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1.IntroductionNear-infrared spectroscopy (NIRS) has often been used for noninvasive evaluation of tissue oxygenation. Recently, this technique has been developed as a tool for human brain mapping by measuring the hemodynamic changes of cerebral cortex associated with neuronal activation.1, 2, 3 NIRS has some advantages over other methods for cerebral hemodynamics evaluation such as positron emission tomography (PET) and functional magnetic resonance imaging (fMRI) in terms of, for example, temporal resolution, easier handling, and less motion restriction during measurement. Some problems, however, remain to be solved before the application of NIRS to measurements of the human head. The head is a layered structure consisting of cerebral and extracerebral tissues (scalp, skull, and cerebrospinal fluid), and each layer has different optical properties. When light is applied to the scalp and diffusely reflected light is collected at a position on the scalp a few centimeters away from the incident point, the detected light carries information concerning not only the cerebral but also extracerebral tissues. Because the changes in extracerebral blood flow influence the determination of cerebral hemoglobin (Hb) concentration changes, some reports4, 5, 6 have questioned the validity of cerebral NIRS. It is thus necessary to separate signals originating in the cerebral tissue from those in the extracerebral tissue. As one of the ways for this purpose, a multidetector system consisting of continuous-wave-type (cw-type) instruments has been developed.7, 8 In this approach, however, separation of NIR signals attributed to cerebral and extracerebral tissues was incomplete because the measurement by different distances of light guide pairs might cause a discrepancy in the position where signals originate. In addition, with instruments of this type, it was difficult to quantify the Hb concentration.9, 10 The absolute value of Hb concentration is indispensable because neuronal activation and hemodynamic changes seem to significantly depend on the baseline conditions,11, 12 and also to compare the magnitude of the changes between different cortical areas and/or individuals. In contrast, time-resolved reflectance measurement with short-pulsed light [time-resolved spectroscopy (TRS)], which gives a temporal profile of detected light intensity, has high potential to overcome these issues. It is believed to carry information about depth-dependent attenuation based on the correlation of detection time to penetration depth of photons.13, 14, 15, 16, 17 Furthermore, it makes possible the determination of the optical properties in turbid media such as the absorption coefficient18, 19 of which acquisition at multiple wavelengths can give quantitative Hb concentrations. In most cases of conventional TRS measurements for the human head, was determined by fitting an analytical solution of the photon diffusion equation for a homogenous medium to the time-resolved reflectance profile on the assumption that the target medium is a semiinfinite homogeneous. The analysis based on this assumption not only causes an error in estimation of the optical properties of the human head20, 21, 22, 23, 24 but also cannot bring out the depth-dependent information. Therefore, new analytical methods that are suitable for layered media are required. To overcome this problem, some methods have been provided, such as by multilayered (time-dependent) diffusion equation9, 25, 26, 27 and by moments of distribution of time of flight.16, 28 Most of these analyses are employed by combination with the measurements at two or more distances, whereas a single-distance measurement is more favorable for practical measurements on the head due to the heterogeneity of the superficial layer and its curvature. On the other hand, the analysis with time-dependent mean partial path length by Steinbrink 16 could be applied to a single-distance measurement, but it did not enable us to estimate in a given condition but only the change in from one condition to another. In this paper, we attempt to develop a simple analytical method to separate optical signals originated in shallower layers from those in deeper layers and to selectively determine the values of them by TRS measurements with a single fixed source-detector spacing. As the first step of an analysis of a multilayer model such as the human head, a two-layered medium was considered. Our approach to this purpose is “time-segment analysis,” which divides the temporal profile of detected light intensity into time segments (e.g., every ), leading to an estimation of depth dependent . In this paper, we first demonstrate estimated by the slope of each time segment (time-segmented ) and its discrepancy from the real of the lower layer under various conditions in which and reduced scattering coefficient of each layer were changed with a Monte Carlo simulation and in phantom experiments. We also show the relationship between such discrepancy and the difference in between the upper and lower layers. Then we discuss a correction of time-segmented that was estimated smaller than the real with the ratio of time-segmented in an earlier time segment to that in a later one. In addition, we consider a way to calculate an appropriate in the case that of medium was unknown. Finally, we suggest the applicability of our approach in practical measurement. 