Diffuse correlation spectroscopy (DCS) is a rapidly growing optical technique, enabling noninvasive measurements of the dynamical properties of a scattering medium such as biological tissue.220.127.116.11.–6 When tissue is illuminated by a laser beam with long coherence length (e.g., much longer than the typical path length in the tissue), the emitted light intensity pattern on the surface is composed of many bright and dark spots called speckles.5 If the scattering particles are moving, the speckle pattern will fluctuate in time. DCS exploits the coherent light to study speckle fluctuations arising from multiple scattering in the tissue. In living tissue, light scattering from red blood cells causes the temporal fluctuations of speckle pattern, which are typically quantified by measuring the temporal autocorrelation function () of the detected light intensity. By measuring the intensity fluctuation, it is possible to obtain information about the motion of the scattering particles, such as blood flow. The measured is a decay curve with respect to the lag time, which contains rich information about the motion of the scatterers. In general, faster decay indicates faster dynamics.5,7
DCS is originally performed with a continuous-wave (CW) laser source with a coherent length much longer than the pathlengths of the detected photons to ensure interference of light traveling along different paths.5,8 However, CW-DCS does not readily discriminate between contributions of photons coming from shallow and deep layers, because both short and long pathlengths contribute to the detected light and . In addition, CW-DCS is sensitive to superficial cortical regions, lacking the ability to detect the deep dynamics. By enlarging the source–detector (SD) distance, the penetration depth can be increased in CW-DCS, but the detected light intensity dramatically decreases at the same time. In particular, DCS typically employs single-mode detection fibers for measurement, which easily leads to higher noise level on . Although one could use higher input light power to improve the signal quality of , however, due to safety reason for human tissue, there is an upper limit for the incident power that has to be taken into account when considering the sensitivity of DCS measurement to the brain. As reported in the ANSI Standard Z136.1-1993 Table,9 the maximum permissible exposure of skin to laser radiation is between 2.6 and in 760 to 850 nm.
Recently, an implementation and theory for time-domain DCS (TD-DCS), or pathlength-resolved DCS, has been developed, aiming at improving the depth sensitivity by discriminating short and long photon pathlengths.1011.–12 By employing a pulsed laser with a certain coherence length, Sutin et al.10 simultaneously measured the time-of-flight of photons and DCS speckle fluctuations and demonstrated that TD-DCS was able to separate the contribution of photons from shallow and deep layers. Very recently this technique has also been successfully applied to in vivo measurements on human tissues including adult head.11 At the same time, TD-DCS analytical theory for multilayer and heterogeneous turbid media was also presented.12 The photon detection of TD-DCS is very similar to time-resolved spectroscopy (TRS) system, except for the detection fibers. TD-DCS uses single mode fiber to ensure detection of light from a single speckle (or a single coherence area). TRS usually utilizes fiber bundles to collect the emitted light, thus the intensity of detected light is much higher than that of DCS. Apart from that, both techniques are based on the well-established time gate method by which the time-of-flight of each detected photon is defined. In this paper, we call the time when the gate is ready to record photon the gate opening time. Another striking difference between TD-DCS and TRS is the source: although both of them need pulsed source, TD-DCS requires coherent light with a certain coherence length (e.g., at least several centimeters), whereas TRS has no such requirement.
In contrast to the traditional CW-DCS, TD-DCS can time-gate the signals for only late arriving photons, which greatly improve the sensitivity of detection to the deeper dynamics in a scattering sample such as the human brain. CW-DCS measures the dynamics sampled by photons with a wide range of path lengths, thus has little ability to differentiate between deeper and superficial dynamics. For TD-DCS, it becomes feasible to probe the dynamics sampled by photons with a single pathlength (or a very narrow distribution of the pathlengths). Therefore, TD-DCS is able to provide pathlength-resolved measurement on dynamics property of tissue. However, to obtain a high sensitive cortical dynamics measurement with TD-DCS under a limited input laser power, several experiment-related parameters such as the gate opening time, gate width, and SD distance need to be considered. In this study, we used a simulation approach to optimize these experiment-related parameters based on Monte Carlo (MC) computations using a realistic human-head model (Collin27)13 in order to achieve higher contrast measurement on the dynamics [e.g., cerebral blood flow (CBF)] change in deep (cortical) layer of human head. Two cortical regions were studied including the frontal and temporal lobes. The aim of this work is to find out the optimal combinations of SD distance, gate opening time, and width by which the highest contrast measurement on the change of cortical dynamics can be achieved.
