Translational Research in Near Infrared Based Functional Brain Imaging Banu Onaral, PhD H.H. Sun Professor and Director School of Biomedical Engineering, Science & Health Systems Drexel University, Philadelphia, PA banu.onaral@drexel.edu Britton Chance: Life, Times, & Legacy Symposium and Workshop June 3 & 4, 2011 Philadelphia PA, USA Realizing BC’s dream… …Move discoveries to practice >> Portable Near-Infrared Technology for Detection of Hematoma >> Portable Near-Infrared Technology for Brain Activity Monitor BC’s Dream Team Shoko Nioka Adrian Curtin Outline • Optical Brain Imaging (fNIR) – Physiological and Physical Principles – Chance-Drexel fNIR Technology Evolution • Applications – Regional and Global Collaborations – Human Performance, Brain Integrated Simulation… • Translational Research – Clinical Solutions – Conclusion Optical Brain Imaging Near Infrared Based Platform Functional Near-Infrared Monitor [fNIR] >> Cortical activation-related to hemodynamic changes in natural environments and diverse field conditions Physiological Principles of fNIR Neural Activity & Hemodynamic Response Neurons consume energy (glucose) when activated Oxygen is required to metabolize the glucose As clusters of neurons are activated, there is an increased need for oxygen in that area Oxygen is transported to neural tissue via oxy-hemoglobin in the blood The oxygen exchange occurs in the capillary beds As oxy-hemoglobin gives up oxygen to the neural tissue, it is transformed into deoxygenated hemoglobin Oxy-Hb and deoxy-Hb are correlates of brain activity through oxygen consumption by neurons David J. Heeger & David Ress. (2002)What does fMRI tell us about neuronal activity? Nature Reviews Neuroscience 3, 142-151 Physical Principles of fNIR I Photon Migration in Tissue Source Detector Photons that enter the tissue undergo two types of interaction: Scattering (cell membranes) Absorption (Hb, HbO2, water) H Obrig , R Wenzel, M Kohl, S Horst, P Wobst, J Steinbrink, F Thomas, A Villringer. Near-infrared spectroscopy: does it function in functional activation studies of the adult brain? International Journal of Psychophysiology 35(2-3):125-142, 2000 Physical Principles of fNIR II Optical Window in Tissue Stimuli Presentation Near IR Peak Oxygenation Initial Dip Post stimulus undershoot ( C HB HBO C HBO2 )L (HB L HBCHB HBO22 CHBO 2 I I 0010 ) .G IIBB OD log (( HB C HB HBO C )L OD log10 CHBO 10 HB CHB HBO22 HBO22 ) L II Modified BeerLambert Law C Hb Oxygenation C HbO HbO22 Hb CHb BloodVolume CHbO HbO22 Hb Io .G I Chance-Drexel fNIR Technology Evolution Early versions of continuous wave (CW) system RunMan, Cogniscope NIM, Inc Current version of CW system fNIR System 100 fNIR Devices, LLC Chance-Drexel fNIR Wireless Technology Evolution Early versions of wireless system (PDA based) Wireless pediatric system (ZigBee) Adhesive stick-on wireless system Sensors data Programmable/ Transmitter IC Embedded in a head band with batteries Wireless Link Global Collaborations in Functional Optical Brain Imaging University of Maryland (Dr. José L. Contreras-Vidal) University of Pittsburgh (Dr. Joseph Ricker) Albert Einstein College of Medicine (Dr. Roee Holtzer) Italy – Polytechnic University of Milan (Dr. Sergio Cerutti) Spain – University of Seville (Dr. Jose Leon-Carrion) – Hospital Nacional de Paraplejicos Toledo (Dr. Guglielmo Foffani) Israel – Haifa University (Dr. Zvia Breznitz) Hebrew University (Dr. Esther Shohami) Turkey – Middle East Technical University (Dr. Veysi Isler) – Dokuz Eylul University (Dr. Murat Ozgeren ) China – Wuhan National Laboratory for Optoelectronics (Dr. Shoko Nioka) Med-X, Shanghai Jiao Tong University Shanghai Mental Health Center United Kingdom – The Defence Science and Technology Laboratory (DSTL) Japan – Bukkyo University (Dr. Yasufumi Kuroda) Optical Brain Imaging Human Performance Assessment… Human Performance Assessment Defense Advanced