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Using Physics to Image Brain Function Vladislav Toronov, Ph. D. outline Functional MRI: lack of physiological specificity Principles of Near Infrared Spectro-Imaging NIR study of the physiological basis of fMRI signal NIR imaging of brain function Quantities used in MRI Longitudinal relaxation time T1 Transverse relaxation time T2 (T2*) Proton density Why MRI provides nice structural images? Due to the large differences in T1 or T2 between tissues Can MRI be used for metabolic measurements? Answer: it is very difficult to do because T1 and T2 can depend on many parameters Example: Changes in the blood content during functional activity Oxygen Transport to Tissue Oxygen is transported in hemoglobin molecules of red blood cells: Deoxy-hemoglobin HHb Oxy-hemoglobin: HbO2 Metabolic measurement: Can MRI be used to measure [HHb] and [HbO2]? Blood Oxygen Level Dependent effect: Oxygen in the blood modifies T2* Functional brain mapping Quantitative physiological model of the BOLD signal: R. Buxton, 1998 DS 1Dq 2D v where Dq=D[HHb]/[HHb]0 Dv=D[tHb]/[tHb]0 Conclusion: MRI does not allow simple separation of oxygenation effects from blood volume effects Near-Infrared Spectro-Imaging (NIRSI) Optical Spectroscopy Beer’s law: a i ci i NIRSI Light Propagation in Tissues Absorption a ~0.1 cm-1 Scattering ’s ~ 10 cm-1 NIRSI Boltzmann Transport Equation ˆ , t) 1 L(r , ˆ , t ) ˆ ( ) L( r , ˆ , t) L ( r , a s v t ˆ , t ) f ( ˆ , ˆ )d ˆ S (r , ˆ , t) s L( r , Where , t ) - radiance [W cm-2 steradian-1] L(r , a s - absorption coefficient [cm-1] - scattering coefficient [cm-1] , t ) - source term [W cm-3 steradian-1 s-1] S (r , Diffusion Approximation a s (1 cos ) ' s Diffusion Equation: Diffusion coefficient (scattering) 1 D 2 a r r , t q0 r , t c t c Absorption Photon Density Source Type of the source modulation: Continuous Wave Time Domain (pulse) Frequency-Domain Frequency-domain approach Light Source: Modulation frequency: >=100 MHz AC, DC and phase NIRSI Absolute measurements with frequency-domain spectroscopy Frequency-domain multi-distance solution for Semi-infinite medium method 80 AC*r2 phase -2 70 -4 50 AC 60 -5 Log -3 -6 S Sac -7 40 30 20 -8 10 -9 0 10 20 r (mm) 30 0 40 phase () -1 a: absorption coefficient s’: reduced scattering coefficient w: angular modulation frequency v: speed of light in tissue S: phase slope Sac: ln(r2ac) slope Method of quantitative FD measurements: Multi-distance Detector fiber bundle Source fibers Flexible pad Direct light block Estimation of physiological parameters Beer’s law: a HbO [ HbO2 ] HHb [ HHb ] 2 Total HB [tHB] [ HbO2 ] [ HHb ], 2 ~CBV [ HbO 2 ] Oxygenation Ox 100(%), [ HbO 2 ] [ HHb ] NIRSI Near-infrared tissue oximeter RF electronics pmt b pmt a detector bundles laser driver 2 laser driver 1 multiplexing circuit NIRSI Instrumentation source fibers laser diodes NIR Imaging System Advantages of NIRSI Non-invasive Fast (~ 1 ms) Highly specific (spectroscopy) Relatively inexpensive (~$100 K) Can be easily combined with MRI NIRSI in Functional Magnetic Resonance Imaging Study of the physiology of the BOLD effect BOLD= Blood Oxygen Level Dependent fMRI Mapping of the Motor Cortex BOLD signal model DS 1Dq 2D v where Dq=D[HHb]/[HHb]0 Dv=D[tHb]/[tHb]0 Study of the BOLD effect Multi-distance optical probe Detector fiber Laser diodes 690 nm & 830 nm Study of the BOLD effect Collocation of fMRI signal and optical sensor Optical probe Motor Cortex Study of the BOLD effect Activation paradigm Motor activation Relaxation Stimulation Вlock Design - 10s/17s Time Study of the BOLD effect Data analysis: Folding (time-locked) average Raw data Folded data Study of the BOLD effect Time course of hemodynamic and BOLD signals stimulation Study of the BOLD effect BOLD signal model DS 1Dq 2D v where Dq=D[HHb]/[HHb]0 Dv=D[tHb]/[tHb]0 Study of the BOLD effect Biophysical Modeling of Functional Cerebral Hemodynamics O2 Diffusion Between Blood and Tissue Cells fout fin Modeling “Balloon” Model dq 1 E (t ) q( t ) f in f out dt