2.Method for Determining2.1.Theoretical ConsiderationWhen a light impulse is incident on the surface of a semiinfinite homogeneous medium (object), the time-resolved intensity of reflected light at time can be expressed as29 where is the absorption coefficient of the medium, is the light velocity in the medium, and is a scattering function that is dependent on their reduced scattering coefficient in the photon diffusion regime. We consider a reference medium besides the object. The reflected light intensity for the reference at is written as , where the subscripts to , , , and indicate a reference. Attenuation is defined as logarithm of the inverse of reflectance and according to the time-resolved Beer-Lambert law,30 difference between the attenuation of an object and that of a reference , , can be expressed aswhere . When and the refractive index are the same for the reference and the object, vanishes and becomes linear to and its slope is denoted as , where , and .However, in the case where the object is an inhomogeneous medium (and the reference is a homogeneous one), is no longer linear to even if can be ignored. When varies due to the layer structure, reflects the depth dependence in . Here we introduce time-dependent apparent absorption coefficient, , given by , where the subscript refers to the layer number in the object medium, is the mean partial path length in the ’th layer for the photons detected at time , and is total path length defined as . Then we define time dependent difference in apparent absorption coefficient , which is the difference between and at each time. In the case of two-layered media, the ’th layer simply corresponds to either upper or lower layer and is expressed as follows: where and are the values of the upper and lower layer for an object, and and are the mean partial path length in the upper and lower layers at time , respectively. Figure 1 shows time dependence of the number of scattering events for the photons detected by reflectance mode in the upper part of the depth from for a homogeneous semiinfinite medium ( , , source-detector distance , ), predicted by a Monte Carlo simulation. As for photons detected later in time in the measurement of reflectance mode, the number of scattering events in shallow layers is almost constant. This is typically seen after around in layers that are shallower than . Because the number of scattering events is converted to the photon path length by mean free pass, the mean partial path lengths of the shallow layers can be considered constant after . At a later time, therefore, the mean partial path length in deeper layers is dominant to the total path length.2.2.Time-Segmented and Method for Obtaining of the Lower LayerNext, we introduced mean absorption differences obtained by instead of in consideration of errors by getting the regression curve and to simplify an analysis process. For this aim, we divided the temporal profile of detected light intensity into segments to extract time-dependent (time-segment analysis). When we assume that and refractive index are the same for reference and object, where is total path length change, which is . As shown in Fig. 1, if is negligible after , the slopes of against at later time segments converge to . If we know , can thus be determined. We refer to as the time-segmented , which represents a depth-dependent absorption coefficient at each time segment. It depends on the contribution of the change in the mean partial path length to that in the total path length between two different times. Accordingly, Eq. 4 could be rewritten again as .In the following, a calculation process is explained for the case of the two-layered object and homogeneous reference. First, from the two sets of data for the object and reference, we calculate profile and divide it into segments. Then at each time segment is approximated linear to time and its slope (time-segmented slope) is estimated by linear regression. From the time-segmented slope, can be obtained from and based on Eq. 4. In this study, time range of was selected for the segment size considering the reliability of regression analysis of the time-segmented slope. Before calculations of , temporal profiles of light intensity measured by TRS are deconvoluted by the pulse response of the system that can be determined in every experiment. Deconvolution can be performed by the Fourier transform, and higher frequency components over of the maximum are eliminated as they are judged to be noise. 3.Simulation and Experiment3.1.Monte Carlo SimulationTo analyze the light propagation and calculate the reflectance from a two-layered semiinfinite medium, we used the Monte Carlo code developed by Wang and Jacques.31 The code was modified to correspond to our measurement system. The number of scattering events in layers ranging from to in depth, and reflectance for the medium were calculated with the time step of . Source photons were perpendicularly irradiated on the surface of the semiinfinite media, and photons that were emitted from a detector position on the surface were all detected. The source-detector distance was . The calculation was repeated until the number of the detected photons reached 1,000,000. For each layer separately, were given as 1.0 and and were varied at the range of . These values were chosen close to the optical properties of the tissues in human heads, and of the head32 were 0.7 to 1.0 and at , and and of gray matter33 were 0.4 to 0.7 and at , respectively. To compare with the results of phantom experiments described in the following, a case for smaller value was also examined. We compared some reflectance profiles simulated in an anisotropic setting (scattering coefficient , anisotropy parameter ) with those in an isotropic one and confirmed that the difference between the two was small enough to be ignored. Therefore, isotropic scattering was assumed to reduce the calculation time. A refractive index of 1.37 was used for both the upper and lower layers. 