The balance of oxygen delivery and consumption in tissue is altered by disease processes resulting in change of tissue level and its spatial distribution. In the case of cancer, for example, tumor growth promotes an increased level of oxygen consumption. The new demand is partially compensated by the formation of new blood vessels (angiogenesis). However, the irregular nature of cancer progression results in large variability in tissue , since tumor regions close to blood vessels are well perfused, while other regions lack oxygen supply and become hypoxic.1, 2 Because of the important role oxygen plays in cancer biology and tumor progression, imaging of distribution in tissue can significantly improve cancer screening, cancer diagnosis, therapy planning, and therapy monitoring. This challenge had motivated and driven an extensive effort in developing new tissue oxygen imaging methods. Modalities such as positron emission tomography (PET),3 blood oxygen level dependent functional magnetic resonance imaging (BOLD-MRI),4 and fluorescence imaging5 have been modified to yield -related imaging. However, implementation of these methods in clinical settings is not common due to inherent limitations. BOLD-MRI is only sensitive to blood oxygenation. PET agents indicate activity of cell metabolism, which is only indirectly related to oxygen contents in the tissue. Phosphorescence imaging cannot resolve depth and therefore is not applicable to tissue imaging. There is clearly a strong and unsatisfied clinical need for a tissue oxygen imaging modality.
Recently we proposed photoacoustic lifetime imaging (PALI) as a pump-probe photoacoustic technique for noninvasive, 3-D tissue oxygen imaging.6 The technique relies on photoacoustic measurement of the lifetime of an oxygen-sensitive dye-excited state. A metal core porphyrin dye [Pt(II) octaethylporphine, PtOEP] was successfully used for oxygen sensing. However, with the excitation wavelength in the range of , PtOEP limits penetration depth in tissue to less than .
We present here a new implementation of a technique using Methylene blue (MB) as an oxygen sensitive agent. MB is an FDA-approved, water soluble dye. It has a strong absorption peak at (extinction coefficient is ). At this wavelength, tissue optical absorption is relatively low, allowing imaging at a larger penetration depth.
MB has a high quantum yield for triplet state transition and a long triplet lifetime of in a degassed water solution.7 In air-saturated aqueous solution, the lifetime drops sharply to less than . The reduced lifetime results from efficient energy transfer to oxygen molecules and formation of singlet oxygen. This makes MB a good photosensitizer for photodynamic therapy (PDT). Its use in PDT had been studied for several clinical applications.8, 9, 10 The main advantage of MB as a PDT agent is its efficient topical administration, eliminating skin photosensitivity, one of the side effects of PDT.11 The same features make MB suitable for tissue oxygen monitoring by PALI. PALI employs photoacoustic imaging to map tissue optical absorption by detection of an acoustic field emitted by thermoelastic expansion induced by a laser pulse.12 In PALI, an excitation pulse of a different wavelength is first applied to excite the dye at a specified time interval before the photoacoustic imaging pulse is fired. This enables photoacoustic probing of tissue absorption at a specified delay after excitation. Repeating it for multiple excitation-probe delay times yields transient absorption data, enabling pixel-by-pixel reconstruction of the excited state lifetime within the imaging volume. In conjunction with oxygen-sensitive dye such as MB, the technique is capable of producing tissue oxygen distribution noninvasively in a 3-D volume. Imaging depth depends mostly on the penetration depth of the excitation light in tissue.
