States
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35
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Di Sieno L, Nissinen J, Hallman L, Martinenghi E, Contini D, Pifferi A, Kostamovaara J, Mora AD. Miniaturized pulsed laser source for time-domain diffuse optics routes to wearable devices. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:1-9. [PMID: 28823112 DOI: 10.1117/1.jbo.22.8.085004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 07/27/2017] [Indexed: 05/23/2023]
Abstract
We validate a miniaturized pulsed laser source for use in time-domain (TD) diffuse optics, following rigorous and shared protocols for performance assessment of this class of devices. This compact source (12×6 mm2) has been previously developed for range finding applications and is able to provide short, high energy (∼100 ps, ∼0.5 nJ) optical pulses at up to 1 MHz repetition rate. Here, we start with a basic level laser characterization with an analysis of suitability of this laser for the diffuse optics application. Then, we present a TD optical system using this source and its performances in both recovering optical properties of tissue-mimicking homogeneous phantoms and in detecting localized absorption perturbations. Finally, as a proof of concept of in vivo application, we demonstrate that the system is able to detect hemodynamic changes occurring in the arm of healthy volunteers during a venous occlusion. Squeezing the laser source in a small footprint removes a key technological bottleneck that has hampered so far the realization of a miniaturized TD diffuse optics system, able to compete with already assessed continuous-wave devices in terms of size and cost, but with wider performance potentialities, as demonstrated by research over the last two decades.
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Affiliation(s)
- Laura Di Sieno
- Politecnico di Milano, Dipartimento di Fisica, Milan, Italy
| | - Jan Nissinen
- University of Oulu, Circuits and Systems Research Unit, Oulu, Finland
| | - Lauri Hallman
- University of Oulu, Circuits and Systems Research Unit, Oulu, Finland
| | | | - Davide Contini
- Politecnico di Milano, Dipartimento di Fisica, Milan, Italy
| | - Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Milan, Italy
- Consiglio Nazionale delle Ricerche, Istituto di Fotonica e Nanotecnologie, Milano, Italy
| | - Juha Kostamovaara
- University of Oulu, Circuits and Systems Research Unit, Oulu, Finland
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36
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Zhou F, Mostafa A, Zhu Q. Improving breast cancer diagnosis by reducing chest wall effect in diffuse optical tomography. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:36004. [PMID: 28253381 PMCID: PMC5333769 DOI: 10.1117/1.jbo.22.3.036004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2016] [Accepted: 02/13/2017] [Indexed: 05/10/2023]
Abstract
We have developed the ultrasound (US)-guided diffuse optical tomography technique to assist US diagnosis of breast cancer and to predict neoadjuvant chemotherapy response of patients with breast cancer. The technique was implemented using a hand-held hybrid probe consisting of a coregistered US transducer and optical source and detector fibers which couple the light illumination from laser diodes and photon detection to the photomultiplier tube detectors. With the US guidance, diffused light measurements were made at the breast lesion site and the normal contralateral reference site which was used to estimate the background tissue optical properties for imaging reconstruction. However, background optical properties were affected by the chest wall underneath the breast tissue. We have analyzed data from 297 female patients, and results have shown statistically significant correlation between the fitted optical properties ( ? a and ? s ? ) and the chest wall depth. After subtracting the background ? a at each wavelength, the difference of computed total hemoglobin (tHb) between malignant and benign lesion groups has improved. For early stage malignant lesions, the area-under-the-receiver operator characteristic curve (AUC) has improved from 88.5% to 91.5%. For all malignant lesions, the AUC has improved from 85.3% to 88.1%. Statistical test has revealed the significant difference of the AUC improvements after subtracting background tHb values.
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Affiliation(s)
- Feifei Zhou
- University of Connecticut, Department of Biomedical Engineering, Storrs, Connecticut, United States
| | - Atahar Mostafa
- Washington University in St. Louis, Department of Biomedical Engineering, St. Louis, Missouri, United States
| | - Quing Zhu
- Washington University in St. Louis, Department of Biomedical Engineering and Radiolog, St. Louis, Missouri, United States
- Address all correspondence to: Quing Zhu, E-mail:
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Althobaiti M, Vavadi H, Zhu Q. Diffuse optical tomography reconstruction method using ultrasound images as prior for regularization matrix. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:26002. [PMID: 28152129 PMCID: PMC5299136 DOI: 10.1117/1.jbo.22.2.026002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2016] [Accepted: 01/12/2017] [Indexed: 05/05/2023]
Abstract
Ultrasound-guided diffuse optical tomography (DOT) is a promising imaging technique that maps hemoglobin concentrations of breast lesions to assist ultrasound (US) for cancer diagnosis and treatment monitoring. The accurate recovery of breast lesion optical properties requires an effective image reconstruction method. We introduce a reconstruction approach in which US images are encoded as prior information for regularization of the inversion matrix. The framework of this approach is based on image reconstruction package “NIRFAST.” We compare this approach to the US-guided dual-zone mesh reconstruction method, which is based on Born approximation and conjugate gradient optimization developed in our laboratory. Results were evaluated using phantoms and clinical data. This method improves classification of malignant and benign lesions by increasing malignant to benign lesion absorption contrast. The results also show improvements in reconstructed lesion shapes and the spatial distribution of absorption maps.
