Multispectral imaging has received significant attention over the last decade as it integrates spectroscopy, imaging, tomography analysis concurrently to acquire both spatial and spectral information from biological tissue. In the present study, a multispectral setup based on projection of structured illumination at several near-infrared wavelengths and at different spatial frequencies is applied to quantitatively assess brain function before, during, and after the onset of traumatic brain injury in an intact mouse brain (n=5). For the production of head injury, we used the weight drop method where weight of a cylindrical metallic rod falling along a metal tube strikes the mouse’s head. Structured light was projected onto the scalp surface and diffuse reflected light was recorded by a CCD camera positioned perpendicular to the mouse head. Following data analysis, we were able to concurrently show a series of hemodynamic and morphologic changes over time including higher deoxyhemoglobin, reduction in oxygen saturation, cell swelling, etc., in comparison with baseline measurements. Overall, results demonstrates the capability of multispectral imaging based structured illumination to detect and map of brain tissue optical and physiological properties following brain injury in a simple noninvasive and noncontact manner.
We applied an orthogonal diffuse reflectance spectroscopy (o-DRS) to assess brain physiology following closed head
injury (CHI). CHI was induced in anesthetized male mice by weight-drop device using ~50gram cylindrical metal
falling from a height of 90 cm onto the intact scalp. A total of twenty-six mice were used in the experiments divided
randomly into three groups as follows: Group 1 (n=11) consisted of injured mice monitored for 1 hour every 10
minutes. Group 2 (n=10) were the control mice not experience CHI. Group 3 (n=5) consisted of injured mice
monitored every minute up to 20 minutes. Measurement of optical quantities of brain tissue (absorption and reduced
scattering coefficients) in the near-infrared window from 650 to 1000 nm were carried out by employing different
source-detector distances and locations to provide depth sensitivity. With respect to baseline, we found difference in
brain hemodynamic properties following injury. In addition, o-DRS successfully evaluate the structural variations
likely from evolving cerebral edema throughout exploring the scattering spectral shape.
Use of near-infrared (NIR) structured illumination technique has recently received great interest in biomedical research and clinical studies because of its ability to perform wide-field imaging and quantitatively map changes in tissue hemodynamic properties and morphological features in a noncontact and scan-free fashion. We report on the feasibility of using the same to quantitatively monitor and map changes in brain optical properties and physiological parameters pre- and post-closed head injury in a mouse model. Five anesthetized male mice underwent head injury by weight-drop model using a ∼50-g cylindrical metal object falling from a height of 90 cm onto the intact scalp. During experiments, NIR structured illumination was projected on the mouse head at two spatial frequencies and six different NIR wavelengths. A CCD camera positioned perpendicular to the head recorded the diffuse-reflected light. Computer analysis performed off-line on the captured data reveals spatiotemporal changes in the distribution of brain tissue absorption and reduced scattering coefficients. Using Beer’s law and Mie theory, hemodynamic (hemoglobin, oxygen saturation, and lipids) and morphological (scattering amplitude and power) changes up to 1-h post-trauma were observed in comparison with baseline measurements. Functional maps of different brain properties were also generated. Following injury, we found difference in both brain hemodynamic and morphologic properties with respect to baseline levels, where in some properties, this difference was considered statistically significant. Specifically, a t -test indicates a substantial decrease in oxyhemoglobin (HbO2) concentration and tissue oxygen saturation (StO2) post-injury (p < 0.01 and p < 0.001, respectively). Overall, our preliminary results demonstrate the potential application of NIR structured illumination technique to track and spatially map changes in intact mouse brain pathophysiological parameters following head injury.