The light intensity autocorrelation function () was considered in this study, because is recorded instead of the normalized electric field autocorrelation function () in real measurements. can be derived from via the Siegert relation, .14 Here, is a parameter (the intercept of at zero correlation lag time) depending on the laser coherence length and on the number of modes in the detection fiber. If the coherence length is long enough, photon detection with a single mode fiber gives rise to for the unpolarized light. For simplicity, we only considered Brownian motion as dynamics in the sample. It is because that many studies have demonstrated Brownian motion model can better explain the experimental data measured from living tissues including the human brain.7,8,15 Then, the theoretical model for pathlength-resolved can be described as10
Monte Carlo Simulations
We used the most recently developed MC tool, Mesh-based Monte Carlo (MMC)16 to simulate the photon migration inside a realistic human-head model. The human-head model was segmented into four different tissues: skin and skull (SS), cerebral spinal fluid (CSF), gray matter (GM), and white matter (WM). The optical parameters used in the simulations are listed in Table 1.17 The wavelength of the illumination light was 830 nm.
Optical properties at 830 nm used in the Monte Carlo simulations of the realistic human-head model.
|Tissue||μa (mm−1)||μs (mm−1)||g||n|
Simulations were performed for two cortical regions including the frontal and temporal lobes. The gate opening time was considered from 400 to 1000 ps, in 100 ps steps. The gate width was selected from 50 to 3000 ps. Ten SD distances were used ranging from 0 to 45 mm, in 5 mm steps. The probes positions for the two regions are shown in Fig. 1. In the MC simulation, the survival weight and partial pathlength in each tissue component were recorded for each emitted photon. The time-resolved diffuse reflectance can thus be calculated for each SD distance. The probing sensitivity of photon to the brain can be determined by the fraction of the total light attributable to the brain (brain = GM + WM). By calculating the ratio of the partial pathlength passing through the brain over the total pathlength of photons collected within a selected gate, we can know the pathlength contribution of the brain for each selected gate.
More specifically, we recorded the pathlength (and partial pathlength) for each emitted photon in MC simulation and obtained the weight for each photon based on the Beer–Lambert law. Thus once we selected a gate characterized by the opening time (denoting the time when the gate starts opening) and width , we knew the weight (, ) for each photon detected and the total weight, , of all detected photon (i.e., photons) within the gate. Then, we could calculate the relative weight by for each photon among all detected photons (i.e., photons) within the gate. With the known parameters , , and for each layer (component), we performed the summation in Eq. (3) to calculate the time-resolved for the selected gate16,18 The number of launched photons we used was larger than those values reported. We performed eight simulations and found for all SD distances used in this study, the variation of the diffuse reflectance was very small (e.g., 3% to 5%) within the time range, e.g., .
As mentioned above, TD-DCS is able to differentiate dynamics sampled by different paths in the medium and achieve higher contrast measurement on the change in deep dynamics, such as change on the CBF induced by functional activation. To test this, we mimicked real experimental conditions to perform simulations on the realistic human-head model for the light intensity autocorrelation function . Two experimental conditions, baseline and stimulation, were considered to investigate the measurement contrast on the change of cortical dynamics. Table 2 shows the diffusion coefficient of scatterers in the baseline and stimulation conditions.19,20 During the stimulation (or activation), the dynamics in cortex (including GM and WM) was assumed to be enhanced by 50%.
Brownian diffusion coefficients used in DCS simulations on the realistic human-head model for baseline and stimulation.
