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Contrast enhancement in photoacoustic imaging: a multi-dimensional approach A thesis submitted in partial fulfillment for the degree of Master of Science Author: Pieter Kruizinga Supervisor: Dr. Koen van Dongen October 7, 2010 Graduation Committee Prof. dr. ir. P.M. van den Berg Laboratory of Acoustical Imaging and Sound Control Department of Imaging Science and Technology Faculty of Applied Sciences Delft University of Technology Dr. A.J.L. Adam Optics Research Group Department of Imaging Science and Technology Faculty of Applied Sciences Delft University of Technology Dr. ir. D.J. Verschuur Laboratory of Acoustical Imaging and Sound Control Department of Imaging Science and Technology Faculty of Applied Sciences Delft University of Technology Dr. K.W.A. van Dongen Laboratory of Acoustical Imaging and Sound Control Department of Imaging Science and Technology Faculty of Applied Sciences Delft University of Technology “While we look not at the things which are seen, but at the things which are not seen” Bible, 2 Corinthians 4:18 (King James Version) Abstract Photoacoustic imaging is a relative new imaging technique that refers to the generation of acoustic waves upon the absorption of light. When the deposition of this energy is sufficiently short, an adiabatic thermo-elastic expansion takes place whereby acoustic waves are generated. These acoustic waves will propagate away from the source and can be recorded and stored to construct an image. Despite its straightforward nature, there are some intrinsic deficiencies related to this technique. In this thesis three of these deficiencies are treated and possible solutions are presented. The first concerns the problems that arise when measuring photoacoustic signals resulting from small sources. In chapter two, analytical expressions are derived and the usage of increasing laser pulse duration to overcome amplitude mismatch is analyzed. The third chapter deals with the stability of photoacoustic contrast agents under high laser fluence exposure. A new method is presented to enhance the stability of these agents. The fourth chapter is devoted to the processing of photoacoustic signals. Herein a new denoising technique is presented which is compared to the commonly used averaging method. Furthermore, this thesis bundles the results of ten months of research at the Ultrasound Imaging and Therapeutics Research Laboratory of the University of Texas at Austin, USA. Acknowledgements There are only a few official occasions in life where one is allowed to acknowledge the fact that one is not alone. This is one of those. Koen, without you, no single word in this document could have seen the light. Thanks for the critical comments and your fair judgment(s). Ton, thanks for picking up the phone two years ago. Gijs, the past guarantees a future. Stas, remember that Leffe Blond we enjoyed? Thanks for a wonderful year and allowing me to ‘cook along in your kitchen’. It is true that sometimes a word says more than a sentence. Therefore; Mohammad, friend and MMUS-bbq, Seungsoo, ultrasound and discuss, Jimmy cheese, Jason Suburban, Sangpil non-linearity, Yun-Sheng science, Bo PA, Valli experiments, Andrei inventing, Salavat chess, Kim discipline, Erika icecream, Iulia, high heels, Tera correction Katie, Doug, Min, Seung Yun, Soon Yoon, Alex, Pratixa, Chris joy. The last word summarizes a wonderful year with beautiful people and interesting research. I would like to thank my mom and dad for taking care of me from diaper to university and beyond. It was probably not always an easy job, but you did it without any reserve. In light of that, it would be silly to not mention my wonderful sisters, who I deeply love. Also thanks to my family in law, especially for having the guts to visit us in deep Texas. But there is one person that followed me all along; Grethe, the joy in my life, without your support and love, this whole undertaking would have been totally useless. I thank you for all the care you gave, the miles we traveled, the conversations that never ended, the joy we felt and the moments we experienced, always together; I love you. Above all I want to acknowledge my heavenly Father for His Being, His Presence and His Care. Working in science allows glimpses of His creation. Thank You for giving me that opportunity. Through all these people I whole heartedly underscore the philosophical understanding of ubuntu. Abbreviations 1D, 2D and 3D one, two and three-dimensional PAI photoacoustic imaging PA photoacoustic Vis visible wavelength range (400 − 700 nm) NIR near infra-red wavelength range (700 − 1100 nm) A-line acoustic line SNR signal-to-noise ratio MNP metallic nanoparticle PEG poly-ethyleneglycol CTAB cetyltrimethyl-ammoniumbromide TEM transmission electron microscopy MCS Monte Carlo simulation SCW signal content windowing Contents Abstract 1 Acknowledgements 2 Abbreviations 3 1 Introduction 6 1.1 Photoacoustics in medical imaging . . . . . . . . . . . . . . . 8 1.2 Thesis overview . . . . . . . . . . . . . . . . . . . . . . . . . . 13 2 Signal generation: changing laser pulse duration 14 2.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 2.2 Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 2.3 Materials and Methods . . . . . . . . . . . . . . . . . . . . . 25 2.4 Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 2.5 Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 2.6 Conclusion 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Metallic contrast agents: improving stability 38 3.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 3.2 Materials and Methods . . . . . . . . . . . . . . . . . . . . . 40 3.3 Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 3.4 Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 3.5 Conclusion 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Signal processing: denoising scanlines 48 4.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 4.2 Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 4.3 Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 5 Contents 4.4 Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 4.5 Conclusion 63 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Discussion and conclusions 64 5.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 5.2 General discussion . . . . . . . . . . . . . . . . . . . . . . . . 64 5.3 Future prospects . . . . . . . . . . . . . . . . . . . . . . . . . 66 5.4 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Published papers 68 References 69 1 Introduction Medical imaging, as a research field, encompasses all the techniques that are employed to create images of the human body for clinical evaluation. The ultimate goal of this field is to produce the ‘best’ possible image that meets the demands of every specific clinical case. The word ‘best’ here may entail a lot of different things. However, in the field of medical imaging the terms ‘contrast’ and ‘resolution’ are probably the ones most used to describe what is ‘good’ and what is ‘bad’. An imaging technique, for instance, that provides good contrast and high resolution of the anatomical structure of the human body is radiography or x-ray (high energetic photons) imaging. Here an image is a two-dimensional (2D) projection of the x-ray absorbing objects that are in between the x-ray source and the detector. Anatomical structures that have a relative high density (from here, density = mass/volume), such as bones, can easily be imaged with this technique. Additionally, with the use of computed tomography (CT) multiple 2D projections can be turned into a three-dimensional (3D) image. A downside of x-ray imaging is the limitation of providing contrast between different structures that have similar density. Here magnetic resonance imaging (MRI) proves useful. MRI is an imaging technique that is able to map the magnetic properties of atomic nuclei. It does so by aligning the hydrogen atoms to a magnetic field after which this alignment is disrupted by an additional electromagnetic field. Different tissue types can be discerned by monitoring the behavior of the hydrogen atoms during these processes of alignment and de-alignment. Thus, MRI provides contrast based on hydrogen composition of the tissue. Besides providing 3D anatomical information, this technique can also be used to provide functional (physiological processes) information of the human body. Another type of medical imaging technique is radionuclide imaging. Here small radioactive sources are delivered to the human body after which the radiation from these sources is detected with external detectors. The 7 Introduction imaging source now is located within the body, similar to MRI. The great advantage of this type of imaging is that the sources can be designed to localize tumors. The contrast mechanism of this technique is based on mapping source radiation. This imaging principle can also be used to produce 3D images. At the other side of the spectrum is ultrasound imaging. This modality uses high frequency (1 − 50 MHz) acoustical waves to produce images of the human body. The contrast given by ultrasound imaging is based on the reflection and scattering of ultrasonic waves by acoustic impedance mismatches of different tissue types. An image is formed by the transmission and detection of acoustic waves. The time between transmission and echo along with the intensity and location of the echo are the parameters from which an image can be constructed. This technique features some resemblance to x-ray imaging in terms of e.g. imaging densities. However, the geometrical setting and the possibility of mapping the ‘time of flight’ of each acoustic wave allows for 3D imaging where the source and detector can be positioned on the same imaging plane. These four types of medical imaging techniques cover a whole spectrum of possible images that can be made to suit e.g. the demands of the clinician to make a good diagnosis. But everything comes with a price. All of these techniques have their advantages, but moreover their disadvantages. X-ray imaging, for example, provides clear contrast when there are density differences but also exposes the human body to potentially harmful levels of radiation. MRI can make beautiful high-contrast images, but the costs of these images are relatively high and the image acquisition time does not allow much room for ‘real time’ imaging [1]. Equally, radio-nuclide imaging can be very useful but the contrast is very poor and the side effects of radioactive radiation can be very severe. Ultrasound imaging on the other hand is very safe in terms of side effects, is low in costs, and can achieve real-time imaging. However, the contrast between different soft tissue structures can be very low and therefore functional information is hard to obtain. A possible addition to the spectrum would be a technique that can compensate for the downsides of ultrasound imaging and not forfeit too much of the advantages this technique already has. Photoacoustic imaging (PAI) is one of these contenders. It provides contrast between tissue structures based on the optical absorption of pulsed laser light. This technique has high potential in terms of providing functional information, high resolution, fast scanning speed, and low costs. Photoacoustics in medical imaging 1.1 8 Photoacoustics in medical imaging Photoacoustics (PA) also known as “optoacoustics”, is a technique that maps acoustic signals resulting from thermo-elastic expansions upon the absorption of fast modulated (laser) light. The firsts scientific observation of the photoacoustic effect (that light can produce sound) dates back to A.G. Bell in the late 1800s [2]. However, it was not until the late 1970s that the research in this phenomenon really took off. This increasing interest had to do with the development of lasers and electronics for acoustic detection and recording. The imaging domain for PAI can be understood as being bi-partite. The first is the optical sub-domain. Here, laser light incident on the object of interest travels, via various mechanisms, through the object and encounters regions where optical absorption is dominant. In this case, where the light is absorbed, heat will be generated. Now, when the laser pulse is sufficiently short and there is no time for the heat to dissipate in the medium resulting in a disturbed equilibrium, which brings us to the other sub-domain; called acoustics. Since there is a local increase of heat, and no volume change yet, there must be a local increase of pressure (according to the “ideal gas law”). This pressure, due to the disturbed equilibrium, hence will propagate out of the volume of high pressure to the volume of relative lower pressure. This propagating of pressure equals an acoustic pressure wave which has a certain speed, amplitude, and direction. Since this acoustic pressure wave has an origin in time and space and attributes certain properties of direction and speed, the photoacoustic source can be located in a 3D space. This is the basic imaging principle of PAI. In the next three paragraphs, these two sub-domains (optical and acoustic) will be treated separately followed by an overview of the possible imaging applications of PAI. Optical domain For the purpose of this thesis, light is referred to as ‘electromagnetic radiation with a wavelength ranging from the visible part (Vis) of the spectrum, 400 − 700 nm, to the near infra-red (NIR), which is 700 − 1100 nm’. The two processes that dominate in light interacting with tissue are ‘scattering’ and ‘absorption’. The strength of these interactions depends heavily on the wavelength of the light and the molecular constituents of the interacting tissue. 