Interpretation of diffuse optical reflectance spectra requires translating the remitted detected light flux from the turbid material into an absorption coefficient by applying photon transport models.1,2 Although radiative transport theory is the gold standard here,3 it cannot be used because it lacks analytical solutions that allow general analysis of diffuse reflectances. The diffusion approximation of radiative transport theory2,4 or empirical relations between reflectance and tissue optical properties5 is often used as a next best approach. Unlike empirical relations, diffusion theory requires the reduced scattering coefficient, , to be much larger than the absorption coefficient, .
Diffuse reflection spectroscopy is applied in several disciplines, e.g., in medicine, in forensic science, in the clothing industry, and in the film animation industry. In this article, we restrict ourselves to medicine and forensic science, where diffuse reflection spectroscopy is used to assess the state of health or disease of patients,1,2,6 and for example, the age of a blood stain found at crime scenes7 or the age of bruises when abuse is suspected.8 In medicine, tissues have values in the visible part of the spectrum that vary between 0.5 and , whereas of whole blood ranges from 0.1 to . Consequently, diffusion theory can only be used for infrared wavelengths and/or tissues with small () blood volume fractions, thus excluding the study of well-perfused organs, or bruises,8 in addition to whole blood itself.5,7 In forensic science, large absorption coefficients occur, e.g., in blood stains at crime scenes or colored clothing but also large (reduced) scattering coefficients, e.g., in wool clothing.
An interesting approach to relate the diffuse reflectance to the optical properties is the approximation to diffusion dipole theory2 by Zonios et al.1 This model matches our experimental setup and shows applicability for larger values of , up to , at , hence ratios of up to 3. Although these findings may already expand the application of diffuse reflection spectroscopy, its use on parenchymatous tissues at visible wavelengths or on strongly absorbing and scattering objects found at crime scenes is still difficult if not impossible.
In this article, therefore, we will further explore the application range of Zonios’ model for larger values of the absorption and reduced scattering coefficients. Our approach is to use phantoms with well-defined values for and . We will increase the from 5 (Refs. 1 and 9) to 20 and the from 1.7–3.2 to . Next, we will compare Zonios’ approximate equation with exact diffusion dipole theory,2 which surprisingly allows rationalizing that diffusion theory may remain applicable when absorption is not small compared to reduced scattering. Overall, this approach permits calibration of the experimental set-up of fiber-based probes so that the material optical properties, including small and large , , can be related to diffuse reflectance values.
Diffuse Reflectance Spectroscopy
Reflectance spectra, , where denotes wavelength, were recorded with a noncontact reflectance spectroscopy setup, containing a spectrograph (USB4000; Ocean Optics, Dunedin, Florida), a tungsten-halogen light source (HL-2000; Ocean Optics), and a probe (QR400-7-UV/BX; Ocean Optics), containing six 400-μm core diameter delivery fibers, circularly placed around an identical central collecting fiber. The probe was tilted 13 deg off-normal and fixed at a height of 17 mm above the phantom, implying a measured illumination spot radius of and a collection radius of the remitted light of .5 Reflectance spectra were recorded over the wavelength range of 400 to 900 nm and were smoothed by averaging the data points into bins of 10 pixels, which allowed calculation of a standard deviation that represents noise within the signal. Data analysis was at 611 nm, chosen because the absorbing dye of the phantom has its maximum there.
Phantoms consisted of a mixture of Intralipid 20% (Fresenius, Kabi AG, Bad Homburg, Germany), phosphate buffered saline, and Evans Blue (Sigma Aldrich, St. Louis, MO) as absorber.5 The refractive index was assumed to be 1.35. The of each phantom was controlled by varying the concentration of Evans Blue, and the was controlled by varying the amount of Intralipid 20%. For high Intralipid concentrations (), was corrected for dependent scattering effects.10 Evans Blue has an absorption of at 611 nm. Intralipid 20% has at 611 nm.11 Phantoms were constructed with , 0.2, 0.4, 1, 2, 3, 5, 10, , at and , and a separate set was constructed with , 0.5, 1, 2, 3.8, 5.5, 8.9, 11.48, 12.75, 13.6, , at and . Additional phantoms were prepared at each without Evans Blue added, and utilized as baseline measurements, . Finally, the reflectance ratio was calculated.