|Tissue||DB (mm2/s) during baseline||DB (mm2/s) during stimulation|
We assumed the average incident power of laser (830 nm) was 75 mW, and the integration time for was 5 s, which barely met the temporal requirement for brain functional detection. In simulated experiments, a single-mode fiber ( in diameter, numerical aperture ) was used to detect emitted photons. The quantum efficiency of the photon detector (such as avalanche photodiode, APD) was assumed to be 60%. The repetition rate of the pulsed laser was set at 100 MHz. The photons detected for each incident pulse for a selected gate (including the gate opening time and width) can be obtained from the MC simulation. By generating a photon sequence with a known count rate and correlation among photons, the can be simulated for the baseline and stimulation conditions.21
To find out the optimal combinations of SD distance, gate opening time (), and width () corresponding to the higher contrast for the change of cortical dynamics, we defined two parameters which we call SNR1 and SNR2, where SNR stands for signal-to-noise ratio evaluated by . The SNR was evaluated based on the temporal intensity autocorrelation instead of dynamic parameter . This is because in DCS experiment, is the raw data measured directly. From MC simulation, we obtained the pathlength distribution and weight for each path and then calculated the by Eq. (3). While was simulated based on the correlation of photons (e.g., the decay time obtained from the ), photon count per sampling time, integration time, and polarization of the light. In the simulation of , the intercept, i.e., was randomly (or automatically) generated. The first parameter, SNR1, was based on the difference in the decay time obtained from the fit of with a single exponential function . During the fitting, we kept (for unpolarized light) and searched the decay time for the best fit. The second parameter SNR2 relied on the difference in . For SNR1, the signal was defined as the difference in the decay time between theoretical (or noise-free) for the baseline and stimulation. The noise was defined as the standard deviation of the estimated from many (e.g., 100 times) simulations on . SNR2 relied on the difference in between the baseline and stimulation. The maximal difference in theoretical [i.e., ()] was considered as the signal , and the corresponding (e.g., at the same lag time ) standard deviation of estimated from many (i.e., 100 times) simulations on as the noise . The was the lag time when the difference in theoretical between the baseline and stimulation was maximal.
Diffuse Reflectance and Pathlength Distribution in the Brain
From the MC simulations, the time-resolved diffuse reflectance at the head surface can be obtained for each SD distance. Figure 2 shows the time-resolved diffuse reflectance () for each incident photon for 10 SD distances at the frontal lobe [Fig. 2(a)] and temporal lobe [Fig. 2(b)]. As expected, the reflectance decreases as the time increases, but increases as the SD distance decreases. Late arriving photons imply the photons experience longer paths, thus probe deeper in the brain. However, the number of later arriving photons decreases dramatically as the time increases (or pathlength increases). Thus in real experiment with a limited illumination power, the balance between the detection sensitivity (to the brain) and the detected light intensity should be considered. The photon number for a selected gate can be obtained from the diffuse reflectance, which is used for simulating the intensity autocorrelation function with a certain illumination power.
The partial pathlength in each tissue component can be also obtained from the MC simulation. For a certain pathlength, the ratio of the partial pathlength passing through the brain over the total pathlength reveals the contribution from the brain to the measured . Figure 3 shows the partial pathlength ratios of brain for 10 pathlengths in the range 50 to 500 mm in steps of 50 mm and 10 SD distances in the range 0 to 45 mm in steps of 5 mm. For both frontal and temporal regions, the ratios of the partial pathlength in the brain at short pathlengths such as 50 and 100 mm are almost zero for nearly all the 10 SD distances, which means the shortest pathlength of photons passing through the brain is longer than 100 mm. In other words, photons with these short pathlengths do not provide information about the brain. Therefore, in searching optimal parameter for the gate opening time (), we excluded the early arriving photons and started from 400 ps, corresponding to about 86 mm of photon traveling distance in the medium. Because only photons with arriving time larger than 400 ps are possible to interrogate the brain, which is also demonstrated by the observation that with the increase of the pathlength, the partial pathlength ratio of brain increases.
Optimization for TD-DCS Measurement
The balance between the photon arriving time (or pathlength) and associated light intensity should be considered in TD-DCS measurements. Typically, using the late photons can theoretically increase the probing sensitivity to the brain, but the number of these late photons is generally small. Lower intensity of light gives rise to larger noise level on . Herein, we use the SNR to evaluate the trade-off between the time (or pathlength) and the detected light intensity, and then further find out optimal combinations of SD distance and the gate by which the higher contrast (i.e., larger SNR) measurement on the change of cortical dynamics can be achieved. Three parameters were investigated including the SD distance, gate opening time (), and the gate width (). Simulations show the optimal combinations of these three parameters are SD distance ranging from 0 to 15 mm, gate opening time at 700 to 800 ps, and the width of gate larger than 800 ps. Figure 4 shows the SNRs calculated for seven gate opening time from 400 to 1000 ps in steps of 100 ps, and 10 SD distances in the range of 0 to 45 mm in steps of 5 mm, with the gate width of 800 ps. In the both cortical regions, the two SNR approaches give similar results: the higher SNR values are shown in the combinations of the gate opening time at 700 to 800 ps and SD distances of 0 to 15 mm. Figure 5 shows the SNRs dependence on the gate width and gate opening time for the .