3.2.Phantom PreparationHomogeneous and two-layered gelatin phantoms, the sizes of which were , were prepared. The thicknesses of the upper layers in two-layered phantoms were 10 and . The base material of phantoms was an gelatin (Wako Pure Chemical Industries, Ltd., Osaka, Japan) solution. The gelatin solution itself was transparent and its is at . We adjusted and to 1.0 to 1.5 and at , respectively, by adding Intralipid (Fresenius Kabi AB, Upsala, Sweden) as scatterers and ink (greenish brown ink; Chugai Kasei Co., Musashino, Japan; at 760, 800, and were 0.247, 0.180, and , respectively, in aqueous solution) as an absorber. A homogeneous phantom without ink (S0; , ) was also prepared as a reference for analysis. We determined and of each phantom by curve fitting the solution of photon diffusion equation to time-resolved data (the details are described in Sec. 3(D)). To confirm the reproducibility of the results, we prepared eight homogeneous phantoms on different days and/or at different times and compared their optical properties. The thickness of the upper layer and optical properties of phantoms are listed in Table 1 . Table 1Sets of optical properties at 760nm of gelatin phantoms used in experiment, where μa and μs′ are theoretical values based on the concentration of ink and Intralipid, respectively.
3.3.InstrumentationA single-channel TRS instrument34 (TRS-10, Hamamatsu Photonics KK, Hamamatsu, Japan) was employed in this study. In the TRS-10, three laser diodes with different wavelengths (760, 800, and ) generate optical light pulses having duration of around (full width at half maximum; FWHM) at the repetition rate of . After adjusting the intensity by an optical attenuator, light pulses are delivered to the sample through an optical light guide [GI type, core diameter, numerical aperture ]. The strongest power irradiated to the sample is around at each wavelength. The light pulses passing through the sample are collected by a fiber bundle ( diameter, ), and transmitted to a high-speed photomultiplier tube with S-25 photocathode (H6279-MOD, Hamamatsu Photonics KK, Japan) for single-photon detection in the NIR light region. A circuit for time-resolved measurement based on time-correlated single-photon counting (TCSPC) method measures the temporal profile. Minimal data acquisition time is . 3.4.Time-Resolved Measurement and Determination of Optical Properties of PhantomsIn phantom experiments, as shown in Fig. 2 , incident and detecting light guide with a separation of were placed on the upper surface of a phantom. Measurements with an accumulation time of were performed at more than three different positions within an area apart from the edge of the phantom to avoid the distortion of photon diffusion due to the edge. The count rate was adjusted to at each wavelength by optical attenuator to prevent the pile-up distortion. We avoided specular reflection and light leakage by employing a black light-guide holder. In every experiment, the instrumental responses of the TRS-10 were measured, facing the input and receiving fibers each other through a neutral density filter in a black tube. The instrumental response was around FWHM at each wavelength. Optical properties in homogeneous phantoms and in each layer of the two-layered phantoms were determined by fitting an analytical solution of the photon diffusion equation to the measured temporal profile with nonlinear least squares regression. The data in a time range of were selected for fitting. In obtaining the analytical solution, the extrapolated boundary condition of reflectance mode35, 36 was employed. The theoretical profile was convoluted with the measured incident pulse shape in the fitting process. Light velocity in gelatin was assumed to be , corresponding to its refractive index of 1.33. The same values of these were also used for the calculation of . 4.Results4.1.Monte Carlo Simulation4.1.1.Temporal variations ofFirst we examined the temporal variations of under several conditions in which the of each layer were changed. As a matter of convenience, the segments were numbered as I, II, III, etc. in order of time starting from (e.g., the segment by time range from was denoted as segment I and that from was as segment V, and so on). Figure 3 shows the variations of ( number) of media, the upper layer thickness of which was and of both layers were . The are expressed as the ratio to the real . A homogeneous medium was used as a reference profile ( , ). Roughly, three types of the curves were observed. The in the case of the identical between the two layers were almost constant in all the time segments. In the case where was larger than , the ratio of to the real was above 1 at (segment I) and gradually decreased with time, converging on 1 in (segments V and VI). On the other hand, in the case where was smaller than , was below 1 at and increased with time. Even in a later time period, did not reach the . 