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Affiliation(s)
- Murad Althobaiti
- University of Connecticut, Department of Biomedical Engineering, Storrs, Connecticut, United States
| | - Hamed Vavadi
- University of Connecticut, Department of Biomedical Engineering, Storrs, Connecticut, United States
| | - Quing Zhu
- Washington University in St. Louis, Department of Biomedical Engineering, Missouri, United States
- Address all correspondence to: Quing Zhu, E-mail:
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38
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Teng F, Cormier T, Sauer-Budge A, Chaudhury R, Pera V, Istfan R, Chargin D, Brookfield S, Ko NY, Roblyer DM. Wearable near-infrared optical probe for continuous monitoring during breast cancer neoadjuvant chemotherapy infusions. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:14001. [PMID: 28114449 PMCID: PMC5289133 DOI: 10.1117/1.jbo.22.1.014001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Accepted: 12/21/2016] [Indexed: 05/04/2023]
Abstract
We present a new continuous-wave wearable diffuse optical probe aimed at investigating the hemodynamic response of locally advanced breast cancer patients during neoadjuvant chemotherapy infusions. The system consists of a flexible printed circuit board that supports an array of six dual wavelength surface-mount LED and photodiode pairs. The probe is encased in a soft silicone housing that conforms to natural breast shape. Probe performance was evaluated using tissue-simulating phantoms and in vivo normal volunteer measurements. High SNR (71 dB), low source-detector crosstalk ( ? 60 ?? dB ), high measurement precision (0.17%), and good thermal stability (0.22% V rms / ° C ) were achieved in phantom studies. A cuff occlusion experiment was performed on the forearm of a healthy volunteer to demonstrate the ability to track rapid hemodynamic changes. Proof-of-principle normal volunteer measurements were taken to demonstrate the ability to collect continuous in vivo breast measurements. This wearable probe is a first of its kind tool to explore prognostic hemodynamic changes during chemotherapy in breast cancer patients.
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Affiliation(s)
- Fei Teng
- Boston University, Department of Electrical and Computer Engineering and Photonics Center, 8 Saint Mary’s Street, Boston, Massachusetts 02215, United States
| | - Timothy Cormier
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Alexis Sauer-Budge
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Rachita Chaudhury
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
| | - Vivian Pera
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
| | - Raeef Istfan
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
| | - David Chargin
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Samuel Brookfield
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Naomi Yu Ko
- Boston Medical Center, Section of Hematology and Oncology, Women’s Health Unit, 801 Massachusetts Avenue, First Floor, Boston, Massachusetts 02118, United States
| | - Darren M. Roblyer
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
- Address all correspondence to: Darren M. Roblyer, E-mail:
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Konugolu Venkata Sekar S, Pagliazzi M, Negredo E, Martelli F, Farina A, Dalla Mora A, Lindner C, Farzam P, Pérez-Álvarez N, Puig J, Taroni P, Pifferi A, Durduran T. In Vivo, Non-Invasive Characterization of Human Bone by Hybrid Broadband (600-1200 nm) Diffuse Optical and Correlation Spectroscopies. PLoS One 2016; 11:e0168426. [PMID: 27997565 PMCID: PMC5172608 DOI: 10.1371/journal.pone.0168426] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2016] [Accepted: 11/30/2016] [Indexed: 11/19/2022] Open
Abstract
Non-invasive in vivo diffuse optical characterization of human bone opens a new possibility of diagnosing bone related pathologies. We present an in vivo characterization performed on seventeen healthy subjects at six different superficial bone locations: radius distal, radius proximal, ulna distal, ulna proximal, trochanter and calcaneus. A tailored diffuse optical protocol for high penetration depth combined with the rather superficial nature of considered tissues ensured the effective probing of the bone tissue. Measurements were performed using a broadband system for Time-Resolved Diffuse Optical Spectroscopy (TRS) to assess mean absorption and reduced scattering spectra in the 600-1200 nm range and Diffuse Correlation Spectroscopy (DCS) to monitor microvascular blood flow. Significant variations among tissue constituents were found between different locations; with radius distal rich of collagen, suggesting it as a prominent location for bone related measurements, and calcaneus bone having highest blood flow among the body locations being considered. By using TRS and DCS together, we are able to probe the perfusion and oxygen consumption of the tissue without any contrast agents. Therefore, we predict that these methods will be able to evaluate the impairment of the oxygen metabolism of the bone at the point-of-care.