Varying the gate width induces change in the photon count, thus affects noise level on and the SNRs, which is shown in Fig. 6. For the late gate with the opening time () larger than 400 ps, the SNRs increase with respect to the gate width (), but nearly saturates after . Late arriving photons probe deeper in the brain; however, the number of such photons with arriving time larger than, e.g., , is rather small (see Fig. 2), thus these late photons make negligible contribution to the SNRs as observed no further increase after .
To show the difference between the baseline and stimulation on the “measured” , three examples of for the frontal cortex are presented in Fig. 7, including a combination within the optimal range, a combination beyond the optimal range, and measured with CW-DCS. All are under the same condition of the illumination light power (75 mW) and integration time (5 s). For a combination within the optimal range: , , and [Fig. 7(a)], the difference on the time-resolved between the baseline and stimulation can be visually differentiated. However, for a combination far beyond the optimal range: , , and [Fig. 7(b)], the two curves are completely indistinguishable. For the CW-DCS measurement with [Fig. 7(c)], it is hard to visually identify the difference between the baseline and stimulation.
Under the condition of a limited incident light power (e.g., 75 mW) and 5-s integration time for the intensity autocorrelation function , we used a simulation approach to investigate the relationship between the sensitivity of TD-DCS measurement on the cortical dynamics and the combination of SD distance and the gate (including gate opening time and gate width). In the simulation we used 75-mW average power, which was, on one hand, based on our previous experience in CW-DCS measurement on the human head,8 on the other hand, it was feasible to ensure the safety limit by slightly expanding the illumination area on the scalp. As reported in the ANSI Standard Z136.1-1993 Table,9 the maximum permissible exposure of skin to laser radiation is between 2.6 and in the 760 to 850 nm range. Thus, the incident power of 75 mW is possible as long as the illumination area is expanded to (e.g., a circular speckle with a radius of ). The number of photons injected into the scalp per picosecond can be estimated from the incident power and the wavelength. Since the time-resolved diffuse reflectance (i.e., for each injected photon) can be calculated from the MC simulation, with 75-mW incident power, the number of photons emitted at a certain time (within a time widow) and for an SD distance can be obtained. This number of emitted photons is used for simulating according to the approach proposed in Ref. 21, in which the integration time is also a necessary parameter. For functional monitoring of human brain, the integration time is usually the lower limit for the sampling time of the CBF. The 5 s we used is certainly not very good for the temporal resolution of measuring CBF, but still acceptable for the slow hemodynamic signal. To improve the temporal resolution, and at the same time keep the same SNR, higher incident power must be used, which is however limited by the safety regulation.
In simulations with the human-head model, we mimicked the actual experimental condition (including the incident power and all related features of optoelectronic detection) and calculated the light intensity autocorrelation function for the baseline and stimulation. By simulations with a variety of combinations of SD distance, gate opening time, and gate width, we found that with the combinations of SD distance ranging from 0 to 15 mm, gate opening time at 700 to 800 ps, and the gate width larger than 800 ps, TD-DCS was able to achieve higher contrast measurement on the change of cortical dynamics. Sutin et al.10 have demonstrated that the measurement sensitivity for the CBF can be improved by analyzing photons with longer pathlengths. Photons with longer pathlengths interrogate deeper tissue, thus carrying more information on the brain, which is also revealed by the partial pathlength ratio of the brain (see Fig. 3). However, with the increase of the photon pathlength (or photon arriving time), the number of detected photons decreases dramatically (see Fig. 2), which results in large noise level on the , eventually deteriorating the measurement sensitivity for the brain. Therefore, there exists an optimal range for those three experimental parameters resulting from a compromise between the photon pathlength and photon count detected.
