RESUMEN
In this study, we explore the potential of diffuse optical tomography for brain oximetry. While several groups have already reported on the sensitivity of optical measurements to changes in oxyhemoglobin, deoxyhemoglobin, and blood volume, these studies were often limited to single source-detector geometries or topographic maps, where signals obtained from within the brain are projected onto 2-D surface maps. In this two-part study, we report on our efforts toward developing a volumetric optical imaging system that allows one to spatially resolve 3-D hemodynamic effects in rat brains. In part 1, we describe the instrumentation, optical probe design, and the model-based iterative image reconstruction algorithm employed in this work. Consideration of how a priori anatomical knowledge can be incorporated in the reconstruction process is presented. This system is then used to monitor global hemodynamic changes that occur in the brain under various degrees of hypercapnia. The physiologic cerebral response to hypercapnia is well known and therefore allows an initial performance assessment of the imaging system. As expected, we observe global changes in blood volume and oxygenation, which vary linearly as a function of the concentration of the inspired carbon dioxide. Furthermore, experiments are designed to determine the sensitivity of the reconstructions of only 1 mm to inaccurate probe positioning. We determine that shifts can significantly influence the reconstructions. In part 2 we focus on more local hemodynamic changes that occur during unilateral carotid occlusion performed at lower-than-normal systemic blood pressure. In this case, the occlusion leads to a predominantly monohemispherically localized effect, which is well described in the literature. Having explored the system with a well-characterized physiologic effect, we investigate and discuss the complex compensatory cerebrovascular hemodynamics that occur at normotensive blood pressure. Overall, these studies demonstrate the potential and limitations of our diffuse optical imager for visualizing global and focal hemodynamic phenomenon three dimensionally in the brains of small animals.
Asunto(s)
Encéfalo/metabolismo , Hipercapnia/diagnóstico , Interpretación de Imagen Asistida por Computador/métodos , Imagenología Tridimensional/métodos , Oxígeno/metabolismo , Tomografía Óptica/métodos , Algoritmos , Animales , Encéfalo/irrigación sanguínea , Mapeo Encefálico/instrumentación , Mapeo Encefálico/métodos , Hipercapnia/inducido químicamente , Hipercapnia/metabolismo , Interpretación de Imagen Asistida por Computador/instrumentación , Imagenología Tridimensional/instrumentación , Masculino , Ratas , Ratas Sprague-Dawley , Espectrofotometría Infrarroja/instrumentación , Espectrofotometría Infrarroja/métodos , Tomografía Óptica/instrumentaciónRESUMEN
This is the second part of a two-part study that explores the feasibility of 3-D, volumetric brain imaging in small animals by optical tomographic techniques. In part 1, we demonstrated the ability to visualize global hemodynamic changes in the rat head in response to elevated levels of CO(2) using a continuous-wave instrument and model-based iterative image reconstruction (MOBIIR) algorithm. Now we focus on lateralized, monohemispherically localized hemodynamic effects generated by unilateral common carotid artery (CCA) occlusion. This illustrates the capability of our optical tomographic system to localize and distinguish hemodynamic responses in different parts of the brain. Unilateral carotid occlusions are performed in ten rodents under two experimental conditions. In the first set of experiments the normal systemic blood pressure is lowered to 50 mmHg, and on unilateral carotid occlusion, we observe an ipsilateral monohemispheric global decrease in blood volume and oxygenation. This finding is consistent with the known physiologic response to cerebral ischemia. In a second set of experiments designed to observe the spatial-temporal dynamics of CCA occlusion at normotensive blood pressure, more complex phenomena are observed. We find three different types of responses, which can be categorized as compensation, overcompensation, and noncompensation.
Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/irrigación sanguínea , Encéfalo/fisiopatología , Estenosis Carotídea/diagnóstico , Interpretación de Imagen Asistida por Computador/métodos , Imagenología Tridimensional/métodos , Tomografía Óptica/métodos , Algoritmos , Animales , Mapeo Encefálico/instrumentación , Estenosis Carotídea/fisiopatología , Circulación Cerebrovascular , Estudios de Factibilidad , Interpretación de Imagen Asistida por Computador/instrumentación , Imagenología Tridimensional/instrumentación , Masculino , Ratas , Ratas Sprague-Dawley , Ratas Wistar , Espectrofotometría Infrarroja/instrumentación , Espectrofotometría Infrarroja/métodos , Tomografía Óptica/instrumentaciónRESUMEN
Diffuse optical tomography (DOT) is emerging as a viable new biomedical imaging modality. Using near-infrared (NIR) light, this technique probes absorption as well as scattering properties of biological tissues. First commercial instruments are now available that allow users to obtain cross-sectional and volumetric views of various body parts. Currently, the main applications are brain, breast, limb, joint, and fluorescence/bioluminescence imaging. Although the spatial resolution is limited when compared with other imaging modalities, such as magnetic resonance imaging (MRI) or X-ray computerized tomography (CT), DOT provides access to a variety of physiological parameters that otherwise are not accessible, including sub-second imaging of hemodynamics and other fast-changing processes. Furthermore, DOT can be realized in compact, portable instrumentation that allows for bedside monitoring at relatively low cost. In this paper, we present an overview of current state-of-the -art technology, including hardware and image-reconstruction algorithms, and focus on applications in brain and joint imaging. In addition, we present recent results of work on optical tomographic imaging in small animals.