Red blood cell as a universal optoacoustic sensor for non-invasive temperature monitoring Elena V. Petrova, Alexander A. Oraevsky, and Sergey A. Ermilov TomoWave Laboratories, Inc., 6550 Mapleridge St., Suite 124, Houston, TX 77081-4629, USA Supplementary Material Experimental setup The experimental setup (Fig. S1) was designed to study optoacoustic response of solutions as a function of temperature. It utilizes a 128-channel real-time (10 frames per second, 1536 samples/channel, 40 MHz sampling rate) two-dimensional laser optoacoustic imaging system (LOIS, TomoWave Laboratories, Houston, TX) with a linear ultrasound probe. Titanium-Sapphire output of the laser unit (SpectraWave, TomoWave Laboratories, Houston, TX) was tuned to 805 nm near the isosbestic point of hemoglobin and produced 6 ns, 28 mJ per pulse laser radiation with pulse repetition rate of 10 Hz. Two optical fiber bundles with rectangular output apertures of 1.5×50 mm2 each delivered light to the samples with a laser fluence about 3 mJ/cm2. The light bars were attached on both sides of the ultrasonic array forming a backward optoacoustic illumination mode. Fiberoptic illuminators were adjusted to maximize laser fluence in the imaging plane of the probe at the level of sample tubes. Size of the probe and the established illumination pattern allowed reconstruction of optoacoustic images with field of view up to 5555 mm2. The probe and fiberoptic outputs were hermetically sealed to enable operation in liquid environment. Thin layer of golden paint was sprayed over the front end of the probe, which significantly reduced noise generated by impact of direct and diffuse laser light. Fig. S1. Schematics of the experimental setup. The phantom frame with multiple tube samples oriented orthogonally to the imaging plane was placed into a tank with an acoustically coupling liquid. Processing of optoacoustic signals To increase signal-to-noise ratio and remove low-frequency optoacoustic artifacts manifested in the background, we performed digital post processing of optoacoustic signals with zero-phase infinite impulse response bandpass filter (1-5 MHz sixth order Butterworth) using built-in filtfilt function in Matlab (Mathworks, Natick, MA). The optoacoustic signals generated by 0.635 mm tubes had the main lobe of their spectrum within the bandwidth of utilized probe (1.5-6 MHz at 6dB) for the entire range of studied temperatures. The detected waveforms preserved their original N-shaped form, and it was not necessary to perform deconvolution of the probe’s impulse response. Studied samples Porcine blood samples were obtained from a local slaughterhouse on the day of experiments. To prevent coagulation, the samples were aliquoted into 4mL BD Vacutainer blood collection tubes containing sodium heparin (NH) 75 USP (BD, Franklin Lakes, NJ) and additional 0.1 mL of 2000 USP sodium heparin (Alfa Aesar, Ward Hill, MA) solution in phosphate buffered saline (PBS) at pH 4.7 (Sigma-Aldrich, St. Louis, MO). The same PBS was used to dilute samples of whole blood, when necessary. Hemoglobin (Hb) samples were prepared using lyophilized powder of Hb human (Sigma-Aldrich, St. Louis, MO) diluted in PBS pH 4.7. At low concentrations we were able to reach complete dissolution of hemoglobin powder. However, at concentrations exceeding 1 mM, hemoglobin was dissolving poorly and we used filtration with a GP 0.22 m Millex filter to remove undiluted clusters. The concentrations were verified by measuring optical absorption. The extinction coefficient of an Hb-PBS solution was found to be = 2.21 0.01 M-1cm-1 at =805 nm. Cupric sulfate solutions were used in experiments with objective to compare temperatures of zero optoacoustic response and maximum solution density (see the dedicated section below). The samples were prepared using CuSO45H2O (purity 99%, Kai Tech Labs) diluted in distilled water. Previously we showed that optical absorbance of cupric sulfate around 800 nm has negligible increase with temperature as compared to the overall changes in optoacoustic response, and in our studies could be considered constant.15 To measure temperature of zero optoacoustic response in PBS and water we prepared suspensions of dried Higgins Eternal Black