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Affiliation(s)
| | - Marco Pagliazzi
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels, Barcelona, Spain
| | - Eugènia Negredo
- Lluita contra la Sida Foundation, Germans Trias i Pujol University Hospital, Badalona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain
- Universitat de Vic-Universitat Central de Catalunya, Vic, Barcelona, Spain
| | - Fabrizio Martelli
- Dipartimento di Fisica e Astronomia, Università degli Studi di Firenze, Sesto Fiorentino, Firenze, Italy
| | - Andrea Farina
- Dipartimento di Fisica, Politecnico di Milano, Milano, Italy
- Consiglio Nazionale delle Ricerche - Istituto di Fotonica e Nanotecnologie, Milano, Italy
| | | | - Claus Lindner
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels, Barcelona, Spain
| | - Parisa Farzam
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels, Barcelona, Spain
| | - Núria Pérez-Álvarez
- Lluita contra la Sida Foundation, Germans Trias i Pujol University Hospital, Badalona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain
- Statistics and Operations Research Department, Universitat Politècnica de Catalunya, Barcelona, Spain
| | - Jordi Puig
- Lluita contra la Sida Foundation, Germans Trias i Pujol University Hospital, Badalona, Spain. Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Paola Taroni
- Dipartimento di Fisica, Politecnico di Milano, Milano, Italy
| | - Antonio Pifferi
- Dipartimento di Fisica, Politecnico di Milano, Milano, Italy
| | - Turgut Durduran
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels, Barcelona, Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
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Du Y, Jiang Q, Beziere N, Song L, Zhang Q, Peng D, Chi C, Yang X, Guo H, Diot G, Ntziachristos V, Ding B, Tian J. DNA-Nanostructure-Gold-Nanorod Hybrids for Enhanced In Vivo Optoacoustic Imaging and Photothermal Therapy. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2016; 28:10000-10007. [PMID: 27679425 DOI: 10.1002/adma.201601710] [Citation(s) in RCA: 148] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Revised: 08/16/2016] [Indexed: 05/20/2023]
Abstract
A functional cancer theranostic nanoplatform is developed, specifically tailored toward the optoacoustic modality by combining gold nanorods with DNA nanostructures (D-AuNR). DNA origami is used as an efficient delivery vehicle owing to its prominent tumor-targeting property. The D-AuNR hybrids display an enhanced tumor diagnostic sensitivity by improved optoacoustic imaging and excellent photothermal therapeutic properties in vivo.
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Affiliation(s)
- Yang Du
- The Key Laboratory of Molecular Imaging, Chinese Academy of Sciences, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China
| | - Qiao Jiang
- CAS Key Laboratory of Nanosystem and Hierarchical Fabrication, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing, 100190, China
- CAS Key Laboratory of Colloid, Interface and Chemical Thermodynamics, Institute of Chemistry, Chinese Academy of Sciences, Beijing, 100190, China
| | - Nicolas Beziere
- Institute for Biological and Medical Imaging (IBMI), Helmholtz Zentrum München and Technische Universität München, 85764, Neuherberg, Germany
| | - Linlin Song
- CAS Key Laboratory of Nanosystem and Hierarchical Fabrication, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing, 100190, China
| | - Qian Zhang
- The Key Laboratory of Molecular Imaging, Chinese Academy of Sciences, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China
| | - Dong Peng
- The Key Laboratory of Molecular Imaging, Chinese Academy of Sciences, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China
| | - Chongwei Chi
- The Key Laboratory of Molecular Imaging, Chinese Academy of Sciences, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China
| | - Xin Yang
- The Key Laboratory of Molecular Imaging, Chinese Academy of Sciences, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China
| | - Hongbo Guo
- CAS Key Laboratory of Nanosystem and Hierarchical Fabrication, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing, 100190, China
| | - Gaël Diot
- Institute for Biological and Medical Imaging (IBMI), Helmholtz Zentrum München and Technische Universität München, 85764, Neuherberg, Germany
| | - Vasilis Ntziachristos
- Institute for Biological and Medical Imaging (IBMI), Helmholtz Zentrum München and Technische Universität München, 85764, Neuherberg, Germany
| | - Baoquan Ding
- CAS Key Laboratory of Nanosystem and Hierarchical Fabrication, CAS Center for Excellence in Nanoscience, National Center for Nanoscience and Technology, Beijing, 100190, China
| | - Jie Tian
- The Key Laboratory of Molecular Imaging, Chinese Academy of Sciences, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China
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41
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Pifferi A, Contini D, Mora AD, Farina A, Spinelli L, Torricelli A. New frontiers in time-domain diffuse optics, a review. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:091310. [PMID: 27311627 DOI: 10.1117/1.jbo.21.9.091310] [Citation(s) in RCA: 106] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Accepted: 05/24/2016] [Indexed: 05/20/2023]
Abstract
The recent developments in time-domain diffuse optics that rely on physical concepts (e.g., time-gating and null distance) and advanced photonic components (e.g., vertical cavity source-emitting laser as light sources, single photon avalanche diode, and silicon photomultipliers as detectors, fast-gating circuits, and time-to-digital converters for acquisition) are focused. This study shows how these tools could lead on one hand to compact and wearable time-domain devices for point-of-care diagnostics down to the consumer level and on the other hand to powerful systems with exceptional depth penetration and sensitivity.