9 Introduction Having many interaction processes make exact propagation of light through tissue very hard to predict. There are several Monte Carlo simulations (MCS) that can model the distribution of photon energy in tissue, but the solution will be never exact. Two useful examples of MCS models can be found in [3, 4]. An actual MCS program can be downloaded from [5]. However a more practical analytical approximation of light transport through tissue is given by the diffusion theory. Here the effective attenuation a of light is approximated per unit length d with use of Beer’s law (a = 1 − e−µeff d ) and the effective attenuation coefficient. The effective attenuation coefficient µeff can be approximated by: p µeff = 3µa (µa + µs (1 − g)), (1.1) where µa is the absorption coefficient, µs the scattering coefficient and g the anisotropy factor, which is around 0.9 for tissue in the Vis-to-NIR wavelength range [6, 7]. Note that µa and µs are both wavelength dependent. For detailed information about optical properties of tissue and exact numbers see [6, 8, 9]. In figure 1.1 a few absorption and extinction spectra of tissues are shown. The lower absorption region of 700 - 900 nm is in medical imaging often referred to as the ‘optical window’. An interesting paper on optical properties of skin and penetration dept is given by Bashkatov et al. [10]. The optical properties of blood are extensively studied by the group of Müller; MCS for the optical properties of blood can be found in [11], whereas actual experimental data can be found in [12]. Unlike other optical techniques, the resolution of PAI does not suffer much from the scattering of photons. Scattering might even support a homogenous photon distribution which can be beneficial for effective PA wave generation. The limiting factor that PAI shares with other optical techniques is the low penetration depth of light in tissue. Nevertheless PAI only requires a ‘one-directional’ light delivery and can therefore image much deeper than most of the other optical techniques, which need some type of reflection. Therefore penetration depths of several centimeters into biological tissue can be reached [14]. Acoustic domain The acoustic domain becomes of interest when the photoacoustic source emerges after light absorption. The photoacoustic source then obeys the acoustic wave equation in three dimensions: 2 1 ∂2P ∂ ∂2 ∂2 1 ∂2P 2 ∇ P− 2 2 = + + − = −Q, (1.2) v ∂t ∂x2 ∂y 2 ∂z 2 v 2 ∂t2 where v is the speed of sound, P pressure, t time and Q denotes the photoacoustic source. The spatial coordinates are given by x, y and z. The actual origin and behavior of the photoacoustic source will be treated with Photoacoustics in medical imaging 10 Figure 1.1: Optical absorption µa and extinction µa + µs coefficients for blood, tissue, muscle and skin. Data obtained from [13]. more detail in the introduction and theory section of the coming chapter. For now, only the propagation through the acoustic domain will be of interest. Despite the validity of the nonlinear behavior of acoustic waves, the linear model gives for most cases a fair approximation. The linear model assumes the medium to be an ideal homogeneous liquid which is infinitely continuous. According to equation (1.2) every acoustic pressure-wave is uniquely defined in space and time, and by the notion of the acoustic speed: v2 = 1 Kρ (1.3) every wave also attributes the property of wavelength and frequency. Here K (m2 /N ) denotes the compressibility of the medium and ρ (kg/m3 ) is the density of the medium. An acoustic pressure wave is a longitudinal wave that propagates via compression and decompression of the medium. The interaction of an acoustic wave with the medium can be loosely categorized in: reflection, refraction, attenuation by scattering and attenuation by absorption. The first two, reflection and refraction, are dependent on the impedance differences at the interface of two media. The characteristic acoustic impedance Z is defined by Z = v ρ. (1.4) 11 Introduction The ratio of the acoustic energy that is reflected and refracted upon impedance mismatch depends on the angle of incidence and the difference in Z. When the acoustic inhomogeneities are smaller than the acoustic wavelength, a part of the acoustic energy may be scattered in random directions and therefore causes the signal to attenuate. The last interaction, attenuation by acoustic absorption, refers to all processes associated with the loss of acoustic energy during propagation that are not related to reflection, refraction, or scattering. In table 1.1 an overview of several acoustic coefficients regarding the propagation of acoustic waves in air, water and various tissues is given. Material Air Water Blood Fat Muscle Skull bone Soft tissue Speed of propagation (m/s) 330 1480 1570 1450 1590 4000 1540 Characteristic impedance (106 kg m−2 s−1 ) 0.0004 1.48 1.61 1.38 1.70 7.80 1.63 Attenuation coefficient α at 1 MHz (dB/cm) 1.2 0.002 0.2 0.6 1.5-3.5 13 0.6 Frequency dependence of α f2 f2 f 1,2 f f f2 f Table 1.1: Acoustic properties of air, water and various tissues. Values obtained from [15]. Utilizing the linear model of acoustic wave propagation, the impedance differences within a medium can be determined and imaged. The imaging principle relies on the backprojection of acoustic recordings that consist of the transmission, reflection, and detection of acoustic pulses. The resolution of the acoustical imaging technique depends on the signature of the transmission pulse, the quality of the recording (e.g. sampling frequency and noise) and the imaging method (e.g. phased array). In PAI however, the imaging principle does not rely on the reflection of an acoustic pulse but rather on the detection of an acoustic wave resulting from a photoacoustic source that emerges from the overlap of the optical with the acoustic domain. Photoacoustics imaging applications Photoacoustics can be employed for numerous subjects of (bio)medical imaging. Probably the most obvious case is the imaging of blood vessels. Since blood is a strong absorber, blood vessels are ideal imaging structures. PAI of subcutaneous vasculature of the human wrist has been done by Kolkman et al. [16]. Related is the interest in small vasculature and vascular growth (angiogenesis) that plays Photoacoustics in medical imaging 12 an important part in the formation and development of tumors. This topic in particular received a lot of research attention. Interesting work has been done by Lao, Ku and Siphanto et al. [17, 18, 19]. All of these studies are done on small animals. Since the PA signal resulting from blood depends on the probing wavelength, the oxygenation of blood can be determined (see figure 1.1). Fruitful work, including high quality images, is done by Zang et al. [20]. A feasibility study of this subject is done by Sivaramakrishnan et al. [21]. Another interesting parameter of blood that can be imaged is the glucose concentration in blood. Work on this subject was done by Bednov et al. [22] and by Zhao [23]. Not only the outer vascular structure is of interest, also the inner vessel wall can be imaged using intravascular photoacoustic imaging (IVPA). This relatively new field cooperates well with the already, in use, clinical imaging modality of intravascular ultrasound (IVUS). The IVUS images are overlaid with the IVPA images resulting in an image that provides structural and functional information. Work by Sethuraman et al. showed the additional value of spectroscopic IVPA, whereas Wang et al. deployed metallic contrast agents to image important structures of the inner vessel wall [24, 25]. A pure tissue characterization of post mortem arterial tissue with PAI was done by Beard et al. [26]. Two, close to clinical applications, are the photoacoustic imaging of port-wine stains and imaging of the female breast in the case of tumor detection. The latter application is of interest due to lack of contrast and harmful side effects of other imaging techniques, such as x-ray imaging. A proto-type breast scanning device has been build and tested on real patients by the team of Manohar et al. in The Netherlands and by Pramanik et al. in the United States of America [27, 28, 29]. The imaging of port-wine stains have been investigated by Viator et al. and Kolkman et al. [30, 31]. The clinical acceptance of these imaging devices is relatively high due to the non-invasiveness and harmless level of light and ultrasound radiation. PAI can also be utilized to image foreign objects, as is shown by Su et al. PA images were produced from stents, embedded in vascular tissue, using the IVPA technique, and images from metal needles buried in porcine tissue [32, 33]. This new development might be interesting since these foreign objects will provide very high contrast due to stark optical absorption at every possible wavelength. A similar out-of the-box option is the determination of temperature. Using PAI Shah et al. proved that the local temperature of tissue could be deducted from the PA amplitude, which is linearly dependent on the temperature [34]. 13 1.2 Introduction Thesis overview The principles of photoacoustic wave generation and imaging are rather straight forward and have proven to be successful. However there are still imperfections and limitations of this imaging technique. This thesis is about three of these limitations. As the title: ‘Contrast enhancement in photoacoustic imaging’ of this thesis suggests, the herein treated limitations are related to the contrast aspect of PAI. It is clear that the contrast factor is of immanent importance to the valuation of every medical imaging technique; improvement of contrast will lead to ‘better images’ and a possible ‘better diagnosis’. Furthermore, the subtitle: ‘multi-dimensional approach’ suggests a plural improvement to the contrast given by conventional PAI. The first dimension refers to the enhancement of contrast in the case of small objects imaged with band-limited ultrasound transducers. The second dimension refers to the enhancement of contrast using specialized contrast agents. The last dimension concerns the enhancement of signal-to-noise ratio of recorded scanlines which ultimately give contrast in photoacoustic imaging. First, in the coming chapter, the issue of PA signal amplitude and its source-size dependency will be addressed. By changing the laser pulse duration more information about the photoacoustic source can be obtained. A new technique to stretch the laser pulse duration will be introduced and several experiments utilizing this technique will be discussed. The results indicate that by varying the laser pulse duration more information of the PA source can be obtained. The subsequent, third chapter is based on work presented in earlier publications done in close collaboration with the lead author: Yun-Sheng Chen of the University of Texas at Austin. This chapter will deal with the issue of the stability of metallic contrast agents under high laser light exposure in the case of PAI. In this chapter, the synthesis and usage of silica-coated gold nanorods will be discussed. These new particles will be evaluated on the basis of optical stability and photoacoustic signal stability under high energy laser light exposure. It will show that these particles are considerably more stable than normal uncoated gold-nanorods. In chapter four the method of averaging multiple recordings to increase the signal-to-noise ratio (SNR) will be discussed and a new alternative approach will be presented. This new approach will be evaluated on the basis of SNR improvement with artificial data and real in-vivo data of a mouse tumor. The new signal-content-windowing (SCW) method will prove to be superior over normal averaging. This thesis will close with an overall discussion of the major findings presented in this thesis. The possible advantages, utilization and impact of these findings will also be part of the discussion. 2 Signal generation: changing laser pulse duration 2.1 Introduction Photoacoustic imaging provides contrast based on the relationship between absorption of electromagnetic energy, adiabatic thermoelastic expansion, and the magnitude of the resulting acoustic (pressure) waves. The acoustic waves propagate radially outward from the source, and can be recorded and mapped onto a 2D or 3D coordinate system. The amplitude of each recorded photoacoustic signal is indicative of the local optical absorption, while the spatial origin of the signal can be determined by the travel-time of each signal after light delivery. The acoustic wave that is generated upon light absorption obeys the following wave equation: ∇2 P − 1 ∂2P −β ∂H = . v 2 ∂t2 Cp ∂t (2.1) The left side of equation 2.1 indicates the normal wave equation where c is the speed of sound, P pressure and t time. The right side describes the photoacoustic source, where β is the thermal expansion coefficient, Cp is the specific heat at constant pressure and H is the amount of heat generated following light absorption [35]. In the case of a medium dominated by absorption, H can be appreciated as the optical absorption µa times the light fluence rate F (H = µa F ). Equation 2.1 is only valid when the laser pulse is sufficiently short relative to the propagation of acoustic energy through the source. This is often referred to as the stress confinement condition. The photoacoustic wave equation formalized above can be considered as the main formula used for the construction of photoacoustic images, whereby, a linear relation between optical absorption µa and the measured acoustic amplitude is assumed. However, this assumption is not valid for all cases 15 Signal generation: changing laser pulse duration and may lead to misleading results and incorrect interpretation of images. This can be attributed in part to the frequency-dependent characteristics of photoacoustic signals, which contains information relating to the size and shape of the absorber, the speed of sound in the medium, the geometry of illumination, as well as the laser pulse shape and duration [7, 36]. To illustrate this dependency, photoacoustic signals measured with a broadband (0.25-20 MHz) hydrophone (Onda Corp. HGL-0200) can be examined. The first signal was generated by a section of a black rubber band approximately 1 mm in diameter. The second signal was generated from a human hair approximately 80 µm in diameter. The signals and associated frequency spectra are plotted in Figure 2.1. Upon inspection of Figure 2.1, the differences in the shape and accompanying frequency spectra of these two signals is apparent. While both sources produce an N-shape typical of a photoacoustic signature, the temporal information contained in each frequency spectrum is quite different. In this particular case, this is most likely the result of the difference in the sizes of the objects and the speed of sound within the object. However, had these two signals been received with a more band-limited ultrasound transducer, these differences would have been less discernible. First, it is likely that the size of the object would be untraceable due to the band-limitation. Second, prediction of the optical absorption would be confounded by frequency miss-matching between the transducer and the photoacoustic signal. The effects of a band-limited transducer can be exemplified by figure 2.2. In this case, a phantom consisting of two nylon filaments with equal optical and mechanical properties but with different diameters were scanned with a 40 MHz single element transducer (2.5 French, Atlantis SR Plus, Boston Scientific, Inc). The filaments were separated by a distance of 2 mm and a cross section was scanned with a step size of 10 µm. Furthermore, every scanline consisted of 16 averages, with the distance between the transducer element and the filaments approximately 3 mm. Finally, the sample was illuminated at 180◦ angle with respect to the ultrasound transduction. By examining the plots in figure 2.3, it is apparent that the duration of the transducer’s impulse response is too short to capture both peaks of the characteristic photoacoustic N-shape, thus restricting the ability to correctly size the absorber. Another obvious difference in both photoacoustic representations is the difference in amplitude of both filaments. Here, one of the key problems for the photoacoustic imaging technique arises: the size of the photoacoustically active object contributes to the measured photoacoustic amplitude. Introduction 16 Figure 2.1: Two photoacoustic signals and their frequency content. Top left; the photoacoustic signal obtained from a black rubber of band (± 1 mm). Top right; the frequency spectrum. Bottom left; the photoacoustic signal obtained from a ± 80 µm black hair. Bottom right; the associated frequency spectrum. In principle, photoacoustic imaging is a high resolution imaging technique. However, the resolution-limitation is often set by the bandwidth and damping of the acoustic transduction. Even in the case presented previously, where a relative broadband high frequency transducer is used and acoustic inhomogeneities are absent, this limitation becomes apparent. 