We have designed experiments to test PALI in simple phantom objects containing either one or two dye-filled plastic tubings. The experimental setup used in our measurements is shown in Fig. 1 . The excitation pulse is generated by an optical parametric oscillator (OPO, Magic prism Opotek, Carlsbad, California) pumped by a tripled NdYAG pulsed laser (Surelite I-10, Coherent, Santa Clara, California). The OPO system allows tunability of the excitation pulse wavelength in the range of . In all experiments described here, the excitation wavelength is . A second pulsed-laser OPO system is used for photoacoustic probing (Opotek Rainbow). The second OPO system is tunable in the range of . The relative time delay between pump and probe laser firing is controlled by a programmable logic array (KNJN Saxo FX2 FPGA, California). The output of both OPO systems is coupled to two branches of a Y-branched light guide (Edmund Optics, York, United Kingdom). The common port of the branched light guide is connected to an additional liquid-filled flexible light guide to ensure uniform and equal distribution of the two beams across the illumination aperture. The output from the liquid light guide is directed to illuminate the MB-filled tubing phantom (Tygon, Paris, France, , ). MB dye is circulated in the tubing by a peristaltic pump (Masterflex 77300-50, Vernon Hills, Illinois). Oxygen concentration is controlled by bubbling either nitrogen or an air-nitrogen mixture in a cell connected in-line with the flow circulation system. Oxygen level is measured independent of PALI measurements by oxygen electrode (microelectrodes, part 16-732). The phantom is immersed in a water tank, and an ultrasound transducer (GE Panametrics, V311, , ) is used for detecting photoacoustic signals. Signals are amplified by an electronic amplifier (JSR Ultrasonics, Pittsford, New York, model DPR300), recorded by a digital oscilloscope (Lecroy Wavejet 354, Chestnut Ridge, New York), and transferred to a computer for processing. A motorized actuator (Zaber Technologies T-LA28, Vancouver, British Columbia) and a linear stage (Thorlabs PT3, Pittsburgh, Pennsylvania) are used for scanning the ultrasound transducer in a direction perpendicular to the tubing’s axis.
In a first set of measurements, single tubing was installed. A dye solution of MB in phosphate buffered saline (PBS) solution was prepared. The solution was then circulated in the tubing system. A constant was maintained by controlling the ratio of to air-gas bubbling rate in the oxygen control cell. The probe laser system was tuned to . The optical fluence at the object location of the pump and probe beams was 1.8 and , respectively. We have measured the generated photoacoustic (PA) signal at a range of pump-probe time delays. The probe photoacoustic signal was evaluated by first subtracting a signal measured with only the pump laser operating from a signal measured with both the pump and probe lasers on. The signal energy is quantified by integrating the square of the signal amplitude. PA signal energy as a function of pump-probe delay time is given in Fig. 2 for four different values. A fit-to-exponential decay is performed for each set of measurements. The decay rate (1/lifetime) is plotted as a function of the oxygen level (see Fig. 2 inset). The relationship of decay rate to is well described by linear dependence.
A basic imaging experiment was performed by installing two plastic tubings in the flow system, where each is controlled for a different value (set values are 150 and ). The ultrasound transducer was scanned vertically in a range of . The step size of the scan was . At each step a sequence of PA signal acquisitions was conducted. First a background signal with only the pump laser operating was recorded. Then a series of signals was recorded at a range of pump-probe delay values. Raw PA signals were processed by first subtracting the pump-only (background) signal, and then applying a low-pass filter (eighth-order Chebishev I, cut off at ) and envelope detection by the Hilbert transform method. A complete set of processed scanned signals is then combined to yield a PA image. The process is repeated for each value of pump-probe delay. A sample of a PA image at a pump-probe delay of is shown in Fig. 3 (bottom). The image depicts mostly the front and back interfaces of each tube. The annotated circles on the image represent the actual location and size of the inner part of the tubes. A total of 5 PA images were calculated in the same way, corresponding to pump-probe delays of 1, 3, 6, 10, and . For each pixel in the images (excluding areas of low amplitude signals), a fit-to-exponential decay was performed using the five pixel values of all PA images. The decay rate was evaluated at each pixel and converted to a value using the calibration relation obtained before (Fig. 2). A color-coded image is shown in Fig. 3 (top). The mean and standard deviation values evaluated from the image at the location of the two tubings are and . The corresponding set values are 150 and .
In conclusion, we present preliminary experiments demonstrating a PALI technique for oxygen imaging using MB as an oxygen sensor. Our measurements show that the MB excitation lifetime can be measured by photoacoustics, and the decay rate of the excited state depends linearly on oxygen partial pressure. The technique is suitable for measuring oxygen levels within the physiological range of from . A basic imaging setup was tested for imaging a simple phantom containing two tubes of different . The image correctly reflects the high and low oxygen levels in the tubes; however, significant deviations from the actual values and large scatter is encountered in the quantitative image. These errors can be attributed to fluctuations in the pulse energy of both the pump and probe lasers. A correction mechanism for normalizing the measured signals by the actual pulse energy will be considered for improving the image accuracy.
Translating this method to clinical applications in cancer would be extremely valuable for accurate prognosis and therapy planning. However, applying this method in a biological environment requires further investigations. A competing process of triplet quenching by electron transfer and radical formation can result in overestimation of . The relative contribution of this process increases in low pH environments.11 These effects should be addressed in future testing and development of the PALI technique.