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Affiliation(s)
- Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, ItalybIstituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Davide Contini
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Alberto Dalla Mora
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Andrea Farina
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Lorenzo Spinelli
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Alessandro Torricelli
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, ItalybIstituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
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Leproux A, Kim YM, Min JW, McLaren CE, Chen WP, O’Sullivan TD, Lee SH, Chung PS, Tromberg BJ. Differential diagnosis of breast masses in South Korean premenopausal women using diffuse optical spectroscopic imaging. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:74001. [PMID: 27436049 PMCID: PMC4951543 DOI: 10.1117/1.jbo.21.7.074001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Accepted: 06/28/2016] [Indexed: 05/03/2023]
Abstract
Young patients with dense breasts have a relatively low-positive biopsy rate for breast cancer (∼1 in 7). South Korean women have higher breast density than Westerners. We investigated the benefit of using a functional and metabolic imaging technique, diffuse optical spectroscopic imaging (DOSI), to help the standard of care imaging tools to distinguish benign from malignant lesions in premenopausal Korean women. DOSI uses near-infrared light to measure breast tissue composition by quantifying tissue concentrations of water (ctH2O), bulk lipid (ctLipid), deoxygenated (ctHHb), and oxygenated (ctHbO2) hemoglobin. DOSI spectral signatures specific to abnormal tissue and absent in healthy tissue were also used to form a malignancy index. This study included 19 premenopausal subjects (average age 41±9), corresponding to 11 benign and 10 malignant lesions. Elevated lesion to normal ratio of ctH2O, ctHHb, ctHbO2, total hemoglobin (THb=ctHHb+ctHbO2), and tissue optical index (ctHHb×ctH2O/ctLipid) were observed in the malignant lesions compared to the benign lesions (p<0.02). THb and malignancy index were the two best single predictors of malignancy, with >90% sensitivity and specificity. Malignant lesions showed significantly higher metabolism and perfusion than benign lesions. DOSI spectral features showed high discriminatory power for distinguishing malignant and benign lesions in dense breasts of the Korean population.
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Affiliation(s)
- Anaïs Leproux
- University of California Irvine, Beckman Laser Institute and Medical Clinic, 1002 Health Sciences Road, Irvine, California 92612, United States
| | - You Me Kim
- Dankook University College of Medicine, Beckman Laser Institute Korea, 119 Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea
- Dankook University College of Medicine, Department of Radiology, Dankook University Hospital, 201 Manghyang-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea
| | - Jun Won Min
- Dankook University College of Medicine, Beckman Laser Institute Korea, 119 Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea
- Dankook University College of Medicine, Department of Surgery, 119 Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea
| | - Christine E. McLaren
- University of California Irvine, Department of Epidemiology, 1 Medical Plaza Drive, Irvine, California 92697-7550, United States
- University of California Irvine, Chao Family Comprehensive Cancer Center, Irvine Medical Center, 101 The City Drive South, Orange, California 92868, United States
| | - Wen-Pin Chen
- University of California Irvine, Chao Family Comprehensive Cancer Center, Irvine Medical Center, 101 The City Drive South, Orange, California 92868, United States
| | - Thomas D. O’Sullivan
- University of California Irvine, Beckman Laser Institute and Medical Clinic, 1002 Health Sciences Road, Irvine, California 92612, United States
| | - Seung-ha Lee
- Dankook University College of Medicine, Beckman Laser Institute Korea, 119 Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea
- Dankook University College of Medicine, Department of Biomedical Engineering, 119, Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea
| | - Phil-Sang Chung
- Dankook University College of Medicine, Beckman Laser Institute Korea, 119 Dandae-ro, Dongnam-gu, Cheonan-si, Chungnam 31116, Republic of Korea
- Dankook University College of Medicine, Department of Otolaryngology-Head and Neck Surgery, 29-1 Anseo-dong, Cheonan-si, Chungnam 330-714, Republic of Korea
| | - Bruce J. Tromberg
- University of California Irvine, Beckman Laser Institute and Medical Clinic, 1002 Health Sciences Road, Irvine, California 92612, United States
- Address all correspondence to: Bruce J. Tromberg, E-mail:
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43
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Abstract
Near infrared spectroscopy (NIRS) utilizes intrinsic optical absorption signals of blood, water, and lipid concentration available in the NIR window (600–1000 nm) as well as a developing array of extrinsic organic compounds to detect and localize cancer. This paper reviews optical cancer detection made possible through high tumor-tissue signal-to-noise ratio (SNR) and providing biochemical and physiological data in addition to those obtained via other methods. NIRS detects cancers in vivo through a combination of blood volume and oxygenation from measurements of oxy- and deoxy-hemoglobin giving signals of tumor angiogenesis and hypermetabolism. The Chance lab tends towards CW breast cancer systems using manually scannable detectors with calibrated low pressure tissue contact. These systems calculate angiogenesis and hypermetabolism by using a pair of wavelengths and referencing the mirror image position of the contralateral breast to achieve high ROC/AUC. Time domain and frequency domain spectroscopy were also used to study similar intrinsic breast tumor characteristics such as high blood volume. Other NIRS metrics are water-fat ratio and the optical scattering coefficient. An extrinsic FDA approved dye, ICG, has been used to measure blood pooling with extravasation, similar to Gadolinium in MRI. A key future development in NIRS will be new Molecular Beacons targeting cancers and fluorescing in the NIR window to enhance in vivo tumor-tissue ratios and to afford biochemical specificity with the potential for effective photodynamic anti-cancer therapies.
