Spectral / Fourier Domain Doppler Optical Coherence Tomography in the Rodent Retina by Jonathan Jaoshin Liu B.S., Electrical Engineering National Taiwan University, 2005 Submitted to the DEPARTMENT OF ELECTRICAL ENGINEERING AND COMPUTER SCIENCE in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE at the MASSACHUSETTS INSTITUTE OF TECHNOLOGY September 2008 @2008 Massachusetts Institute of Technology All rights reserved Signature of Author: /lepartment of Electrical Wineering and Computer Science August 2008 A Certified by: / James G. Fujimoto Professor of Electrical Engineering and Computer Science Thesis Supervisor A I Accepted by: ,- - Terry P. Orlando Chair, Department Committee on Graduate Students MASSACHUSETTS INSTITUTE OF TECHNOLOGY OCT 222008 ARCHIVES Spectral / Fourier Domain Doppler Optical Coherence Tomography in the Rodent Retina by Jonathan Jaoshin Liu Submitted to the Department of Electrical Engineering and Computer Science on August 29, 2008 in Partial Fulfillment of the Requirements for the Degree of Master of Science in Electrical Engineering and Computer Science Abstract Optical Coherence Tomography (OCT) is an emerging imaging technique based on low-coherence interferometry for noninvasive, high-resolution, cross-sectional imaging in a variety of biomedical fields. In ophthalmology, OCT has rapidly become a standard clinical diagnostic tool for retinal diseases, providing visualization of the retina with unprecedented detail. However, conventional time domain OCT systems are limited by low imaging speeds. Conventional time domain OCT systems use a mechanically scanned reference mirror to adjust the reference arm path length in time. Spectral / Fourier domain OCT systems use a spectrometer to detect the interference spectrum and do not require mechanical scanning of the reference mirror. This technology significantly improves imaging speed and sensitivity. Spectral / Fourier domain OCT detection methods enable imaging speeds -50-100x faster than conventional time domain OCT systems, providing the capability for three dimensional retinal imaging and blood flow quantification using Doppler OCT measurements. A pre-objective scanning spectral / Fourier domain OCT system for in vivo rodent retinal imaging is designed and built. The system includes a broadband light source to achieve ~-3gm resolution and a CCD camera spectrometer with imaging speed at 25,000 axial scans per second. Applications of spectral / Fourier domain OCT for in vivo rodent retinal imaging are illustrated, including three-dimensional OCT imaging of retinal structure, OCT imaging of the retina preand post-injection, and Doppler OCT imaging providing quantitative measurements of pulsatile blood flow in a retinal vessel. These results demonstrate the ability of spectral / Fourier domain OCT to visualize rodent retinal structure in vivo, perform longitudinal studies by evaluating disease progression in an individual animal, and quantitatively measure rodent retinal blood flow. Thesis Supervisor: James G Fujimoto Title: Professor of Electrical Engineering Acknowledgments I would like to thank my thesis advisor Professor James Fujimoto for the guidance and resources to perform this work. I am most grateful for the opportunity to work in the Laser Medicine and Medical Imaging Group at MIT. I would also like to thank all my colleagues, especially Vivek Srinivasan and Iwona Gorczynska for all their help and guidance. They have truly been my mentors. Finally, I thank my family, my girlfriend, and friends for all the unconditional support. Table of Contents Abstract.......................................... 3 Acknowledgm ents .................................................................................................................... 4 Table of Contents ................................................................................................................... 5 Chapter 1 Introduction and Overview ....................................................... 7 1.1 Introduction ..................................................................................................................... 7 1.2 OCT in Ophthalm ology ........................................... ................................................. 11 1.3 Doppler O CT ........................................................................................................... 13 1.4 Scope of Thesis .............................................................................................................. 14 References ............................................................................................................................ 15 Chapter 2 O CT Theory .............................................................................................................. 21 2.1 The M ichelson Interferom eter ................................................................................... 21 2.2 Time Domain Interferometer with Low-Coherence Light ..................................... 23 2.3 Spectral / Fourier Dom ain OCT ...................................................... 26 2.3.1 M easurem ent Range ................................................................................. 29 2.3.2 Spectrom eter Roll-off ........................................................................... ... 30 2.3.3 Dispersion Com pensation............................................... 31 2.3.4 Doppler O CT .................................................................................................... 33 2.4 Noise and Sensitivity ......................................... .............................................. 34 2.4.1 Shot Noise Lim it........................................... ................................................. 35 2.4.2 Excess Intensity noise .............................................................................. 35 2.4.3 Receiver Noise .................................................................................. 36 ... 2.4.4 Sensitivity............................................................................................................ 36 2.4.5 Dynam ic Range ............................................ ................................................. 37 2.4.6 Doppler Range and Sensitivity ......................................... References ................................................. .............. 38 39 Chapter 3 Pre-Objective Scanning Small Animal OCT System............................... 3.1 Overview ................................................... 41 41 3.2 Spectrometer Design ............................................................................................... 42 3.3 Light Source .................................................................................................................. 42 3.4 Interferom eter ............................................................................................................... 44 3.5 Sample Arm Optics ................................................................................................. 45 3.6 Image Acquisition and Processing ......................................................................... 46 3.7 System Performance ............................................................................................... 51 3.7.1 Sensitivity Measurement ........................................................................ 51 3.7.2 Dynamic Range Measurement............................................................. 52 3.7.3 Sensitivity Roll-Off....................................................................................... 52 3.7.4 Doppler Measurement Range ................................................................. References .................................................. Chapter 4 OCT Imaging and Data Analysis................................................................. 53 54 57 4.1 Overview ................................................................................................................. 57 4.2 B ackground ................................................................................................................... 57 4.3 3D OCT Imaging of Rat Retina ................................................................................ 58 4.4 Diabetic Macular Edema Study ..................................................... 61 4.5 Doppler Flow Calculation ...................................................................................... 63 Referen ces ............................................................................................................................ 67 Chapter 1 Introduction and Overview 1.1 Introduction Optical Coherence Tomography (OCT) is a non-contact non-invasive imaging technology that can perform micron-scale, tomographic microstructure in vivo and in real time.' 6 cross-sectional imaging of biological tissue OCT imaging is analogous to ultrasound B-mode imaging, except that OCT measures the intensity of backscattered light rather than acoustical waves. Cross-sectional images are generated by scanning the optical beam and the backreflected or backscattered light from internal tissue microstructures is measured as a function of axial range (depth) and transverse position using interferometric correlation techniques. Since the propagation speed of light is much faster than photodetector response times, light echo time delays cannot be measured electronically as in ultrasound. Instead, OCT uses a fundamentally different technique based on a Michelson interferometer, also known as low-coherence interferometry. Figure 1-1 illustrates the principle of low-coherence interferometry with a generic OCT system schematic implementing a simple Michelson interferometer. Light from a source is divided into a scanning reference path and a sample path. The backscattered light reflected from the sample arm is recombined with the reflected light from the reference arm at a photodetector to produce interference fringes. If the light source is monochromatic, interference is seen over a wide range of sample and reference arm path length mismatches. When using a low-coherence broadband light source, interference is only seen when the reference arm path length matches the sample arm path length to within the coherence length of the light source. Low-coherence light can be generated by superluminescent semiconductor diodes or other sources, such as solid state lasers. Higher axial resolution can be achieved by increasing the bandwidth of the light source.7 Low-coherence interferometry permits the echo delay time (or optical path length) and magnitude of the light reflected from internal tissue microstructures to be measured with extremely high accuracy and sensitivity. RA2 t bA Reference I A AA Long Coherence Length AIc >> Am A/2 pie Short Coherence Length Alc < Am Figure 1-1. Schematic illustrating the principle of low-coherence interferometry using a Michelson interferometer. Light is divided into the reference and sample paths and the reflected light is recombined. For monochromatic light sources, interference is seen over a wide range of sample and reference arm path length mismatches. For low-coherence broadband light sources, interference is only seen when the reference path length matches the sample path length to within the coherence length of the light source. The principal of generating two-dimensional images using OCT is shown in Figure 1-2. Scanning the reference arm path length and plotting the envelope of the interference as a function of this path length generates a map of the backscattered light intensity from the sample. Additionally, translating the sample with respect to the incident beam or scanning the incident beam across the sample results in a two dimensional array dataset which represents the optical backscattering or reflections within a cross sectional slice of the sample. Transverse Scanning 1 I Backscatter Intensity II I II i I Cn, 0 CD _0 D Figure 1-2. I• G2 f y CaI; S l Formation of an OCT image. mapped as a function of depth. i IIIIt; I . IJpLI;dal DdLcksi dLLCatrl The backscattered intensity is A two-dimensional image is formed by scanning the incident beam with respect to the sample. Standard resolution OCT imaging systems can achieve axial image resolutions of 10-15 tm. 2 With the development of ultrahigh-resolution (UHR) OCT imaging using state of the art laser technologies, axial resolutions of -3 gtm in the human eye and -1 ptm in other applications have been achieved. 8-12 The axial resolution in OCT depends on the coherence length of light and is inversely proportional to the optical bandwidth of the light source. Ultrahigh resolution OCT imaging requires extremely broad bandwidths. Superluminescent diode light sources are commonly used in OCT because of their compact size and low cost. However, traditional superluminescent diode light sources have limited bandwidths and axial image resolutions are typically 10 gm. Femtosecond lasers are ideal light sources for ultrahigh resolution OCT because they can generate the extremely broad bandwidths necessary for ultrahigh resolution imaging. Recently, significant advances in the field of superluminescent diodes have enabled ultrahigh OCT image resolution performance approaching femtosecond lasers. 13 , 14 Conventional OCT systems use a mechanically scanned reference mirror to adjust the reference arm path length.1' "5' The magnitudes of light echoes from the sample arm with sequentially different delays are detected at different times as the reference path length is scanned. these systems are known as "time domain" systems. Hence, Recently, novel OCT detection techniques have emerged which do not require mechanical scanning and achieve very high detection sensitivities, enabling OCT imaging with a -15 to 50x increase in imaging speed over standard resolution OCT systems and -100x over conventional ultrahigh resolution OCT systems. In contrast to standard OCT, which detects light echoes at different delays sequentially, spectral / Fourier domain detection measures all of the light simultaneously. Fourier domain techniques measure the echo time delay of light by Fourier transforming the interference spectrum of the light signal. 