17 Signal generation: changing laser pulse duration Figure 2.2: Photoacoustic scan of two filaments of different size. Top left; a schematic cross section of the two filaments. Top right; a maximum plot of the absolute photoacoustic signal across each scanline. Bottom; 2D color map of the absolute Hilbert transform of the acquired scanlines. 2.1.1 Problem statement and chapter overview In summary, photoacoustic signals are distinct in shape and amplitude depending on a unique set of parameters. Unlike conventional ultrasound, where the detected wave matches the frequency characteristics of the transducer, photoacoustic signals do not, a priori, match the transducer characteristics. Therefore, band limitation can make it difficulty to correctly determine the true optical absorption coefficient in a photoacoustic image. The question becomes whether it is possible to overcome this deficiency, or what other information can be used to determine if the estimated optical absorption equals the true optical absorption. This chapter examines whether changing the laser pulse duration will provide more information about the true nature of the PA source. First, an analytical solution for the cylindrical PA source will be derived. Subsequently, the influence of laser pulse duration and optical absorption for the measured PA amplitude will be discussed. In order to change the laser pulse duration, a new optical delay system will be presented. With the use of this system, a phantom consisting of seven small filaments will be imaged. The resulting amplitudes will be compared to the model and analyzed by their laser-pulse-duration dependency. Theory 2.2 18 Theory The body of literature on photoacoustics has increased rapidly since the last decade, particularly as it applies to the field of biomedical imaging. Several review papers dealing with this application are given by Xu and Wang [14] and Oraevsky et al. [7]. Papers that specifically deal with the light-tissue interaction in the photoacoustic case can be found in Jacques [37] and in Paltauf and Dyer [38]. Pioneering work in this field is done by Tam and a good paper by him can be found in [39]. A solid book on general photoacoustic theory is given by two Russian researchers, Gusev and Karabutov [40]. The mechanisms that contribute to photoacoustic wave generation have been extensively studied. Great and insightful work was done by Diebold et al.. PA wave equations have been solved for the photoacoustic point source [41, 42, 43] and the cylindrical geometry [44, 45, 46]. An early and still useful solution to the spherical PA source is presented by Sigrist and Kneubühl in 1978 and can be found in [47]. The cylindrical geometry case was also solved by Lai and Young [48], Heritier [49] and Kuo [50] et al.. Photoacoustic wave propagation in 3D space has been studied by Cox and Beard [35, 51]. A R toolbox that is based on this work can be found at [52]. k-space Matlab In photoacoustic imaging, special attention has been paid to the stress confinement condition, which describes the relation of efficient signal generation based upon the laser pulse duration, speed of sound and the photoacoustic source dimensions. This is of particular interest in the determination and estimation of the object size and the true absorption coefficients. The latter has been studied by Choi et al. [53]. Other related work can be found in [54, 55, 37]. Furthermore, an excellent paper on theoretical explanation of photoacoustic signal generation is written by Hoelen and De Mul [56]. Here an explanation of the spherical photoacoustic wave is given and applied to several source geometries. The model is also validated by their experimental work. The theory presented in [56] forms the basis for most of the derivations and further calculations of photoacoustic signals within this thesis. The number of studies undertaken to describe photoacoustic wave behavior indicates that it is not a trivial matter. This especially applies to geometries other than the spherical. This chapter will focus on cylindrical geometry. This is of particular interest when studying PA signals originating from small blood vessels. However, it is best to start with the geometry for a 19 Signal generation: changing laser pulse duration small spherical PA source, from which, all other geometries can be solved. In the case of gases and non-viscous fluids, PA signal generation can be understood as a rotationally symmetric local pressure field, P . This pressure originates from a local temperature rise accompanied with a volume change; expressed by the relation: ∆V = β∆T, V (2.2) where β is the thermal volume expansion coefficient, T temperature and V volume. When relating ∆V density of the medium ρ times the V to thep longitudinal sound velocity v, via v = P0 /ρ0 , (see [57]), we obtain: P0 = βρv 2 ∆T (2.3) This relation is strictly valid only when the laser pulse duration is sufficiently short. Now, the temperature rise ∆T can be understood as the conversion of absorbed light energy Ea , to heat via the specific heat capacity Cp of the medium, giving the following relation: P0 = βc2 Ea = ΓEa . Cp (2.4) Γ is referred to as the Grüneisen coefficient and Ea is the absorbed energy, assumed to be µa times the laser fluence L. A more rigorous expression of the same ∆T is given by Sigrits et al. [47]. 2 − 2r Ea r0 +4κt ∆T (r, t) = e , Cp π 3/2 (r02 + 4κt)3/2 (2.5) where r0 is the source diameter and κ (m2 /s) represents the thermal diffusivity. This equation describes the Gaussian spatial and temporal temperature distribution following light absorption. When there is no diffusion of heat (known as the thermal confinement condition) and the heating period is much shorter than the acoustic travel time through the source (known as the as the stress confinement condition) the PA wave equation can be solved. When only thermo-elastic expansion upon light absorption is considered, Sigrits et al. [47] derived the following equation for photoacoustic pressure: √ h i2 2ev r − rv (t− vr ) P (r, t) = −Pmax t− e 0 ; r0 v βEa v 2 Pmax = , (2.6) √ (2π)3/2 ecp r02 r Theory 20 where cp = Cp /ρ. Equation 2.6 shows that the PA wave consists of an amplitude element and a normalized function that causes the wave to change sign at retarded time, t − r/v = 0. The shape of a typical PA wave is given in figure 2.3: Figure 2.3: Arbitrary PA wave generated by a spherical source distribution upon a δ pulse heating function with respect to the retarded time (vt − r)/r0 . The indication of τ denotes the peak-to-peak travel time. This approach is valid for the 1D case, but may cause some unsatisfactory results when applied to the 3D case. Hoelen et al. approach this problem from the spherical source perspective, which at t = 0 contains a homogeneous pressure distribution unequal to the surrounding pressure. The authors argue that as a consequence, there must be an outgoing decreasing pressure distribution originating at the center of the source and extending to the point of observation. Associated with the outgoing pressure distribution will be an increase of pressure due to the local decrease in pressure. Both pressure fields, along which the PA wave will evolve, have a 1/r dependence with respect to the change in pressure. These considerations of two pressure fields are valid through the conservation of energy. The beauty of this interpretation is that there is no need for an artificial inverting reflection at the origin but rather a smoothly evolving PA wave due to an infinite negative pressure at the origin. This leads to the following expression 21 Signal generation: changing laser pulse duration for a PA wave generated by an instantaneous homogeneous heated sphere: r − vt P (r, t) = A0 U (Rs − vt − r) + × 2r U (r − |Rs − vt|)U (Rs + vt − r) U (t). (2.7) Where A0 is the initial pressure amplitude, Rs is the source radius, r the distance, vt stands for the distance traveled and U (t) denotes the Heaviside unit step function. The two distinct terms in this expression represent the inward and outward propagating disturbance respectively. Cylindrical waves The purpose of this chapter will be to examine the PA wave resulting from a cylindrical source distribution. Following the work of Hoelen and De Mul, it proves to be advantageous to treat the cylindrical source as the sum of many small point sources (lim:R → 0). Actually, all PA source geometries can be approximated by integration of the source volume ‘filled’ with PA spherical sources. In the case of a cylinder, this can be done by the integration of a line across the diameter of a cylinder. To do so, the authors showed that it is useful to express P (r, vt) by means of the temporal derivative of a potential function Φ(r, vt), where P (r, vt) = lim A0 R→0 r − vt ∂ U (R − |r − vt|) = A0 Φ(r, vt). 2r ∂(vt) (2.8) To obtain the acoustic wave generated by an absorbing spherical source, the sum of all the point source potential functions are taken and integrated. The potential function after integration of a homogenous cylinder with initial pressure amplitude A0 is found to be: Z b s 2 R − (x − r)2 dx. (2.9) ΦHC (R, r, vt) = A0 k0 U (vt − (r − R)) (vt)2 − x2 r−R Here, b denotes the upper limit of the integration interval which is b = vt when r − R < vt < r + R, and b = r + R when vt > r + R. Note that this potential function is only valid with the far field approximation (r R). Since a complete homogeneous temperature distribution is often not physically achievable, we can use this potential function expression to calculate the PA wave resulting from an inhomogeneous source distribution. Hereby we take advantage of the superposition principle by superimposing multiple potential functions and weighting them with the gradient of the pressured distribution at t = 0. The potential function Φ(r, vt) then Theory 22 becomes: ΦEC (r, vt) = 1 4π ∞ Z −∇P0 (r0 )ΦHC (r0 , r, vt)dr0 . (2.10) 0 Here ∇P denotes the gradient of the initial pressure distribution. In this expression it is of importance to set r to value far larger than the source volume to overcome any discontinuities in the potential function. The graph in figure 2.4 shows an arbitrary potential function and PA wave for a cylindrical source geometry in the case of homogenous pressure distribution. Figure 2.4: Left: a potential function of a cylindrical wave. Right: a theoretical PA wave based on the derivative of the potential function shown left. Amplitude considerations The PA wave equations shown above are valid under the condition of instantaneous heating, which assumes that the illumination takes place at an infinite time scale (δ(t)). In reality, this condition is never met. In the case where heating is not a Dirac delta function, but a continuous function, the resulting PA wave can be described by the convolution of the pressure function P (r, t) with a heating function T (t): Z ∞ P (r, t) = Pδt (r, t − τ )T (τ )dτ. (2.11) −∞ A typical laser-light-induced heating function would be a Gaussian function described by: T (t) = 1 1 2 √ e− 2 (t/τl ) . ( 2πτl ) (2.12) 23 Signal generation: changing laser pulse duration Here, τl indicates the full width at half maximum (FWHM) of the laser pulse duration. This convolution method is also discussed by Diebold et al. [42] and Gusev et al. [40]. From the convolution it can be appreciated that the maximum pressure depends on the laser pulse duration τl . This interdependence is related to the aforementioned stress confinement condition and the associated coefficient. For spherical source geometry, Lai et al.[48] and Hoelen et al. found that the laser pulse affects the maximum possible pressure by the relation: Pmax (coeff) = τa2 1 , + τl2 where τa = R v (2.13) The stress coefficient S can thus be expressed as: S= τa2 . τa2 + τl2 (2.14) A similar relation is found by other authors [55, 37, 7]. For instance, Dingus et al.[54] showed that the stress confinement coefficient in the case of inhomogeneous (thus depending on µa ) pressure distribution can be approached by: S= 1 − e−τs , τs where τs = τl . τa (2.15) This relation was verified experimentally by Allen and Beard [55]. Figure 2.5 demonstrates the dependence of the laser pulse duration on the stress confinement coefficient. The values are based on a spherical source with a diameter of 50 µm and a sound velocity of 1500 m/s. A final consideration of the amplitude of PA waves relates to frequency. PA waves often show a much broader frequency spectrum than those observed in conventional ultrasound. Therefore, the frequency dependent attenuation as well as the ultrasound frequency characteristics play a dominant part in the correct interpretation of detected PA waves. In soft tissue, the absorption of high frequencies is often due to thermoviscous absorption and shows a linear relationship to the frequency [58]. However, in the case of water, absorption has a frequency squared dependence that goes as α = γf 2 , where γ = 25 × 10−15 s2 m−1 [56, 57]. According to Hoelen et al., its amplitude spectrum can be expressed as: r βEa −(2(πτe )2 +γr)f 2 γr |PA (r, f )| = fe , and τe (r) = τl2 + τa2 + 2 .