Significance: The human brain is a highly complex system with nonlinear, dynamic behavior. A majority of brain imaging studies employing functional near-infrared spectroscopy (fNIRS), however, have considered only the spatial domain and have ignored the temporal properties of fNIRS recordings. Methods capable of revealing nonlinearities in fNIRS recordings can provide new insights about how the brain functions.

Aim: The temporal characteristics of fNIRS signals are explored by comprehensively investigating their fractal properties.

Approach: Fractality of fNIRS signals is analyzed using scaled windowed variance (SWV), as well as using visibility graph (VG), a method which converts a given time series into a graph. Additionally, the fractality of fNIRS signals obtained under resting-state and task-based conditions is compared, and the application of fractality in differentiating brain states is demonstrated for the first time via various classification approaches.

Results: Results from SWV analysis show the existence of high fractality in fNIRS recordings. It is shown that differences in the temporal characteristics of fNIRS signals related to task-based and resting-state conditions can be revealed via the VGs constructed for each case.

Conclusions: fNIRS recordings, regardless of the experimental conditions, exhibit high fractality. Furthermore, VG-based metrics can be employed to differentiate rest and task-execution brain states.

Significance: Monitoring of cerebral perfusion rather than blood pressure changes during a head-up tilt test (HUTT) is proposed to understand the pathophysiological effect of orthostatic intolerance (OI), including orthostatic hypotension (OH), in Parkinson’s disease (PD) patients.

Aim: We aim to characterize and distinguish the cerebral perfusion response to a HUTT for healthy controls (HCs) and PD patients with OI symptoms.

Approach: Thirty-nine PD patients with OI symptoms [10 PD patients with OH (PD-OH) and 29 PD patients with normal HUTT results (PD-NOR)], along with seven HCs participated. A 108-channel diffuse optical tomography (DOT) system was used to reconstruct prefrontal oxyhemoglobin (HbO), deoxyhemoglobin (Hb), and total hemoglobin (HbT) changes during dynamic tilt (from supine to 70-deg tilt) and static tilt (remained tilted at 70 deg).

Results: HCs showed rapid recovery of cerebral perfusion in the early stages of static tilt. PD-OH patients showed decreasing HbO and HbT during dynamic tilt, continuing into the static tilt period. The rate of HbO change from dynamic tilt to static tilt is the distinguishing feature between HCs and PD-OH patients. Accordingly, PD-NOR patients were subgrouped based on positive-rate and negative-rate of HbO change. PD patients with a negative rate of HbO change were more likely to report severe OI symptoms in the COMPASS questionnaire.

Conclusions: Our findings showcase the usability of DOT for sensitive detection and quantification of autonomic dysfunction in PD patients with OI symptoms, even those with normal HUTT results.

Significance: It has been reported that children with attention-deficit hyperactivity disorder (ADHD) have impairment in the recognition of angry but not of happy facial expressions, and they show atypical cortical activation patterns in response to facial expressions. However, little is known about neural mechanisms underlying the impaired recognition of facial expressions in school-aged children with ADHD and the effects of acute medication on their processing of facial expressions.

Aim: We aimed to investigate the possibility that acute administration of methylphenidate (MPH) affects processing of facial expressions in ADHD children.

Approach: We measured the hemodynamic changes in the bilateral temporo-occipital areas of ADHD children observing the happy and angry facial expressions before and 1.5 h after MPH or placebo administration in a randomized, double-blind, placebo-controlled, crossover design study.

Results: We found that, regardless of medication, happy expressions induced increased oxyhemoglobin (oxy-Hb) responses in the right inferior occipital region but not in the superior temporal region. For angry expressions, oxy-Hb responses increased after MPH administration, but not after placebo administration, in the left inferior occipital area, whereas there was no significant activation before MPH administration.

Conclusions: Our results suggest that (1) ADHD children consistently recruit the right inferior occipital regions to process happy expressions and (2) MPH administration to ADHD children enhances cortical activation in the left inferior occipital regions when they process angry expressions.

