Irina Y. Petrova

Precision of measurement of tissue optical properties with optical coherence tomography

Accurate and noninvasive measurement of tissue optical properties can be used for biomedical diagnostics and monitoring of tissue analytes. Noninvasive measurement of tissue optical properties (total attenuation and scattering coefficients, optical thickness, etc.) can be performed with the optical coherence tomography (OCT) technique. However, speckle noise substantially deteriorates the accuracy of the measurements with this technique. We studied suppression of speckle noise for accurate measurement of backscattering signal and scattering coefficient with the OCT technique. Our results demonstrate that the precision of measurement of backscattering signals with the OCT technique can be 0.2% for homogeneously scattering media and 0.7% for skin, if spatial averaging of speckle noise is applied. This averaging allows us to achieve the precision of tissue scattering coefficient measurements of approximately +/-0.8%. This precision can be further improved by a factor of 2-3, upon optimization of OCT operating parameters.

Multiwavelength optoacoustic system for noninvasive monitoring of cerebral venous oxygenation: a pilot clinical test in the internal jugular vein

A noninvasive, high-resolution optoacoustic technique is a promising alternative to currently used invasive methods of brain oxygenation monitoring. We present the results of our pilot clinical test of this technique in healthy volunteers. Multiwavelength optoacoustic measurements (with nanosecond optical parametric oscillator as a source of radiation) were performed on the area of the neck overlying the internal jugular vein, a deeply located large vein that drains blood from the brain and from extracranial tissues. Optoacoustic signals induced in venous blood were measured with high resolution and signal-to-noise ratio despite the presence of a thick layer of overlying tissue (up to 10 mm). The characteristic parameters of the signal at different wavelengths correlated well with the spectrum of the effective attenuation coefficient of blood.

Optoacoustic monitoring of blood hemoglobin concentration: a pilot clinical study

The optoacoustic technique is noninvasive, has high spatial resolution, and potentially can be used to measure the total hemoglobin concentration ([THb]) continuously and accurately. We performed in vitro measurements in blood and in vivo tests in healthy volunteers. Our clinical protocol included rapid infusion of intravenous saline to simulate rapid change in the [THb] during fluid therapy or surgery. Optoacoustic measurements were made from the wrist area overlying the radial artery for more than 1 h. The amplitude of the optoacoustic signal generated in the radial artery closely followed the [THb] measured directly in concurrently collected blood samples.

In vivo monitoring of blood oxygenation in large veins with a triple-wavelength optoacoustic system

A noninvasive optoacoustic technique could be a clinically useful alternative to existing, invasive methods for cerebral oxygenation monitoring. Recently we proposed to use an optoacoustic technique for monitoring cerebral blood oxygenation by probing large cerebral and neck veins including the superior sagittal sinus and the internal jugular vein. In these studies we used a multi-wavelength optoacoustic system with a nanosecond optical parametric oscillator as a light source and a custom-made optoacoustic probe for the measurement of the optoacoustic signals in vivo from the area of the sheep neck overlying the external jugular vein, which is similar in diameter and depth to the human internal jugular vein. Optoacoustic signals induced in venous blood were measured with high resolution despite the presence of a thick layer of tissues (up to 10 mm) between the external jugular vein and the optoacoustic probe. Three wavelengths were chosen to provide accurate and stable measurements of blood oxygenation: signals at 700 nm and 1064 nm demonstrated high correlation with actual oxygenation measured invasively with CO-Oximeter (gold standard), while the signal at 800 nm (isosbestic point) was independent of blood oxygenation and was used for calibration.

Noninvasive monitoring of cerebral blood oxygenation in ovine superior sagittal sinus with novel multi-wavelength optoacoustic system

Noninvasive monitoring of cerebral blood oxygenation with an optoacoustic technique offers advantages over current invasive and noninvasive methods. We report the results of in vivo studies in the sheep superior sagittal sinus (SSS), a large central cerebral vein. We changed blood oxygenation by increasing and decreasing the inspired fraction of oxygen (FiO(2)). Optoacoustic measurements from the SSS were performed at wavelengths of 700, 800, and 1064 nm using an optical parametric oscillator as a source of pulsed near-infrared light. Actual oxygenation of SSS blood was measured with a CO-Oximeter in blood samples drawn from the SSS through a small craniotomy. The amplitude of the optoacoustic signal induced in the SSS blood at lambda = 1064 nm closely followed the changes in blood oxygenation, at lambda = 800 nm was almost constant, and at lambda = 700 nm was changing in the opposite direction, all in accordance with the absorption spectra of oxy- and deoxyhemoglobin. The optoacoustically predicted oxygenation correlated well with actual blood oxygenation in sheep SSS (R(2) = 0.965 to 0.990). The accuracy was excellent, with a mean difference of 4.8% to 9.3% and a standard deviation of 2.8% to 4.2%. To the best of our knowledge, this paper reports for the first time accurate measurements of cerebral venous blood oxygenation validated against the gold standard CO-Oximetry method.