4.1.2.Effects of the difference in scattering onNext, using two additional two-layered models in which upper was different from the lower , we examined the effects of the difference in between the two layers on the . Figure 4(a) shows the temporal variations of of the media with different between the two layers as well as those of media with the same . As the reference profile, a homogeneous medium in which was the same as that of the upper layer ( or , ) was used. The vertical axis represents the ratio of to the real . Even though upper and lower values were different from each other in the range from , the temporal variation of was very similar to that in the case in which both layers had the same . Figure 4(b) shows the effects of the difference between an object and a reference on the temporal variations of . Each was calculated by a reference in which was the same as, larger than, and smaller than that of upper layer of an object. When we used a reference with larger , in the earlier time segments were larger than estimated by a reference with the same . In contrast, when a reference with smaller was used, was smaller than that in the case of the same . The calculated by a reference and the and (VI) by the reference were almost equal to that calculated by the reference with the same . 4.1.3.Effect of the difference between the upper and lower layer on the in later segmentsFigure 5 shows the (V), and (VI) of two-layered media (upper layer ) predicted by Monte Carlo simulation as a function of the ratio of to . The data obtained in the cases in which was equal (the models in Sec. 4.1.1) and different (the models in Sec. 4.1.2) between the two layers were plotted together. As the reference profile, a homogeneous medium in which was the same as that of the upper layer was used. When the was equal to or more than 1, the , (V), and (VI) nearly represented the real . The error was less than 5.0% in segment VI. On the other hand, the even in these later time periods were smaller than the real in the range of the less than 1. The deviation grew larger as the decreased. 4.2.Phantom Experiment4.2.1.Optical properties of phantomsMaximum deviation of the optical properties of phantoms in intra- and inter-samples from the mean value were 3 and 8%, respectively. Temporal profiles of detected light intensity in homogeneous (S0) and two-layered phantom (L0), which consists of two layers with the same optical properties as those of S0, were almost in agreement (data not shown). It was thus concluded that the effect of the interface between two layers on the pattern of photon propagation was negligible in present study conditions. 4.2.2.Temporal variation ofWhichever wavelength (760, 800, and ) we used, the results obtained from the following analyses of phantoms were almost the same. Thus, we present the data at as representative results. In the phantoms with values of larger than , the profiles of were reliable only in the time range of . Therefore, we mainly show the results of phantoms with of , for which our instrument shows adequate performance, although they were smaller than that of human head generally estimated. Figure 6 shows the typical time-resolved reflectance [Fig. 6(a)] and curve [Fig. 6(b)] obtained by phantom measurements. In this condition, the data were reliable in the time period from . In the early time period before and in the later time period after , data were noisy because of the interaction of incident light and/or the decrease in detected photon numbers. Therefore, analysis for slope of (calculation of ) was performed in the range of . The segments were numbered as I, II, III, etc. in order of time in the same manner as the case in Sec. 4(A). Figure 7 shows temporal variations of in two-layered phantoms (measured optical properties of L1: , , ; L2: , , ) with the upper layer thickness of as well as that of the homogeneous phantom (S1: , ). The are expressed as the ratio to the real . The of the reference was the same as that of the upper and lower layers of these phantoms. The of S1 were almost constant in all the time segments, and the ratio to the real was . As for L1 , the ratio of to the real was . It gradually decreased with time to in segment IV and in segment V. On the other hand, in L2 , was and increased with time to in (segment V). Figure 8 shows the temporal variations of of phantoms with an upper layer thickness of . The optical properties of each layer in and were the same as those of L1 and L2, respectively. For comparison, of S1 is also shown. Like in the phantoms with an upper layer thickness of shown in Fig. 7, the pattern of was dependent on . When was larger than , the indicated . The effects of the scattering difference on the temporal variations of were found in a similar manner to the results by Monte Carlo simulation (data not shown). 4.2.3.Effect of the difference between the upper and lower layer on the in later segmentsFigure 9 shows the in segment IV [Fig. 9(a)] and segment V [Fig. 9(b)] as a function of by measurements of phantoms in Table 1. As in the Monte Carlo simulation, the in later time periods depended on the difference in values between the upper and the lower layers: it was smaller than the real in the range of the less than 1, while it almost represented the real when the was equal to or more than 1. In the case in which upper layer thickness was , the was much smaller in the range of the below 1, while it was larger than the real values in the range of the above 1 in segment IV, but not in segment V. When the value of the lower layer was different from that of the reference, there were no significant changes in the relationship between the and the or (V). 