Biomedical Raman Spectroscopy Jason T. Motz Harvard Medical School and The Wellman Center for Photomedicine Massachusetts General Hospital 11 April 2006 A New Type of Secondary Radiation C. V. Raman and K. S. Krishnan, Nature, 121(3048): 501-502, March 31, 1928 If we assume that the X-ray scattering of the 'unmodified' type observed by Prof. Compton corresponds to the normal or average state of the atoms and molecules, while the 'modified' scattering of altered wave-length corresponds to their fluctuations from that state, it would follow that we should expect also in the case of ordinary light two types of scattering, one determined by the normal optical properties of the atoms or molecules, and another representing the effect of their fluctuations from their normal state. It accordingly becomes necessary to test whether this is actually the case. The experiments we have made have confirmed this anticipation, and shown that in every case in which light is scattered by the molecules in dust-free liquids or gases, the diffuse radiation of the ordinary kind, having the same wave-length as the incident beam, is accompanied by a modified scattered radiation of degraded frequency. The new type of light scattering discovered by us naturally requires very powerful illumination for its observation. In our experiments, a beam of sunlight was converged successively by a telescope objective of 18 cm. aperture and 230 cm. focal length, and by a second lens was placed the scattering material, which is either a liquid (carefully purified by repeated distillation in vacuo) or its dust-free vapour. To detect the presence of a modified scattered radiation, the method of complementary light-filters was used. A blue-violet filter, when coupled with a yellow-green filter and placed in the incident light, completely extinguished the track of the light through the liquid or vapour. The reappearance of the track when the yellow filter is transferred to a place between it and the observer's eye is proof of the existence of a modified scattered radiation. Spectroscopic confirmation is also available. Some sixty different common liquids have been examined in this way, and every one of them showed the effect in greater or less degree. That the effect is a true scattering, and secondly by its polarisation, which is in many cases quire strong and comparable with the polarisation of the ordinary scattering. The investigation is naturally much more difficult in the case of gases and vapours, owing to the excessive feebleness of the effect. Nevertheless, when the vapour is of sufficient density, for example with ether or amylene, the modified scattering is readily demonstrable. 2 The Nobel Prize in Physics 1930 "for his work on the scattering of light and for the discovery of the effect named after him" Professor Sir C.V. Raman 1888-1970 3 First photographed Raman spectra Bangalore, India The Raman Effect: Inelastic Scattering hni h(ni-nR) 3 hni 2 1 0 Inelastic Scattering • Emitted light has decreased energy (i<R) Virtual Level Energy • Energy transferred from incident light to molecular vibrations 3 2 1 0 Rayleigh (elastic) Scattering 4 S1 Raman (inelastic) Scattering S0 difference in energy Some Vibrations in Benzene Intensity (CCD Counts) Kekule 5 5 Chubby Checker x 10 Breathing 4 4 3 2 1 0 400 600 800 1000 1200 1400 -1 Raman Shift (cm ) 1600 1800 Evolution of Raman Spectroscopy • 1928~1960 – Minor experimental advances • 1960 – Invention of laser expands scope experiments • 1980s: rapid technological advances – – – – Fourier Transform spectroscopy Charge Coupled Device (CCD) detectors Holographic and dielectric filters Near-Infrared (NIR) lasers • Late 1980s1990s – Biomedical investigations – Advanced dispersive spectrometers • 2000 – In vivo application – Optical fiber probes – Non-linear spectroscopy 6 Outline • The Raman Effect – Theory – Techniques & Applications • Biomedical Raman Spectroscopy – History – Excitation wavelength selection – Advantages of Raman spectroscopy • Instrumentation – Laboratory – Clinical: optical fiber probes • Case Study: Atherosclerosis – Disease background – Impact of Raman spectroscopy • Frontiers 7 Classical Raman Physics • Interaction between electric field of incident photon and molecule – Electric field oscillating with incident frequency vi: Ei E0 cos(2n i t ) – Induces molecular electric dipole (p): p E • Proportional to