(2.16) 2cp r 2π Theory 24 Figure 2.5: Stress confinement for a 50 µm spherical source numerically calculated with two different methods. In water, the absorption coefficient ranges from 0.3-0.9 dB/cm/MHz, see also table 1.1 and [59, 60, 15]. Despite the limited depth penetration of light in tissue, and thus the low travel distance of the PA wave, the attenuation of high frequencies component that constitute the two PA-wave-peaks might still be of influence of the maximum pressure detected. A second aspect related to the frequency characteristic of PA waves is the frequency band limitation of conventional ultrasound transducers. There is a known tradeoff between sensitivity and band width of these transducers. This band-limitation does of course restrict the resolution in resolving separate PA sources but it also alters the maximum amplitude measured. As mentioned before, the PA wave signature depends on several parameters such as source geometry and pressure distribution. When imaging an object with unknown PA sources that differ in their geometry, two different PA signals and two different PA maxima may be expected, which will depend strongly on the matching of the transducer frequency band and the frequency characteristics of the PA waves. In order to mimic the behavior of a band limited ultrasound transducer, a simple band-pass filer can be applied to the theoretical signals calculated. To summarize, band limitation of ultrasound transducers may cause inaccurate estimation of the true size and optical absorption coefficient by indicating a false PA maximum. Since we know that the true PA maximum 25 Signal generation: changing laser pulse duration is subject to the duration of the heating function we might be able to utilize this dependence in order to extract the size or absorption properties of the PA source. A previous study by Choi et al. showed that a better estimation of the absorption coefficient can be obtained by altering the laser pulse duration [53]. Therefore, this study will focus on the relationship between the size of the source and the maximum PA signal. by monitoring the change in PA amplitude with increasing laser pulse duration. This study will be performed with small cylindrical sources and the results verified with the theory presented above. 2.3 2.3.1 Materials and Methods Pulse delivery system For the purpose of this study, it is necessary to vary the laser pulse duration. Lasers that possess this feature are primarily pulsed laser diodes with tunable pulse durations. An advantage of laser diodes is that they are able to function at faster repetition rates than the Q-switch lasers normally used for photoacoustic applications. However, a serious drawback of laser diodes is their low output power that does not come close to the higher power, but slower repetition rate Q-switch lasers [55, 61]. A typical laser pulse from a Q-switch laser has a Gaussian beam profile and for a neodymium-doped yttrium aluminium garnet (Nd:YAG) laser, a duration of typically 4-9 nanoseconds (FWHM)[37]. Unfortunately, the pulse duration of Q-switch lasers is not tunable. In order to increase the laser pulse duration and still take advantage of the high-energy pulses of a Q-switch laser, it was necessary to develop a new optical delay system. The basic idea for this system is that multiple pulses can be combined to make a single long pulse. However, since the repletion rate of Q-switch lasers is low, typically 5 -50 Hz, only one pulse can be used. To make this possible, a single laser pulse is split into several pulses, each with the same pulse duration but lower in amplitude. These split pulses are individually delayed, where after they are merged to form one long pulse. The optical delay is realized by using different lengths of optical fibers. Since the duration of a laser pulse traveling through an optical clear fiber is determined by the length of the fiber lf , the index of refraction of the fiber Materials and Methods 26 material nf and the speed of light c in a vacuum (3.0 × 108 m/s) is given by the relation: tdelay = lf nf c (2.17) In figure 2.6 a schematic overview of the optical delay system is shown. Figure 2.6: Schematic overview of the pulse delivery system It is possible to utilize multiple fibers of different lengths for every pulse composition. A few of these possible combinations for two different lasers are shown in figures 2.7 and 2.8. The first is a Q-switch Alexandrite laser (Candela corp.) operating at 755 nm with a pulse-duration of 50 ns. The second laser, which also will be used throughout this study, is a tunable optical parametric oscillator (OPO), operating at any wavelength in the spectrum [680 − 950 and 1200 − 2400 nm] which is pumped by a Nd:YAG Q-switch laser (Vibrant B, Opotek, Inc.) with a pulse duration of 7 ns. The optical fibers were 600 µm low OH, step index fibers with an NA of 0.39 (FT600EMT Thorlabs). The laser light was focused, collimated, and equally distributed over the 5 fibers. At the distal end, the fibers were joined together and tapered to another optical fiber with a diameter of 1.5 mm. The resulting pulses were measured with a fast, silicon biased photodiode with a rise time of 1 ns (DET10A Thorlabs). The photodiode was either coupled to a digital oscilloscope with a maximum sampling rate of 2.0 GS/s (Tektronings TDS 2024) or a computer based digitization card (Gage-card) with a maximum sampling rate of 0.2 GS/s. 2.3.2 Phantom To perform experiments, a phantom was made consisting of seven different plastic filaments mounted on a metal support. The filaments were pieces cut from ordinary fishing line ranging in diameter from 360, 250, 200, 120, 100, 80, and 60 µm. The three largest filaments were made 27 Signal generation: changing laser pulse duration Figure 2.7: Alexandrite laser pulse with 5 different optical delay settings Figure 2.8: Nd:YAG-OPO laser pulse with two different optical delay settings of polyamide (produced by Berkley Corp.) the four smaller ones were also made of polyamide (nylon) but these were explicitly sold as monofilament R lines (StroftGTM). This might entail that the speed of sound in the four smaller filaments might be slightly higher compared to the three bigger ones. The speed of sound in nylon is in the range of 2500-2650 m/s. The initial optical absorption of these filaments was too low to produce any sensible PA response. The filaments were therefore submerged for 48 hours in a diluted ink solution. By close examination, the filaments showed complete absorption of the ink solution and therefore produced higher PA responses. In figure 2.9 a photograph of the phantom is shown. Materials and Methods 28 Figure 2.9: Filament phantom consisting of 7 different diameter filaments which were colored by an ink treatment 2.3.3 Experimental setup The complete experimental setup was as follows. A filament phantom was scanned along a line perpendicular to the orientation of the filaments. The filament phantom was moved with respect to the stationary light delivery system and the ultrasound transducer (both above the phantom). To control the step-size of the mechanical movement, a computer-controlled motorized linear slide (Zaber) with sub-micrometer precision was used. On every scan position, several acoustic lines (A-lines) were recorded and stored for further analysis and image reconstruction. The Nd:YAG/OPO-laser combination was used for light delivery and was set to a wavelength of 680 nm. The single element ultrasound transducers used in these experiments were a semi-focused 40 MHz (2.5 French, Atlantis SR Plus, Boston Scientific, Inc) and a flat, unfocussed 1 MHz transducer (Panametrics). The received signals were amplified using a pulser-receiver (5073PR Panametrics) which was set to a gain of 39 dB. The output of the photodiode was coupled to the output of the pulser-receiver using a passive electronic splitter and fed into a digitization card (Gage) which was operated at a sampling frequency of 200 MHz and a 12 bits voltage digitization. A schematic overview of the experimental setup is given in figure 2.10: 29 Signal generation: changing laser pulse duration Figure 2.10: Schematic overview of the experimental setup 2.4 2.4.1 Results Model verification To see whether the the theoretical model presented earlier agrees with the experimental data, the following analysis was performed: a 360 µm nylon filament was imaged with a 40 MHz and 1 MHz ultrasound transducer and both signals were compared with the analytic solutions. The analytical solutions were obtained using the equation (2.9) convoluted with a 7 ns Gaussian laser pulse where after the derivative was taken. The transducer response was simulated by a 4th order Butterworth band pass filter. The cutoff frequencies were 30 / 50 MHz and 0.85 / 1.29 MHz respectively. These values correspond to the frequency response specified by the manufacturer. The experimental data was obtained with the experimental setup as described in section 2.3. In both cases 8 averages were taken to improve the SNR. The comparison is shown in figure 2.11. 2.4.2 Filament data comparison This second result is a comparison between the model, described in the ‘Theory’ section and experimental data obtained by using two different laser pulse durations and taking a cross section image of the filament phantom. The settings were as follows: the transducer signal was 39 dB amplified Results 30 Figure 2.11: Comparison between model and real data based on a photoacoustic signal resulting from a 360 µm nylon filament. Top: 1 MHz transducer. Bottom: 40 MHz transducer. and digitized with a sampling frequency of 200 MHz . The total horizontal scanning length was 18.2 mm, scanned with an increment of 25 µm. Eight signals were averaged at every scanning position. The acquired signals were filtered using a 10th order Butterworth band-pass filter (0.5 − 3 MHz) after which, an absolute Hilbert transform was taken. The total PA amplitude of each filament was calculated using a maximum of 10 scan-positions of each filament. The maxima were summed and divided by the number of scan-positions. This procedure results in a weighted filament amplitude, Ã. This was done for both the short-pulse and long-pulse images. Subsequently, every long-pulse weighted filament amplitude was divided by the short-pulse weighted filament amplitude, 31 Signal generation: changing laser pulse duration resulting in a filament efficiency ratio: W (n)eff = Ãlong (n) Ãshort (n) n = 1 · · · 7 (f ilamentnumber). (2.18) The filament efficiencies resulting from the 1 MHz transducer were calculated and compared to the expected efficiencies calculated using the model described in the ‘Theory’ section. The theoretical PA pulses where calculated using equation 2.10 and 2.11, together with the laser pulses as recorded in the experimental data. The resulting cylinder potential was filtered with a Butterworth filter as described in the previous result. The efficiencies where calculated using equation 2.18. For best comparison, all filament efficiencies were normalized to the maximum filament efficiency. Figure 2.12 shows the comparison between the experimental filament data and the model. Figure 2.12: Calculated weighted filament amplitude for each filament on the basis of, blue: experimental data and red: the model by Hoelen et al. Results 2.4.3 32 Image correction This last result comprises the main objective of this chapter, which is to determine whether the size of the PA source and its relationship to photoacoustic amplitude relation can be elucidated when two different sets of images are used. The two images of the filament phantom for this result were made using the unfocussed 1 MHz transducer. The first image was obtained using one 7 ns laser pulse. The second image was obtained using the optical delay system resulting in three half-overlapping 7 ns laser pulses. The laser-pulse correction image was obtained by dividing the second long-pulse image by the first short-pulse image. The resulting images are shown in figure 2.13. These images were formed using the same scanning procedure as for the previous result. For display purposes, the images were convoluted with a circular Gaussian kernel (low-pass filtering) where after, the square root of the images was normalized to the maximum amplitude. The bottom image results from the division of the middle image by the top image, before normalization. Again, for display purposes, a hard thresholding criterion was applied to remove the extreme values obtained after division. 33 Signal generation: changing laser pulse duration Figure 2.13: Top: photoacoustic image of seven small filaments obtained with a 1 MHz transducer and 7 ns laser pulse. Middle: photoacoustic image of the seven small filaments obtained with a 1 MHz transducer and 30 ns laser pulse. Bottom: laser-pulse weighted correction image by dividing middle with top image. Field of view is 18.2 by 7.3 mm. Discussion 2.5 34 Discussion The purpose of the experiments in this chapter was to see whether changing laser pulse duration would give more information about the nature of the photoacoustic source. Through the experimental data discussed in the introduction, it became apparent that the maximum PA amplitude is not only dependent on the optical absorption, but also on the size of the PA source. When the size of the PA source cannot be deducted from the PA signature due to band limitation of the transducer, an incorrect estimation of the optical absorption is likely possible. In order to study this phenomenon, a theoretical model was adopted and evaluated. The PA model presented by Hoelen et al. was of particular interest for this chapter [56]. The theoretical model proved to be sufficient in dealing with the main processes and source geometries present in photoacoustics. The model also provided a relation between the laser pulse duration and the maximum PA amplitude. This relation was compared to another model by Dingus et al. (see figure 2.5). A discrepancy between the two models can be observed. This might be related to the generalized assumptions, such as homogeneous pressure distribution, that lay at the basis of these two models. However, both models showed a clear decrease of PA amplitude by increasing laser pulse duration; especially in the case of small source geometries. In order to obtain a longer laser pulse duration, a new optical delay system was developed. This system, which is based on overlapping laser pulses by increasing the travel time of each pulse, proved to be very effective. Not only did it allow for high laser energies, but due to its simplicity, it also allowed for high compatibility with other lasers. A major drawback of the system is the coupling efficiency of the light and the inability to choose a desired laser pulse duration. A few of the combinations possible are shown in the ‘Material and Method’ section, which show excellent agreement with the theoretically expected pulses. The phantom that was used for the experiments in this chapter consisted of seven black nylon filaments with variable diameters. An important drawback of this phantom is that the true optical absorption of these filaments is unknown. Also, the order of filaments (ranging from large to small) was not ideally chosen; since any trend during the acquisition process could easily lead to misinterpretation of the results. Nevertheless, the signals calculated with the model show good agreement 35 Signal generation: changing laser pulse duration with the experimental data, as can be seen in figure 2.11. The two signals that are obtained from the same filament also illustrate the influence of the transducer characteristics in the determination of the PA source geometry. The 4th order Butterworth band pass filter was sufficient to mimic the transducer behavior for these experiments. However, in cases where a qualitative comparison is needed, one should opt for a more realistic transducer model. However, such an analysis goes beyond the scope of this paper. The photoacoustic theory also predicts that as the duration of laser pulse increases, the signal generation efficiency decreases. This effect was observed in the experiments that have been reported on here. Figure 2.12 shows that the PA amplitude ratio, which is calculated by dividing the PA amplitude obtained with a long laser pulse with the amplitude upon a short laser pulse, decreases with the size of each filament. Both the theory and experimental data follow this declining trend. However, an exact agreement between the theory and experiments is not present. There are several factors that may explain this discrepancy. First, the transducer model that is used is very simplistic and probably not effective enough to mimic the true physical behavior of the ultrasound transducer. Second, the optical properties of the filaments are unknown, which means that the correct absorption model cannot be applied. In addition, the laser pulses were monitored during the experiment by a photodiode that was sampled at 200 MHz. Since the laser pulse duration is ± 7 ns, the Nyquist criterion was not met, which may have resulted in incorrect energy input estimation. Another issue is that the geometry of the experimental setup does not completely match the geometry assumed in the model. In the latter, a homogenous illumination is assumed, whereas in the experiment the illumination comes only from one direction. Finally, the optical delay system provided a pulse consisting of three half-overlapping pulses. These are modeled as being one pulse, but this might be not true to the real physical reality. The results of the final set of experiments demonstrate that by combining two images obtained with different laser pulse durations, a new image containing information about the size-amplitude-dependency can be constructed. The bottom image in figure 2.13 illustrates that the differences in signal amplitude between the different filaments are related to the size of the PA source rather than the optical absorption. Were this not the case, an equivalent energy ratio for all of the filaments would have been observed. From figure 2.13, it can also be inferred that the filaments were illuminated from above. The difference in amplitude ratio is most noticeable in the vertical strip across the filament. This strip coincides with the maximum intensity position obtained right above each filament. It is also obvious that Conclusion 36 the images show strong contrast, but lack any resolution. This is mainly due to the use of the unfocussed, low frequency ultrasound transducer without applying any delay and sum processing. Theoretically, the information obtained by violation of the stress confinement condition could also be used to improve upon the resolution set by the transducer characteristics. 2.6 Conclusion In this chapter, it was shown that the size of the photoacoustic source is an important parameter for the measured photoacoustic amplitude. To estimate this influence, a theoretical model describing photoacoustic generation was adopted. For experimental verification, a new optical delay system was developed that uses multiple laser pulses to form one longer laser pulse. With the use of this system and a low frequency ultrasound transducer, a filament phantom consisting of seven thin filaments was imaged. Utilizing the violation of the stress-confinement condition, information about the size-amplitude-dependency of the photoacoustic sources could be deducted. By combining two images obtained with two different laser pulse durations, a new correction image was produced. This image showed that the differences in photoacoustic amplitude were mainly due to the size of the photoacoustic source and not related to the optical absorption. These results indicate that the phenomenon of stress confinement may be utilized to obtain additional information about the photoacoustic source, even beyond the band limitation of the ultrasound transducer. 3 Metallic contrast agents: improving stability 3.1 Introduction As said in the introduction of this thesis: photoacoustic imaging is of great use to biomedical applications when a 3D optical absorption map of a biological structure is required. However, the natural contrast present in these biological structures might not always be sufficient to produce significant PA signals. This shortage of initial contrast might be increased by introducing artificial contrast agents. Once these agents are bounded to the site of interest, the local contrast is increased and hence the PA amplitude is increased simultaneously. Metal nanoparticles (MNP’s) are proven to be good contrast agents in the case of PA imaging [62, 63, 64]. Metal nanoparticles, typically 30-100 nm in diameter, provide contrast based on the elastic scattering of light through a surface plasmon resonance by the metal particle. The order of resonance, hence the absorption strength, absorption wavelength and the spectral bandwidth, depends on the size, geometry, and composition of the particle as well as the local surrounding environment. This particular set of conditions that defines the resonance of these particles have been one of the main triggers for numerous research into the usage of MNP’s. The advantage of using MNP’s in a biomedical imaging setting is manifold. First of all, it has been shown that the absorption efficiency from spherical gold or silver particles is orders of magnitude higher than that of organic dyes [65]. Despite their inorganic nature many MNP’s, especially gold nanoparticles, are proven to be biocompatible and can be easily bioconjugated [66, 67, 68]. This allows the particles to be labeled with an antigen to bind with the location of interest. Another advantage of 39 Metallic contrast agents: improving stability using metallic NP’s is that they can be used for photothermal therapy [34, 69, 70]. Photothermal therapy relies on the conversion of the absorbed electromagnetic energy by the nanoparticle to heat, in order to destroy malignant tissue. Still the main advantage of MNP’s is their capability to be tuned to any desirable wavelength. This is especially of interest to the near infra-red (NIR) spectral range where tissue absorbs minimally, see [71, 72] and figure 1.1. Gold nanorods are of particular interest in this range, since their large aspect ratio allows for a high absorption cross section while the resonance is perfectly tunable in the NIR. Also, these rods are easy to synthesize and are small enough to be still biocompatible. Due to the large absorption cross section, these gold nanorods also make ideal candidates for PA imaging. However, since the generation of PA waves is preceded with the absorption of a high-energy nanosecond laser pulse, the nanorod needs to sustain this energy in order to maintain the same optical properties. This desired stability upon energy absorptions appears not always achievable. The heat that is generated in the particle can be substantial and will often lead to morphological changes such as “spherical regeneration”. Nanoparticle melting has been shown for nanospheres and nanorods to occur at significantly lower temperatures than bulk melting of the metal, in part because surface reorganization processes may dominate [71, 73, 74, 75]. 3.1.1 Problem statement and chapter overview Thus, for the purpose of photoacoustic imaging, it is highly desirable to have plasmonic nano-absorbers that can resist high laser energies, and at the same time keep the desired properties such as the ability of bioconjugation and specific optical absorption. Normal conjugated gold nanorods lack this stability. A possible solution would be to coat the nanorods in order to strengthen the initial geometry. Previous studies showed that when nanorods are embedded in a solid environment, such as carbon or PMMA, a significant increase of photothermal stability can be achieved [76, 77]. Silica coating of nanorods has also shown to be possible by a relatively easy chemical synthesis [78, 79, 80, 81]. Another advantage is that silica can be used for bioconjugation [82, 83]. In this chapter, we will therefore study the feasibility of increasing thermal stability by coating the gold nanorods with silica. Materials and Methods 3.2 Materials and Methods 3.2.1 Silica coated gold nanorods 40 The silica-coated gold nanorods were produced from CTAB-stabilized gold nanorods by exchanging CTAB with the biocompatible mPEG-thiol, where the PEG polymer can be used as a silane coupling agent to coat the particle with silica [83]. The coating procedure was done via a modified Ströber method, which allowed the NP to grow a silica shell with reasonable control of overall shell thickness [84, 85]. For more details on the synthesis of these silica-coated gold nanorods, see [86]. The characterization of the produced silica-coated gold nanorods was done with the use of ultraviolet to visible (UV-Vis) extinction spectroscopy (BioTek Synergy HT) and transmission electron microscopy (TEM). Below, two TEM images of two different sets of silica-coated gold nanorods are shown. These images were obtained using a Hitachi S-5500 FESEM TEM machine equipped with a field emission electron source operating at 30kV. Figure 3.1: TEM images from two different sets of silica-coated gold nanorods adopted from [86]. 3.2.2 Experimental setup The experimental setup for photoacoustic data acquisition consisted of a tunable laser, an ultrasound acquisition system, and a thin glass tube which was subsequently filled with different types of MNP’s in solution. The laser source used was a tunable optical parametric oscillator (OPO), 41 Metallic contrast agents: improving stability operating at 800 nm, which was pumped by a Nd:YAG Q-switch laser (Vibrant B, Opotek, Inc.). The laser beam was collimated for optimal and equal illumination and consisted of a burst of multiple pulses each with 7 ns pulse duration and with a repetition rate of 10 Hz. The ultrasound system consisted of a 7.5 MHz single element focused ultrasound transducer (Panametrics) with a focal distance of 50.4 mm. The transducer was coupled to a pulser-receiver (5073PR Panametrics) with a build-in amplifier which was set to a gain of 39 dB. The signal was digitized using a computer-based digitization card (Gage) which was set to a sampling frequency of 200 MHz and a 12 bits voltage digitization. The nanorods solutions were introduced with the use of a 1 mm in diameter glass tube which was fixed in a water tank. Both sides of the tube were connected to an in- and outlet to change nanorods solution samples during the experiment. The laser light was introduced through an optically transparent window allowing a PA-signal free uniform irradiation of the glass tube. Every measurement, a sample portion of 50 µL of either, PEG-coated gold nanorods or 20 nm silica-coated gold nanorod solution (with an optical density of 0.5) was injected into the glass tube. The amplitude of the recorded photoacoustic signals were compensated by the fluence fluctuation factor (calculated from recorded power meter readings per pulse), and then normalized to the maximum photoacoustic signal recorded. The schematic overview of this experimental setup described is shown in figure 3.2. Furthermore, the UV-Vis extinction graphs, acquired before and after laser light exposure, as shown in the section 3.3, were obtained by illuminating a 96-well microliter plate with the same laser and laser settings as used in the PA characterization. Figure 3.2: (a) A block diagram of the ultrasound and photoacoustic imaging system used to evaluate the thermal stability of silica-coated and PEG-coated nanorods. (b) Close-up schematic illustration of the sample irradiated by a pulsed laser beam while photoacoustic transients were measured using the 7.5 MHz ultrasound transducer (adopted from [86]). Results 3.3 3.3.1 42 Results Fluence impact comparison The first result is a laser-light-impact comparison verified by taking the UV-Vis extinction spectrum of MNP’s solutions after exposure to different laser fluences. In addition several TEM images were made to check whether morphological changes were induced. The comparison was done between CTAB-coated, PEG-coated, 6 nm silica-coated and 20 nm silica-coated gold nanorods. The laser fluences used in the UV-Vis experiments were: 4, 8, 12, 16 and 20 mJ/cm2 . In the case of the TEM images a fluence of 20 mJ/cm2 was used. Each illumination burst consisted of 300 pulses with a repetition rate of 10 Hz. Figure 3.3 shows the UV-Vis extinction graphs for the different particles at different fluence intensities. Figure 3.4 shows the TEM images of three different particles. Figure 3.3: UV-Vis extinction spectra of gold nanorods coated with: (a) CTAB, (b) PEG, (c) 6 nm Silica and (d) 20 nm Silica, irradiation with fluences ranging from 0 − 20 mJ/cm2 (Figure adopted from [86]). 43 Metallic contrast agents: improving stability Figure 3.4: TEM images show the morphology evolutions of various gold nanorods before and after 300 pulses of 20mJ/cm2 laser irradiation. (a,b) PEG coated gold nanorods, (c,d) 6 nm silica-coated gold nanorods, (e,f) 20 nm silica-coated gold nanorods (adopted from [86]). 3.3.2 Stability comparison The second result is to check whether the stability of the induced PA signal is increased by coating the nanorods with a silica shell. This result is obtained with the PA acquisition setup as described in Section 3.2 and illustrated in figure 3.2. Two types of particles, PEG-coated gold nanorods and 20 nm silica-coated gold nanorod solution, were compared. The intensity of the PA signal after every laser pulse was monitored and normalized to the maximum amplitude received. The normalized amplitudes were plotted versus pulse number ranging from 0 to 300. Two fluence intensities of 4 mJ/cm2 and 18 mJ/cm2 were applied. The two graphs are shown in figure 3.5. Both experiments were repeated three times and the error bars shown in the figure indicate the standard deviation with respect to the average (dot). Discussion 44 Figure 3.5: Photoacoustic signal intensity of PEG coated (red scatters) and silica-coated gold nanorods (blue scatters) versus number of pulses with fluence (a) 4 mJ/cm2 and (b) 18 mJ/cm2 (adopted from [86]). 