Different from CW-DCS setup using a CW laser source, TD-DCS utilizes a pulse laser source. For any pulse laser, the coherence length of light is limited by the principle of uncertainty, e.g., for pulse duration of 150 ps, the upper limit value of the coherence length is about 40 cm. In practice, the value of the coherence length of a pulse laser is generally less than the upper limit. When the gate width , the difference in pathlength between the shortest and longest is ( is the speed of light in the tissue which is about ). To ensure the all photons detected within the gate are correlated, the differences between all pathlengths should be smaller than the coherence length. Otherwise, the intercept will decrease due to the incoherence of photons detected, deteriorating measurement on the other hand. In TD-DCS measurements, the coherence length of the pulsed laser used may be different for different setups. In searching optimal parameter of gate width (), we did not consider the influence of the coherence length of the light. The result shows when the gate width reaches 800 ps, the two SNRs nearly reach their maxima. Therefore, as long as the light coherence length is longer than 16 cm, our conclusion holds.
A limitation of this study is the fact that we have not considered the effect of the nonideality of the measurement system, typically described by the instrument response function (IRF) and obtained by recording the photon pathlength distribution when facing the injection and collection fibers. The full-width-at-half-maximum (FWHM) is normally used as a synthetic descriptor for the IRF. Typical values for the FWHM of time-domain near-infrared spectroscopy (TD-NIRS) systems are in the range of 35 to 600 ps.22 When the FWHM is less than 250 ps, its influence on time-gating methods can be negligible.23 For TD-DCS, our simulation study has shown that the impact is small for FWHM of IRF . In the few recent papers on TD-DCS,10,11 the FWHM was narrower than or equal to 100 ps, which would have nearly no influence on our conclusion. The main expected implication of using a broad IRF will be a decreased ability of the system to discriminate early and late photons. We can in fact consider the FWHM of the IRF as an indication of the error related to the timing of detected photons. As a consequence, we expect a decreased contrast to deep changes in both hemoglobin concentration and blood flow. A further effect will be an error in the estimate of the optical properties of the tissue when fitting the distribution of photon time-of-flight with a model for photon migration. This will have an impact on the estimate of the blood flow). Similarly, a limited SNR of late photons would affect the ability of the system to discriminate deep changes, since the distribution of photon time-of-flight will be richer in early photon, but lower in late photons. In this work, we have not included the detailed study on the effect of IRF, since it is beyond the scope of this work.
In contrast to NIRS, DCS generally requires a single-mode fiber (with a small core diameter) for light detection. In many practical measurements for human head, under the safety limit of incident power, the light intensity detected and transmitted through a single-mode fiber is generally low, easily resulting in large noise level on the measured . In CW-DCS, utilizing a shorter SD distance (e.g., ) may lead to higher detected light intensity, but reduce the sensitivity of detection for deeper dynamics. However, in TD-DCS, we found that the relatively shorter () or even null SD distance can also achieve good sensitivity to deep dynamics as long as an optimal gate was selected, which is very similar to the null SD distance detection in TD-NIRS.24 A concern of using null (or very short) SD distance in an actual experiment is that it may induce saturation of photon detector (such as APD) thus cause problem. To deal with this problem, Pifferi et al.25 proposed a gating detection approach, in which an APD was operated in time-gated mode to prevent detection of the early photons and enhance contribution of late photons.
By using Monte Carlo simulations on a realistic human-head model, under the condition of limited illumination power (75 mW), we have investigated the relationship between the sensitivity of probing deeper dynamics and combinations of SD distance, gate opening time, and gate width in TD-DCS. We found that higher contrast measurement on the changes in deeper dynamics such as CBF induced by functional activation can be achieved by selecting the optimal SD distance and gate combination. In TD-DCS measurement for human brain function, to achieve higher detection contrast to the CBF, the combination of SD distance of 0 to 15 mm, gate opening time at 700 to 800 ps, and gate width of 800 ps are optimal options. These results may be helpful in future TD-DCS experiments aiming at detecting human brain functional activity.
The authors of this paper report no relevant financial interests or other potential conflicts of interest to disclose.
This work was supported by the Guangdong Provincial Key Laboratory of Optical Information Materials and Technology (Grant No. 2017B030301007), Guangdong Science and Technology Program (Grant No. 2017A010101023), and the National Natural Science Foundation of China (NSFC) (Grant No. 81771876).