molecular polarizability, – ease with which the electron cloud around a molecule can be distorted – Polarization results in nuclear displacement q q0 cos 2n R t 8 Classical Raman Physics • For small distortions, polarizability is linearly proportional to the displacement 0 q0 ... q 0 Rayleigh Scattering • Resultant dipole: p E 0 E0 cos 2n i t 1 E0 q0 cos 2 n i n R t cos 2 n i n R t 2 q 0 Anti-Stokes Raman 9 Stokes Raman Photo-Molecular Interactions Scattering 100 80 Intensity 3 2 1 0 Rayleigh n1 60 40 20 Anti-Stokes 0 -2000 Stokes -1000 0 1000 Raman Shift (cm-1) 2000 2 Energy Virtual Levels 1 0 n’1 E=hnR 2 1 0 AutoFluorescence 10 IR Absorption Rayleigh Scattering Stokes Anti-Stokes Raman Scattering NIR Fluorescence n0 Classical Raman Physics • Raman scattering occurs only when the molecule is ‘polarizable’ 0 dq • Raman intensity n4 – Classical dipole radiation – Stokes shifted Raman is more intense than anti-Stokes by Boltzmann factor: hn I A n i n R kTR e I S n i n R 4 • Consistent with other scattering phenomena, often reported in terms of cross-section ( [cm2]), or probability of scattering: I I 0 dz – : density of molecules – dz: pathlength 11 Characteristics of Raman Scattering • Very weak effect – – – – – Only 1 in 107 photons is Raman scattered NIR elastic scattering in tissue: 1/ s' 1mm NIR absorption in tissue: 1/ a 10cm Red absorption in tissue or water: 1/ a 5m Raman scattering in tissue or water: 1/ R 3km • True scattering process – Virtual state is a short-lived distortion of the electron cloud which creates molecular vibrations – < 10-14 s • Strong Raman scatterers have distributed electron clouds – C=C – -bonds 12 Quantum Mechanics: Normal Modes • Only certain vibrational frequencies and atomic displacements allowed – Linear molecules: 3N-5 – Non-linear molecules: 3N-6 • Examples – – – – Stretching between 2 atoms Symmetric and asymmetric stretching with 3 atoms Bending amongst 3 atoms Out of plane deformations • Vibrational energies are sensitive to – – – – – – 13 Atomic mass Molecular structure and geometry Bond strength Bond order Environment Hydrogen bonding Units & Dimensional Analysis • Spectroscopic frequencies reported in wavenumbers [cm-1], proportional to transition energy : E n 1 n hc c E hn c n • Raman frequencies are independent of excitation wavelength and reported as shifts – Wavenumbers relative to excitation frequency: nR 14 1 i 1 R Units & Dimensional Analysis • Example – NIR excitation at 830 nm: 12,048 cm-1 – Typical Raman shift: n R ~1000 cm-1 • R = 905 nm – Sharp biological Raman linewidths ~10 cm-1 FWHM • R= 0.69 nm 15 Raman Spectrum of Cholesterol 16 Hanlon et al. “Prospects for in vivo Raman spectroscopy,” Phys Med Biol 45: R1 (2000) Specific Raman Spectroscopic Techniques • Non-resonant Raman spectroscopy – Visible – Near-infrared • • • • • • • (UV) Resonance Raman spectroscopy Raman microscopy/imaging Fiber optic sampling Time resolved (pulsed) Raman spectroscopy High-wavenumber Raman spectroscopy SERS: Surfaced Enhanced Raman Spectroscopy Non-linear Raman spectroscopy – CARS: Coherent Anti-Stokes Raman Spectroscopy 17 General Applications of Raman Spectroscopy • • • • • • • • 18 Structural chemistry Solid state Analytical chemistry Applied materials analysis Process control Microspectroscopy/imaging Environmental monitoring Biomedical Outline • The Raman Effect – Theory – Techniques & Applications • Biomedical Raman Spectroscopy – History – Excitation wavelength selection – Advantages of Raman spectroscopy • Instrumentation – Laboratory – Clinical: optical fiber probes • Case Study: Atherosclerosis – Disease background – Impact of Raman spectroscopy • Frontiers 21 History of Biological Raman Spectroscopy • 1970: Lord and Yu record 1st protein spectrum from lysozyme using HeNe excitation • Evolution to NIR excitation – Decreased fluorescence – Increased penetration (mm) • 1980s: – FT Raman with Nd:YAG and cooled InGaAs detectors • long collection times (30 min) – Clarke (1987-1988): visible excitation of arterial calcium hydroxyapatite and carotenoids • 1990s, advances in: – – – – – 22 Lasers Detectors Dispersive spectrometers Filters Chemometrics UV, Visible, and NIR Excitation Raman signals have a constant shift can vary excitation wavelength • UV: resonance enhanced, R<F, photo damage, low penetration • Visible: Raman -4, fluorescence overlaps with Raman signal • NIR: low fluorescence, deep