3.4 Discussion The first and general observation that can be made with respect to the UV-Vis spectrum graphs shown in figure 3.3 is that all graphs show two extinction bands at 530 nm and at 780 nm. These bands correspond to the radial polarization (small blue peak) and the cylinder axial polarization (higher red peak). The relative broadness of the absorption bands depend very much on the distribution of the aspect ratios of the particles [71, 87]. Also by close examination there is a slight (± 20 nm) red-shift noticeable from un-coated to coated nanorod, which agrees with the simulations done by varying the index of refraction surrounding the particle. For more details on these simulation see [86]. The longitudinal extinction peak is a good indication for possible changes of the nanorods due to laser light exposure, because the peak position strongly depends on the aspect ratio of the particle [72]. When the morphology of the particle changes due to e.g. heating, the longitudinal band should also change. This phenomenon is clearly visible in figure 3.3. Fluences below 4 mJ/cm2 did not show any mayor spectral changes. However above this so called ‘threshold’ the longitudinal peak especially decreases in amplitude and broadens in shape. Fluences above 8 mJ/cm2 show a 10% decrease in amplitude for the case of CTAB-coated gold nanorods, while no changes were observed for the other particles. Further increase of the laser fluence led to significant decrease in amplitude and a blue-shift of the longitudinal peak, and a strong increase of absorption in the 600-650 nm range. These changes are consisted with the rounding or ‘spherical regeneration’ of the 45 Metallic contrast agents: improving stability nanorods. Both trends are observed for the CTAB- and PEG-coated rods while the silica-coated particles showed a more stable extinction profile with respect the other particles. Despite the loss in amplitude of the 6 nm silica shell coated gold nanorods, there was no observable ‘shoulder’ development in the 600-650 nm range. This might be an indication of a different regeneration process occurring with normal gold nanorods. Nevertheless the 20 nm silica-coated nanorods show a distinctively increased robustness with respect to the increase of laser fluence. There is only a small spectral change observable above a fluence of 16 mJ/cm2 . This clearly indicates that the silica coating protects the gold nanorod to change optical properties upon high energetic pulsed laser light exposure. To see the morphological impact, TEM images were made of PEG-, 6 nm silica- and 20 nm silica-coated nanorods after receiving 300 pulses of 20 mJ/cm2 . These particles correspond to the black and orange curves in figure 3.3 (a), (b) and (c) respectively. Quite obvious, the PEG-coated nanorods show a great variety of shapes other than the initial rod-shape geometry. Among them there are spherical, ellipsoidal and ellipsoidal with an equatorial thickening, see figure 3.3 (b). The latter was also observed by Chang et al. [71]. The 6 nm silica-coated particles show less of this reshaping phenomenon. Instead the pulsed laser irradiation rather caused a decrease in length thereby changing the overall aspect ratio from 3.9 ± 0.4 to 3.0 ± 0.3 (n=100). This might explain the earlier observed blue-shift of the longitudinal peak in the spectrum shown in figure 3.3 (c). The thick silica coating of around 20 nm seems to completely stabilize the initial rod shape, for there was almost no deformation observed after laser light irradiation. Another observation is the apparent aggregation of the 6 nm silica coated particles. This was not found in the case of PEG-coated or 20 nm silica-coated nanorods. It is unclear why this happened but might be a result of the centrifugation process. The scope of this chapter is to see whether silica-coated gold nanorods produce a more stable photoacoustic signal than normal gold nanorods. The results discussed above already point to success, however the last result is the most indicative that the silica-coated particle does provide a more stable PA signal after laser light exposure. PEG-coated nanorods were compared with 20 nm silica-coated nanorods by exposing both solutions to 300 pulses at a fluence of 4 and 18 mJ/cm2 . From figure 3.3 it is obvious to see why these particular fluences are chosen. The two particle solutions showed similar behavior for the case of 4 mJ/cm2 . However in the case of high fluence, the PA amplitude resulting from the PEG-coated particles dropped by 40% in the first 100 pulses, whereas the PA signal from the silica-coated nanorods stayed relatively constant, for all 300 pulses. This strongly supports the Conclusion 46 idea that silica-coated gold nanorods are promising candidates to be used as contrast agents for photoacoustic imaging. Furthermore, we also observed that the amplitude of the PA signal resulting from the silica-coated particles was several factors higher than that of other particles. This was not shown in the results presented here. This subject goes beyond the scope of this chapter but will be dealt with in another paper soon to be published (see Section Published Papers). What causes the silica-coated gold nanorod to be more stable than the other gold nanorods? The answer to that question is not an easy one. As we’ve seen, the covalent binding of the mPEG-thiol group already leads to an increased stability. This might indicate that it stabilizes the surface gold atoms or changes the interfacial heat resistance. This influence of the chemical nature of the environment close to the nanorod surface has been treated earlier by Mohamed et al. [88]. The stability shown by PEG-coated nanorods also agrees with the increased thermal stability of PVA stabilized nanorods [74]. An aspect that might speak to the good performance of the silica-coated particles is that thermal conductivity might be increased which will result in an improved cooling of the particle. This process might also advocate for the higher PA signal observed for the silica-coated rods. The influence of heat transfer to the surrounding medium with respect to the stability of nanorods have been studied and proven to be a serious factor [74, 89]. Indeed silica has a significantly higher thermal diffusivity compared to that of water. 3.5 Conclusion In this chapter it was proven that gold nanorods could be coated with a silica shell with controllable thickness. The silica coated nanorods were able to sustain higher laser fluences and consequently kept their initial optical properties much better than the other gold nanorods. This was proven by UV-Vis spectroscopy as well as TEM images taken before and after laser light exposure. Finally, the photoacoustic signal resulting from the silica-coated particles showed to be stable in amplitude whereas the signal induced by other gold nanorods decreased significantly after several pulses. As a result silica-coated nanorods show to be a promising candidate for molecular photoacoustic imaging. 4 Signal processing: denoising scanlines 4.1 Introduction A common problem for photoacoustic imaging, if not for all imaging techniques, is the low SNR of a single measurement. In the case of photoacoustic imaging, a single measurement consists of acoustic transients that are recorded after the input of a short laser pulse. The underlying phenomenon for this acoustic signal generation is a thermo-elastic expansion following a fast (nanosecond) light energy deposition in an ‘optically active’ structure. Since these photoacoustic waves are localized in time and have unique amplitudes, a 2 or 3D optical absorption map of the object of interest can be reconstructed [14]. Despite the reasonable efficiency from optical absorption to thermo-elastic expansion, there are other adverse processes that impede easy signal generation and detection [40]. These processes include light attenuation, spherical wave propagation, acoustic diffraction and transduction loss from the ultrasonic wave to the measured signal [7]. In order to improve detection efficiency, researchers are developing new signal processing tools. The general objective of all signal processing techniques that deal with photoacoustic data is to increase the SNR of the acoustic recordings and subsequent produced images. Besides simple thresholding and frequency filtering, research has been done to see how wavelet analysis can be applied to the field of photoacoustics [90, 91, 92, 93]. So far, wavelet analysis has been a partially successful endeavor. Negative effects include the robustness or stability, change of signal amplitude and possible loss of resolution. In terms of photoacoustic tomography, SNR and contrast have been increased by various forms of filtered backprojection [94, 95], deconvolution [96], 49 Signal processing: denoising scanlines statistical analysis, [97] and variants of the delay-and-sum method [36, 98]. Nonetheless, all of the techniques mentioned above still use the standard averaging method to increase the SNR of the scanline before applying the proposed algorithm. 4.1.1 Averaging The basic idea behind averaging multiple measurements into a single scanline is that noise will average-out to its zero-mean and signal, which is measurement invariant, will remain as a non-zero signature. To formalize this thought let us assume that we have a digital measurement yi that is composed of a PA signal and measurement noise. So we have: yi (k) = x(k) + vi (k) k = 1, · · · , N. (4.1) Here yi (k) is k th sample of measurement i, where i = 1, · · · , M , x(k) denotes the PA signal and vi (k) the noise. The latter is assumed to be zero-mean i.i.d. (independent and identically distributed) with variance σv2 for all k = 1, · · · , N and all measurements i = 1, · · · , M . Furthermore, PA acquisition often suffers from signal displacement or jitter between multiple measurements. This can be due to acquisition related jitter (e.g. unstable triggering) or movement of the PA source (e.g. due to local heating). For simplicity reasons let us assume that these jitter processes occur in the discrete time domain. The measurement yi then becomes yi (k) = x(k − di ) + vi (k) k = 1, · · · , N, (4.2) where di accounts for all possible jitter processes (in this case di is a positive or negative integer) which can vary between measurements yi . In order to increase the SNR we should separate signal x(k) from the noise vi (k). This separation first involved estimating x(k) given the measurements yi (k), i = 1, · · · , M , k = 1, · · · , N . In averaging, x(k) is estimated (e.g. using least squares) from x̂(k) = M 1 X x(k − di ) + vi (k) M k = 1, · · · , N. (4.3) i=1 Expression 4.3 can be appreciated as the ‘averaging method’. It simply shows that the measured noise vi goes to its mean value (typically zero or a dc offset) and the true signal(s) x(k) will remain in original amplitude (especially when di is small). This method is called averaging and can Introduction 50 be considered as the main and most used SNR-improving technique in photoacoustic signal processing 4.1.2 Problem statement and chapter overview Despite its relative popularity, there are some intrinsic disadvantages associated with the process of averaging. The first and foremost shortcoming is the fact that averaging is a stationary sample-to-sample comparison. For illustration purposes let us consider two averaging cases. In the first case there is noise present and in the second case there is jitter present. Figure 4.1: Top left: PA signal with noise sample, middle left: PA signal with noise sample, bottom left: average signal obtained by using the two left signals above. Top right: PA signal with jitter of two sample points to the left, middle right: PA signal with jitter of two sample points to the right, bottom right: average signal by using the two right signals above. From expression 4.3 and figure 4.1 it can be inferred that x̂(k) can be an inaccurate estimate in the presence of dominant vi (k)0 s . Even though white noise will have a random Gaussian distribution, local sample points will not necessarily be immediately averaged to its zero-mean. Related to this 51 Signal processing: denoising scanlines disadvantage is the difficulty of dealing with high electromagnetic (EM) interference. EM interference signals can be considered as deterministic but time-variant with respect to the stationary trigger signal. Therefore, these interference signals will cause a drastic change to the local-zero-mean of all the sample points associated with time duration of the EM interference signal. In this case more averages are needed in order to reach the same noise level as other unaffected time instances. The second disadvantage associated with averaging is that acquisition jitter and small signal displacement, caused by sample movement or local heating, causes an immediate degradation of the estimated signal x̂(k) (see figure 4.1). Now y1 (k) is no longer summed with y2 (k) at the same k, but at two different k 0 s. This discrepancy leads to signal degradation in terms of amplitude and time spreading, causing a loss of resolution. Compensation for signal displacement when using the averaging method is a non-trivial procedure and is therefore, despite its consequences, often neglected. This time element is also inherent to the process of averaging where multiple measurements are needed to obtain one scanline. Time can become a very dominant factor when photoacoustic imaging is used to image structures where high laser fluencies are needed. These fluences are currently being produced by Q-switch lasers. These lasers operate with pulse repetition rates in the range of 5 to 50 Hz. Therefore, scanning a small part of a female breast with 100 averages will take an average scan time of 30 minutes [28]. Most of the disadvantages mentioned above boil down to the fact that normal averaging can be considered as a ‘measurement costly approach’. Whenever the noise level is high, EM-interference is present or jitter occurs, and one needs to collect a considerable amount of A-lines before a desirable and trustworthy SNR can be obtained. The method presented in this chapter only requires a few A-lines to reach the same SNR obtained using normal averaging. In the following section the proposed method will be explained and a short example of pseudo-code will follow. To prove the superiority of this method, the new method is compared with normal averaging in terms of SNR improvement of both synthetic data and in-vivo data. Method 4.2 52 Method As discussed above, averaging is sample-to-sample