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Biomedical subjects

S R Arridge

Publications and source records attributed to S R Arridge.

At least 19 recordsLinked to original sources

Three dimensional optical imaging of blood volume and oxygenation in the neonatal brain.

Optical methods provide a means of monitoring cerebral oxygenation in newborn infants at risk of brain injury. A 32-channel optical imaging system has been developed with the aim of reconstructing three-dimensional images of regional blood volume and oxygenation. Full image data sets were acquired from 14 out of 24 infants studied; successful images have been reconstructed in 8 of these infants. Regional variations in cerebral blood volume and tissue oxygen saturation are present in healthy preterm infants. In an infant with a large unilateral intraventricular haemorrhage, a corresponding region of low oxygen saturation was detected. These results suggest that optical tomography may provide an appropriate technique for investigating regional cerebral haemodynamics and oxygenation at the cotside.

Blood Volume↗

Reconstructing absorption and diffusion shape profiles in optical tomography by a level set technique.

A shape reconstruction algorithm for optical tomography is introduced that uses a level-set formulation for the shapes. Evolution laws based on gradient directions for a cost functional are derived for two different level-set functions, one describing the absorption and one the diffusion parameter, as well as for the parameter values inside these shapes. Numerical experiments are presented in 2D that show that the new method is able to simultaneously recover shapes and contrast values of absorbing and scattering objects embedded in a moderately heterogeneous background medium from simulated noisy data.

Absorption↗

Three-dimensional whole-head optical tomography of passive motor evoked responses in the neonate.

Optical tomography has been used to reconstruct three-dimensional images of the entire neonatal head during motor evoked responses. Data were successfully acquired during passive movement of each arm on four out of six infants examined, from which eight sets of bilateral images of hemodynamic parameters were reconstructed. Six out of the eight images showed the largest change in total hemoglobin in the region of the contralateral motor cortex. The mean distance between the peak response in the image and the estimated position of the contralateral motor cortex was 10.8 mm. These results suggest that optical tomography may provide an appropriate technique for non-invasive cot-side imaging of brain function.

Algorithms↗

Recent advances in diffuse optical imaging.

We review the current state-of-the-art of diffuse optical imaging, which is an emerging technique for functional imaging of biological tissue. It involves generating images using measurements of visible or near-infrared light scattered across large (greater than several centimetres) thicknesses of tissue. We discuss recent advances in experimental methods and instrumentation, and examine new theoretical techniques applied to modelling and image reconstruction. We review recent work on in vivo applications including imaging the breast and brain, and examine future challenges.

Diffusion↗

A method for generating patient-specific finite element meshes for head modelling.

Finite element modelling of fields within the body, whether electrical or optical, requires knowledge of the geometry of the object being examined. It can be clinically impractical to obtain accurate surface information for individual patients, although a limited set of measurements such as the locations of sensors attached to the body, can be acquired more readily. In this paper, we describe how a generic surface taken from an adult head is warped to fit points measured on a neonatal head surface to provide a new, individual surface from which a finite element mesh was generated. Simulations show that data generated from this mesh and from the original neonatal head surface are similar to within experimental errors. However, data generated from a mesh of the best fit sphere were significantly different from data generated from the original neonatal head surface.

Adult↗

Quantification of spinal cord atrophy from magnetic resonance images via a B-spline active surface model.

A method is presented that aims at segmenting and measuring the surface of the spinal cord from MR images in order to detect and quantify atrophy. A semiautomatic segmentation with very little intervention from an operator is proposed. It is based on the optimization of a B-spline active surface. The method allows for the computation of orthogonal cross-sections at any level along the cord, from which measurements are derived, such as cross-sectional area or curvature. An evaluation of the accuracy and reproducibility of the method is presented.

Atrophy↗

Detection and modeling of non-Gaussian apparent diffusion coefficient profiles in human brain data.

This work details the observation of non-Gaussian apparent diffusion coefficient (ADC) profiles in multi-direction, diffusion-weighted MR data acquired with easily achievable imaging parameters (b approximately 1000 s/mm(2)). A technique is described for modeling the profile of the ADC over the sphere, which can capture non-Gaussian effects that can occur at, for example, intersections of different tissue types or white matter fiber tracts. When these effects are significant, the common diffusion tensor model is inappropriate, since it is based on the assumption of a simple underlying diffusion process, which can be described by a Gaussian probability density function. A sequence of models of increasing complexity is obtained by truncating the spherical harmonic (SH) expansion of the ADC measurements at several orders. Further, a method is described for selection of the most appropriate of these models, in order to describe the data adequately but without overfitting. The combined procedure is used to classify the profile at each voxel as isotropic, anisotropic Gaussian, or non-Gaussian, each with reference to the underlying probability density function of displacement of water molecules. We use it to show that non-Gaussian profiles arise consistently in various regions of the human brain where complex tissue structure is known to exist, and can be observed in data typical of clinical scanners. The performance of the procedure developed is characterized using synthetic data in order to demonstrate that the observed effects are genuine. This characterization validates the use of our method as an indicator of pathology that affects tissue structure, which will tend to reduce the complexity of the selected model.