E0 v (t ) q- normalized Deoxy Hb v- normalized Total Hb =V0/F0 – mean transit time E f in Oxygen Extraction Fraction Modeling OEF as function of CBF (Buxton and Frank, 1997) E f in 1 (1 E0 )1/ fin Modeling Modeling “Balloon” Model dq 1 E (t ) q (t ) f in f out dt E0 v(t ) dv 1 f in f out dt E f in 1 (1 E0 )1/ f in q- normalized Deoxy Hb v- normalized Total Hb Oxygen Extraction Fraction Functional Changes in Cerebral Blood Flow from Balloon Model Stimulation 110 fin fout 108 fin ,fout(%) 106 104 102 100 98 0 5 10 15 Time (s) 20 25 30 Modeling Why oxygenation increases? The increase in cerebral blood oxygenation during functional activation is mostly due to an increase in the rCBF velocity, and occurs without a significant swelling of the blood vessels. Washout Effect Modeling Outcomes The time course of the BOLD fMRI signal corresponds to the changes in the deoxyhemoglobin concentration BOLD fMRI provides no information about the functional changes in the blood volume This information can be obtained using NIRSI Optical Mapping of Brain Activity in real time Locations of the sources and detectors of light on the human head 3 4 2 B 5 1 A 6 3 cm 8 7 detectors light sources Motor Cortex Brain mapping Backprojection Scheme C34=.5*S3 + .5*S4 3 C34=.75*S3+.25*S4 1 2 3&4 3 3 3 2 2 2 2 2 1&2 1 1 1 1 1&8 3&4 3 3 3 2&3 2 2 2 2 2 2 2 2 1&2 1 1 1 1&8 3 3 2&3 2 2 2 2&2 2&2 2 2 2 1&2 1 1 8 8 2 1&2 1&8 8 8 8 6 6&7 7&8 8 8 8 8 4 4 4 4 4 4 4 4 4 4 3 2&3 2 3& 2&3 2 4 4& 5&6 6 5 B 2& 2 2&6 2&6 2&6 2 6 6& 6 6&2 2&6 2&6 6 2 A 4 5 5 5&6 6 6 6 6&6 6&6 6 6 6 6&7 7 7 8 4&5 5 5 5 5&6 6 6 6 6 6 6 6 6 6&7 7 7 7 7&8 4&5 5 5 5 5 5&6 6 6 6 6 6 6 6&7 7 7 7 1&8 5 6 7 7 8 detectors light sources (758 and 830 nm) Brain mapping Real time video of brain activation D [Hb] (M) -1.0 -0.5 0.0 3 0.5 1 2 A B 4 5 6 8 7 Brain mapping 3D NIR imaging of brain function using structural MRI S D A small change in absorption S U sd D dU sd da U sd d Ln n a n Ln –the mean time photon spends in voxel n relative to the total travel time Solve an equation: dU sd U sd d L n a n n Number of measurements<< number of voxels Underdetermined Problem 3D imaging Sensitivity is high near the surface and low in the brain Source Detector 3D imaging Using structural MRI info Scalp CerebroSpinal Fluid Scull Brain CONSTRAINT 3D imaging How do we find Ln –the relative voxel time? dU sd U sd d L n a n n Monte Carlo Simulation Structural MR image is segmented in four tissue types: • Scalp • Skull • CSF • Brain 10,000,000 “photons” Source Detector 3D imaging Image Reconstruction dU sd U sd d L n a n n Underdetermined Problem Y=Ax Solution: Simultaneous Iterative Reconstruction Technique 3D imaging Activation of Human Visual Cortex Flashing or reversing checkerboard EXPERIMENT 50 mm 40 mm 10 mm 3D imaging Probe for imaging human visual cortex in the MRI scanner Placement of the optical probe on the head inside the “birdcage” head coil of the MRI scanner Magnetic bore of the MRI scanner Birdcage head coil B 0 To/from the NIR spectrometer Optical probe Optical fibers Time course of hemodynamic changes in the activated region -4 2 Average changes in [HbR] and [HbO] at 2 Hz x 10 [HbO] [HbR] Vis. Stim. Average hemo changes (mM) 1.5 1 0.5 0 -0.5 -1 0 10 20 30 Time (sec) 40 50 60 Results of the group statistical analysis of variance Using AFNI medical Image processing software BOLD -D[Hb] D[HbO2] 3D imaging Outcomes In combination with structural MRI,NIRSI can be used for non-invasive 3D imaging of physiological processes in the human brain A two-wavelength NIR imaging provides independent spatially-resolved measurements of changes in oxy- and deoxyhemoglobin concentrations. General Conclusion and Perspective Alone or in combination with other imaging techniques, NIRSI can be used as a quantitative metabolic imaging tool in a variety of biomedical applications: Neuronal activity ~10 ms temporal resolution Neonatology ~Baby’s head has low size and absorption Mammography ~ Non-ionizing, specific Small animals ~ Neuroimaging, fast assessment in cancer research