16 ' 17 Different echo time delays of light produce different frequencies of fringes in the interference spectrum. Fourier domain OCT detection can be performed in two ways: spectral OCT using broadband light source and a spectrometer with a multichannel analyzer16 20 - or swept source OCT using a rapidly tunable, narrow linewidth laser source2 1-2 5. Additionally, Fourier domain optical coherence tomography offers significantly improved sensitivity and imaging speed compared to time domain OCT.'18 26-28 Spectral and swept source Fourier domain OCT significantly improve imaging speeds of conventional time domain OCT and are therefore promising for ultrahigh resolution imaging. With high imaging speeds of Fourier domain OCT, it is possible to acquire three-dimensional maps of the sample.2 9-32 In addition, Fourier domain OCT has the advantage of providing direct access to the spectral fringe pattern, enabling a wide range of novel applications. Fourier domain OCT can be used for absorption measurement 33 and the complex Fourier domain signal can be directly measured to double the axial measurement scan range 34 ' 18,35. Spectral domain and swept source OCT are also especially well suited for numerical dispersion compensation correcting for resolution loss due to mismatched dispersion in the sample and reference arms. Fourier domain OCT also provides convenient access to phase information after Fourier transformation of the spectrum, therefore Doppler OCT techniques can be directly applied to image motion. 36-50 1.2 OCT in Ophthalmology OCT is now considered a standard diagnostic tool in ophthalmology. OCT has a number of features which make it attractive including its high probing depth, high resolution approaching that of histopathology, contact-free and non-invasive operation, and the possibility to create various function dependent image contrasting methods. In ophthalmology, OCT is able to acquire high-definition images with detail that is impossible to obtain by any other noninvasive technique. Standard resolution commercial OCT systems such as the StratusOCT (Carl Zeiss Meditec) can achieve -10 p.m axial image resolutions with 128 axial scan (transverse pixel) images acquired in 0.32 seconds or 512 axial scan (transverse pixels) images acquired in -1.3 seconds. Using state of the art laser technologies, ultrahigh resolution OCT imaging with axial image resolutions of 2-3 gpm in the eye and resolutions as fine as 1 gpm in animals have been demonstrated.8 -12 Ultrahigh resolution enables the direct visualization of retinal architectural morphology and pathology in individual layers of the retina. Recent advances in OCT technology provide a 50 to 100x increase in imaging speed, enabling high-speed acquisition of OCT cross-sectional images. 16' 17 High-speed OCT imaging also allows three-dimensional mapping of the retina while significantly reducing eye motion artifacts. This enables the acquisition of high transverse pixel density images which have improved image quality and enables a wide range of new imaging protocols based on three-dimensional (3D) imaging and mapping. Additionally, 3D OCT images can be analyzed using quantitative image processing techniques and algorithms which yield quantitative information.5 1 This greatly facilitates statistical analysis and the development of objective diagnostic criteria. Furthermore, Doppler OCT measurements of quantitative blood flow can be performed for high transverse pixel density images, providing information on retinal perfusion.5 0 OCT has become a standard clinical tool for the diagnosis and management of a wide variety of ocular diseases.,' 52 OCT images enables the visualization of retinal pathology at resolutions not possible with other noninvasive imaging techniques and are permit the delineation of retinal substructure in vivo.3 ' 53' 54' 4, 55,56 OCT has been applied to a wide range of ophthalmic diseases including macular holes, glaucoma, age-related macular degeneration, macular edema, and diabetic retinopathy. Since OCT provides direct information on the dimensions of retinal structures, it permits the quantitative measurement of the nerve fiber layer (NFL) for glaucoma diagnosis and monitoring. 5 ' 57 In addition, OCT can image and quantitate retinal structure enabling a wide range of applications for the diagnosis and monitoring of retinal disease. 52 Ultrahigh resolution OCT can achieve resolution comparable to histopathology enabling the direct visualization of retinal architect morphology and pathology and detecting changes that are below the threshold for detection on a standard ophthalmoscopic examination of the fundus. High-speed OCT significantly reduces motion artifacts, and enables acquisition of high transverse pixel density images and new imaging protocols based on three-dimensional retinal structure imaging and quantitative mapping. 3 1 Research on ocular diseases is often limited by the restrictions on studying pathophysiologic processes in the human eye. Also, many human ocular diseases are genetic in origin, but oftentimes appropriate subjects are not available for genetic studies. Murine (rat and mouse) models of ocular disease provide powerful tools for analysis and characterization of disease pathogenesis and response to treatment. The murine retina is similar in structure to the human retina, and is frequently used in research involving oxygen modulation or electroretinogram recordings. Animals are sacrificed before undergoing enucleation and histological examination, therefore each animal only contributes to a single time point for monitoring disease progression or morphological changes in the retina. Such studies are inherently cross-sectional, and do not evaluate disease progression in individual animals. While enucleation and histology are the gold standard for characterization of microstructural changes in animals, non-invasive structural imaging has the potential to reduce the need for sacrifice and histology in many studies. Non-invasive in vivo examination of the animal retina without euthenization provides the ability to perform longitudinal studies by monitoring disease progression in individual animals.5 8 High-speed UHR-OCT enables high quality in vivo imaging of the murine retina and the visualization of all major intraretinal layers including the photoreceptors. protocols using high-definition, high transverse pixel density imaging, OCT imaging as well as three-dimensional (3D-OCT) imaging with dense raster scanning have been demonstrated. 59 Raster scan protocols enable volumetric imaging and comprehensive coverage of a region of the retina. An OCT fundus image, akin to a fundus photograph, can be directly generated by axial summation of 3D-OCT data. This enables precise registration of individual OCT images or measurements to fundus features. Segmentation algorithms along with three-dimensional imaging enable quantification of retinal structure, which promises to allow repeated, non-invasive measurements to track disease progression, reduce the need for sacrifice and histology.60 This capability can accelerate the translation from basic research studies in rats and mice into clinical care. One limitation in the development of treatments for macular edema is the lack of appropriate animal models. In evaluating anti-vascular permeability agents for treatment of diabetic macular edema in humans, an animal model that exhibits quantifiable edema is desired. Optical coherence tomography (OCT) has become the clinical standard for quantifying diabetic macular edema in humans, 56 and is therefore the preferred method for characterization of retinal edema in animal models. Animal studies may also help to determine surrogate markers for early disease progression. The availability of clinical surrogate markers would help in the design of clinical trials with shorter time frames. These markers would also help to elucidate mechanisms by which hyperglycemia and diabetes cause changes in retinal hemodynamics and metabolism. By identifying appropriate animal models of diabetic retinopathy and imaging tools for characterization, future studies will aid in identification of surrogate markers for early progression of diabetic retinopathy. 1.3 Doppler OCT Doppler motion imaging is a functional extension developed for OCT.61 3 In OCT, the frequency of the interferometric signal is shifted by motion in the sample enabling the detection of motion using Doppler OCT methods and algorithms. Since OCT performs depth ranging and is a tomographic technique with high special resolution, depth-resolved cross-sectional flow imaging of in vivo tissues can be obtained. Doppler OCT has been demonstrated to detect motion and blood flow of tissue in vivo.64 , 65, 37,66,67,38 In ophthalmology, retinal hemodynamics is important for investigating diseases such as glaucoma, diabetic retinopathy, and age-related macular degeneration. 68-70 Many measurement technologies have been developed for in vivo retinal blood vessel imaging and blood flow detection. Fluorescein angiography (FA) and indocyanine green angiography (ICGA) are standard clinical diagnostic methods for retinal diseases.71 Both methods allow visualization of retinal blood vessels, while choroidal vasculature is more effectively displayed in ICGA due to the longer excitation wavelength. However, these methods are invasive since they require intravenous injections of fluorescence dye. Noninvasive blood flow measurement techniques based on laser Doppler velocimetry have been used to investigate retinal blood vessels. 72-76 Other noninvasive methods such as laser Doppler flowmetry, laser speckle photography, and laser speckle flowgraphy can perform two-dimensional mapping of blood flow.77 -80 Nonetheless, these techniques demonstrate poor ability to resolve depth structure. OCT has the advantage of providing three-dimensional structural OCT intensity images along with the ability to extract vessel structure and blood flow measurements from the Doppler OCT images. 1.4 Scope of Thesis This thesis focuses on the development of spectral / Fourier domain OCT technologies for in vivo rodent retinal imaging. Conventional time domain OCT has had significant clinical impact in ophthalmology. However, difficulty in registering the images and motion artifacts limited the use of time domain OCT in rodent retinal imaging. Spectral /Fourier domain OCT detects the interference spectrum directly without mechanically scanning the reference mirror in time, enabling a dramatic increase in imaging speed and thereby allowing 3D imaging of the rodent retina for precise registration and quantification of retinal layer thickness. Moreover, Doppler OCT measurements can be performed to obtain retinal blood flow. Chapter 2 presents an introduction to spectral / Fourier domain OCT theory. is discussed and compared with spectral / Fourier domain OCT. compensation and Doppler OCT theory are described. sensitivity in spectral / Fourier domain OCT is provided. Time domain OCT Numerical dispersion In addition, analyses in noise and Chapter 3 discusses development and characterization of the spectral /Fourier domain OCT system for rodent retina. A prototype high-speed, ultrahigh resolution OCT instrument with a pre-objective scanning long working distance microscope design for performing in vivo imaging of the murine retina is proposed and developed. Using a compact, multiplexed superluminescent diode light source having a bandwidth of -150 nm centered near ~900 nm, an axial resolution of -3 tm is achieved. A -11 /m transverse resolution in air is obtained using a pre-objective scanning long working distance microscope. The prototype OCT instrument using spectral / Fourier domain detection has imaging speed of 25,000 axial scans per second, an improvement of -~100xover previous UHR-OCT systems. Chapter 4 demonstrates the spectral / Fourier domain OCT system for high resolution, in vivo 3D-OCT imaging in the rat retina. High-resolution retinal images of normal rats before and after intravitreal saline and kallikrein injection is demonstrated. Doppler OCT methods and results measuring blood flow in a normal rat retinal vessel showing pulsatility is presented. References 1. D. Huang, E.A. Swanson, C.P. Lin, J.S. Schuman, W.G. Stinson, W. Chang, M.R. Hee, T. Flotte, K. Gregory, C.A. Puliafito, and J.G. Fujimoto, "Optical Coherence Tomography," Science, vol. 254, pp. 1178-1181,1991. 2. J.G Fujimoto, M.E. Brezinski, GJ. Tearney, S.A. Boppart, B. Bouma, M.R. Hee, J.F. Southern, and E.A. Swanson, "Optical biopsy and imaging using optical coherence 3. 4. 5. 6. 7. 8. tomography," Nature Medicine, vol. 1, pp. 970-972,1995. M.R. Hee, J.A. Izatt, E.A. Swanson, D. Huang, J.S. Schuman, C.P. Lin, C.A. Puliafito, and J.G Fujimoto, "Optical coherence tomography of the human retina," Archives of Ophthalmology, vol. 113, pp. 325-332,1995. C.A. Puliafito, M.R. Hee, C.P. Lin, E. Reichel, J.S. Schuman, J.S. Duker, J.A. Izatt, E.A. Swanson, and J.G Fujimoto, "Imaging of macular diseases with optical coherence tomography," Ophthalmology, vol. 102, pp. 217-229,1995. J.G Fujimoto, C. Pitris, S.A. Boppart, and M.E. Brezinski, "Optical coherence tomography: an emerging technology for biomedical imaging and optical biopsy," Neoplasia,vol. 2, pp. 9-25,2000. J.G Fujimoto, "Optical coherence tomography for ultrahigh resolution in vivo imaging," NatureBiotechnology, vol. 21, pp. 1361-1367,2003. J.M. Schmitt, "Optical coherence tomography (OCT): a review," IEEE Journal of Selected Topics in Quantum Electronics, vol. 5, pp. 1205-15,1999. B. Bouma, GJ. Tearney, S.A. Boppart, M.R. Hee, M.E. Brezinski, and J.G Fujimoto, "High-resolution optical coherence tomographic imaging using a mode-locked Ti:A1203 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. laser source," Optics Letters, vol. 20, pp. 1486-1488,1995. B.E. Bouma, GJ. Tearney, I.P. Bilinsky, B. Golubovic, and J.GXFujimoto, "Self-phase-modulated Kerr-lens mode-locked Cr:forsterite laser source for optical coherence tomography," Optics Letters, vol. 21, pp. 1839-1841,1996. W. Drexler, U. Morgner, F.X. Kartner, C. Pitris, S.A. Boppart, X.D. Li, E.P. Ippen, and J.G Fujimoto, "In vivo ultrahigh-resolution optical coherence tomography," Optics Letters, vol. 24, pp. 1221-1223,1999. W. Drexler, U. Morgner, R.K. Ghanta, F.X. Kartner, J.S. Schuman, and J.G Fujimoto, "Ultrahigh-resolution ophthalmic optical coherence tomography," Nature Medicine, vol. 7, pp. 502-507,2001. I. Hartl, X.D. Li, C. Chudoba, R.K. Hganta, T.H. Ko, J.G Fujimoto, J.K. Ranka, and R.S. Windeler, "Ultrahigh-resolution optical coherence tomography using continuum generation in an air-silica microstructure optical fiber," Optics Letters, vol. 26, pp. 608-610,2001. B. Cense, N. Nassif, T.C. Chen, M.C. Pierce, S. Yun, B.H. Park, B. Bouma, G