summation without making a distinction between ‘signal samples’ and ‘noise samples’, ‘moved samples’, and ‘unmoved samples’. The technique presented here does make that distinction by utilizing the phenomena that each photoacoustic response 1) consists of more than one sample point only, 2) is unique in its sample order and 3) occurs at all A-lines around the same time. By observing all A-lines locally, a sensible distinction between signal and noise can be made. 4.2.1 Window matrix The technique has two distinct components, the first of which is a sliding window matrix. This window-matrix Wk consists of M individual windows. Every window contains a few adjacent samples k taken from one measurement. In the window-matrix Wk , each row coincides with one measurement window and every column denotes a sample position k. Every matrix is evaluated on the basis of signal content from which a signal-content-value is deducted belonging to that sample position k. From here the window is moved one sample position k and a new window-matrix is obtained, etc. The window matrix Wk in terms of yi can be expressed as: y1,1 y1,2 · · · y1,w y2,1 y2,2 · · · y2,w Wk = . .. .. .. .. . . . yM,1 yM,2 · · · yM,w (4.4) where yi,k is the k th sample point of the ith measurement, i = 1, · · · , M , k = 1, · · · , w, where w denotes the window size. Now let us assume that on a certain time instance matrix Wk contains a complete PA signal. Also, let us assume that every PA signal x(k) is independent of measurement i. This assumption can be valid if the physical situation is equal for each measurement (e.g. same laser energy). Let us also assume that x is independent of i and that there is no jitter of any kind. 53 Signal processing: denoising scanlines We then obtain: x1 + v1,1 x1 + v2,1 Wk = .. . x2 + v1,2 x2 + v2,2 .. . ··· ··· .. . xw + v1,w xw + v2,w .. . (4.5) x1 + vM,1 x2 + vM,2 · · · xw + vM,w Unlike noise vi , which is assumed to be i.i.d., signal has a defined signature. This means that x1 , which is the first sample of x, can only be followed by x2 and x2 only by x3 and so forth. Together with the assumption that every PA signal is equal for all measurements, we may deduct that x1 can be followed by any x2 independent of measurement i. 4.2.2 Signal evaluation The technique further demands that every window matrix Wk is evaluated on the basis of signal content. In order to do so, a new periodic signal is constructed that is based on the resampling of matrix Wk . Since the sample order of x is defined by the PA source (and transducer impulse response) and independent of i, we are free to randomly reshuffle the elements of Wk along the dimension of i but not along the dimension of k. This random ‘picking of elements’ with replacing is quite similar to what is done in ‘Bootstrapping’ (for more information about bootstrapping see Efron and Tibshirani [99] and Zoubir [100]). By repeating this procedure several times, a new one-dimensional periodic signal is obtained that contains repeated arbitrary copies of the PA signal or the impulse response of the transducer. This periodic signal can be expressed as; S = [yi,1 , yi,2 , · · · , yi,w , yi,1 , yi,2 , · · · ] , i = random (4.6) The length of the periodic signal, S, can be chosen arbitrarily or may be evaluated on the basis of processing speed and overall SNR gain. When stating S in terms of x and v we get; S = [xi,1 + vi,1 , xi,2 + vi,2 , · · · , xi,w , xi,2 +, · · · ] i = random (4.7) After the construction of the periodic signal S, a fast Fourier transform is performed on S to see if any periodicity is present. Since the window size w is predefined and the sampling frequency is known, the expected periodic frequency should be close to the sampling frequency divided by the window size. Method 54 The final step is to check the magnitude of the periodic frequency. This amplitude is a direct measure of the signal present in the matrix Wk . When there is no signal present in the matrix Wk there will be no defined periodicity in S. When Wk contains a full signal, a periodic frequency will be measured due to the signal values that are the same for all i0 s. The magnitude of the periodic frequency is stored to an intermediate scanline. Figure 4.2 provides a schematic representation of the averaging method and the signal-content-windowing (SCW) method just explained. Figure 4.2: Schematic overview of the averaging method (Top) and the SCW method (Bottom) 55 4.2.3 Signal processing: denoising scanlines The algorithm in pseudo-code The algorithm explained above can be summarized as follows: 1. Define a window size w. Length w is ideally based on the impulse response of the acoustic transducer. Begin-point = 1, end-point = window size w. 2. Construct a window-matrix Wk that contains all window samples from k = begin-point to k = end-point. Every row coincides with one measurement i, Wk = [M × w]. 3. Construct a periodic window signal S by taking random measurement sample values in sample-wise order, S = [W(i,1) W(i,2) , · · · , W(i,w) , Wi,1 , · · · ], until the desired length of S is reached. Where i is a random integer from 1 to M. 4. Apply PN FFT transform on S, FS (x) = − 2π N xn , x = 1, · · · , N (where N is the S(n)e n=1 length of S and n is the sample position). 5. The magnitude of the periodic frequency, FS (periodic), is assigned to the local SCW position; SCW (k + 12 w) = |FS (periodic)|. 6. Update Begin-point and End-point by the addition of 1 (or w/2) and repeat step 2 to 5. 4.2.4 Modifications The code outlined above represents the SCW-algorithm in its most compact form. Numerous modifications are possible to improve or to customize the code for specific needs. Three possible modifications are discussed below. Thresholding Since this algorithm includes a local signal evaluation one may introduce a thresholding criterion to decide whether |FS (periodic)| is significant or not. A hard thresholding mechanism would replace step 5 with; 5. If |FS (periodic)| is significant SCW (k + |(FS (periodic)| otherwise SCW (k + 21 w) = 0. 1 2 w) = Method 56 Several options exist for choosing the right test of significance. An easy implementation would be to see if |FS (periodic)| is several folds higher than the mean value of |FS |. If the distribution of |FS | is known, a more sophisticated method could be beneficial; e.g. perform a chi-square test to determine the right thresholding parameters. Masking Related to the thresholding option is the possible usage of the SCW-signal. Since the SCW-signal contains only absolute values that are related to the amount and strength of the signal measured, we can use the SCW-signal directly for imaging purposes. The signal strongly resembles the absolute of the Hilbert transform (often used in photoacoustics to construct images). Nevertheless, when the signature of the underlying signal is of importance (e.g. as in Doppler ultrasound), one could also use the SCW-signal to mask the average signal. The best way would be to use the above described thresholding and thereby replacing the significant |FS (periodic)|0 s by 1. Lag compensation Another advantageous feature of using a window based algorithm is the ability to adjust every row entry by any possible lag (in our example denoted by d). This lag can be very beneficial when there is signal movement or acquisition jitter present. One implementation would be to move every row entry back and forth until the optimal periodicity is found. A faster procedure would be to perform cross correlation among the separate windows and obtain the lag values to adjust the entries. 57 4.3 4.3.1 Signal processing: denoising scanlines Results Denoising of synthetic photoacoustic signals To demonstrate the signal-revealing capability of the SCW-algorithm compared to that of normal averaging, both methods were tested on an artificial dataset. This dataset consisted of eight measurements all corrupted with a Gaussian noise distribution with an SNR of -12 dB (measured from the lowest amplitude signal). Each measurement contained five photoacoustic responses, which are all of different length and different amplitude. All signals have a center frequency around 20 MHz and were sampled with a frequency of 200 MHz. The input parameters for the SCW-algorithm consisted of a window size of ten and a periodic signal S of 400 sample points long (40 copies of arbitrary windows). The FFT was performed using 512 points and no thresholding was applied. Figure 4.3: Averaging and SCW-method compared on the basis of reconstructed scanline. 4.3.2 SNR reconstruction comparison To measure how much the SNR improves by using the SCW method, a SNR reconstruction comparison simulation was performed. The simulation consisted of 12 A-lines that were corrupted with a certain noise level. At every noise level these A-lines were used to construct a scanline based on Results 58 the averaging method and the SCW method. The SNR of the scanlines was estimated using the following two equations: var(H(Ac)) var(H(Ac) − H(Av)) (4.8) var(H(Ac)) , var(H(Ac) − SCW )) (4.9) SNRAverage = 10 log10 SNRSCW = 10 log10 where H(Ac) denotes the absolute of the Hilbert transform of the noise-free scanline, H(Av) denotes the absolute Hilbert transform of the average scanline, and SCW is the reconstructed scanline using the SCW algorithm. The parameters for the simulation were 12 A-lines where corrupted with a noise level of -25 dB up to 0 dB with an increment of 0.5 dB. Each A-line was 300 sample points long and contained one signal with a center frequency of 20 MHz sampled with a frequency of 200 MHz. The signal itself was 30 sample points long and was truncated with a Hamming window. The input parameters for the SCW algorithm were: a window size of 10, the periodic signal S contained 30 windows. For the sake of fair comparison, no thresholding was applied. Furthermore no pre or post filtering was performed. Figure 4.4: The SNR of the reconstructed scanline compared to the SNR of the used A-lines. 59 4.3.3 Signal processing: denoising scanlines Measurement comparison For the following result the two methods were compared on the basis of SNR in relation to the number of measurements taken. The simulation parameters were almost identical to those used for the previous result. However the number of measurements was varied. The noise level of each A-line was set to -8 dB. The calculated SNR of the reconstructed scanline was measured using equation (4.8) and (4.9). The horizontal line plotted in the same figure is used to highlight the difference in measurements needed to obtain the same comfortable SNR level. Figure 4.5: Comparison of the two methods on the basis of measurements needed to achieve a SNR level. 4.3.4 In-vivo mouse tumor The SCW algorithm was also applied on a real photoacoustic in vivo dataset. Figure 4.5 shows the top-middle a tumor of a mouse. The mouse was injected via the tail vein with EGFR targeted gold nanoparticles. Over time the particles accumulated at the tumor site. To monitor this process photoacoustic images were acquired. For more information about this subject and the imaging setup used, see Mallidi et al. [64]. The two photoacoustic images seen at the bottom of figure 4.5 were obtained using a tunable optical parametric oscillator (OPO) laser, operating at Results 60 800 nm that was pumped by a Nd:YAG Q-switch laser (Vibrant B, Opotek, Inc.) and interfaced with a focused (focal depth = 25.4 mm, f #4) 25 MHz single element ultrasound transducer (Panametrics) coupled to a 50 dB amplifier (Panametrics). Multiple planes of 129 scanlines each were obtained. Furthermore, each scanline consisted of 21 averages from which only four were used for this result. Each A-line was digitized by an eight bit acquisition card (Gage-card) with a sampling frequency of 200 MHz. The input parameters of the SCW-algorithm consisted of a window size of 12 sample points where 20 window combinations were used in the periodic signal S, and a thresholding criterion for the magnitude of the periodic frequency was set to be at least six times the average FFT magnitude. Also, no other frequency filtering was performed and no lag was considered. Figure 4.6: Both methods applied on the same photoacoustic dataset of a mouse tumor. Top middle is a photograph of the tumor. Top right is an ultrasound image of the tumor. Bottom left is photoacoustic image using averaging and the bottom right is same data now using SCW method. 61 4.4 Signal processing: denoising scanlines Discussion The objective of this chapter is to present a new SNR-improving technique that is superior to the commonly used averaging method. Figure 4.3 shows that the SCW-algorithm is able to reveal signals underneath an arbitrary noise level in the circumstances where normal averaging fails. Specifically, we can see that the dominant noise peaks shown around t = 0.1 µs, t = 0.8 µs and t = 3.8 µs are nicely suppressed and the third and fourth signals are recovered. Attention should be paid to the recovered amplitude however. These amplitudes do not completely match the initial signal amplitudes. However, with decreased noise levels, the weighting of each window becomes more accurate along with the amplitude recovery. Another issue that shows in figure 4.3, is the apparent decrease of resolution. This decreased resolution, however, is a direct result of decomposing signals into windows of fixed sizes and evaluating them locally. The same problem occurs in wavelet analysis. Therefore, one could opt for a method in which the window size is varied after each scanline iteration (similar to wavelet analysis), where after an optimum or average window-response might be use to produce a better scanline. However, the real question is what is the ultimate comparison? The averaging method in this respect might look ideal, however one has to take into consideration that when jittering occurs, average signals will also degrade and lose their initial amplitude. In this respect, the SCW-algorithm again seems to be superior since it is able to adjust for jitter. Figure 4.4 shows a comparison between the two methods on the basis of SNR of the reconstructed scanline. In this simulation one photoacoustic response was buried underneath a noise level that was subsequently decreased. Two interesting observations can be made regarding this figure. The SCW-algorithm outperforms averaging by a 5 to 10 dB difference. This by itself is an impressive improvement. However, more interesting is that even at very high noise levels of 20 dB the SCW algorithm, unlike averaging, is able to make a fair distinction between signal and noise. Lastly, the SNR was estimated on the basis of resemblance with the Hilbert transform of the clean signal. Therefore no thresholding was applied in the SCW routine. Nevertheless one can positively argue that when