Research Projects Agency (DARPA) Augmented Cognition Program © Optical Brain Imaging Brain integrated Simulation… “Brain in the Loop” Simulation & Multimedia Application Brain Activity Monitoring in VR Environment Optical Brain Imaging Clinical Solutions… Optical Brain Imaging… Near Infrared Based Platform Traumatic Brain Injury >> Portable Near-Infrared Technology for Detection of Hematoma Hasan Ayaz, PhD BIOMED Meltem Izzetoglu, PhD BIOMED Baruch Ben Dor, PhD BIOMED Kambiz Pourrezaei, PhD BIOMED Banu Onaral, PhD BIOMED InfrascannerTM …Solutions Life Saving… Near Infrared Based Platform Pediatric Monitoring >> Functional Optical Brain Imaging Sensor Arye Rosen, PhD BIOMED Harel Rosen, MD Neonatology, CHOP fNIR Sensor for Neonates Meltem Izzetoglu, PhD BIOMED Kambiz Pourrezaei, PhD BIOMED Banu Onaral, PhD BIOMED …Solutions Life Saving… Near Infrared Based Platform Neurorehabilitation >> Assessment of Cognitive Impairment and Recovery Following Traumatic Brain injury (TBI) Anna C. Merzagora, PhD BIOMED Maria Schultheis, PhD Psychology, CoAS Healthy Subject TBI Patient Banu Onaral, PhD BIOMED …Solutions Life Saving… Near Infrared Based Platform Depth of Anesthesia >> Portable fNIR system for monitoring depth of anesthesia to prevent awareness during surgery Patient wearing fNIR Sensor Kurtulus Izzetoglu, Ph.D BIOMED George Mychaskiw, MD Anesthesiology, COM fNIR Awareness Monitor James Meltem Reynolds, MD, COM İzzetoğlu, Ph.D BIOMED Kambiz Pourrezaei, PhD BIOMED Banu Onaral, PhD BIOMED …Solutions Optical Brain Imaging… Near Infrared Based Platform Cognitive Aging fNIR Roee Holtzer Albert Einstein CoM Meltem Izzetoglu, PhD BIOMED Brain activity monitor while walking Kurtulus Izzetoglu BIOMED Joe Verghese, MBBS, MS Albert Einstein, CoM Subject wearing fNIR during attention task >> Assessment of cognitive functions in natural settings Banu Onaral, PhD BIOMED …Solutions Optical Brain Imaging… Near Infrared Based Platform Autism, Schizophrenia… Functional Optical Brain Imaging Sensor Drexel Optical Brain Imaging Team Scott Bunce, PhD Psychiatry, Penn State University COM Banu Onaral, PhD BIOMED Kambiz Pourrezaei, PhD BIOMED Personality and psychiatric disorders... …Solutions Optical Brain Imaging… Near Infrared Based Platform ALS, Spinal Cord Injury, Paralysis Target Patient Population: • • • • Amyotrophic Lateral Sclerosis (ALS) Spinal Cord Injuries/Paralysis Cerebral Palsy, Muscular Dystrophy Brainstem Stroke, and others… Terry HeimanPatterson, MD Neurology, COM Patricia Shewokis, PhD Nursing, CoNHP Hasan Ayaz, PhD BIOMED Banu Onaral, PhD BIOMED >> Brain Computer Interface (BCI) …Solutions Thank you! Banu Onaral 3141 Chestnut Street Philadelphia, PA 19104 Phone: 215-895-2215 Fax: 215-895-4983 Email: banu.onaral@drexel.edu WWW.BIOMED.DREXEL.EDU Human Performance Assessment Portable brain imaging technology can “bring more of brain on task”* Air Traffic Controller Cognitive Workload Monitor Brain Activity Crew can manage & maintain high levels of cognitive information processing Safe & Effective UAV Ground Operator Piloting Training and Workload Monitor Monitor Safe & effective performance *DARPA: Dylan Schmorrow, Ph.D. LCDR, MSC, US Navy, Program Manager, ITO Pilot Expertise Development Monitor Air Traffic Controller FAA Next Generation Air Transportation System (NextGen) Study Similar to SESAR (Single European Sky ATM Research) Program ATC part-task Communication type: Voice Comm and Data Comm Workload manipulated by number of aircrafts in the sector: n= 6,12,18 16-channel fNIR sensor UAV Safe Piloting US Army Medical Research and Materiel Command (USAMRMC) The Telemedicine & Advanced Technology Research Center (TATRC) Integration of the functional brain monitoring system with training procedures ground control systems objective measure of expertise level to validate adequate training real-time monitor of mental workload safe operation of UAVs…