Tearney, and J.F. de Boer, "Ultrahigh-resolution high-speed retinal imaging using spectral-domain optical coherence tomography," Optics Express, vol. 12, pp. 2435-2447,2004. T.H. Ko, D.C. Adler, J.G. Fujimoto, D. Mamedov, V. Prokhorov, V. Shidlovski, and S. Yakubovich, "Ultrahigh resolution optical coherence tomography imaging with a broadband superluminescent diode light source," Optics Express, vol. 12, pp. 2112-2119,2004. E.A. Swanson, J.A. Izatt, M.R. Hee, D. Huang, C.P. Lin, J.S. Schuman, C.A. Puliafito, and J.G. Fujimoto, "In vivo retinal imaging by optical coherence tomography," Optics Letters, vol. 18, pp. 1864-1866,1993. A.F. Fercher, C.K. Hitzenberger, G. Kamp, and S.Y. Elzaiat, "Measurement of Intraocular Distances by Backscattering Spectral Interferometry," Optics Communications, vol. 117, pp. 43-48,1995. G Hausler and M.W. Linduer, ""Coherence radar" and "spectral radar"-new tools for dermatological diagnosis," Journalof Biomedical Optics, vol. 3, pp. 21-31,1998. M. Wojtkowski, R. Leitgeb, A. Kowalczyk, T. Bajraszewski, and A.F. Fercher, "In vivo human retinal imaging by Fourier domain optical coherence tomography," Journal of Biomedical Optics, vol. 7, pp. 457-463,2002. M. Wojtkowski, T. Bajraszewski, P. Targowski, and A. Kowalczyk, "Real-time in vivo imaging by high-speed spectral optical coherence tomography," Optics Letters, vol. 28, pp. 1745-1747,2003. M. Wojtkowski, V.J. Srinivasan, T.H. Ko, J.G Fujimoto, A. Kowalevicz, and J.S. Duker, "Ultrahigh resolution, high speed, Fourier domain optical coherence tomography and methods for dispersion compensation," Optics Express, vol. 12, pp. 2404-2422,2004. S.R. Chinn, E.A. Swanson, and J.G Fujimoto, "Optical coherence tomography using a frequency-tunable optical source," Optics Letters, vol. 22, pp. 340-342,1997. B. Golubovic, B.E. Bouma, G.J. Tearney, and J.G Fujimoto, "Optical frequency-domain reflectometry using rapid wavelength tuning of a Cr4+:forsterite laser," Optics Letters, vol. 22, pp. 1704-1706,1997. S.H. Yun, C. Boudoux, G.J. Tearney, and B.E. Bouma, "High-speed wavelength-swept semiconductor laser with a polygon-scanner-based wavelength filter," Optics Letters, vol. 28, pp. 1981-1983,2003. 24. S.H. Yun, C. Boudoux, M.C. Pierce, J.F. de Boer, GJ. Tearney, and B.E. Bouma, "Extended-cavity semiconductor wavelength-swept laser for biomedical imaging," IEEE Photonics Technology Letters, vol. 16, pp. 293-5,2004. 25. 26. 27. 28. 29. 30. 31. 32. R. Huber, D.C. Adler, and J.G Fujimoto, "Buffered Fourier Domain Mode Locking (FDML): Unidirectional swept laser sources for OCT imaging at 370,000 lines per second," Optics Letters, vol. In Press,2006. M.A. Choma, M.V. Sarunic, C.H. Yang, and J.A. Izatt, "Sensitivity advantage of swept source and Fourier domain optical coherence tomography," Optics Express, vol. 11, pp. 2183-2189,2003. J.F. de Boer, B. Cense, B.H. Park, M.C. Pierce, G.J. Tearney, and B.E. Bouma, "Improved signal-to-noise ratio in spectral-domain compared with time-domain optical coherence tomography," Optics Letters, vol. 28, pp. 2067-2069,2003. R. Leitgeb, C.K. Hitzenberger, and A.F. Fercher, "Performance of Fourier domain vs. time domain optical coherence tomography," Optics Express, vol. 11, pp. 889-894,2003. N.A. Nassif, B. Cense, B.H. Park, M.C. Pierce, S.H. Yun, B.E. Bouma, GJ. Tearney, T.C. Chen, and J.F. de Boer, "In vivo high-resolution video-rate spectral-domain optical coherence tomography of the human retina and optic nerve," Optics Express, vol. 12,2004. M. Wojtkowski, T. Bajraszewski, I. Gorczynska, P. Targowski, A. Kowalczyk, W. Wasilewski, and C. Radzewicz, "Ophthalmic imaging by spectral optical coherence tomography," Am J Ophthalmol,vol. 138, pp. 412-9,2004. M. Wojtkowski, V. Srinivasan, J.G Fujimoto, T. Ko, J.S. Schuman, A. Kowalczyk, and J.S. Duker, "Three-dimensional retinal imaging with high-speed ultrahigh-resolution optical coherence tomography," Ophthalmology, vol. 112, pp. 1734-46,2005. B. Wabbels, M.N. Preising, U. Kretschmann, A. Demmler, and B. Lorenz, "Genotype-phenotype correlation and longitudinal course in ten families with Best vitelliform macular dystrophy," Graefes Archive for Clinical and Experimental 33. 34. 35. 36. 37. 38. Ophthalmology,vol. 244, pp. 1453-1466,2006. R. Leitgeb, M. Wojtkowski, A. Kowalczyk, C.K. Hitzenberger, M. Sticker, and A.F. Fercher, "Spectral measurement of absorption by spectroscopic frequency-domain optical coherence tomography," Optics Letters, vol. 25, pp. 820-2,2000. M. Wojtkowski, A. Kowalczyk, R. Leitgeb, and A.F. Fercher, "Full range complex spectral optical coherence tomography technique in eye imaging," Optics Letters, vol. 27, pp. 1415-17,2002. P. Targowski, M. Wojtkowski, A. Kowalczyk, T. Bajraszewski, M. Szkulmowski, and W. Gorczynska, "Complex spectral OCT in human eye imaging in vivo," Optics Communications,vol. 229, pp. 79-84,2004. R.A. Leitgeb, L. Schmetterer, W. Drexler, A.F. Fercher, R.J. Zawadzki, and T. Bajraszewski, "Real-time assessment of retinal blood flow with ultrafast acquisition by color Doppler Fourier domain optical coherence tomography," Optics Express, vol. 11, pp. 3116-3121,2003. B.R. White, M.C. Pierce, N. Nassif, B. Cense, B.H. Park, GJ. Teamey, B.E. Bouma, T.C. Chen, and J.F. de Boer, "In vivo dynamic human retinal blood flow imaging using ultra-high-speed spectral domain optical Doppler tomography," Optics Express, vol. 11, pp. 3490-3497,2003. R.A. Leitgeb, L. Schmetterer, C.K. Hitzenberger, A.F. Fercher, F. Berisha, M. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. Wojtkowski, and T. Bajraszewski, "Real-time measurement of in vitro flow by Fourier-domain color Doppler optical coherence tomography," Opt Lett, vol. 29, pp. 171-3,2004. T.C. Chen, B. Cense, M.C. Pierce, N. Nassif, B.H. Park, S.H. Yun, B.R. White, B.E. Bouma, G.J. Tearney, and J.F. de Boer, "Spectral domain optical coherence tomography: ultra-high speed, ultra-high resolution ophthalmic imaging," Arch Ophthalmol, vol. 123, pp. 1715-20,2005. B.H. Park, M.C. Pierce, B. Cense, S.H. Yun, M. Mujat, GJ. Tearney, B.E. Bouma, and J.F. de Boer, "Real-time fiber-based multi-functional spectral-domain optical coherence tomography at 1.3 mu m," Optics Express, vol. 13, pp. 3931-3944,2005. M.A. Choma, S. Yazdanfar, and J.A. Izatt, "Wavelet and model-based spectral analysis of color doppler optical coherence tomography," Optics Communications, vol. 263, pp. 124-128,2006. S. Makita, Y. Hong, M. Yamanari, T. Yatagai, and Y. Yasuno, "Optical coherence angiography," Optics Express, vol. 14, pp. 7821-7840,2006. H.W. Ren, T. Sun, D.J. MacDonald, M.J. Cobb, and X.D. Li, "Real-time in vivo dblood-flow imaging by movingscatterer-sensitive spectral-domain optical Doppler tomography," Optics Letters, vol. 31, pp. 927-929,2006. Y.C. Ahn, W. Jung, and Z.P. Chen, "Quantification of a three-dimensional velocity vector using spectral-domain Doppler optical coherence tomography," Optics Letters, vol. 32, pp. 1587-1589,2007. A.H. Bachmann, R. Michaely, T. Lasser, and R.A. Leitgeb, "Dual beam heterodyne Fourier domain optical coherence tomography," Optics Express, vol. 15, pp. 9254-9266,2007. A.H. Bachmann, M.L. Villiger, C. Blatter, T. Lasser, and R.A. Leitgeb, "Resonant Doppler flow imaging and optical vivisection of retinal blood vessels," Optics Express, vol. 15, pp. 408-422,2007. B.A. Bower, M. Zhao, R.J. Zawadzki, and J.A. Izatt, "Real-time spectral domain Doppler optical coherence tomography and investigation of human retinal vessel autoregulation," JBiomed Opt, vol. 12, pp. 041214,2007. D. Morofke, M.C. Kolios, I.A. Vitkin, and V.X.D. Yang, "Wide dynamic range detection of bidirectional flow in Doppler optical coherence tomography using a two-dimensional Kasai estimator," Optics Letters, vol. 32, pp. 253-255,2007. C.J. Pedersen, D. Huang, M.A. Shure, and A.M. Rollins, "Measurement of absolute flow velocity vector using dual-angle, delay-encoded Doppler optical coherence tomography," Optics Letters, vol. 32, pp. 506-508,2007. Y. Wang, B.A. Bower, J.A. Izatt, O. Tan, and D. Huang, "In vivo total retinal blood flow measurement by Fourier domain Doppler optical coherence tomography," J Biomed Opt, vol. 12, pp. 041215,2007. J.S. Schuman, M.R. Hee, A.V. Arya, T. Pedut-Kloizman, C.A. Puliafito, J.G. Fujimoto, and E.A. Swanson, "Optical coherence tomography: a new tool for glaucoma diagnosis," Current Opinion in Ophthalmology, vol. 6, pp. 89-95,1995. J.S. Schuman, C.A. Puliafito, and J.G. Fujimoto, Optical coherence tomography of ocular diseases, 2nd edition. 2004, Thorofare, NJ: Slack Inc. M.R. Hee, C.A. Puliafito, C. Wong, J.S. Duker, E. Reichel, J.S. Schuman, E.A. Swanson, and J.G. Fujimoto, "Optical coherence tomography of macular holes," Ophthalmology, vol. 102, pp. 748-756,1995. 54. M.R. Hee, C.A. Puliafito, C. Wong, E. Reichel, J.S. Duker, J.S. Schuman, E.A. Swanson, and J.G Fujimoto, "Optical coherence tomography of central serous chorioretinopathy," American Journalof Ophthalmology, vol. 120, pp. 65-74,1995. 55. 56. 57. 58. 59. M.R. Hee, C.R. Baumal, C.A. Puliafito, J.S. Duker, E. Reichel, J.R. Wilkins, J.G Coker, J.S. Schuman, E.A. Swanson, and J.G Fujimoto, "Optical coherence tomography of age-related macular degeneration and choroidal neovascularization," Ophthalmology, vol. 103, pp. 1260-1270,1996. M.R. Hee, C.A. Puliafito, J.S. Duker, E. Reichel, J.G Coker, J.R. Wilkins, J.S. Schuman, E.A. Swanson, and J.G Fujimoto, "Topography of diabetic macular edema with optical coherence tomography," Ophthalmology,vol. 105, pp. 360-370,1998. J.S. Schuman, T. Pedut-Kloizman, E. Hertzmark, M.R. Hee, J.R. Wilkins, J.G Coker, C.A. Puliafito, J.G Fujimoto, and E.A. Swanson, "Reproducibility of nerve fiber layer thickness measurements using optical coherence tomography," Ophthalmology, vol. 103, pp. 1889-1898,1996. M. Ruggeri, H. Webbe, S.L. Jiao, G Gregori, M.E. Jockovich, A. Hackam, Y.L. Duan, and C.A. Puliafito, "In vivo three-dimensional high-resolution imaging of rodent retina with spectral-domain optical coherence tomography," Investigative Ophthalmology & Visual Science, vol. 48, pp. 1808-1814,2007. V.J. Srinivasan, T.H. Ko, M. Wojtkowski, M. Carvalho, A. Clermont, S.E. Bursell, Q.H. Song, J. Lem, J.S. Duker, J.S. Schuman, and J.G. Fujimoto, "Noninvasive volumetric Imaging and morphometry of the rodent retina with high-speed, ultrahigh-resolution optical coherence tomography," Investigative Ophthalmology & Visual Science, vol. 47, 60. pp. 5522-5528,2006. B.B. Gao, A. Clermont, S. Rook, S.J. Fonda, V.J. Srinivasan, M. Wojtkowski, J.G Fujimoto, R.L. Avery, P.G Arrigg, S.E. Bursell, L.P. Aiello, and E.P. Feener, "Extracellular carbonic anhydrase mediates hemorrhagic retinal and cerebral vascular permeability through prekallikrein activation," Nature Medicine, vol. 13, pp. 181-188,2007. 61. 62. 63. 64. 65. 66. X.J. Wang, T.E. Milner, and J.S. Nelson, "Characterization of Fluid-Flow Velocity by Optical Doppler Tomography," Optics Letters, vol. 20, pp. 1337-1339,1995. J.A. Izatt, M.D. Kulkami, S. Yazdanfar, J.K. Barton, and A.J. Welch, "In vivo bidirectional color Doppler flow imaging of picoliter blood volumes using optical coherence tomography," Optics Letters, vol. 22, pp. 1439-41,1997. Y. Zhao, Z. Chen, C. Saxer, S. Xiang, J.F. de Boer, and J.S. Nelson, "Phase-resolved optical coherence tomography and optical Doppler tomography for imaging blood flow in human skin with fast scanning speed and high velocity sensitivity," Optics Letters, vol. 25, pp. 114-16,2000. Z. Chen, T.E. Milner, S. Srinivas, X. Wang, A. Malekafzali, M.J.C. van Gemert, and J.S. Nelson, "Noninvasive imaging of in vivo blood flow velocity using optical Doppler tomography," Optics Letters, vol. 22, pp. 1119-21,1997. S. Yazdanfar, A.M. Rollins, and J.A. Izatt, "Imaging and velocimetry of the human retinal circulation with color Doppler optical coherence tomography," Optics Letters, vol. 25, pp. 1448-50,2000. V.X.D. Yang, M.L. Gordon, E. Seng-Yue, S. Lo, B. Qi, J. Pekar, A. Mok, B.C. Wilson, and I.A. Vitkin, "High speed, wide velocity dynamic range Doppler optical coherence 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. tomography (Part II): imaging in vivo cardiac dynamics of Xenopus laevis," Optics Express, vol. 11,2003. S. Yazdanfar, A.M. Rollins, and J.A. Izatt, "In vivo imaging of human retinal flow dynamics by color Doppler optical coherence tomography," Archives of ophthalmology, vol. 121, pp. 235-9,2003. V. Patel, S. Rassam, R. Newsom, J. Wiek, and E.Kohner, "Retinal blood flow in diabetic retinopathy," Bmj, vol. 305, pp. 678-83,1992. E. Friedman, "A hemodynamic model of the pathogenesis of age-related macular degeneration," Am J Ophthalmol,vol. 124, pp. 677-82,1997. J. Flammer, S. Orgul, V.P. Costa, N. Orzalesi, G.K. Krieglstein, L.M. Serra, J.P. Renard, and E. Stefansson, "The impact of ocular blood flow in glaucoma," Prog Retin Eye Res, vol. 21, pp. 359-93,2002. J.D.M. Gass, "Stereoscopic Atlas of Macular Diseases: Diagnosis and Treatment". 