the SNR was calculated on the basis of a ‘signal window’ and a ‘noise window’, the SCW line plotted in figure 4.4 would rise much faster than it did here. Figure 4.5 was obtained by varying the number of measurements taken Discussion 62 in the scanline reconstruction. A horizontal line was plotted highlighting the observation of the difference in required measurements to obtain a comfortable SNR level of 12 dB. When relating the number of measurements to the scanning time the difference between both methods can be quite drastic. It therefore suggests that real time photoacoustic imaging might benefit from this algorithm. Note of course that the computation time when using the SCW algorithm is longer than in the case of averaging. Furthermore, the exact window size does not dominate the graphs produced in figure 4.4 and 4.5 to a great extent. Although there is a clear optimum, the method does not appear to be very sensitive to slight changes of the window size w. This also accounts for the length of the periodic signal S. Nevertheless, for extreme values the results will be unreliable and not satisfactory. The last result shown in the right bottom image of figure 4.6 is probably the most valuable. It proves that the SCW method does not only work on artificial data but also improves real in-vivo data. The image obtained from a tumor of a mouse shows clear contrast improvement when comparing the SCW image with the averaging image. The photoacoustic active site of the tumor really pups up in the SCW image where in the average image one needs a far closer look to perceive the contours of the tumor. In terms of resolution these images equal each other quite well. A difficulty that was noticed when producing these images was that the SCW method benefits from a high resolution amplitude digitization. The measurements used for this image were recorded and digitized using an 8 bit digitization card that was set to have no saturation. This digitization entailed that the first ‘bang’ (transducer response to laser light) often seen in photoacoustic data took up all the eight bits leaving only a few bits to digitize the small photoacoustic signals. In order to construct a periodic signal S that differs from a noisy signal, it was more difficult and less discriminative when the difference of noise and signal amplitudes were not translated into amplitude deviations. This point should receive extra attention when applying the SCW-algorithm to real photoacoustic data. To finalize this discussion, the SCW algorithm works well, is very stable and easy to implement. There are areas of improvement and probably automation, e.g. determination of the optimal window size or length of the periodic signal. However, the idea to decompose multiple measurements into windows that are evaluated on the basis signal content, is to our knowledge new for the field of photoacoustics and probably also ultrasound signal processing. We also think that the latter might also benefit from this new 63 Signal processing: denoising scanlines presented method. Additionally, the evaluation of signal, now done by a FFT, which appeared to be fast and effective might also be changed to for example any cross-correlation, other convolution method or statistical analysis. 4.5 Conclusion In this chapter a new SNR-weighting-windowing technique, called signal content windowing (SCW), was presented. This technique makes use of the similarity between multiple A-lines by decomposing them in adjacent window matrixes that are evaluated on the basis of signal content, hereby improving the SNR of the reconstructed scanline. It was shown that the SCW method is superior to conventional averaging and has an average SNR gain of 5 - 10 dB. Furthermore it was proven that this technique needs far less measurements in comparison with averaging to obtain a scanline with the same SNR. As a consequence, images with better contrast could be produced using the same number of measurements. 5 Discussion and conclusions 5.1 Introduction The advancements in photoacoustic imaging (PAI) have drawn the attention of many researchers in the medical optics and ultrasound fields. Logically so, as PAI, utilizes the benefits of both techniques and combines them in a new, standalone imaging modality. PAI utilizes the uniquely defined optical properties of different tissue types in its signal generation. Additionally, PAI exploits the transient ultrasonic behavior of the signal for its image formation. The combination leads to an imaging technique that is able to map the optical absorption of tissue constituents in a three-dimensional space. However, the contrast given by the current usage of PAI is often very low and the resulting images can be of poor quality. Consequently, PAI may require substantial development before it is widely accepted as a useful medical imaging technique. To address these issues, this thesis has explored three different approaches for contrast enhancement in PAI: one, by altering the duration of the laser pulse to overcome bandwidth limitations of conventional ultrasound transducers, secondly by increasing the stability of nano contrast agents by the addition of complementary layer, and thirdly, by introducing a new signal processing technique to increase the SNR of photoacoustic scanlines. 5.2 General discussion In Chapter two, the issue of measuring PA signals resulting from small PA sources was examined. The first observation was that the dimensions of the PA active object influence the proper estimation of the optical absorption when measuring the signal with a band-limited ultrasound 65 Discussion and conclusions transducer. By altering the laser pulse duration, it was shown that more information could be obtained about the constituents of the PA signal amplitude. A longer pulse reduced the PA amplitude generated by small sources relative to the PA amplitude produced by larger sources. This effect was used to determine if the difference in PA amplitude resulting from seven small wires was due to the difference in optical absorption or due to the difference in their respective sizes. While the results indicated that the objects could be distinguished by their optical absorption alone, the question remains whether the implementation of the pulse delay system or any pulse stretching would be beneficial for clinical PAI. However, this study addressed an important problem for PAI: the use of a band limited ultrasound transducer makes the true optical absorption of small sources difficult to measure experimentally. One possible solution would be to use ultrasound transducers with the broadest bandwidth possible. Using a transducer of unlimited bandwidth may make it theoretically possible to determine the size of the photoacoustic absorber and relate it to the measured signal amplitude. Nevertheless, consideration must be given to the loss of overall sensitivity that results from the bandwidth gain, which may make detection of small sources problematic. In Chapter three, the stabilization of metallic PAI contrast agents was explored. It was shown that under high laser fluence, the morphology of gold nanorods was preserved when they were coated with a silica shell. Furthermore, a stable PA signal was observed after several laser pulses. This study was performed using high concentrations of the contrast agent in a tissue-like phantom, and must be compared with in vivo measurements before its practical use can be considered. For example, it is unlikely that the high laser fluences used in the phantom study would be applicable in clinical PAI. Therefore, the next step in this study would be to monitor the PA stability of the silica-coated particles administered in an animal model, such as mouse, with the appropriate laser fluence. Finally, Chapter four focused on enhancing contrast by de-noising individual PA scanlines. The superiority of the presented method for enhancement of SNR was demonstrated with respect to normal averaging. The method utilizes local similarity of multiple measurements to discriminate between signal and noise. The resulting algorithm is easy to implement and provides the ability to produce images with higher contrast. The algorithm proved to work very well with synthetic signals, but in the case of real data, the algorithm seems to be sensitive to the vertical level (voltage) of digitization. Nevertheless, the advantage of applying this de-noising method is evident. The work presented in Chapter four also indicates that there is still room for improvement in terms of increasing the SNR using different signal processing techniques. The idea of looking at local similarity between A-lines exemplifies how the behavior of Future prospects 66 signal and noise in subsequent measurements can be better utilized. 5.3 Future prospects Intrinsic to the nature of research is that it is never ending, and the same can be said for PA research. There will always be opportunities to refine techniques or to make new discoveries. However, consideration must always be given to the usefulness of the advance. In this light, Chapter two showed that the laser pulse duration is an important parameter with regard to small PA active sources. A useful implementation of this observation would be to consider the laser pulse duration and the pulse rise-and fall-time when choosing a laser for PAI. These parameters are often neglected once the laser pulse duration falls within a certain range, typically 5 − 10 ns. It is difficult to predict the future regarding photoacoustic contrast agents. In recent years, the academic interest in MNP’s has increased considerably. The main cause for this is the remarkable physical behavior of these particles at the nanoscale and the promise of tunable contrast for therapeutic applications. It remains uncertain whether MNP’s will be able to live up to these high expectations, since in terms of PAI it seems like trading two selling points. On the one hand, you provide tunable contrast at any desirable place, on the other hand, you lose the noninvasive aspect of PAI which will make clinical acceptance more difficult. Nevertheless, the advantages are clear and the future will reveal whether the research endeavors into their use has been a successful or not. In the last chapter, the issue of denoising PA scanlines was treated, a topic that deserves more attention in the PA research field. Noise of every kind, is a very dominant factor for PAI, if not for all imaging techniques. The quality of the images produced is directly related to the presence of noise. The attempt of denoising individual scanlines presented in this chapter is just an example of what can be done. I think that in this respect a lot can be learned from other research, such as in optics or radar. This not only accounts for signal processing but also for the acquisition hardware. More than just the ordinary attempt is necessary, for it are the weak signals what make an ordinary image to a beautiful image. To make a generalized observation regarding the future of PAI, it is fair to say that the success of the technique will require significant improvement 67 Discussion and conclusions of acquired images. While the advantages of PAI are numerous and theoretically valid, high quality images at deep tissue levels has yet to be achieved. In this respect, research into the ultrasonic behavior and detection of PA signals can be a fruitful undertaking. In terms of optics, it is unlikely that significant improvements will be possible. The scattering and diffusion of light in tissue is complex and difficult to control. Nevertheless, the recent interest and progression in research concerning controlled light propagation in scattering media, by alerting wave fronts, might at one point become beneficial and worthwhile adapting (especially so, since in PAI there is an intrinsic feedback mechanism from the focusing of light to the measured acoustic amplitude). It is, however, uncertain if PAI will make it as a standalone imaging technique within the clinic. There are still many hurdles to overcome. However, the attempts mentioned in section 1.1 of this thesis do indicate that such a development is possible. The coming years will be critical to show whether PAI can make it to the clinic or not. 5.4 Conclusions In this thesis, three separate approaches to enhance contrast in photoacoustic imaging were presented. By changing the laser pulse duration, it was shown that crucial information regarding the photoacoustic source could be obtained. With use of this information, a more insightful image could be produced. In the second approach, it was shown that the thermal stability of gold nanorods could be enhanced by coating them with a silica shell. These new contrast agents show a more stable photoacoustic response in comparison with uncoated particles. In the last approach, a new method was presented to improve the signal-to-noise ratio of photoacoustic scanlines. When compared with conventional averaging, the new method showed superiority with respect to decreasing the noise level. Published papers Peer-reviewed papers • Enhanced thermal stability of silica-coated gold nanorods for photoacoustic imaging and imageguided therapy, Yun-Sheng Chen, Wolfgang Frey, Seungsoo Kim, Kimberly Homan, Pieter Kruizinga, Konstantin Sokolov, and Stanislav Emelianov, Optics Express 2010. • Silica-coated Gold Nanorods as Photoacoustic Signal Nano-amplifiers, Yun-Sheng Chen, Wolfgang Frey, Seungsoo Kim, Pieter Kruizinga, Kimberly Homan, Konstantin Sokolov, and Stanislav Emelianov, Nano Letters 2010 (in review). Conference proceedings • Evaluation of Arsenazo III as a Contrast Agent for Photoacoustic Detection of Micromolar Calcium Transients, Erika J. Cooley, Pieter Kruizinga, Darren W. Branchc, and Stanislav Emelianov, Proceedings of SPIE 2010 • On stability of molecular therapeutic agents for noninvasive photoacoustic and ultrasound image-guided photothermal therapy, Yun-Sheng Chen, Pieter Kruizinga, Pratixa Joshi, Seungsoo Kim, Kimberly Homan, Konstantin Sokolov, Wolfgang Frey, and Stanislav Emelianov, Proceedings of SPIE 2010 References [1] S.A. Kane. Introduction to physics in modern medicine. Routledge, 2003. [2] A.G. Bell. On the production and reproduction of sound by light. American Journal of Science, 20(118):305–324, 1880. [3] M. Keijzer, S.L. Jacques, S.A. Prahl, and A.J. Welch. Light distributions in artery tissue: Monte carlo simulations for finite-diameter laser beams. Lasers in Surgery and Medicine, 9(2):148–154, 1989. [4] L. Wang, S.L. Jacques, and L. Zheng. Mcml–monte carlo modeling of light transport in multi-layered tissues. Computer methods and programs in biomedicine, 47(2):131–146, 1995. [5] http://labs.seas.wustl.edu/bme/wang/mc.html. [6] W.F. 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