Accurate measurement of total attenuation coefficient of thin tissue with optical coherence tomography

Noninvasive accurate measurements of tissue optical properties are needed for many diagnostic and therapeutic applications. Optical coherence tomography (OCT) recently proposed for high-resolution imaging in tissue can potentially be applied for accurate, noninvasive, and high-resolution measurement of tissue total attenuation coefficient. However, confocal function (dependence of OCT sensitivity on the distance of probed site from the focal plane of the objective lens) and multiple scattering substantially limit the accuracy of the measurement with the OCT technique. We studied the influence of the confocal function and multiple scattering on the accuracy of the measurement and proposed methods that provide measurement of the total attenuation coefficient with a significantly reduced systematic error. Experiments were performed in tissue phantoms and porcine and human skin in vitro and in vivo. Our data indicate that the tissue total attenuation coefficient can noninvasively be measured in vivo with the accuracy of 5%-10% in the range from 0.5 to 17 mm/sup -1/ and about 20% in the range up to 40 mm/sup -1/. These results suggest that the proper correction of the OCT-based measurement for the confocal function and multiple scattering provides absolute values of tissue total attenuation coefficient with high accuracy and resolution that may not be achievable by other optical techniques in vivo.

Optical Coherence Tomography and noninvasive blood glucose monitoring: A review

Effective treatment and management of diabetic disease require frequent or continuous monitoring of blood glucose concentration. Currently used methods for monitoring of the blood glucose are invasive and, therefore, are not suitable for the frequent measurements. In this paper we review our recent results on development of Optical Coherence Tomography technique for noninvasive monitoring of glucose concentration in skin.

Optimization of low-coherence interferometry for quantitative analysis of tissue optical properties

Noninvasive monitoring of analytes can be performed with optical coherence tomography (OCT) technique. This technique may allow measurement of optical properties of tissue (attenuation, scattering, optical thickness, etc.) that may be dependent on analyte concentration. Accurate monitoring of analyte concentration requires measurement of the optical properties with high accuracy. The accuracy of measurements depends on OCT technical characteristics and the level of speckle noise. In this paper, we report the results of the calibration of OCT system sensitivity for absolute and relative measurements of the backscattering and total attenuation coefficients in scattering standard, tissue phantoms (suspensions of polystyrene microspheres in water solutions of glucose), and human skin. We measured the OCT sensitivity as a function of depth and used this dependence for correction of signals. The amplitude and spatial period of backscattered signal modulation resulted from speckle noise were measured for the scattering standard and human skin. The dependence of speckle and electronic noise on the range of spatial and temporal averaging of OCT signals was determined. Our studies show that the accuracy of measurement of changes in optical properties of tissue with OCT technique can be significantly improved by reducing of speckle noise and by using the signal correction algorithm.

Clinical tests of highly portable 2-lb. laser diode-based noninvasive optoacoustic hemoglobin monitor

Existing techniques for total hemoglobin concentration [THb] monitoring are invasive and cannot be used continuously and in real time. We developed and built a novel, light-weight (2 lb), low-cost, optoacoustic system for noninvasive, accurate monitoring of [THb]. The system incorporates an optoacoustic probe designed for sensitive probing of blood vessels with high signal-to-noise ratio at low energy of laser diode pulses. We developed a new algorithm for accurate monitoring of [THb] in the radial artery with this system. We tested the system in human subjects with different [THb]. The studies confirmed the capability of the system to accurately monitor [THb].

Monte Carlo modeling of optoacoustic signals from human internal jugular veins

Monitoring of blood oxygenation, in particular, cerebral venous oxygenation, is necessary for management of a variety of life-threatening conditions. An optoacoustic technique can be used for noninvasive monitoring of blood oxygenation in blood vessels, including large veins. We calculated optoacoustic signals from a cylinder mimicking a blood vessel using a modified Monte Carlo code and analyzed their temporal profiles. The rate of decrease of the integrated optoacoustic signal at different wavelengths of incident near-infrared radiation was related to the effective attenuation coefficient of normally oxygenated venous blood. We obtained good correlation of this parameter with the blood effective attenuation coefficient in a wide spectral range that may be useful in providing an accurate and robust optoacoustic monitoring of blood oxygenation. We also estimated the accuracy of effective attenuation coefficient calculations.