1987, CV Mosby: St. Louis, Missouri. p. 46-65. G.T. Feke and C.E. Riva, "Laser Doppler measurements of blood velocity in human retinal vessels," J Opt Soc Am, vol. 68, pp. 526-31,1978. B. Eberli, C.E. Riva, and G.T. Feke, "Mean circulation time of fluorescein in retinal vascular segments," Arch Ophthalmol, vol. 97, pp. 145-8,1979. G.T. Feke, D.G. Goger, H. Tagawa, and F.C. Delori, "Laser Doppler technique for absolute measurement of blood speed in retinal vessels," IEEE Trans Biomed Eng, vol. 34, pp. 673-80,1987. C.E. Riva, S. Harino, B.L. Petrig, and R.D. Shonat, "Laser Doppler flowmetry in the optic nerve," Exp Eye Res, vol. 55, pp. 499-506,1992. C.E. Riva, S.D. Cranstoun, J.E. Grunwald, and B.L. Petrig, "Choroidal blood flow in the foveal region of the human ocular fundus," Invest Ophthalmol Vis Sci, vol. 35, pp. 4273-81,1994. J.D. Briers and A.F. Fercher, "Retinal blood-flow visualization by means of laser speckle photography," Invest Ophthalmol Vis Sci, vol. 22, pp. 255-9,1982. Y. Tamaki, M. Araie, E. Kawamoto, S. Eguchi, and H. Fujii, "Noncontact, two-dimensional measurement of retinal microcirculation using laser speckle phenomenon," Invest Ophthalmol Vis Sci, vol. 35, pp. 3825-34,1994. G. Michelson and B. Schmauss, "Two dimensional mapping of the perfusion of the retina and optic nerve head," Br J Ophthalmol, vol. 79, pp. 1126-32,1995. G. Michelson, B. Schmauss, M.J. Langhans, J. Harazny, and M.J. Groh, "Principle, validity, and reliability of scanning laser Doppler flowmetry," J Glaucoma, vol. 5, pp. 99-105,1996. Chapter 2 OCT Theory 2.1 The Michelson Interferometer Consider the schematic of the Michelson interferometer shown in Figure 2-1. An input optical wave generated from the light source is divided by a beamsplitter into reference and sample beams. Waves reflected from the reference and sample mirrors recombine at the same beamsplitter and produce an output incident on the detector. The sample and reference mirror are positioned Is and IR from the beamsplitter, respectively. Assuming a monochromatic light source, the electric field at the detector can be given by: E=ER +Es (2.1) where ER and Es are the monochromatic electric field components from the reference and sample arms. The fields may be expressed by: ER = ARe - j 2 kRlR and Es = As e - j 2ks's (2.2) Where k is the propagation constant. AR and As are the amplitudes of the light reflected from the reference and sample mirrors. The round trip propagation of the waves to and from the sample and reference mirror generates the factor of two multiplying the phase constants. J lR,ER ple ER+ Es Detector Figure 2-1. The Michelson interferometer. In general, the photo electron density I at the detector is given by: =7e ER +Es. (2.3) 2r0 ha where 77 is the detector quantum efficiency, e is the electronic charge, hw is the photon energy, and 770 is the intrinsic impedance of free space. For monochromatic fields, equation (2.3) can be rewritten as I27e [IAR 2+ AS 2 2 ReEE DC int (2.4) The intensity returned from the sample arm is usually small compared with the intensity from the reference arm. Therefore, the term describing the variation of photocurrent with positions, lint , can be obtained by subtracting the intensity AR intensity As 2 from the sample arm: 2 from the reference arm and ignoring the i,oc ReERE} (2.5) ( By substituting ER and Es with equation (2.2), lint oc ARAs cos(2 kRls - 2 kslR) (2.6) In free space, the propagation constants are equal for both the reference and sample fields, giving kn = k 3 = 2 (2.7) and 2cARA cos( 2Al) s Ii., cCARAs cos(-. 2A) (2.8) 1% where Al = ls -lR is the mismatch in distance between the reference arm and sample arm beam paths. Since all of the interference information is contained in the cross-spectral term Re EREE s , subsequent analysis will focus on calculating this term only. 2.2 Time Domain Interferometer with Low-Coherence Light A low-coherence light source consists of a finite bandwidth of frequencies corresponding to different wavelengths. Therefore, the reference and sample arm electric fields can be written as functions of wavelength: ' ")1L ER (o) = AR (o)e-i2 kR() /R and EL (o)= AL (o)e-j2kL( (2.9) For time domain OCT, the interference signal at the photodetector is the sum of the interference from all frequecies: ER (o)Es (c) do = Re Iint oc Re (2.10) S(o)e jA¢(,)doe where S(co) =AR(c)As (o) (2.11) and Af(ao) = 2kR (o)l s . (2.12) - 2k s (co)lR Assume that the sample and reference arms consist of non-dispersive material, and equal propagation constants kR(c) = ks(c) = k(oo) +k'(co)(co-coo) . bandlimited light source S(wc-co ) is centered at ao frequency. The spectrum of the The phase mismatch in equation (2.12) can be rewritten as Aq(co) = k(Co) -2A1 + k'(c)(Co)- (2.13) o). 2AI The interference signal becomes: int oc Re e- j k(' o)2A' S(w - - j k '( )( o)e w -o) - °2 l d( 2- ) This shows that the interference signal consists of a carrier and an envelope wave. e- jk (o)- ' 2 Al represents the carrier wave with fast oscillation. S(co - c)e -CoO -j k'((o)(coo)- 2 AI d ( - too) 2; (2.14) The term The slowly varying envelope determines the axial point spread function of the interferometer is the inverse Fourier transform of the source power spectrum S(o - co) . This is also a statement of the Wiener-Khinchin theorem. In time domain optical coherence tomography (OCT), the width of the envelope sets the axial resolution of the imaging system. To generate an image, the sample arm focus is scanned laterally at a fixed depth in the sample and the reference arm path length is varied at high speed. Interference signals are generated when the path length difference between light scattering from planes in the sample and the position of the reference arm mirror is within the coherence length of the light source. Assuming that the light source has a Gaussian power spectral density S(o - co) = -e 2a.2' where 2a,,is the standard deviation power spectral bandwidth, equation (2.14) becomes: int xc Re e '2A =e e- j k(%)o) 2 The interference signal oscillates with k(oo).-2Al. reference and sample arm length Al. 2 (2.15) cos(k(co) 2Al) The envelope falls quickly with mismatched The full width at half maximum (FWHM) of the interference signal in a free space interferometer, where 1/k'(coo)= c, can be shown to be related to the center wavelength and spectral FWHM as A 21n2 202 (2.16) AlFwHM = where A2 is the FWHM bandwidth and4 is the center wavelength of the light source. This gives the resolution of time domain OCT in terms of wavelength and bandwidth. For a general non-Gaussian spectrum, the coherence length can be evaluated by determining the FWHM of its Fourier transformation. Compared to the Gaussian spectrum, non-Gaussian spectra will produce broader point spread functions giving worse resolution. Generation of sidelobes by non-Gaussian sources can also be a problem for low-coherence interferometry applications. 2.3 Spectral / Fourier Domain OCT In spectral / Fourier domain OCT, the interference signal is detected by a spectrometer using a high-speed multi-element CCD or a photodiode array detector. The delay and magnitude of the optical reflections from the sample can be detected by Fourier transforming the spectral interference signal. spectral / Fourier domain OCT enables reconstructing the depth resolved scattering profile at a certain point on the sample from a modulation of the optical spectrum caused by interference of light beams. In spectral / Fourier domain OCT, the time averaged photoelectron density I at the CCD detector is given by: I =q()+T R 2l + A, 0(c) 2 + 2 ReI Es (co)ER(w)c = DC+ it (2.17) Therefore, the interference signal can be written as: oc Re ER (o)E (w)* = Re (S(w)e-jA } where S(c) = AR((w)As (co) and A (w) = 2kR ()lR - 2ks (w)ls . Note the differences with equations (2.4) and (2.10). This is due to the fact that CCD detectors collect photoelectron int (2.18) charges during the exposure time T whereas PIN photo detectors register the continuous photoelectron current. Also, the spectral detection method detects the spectrum of the interference light, while the photodiode in the time domain detects the sum of all light frequencies. The total field from the sample arm is assumed to be composed of a superposition of fields generated by reflections from different delays or depths. intoc Re ER (W) n Es,n (w)* = Re Equation (2.18) thus becomes: n S,(w)e-JA ) (2.19) with (2.20) S ())= AR ,()AS, (0) and . (2.21) A&0 (o) = 2kR (o)lR - 2ks (o)1s,n If the sample and reference arms consist of kR (o) = ks (w) = k(c) = k(o) + k'(co)(o - co) and 1/k'(o) = c . non-dispersive material The phase mismatch in equation (2.21) can be rewritten as A, (O) = k(coo) . 2Al. + k '(o)( - o)-2Al, = where Al, = s,n -1R, and O,(Al,) C + (D,(Al,) is the co independent constant phase term. (2.22) Therefore, equation (2.19) can be rewritten as: in Y-"S,(0)cos( 2 A t i - . +2(Al))) (2.23) The mismatch of distance between the reference and sample arms can be obtained by calculating the inverse Fourier transform of equation (2.23): I = FAssume that parameters depth-independent. {Iint ()} oc e-in"(A)G (z) ®S(z ± 2Al, ) (2.24) such as dispersion and the spectral transfer function are The resolution of spectral / Fourier domain OCT is therefore determined by G, (z)= S, (co) -- , linked to the Wiener-Khinchin theorem. Notice the resolution is same for time domain and spectral / Fourier domain OCT. Also notice the "mirror images" expressed by 8(z ± Al). The total number of pixels carrying unique information about the axial scan is reduced by a factor of two, because the Fourier transform of the real spectrum has conjugate symmetry about the zero delay.1 =L S(CqCo" 2r Assuming that the light source has a Gaussian power spectral density the resolution is given by AlFWM =- 21n2 S(-)= -- 0 A02 ;rAA, as shown in section 2.2. 2r2 S(m) = . e (c) F-1 {S(co)} 2A1) F-' {cos(k(co) -2A1)} F-1 I I I• AlFWHM 2 In 2 I ,0 2 A Figure 2-2. Inverse Fourier transformation of lint . The inverse Fourier transform of the Gaussian envelope S(co) is the pointspread function, and therefore determines the resolution. On the other hand, the cosine term holds information on the path length difference Al. (Wo-W• 0 )2 2,T,, 2 2.3.1 Measurement Range In spectral / Fourier domain OCT, the multi-element CCD or a photodiode array detector in the spectrometer has a limited bandwidth or spectral range AA. If AA is too small and the full spectrum is not imaged onto the CCD or detector, the axial resolution will be worse than the theoretical value set by (2.16). If AA is too large, the axial measurement range is reduced while the axial resolution remains the theoretical value. Therefore, AA must be chosen so that the optimal resolution in (2.16) is achieved without compromising the axial measurement range. The measurement range in spectral / Fourier domain OCT depends on the spectral resolution of the spectrometer. Assume that the number of sampling points N is given by the number of CCD pixels. The path length differences in the sample are found by calculating the numerical Fourier transform (FFT) of the measured signal. 1 2,rAA According to the Nyquist sampling theorem, the minimal detectable frequency Akin - N c)22 From equation (2.16), this corresponds to a maximum path difference Alax-1 2 N 4 AA (2.25) In order to resolve two reflections separated by Az, the axial pixel spacing should be no less than . Thus, the spectrometer must have a bandwidth or spectral range of 2Az" 2 (2.26) By combining equations (2.25) and (2.26), the axial measurement range over which reflected signals can be measured is Aln2,=I 2 N Alm x- 2x (2.27) This equation shows that, for a given source bandwidth, the axial scan range is limited by the number of pixels, if optimal resolution is to be achieved. 2 2.3.2 Spectrometer Roll-off In practice, a significant weakness of spectral / Fourier domain OCT is the depth dependent signal drop. The spectrometer enables special separation of light with different k(x) , where x denotes a spatial coordinate corresponding to the distribution of the photo-sensitive elements of the detector. A diffraction grating followed by a lens and CCD array is usually used, which obtains a spectrum evenly sampled in wavelength instead of frequency co : x c iZc A 21r k(x) oc x (2.28) Since the interference signal is encoded in frequencies of k dependent spectral fringes as in equation, partial aliasing could occur. The high frequencies of the interference signal are sampled more sparsely sampled than the low frequencies. This means that high frequencies could be aliased in part of the spectrum while the rest of the signal can remain within the Nyquist limit. The rectangular characteristic of pixels also results in a suppression of amplitudes of high frequency components of the interference signal. Since the spectrum is averaged within a single pixel, the interference signal is convolved with the rect function single pixel of the CCD with width 5x. ,,x/2 (x) representing a After the Fourier transform, the rect function becomes a sinc function which is related to the decrease of interference signal visibility as a function of increasing modulation frequency. An illustration is shown in figure 2-3. ix/2W t I Fx 1K1 Figure 2-3. _ Spectrometer roll-off due to spectrometer rectangular characteristic of CCD pixel. The green line shows the effect of integration within pixel width Sx . Other factors suppressing the high frequency components of the interference signal are the electronic pixel crosstalk and finite focal spot size. The charge from a particular pixel is spread over the neighboring pixels, which causes degradation of the spectrometer resolution. When the focal spot size is bigger than the pixel width, the visibility of the interference signal also decreases. 3-5 2.3.3 Dispersion Compensation Dispersion causes different frequencies to propagate with nonlinearly related velocities dependent on the propagation constants for materials. broaden without proper dispersion compensation. In ultrafast lasers, a short pulse will In OCT, the interferometric autocorrelation will also broaden if there is dispersion mismatch between the reference and sample arms. Therefore, the dispersion mismatch between the two arms must be compensated to achieve optimal resolution. The propagation constant k(co) can be expanded as a Taylor series near the center frequency of the light source co : k(w) = k(o)+ k '(coo)(co- o)+ 2 (co -Coo)2 + " 6 (C - Co) 3 +... (2.29) The constant term k(co0) is the propagation constant at the center frequency co. In ultrafast optics, this corresponds to the phase delay of the carrier at cw passing through a material with propagation constant k(wo0). The second term k'(co0) is the inverse group velocity. This determines the group delay, or the temporal delay of a pulse passing through a medium with a propagation constant varying linearly as a function of frequency. Higher order terms in the Taylor expansion result in broadening of the point spread function and loss of resolution. The third term in function (2.29) describes the group velocity dispersion or a variation in group velocity with frequency. This is the term that produces pulse broadening in femtosecond optics and broadening of the axial resolution in OCT. The fourth term has been referred to as third-order dispersion, which produces asymmetric pulse distortion in femtosecond optics and asymmetric distortion of the point spread function in OCT. Higher order terms may also be present. Equation (2.23) can be rewritten as int oc , S n )cos(2+ , C (2.30) (o,Al,)) The phase term D,(w, Al,) incorporates all non-linear components of the phase in o, as well as any constant ( w independent) phase. As the above equations show, the combination of dispersion and recalibration errors results in two types of phase terms to compensate. depth dependent ( Al, dependant) phase error. One is a The other is a depth independent ( Al independent) phase error. In most OCT imaging applications, the axial range Al. over which imaging is performed is short. For spectral / Fourier domain OCT, the axial range Al.m is limited by