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Affiliation(s)
- S Nioka
- University of Pennsylvania, Department of Biochemistry and Biophysics, 250 Anatomy-Chemistry Bldg., Philadelphia, PA 19104-6059, USA
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Krishnamurthy N, Kainerstorfer JM, Sassaroli A, Anderson PG, Fantini S. Broadband optical mammography instrument for depth-resolved imaging and local dynamic measurements. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2016; 87:024302. [PMID: 26931870 PMCID: PMC4769268 DOI: 10.1063/1.4941777] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 01/30/2016] [Indexed: 06/05/2023]
Abstract
We present a continuous-wave instrument for non-invasive diffuse optical imaging of the breast in a parallel-plate transmission geometry. The instrument measures continuous spectra in the wavelength range 650-1000 nm, with an intensity noise level <1.5% and a spatial sampling rate of 5 points/cm in the x- and y-directions. We collect the optical transmission at four locations, one collinear and three offset with respect to the illumination optical fiber, to recover the depth of optical inhomogeneities in the tissue. We imaged a tissue-like, breast shaped, silicone phantom (6 cm thick) with two embedded absorbing structures: a black circle (1.7 cm in diameter) and a black stripe (3 mm wide), designed to mimic a tumor and a blood vessel, respectively. The use of a spatially multiplexed detection scheme allows for the generation of on-axis and off-axis projection images simultaneously, as opposed to requiring multiple scans, thus decreasing scan-time and motion artifacts. This technique localizes detected inhomogeneities in 3D and accurately assigns their depth to within 1 mm in the ideal conditions of otherwise homogeneous tissue-like phantoms. We also measured induced hemodynamic changes in the breast of a healthy human subject at a selected location (no scanning). We applied a cyclic, arterial blood pressure perturbation by alternating inflation (to a pressure of 200 mmHg) and deflation of a pneumatic cuff around the subject's thigh at a frequency of 0.05 Hz, and measured oscillations with amplitudes up to 1 μM and 0.2 μM in the tissue concentrations of oxyhemoglobin and deoxyhemoglobin, respectively. These hemodynamic oscillations provide information about the vascular structure and functional integrity in tissue, and may be used to assess healthy or abnormal perfusion in a clinical setting.