Our starting point is Eq. (18) of the diffusion dipole theory approach of Farrell et al.2 who calculated the diffuse reflectance as a function of radial distance, , in response to a pencil beam at as
Parameter depends on the refractive index mismatch of the air–tissue boundary and is given by Ref. 2 as
This means that for a phantom refractive index of 1.35. The reflectance ratio in response to an irradiation with radius as captured by the collection fiber requires integrating and over the collection spot size with radius , with radial position between .1
Because Eq. (5) cannot be evaluated analytically, a simple but approximate analytical expression for was derived by Zonios et al.1 They replaced the irradiation area with radius by a point source at and integrated the backscattered light over a circular collection spot with radius as
We added factor 0.5 in Eq. (8) for completeness, despite canceling out here. This factor was missing in the original Eq. (3) for and may have caused the need for the empirical intensity factor 1.66.1 Further, we did not empirically change in Eq. (2) into for and otherwise, as was done in Ref. 1.
Exact diffusion dipole theory, Eq. (5), are compared with our phantom measurements by numerical integration of and . Approximate diffusion dipole Eq. (4) is evaluated in two ways: first, with the exact parameters and and second, we fitted parameters , to all phantom reflectance measurements, using a Levenberg–Marquandt fitting algorithm,12 with error margins represented by 95% confidence intervals. Table 1 summarizes the various parameters for the three situations.
Overview of parameters in Eqs. (3) and (4).
|Symbol||Definition||Exact value||Fitted value|
|Exact theory, Eq. (3)||ρ||Radial position of collection||from 0 to ri|
|ri||Illumination spot radius||3.1 mm|
|rc||Collection spot radius||2.7 mm|
|A||Refractive index parameter||3|
|Zonios’ model, Eq. (4)||rc||Collection spot radius||2.7 mm||6.7±0.3 mm|
|A||Refractive index parameter||3||2.0±0.4|
We also evaluate the asymptotic behavior of the reflectance ratio, Eq. (8), for small and large , . We use these results to discuss the method’s applicability at larger optical properties.
Asymptotic behavior of Eq. (8) for μa, μs′→0, ∞.
The measured reflectance ratios of the phantoms, as well as the models of Farrell, Eq. (3), and Zonios, Eq. (8), (parameters given in Table 1), are shown in Fig. 1 for varying at are 1 and , and in Fig. 1(b) for varying at are 1 and . Exact diffusion dipole theory, Eq. (3), has , and Zonios’ Eq. (4) with exact , values (3 and 2.7 mm, respectively) has , differing from the experimental results, especially for low values of . However, Eq. (4) with fitted parameters ( and ) matches much better the phantom measurements, with .
We have shown that Zonios’ approximate diffusion dipole model, Eq. (8), describes the reflectance ratio of phantoms with an as large as 0.994, even up to at . This, however, requires fitting parameters to all experimental results (Table 1), including those where . Zonios et al.1 already reported this for but used a different fitting approach (see last paragraph of Sec. 2.2). Venugopalan et al.9 showed validity for , without a fitting procedure. For exact parameters and large , Eqs. (5) and (8) describe the reflectance ratio with an of around 0.92, even when . This suggests that diffusion theory may remain applicable beyond its accepted condition of validity to analyze diffuse reflectance spectra, contrary to, e.g., fluence rates (see Fig. 6.2 of Star4).
The explanation is based on the following observations. First, Eq. (8) qualitatively describes the morphology of versus because the limits for and large are correct. Second, in the numerator of Eq. (8), the last two terms are negligible compared to the first two terms. So, this numerator has two exponentials that include and one that also includes . The denominator includes . Thus, compared by using exact values, fitting the to all experiments obviously upgrades Eq. (8) in describing the experiments. In fact, the fitted is smaller than the exact (2 versus 3, Table 1). This enhances the importance of the second exponent (e.g., for and , respectively, 25% versus 12.4% of the first term). Additionally, diffusion theory may remain applicable for higher because Eq. (8) depends less and less on the actual values of if become larger because the numerator’s second term, which includes , or becomes small relative to the first. It helps that is also relatively large. Hence, Eq. (8), with exact or with fitted parameters, approaches the same outcome when and/or become large.
We acknowledge that Eq. (8) becomes an empirical relation when are fitted to all phantom reflectances, as in Zonios’ approach.1 In contrast, Venugopalan’s method is based on exact diffusion theory and does not require a fitting procedure,9 but they limited their experiments to and , so the applicability for larger absorptions and reduced scattering remains unknown. Nevertheless, compared with empirical relations not based on any underlying theory, where applicability may be limited to a chosen range of , values, Eq. (8) gives correct asymptotes for very small as well as very large and also for very large , but not for .
In conclusion, using Eq. (8) with parameters fitted to phantom reflectance measurements of widely varying , allows calibration of fiber-probe set-ups so that the diffuse reflectance values can be related to absorption of the materials under study, even when and large . These findings will greatly expand the application of diffuse reflection spectroscopy. In medicine, it may include blue/green wavelengths in tissues and even whole blood, and in forensic science, it may allow inclusion of strongly absorbing and scattering objects such as blood stains and colored cloth.