The authors’ aim is to assess and quantitatively measure brain hemodynamic and morphological variations during closed-head injury (CHI) in mice using orthogonal diffuse near-infrared reflectance spectroscopy (o-DRS). CHI is a type of injury to the head that does not penetrate the skull. Usually, it is caused by mechanical blows to the head and frequently occurs in traffic accidents, falls, and assaults. Measurements of brain optical properties, namely absorption and reduced scattering coefficients in the wavelength range from 650 to 1000 nm were carried out by employing different source–detector distance and locations to provide depth sensitivity on an intact scalp over the duration of the whole experiment. Furthermore, alteration in both cortical hemodynamics and morphologic markers, i.e., scattering power and amplitude properties were derived. CHI was induced in anesthetized male mice by a weight-drop model using ∼50 g cylindrical metal falling from a height of 90 cm onto the intact scalp producing an impact of 4500 g cm. With respect to baseline, difference in brain physiological properties was observed following injury up to 1 h post-trauma. Additionally, the reduced scattering spectral shapes followed Mie scattering theory was quantified and clearly shows changes in both scattering amplitude and power from baseline indicating structural variations likely from evolving cerebral edema during CHI. We further demonstrate high correlation between scattering amplitude and scattering power, with more than 20% difference in slope in comparison to preinjury. This result indicates the possibility of using the slope also as a marker for detection of structural changes. Finally, experiments investigating brain function during the first 20 min postinjury were conducted and changes in chromophore concentrations and scattering were observed. Overall, our experiments demonstrate the potential of using the proposed technique as a valuable quantitative noninvasive tool for monitoring brain physiology following CHI injury at the bedside and/or at the field.
In this study, we demonstrate the use of orthogonal diffuse reflectance spectroscopy (o-DRS) to assess brain dysfunction and to monitor internal temperature variations during heatstroke in intact mice brains (n=6). Heatstroke is a medical emergency defined by abnormally elevated body temperature greater than 40°C that causes biochemical, physiological and hematological changes (multiorgan damage). Therefore, quick diagnosis and management of heatstroke victims is essential for good outcomes. Current clinical methods for monitoring temperature (invasive and noninvasive) suffers from several drawbacks such as complexity, cost, portability, safety, etc. To overcomes these deficiencies, a DRS working at the spectral range of 600-1000nm in orthogonal mode together with numerical processing have been applied to First, monitor cerebral optical changes, Second, evaluate rise in temperature and Third, to predict internal temperature noninvasively. Heatstroke was induced by exposing of the anesthetized mouse body, placed above controlled heating pad, to a high ambient temperature with increasing intervals of 1°C until death. Experimental results show variations in both absorption and scattering during heatstroke which emphasizes the changes in brain chromophores and morphology that occur during temperature elevation. In addition, a reflectance-temperature index was developed and found to correlate well with the measured temperature. Our preliminary results suggest that our o-DRS have the potential to monitor and assess internal temperature variations and thus may serve as a useful tool in clinical and laboratory settings.
This article [J. Biomed. Opt.. 17, , 105009 (2012)] was originally published online on 18 October 2012 with an error in the author list. The name Albert Pinchasov was corrected to Albert Pinhasov, as it appears above.
This article was corrected online on 5 November 2012.
Heatstroke, a form of hyperthermia, is a life-threatening condition characterized by an elevated core body temperature that rises above 40°C (104°F) and central nervous system dysfunction that results in delirium, convulsions, or coma. Without emergency treatment, the victim lapses into a coma and death soon follows. The study presented was conducted with a diffuse reflectance spectroscopy (DRS) setup to assess the effects of brain dysfunction that occurred during heatstroke in mice model (n=6 ). It was hypothesized that DRS can be utilized in small animal studies to monitor change in internal brain tissue temperature during heatstroke injury since it induces a sequence of pathologic changes that change the tissue composition and structure. Heatstroke was induced by exposure of the mice body under general anesthesia, to a high ambient temperature. A type of DRS in which the brain tissue was illuminated through the intact scalp with a broadband light source and diffuse reflected spectra was employed, taking in the spectral region between 650 and 1000 nm and acquired at an angle of 90 deg at a position on the scalp ∼12 mm from the illumination site. The temperature at the onset of the experiment was ∼34°C (rectal temperature) with increasing intervals of 1°C until mouse death. The increase in temperature caused optical scattering signal changes consistent with a structural alteration of brain tissue, ultimately resulting in death. We have found that the peak absorbance intensity and its second derivative at specific wavelengths correlate well with temperature with an exponential dependence. Based on these findings, in order to estimate the influence of temperature on the internal brain tissue a reflectance-temperature index was established and was seen to correlate as well with measured temperature. Overall, results indicate variations in neural tissue properties during heatstroke and the feasibility to monitor and assess internal temperature variations using DRS.