5.Discussion5.1.Relationship Between and Real of Each LayerTime segment analysis, dividing the temporal profile of detected light intensity into segments, leads to some findings on path distribution in the direction of depth of photons detected at each time for layered turbid media with absorbers. The results obtained from the analyses for Monte Carlo simulation data were generally confirmed by those of phantom experiments data. As one of the mutual results, it was found that the values in later segments depended on the difference in real between two layers. This represents that in later time, the partial path length in each layer depends on both values of the layers because the probability that the photons mainly passed in the larger layer are detected declines. When is smaller than , at a later time is relatively high and cannot be ignored even in later time segments. Thus, was underestimated by the effect of . In contrast, when is equal to or larger than , of photons detected later in time is sufficiently longer than and steadily increase with , that is, can be considered nearly zero in later time periods, as expected. The presented results, for which were underestimated if was smaller than , were in agreement with a study by Hielscher, 22 who employed a curve-fitting method with homogeneous diffusion equation to later part of the time-resolved reflectance. Similarly, did not give the real values correctly, which were also affected by the difference in between two layers (data not shown). As shown in Fig. 1, the photons detected at have a low probability of passing through layers lower than the depth of . Although is dominant to , cannot be taken as zero even in this period, especially when the thickness of the upper layer is less than . To estimate more properly, it might be effective to use an earlier time segment of curve (e.g., at ). But due to the interference of incident light, it seems difficult to select the optimal time period in practical measurements. 5.2.Estimation of by the Ratio of at an Early Time to that at a Later TimeIn spite of the discrepancy of from the real , our method gives us enough information to know the difference in between the upper and lower layers. Moreover, based on the relationship between the extent of underestimation of and the ratio of the real of two layers (Fig. 5), we would derive by correction of under the condition where of the upper layer and that of a reference are the same and upper layer thickness is almost known. For judgment of the , we attempted to use the at an early time (segment I) and at a later time (segment V) . First, under the condition where of the reference was the same as that of the upper layer of the medium, we examined the of various media with different predicted by the Monte Carlo simulation. Figure 10 shows the plots of to . There was a strong linear correlation between these values . Then we checked the relationship between the ratio of the (V) to the real and the for both data sets by Monte Carlo simulation [Fig. 11(a) ] and by phantom experiment [Fig. 11(b)]. In the range of this ratio below 1, the linearly related to the , i.e., we could express them as , where and are constants. By regression analysis, the relationships and the correlation coefficients were , , and in the plot with Monte Carlo data, and , , and in that by the phantom experiment, which were almost in agreement. Segment IV and segment VI could also be used for the estimation of . But under the condition of this study, segment V was the most adequate to analyze , because segment IV included more information of the upper layer [cf. the case of the upper thickness of in Fig. 9(a)] and segment VI had higher noise than segment V. Consequently, we could evaluate from and we could estimate the by dividing in later time by the value of . In Fig. 11, the data in both cases in which was equal and different between the two layers within the range of were plotted together. Therefore, the equation for the relation between and holds its validity at least under the condition that is and is of each layer in the two-layered media. 5.3.Effect of the Scattering Coefficient on Estimation of of the Lower LayerAs shown in Fig. 4(a), although the of the lower layer was different from that of the reference, the values were almost identical with those for the case where the of the lower layer was the same as that of the reference. In contrast, as shown in Fig. 4(b), the difference in between the upper layer and the reference significantly influenced the in earlier time segments. These results indicate that in Eq. 2 is almost equal to the difference in scattering function only between the shallower part of the media and the reference. In addition, our results showed that the dependence of after on the difference in between the upper layer and the reference was weak. These results are explained by the analytical solution derived by Patterson [Eqs. (7) and (8), Ref. 18]. In the case of homogeneous media, time differential of in Eq. 2 [or in the first line of Eq. 3] in this paper can be represented as follows: , where and are the diffusion coefficients for the reference and the