Ink (Sanford, Bellwood, IL). The colloid solutions had no visible precipitant for at least 3 weeks. The water-ink and PBS-ink compositions had 805 nm optical absorbances of 0.91 and 0.92 cm-1, respectively. The test tubes were filled with blood, hemoglobin, and other samples using 1 mL Luer Slip Tip syringe and single-use 23 gauge hypodermic needles, avoiding air bubbles. Measurements of optical absorbance were done using spectrophotometer (Evolution 201, Thermo Scientific, Waltham, MA). Measurements of density as a function of temperature Temperature function of cupric sulfate solution density was evaluated using measurements with specific gravity hydrometer 1.000-1.070 (Fisherbrand Hydrometers, Fisher Scientific, Pittsburgh, PA). During experiments, a 300 mL 33 cm tall cylinder with hydrometer was filled with cupric sulfate solution and placed in the temperature controlled bath. The measurements were performed in the temperature range of -6 to 23C with precision of 0.0001. Lower temperatures were not accessible due to spontaneous crystallization of cupric sulfate. Processing of ThOR data The normalized ThOR data was fitted with a second order polynomial function consistent with other publications.20,23,32 According to our experimental methodology, we expressed the function in the following manner: 4∆𝑇𝑚𝑎𝑥 𝑇−𝑇0 ̅̅̅̅ (𝑇 − 𝑇0 )(𝑇 − 𝑇1 ) + 𝑂𝐴 = − (𝑇 −𝑇 . )3 𝑇 −𝑇 1 0 1 0 (S1) ̅̅̅̅ is the normalized optoacoustic intensity; T – temperature (C), T1 – fixed normalization Where 𝑂𝐴 temperature, where ̅̅̅̅ 𝑂𝐴 = 1. In biological applications, it is prudent to select T1 as a normal physiological temperature, for humans T1 = 37C; T0 is the temperature of zero optoacoustic response; Tmax is a maximum nonlinear temperature deviation in the temperature range [T0 T1]. If Tmax = 0, the function becomes linear, identical to the one described in our previous studies of the aqueous cupric sulfate in the smaller temperature range.15 Fig. S2 helps to understand the mathematical meaning of Tmax. Fig. S2. Mathematical illustration of the maximum nonlinear temperature deviation Tmax. Temperature dependent behavior of the normalized optoacoustic response can be represented as a sum of its linear and nonlinear components. The linear component connects the points (T0, 0) and (T1, 1) with a straight line: 𝑇−𝑇 ̅̅̅̅ 𝑂𝐴𝐿 = 𝑇 −𝑇0 . 1 (S2) 0 The nonlinear component is represented by the parabolic portion: 4∆𝑇𝑚𝑎𝑥 ̅̅̅̅ (𝑇 − 𝑇0 )(𝑇 − 𝑇1 ). 𝑂𝐴𝑁𝐿 = − (𝑇 −𝑇 )3 1 0 (S3) ̅̅̅̅𝑁𝐿 (𝑇) = Nonlinear temperature deviation T = TT* could be calculated by assuming 𝑂𝐴 ∗ ̅̅̅̅𝐿 (𝑇 ): 𝑂𝐴 4∆𝑇 𝑚𝑎𝑥 (𝑇 − 𝑇0 )(𝑇 − 𝑇1 ). ∆𝑇(𝑇) = − (𝑇 −𝑇 )2 (S4) With maximum Tmax at T = (T0 – T1)/2. (S5) 1 0 The procedure to find the parameters T0 and Tmax for each sample was as following: (1) T0 was estimated directly for each sample as a temperature where polarity of the normalized optoacoustic intensity changed from positive to negative. Due to very small noise, we were able to determine zero transition of the normalized optoacoustic intensity with accuracy limited by individual temperature measurements. (2) Not-normalized optoacoustic intensity data was fitted with a parabolic function (S1) with fixed parameters T0 and T1, and unknown Tmax and the normalization scaling factor. Temperature of zero optoacoustic response and temperature of maximum density in cupric sulfate solutions It is known that for water optoacoustic effect should change polarity at 3.98C, a temperature where volumetric thermal expansion coefficient changes its sign from positive to negative.31 That implies that normally generated local optoacoustic compression will become rarefaction. The phenomenon happens because of water having maximum density at that particular temperature. Therefore, we suggest that in other aqueous solutions, including hemoglobin solutions and intracellular environment of erythrocytes, optoacoustic effect disappears and then changes polarity due to the same reason. However, we expect the temperature of maximum density will depend on the composition and concentration of the solution. For example, such temperature shift was observed in solutions of sodium chloride.44 In these experiments, we used a cupric sulfate model to elucidate physical meaning of the