Significance: Knee osteoarthritis (OA) is a common joint disease causing chronic pain and functional alterations (stiffness and swelling) in the elderly population. OA is currently treated pharmacologically with analgesics, although neuromodulation via transcranial direct current stimulation (tDCS) has recently generated a growing interest as a safe side-effect free treatment alternative or a complement to medications for chronic pain conditions. Although a number of studies have shown that tDCS has a beneficial effect on behavioral measures of pain, the mechanistic action of neuromodulation on pain sensitivity and coping at the central nervous system is not well understood.

Aim: We aimed at observing longitudinal changes of cortical hemodynamics in older adults with knee OA associated with a two-week-long tDCS self-treatment protocol.

Approach: Hemodynamics was measured bilaterally in the motor and somatosensory cortices with functional near-infrared spectroscopy (fNIRS) in response to thermal pain induced ipsilaterally to the knee primarily affected by OA.

Results: We found that both oxyhemoglobin- and deoxyhemoglobin-related functional activations significantly increased during the course of the tDCS treatment, supporting the notion that tDCS yields an increased cortical excitability. Concurrently, clinical measures of pain decreased with tDCS treatment, hinting at a potential spatial dissociation between cortically mediated pain perception and suppression and the prevalence of neuromodulatory effects over cortical pain processing.

Conclusions: fNIRS is a valid method for objectively tracking pain in an ambulatory setting and it could potentially be used to inform strategies for optimized tDCS treatment and to develop innovative tDCS protocols.

Significance: Terahertz wave is a potential tool for biological tissues due to its noninvasiveness and high sensitivity to water. Attenuated total reflection (ATR) with the characteristics of high sensitivity and nondestruction has been applied for THz imaging.

Aim: We aim to develop an imaging methodology to facilitate practical application of THz ATR imaging.

Approach: We have demonstrated a horizontally scanning THz continuous wave ATR imaging system. The effective imaging area was as large as the prism imaging surface by optimizing the ATR prism, and the influence of secondary reflection can be well avoided. By taking the image resolution and stability of this system into consideration, the incident angle α to the prism bottom was chosen to be 30 deg.

Results: The image resolution of this system can be up to 400 and 450  μm in horizontal and vertical directions, respectively. Furthermore, U87-glioma regions of mice brain tissues with different sizes and C6-glioma regions of rat brain tissues with relatively large size can be differentiated clearly from normal brain tissues by this imaging system. The volume and location of the tumor region shown in the THz images are similar to those visualized macroscopically in the corresponding visual and H&E-stained images.

Conclusion: We indicate terahertz horizontal-scanning ATR imaging technique with large effective imaging area, and high resolution could be used as an alternative method for label-free and high-sensitivity imaging of biological tissues.

Significance: Our study reveals that frontal cerebral oxygenation asymmetry (FCOA), i.e. a difference in the oxygenation between the right and left prefrontal cortex (PFC), is a real phenomenon in healthy human subjects at rest.

Aim: To investigate FCOA, we performed a study with 134 healthy right-handed subjects with the systemic physiology augmented functional near infrared spectroscopy (SPA-fNIRS) approach.

Approach: Subjects were measured 2 to 4 times on different days resulting in an unprecedented number of 518 single measurements of the absolute values of tissue oxygen saturation (StO₂) and total hemoglobin concentration ([tHb]) of the right and left PFC. Measurements were performed with frequency-domain functional near-infrared spectroscopy. In addition, the cardiorespiratory parameters were measured simultaneously.

Results: We found that (i) subjects showed an FCOA (higher StO₂ on the right PFC), but not for tHb; (ii) intrasubject variability was excellent for both StO₂ and tHb, and fair for FCOA; (iii) StO₂ correlated significantly with blood CO₂ concentration, [tHb] with heart rate, respiration rate (RR), and the pulse–respiration quotient (PRQ), and FCOA with RR and PRQ; (iv) FCOA and StO₂ were dependent on season and time of day, respectively; (v) FCOA was negatively correlated with the room temperature; and (vi) StO₂ and tHb were not correlated with the subjects mood but with their chronotype, whereas FCOA was not dependent on the chronotype.

Conclusion: Our study demonstrates that FCOA is real, and it provides unique insights into this remarkable phenomenon.