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Affiliation(s)
- Nishanth Krishnamurthy
- Department of Biomedical Engineering, Tufts University, Medford, Massachusetts 02155, USA
| | - Jana M Kainerstorfer
- Department of Biomedical Engineering, Tufts University, Medford, Massachusetts 02155, USA
| | - Angelo Sassaroli
- Department of Biomedical Engineering, Tufts University, Medford, Massachusetts 02155, USA
| | - Pamela G Anderson
- Department of Biomedical Engineering, Tufts University, Medford, Massachusetts 02155, USA
| | - Sergio Fantini
- Department of Biomedical Engineering, Tufts University, Medford, Massachusetts 02155, USA
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45
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Lindner C, Mora M, Farzam P, Squarcia M, Johansson J, Weigel UM, Halperin I, Hanzu FA, Durduran T. Diffuse Optical Characterization of the Healthy Human Thyroid Tissue and Two Pathological Case Studies. PLoS One 2016; 11:e0147851. [PMID: 26815533 PMCID: PMC4731400 DOI: 10.1371/journal.pone.0147851] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 01/08/2016] [Indexed: 12/17/2022] Open
Abstract
The in vivo optical and hemodynamic properties of the healthy (n = 22) and pathological (n = 2) human thyroid tissue were measured non-invasively using a custom time-resolved spectroscopy (TRS) and diffuse correlation spectroscopy (DCS) system. Medical ultrasound was used to guide the placement of the hand-held hybrid optical probe. TRS measured the absorption and reduced scattering coefficients (μa, μs′) at three wavelengths (690, 785 and 830 nm) to derive total hemoglobin concentration (THC) and oxygen saturation (StO2). DCS measured the microvascular blood flow index (BFI). Their dependencies on physiological and clinical parameters and positions along the thyroid were investigated and compared to the surrounding sternocleidomastoid muscle. The THC in the thyroid ranged from 131.9 μM to 144.8 μM, showing a 25–44% increase compared to the surrounding sternocleidomastoid muscle tissue. The blood flow was significantly higher in the thyroid (BFIthyroid = 16.0 × 10-9 cm2/s) compared to the muscle (BFImuscle = 7.8 × 10-9 cm2/s), while StO2 showed a small (StO2, muscle = 63.8% to StO2, thyroid = 68.4%), yet significant difference. Two case studies with thyroid nodules underwent the same measurement protocol prior to thyroidectomy. Their THC and BFI reached values around 226.5 μM and 62.8 × 10-9 cm2/s respectively showing a clear contrast to the nodule-free thyroid tissue as well as the general population. The initial characterization of the healthy and pathologic human thyroid tissue lays the ground work for the future investigation on the use of diffuse optics in thyroid cancer screening.
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Affiliation(s)
- Claus Lindner
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
- * E-mail:
| | - Mireia Mora
- Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain
- Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
| | - Parisa Farzam
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
| | | | - Johannes Johansson
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
| | - Udo M. Weigel
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
- Hemophotonics S.L., Mediterranean Technology Park, Castelldefels (Barcelona), Spain
| | - Irene Halperin
- Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain
- Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
| | - Felicia A. Hanzu
- Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain
- Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
| | - Turgut Durduran
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
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46
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Martelli F, Del Bianco S, Spinelli L, Cavalieri S, Di Ninni P, Binzoni T, Jelzow A, Macdonald R, Wabnitz H. Optimal estimation reconstruction of the optical properties of a two-layered tissue phantom from time-resolved single-distance measurements. JOURNAL OF BIOMEDICAL OPTICS 2015; 20:115001. [PMID: 26524677 DOI: 10.1117/1.jbo.20.11.115001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2015] [Accepted: 09/25/2015] [Indexed: 05/02/2023]
Abstract
In this work, we have tested the optimal estimation (OE) algorithm for the reconstruction of the optical properties of a two-layered liquid tissue phantom from time-resolved single-distance measurements. The OE allows a priori information, in particular on the range of variation of fit parameters, to be included. The purpose of the present investigations was to compare the performance of OE with the Levenberg–Marquardt method for a geometry and real experimental conditions typically used to reconstruct the optical properties of biological tissues such as muscle and brain. The absorption coefficient of the layers was varied in a range of values typical for biological tissues. The reconstructions performed demonstrate the substantial improvements achievable with the OE provided a priori information is available. We note the extreme reliability, robustness, and accuracy of the retrieved absorption coefficient of the second layer obtained with the OE that was found for up to six fit parameters, with an error in the retrieved values of less than 10%. A priori information on fit parameters and fixed forward model parameters clearly improves robustness and accuracy of the inversion procedure.
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Affiliation(s)
- Fabrizio Martelli
- Università degli Studi di Firenze, Dipartimento di Fisica e Astronomia, Via G. Sansone 1, Sesto Fiorentino 50019, Firenze, Italy
| | - Samuele Del Bianco
- Istituto di Fisica Applicata Nello Carrara del Consiglio Nazionale delle Ricerche, Via Madonna del Piano 10, Sesto Fiorentino 50019, Italy
| | - Lorenzo Spinelli
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milano 20133, Italy
| | - Stefano Cavalieri
- Università degli Studi di Firenze, Dipartimento di Fisica e Astronomia, Via G. Sansone 1, Sesto Fiorentino 50019, Firenze, Italy
| | - Paola Di Ninni
- Università degli Studi di Firenze, Dipartimento di Fisica e Astronomia, Via G. Sansone 1, Sesto Fiorentino 50019, Firenze, Italy
| | - Tiziano Binzoni
- University of Geneva, Département de Neurosciences Fondamentales, 1, rue Michel-Servet 1211 Genève 4, SwitzerlandeUniversity Hospital, Département de l'Imagerie et des Sciences de l'Information Médicale, 1, 4 rue Gabrielle-Perret-Gentil, 1211 Geneva 14, S
| | - Alexander Jelzow
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
| | - Rainer Macdonald
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
| | - Heidrun Wabnitz
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
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47
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Diep P, Pannem S, Sweer J, Lo J, Snyder M, Stueber G, Zhao Y, Tabassum S, Istfan R, Wu J, Erramilli S, Roblyer D. Three-dimensional printed optical phantoms with customized absorption and scattering properties. BIOMEDICAL OPTICS EXPRESS 2015; 6:4212-20. [PMID: 26600987 PMCID: PMC4646531 DOI: 10.1364/boe.6.004212] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Revised: 09/24/2015] [Accepted: 09/29/2015] [Indexed: 05/13/2023]
Abstract
Three-dimensional (3D) printing offers the promise of fabricating optical phantoms with arbitrary geometry, but commercially available thermoplastics provide only a small range of physiologically relevant absorption (µa) and reduced scattering (µs`) values. Here we demonstrate customizable acrylonitrile butadiene styrene (ABS) filaments for dual extrusion 3D printing of tissue mimicking optical phantoms. µa and µs` values were adjusted by incorporating nigrosin and titanium dioxide (TiO2) in the filament extrusion process. A wide range of physiologically relevant optical properties was demonstrated with an average repeatability within 11.5% for µa and 7.71% for µs`. Additionally, a mouse-simulating phantom, which mimicked both the geometry and optical properties of a hairless mouse with an implanted xenograft tumor, was printed using dual extrusion methods. 3D printed tumor optical properties matched the live tumor with less than 3% error at a wavelength of 659 nm. 3D printing with user defined optical properties may provide a viable method for durable optically diffusive phantoms for instrument characterization and calibration.