We study the use of photochemical internalization (PCI) for enhancing chemotherapeutic response to malignant glioma cells in vitro. Two models are studied: monolayers consisting of F98 rat glioma cells and human glioma spheroids established from biopsy-derived glioma cells. In both cases, the cytotoxicity of aluminum phthalocyanine disulfonate (AlPcS2a)-based PCI of bleomycin was compared to AlPcS2a-photodynamic therapy (PDT) and chemotherapy alone. Monolayers and spheroids were incubated with AlPcS2a (PDT effect), bleomycin (chemotherapy effect), or AlPcS2a+bleomycin (PCI effect) and were illuminated (670 nm). Toxicity was evaluated using colony formation assays or spheroid growth kinetics. F98 cells in monolayer/spheroids were not particularly sensitive to the effects of low radiant exposure (1.5 J/cm2 @ 5 mW/cm2) AlPcS2a-PDT. Bleomycin was moderately toxic to F98 cells in monolayer at relatively low concentrations-incubation of F98 cells in 0.1 μg/ml for 4 h resulted in 80% survival, but less toxic in human glioma spheroids respectively. In both in vitro systems investigated, a significant PCI effect is seen. PCI using 1.5 J/cm2 together with 0.25 μg/ml bleomycin resulted in approximately 20% and 18% survival of F98 rat glioma cells and human glioma spheroids, respectively. These results show that AlPcS2a-mediated PCI can be used to enhance the efficacy of chemotherapeutic agents such as bleomycin in malignant gliomas.
Introduction: One of many limitations for cancer gene therapy is the inability of the therapeutic
gene to transfect a sufficient number of tumor cells. Photochemical internalization (PCI) is a
photodynamic therapy-based approach for improving the delivery of macromolecules and genes
into the cell cytosol. The utility of PCI for the delivery of the GFP indicator gene on the same
plasmid as a tumor suppressor gene (PTEN) was investigated in monolayers of U251 human
glioma cells.
Materials and Methods: U251 monolayers were incubated in AlPcS2a for 18 h. The monolayers
were incubated with non-viral vectors for either 4 or 18 hrs. In all cases, light treatment was
performed with a diode laser at a wavelength of 670 nm. The non-viral transfection agents,
branched PEI or protomine sulfate (PS), were used with the plasmid construct (GFP-PTEN).
Results: PS was much less toxic to the gliomas cells compared to BPEI but was highly
inefficient at gene transfection. PCI resulted in a 5-10 fold increase in GFP protein expression
compared to controls.
Conclusions: Collectively, the results suggest that AlPcS2a-mediated PCI can be used to enhance
transfection of tumor suppressor genes in glioma cells.
The authors report on the feasibility of clinical neuroendovascular optical coherence tomography (OCT)
imaging as well as its efficacy and safety by comparing findings with histology in animal, cadaveric and
clinical studies. Catheter-based in vivo endovascular OCT imaging was carried out intracranially in four
patients, three in the anterior circulation and one in the posterior circulation (vertebral artery). The
neuroendovascular OCT device was delivered to the desired location using groin access and standard
endovascular procedures. In vivo findings were reproduced using ex vivo OCT imaging in corresponding
animal and human (cadaveric) harvested tissue segments with findings matched by histology. OCT images
correlated well with the images obtained after histologic sectioning, and visualized in vivo the laminar
vascular structure. Satisfactory imaging findings were obtained with no complications. Neuroendovascular
OCT imaging is thus feasible for clinical use and can detect with high resolution the structure of arterial
segments. Understanding OCT imaging in non-diseased arteries is important in establishing baseline
findings necessary for interpreting pathologic processes. This allows neuroendovascular optical biopsies of
vascular tissue to be obtained without the need for excision and processing, and potentially allows
prophylactic interventions against stroke and other cerebrovascular disease before they become
symptomatic.