the number of pixels. In scattering tissues, the imaging depth is further limited by optical scattering and absorption. Therefore, variation of dispersion over the axial image range is usually negligible, and dispersion is predominantly caused by fixed material in front of the axial imaging range. Because the frequency-dependent phase distortion is the same for all depths in one axial scan, the dispersion is not depth dependent, giving D, (co, Al) = ', ()o). In spectral / Fourier domain OCT, dispersion compensation can be performed by canceling the frequency-dependent nonlinear phase, which arises from the dispersion mismatch between the two arms of the interferometer. Since the interference signal from the spectrometer is a real function, a Hilbert transform can be used to generate the imaginary part of the complex analytic signal Im lint }. Note that this is not equivalent to acquiring the complex interference signal directly, since the number of pixels carrying unique information about the axial measurement is reduced by a factor of two from the number of pixels in the spectrum. The real and imaginary parts of the interference signal are used to construct the complex analytic representation of the spectral fringe pattern. The phase of the complex analytic signal is then modified by adding a phase correction to compensate for dispersion: 6(0) = 2 o- )0 2 a 3 (o - 0) 3 (2.31) The coefficient -a 2 is adjusted to cancel the group velocity dispersion imbalance (second-order term) and -a 3 is adjusted to cancel the third-order dispersion imbalance (third-order term). This method may be generalized to higher orders; however, compensation to third-order is usually sufficient, assuming that the interferometer arms were approximately dispersion matched initially. Finally, the corrected spectrum is Fourier transformed to obtain the axial depth scan. If the appropriate phase correction has been applied, this new axial depth scan is compensated for dispersion mismatch between the interferometer arms and it has optimum axial resolution.6 2.3.4 Doppler OCT Doppler OCT can provide information on flow as well as wavelength scale thickness variations and displacements in samples and tissues in the axial direction. Doppler flow is measured by performing multiple axial scans at or near the same transverse position and extracting and comparing the relative interferometric phases of sequential scans. layer has distance mismatch Al, and velocity v. Assume that a reflective Reexamine equation (2.22) using Al, + vr, where r is the time period between measurements and vr << Al,, A = 2(Al, A + Vr) ) C •- (,(A,) = 2Al 2 n .co + 4:vt 4z- +( ,(AlJ)= 2A/n .m + f (v)+n(Al,) C A c (2.32) The calculated distance mismatch between the reference and sample arm at the same position sequential in time can be written as: I= {Int (c)}Icc IF' e-' (Al"")-",,(V)G (z) S (z +2Al ) (2.33) n Notice the additional phase term ,n(v) compared with equation (2.24). In spectral / Fourier domain OCT, the phase of the interferometric signal is directly accessible. The phase data can be used to provide quantitative sub-wavelength measurements of optical path variations within a sample, or to obtain highly sensitive Doppler flow information. Flow velocity in the direction parallel to the axial OCT probe beam is calculated by (2.34) v(z) = A(D(z)2 4nt where AcD(z) is the phase difference between the same transverse position of adjacent scans, A is the center wavelength, r is the time difference between adjacent scans.7 '8 2.4 Noise and Sensitivity The minimum detectable reflectivityRs,min, yielding a signal power equal to the noise of the system, is an important feature of an OCT instrument. Sensitivity S is defined as the ratio of the signal power detected from a perfectly reflecting mirror (R = 1) and that detected from Rs,min. The signal powers are proportional to the corresponding reflectivities giving: S= SNR where SNR isthe signain-to-noise ratio. where SNR is the signal-to-noise ratio.' (2.35) The dominating noise sources in OCT are shot noise, excess intensity noise, and receiver noise. Optimal sensitivity is achieved when the sensitivity is shot noise limited. This occurs when the shot noise dominates all other sources of noise. 2.4.1 Shot Noise Limit Photon shot noise is the noise associated with the random arrival of photons at a detector. The time between photon arrivals is governed by Poisson statistics. The number of detected photoelectrons in a time interval T is given by the following distribution: p(n) = n" exp(-n) (2.36) n! where n is the number of detected photoelectrons, and n is the expected number of detected photoelectrons or mean photon count. In spectral / Fourier domain OCT, The expected number of detected photoelectrons on a N pixel CCD array is given by the average photoelectron density: n- (2.37) DC N Because the variance of a Poisson process is equal to its mean, hot = ni, the number of photons detected is linearly related to the accuracy of detection."' 2.4.2 Excess Intensity noise In the case of partially coherent light, fluctuations in optical power / intensity are random. variance of the photon number has two contributions. The One component results from the association of particles with power or intensity, or Poisson noise. The second component is from fluctuations in the classical power or intensity caused by beats between the various randomly phased Fourier components making up the linewidth. Therefore, an2 2t + 2ess (2.38) where the variance includes an excess noise component. ecess In spectral / Fourier domain OCT, is given as: (1+ 2) 2 es = 2T 2 hN (PRRR +PRS )2 N 11 (2.39) AVeff where Hl is the degree of polarization and Avef is the effective spectral linewidth.3 2.4.3 Receiver Noise The CCD receiver noise consists of dark current noise, thermal noise, and flicker noise. For a given readout configuration and speed, these noise sources are independent of the signal level. Dark current is the result of imperfections in the depleted bulk region of the silicon or the silicon-silicon dioxide interface. This can be minimized by cooling the CCD. Dark current non-uniformity results from the fact that different pixels generate different amounts of dark current. This noise can be eliminated by subtracting a reference frame. However, the dark current shot noise remains a problem. Thermal noise is independent of frequency and has temperature dependence. It fundamentally originates in the thermal movement of atoms. Flicker noise or 1/f noise is strongly dependent on frequency. The read noise and dark noise in the CCD camera can be estimated by blocking optical power from the interferometer to the spectrometer. In this case, the variance e2 of each pixel can be measured over time. 3 2.4.4 Sensitivity By rewriting equation (2.17) into I = IDC + lint = 2h[TPRRR + Ps R s + 2PRRRPsR s cos(2kAl)] (2.40) where P, and Ps are the output power in the reference and sample arms, RR and Rs are reflectivities of the reference and sample mirror. Taking total noise 2,,s = C, + e+ee into account, the SNR of a spectral / Fourier domain OCT system is given as: where the factor of - 2 (2.41) N SNR 20"noise is due to the DFT, which also could be understood from the fact that N pixels improve the sensitivity; however, redundant data is generated for positive and negative sample displacements, decreasing the improvement by a factor of 2. For shot noise limited detection, where aO se = 0,3 ho,,, and assuming the reference arm intensity is much larger than the sample arm, i.e. RR >> Rs , the SNR can be written as: ( T 2PRRRPsRs ) SNR = N 2ho i7T 2 =N 2hA PRRR IT PsRs 2hos (2.42) Therefore, the sensitivity S of a spectral / Fourier domain OCT system may be written as: S =N (2.43) T Ps 2heo SNR=I 2.4.5 Dynamic Range In spectral / Fourier domain OCT setups, the detector records the sum of the DC background with the interference signal. The dynamic range DR is defined as the ratio of the maximum to the minimum measurable photocurrent power or the maximum measurable signal to noise ratio: DR = Pm = SNR Revisiting equation (2.41), the dynamic range can be written as: (2.44) ( "RT) 2PRRPsm DR = If we assume that P,,f = yP,,, where 0 <y <1 and (2.45) mx 2ro sa N T PR 1iT PRRR 2heo 2 , = Ps,mx +PR + 2 Ps,PR. Hence, the maximum sample arm power is given by:" 2 Ps,max =a(1) sat (I+y-2 Y) (2.46) And equation (2.45) can be rewritten as: DR= T Pt N ( + - 2 2hc ' ) (2.47) (2.47) 2.4.6 Doppler Range and Sensitivity In a shot-noise limited spectral / Fourier domain OCT system, phase noise is generated by the random phase of the shot noise. The shot noise limited phase stability is limited by the phase angle Sy•,s between Isignal and I= signal + 'noise as shown in figure 2-4. The phase angle can be written as rsIg-na+ise -sin' os I/sens = tan 1 where 'signal Frand a 'noise Isin f.rand is the random phase of the shot noise with respect to Isignal. >> lnoisel, " si the value of 68ysns < I no I- I'signal I 1 NR (2.48) If it is assumed that The minimum observable flow is limited only by the phase noise on each individual point. On the other hand, the maximum detectable flow before phase wrapping occurs corresponds to ±;r phase shifts. 8,12 2;r ambiguity arises when the phase difference is larger than ;r, resulting in a sign change and incorrect measurement of flow. unwrapping. This could be corrected by phase However, the accuracy of phase unwrapping is effected by phase noise. Imaginary sin Vkrand :oS Vrand Real Figure 2-4. Phase stability of spectral / Fourier domain OCT. The rotation of I caused by Inoise defines the phase noise. References 1. 2. 3. 4. 5. 6. 7. M. Wojtkowski, A. Kowalczyk, R. Leitgeb, and A.F. Fercher, "Full range complex spectral optical coherence tomography technique in eye imaging," Optics Letters, vol. 27, pp. 1415-17,2002. M. Wojtkowski, R. Leitgeb, A. Kowalczyk, T. Bajraszewski, and A.F. Fercher, "In vivo human retinal imaging by Fourier domain optical coherence tomography," Journal of Biomedical Optics, vol. 7, pp. 457-463,2002. R. Leitgeb, C.K. Hitzenberger, and A.F. Fercher, "Performance of Fourier domain vs. time domain optical coherence tomography," Optics Express, vol. 11, pp. 889-894,2003. N. Nassif, B. Cense, B.H. Park, S.H. Yun, T.C. Chen, B.E. Bouma, GJ. Tearney, and J.F. de Boer, "In vivo human retinal imaging by ultrahigh-speed spectral domain optical coherence tomography," Opt Lett, vol. 29, pp. 480-2,2004. T. Bajraszewski, M. Wojtkowski, M. Szkulmowski, A. Szkulmowska, R. Huber, and A. Kowalczyk, "Improved spectral optical coherence tomography using optical frequency comb," Opt Express, vol. 16, pp. 4163-76,2008. M. Wojtkowski, V.J. Srinivasan, T.H. Ko, J.G Fujimoto, A. Kowalczyk, and J.S. Duker, "Ultrahigh-resolution, high-speed, Fourier domain optical coherence tomography and methods for dispersion compensation," Optics Express, vol. 12, pp. 2404-2422,2004. R.A. Leitgeb, L. Schmetterer, W. Drexler, A.F. Fercher, R.J. Zawadzki, and T. Bajraszewski, "Real-time assessment of retinal blood flow with ultrafast acquisition by color Doppler Fourier domain optical coherence tomography," Optics Express, vol. 11, pp. 8. 9. 10. 11. 12. 3116-3121,2003. R.A. Leitgeb, L. Schmetterer, C.K. Hitzenberger, A.F. Fercher, F. Berisha, M. Wojtkowski, and T. Bajraszewski, "Real-time measurement of in vitro flow by Fourier-domain color Doppler optical coherence tomography," Opt Lett, vol. 29, pp. 171-3,2004. A.F. Fercher, W. Drexler, C.K. Hitzenberger, and T. Lasser, "Optical coherence tomography-principles and applications," Reports on Progress in Physics, vol. 66, pp. 239-303,2003. J.F. de Boer, B. Cense, B.H. Park, M.C. Pierce, G.J. Tearney, and B.E. Bouma, "Improved signal-to-noise ratio in spectral-domain compared with time-domain optical coherence tomography," Optics Letters, vol. 28, pp. 2067-2069,2003. R.A. Leitgeb, W. Drexler, A. Unterhuber, B. Hermann, T. Bajraszewski, T. Le, A. Stingl, and A.F. Fercher, "Ultrahigh resolution Fourier domain optical coherence tomography," Optics Express, vol. 12, pp. 2156-2165,2004. M.A. Choma, A.K. Ellerbee, S. Yazdanfar, and J.A. Izatt, "Doppler flow imaging of cytoplasmic streaming using spectral domain phase microscopy," Journal of Biomedical Optics, vol. 11, pp. -,2006. Chapter 3 Pre-Objective Scanning Small Animal OCT System 3.1 Overview Figure 3-1 shows a schematic of the OCT system with pre-objective scanning and spectral / Fourier domain detection for small animal retina imaging. Low coherence light is split equally into reference and sample arm paths by a fiber optic coupler. The reference arm light passes through glass for dispersion compensation. The sample is illuminated through a scanning microscope. In this design, the galvanometer scanners are placed after the collimating lens and before the focusing microscope objective. Polarization controllers in both sample and reference arms ensure electric field alignment for maximum interference. detected with a CCD camera spectrometer. The interference signal is Glass Density Block Filter rreor nor river uoupier Collimating ctive Figure 3-1. Schematic of high-speed ultrahigh resolution OCT system with a pre-objective scanning microscope design for small animal retina imaging. 3.2 Spectrometer Design Figure 3-2 shows a schematic of the CCD camera spectrometer design. The spectrometer consists of a 1200 lp/mm diffraction grating and a 12 bit, 28 kHz, 2048 pixel high speed CCD linescan camera with 141tm pixel size (Atmel Aviiva M2 2014). This design yields a theoretical detection bandwidth of 209nm on the spectrometer. A 35mm focal length near infrared barrel lens (Schneider Optics) is used to collimate the light from the fiber, and a 100mm focal length f-theta lenses (Sill Optics) is used to focus the light after a grating onto the linescan camera. The spot size on the CCD detector is therefore -17.5tnm. Assuming that the spectrometer is centered at 890nm, the theoretical imaging range is 1.94mm. Der 'era Collimating Objective Figure 3-2. Schematic of CCD camera spectrometer. diffracted with a transmission grating. Light is collimated and The diffracted light is finally focused by the f-theta lens onto the CCD array of the linescan camera. 