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Affiliation(s)
- Phuong Diep
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
- These authors contributed equally to this work
| | - Sanjana Pannem
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
- These authors contributed equally to this work
| | - Jordan Sweer
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
- These authors contributed equally to this work
| | - Justine Lo
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
| | - Michael Snyder
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
| | - Gabriella Stueber
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
| | - Yanyu Zhao
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
| | - Syeda Tabassum
- Department of Electrical Engineering, Boston University, Boston, MA 02115, USA
| | - Raeef Istfan
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
| | - Junjie Wu
- Department of Biology, Boston University, Boston, MA 02115, USA
| | - Shyamsunder Erramilli
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
- Department of Physics, Boston University, Boston, MA 02115, USA
| | - Darren Roblyer
- Department of Biomedical Engineering, Boston University, Boston, MA 02115, USA
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48
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Glaser AK, Zhang R, Andreozzi JM, Gladstone DJ, Pogue BW. Cherenkov radiation fluence estimates in tissue for molecular imaging and therapy applications. Phys Med Biol 2015; 60:6701-18. [PMID: 26270125 PMCID: PMC5145313 DOI: 10.1088/0031-9155/60/17/6701] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Cherenkov radiation has recently emerged as an interesting phenomenon for a number of applications in the biomedical sciences. Its unique properties, including broadband emission spectrum, spectral weight in the ultraviolet and blue wavebands, and local generation of light within a given tissue, have made it an attractive new source of light within tissue for molecular imaging and phototherapy applications. While several studies have investigated the total Cherenkov light yield from radionuclides in units of [photons/decay], further consideration of the light propagation in tissue is necessary to fully consider the utility of this signal in vivo. Therefore, to help further guide the development of this novel field, quantitative estimates of the light fluence rate of Cherenkov radiation from both radionuclides and radiotherapy beams in a biological tissue are presented for the first time. Using Monte Carlo simulations, these values were found to be on the order of 0.01-1 nW cm(-2) per MBq g(-1) for radionuclides, and 1-100 μW cm(-2) per Gy s(-1) for external radiotherapy beams, dependent on the given waveband, optical properties, and radiation source. For phototherapy applications, the total light fluence was found to be on the order of nJ cm(-2) for radionuclides, and mJ cm(-2) for radiotherapy beams. The results indicate that diagnostic potential is reasonable for Cherenkov excitation of molecular probes, but phototherapy may remain elusive at such exceedingly low fluence values. The results of this study are publicly available for distribution online at www.dartmouth.edu/optmed/.