We describe a technique that uses spatially modulated near-infrared (NIR) illumination to detect and map changes in both optical properties (absorption and reduced scattering parameters) and tissue composition (oxy- and deoxyhemoglobin, total hemoglobin, and oxygen saturation) during acute ischemic injury in the rat barrel cortex. Cerebral ischemia is induced using an open vascular occlusion technique of the middle cerebral artery (MCA). Diffuse reflected NIR light (680 to 980 nm) from the left parietal somatosensory cortex is detected by a CCD camera before and after MCA occlusion. Monte Carlo simulations are used to analyze the spatial frequency dependence of the reflected light to predict spatiotemporal changes in the distribution of tissue absorption and scattering properties in the brain. Experimental results from seven rats show a 17±4.7% increase in tissue concentration of deoxyhemoglobin and a 45±3.1, 23±5.4, and 21±2.2% decrease in oxyhemoglobin, total hemoglobin concentration and cerebral tissue oxygen saturation levels, respectively, 45 min following induction of cerebral ischemia. An ischemic index (Iisch=ctHHb/ctO2Hb) reveals an average of more then twofold contrast after MCAo. The wavelength-dependence of the reduced scattering (i.e., scatter power) decreased by 35±10.3% after MCA occlusion. Compared to conventional CCD-based intrinsic signal optical imaging (ISOI), the use of structured illumination and model-based analysis allows for generation of separate maps of light absorption and scattering properties as well as tissue hemoglobin concentration. This potentially provides a powerful approach for quantitative monitoring and imaging of neurophysiology and metabolism with high spatiotemporal resolution.
Angiography is currently used to assess post-treatment human brain aneurysm
healing, which can reveal vessel shape only. Optical coherence tomography (OCT) can reveal
the vessel wall structure with high resolution, which has the advantage to assess vessel healing
progress. An OCT endovascular catheter was designed and in vivo patients' studies were
performed. Flush effect of saline and perfluorodecalin (PFC) were studies in rabbit aorta. The
initial results show that OCT is a promising technology to assess post-treatment cerebrovascular
diseases.
We used spatially modulated near-infrared (NIR) light to detect and map chromophore changes during cerebral edema
in the rat neocortex. Cerebral edema was induced by intraperitoneal injections of free water (35% of body weight).
Intracranial pressure (ICP) was measured with an optical fiber based Fabry-Perot interferometer sensor inserted into the
parenchyma of the right frontal lobe during water administration. Increase in ICP from a baseline value of 10 cm-water
to 145 cm-water was observed. Following induction of cerebral edema, there was a 26±1.7% increase in tissue
concentration of deoxyhemoglobin and a 47±4.7%, 17±3% and 37±3.7% decrease in oxyhemoglobin, total hemoglobin
concentration and cerebral tissue oxygen saturation levels, respectively. To the best of our knowledge, this is the first
report describing the use of NIR spatial modulation of light for detecting and mapping changes in tissue concentrations
of physiologic chromophores over time in response to cerebral edema.
Following surgical removal of malignant brain tumors 80% of all cases develop tumor recurrence within 2
cm of the resected margin. The aim of postoperative therapy is therefore elimination of nests of tumor cells
remaining in the margins of the resection cavity. Light attenuation in tissue makes it difficult for adequate
light fluences to reach depths of 1-2 cm in the resection margin making it difficult for standard
intraoperative photodynamic therapy (PDT) to accomplish this goal. Thus additional agents are required
that either increase the efficacy of low fluence PDT or inhibit cellular repair, to enhance effectiveness of
PDT in the tumor resection cavity. Motexafin gadolinium (MGd) is one such agent previously reported to
enhance the cytotoxic potential of radiation therapy, as well as several chemotherapeutic agents by causing
redox stress to cancerous cells. MGd is well tolerated with tumor specific uptake in clinical studies. The
authors evaluated MGd as a potential PDT enhancing agent at low light fluences using an in vitro model.
Multicellular Glioma spheroids (MGS) of approximately 300 micron diameter, obtained from ACBT cell
lines were subjected to acute PDT treatments at 6J, 12J, and 18J light fluences. Growth was determined by
measuring diameters in two axes. At four weeks a dose dependent inhibition of spheroid growth was seen
in 33%, 55%, and 83% of the MGS at 6J, 12J, and 18J respectively, while inhibition followed by a partial
reversal of growth was seen in 17%, 33%, and 17% respectively. This study provides a rationale for the use
of this drug as a PDT enhancer in the management of brain tumors.
The authors report the results of utilizing spatially-modulated near infrared light using Modulated Imaging (MI) technology in imaging cerebral ischemia. MI images of the left parietal somatosensory cortex were obtained post-occlusion and up to three hours following middle cerebral artery occlusion. Tissue chromophore maps were obtained to demonstrate spatiotemporal changes in the distribution of oxy, deoxy, total hemoglobin, and oxygen saturation. MI recorded a decrease in oxyhemoglobin concentration and tissue oxygen saturation and increase in tissue deoxyhemoglobin concentration following occlusion. Optical intrinsic signal was used to detect functional activation of the somatosensory barrel cortex to whisker stimulation. This activation was completely lost following occlusion. Imaging findings in a transient ischemic attack using photothrombosis is also demonstrated.