Brain↗

Three-dimensional time-resolved optical tomography of a conical breast phantom.

A 32-channel time-resolved imaging device for medical optical tomography has been employed to evaluate a scheme for imaging the human female breast. The fully automated instrument and the reconstruction procedure have been tested on a conical phantom with tissue-equivalent optical properties. The imaging protocol has been designed to obviate compression of the breast and the need for coupling fluids. Images are generated from experimental data with an iterative reconstruction algorithm that employs a three-dimensional (3D) finite-element diffusion-based forward model. Embedded regions with twice the background optical properties are revealed in separate 3D absorption and scattering images of the phantom. The implications for 3D time-resolved optical tomography of the breast are discussed.

Journal Article↗

Time resolved optical tomography of the human forearm.

A 32-channel time-resolved optical imaging instrument has been developed principally to study functional parameters of the new-born infant brain. As a prelude to studies on infants, the device and image reconstruction methodology have been evaluated on the adult human forearm. Cross-sectional images were generated using time-resolved measurements of transmitted light at two wavelengths. All data were acquired using a fully automated computer-controlled protocol. Images representing the internal scattering and absorbing properties of the arm are presented, as well as images that reveal physiological changes during a simple finger flexion exercise. The results presented in this paper represent the first simultaneous tomographic reconstruction of the internal scattering and absorbing properties of a clinical subject using purely temporal data, with additional co-registered difference images showing repeatable absorption changes at two wavelengths in response to exercise.

Adult↗

Simultaneous reconstruction of internal tissue region boundaries and coefficients in optical diffusion tomography.

In this paper we propose a new numerical method to the inverse problem in optical diffusion tomography. We consider the reconstruction of the diffusion and absorption coefficients (kappa, mu(a)) within a domain omega which is known to consist of a set of disjoint regions of distinct tissue types. The assumption is that the regions of different tissues are bounded by smooth boundary curves and have constant absorption and diffusion coefficients. The goal in the proposed method is to reconstruct simultaneously the boundaries of the tissue regions together with the absorption and diffusion coefficients within these regions. The solution of the problem is based on the finite element method and subdivision of the elements. The performance of the proposed method is evaluated by simulations in which the optical parameters (kappa, mu(a)) are relevant in medical applications of optical tomography. It is shown that the proposed method is able to recover both the boundaries and the coefficients with good accuracy.

Image Processing, Computer-Assisted↗

The finite element model for the propagation of light in scattering media: a direct method for domains with nonscattering regions.

We present a method for handling nonscattering regions within diffusing domains. The method develops from an iterative radiosity-diffusion approach using Green's functions that was computationally slow. Here we present an improved implementation using a finite element method (FEM) that is direct. The fundamental idea is to introduce extra equations into the standard diffusion FEM to represent nondiffusive light propagation across a nonscattering region. By appropriate mesh node ordering the computational time is not much greater than for diffusion alone. We compare results from this method with those from a discrete ordinate transport code, and with Monte Carlo calculations. The agreement is very good, and, in addition, our scheme allows us to easily model time-dependent and frequency domain problems.

Biophysical Phenomena↗

Optical tomographic reconstruction in a complex head model using a priori region boundary information.

In this paper we investigate the application of anatomical prior information to image reconstruction in optical tomography. We propose a two-stage reconstruction scheme. The first stage is a reconstruction into a low-dimensional region basis, obtained by segmentation of an image obtained by an independent imaging modality, into areas of distinct tissue types. The reconstruction into this basis recovers global averages of the optical tissue parameters of each region. The recovered distribution of region values provides the starting point for the second stage of the reconstruction into the spatially resolved final image basis. This second step recovers localized perturbations within the regions. The benefit of this method is the improved stability and faster convergence of the imaging process compared with a direct reconstruction into a spatially resolved basis. This is particularly important for the simultaneous reconstruction of absorption and scattering images, where ambiguities between the two parameters and the resulting problems of crosstalk require a good initial parameter distribution to ensure convergence of the reconstruction. We use a segmented brain model obtained from a magnetic resonance image as a test case to compare the performance of the two-stage reconstruction and the direct reconstruction from a flat prior, and show that the former achieves superior results in the recovery of localized absorption and scattering hot spots embedded in the background tissue.

Algorithms↗

Photon migration in non-scattering tissue and the effects on image reconstruction.

Photon propagation in tissue can be calculated using the relationship described by the transport equation. For scattering tissue this relationship is often simplified and expressed in terms of the diffusion approximation. This approximation, however, is not valid for non-scattering regions, for example cerebrospinal fluid (CSF) below the skull. This study looks at the effects of a thin clear layer in a simple model representing the head and examines its effect on image reconstruction. Specifically, boundary photon intensities (total number of photons exiting at a point on the boundary due to a source input at another point on the boundary) are calculated using the transport equation and compared with data calculated using the diffusion approximation for both non scattering and scattering regions. The effect of non-scattering regions on the calculated boundary photon intensities is presented together with the advantages and restrictions of the transport code used. Reconstructed images are then presented where the forward problem is solved using the transport equation for a simple two-dimensional system containing a non-scattering ring and the inverse problem is solved using the diffusion approximation to the transport equation.