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Affiliation(s)
- Adam K. Glaser
- Thayer School of Engineering, Dartmouth College, Hanover, New Hampshire 03755
| | - Rongxiao Zhang
- Department of Physics and Astronomy, Dartmouth College, Hanover, New Hampshire 03755
| | | | - David J. Gladstone
- Thayer School of Engineering, Dartmouth College, Hanover, New Hampshire 03755
- Norris Cotton Cancer Center, Lebanon, New Hampshire 03756
- Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire 03755
| | - Brian W. Pogue
- Thayer School of Engineering, Dartmouth College, Hanover, New Hampshire 03755
- Department of Physics and Astronomy, Dartmouth College, Hanover, New Hampshire 03755
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49
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Huang J, Zhang S, Gnyawali S, Sen CK, Xu RX. Second derivative multispectral algorithm for quantitative assessment of cutaneous tissue oxygenation. JOURNAL OF BIOMEDICAL OPTICS 2015; 20:036001. [PMID: 25734405 PMCID: PMC4347514 DOI: 10.1117/1.jbo.20.3.036001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2014] [Accepted: 01/20/2015] [Indexed: 05/12/2023]
Abstract
We report a second derivative multispectral algorithm for quantitative assessment of cutaneous tissue oxygen saturation (StO₂). The algorithm is based on a forward model of light transport in multilayered skin tissue and an inverse algorithm for StO₂ reconstruction. Based on the forward simulation results, a parameter of a second derivative ratio (SDR) is derived as a function of cutaneous tissue StO₂. The SDR function is optimized at a wavelength set of 544, 552, 568, 576, 592, and 600 nm so that cutaneous tissue StO₂ can be derived with minimal artifacts by blood concentration, tissue scattering, and melanin concentration. The proposed multispectral StO₂ imaging algorithm is verified in both benchtop and in vivo experiments. The experimental results show that the proposed multispectral imaging algorithm is able to map cutaneous tissue StO₂ in high temporal resolution with reduced measurement artifacts induced by different skin conditions in comparison with other three commercial tissue oxygen measurement systems. These results indicate that the multispectral StO₂ imaging technique has the potential for noninvasive and quantitative assessment of skin tissue oxygenation with a high temporal resolution.
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Affiliation(s)
- Jiwei Huang
- The Ohio State University, Department of Biomedical Engineering, Columbus, Ohio 43210, United States
| | - Shiwu Zhang
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, Anhui 230027, China
| | - Surya Gnyawali
- The Ohio State University, Department of Surgery, Columbus, Ohio 43210, United States
| | - Chandan K. Sen
- The Ohio State University, Department of Surgery, Columbus, Ohio 43210, United States
| | - Ronald X. Xu
- The Ohio State University, Department of Biomedical Engineering, Columbus, Ohio 43210, United States
- University of Science and Technology of China, Department of Precision Machinery and Precision Instrumentation, Hefei, Anhui 230027, China
- Address all correspondence to: Ronald X. Xu, E-mail:
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50
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Blackmore KM, Knight JA, Walter J, Lilge L. The association between breast tissue optical content and mammographic density in pre- and post-menopausal women. PLoS One 2015; 10:e0115851. [PMID: 25590139 PMCID: PMC4295879 DOI: 10.1371/journal.pone.0115851] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Accepted: 11/28/2014] [Indexed: 11/30/2022] Open
Abstract
Mammographic density (MD), associated with higher water and lower fat content in the breast, is strongly related to breast cancer risk. Optical attenuation spectroscopy (OS) is a non-imaging method of evaluating breast tissue composition by red and near-infrared light transmitted through the breast that, unlike mammography, does not involve radiation. OS provides information on wavelength dependent light scattering of tissue and on absorption by water, lipid, oxy-, deoxy-hemoglobin. We propose that OS could be an alternative marker of breast cancer risk and that OS breast tissue measures will be associated with MD. In the present analysis, we developed an algorithm to estimate breast tissue composition and light scattering parameters using a spectrally constrained global fitting procedure employing a diffuse light transport model. OS measurements were obtained from 202 pre- and post-menopausal women with normal mammograms. Percent density (PD) and dense area (DA) were measured using Cumulus. The association between OS tissue composition and PD and DA was analyzed using linear regression adjusted for body mass index. Among pre-menopausal women, lipid content was significantly inversely associated with square root transformed PD (β = -0.05, p = 0.0002) and DA (β = -0.05, p = 0.019); water content was significantly positively associated with PD (β = 0.06, p = 0.008). Tissue oxygen saturation was marginally inversely associated with PD (β = -0.03, p = 0.057) but significantly inversely associated with DA (β = -0.10, p = 0.002). Among post-menopausal women lipid and water content were significantly associated (negatively and positively, respectively) with PD (βlipid = -0.08, βwater = 0.14, both p<0.0001) and DA (βlipid = -0.10, p<0.0001; βwater = 0.11, p = 0.001). The association between OS breast content and PD and DA is consistent with more proliferation in dense tissue of younger women, greater lipid content in low density tissue and higher water content in high density tissue. OS may be useful for assessing physiologic tissue differences related to breast cancer risk, particularly when mammography is not feasible or easily accessible.
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Affiliation(s)
- Kristina M. Blackmore
- Lunenfeld Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada
- Princess Margaret Cancer Centre and Department of Medical Biophysics, University of Toronto, Ontario, Canada
- * E-mail:
| | - Julia A. Knight
- Lunenfeld Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Jane Walter
- Princess Margaret Cancer Centre and Department of Medical Biophysics, University of Toronto, Ontario, Canada
| | - Lothar Lilge
- Princess Margaret Cancer Centre and Department of Medical Biophysics, University of Toronto, Ontario, Canada
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