3.3 Light Source OCT requires spatially coherent and temporally incoherent light. A spatially incoherent source such as a light emitting diode generally emits light into a large number of modes, which prevents efficient coupling to a single mode fiber. For temporally incoherent light, it is important to achieve emission into a spatial mode. A modelocked short pulse laser is temporally incoherent and emits spatially coherent light with a single transverse spatial mode. Femtosecond laser technology provides high-power, broad-bandwidth sources ideal for OCT.1-3 Short pulse lasers provide bandwidth inversely proportional to the pulse duration. Femtosecond lasers can generate bandwidths of hundreds of nanometers can be achieved with 50 - 100mW or more of output power. An alternative approach to achieving broadband high power emission into a single spatial mode is the superluminescent diode (SLD).4 The SLD is presently the most popular light source in OCT since it provides turnkey operation in a variety of environments. SLDs emit light through amplified spontaneous emission and achieve broadband high power emission. operation is achieved by a waveguide through the active region. Single mode Typically SLDs have high optical gain and must be carefully protected against optical feedback. Small reflections at the output facets of the SLD could result in parasitic Fabry-Perot modulation in the output spectrum or can cause damage to the device. In the pre-objective scanning small animal OCT system, a multiplexed, two superluminescent diode light source (Broadlighter D890, Superlum Diodes, Ltd.) with bandwidth BW = 145 nm, center wavelength Xc = 890 nm was used. The theoretical resolution calculated for the light source is approximately 2.4#m in air or 1.8/m in tissue. Figure 3-3 shows the spectrum measured from the output of the light source using an optical spectrum analyzer. Spectrum 1 ' Id > c 0.9 0.8 0.7 0.6 0.5 0.4 0.3 0.2 0.1 A 750 Figure 3-3. 800 850 900 950 wavelength (nm) 1000 Spectrum measured from Broadlighter D890. Xc is 890 nm with bandwidth BW 145 nm. 1050 Center wavelength 3.4 Interferometer A Michelson interferometer configuration with 50/50 coupling is implemented. The interferometer uses 800nm single mode fiber with 5.51im core diameter, 1251im cladding diameter with numerical aperture 0.14. Polarization controllers are used in both sample and reference arms. Flat spectral transmission curves in the circulator and the couplers are optimal for the interferometer to avoid distortion of the spectra interfering at the detector. transmission measurement of the coupler is shown in figure 3-4. The spectral The plot displays the output spectrum normalized by the input spectrum. 850nm Fiber Coupler Transfer Function 0.9 0.8 0 0.7 C 0.6 S0.5 . 0.4 0 0.3 0.2 0.1 700 750 800 850 900 950 1000 1050 1100 wavelength (nm) Figure 3-4. system. Spectral transmission measurement for 850nm fiber coupler used in Measurements made with ANDO AQ-4303B white light source. Interference only occurs between fields of the parallel polarization. Birefringence in the optics, fiber, and the sample can misalign the reference and sample arm electric fields. Polarization paddle controllers introduce stress-induced birefringence to alter polarization state. X/4:X/2:X/4 configuration for the center wavelength is used. A The paddles in the reference and sample arms are set to optimize the incident power onto the sample and interference signal. 3.5 Sample Arm Optics Figure 3-5 shows a schematic of the sample arm optics. In the sample arm of the OCT imaging system, light from the fiber is collimated by a 20mm focal length near infrared doublet lens. The collimated beam is then scanned with a pair of 6mm galvanometer-actuated mirrors (6215H; Cambridge Technology, Cambridge, MA). A long-working-distance microscope objective (M Plan 5X; Mitutoyo, Paramus, NJ) refocuses the beam. The objective has a 4cm working distance, providing enough space between the animal eye and the sample arm optics for adjustment of the animal position. This design has -2141im depth of focus, and yields a -~114m spot on the sample. The spot size is an important parameter for Doppler OCT measurements. Each axial scan must overlap adjacent axial scans by at least half the spot size in order to obtain Doppler OCT information. Finally, the measured power transmission in the sample arm is -65% single pass or -42% double pass. Collimatina OCT Fiber Optic D1 =5.5um Scanning Mirror(s) Mouse Retina 11um ONC 20mm 7mm 40mm Figure 3-5. Detail schematic of pre-objective scanning microscope design. Compared to post-objective scanning, pre-objective scanning fully utilizes the long working distance of the objective providing more room to adjust the animal's position for allignmnet. There are several alignment procedures which must be performed in order to obtain OCT images. The OCT beam must be directed through the animal's pupil while scanning range is limited by vignetting of the OCT beam on the pupil. In order to achieve maximum scanning range, the animal must be dilated. Therefore, mydriatic imaging yields better results. The OCT beam must be focused on the retina to obtain an acceptable signal level. Finally, the axial range, known as the "Z-offset," must be adjusted so that the retina is within the measurement range. The small animal eye presents strong aberrations due to their small size and short focal length. By pressing a flat microscope cover glass and Hydroxypropyl methylcellulose (Goniosol, 2.5%) over the animal eye, refraction from the interface at the cornea can be effectively removed leaving only the weaker refraction from the lens. This enables the OCT beam to be focused directly on the retina avoiding aberrations and irregularities from the cornea while keeping the cornea hydrated.5' 6 3.6 Image Acquisition and Processing The image acquisition is controlled by a personal computer configured with a Horizon Link i2s Line Scan Imaging Capture Board and a National Instruments PCI-6731 High-Speed Analog Output. The imaging capture board controls the CCD camera and streams the captured images to computer memory. The analog output provides drive signals to the galvanometer controller cards and triggering for the CCD camera. Real-time images are created for alignment using Windows based LabVIEW software. The LabVIEW software used for the system was created by Dr. Iwona Gorczynska, a Research Associate in our group and dlls for the software were written in C by Vivek Srinivasan, a senior PhD student in our group. The software displays a 512 axial scan X-direction and a 512 axial scan Y-direction image or a 100x100 pixel OCT fundus image real time. The software also provides a variety of scan protocols and the ability to create custom scan protocols. There are several scan protocols commonly used for murine retinal imaging, illustrated in figure 3-6. The first protocol acquires a set of three high-definition OCT images with 8192 axial scans per image in -0.3 seconds per image or a total of -0.9 seconds. The second protocol acquires 21 high-definition images with 2048 axial scans per image in a raster pattern in -0.07 seconds per image or a total of -1.4 seconds. The third protocol acquires three-dimensional OCT (3D-OCT) data in a dense raster pattern consisting of 180 images with 512 axial scans per image in a total of -4 seconds. The three-dimensional OCT (3D-OCT) dataset may be used for applications such as rendering, OCT fundus image generation, and mapping. In order to obtain Doppler OCT information, each transverse spot must be sampled at least twice. Therefore, it is spot size for important that adjacent axial scans do not separate more than half the transverse data for Doppler OCT imaging. Oversampling in the transverse direction yields more averaging and other signal processing techniques, but decreases the imaging area in given amount of time. Figure 3-6. OCT imaging protocols. This scan consists of 3 (A) Long scan. high-definition cross-sectional images with 8192 axial scans. (B) 2D scan. This scan consists of 21 cross-sectional images with 2048 axial scans. (C) 3D scan. This scan consists of 180 cross-sectional images with 512 axial scans. Spectral / Fourier domain OCT samples a spectrally dispersed light intensity uniformly along a spatial dimension defined by the orientation of the CCD camera in the spectrometer. Typically, it is assumed that the spatial dimension x is approximately linearly proportional to wavelength X. In order to apply the discrete Fourier transform (DFT) to reconstruct the axial scan as a function of z, samples evenly spaced in frequency c must be obtained by a scale However, there may be other effects which can complicate the scale transformation such as the nonlinear angular dispersion of the grating and the deviation of the scan lens in the spectrometer from the f-theta condition. Therefore, the required scale transformation. transformation may deviate from the ideal hyperbolic scale transformation. A general representation for the w(x) measured by the spectrometer can be given by a Taylor expansion: W(x)= ao +ax+ax2 + a3x3 +... (3.1) Using this expression for co it is possible to rewrite the expression for the phase corresponding to an isolated reflection with a path difference Al,: + Alon(x) I(x, Al,) = cdisp (p(x)) (3.2) As equations (3.1) and (3.2) show, nonlinear sampling is equivalent to a depth dependent dispersion. This dispersion will increase with increasing depth, and will therefore be most prominent for large axial delays. In order to correct for nonlinear sampling in co, resampling is necessary. The measured data is resampled using spline interpolation to obtain samples equally spaced in frequency, followed by a digital Fourier transform (FFT) to reconstruct the axial scan. The nonlinear sampling may not always be invertible as aliasing may occur at larger path length delays. Since aliasing represents a loss of information, it may not be possible to accurately reconstruct the axial scan at larger path length delays. This is one of the reasons behind spectrometer roll-off, as described in chapter I2. 79 In OCT, the Fourier transform of the detected interference spectrum yields the axial point spread function. The axial resolution is determined by the full-width at half-maximum of the point spread function. The detected interference spectrum, which is affected by the light source, spectral changes in the reference and sample arms, and detector sensitivity, determines the point spread function. A Gaussian spectrum is ideal for OCT since sidelobes in the point spread function are minimized. Typically, the spectrum of light sources used for OCT has a non-Gaussian shape. non-Gaussian spectrum yields sidelobes that degrade the resolution. A Sidelobes are tolerable up to the dynamic range of the sample measured. Therefore, spectral shaping may be required to minimize point spread function sidelobes and achieve optimal resolution as illustrated in figure 3-7. However, spectral shaping always results in a reduction in sensitivity and signal-to-noise ratio. Spectral shaping represents a tradeoff between optimizing point spread function shape and minimizing degradation of the signal to noise ratio."0 0.9 0.8 0.7 E 0.6 S0.5 C,, 0.4 E 0.3 0.2 0.1 cn c 0u 800 1000 950 900 850 -0.03 Wavelength (nm) Figure 3-7. -0.02uz -0.01 u u.u0 u.uI Mirror Displacement (mm) Spectral correction and point spread function. The measured spectrum and calculated point spread function with noticeable sidelobes are shown in red. The reshaped spectrum and corresponding point spread function with suppressed sidelobes are shown in blue. Figure Comparison 3-8. non-compensated compensation. image. of dispersion compensated image (A) OCT image without numerical versus dispersion (B) OCT image with numerical dispersion compensation. The dispersion compensation is especially noticeable at the interfaces of retinal layers. 0.0O In figure 3-8, dispersion is compensated numerically using an iterative procedure that measures the sharpness of the image to determine the coefficients in the phase compensation equation (2.31), D(w) =-a 2(w-a ) 2 -a 3(w- 0) 3 . The sharpness metric function M(a ,a ) 2 3 measuring the concentration of energy in the image, is maximized when the image is sharpest. By varying the second- and third-order coefficients a2anda , which corresponds to adjusting 3 the group velocity dispersion and the third-order dispersion, M(a2 , a3 )can be maximized. 11 12'8 Doppler OCT is used to acquire flow or wavelength scale displacement information in the sample. The phase difference between sequential scans at or near the same transverse position can be calculated from the phase information readily available after Fourier transforming the interference signal. Hence, the depth distribution of the phase difference can be obtained. 75x70y a 13-18 2 -loo10m 0 _ý2 ,, SM .·:· · ~ ; ·:· -100m I " -100pm I Figure 3-9. OCT fundus image and color Doppler cross-sectional images. All images are generated using a 0.75x0.75mm 3D scan dataset. The OCT fundus image is generated by summation of axial pixels. The corresponding positions of the cross-sectional color Doppler images are labeled. every 1.5 /m apart. An axial scan is taken Doppler OCT measuring blood flow is shown in color scale overlaying OCT structural images presented in grayscale. 3.7 System Performance In order to obtain maximum sensitivity, dispersion in the reference and sample paths must be matched accurately. Unbalanced dispersion results in the loss of resolution. To match dispersion in the system, glass is added to the reference arm path to balance the glass in the sample arm. Large amount of glass in the microscope objective is problematic since the types of glass and thickness of the lenses are proprietary information. Therefore, an approximate matching technique is used. dispersion compensation. SFL6 and LakN22 are suitable glass types to be used for SFL6 is much more dispersive than LakN22, and together the two glass types provide a coarse and fine adjustment. or -3.1/lm in tissue as shown in figure 3-7. The resolution of the system is -4.2jtm in air Due to lower sensitivity at longer wavelengths on CCD cameras and loss in the isolator and coupler, the spectrometer is unable to detect the full spectrum from the light source. This results in a lower resolution compared with the theoretical value obtained in section 3.3 using the light source characteristics. 