Algorithms↗

Application of temporal filters to time resolved data in optical tomography.

This paper addresses the problem of selecting measurement data types suitable for image reconstruction in optical tomography. The principal problem is the necessity to simultaneously reconstruct both the absorption and scatter distribution within an object. This can lead to ambiguities between these two parameters, and result in cross-talk and image artefact. A single-perturbation test problem is used to show that the ability to separate the absorption and scatter maps depends critically on the measurement data types used in the reconstruction, and that significant improvement can be achieved by a combination of suitable data sets. These results are verified by performing reconstructions of a simulated test object with a complex internal structure of embedded inhomogeneities, from which a variety of time-domain forward data sets are calculated. It is shown that dc data are insufficient to separate absorption and scatter features in the images, whereas a combination of moments and Laplace transforms of the temporal measurement signal provides the best reconstruction results of the data types investigated.

Humans↗

Application of the extremum stack to neurological MRI.

The extremum stack, as proposed by Koenderink, is a multiresolution image description and segmentation scheme which examines intensity extrema (minima and maxima) as they move and merge through a series of progressively isotropically diffused images known as scale space. Such a data-driven approach is attractive because it is claimed to be a generally applicable and natural method of image segmentation. The performance of the extremum stack is evaluated here using the case of neurological magnetic resonance imaging data as a specific example, and means of improving its performance proposed. It is confirmed experimentally that the extremum stack has the desirable property of being shift-, scale-, and rotation-invariant, and produces natural results for many compact regions of anatomy. It handles elongated objects poorly, however, and subsections of regions may merge prematurely before each region is represented as a single node. It is shown that this premature merging can often be avoided by the application of either a variable conductance-diffusing preprocessing step, or more effectively, the use of an adaptive variable conductance diffusion method within the extremum stack itself in place of the isotropic Gaussian diffusion proposed by Koenderink.

Brain↗

A simple method for investigating the effects of non-uniformity of radiofrequency transmission and radiofrequency reception in MRI.

Inhomogeneity of the transmitted or received B1 field leads to intensity variations in MR images and spatial dependence in apparent concentration in MR spectra. We describe a simple method for investigating such variations. The transmitted B1 field can be measured both in vivo and in vitro which allows investigation of sample dependent effects that can not be measured on phantoms. For homogeneous regions the method also allows the received B1 field to be measured both in vivo and in vitro. Our method uses only a standard spin echo pulse sequence and simple region of interest analysis and should be implementable on any commercial scanner. The method is demonstrated using a variety of transmission and reception radiofrequency coils both in vivo and in vitro.

Head↗

Image reconstruction in optical tomography.

Optical tomography is a new medical imaging modality that is at the threshold of realization. A large amount of clinical work has shown the very real benefits that such a method could provide. At the same time a considerable effort has been put into theoretical studies of its probable success. At present there exist gaps between these two realms. In this paper we review some general approaches to inverse problems to set the context for optical tomography, defining both the terms forward problem and inverse problem. An essential requirement is to treat the problem in a nonlinear fashion, by using an iterative method. This in turn requires a convenient method of evaluating the forward problem, and its derivatives and variance. Photon transport models are described for obtaining analytical and numerical solutions for the most commonly used ones are reviewed. The inverse problem is approached by classical gradient-based solution methods. In order to develop practical implementations of these methods, we discuss the important topic of photon measurement density functions, which represent the derivative of the forward problem. We show some results that represent the most complex and realistic simulations of optical tomography yet developed. We suggest, in particular, that both time-resolved, and intensity-modulated systems can reconstruct variations in both optical absorption and scattering, but that unmodulated, non-time-resolved systems are prone to severe artefact. We believe that optical tomography reconstruction methods can now be reliably applied to a wide variety of real clinical data. The expected resolution of the method is poor, meaning that it is unlikely that the type of high-resolution images seen in computed tomography or medical resonance imaging can ever be obtained. Nevertheless we strongly expect the functional nature of these images to have a high degree of clinical significance.

Image Processing, Computer-Assisted↗

Optical imaging in medicine: I. Experimental techniques.

The overwhelming scatter which occurs when optical radiation propagates through tissue severely limits the ability to image internal structure using measurements of transmitted intensity. A broad range of methods has been proposed during the past decade or so in order to improve imaging performance. Direct methods involve isolating an unscattered or least-scattered component of transmitted scattered light. Indirect methods generally involve measuring some characteristic of the temporal distribution of transmitted light, or an equivalent in the frequency domain, and obtaining a computational solution to the inverse problem. In this paper, we review the experimental techniques which have been proposed in order to explore both direct and indirect imaging. The relative merits and limitations of the various experimental methods are discussed, and we consider the future directions and likelihood of success of optical imaging in medicine.

Diagnostic Imaging↗