object, respectively. As is constant, is in proportion to the reciprocal of the square of time. Thus, the is negligible at the later time. Similarly, in the case of the two-layered media, it can be considered that is very small at the later time, i.e., the effect of the difference on the at the later time segments can be negligible. In contrast, the scattering term cannot be ignored in the segment I. 5.4.Determination of Proper Reference with Time Segment AnalysisWe have showed so far the results mainly in the case where of the reference was the same as that of the upper layer of the medium. However, for proper analysis with the correction in Sec. 5(B), we must select an adequate reference with very close to that of the upper layer of the target medium that was actually unknown. We can show one of the methods to determine the adequate reference. As for a homogeneous medium, if of an object and a reference are the same, which implies is zero in Eq. 2, the relation becomes linear. That is, if we select a reference that makes a straight line, the of the reference is the same as that of the object.37 In layered media, as mentioned in Sec. 5(C), mainly depended on the difference in between the upper layer and the reference. Thus, we applied the precedings concept that is estimated based on the degree of linear relation for curve to two-layered media to select an adequate reference. Figure 12(a) shows curves of two-layered medium (upper layer, , , and lower layer, , , upper layer ) in , predicted by Monte Carlo simulation and analyzed using five references that had different values within the range of . We examined the coefficient of determination of each curve by linear regression analysis. It could be found that when a reference was used whose was the same as that of the upper layer of an object, was extremely close to 1. It indicates that when thickness of the upper layer is larger than , the change in with is so small as compared with that of in time segment I and in time earlier than segment I. Thus, using this method of investigating linear relation for at an earlier time, we can select an appropriate reference. Figure 12(b) shows estimated values of the lower layer and the errors for this model analyzed by various references already described. The correction of (V) with equation in Sec. 5(B) was used to estimate these . It was found that when a reference was used whose value was the same as that of the upper layer of an object, the estimated was almost the same as the real . We also found that when the difference in between a reference and the upper layer of an object was smaller than , the error of estimated was less than 10%. In other words, we should prepare a series of reference in which were changed by every within the range of the human extracerebral tissue to estimate reliable by this method. 5.5.Possibility of Applying the Present Method to Human Head MeasurementsThe time segment analysis of time-resolved reflectance in two-layered media enabled us to simply acquire information on the of each layer and was implemented for a reflectance by measurement with a single source-detector distance. Moreover, we found that the estimated value of depended on the value of , i.e., were underestimated if was smaller than , which was almost the same as the results in the case of fitting analysis for the later part of time-resolved reflectance by a solution of diffusion equations for homogeneous media.22 In our method, however, the difference in can be evaluated using both at earlier time and at later time . For the adult human forehead, the total thickness of scalp and skull is28, 38 about . Thus, the of the brain may be estimated by (IV) to (VI) if the human head could be approximated to two-layered model. On the other hand, the human head is a multilayered structure and the scattering phenomenon must be more complex. Therefore we require further experiments with a more sophisticated model of the human head to confirm the utility and limitations of this method. For example, relation between the discrepancies of estimated from the real and the ratio of at an earlier time to that at a later time in multilayered models, and dependence of the layer thickness on the relationship should be examined. As the segment size, a time range of was chosen in this study. For a multilayered model, however, we should evaluate the segment size to obtain better results. Moreover reliable estimation requires determining values of the scalp and skull, which vary with individuals and each position on the head. 6.ConclusionWe confirmed that the “time segment analysis” of time resolved reflectance for a two-layered media could selectively determine the values of . Under the condition where of a reference profile is the same as that of the upper layer of an object medium, this analysis enables us to estimate the deference in between the upper and the lower layers. It was also possible to determine by correcting the with the ratio of in an earlier time segment and to that in a later one if we have rough knowledge of the upper layer thickness. In conclusion, the presented approach has a potential to selectively determine the value of and to quantitatively evaluate concentrations of the Hb in human cerebral tissue. AcknowledgmentsThe authors very much appreciate the helpful discussion we had with Mr. Y. Yamashita and Dr. M. Oda at Hamamatsu Photonics KK. 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