3.7.1 Sensitivity Measurement System sensitivity is measured with a mirror placed at the focus of the sample arm. The galvanometers in the sample arm are not scanned. The incident power on the sample arm mirror is -1.5mW. The light incident on the sample arm mirror is attenuated using an neutral density filter. The attenuation occurs in both forward and reflected light paths and should be accounted for twice. The reference arm power is also attenuated to avoid saturating the camera. The signal-to-noise is measured using the formula: SNR = 20 -log {int}peak std(F_ ({Int}noise) +2-10. O.D. (3.3) Where F1' {Jt}peak is the peak of the measured signal, F-' {Int}n,,o,is the noise floor away from the position of the sample arm mirror., and O.D. is the optical density of the filer. Using this formula, the signal-to-noise ratio for the system is measured to be 97.9dB. 3.7.2 Dynamic Range Measurement Dynamic range is measured by setting the reference and sample arm power at the levels used for imaging. The incident power on the sample arm mirror is -1.5mW. The reflected light in the sample arm is attenuated to give the maximum reflected power without saturating the CCD The dynamic range DR is measured using the formula: camera. std(IF-'{ (3.4) 1 intle The system is measured to have dynamic range 60.9dB. 3.7.3 Sensitivity Roll-Off Spectrometer roll-off is a measurement of the sensitivity drop with higher frequency interference signal or larger reference and sample arm distance mismatch as described in Chapter 2. A Measurements are performed at different reference and sample distance mismatches. decrease in the signal amplitude and increase in noise related to distance is seen in figure 3-10. 6dB drop off occurs at -0.9mm. The imaging range of the system is also measured by reading the micrometer on the reference or sample arm translation stage. The imaging range of the system is 1.95mm. d 1 0.9 i r I I ' I ,------ ----------,-------r------+-------- 0.8 -- -,_____~ ,_____~ cu0.6 ------ -----5----//--------4 -----4------ -- -- L- j___ IL------_ ____ =-30 ~-----0.5 ------- 0.3 -10 -20 ,------ E 0.4 E• ,_____~ ,------ I. . -.. --------,-----r---------1---E<-40 -50 0.2" 0.1 ik. / U0 0.2 j 0.4 -60 0.6 0.8 1 1.2 Distance in Air (mm) Figure 3-10. imaging depth. 1.4 1.6 1.8 I 0 0.2 0.4 0.6 0.8 1 1.2 Distance in Air (mm) 1.4 1.E3 Spectrometer roll-off. A measurement of sensitivity drop versus 6dB drop in signal occurs at -0.9cm in air. 1.8 3.7.4 Doppler Measurement Range The maximum absolute Doppler flow directly obtainable before 2;r phase wrapping occurs in this system will be ). 4r Since the system has speed -25,000 axial scans per second, the maximum Doppler flow corresponding to ±+r phase shift is -±5.6mm/s in air or -+4.2mm/s in tissue. The minimum phase measurable is vn (z) = deviation of phases evaluated at a mirror at rest. 4trr where A(,,t is the standard The measured phase standard deviation of the mirror with the galvanometer scanners turned off is -0.180, corresponding to a variability in longitudinal velocity of-5.61Lm/s in air or -4.21im/s in tissue. A problem in phase stability occurs due to movement of the galvanometer scanning mirrors. The instability is worse when the beam is not perfectly centered on the galvanometer scanning mirrors. However, it is not possible to center both galvanometer scanning mirrors at the back focal length of the lens; therefore there is always some path length change, even when the beams are centered on the mirrors. Consequently, movement from the scanning mirrors changes the path length, and is detectable by Doppler OCT. Jittering or resonance from scanners cause instability in Doppler phase measurements. With the galvanometer scanners turned on and held at the center position, the standard deviation of phases is measured to be -36.3'. Motion from scanning the mirrors also causes a gradual phase change along a cross sectional scans. These motion artifacts along with sample bulk motion can be corrected using an averaged-shifted histogram method with the bin width determined using the Freedman & Diaconis rule, which takes into account the interquartile range and total number of observations. 19' 20 After applying the motion correction algorithm, the measured phase standard deviation is reduced to -1.180, corresponding to a variability in longitudinal velocity of -37.5/tm/s in air or -27.4Lm/s in tissue. The phase stability remains worse when the scanners are turned on, even with motion correction. - Standard Deviation = 0.17844 ^^ 80 A 40 o 60 LI S40 .0 0 . 20 ' I • 50 -1 0 1 Phase Difference (degrees) Standard Deviation = 36.3229" n •• Standard Deviation = 1.1765" 3UU = 0 o 40 0 250 200 > 30 i S20 C 150 0 100 0 a10 50 n u 100 -100 0 Phase Difference (degrees) Figure 3-11. Phase stability measurements. 10 0 -10 Phase Difference (degrees) (A) With the galvo scanners turned off, the system maintains high phase stability. (B) With the galvo scanners on, jittering from the scanner causes significant phase variation. (C) After motion correction, phase stability improves but is still worse than having the galvos turned off. References 1. 2. 3. 4. W. Drexler, U. Morgner, F.X. Kartner, C. Pitris, S.A. Boppart, X.D. Li, E.P. Ippen, and J.G. Fujimoto, "In vivo ultrahigh-resolution optical coherence tomography," Optics Letters, vol. 24, pp. 1221-1223,1999. U. Morgner, W. Drexler, F.X. Kartner, X.D. Li, C. Pitris, E.P. Ippen, and J.G. Fujimoto, "Spectroscopic optical coherence tomography," Optics Letters, vol. 25, pp. 111-113,2000. W. Drexler, U. Morgner, R.K. Ghanta, F.X. Kdirtner, J.S. Schuman, and J.G. Fujimoto, "Ultrahigh-resolution ophthalmic optical coherence tomography," Nature Medicine, vol. 7, pp. 502-507,2001. T.H. Ko, D.C. Adler, J.G. Fujimoto, D. Mamedov, V. Prokhorov, V. Shidlovski, and S. Yakubovich, "Ultrahigh resolution optical coherence tomography imaging with a broadband superluminescent diode light source," Optics Express, vol. 12, pp. 2112-2119,2004. 5. Q. Li, A.M. Timmers, K. Hunter, C. Gonzalez-Pola, A.S. Lewin, D.H. Reitze, and W.W. Hauswirth, "Noninvasive imaging by optical coherence tomography to monitor retinal degeneration in the mouse," Investigative ophthalmology & visual science, vol. 42, pp. 6. 2981-9,2001. V.J. Srinivasan, T.H. Ko, M. Wojtkowski, M. Carvalho, A. Clermont, S.E. Bursell, Q.H. Song, J. Lem, J.S. Duker, J.S. Schuman, and J.G Fujimoto, "Noninvasive volumetric Imaging and morphometry of the rodent retina with high-speed, ultrahigh-resolution optical coherence tomography," Investigative Ophthalmology & Visual Science, vol. 47, pp. 5522-5528,2006. 7. M. Wojtkowski, R. Leitgeb, A. Kowalczyk, T. Bajraszewski, and A.F. Fercher, "In vivo human retinal imaging by Fourier domain optical coherence tomography," Journal of Biomedical Optics, vol. 7, pp. 457-463,2002. 8. 9. 10. 11. 12. 13. 14. 15. M. Wojtkowski, V.J. Srinivasan, T.H. Ko, J.G Fujimoto, A. Kowalczyk, and J.S. Duker, "Ultrahigh-resolution, high-speed, Fourier domain optical coherence tomography and methods for dispersion compensation," Optics Express, vol. 12, pp. 2404-2422,2004. T. Bajraszewski, M. Wojtkowski, M. Szkulmowski, A. Szkulmowska, R. Huber, and A. Kowalczyk, "Improved spectral optical coherence tomography using optical frequency comb," Opt Express, vol. 16, pp. 4163-76,2008. R. Tripathi, N. Nassif, J.S. Nelson, B.H. Park, and J.F. de Boer, "Spectral shaping for non-Gaussian source spectra in optical coherence tomography," Optics Letters, vol. 27, pp. 406-8,2002. B. Cense, N. Nassif, T.C. Chen, M.C. Pierce, S. Yun, B.H. Park, B. Bouma, G Tearney, and J.F. de Boer, "Ultrahigh-resolution high-speed retinal imaging using spectral-domain optical coherence tomography," Optics Express, vol. 12, pp. 2435-2447,2004. R.A. Leitgeb, W. Drexler, A. Unterhuber, B. Hermann, T. Bajraszewski, T. Le, A. Stingl, and A.F. Fercher, "Ultrahigh resolution Fourier domain optical coherence tomography," Optics Express, vol. 12, pp. 2156-2165,2004. S. Yazdanfar, A.M. Rollins, and J.A. Izatt, "Imaging and velocimetry of the human retinal circulation with color Doppler optical coherence tomography," Optics Letters, vol. 25, pp. 1448-50,2000. A.M. Rollins, S. Yazdanfar, J.K. Barton, and J.A. Izatt, "Real-time in vivo color Doppler optical coherence tomography," JournalofBiomedical Optics, vol. 7, pp. 123-9,2002. R.C. Wong, S. Yazdanfar, J.A. Izatt, M.D. Kulkami, J.K. Barton, A.J. Welch, J. Willis, and M.V. Sivak, Jr., "Visualization of subsurface blood vessels by color Doppler optical coherence tomography in rats: before and after hemostatic therapy," Gastrointestinal endoscopy, vol. 55, pp. 88-95,2002. 16. 17. 18. R.A. Leitgeb, L. Schmetterer, W. Drexler, A.F. Fercher, R.J. Zawadzki, and T. Bajraszewski, "Real-time assessment of retinal blood flow with ultrafast acquisition by color Doppler Fourier domain optical coherence tomography," Optics Express, vol. 11, pp. 3116-3121,2003. S. Yazdanfar, A.M. Rollins, and J.A. Izatt, "In vivo imaging of human retinal flow dynamics by color Doppler optical coherence tomography," Archives of ophthalmology, vol. 121, pp. 235-9,2003. R.A. Leitgeb, L. Schmetterer, C.K. Hitzenberger, A.F. Fercher, F. Berisha, M. Wojtkowski, and T. Bajraszewski, "Real-time measurement of in vitro flow by Fourier-domain color Doppler optical coherence tomography," Opt Lett, vol. 29, pp. 19. 20. 171-3,2004. B.R. White, M.C. Pierce, N. Nassif, B. Cense, B.H. Park, G.J. Teamey, B.E. Bouma, T.C. Chen, and J.F. de Boer, "In vivo dynamic human retinal blood flow imaging using ultra-high-speed spectral domain optical Doppler tomography," Optics Express, vol. 11, pp. 3490-3497,2003. S. Makita, Y. Hong, M. Yamanari, T. Yatagai, and Y. Yasuno, "Optical coherence angiography," Optics Express, vol. 14, pp. 7821-7840,2006. Chapter 4 OCT Imaging and Data Analysis 4.1 Overview The high-speed, ultrahigh resolution OCT system discussed in chapter 3 was applied for in vivo imaging of the rat retina. Section 4.2 presents background information on rodent OCT imaging. Section 4.3 presents OCT imaging of the normal rat retina with 3D visualization. describes imaging of an animal model for studies in diabetic retinopathy. Section 4.4 Section 4.5 discusses the processing and results of Doppler OCT, measuring quantitative pulsatile blood flow in a rat retinal blood vessel. All studies adhere to the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research, and all imaging procedures were performed at Massachusetts Institute of Technology facilities with a protocol approved by the MIT Committee on Animal Care. 4.2 Background The murine retina is structurally similar to the human retina. Rat and mouse models provide powerful tools for characterization of ocular disease pathogenesis and response to treatment. Therefore, non-invasive imaging technologies for measuring rat and mouse retinal structure and physiology at the micron scale could be useful tools for biomedical research on ocular disease. It makes possible monitoring disease progression through its entire course in individual animal models, enabling longitudinal studies using single animals.' Spectral / Fourier domain OCT enables high-speed ultrahigh resolution 3D imaging or volumetric imaging, offering a promising technique for rat and mouse retinal imaging.2 ,3 Previous studies have demonstrated monitoring progressive anatomical changes in the mouse retina using spectral / Fourier domain OCT.4 The short-time fast Fourier transformation method from Doppler ultrasound was first utilized to generate Doppler OCT information in time-domain OCT systems.5 -9 Phase-resolved Doppler OCT improved Doppler OCT imaging speed and sensitivity of time-domain OCT systems by using the Hilbert transform to determine phase information for each pixel so that the phase change between sequential axial scans can be used to calculate the Doppler frequency shift.'10, In spectral / Fourier domain OCT systems, the phase information is directly accessible after the Fourier transformation of the interference fringes, further improving the imaging speed and sensitivity of Doppler OCT.12-16 Recent studies have demonstrated quantification methods for ocular blood flow in humans using spectral / Fourier domain Doppler OCT systems. 17" 4.3 3D OCT Imaging of Rat Retina As a demonstration of the potential of spectral / Fourier domain OCT for in vivo rodent retinal imaging, Long-Evans rat retina was imaged. Long-Evans rats which have normal retinas were anesthetized with ketamine (40-50mg/kg IP) and xylazine (5mg/kg IP). After anesthesia, eyes were dilated with tropicamide (Mydriacy) (1%) applied topically as drops. The animals were placed in a comfortable holder with its head in a mount to reduce eye and head motion. Hydroxypropyl methylcellulose (Goniosol, 2.5%) was used to preserve corneal hydration, and a thin coverslip contact lens was gently placed on the cornea to remove curvature and enable focusing of the OCT imaging beam on the retina. The angle of incidence of the OCT beam relative to the cover slip was adjusted to minimize aberrations. With the pre-objective scanning along with a long working distance microscope design, OCT fundus images showing blood vessels and the optic nerve head can be easily obtained. 3D-OCT datasets consisting of 180 images with 512 axial scans over a 2x2mm area were obtained along with 2mm high-definition cross-sectional scans with 8196 axial scans. An OCT fundus image can be is created by summing along the axial direction to form a projection in the transverse plane. This image provides a view similar to fundus photography. In addition to examining 180 cross-sectional images individually, 3D rendering can be performed using Amira, a commercially available software platform for visualizing and manipulating 3D datasets. high-definition scan provides better visibility of retinal layers as shown in figure 4-1. The r T~ - `_f. F2x -_ ·· ii '""':' r:: ~.·~·:": _·iP' ~'- -i*-· .·kt·.:1·r Figure 4-1. OCT images from a normal Long-Evans rat. ·-3s-i· ·' n-~ s::~P (A) An OCT fundus image created by axial summation of a 3D-OCT dataset consisting of 180 images of 512 axial scans. (B-D) 512-axial-scan cross-sectional OCT images at corresponding positions. (E) High-definition OCT image cropped from a 8196-axial-scan cross-sectional image. layers is shown. Clear visualization of major retinal 3D rendering of OCT dataset. Visualization of 3D-OCT dataset, including 180 images with 512 axial scans. A projected OCT fundus photo is Figure 4-2. also shown. layers. 