parameter T0 in temperature dependent optoacoustic response. We measured normalized optoacoustic intensity and density of aqueous cupric sulfate solutions as a function of temperature. The cupric sulfate was preferred over hemoglobin, since it produces larger variation of T0 for the set of achievable concentrations.15 To eliminate possible effects of the acoustic coupling medium we performed experiments using distilled water and sodium chloride (23wt%). Fig. S3(a) shows normalized optoacoustic intensity for two concentrations of cupric sulfate and calculated normalized Grüneisen parameter of water as a control. The Grüneisen parameter of water was calculated with 1C intervals using temperature dependences of speed of sound, specific heat capacity, and thermal expansion coefficient.15 Fig. S3(b) shows T0 directly measured as a temperature at zero optoacoustic intensity and its linear regression as a function of concentration. Data matches our previous results obtained by extrapolation of the fitted data.15 The measurements were not affected by using different surrounding media, implying that the entire optoacoustic stress generation happens inside the tubes with sample solutions. Fig. S3. Temperature of zero optoacoustic response and temperature of maximum density in cupric sulfate solutions. (a) The temperature dependence of normalized optoacoustic image intensity for aqueous solutions of CuSO4*5H2O and calculated Grüneisen parameter of water. Dash-dot line indicates zero optoacoustic response. (b) Concentration dependence of the measured temperature T0, where optoacoustic response is equal to zero. Data was obtained from the samples placed in three different surrounding media: distilled water and aqueous solution of NaCl (23wt%). (c) Temperature dependence of specific gravity measured for aqueous solution of cupric sulfate (240 mM) with a corresponding second-order polynomial fit. The relationship for water is presented for reference.31 Arrows mark points of maximum density for the salt and distilled water. (d) Temperature of the maximum density (TSGmax) as a function of cupric sulfate concentration. Fig. S3(c) shows two temperature dependent curves of density. The lower one – known relationship for water.31 The top one – measured relationship for 240 mM cupric sulfate. Arrows indicate maxima of the fitted parabolic functions. Consistent with the Despretz’s law37, maximum density for cupric sulfate is shifted towards more negative temperatures. Fig. S3(d) summarizes measured temperatures of the maximum density for different concentrations of cupric sulfate. When fitted with a linear regression model, the resultant equation effectively replicates the one obtained for T0 measured via normalized optoacoustic imaging. The equivalence of two relationships allows us to conclude that T0 represents the temperature of maximum density of a sample solution, which is manifested by the absence of thermal expansion, and therefore – optoacoustic response. Note, that the data fits in the Fig. S3(b) and S3(d) intercept the ordinate axis at about 4C, which corresponds to the temperature of maximum density of the pure solvent – distilled water. Temperatures of zero optoacoustic response in water and PBS The linear fit line in Fig. 3(b) intercepts the ordinate at about 3C, which is slightly different from 3.98C expected from pure water. To prove that it represents properties of the used solvent (phosphate buffered saline), we measured T0 in PBS with small amount of dried carbon ink suspension providing optical absorption to otherwise clear solution. As a control we had the same concentration of carbon microparticles suspended in distilled water. Since the carbon suspension does not create chemical bonds with solvent, we expected that the found T0 would characterize properties of the studied solvent. Fig. S4 shows two normalized ThOR profiles. Fig. S4. Zoomed-in linear fragments of ThOR normalized at 12C reveal different T0 for distilled water and phosphate buffered saline at pH 7.4. In the small temperature range (2-14C) linear fit could be applied. The estimated T0 in aqueous solution was equal to 4.0 0.2C (N = 3), consistent with that of pure water, and in PBS it was 2.9 0.3C (N = 3).