Introduction: Failure of treatment for high grade gliomas is usually due to local recurrence at the site of surgical resection
indicating that a more aggressive form of local therapy, such as PDT, could be of benefit. PDT causes damage to
both tumor cells as well as cerebral blood vessels leading to degradation of the blood brain barrier with subsequent increase
of brain edema. The increase in brain edema following ALA-PDT was evaluated in terms of animal survival,
histopatological changes in normal brain and tumor tissue and MRI scanning. The effect of steroid treatment, to reduce
post-treatment PDT induced edema, was also examined.
Methods:Tumors were established in the brains of inbred BD-IX and Fisher rats. At various times following tumor induction
the animals were injected with ALA ip. and four hours later light treatment at escalating fluences and fluence
rates were given. Nontumor bearing control animals were also exposed to ALA-PDT in a similar manner to evaluate
damage to normal brain and degree of blood brain barrier (BBB) disruption.
Results: Despite a very low level of PpIX production in normal brain, with a 200:1 tumor to normal tissue selectivity
ratio measured at a distance of 2 mm from the tumor border, many animals succumbed shortly after treatment. A total
radiant energy of 54 J to non-tumor bearing animals resulted in 50% mortality within 5 days of treatment. Treatment of
tumor bearing animals with moderate fluence levels produced similar brain edema compared to higher fluence levels.
ALA PDT in nontumor bearing animals produced edema that was light dose dependent. PDT appeared to open the BBB
for a period of 24-48 hrs after which it was restored. The addition of post operative steroid treatment reduced the incident
of post treatment morbidity and mortality.
Conclusions: T2 and contrast enhanced T1 MRI scanning proved to be a highly effective and non-evasive modality in
following the development of the edema reaction and the degree and time course of BBB dysfunction thus allowing the
use of fewer animals.
Following surgical removal of malignant brain tumors 80% of all cases develop tumor recurrence within 2 cm of the
resected margin. The aim of postoperative therapy is therefore elimination of nests of tumor cells remaining in the
margins of the resection cavity. However, it is unlikely that standard "one-shot" intraoperative PDT treatments can
accomplish this goal. This is due mainly to the length of time required to deliver adequate light fluences to depths of 1-2 cm in the resection margin. Additionally, due to the short doubling time of malignant glioma cells, the kill rate per
cell doubling indicates that it seems unlikely that a single relatively short treatment would be sufficient to prevent
recurrence of the tumor. Multiple repetitive or chronic treatment protocols would therefore seem required. In repetitive
PDT both phtosensitizer and light are given over relatively short treatment times (hours) with treatment repetition
following relatively long intervals (weeks). In chronic PDT (also called metronomic), both the photosensitizer and
light are delivered continuously at low rates for extended periods of time (days). The in vitro therapy response of
human glioma spheroids to 5-aminolevulinic acid (ALA) mediated PDT in repetitive or chronic form were
investigated. At 6J fluence, spheroid survival rates of 28 and 7% were observed for repetitive or chronic PDT protocols
respectively. The results indicated that single chronic (24-48hrs) treatment) was more effective at inhibiting spheroid
growth than PDT repeated at relatively long intervals (weeks) or daily fractionated PDT.
We describe the projection of spatially modulated light for quantitatively mapping changes in oxyhemoglobin,
deoxyhemoglobin, and oxygen saturation in two pilot studies in the rat barrel cortex during both permanent and
temporary cerebral ischemia. The approach is based on the projection of spatial modulation of white light onto the
brain. The reflected light is captured on a CCD camera, which is then processed to obtain the concentration and
distribution of chromophores over a wide field. Preliminary results confirm a measurable and quantifiable increase in
tissue molecular concentration of deoxy-hemoglobin and decrease in hemoglobin oxygen concentration in both
experimental settings. Our preliminary data from our pilot studies demonstrate that spatial modulation of light can
provide quantitative chromophore mapping of the brain and has a potential role in monitoring the course and severity
of cerebral ischemia in cerebrovascular disease patients.
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