2 It is possible to quantitatively measure thickness between retinal 4.4 Diabetic Macular Edema Study Diabetic retinopathy is the most common diabetic eye disease and a leading cause of blindness in American adults caused by changes in the blood vessels of the retina. Currently, diabetic macular edema, which can occur at any stage of diabetic retinopathy, lacks effective treatment for preventing further vision loss. One limitation in the development of treatments for macular edema is the lack of appropriate animal models. In evaluating anti-vascular permeability agents for treatment of diabetic macular edema in humans, an animal model that exhibits quantifiable edema is desired."9 OCT is the clinical standard for quantifying diabetic macular edema in humans, and is therefore the preferred method for characterization of retinal edema in animal models. OCT imaging of normal Sprague-Dawley rat retinas was performed before and 48 hours after intavitreal injection of kallikrein. The OCT imaging procedure and protocol is same as described in section 4.3 for normal Long-Evans rats. Work in this section is done in collaboration with Allen C. Clermont of the Joslin Diabetes Center, and is a product of an ongoing collaboration between the laboratories of James G Fujimoto of the Massachusetts Institute of Technology and Edward P. Feener of the Joslin Diabetes Center. Figure 4-3 shows pre-injection and 48-hours post-injection images of the rat retina. The fundus images are acquired with a visible-light camera. The OCT cross-sectional images and OCT fundus images are obtain from the 3D-OCT dataset consisting of 180 images with 512 axial scans. Only one representative OCT cross-sectional image is selected and shown for each time point. The ripples in the OCT fundus images are due to motion artifacts caused by breathing and heartbeat. There are no observable changes from examining the fundus photo, OCT cross-sectional image, and OCT fundus image in the saline injected eye before and 48 hours after injection. The bubbles on the sides of the fundus photos are due to gaps between the coverslip and the cornea. This causes blurring on the sides of the OCT image since the curvature of the cornea is not corrected and additional aberrations are introduced. severe response is observed 48 hours after injection. In the kallikrein injected eye, Severe morphological changes including macular edema and possible hemorrhage in the retina are observed after intavitreal injection of kallikrein. This study demonstrates the ability of spectral / Fourier domain OCT to monitor morphological retinal changes in an individual animal. Fundus Photo OCT Cross-sectional OCT Fundus i P e sl Po tijcio ,s ln Figure 4-3. Comparison of pre- and 48-hours post-injection of saline and kallikrein in normal Sprague-Dawley rat retina. Severe edema occurred after kallikrein injection, while no obvious changes occurred after saline injection. vivo OCT imaging was performed in the same eyes before and after injection. In 4.5 Doppler Flow Calculation Retinal hemodynamics is important for investigating diseases such as glaucoma, 20 diabetic retinopathy,21 and age-related macular degeneration.22 Doppler OCT is a robust noninvasive in vivo technique for retinal blood flow measurement. Spectral / Fourier domain OCT systems achieve high acquisition speeds 100 times faster than conventional OCT systems, enabling Doppler OCT techniques to quantitatively measure blood flow. In addition to the intensity information, phase information is directly accessible after inverse Fourier transforming the interference spectrum in spectral / Fourier domain OCT. OCT provides micron-scale, three-dimensional intensity images of retinal structure along with the ability to extract vessel structure and blood flow measurements from Doppler OCT data. Therefore, Doppler OCT has the potential to become a useful tool for noninvasive in vivo retinal perfusion measurement in ocular disease research using animal models. In this section, a normal Long-Evans rat is imaged with the same procedure as described in section 4.3, but with different OCT scan protocols. A 3D-OCT dataset was acquired over a 750x750gm area, with sequential axial scans 1.5gjm apart, corresponding to a -85% overlap of the transverse spot size. Additionally, 150Atm cross-sectional images with 150 axial scans scanned over a single blood vessel were taken continuously over time at -32 frames per second. Doppler OCT images are formed by subtracting the phase information between adjacent axial scans as displayed in figure 4-4. A positive phase difference is caused by motion towards the output of the scanning OCT beam or the objective lens, while a negative phase difference indicates motion away from the objective lens beam output. Since phase stability is related to signal strength as shown in section 2.4.6, Doppler OCT images are thresholded according to the OCT intensity image signal strength.2 3 Bulk motion from movement of the retina and galvanometer scanning can be corrected using an average-shifted histogram method for each axial scan.24 Due to the limited Doppler OCT data points in each axial scan, a single histogram with large bins does not provide precise estimation of bulk motion, while a single histogram with small bins provide erroneous estimation of bulk motion. The average-shifted histogram method uses multiple histograms with different origin of bins with identical bin width to obtain a smooth phase difference distribution. The bin width used is determined by the Freedman & Diaconis rule, which takes into account the interquartile range of the data as well as the number of data points. After motion correction, only the movement of blood flow in retinal vessels is visible. i.n rl -2 Figure 4-4. -1 0 Doppler OCT processing. structural information. 1 2 3 radians (A) OCT intensity image showing (B) Phase information directly obtained from spectral / Fourier domain OCT processing. (C) Differential phase data between adjacent axial scans thresholded according to OCT intensity. Bulk motion is visible in the retinal structures as a red band on the left side of the image and a blue band on the right. (D) Doppler OCT image of retinal blood flow after bulk motion correction. A vessel in an OCT cross-sectional image is selected for further analysis. phase wrapping occurs when the absolute phase deference between adjacent axial scan pixels exceeds 7r. This creates a 2r ambiguity in the Doppler OCT information. By unwrapping the differential phase values higher than the phase noise floor, a more realistic Doppler OCT profile is obtained. The parabolic profile of blood flow within a retinal blood vessel is shown in figure 4-5. An average filter is applied to reduce noise. The 3D profile of the blood flow obtained by Doppler OCT shows a parabolic flow distribution in the retinal vessel. T_ C U, CL a, U, U, 0a 8 150 100 50 0 Position (um) 'a (U C Uo 1*g g/j S0 o 0 Co M 0 IU 0 8 0 100 Position (urn) -3 -1 -2 Figure 4-5. 0 1 2 Doppler OCT processing of a single retinal vessel. OCT image of a single retinal vessel. Position (um) 3 radians (A) Doppler (B) Parabolic profile of blood flow in retinal vessel shown with Doppler OCT. Data corresponds to position indicated as white line. The blue data points are values corrected for phase wrapping. The red curve is a 2 nd order polynomial fit of the Doppler data. Average-filtered Doppler OCT image. flow. (C) (D) 3D profile of Doppler OCT blood Rlnnd L·VVY Flnw IV···Yvi Timi IIIIU n~ ".4 0.45 A 0.4 0.35 - S0.3 0 LL 0.25 o . 0.2 0.15 0.1 0.05 0 B Time (sec) Blood Flow vs Time 0.5 0.45 " 0.4 0 U- 0.35 0.3 0.25 o 0.2 0.15 0.1 0.05 0, 29 Time (sec) I I ilI I I I I III i I I II C - 0 Figure 4-6. 1 2 3 4 6 7 8 9mm/sec Quantitative Doppler OCT measurement in the axial direction showing pulsatile blood flow. (A) Pulsatile blood flow showing a heart rate of -270 beats/min. The abnormal pulse occurring roughly every second is possibly due to respiratory motion. The vessel moves out of the region of interest, resulting in a decrease of measured blood flow. (B, C) Doppler OCT images and blood flow measurements showing pulsatility during two cardiac cycles. Finally, quantitative measurement of blood flow in the axial direction in retinal blood vessel is demonstrated in figure 4-6. By continuously acquiring 150gm cross-sectional images with 150 axial scans and -32 images per second, quantitative Doppler OCT measurements of blood flow in the axial direction show pulsatility in the rat retinal vessel. Sequential OCT scans are 1•m apart, corresponding to a -90% overlap in transverse spot size. Total Doppler differential phase shift is obtained by summing the Doppler OCT phase difference of all pixels within the region of interest. Blood flow in the axial direction is calculated by the corresponding speed multiplied with the pixel area. The pulsatile blood flow shows a heart rate -270 beats per minute. The normal heart rate of the rat is -300 beats per minute.25 A significant drop of blood flow occurs every second because the vessel shifts outside of the imaging region possibly due to breathing. The respiratory rate calculated from such movement of the blood vessel is -60 per minutes, while the normal rat respiratory rate is 70-115 per minute.26 It is also known that both heart rate and respiratory rate in animals decrease under anesthesia. The results demonstrate the potential in measuring rodent retinal perfusion using spectral / Fourier domain OCT. References 1. Q. Li, A.M. Timmers, K. Hunter, C. Gonzalez-Pola, A.S. Lewin, D.H. Reitze, and W.W. Hauswirth, "Noninvasive imaging by optical coherence tomography to monitor retinal degeneration in the mouse," Investigative ophthalmology & visual science, vol. 42, pp. 2981-9,2001. 2. V.J. Srinivasan, T.H. Ko, M. Wojtkowski, M. Carvalho, A. Clermont, S.E. Bursell, Q.H. Song, J. Lem, J.S. Duker, J.S. Schuman, and J.G. Fujimoto, "Noninvasive volumetric Imaging and morphometry of the rodent retina with high-speed, ultrahigh-resolution 3. optical coherence tomography," Investigative Ophthalmology & Visual Science, vol. 47, pp. 5522-5528,2006. M. Ruggeri, H. Webbe, S.L. Jiao, G Gregori, M.E. Jockovich, A. Hackam, Y.L. Duan, and C.A. Puliafito, "In vivo three-dimensional high-resolution imaging of rodent retina 4. 5. 6. 7. with spectral-domain optical coherence tomography," Investigative Ophthalmology & Visual Science, vol. 48, pp. 1808-1814,2007. K.H. Kim, M. Puoris'haag, GN. Maguluri, Y. Umino, K. Cusato, R.B. Barlow, and J.F. de Boer, "Monitoring mouse retinal degeneration with high-resolution spectral-domain optical coherence tomography," J Vis, vol. 8, pp. 17 1-11,2008. X.J. Wang, T.E. Milner, and J.S. Nelson, "Characterization of Fluid-Flow Velocity by Optical Doppler Tomography," Optics Letters, vol. 20, pp. 1337-1339,1995. Z. Chen, T.E. Milner, D. Dave, and J.S. Nelson, "Optical Doppler tomographic imaging of fluid flow velocity in highly scattering media," Optics Letters, vol. 22, pp. 64-6,1997. Z. Chen, T.E. Milner, S. Srinivas, X. Wang, A. Malekafzali, M.J.C. van Gemert, and J.S. 8. 9. 10. Nelson, "Noninvasive imaging of in vivo blood flow velocity using optical Doppler tomography," Optics Letters, vol. 22, pp. 1119-21,1997. J.A. Izatt, M.D. Kulkami, S. Yazdanfar, J.K. Barton, and A.J. Welch, "In vivo bidirectional color Doppler flow imaging of picoliter blood volumes using optical coherence tomography," Optics Letters, vol. 22, pp. 1439-41,1997. S. Yazdanfar, M.D. Kulkarni, and J.A. Izatt, "High resolution imaging of in vivo cardiac dynamics using color Doppler optical coherence tomography," Optics Express, vol. 1,1997. Z. Chen, Y.Zhao, S.M. Srinivas, J.S. Nelson, N. Prakash, and R.D. Frostig, "Optical Doppler tomography," IEEE Journalof Selected Topics in Quantum Electronics, vol. 5, 11. pp. 1134-42,1999. Z. Chen, Y.Zhao, and J.S. Nelson, "Phase-resolved functional optical coherence tomography," Optics & PhotonicsNews, vol. 12, pp. 29,2001. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. R.A. Leitgeb, L. Schmetterer, W. Drexler, A.F. Fercher, R.J. Zawadzki, and T. Bajraszewski, "Real-time assessment of retinal blood flow with ultrafast acquisition by color Doppler Fourier domain optical coherence tomography," Optics Express, vol. 11, pp. 3116-3121,2003. R.A. Leitgeb, W. Drexler, A. Unterhuber, B. Hermann, T. Bajraszewski, T. Le, A. Stingl, and A.F. Fercher, "Ultrahigh resolution Fourier domain optical coherence tomography," Optics Express, vol. 12, pp. 2156-2165,2004. J. Zhang and Z.P. Chen, "In vivo blood flow imaging by a swept laser source based Fourier domain optical Doppler tomography," Optics Express, vol. 13, pp. 7449-7457,2005. A.H. Bachmann, M.L. Villiger, C. Blatter, T. Lasser, and R.A. Leitgeb, "Resonant Doppler flow imaging and optical vivisection of retinal blood vessels," Optics Express, vol. 15, pp. 408-422,2007. R.K. Wang, S.L. Jacques, Z. Ma, S. Hurst, S.R. Hanson, and A. Gruber, "Three dimensional optical angiography," Optics Express, vol. 15, pp. 4083-4097,2007. R. Michaely, A.H. Bachmann, M.L. Villiger, C. Blatter, T. Lasser, and R.A. Leitgeb, "Vectorial reconstruction of retinal blood flow in three dimensions measured with high resolution resonant Doppler Fourier domain optical coherence tomography," JBiomed Opt, vol. 12, pp. 041213,2007. Y.Wang, B.A. Bower, J.A. Izatt, O.Tan, and D. Huang, "In vivo total retinal blood flow measurement by Fourier domain Doppler optical coherence tomography," JBiomed Opt, vol. 12, pp. 041215,2007. B.B. Gao, A. Clermont, S. Rook, S.J. Fonda, V.J. Srinivasan, M. Wojtkowski, J.G Fujimoto, R.L. Avery, P.G. Arrigg, S.E. Bursell, L.P. Aiello, and E.P. Feener, "Extracellular carbonic anhydrase mediates hemorrhagic retinal and cerebral vascular permeability through prekallikrein activation," Nature Medicine, vol. 13, pp. 181-188,2007. J. Flammer, S. Orgul, V.P. Costa, N. Orzalesi, GK. Krieglstein, L.M. Serra, J.P. Renard, and E. Stefansson, "The impact of ocular blood flow in glaucoma," Prog Retin Eye Res, vol. 21, pp. 359-93,2002. V.Patel, S. Rassam, R. Newsom, J. Wiek, and E. Kohner, "Retinal blood flow in diabetic retinopathy," Bmj,vol. 305, pp. 678-83,1992. E. Friedman, "A hemodynamic model of the pathogenesis of age-related macular 25. degeneration," Am J Ophthalmol,vol. 124, pp. 677-82,1997. B.R. White, M.C. Pierce, N. Nassif, B. Cense, B.H. Park, GJ. Tearney, B.E. Bouma, T.C. Chen, and J.F. de Boer, "In vivo dynamic human retinal blood flow imaging using ultra-high-speed spectral domain optical Doppler tomography," Optics Express, vol. 11, pp. 3490-3497,2003. S. Makita, Y.Hong, M. Yamanari, T. Yatagai, and Y.Yasuno, "Optical coherence angiography," Optics Express, vol. 14, pp. 7821-7840,2006. R.G Hoskins, M.O. Lee, and E.P. Durrant, "The Pulse Rate of The Normal Rat," The 26. American JournalofPhysiology, vol. 82, pp. 621-629,1927. J.E. Harkness and J.E. Wagner, The Biology and Medicine of Rabbits andRodents. 4 Sub 23. 24. ed. 1995: Williams & Wilkins. 372.