penetration, Raman -4 23 UV, Visible, and NIR Applications • UVRR – Biological macromolecules: nucleic acids, proteins, lipids – Organelles, cells, micro-organisms, bacteria, phytoplankton neurotoxins, viruses – Clinically limited: photomutagenicity • Visible – Cells (minimal fluorescence) – DNA in chromosomes, pigment in granulocytes and lymphocytes, RBCs, hepatocytes – First artery studies: hydroxyapatite and carotenoids (Clarke 1987, 1988) • NIR – Hirschfeld & Chase, 1986: FT-Raman – Tissue: artery, cervix, skin, breast, blood, GI, esophagus, brain tumor, Alzheimer’s, prostate, bone 24 Raman Spectra: Fingerprinting a Molecule • Raman spectra are molecule specific • Spectra contain information about vibrational modes of the molecule • Spectra have sharp features, allowing identification of the molecule by its spectrum 25 Examples of analytes found in blood which are quantifiable with Raman spectroscopy Spectroscopic Advantages of NIR Raman • Narrow vibrational bands are chemical specific and rich in information • Freedom to choose excitation wavelength 1.0 CH bend – minimize unwanted 0.8 Phosphate stretch tissue fluorescence Carotenoid3 2 – optimize sampling depth 0.6 1 106 Amide III C=C – utilize 0.4 H2OCCD technology Visible 0 104 n1 0.2 102 0.0 1 -0.2 Melanin Sterol ring -0.4 10-2 100 26 Energy Intensity (a.u.) Molar extinction coefficient (10-3M-1cm-1); H20 (cm-1) 2 800 350 mW NIR VirtualExcitation Level 1 min 3 HbO Phenylalanine Ester linkage 2 HbO 1 1000 1200 1400 1600 1800 200 500 1000 0 -1 n0 Fluorescence Raman (inelastic) Raman Shift (cm ) (nm) Wavelength Scattering 2 000 Diagnostic Advantages of Raman Spectroscopy • Wavelength selection • No biopsy required • Directly measures molecules – Small concentrations – Chemical composition – Morphological analysis • Quantitative analysis • In vivo diagnosis 27 Outline • The Raman Effect – Theory – Techniques & Applications • Biomedical Raman Spectroscopy – History – Excitation wavelength selection – Advantages of Raman spectroscopy • Instrumentation – Laboratory – Clinical: optical fiber probes • Case Study: Atherosclerosis – Disease background – Impact of Raman spectroscopy • Frontiers 28 Laser Sources for Raman Spectroscopy Source 29 Wavelength (nm) Ar+ 488.0, 514.5 Kr+ 530.9, 647.1 He: Ne 632.8 Ti: Al2O3 (cw) 720-1000 Diode (InGaAs) 785, 830 Nd:YAG 1064 In Vitro Experimental Raman System Argon ion pump laser Dichroic beam-splitter Ti: sapphire laser NIR excitation (830 nm) CCD f/4 Spectrograph Confocal pinhole Band-pass filter Notch filter CCD Camera 30 Motorized translation stage Collimating lenses In Vitro Turbid Liquid Analysis ppm accuracy for precise quantitative measurements 31 Hanlon et al. “Prospects for in vivo Raman spectroscopy,” Phys Med Biol 45: R1 (2000) Clinical Raman Systems 830 nm shutter bandpass filter Diode Laser holographic grating notch filter CCD 32 Current Raman Instrumentation • Laser diodes – Compact – Stable narrow line – NIR • High throughput spectrographs (f/1.8) • Holographic elements – Bandpass filters (eliminates spontaneous emission of lasing medium) – Notch filters (106 rejection of Rayleigh scattered laser line) – Large area, highly efficient transmission gratings • CCD detectors – High QE (back-thinned, deep-depletion) – Low noise (LN2 cooled) – Multichannel detection • High throughput, filtered fiber optics probes • NIR FT and scanning PMT systems no longer useful 33 Early in vivo Data • Simple 6-around-1 optical fiber probe • 100 mW excitation, 3 second collection 1500 a 500 5000 b 0 -500 -5000 -1500 34 * -2500 -10000 -3500 2000 1600 1200 800 Raman shift -15000 2000 1600 1200 Raman shift 800 Optical Fiber Probes Problems Fiber background NA2 1. Fiber background • • Distorts signal Adds shot-noise 2. Low signal collection • • 35 Raman effect is weak Tissue is highly diffusive Solution #1: Reduce Fiber Background Fiber background produced equally in excitation and collection fibers • Excitation laser of power Po generates Raman scattered light from tissue • Posxlx: fraction of laser light Raman scattered and transmitted by excitation fiber* • Bx=Posxlxes: Raman background detected from excitation fiber – es: fraction of light elastically scattered (and collected) from sample • Poes: intensity of scattered excitation light gathered by collection fibers • Bc=Poessclc: intensity of background generated and transmitted by collection fibers* • BT=Bx+Bc=Poes(sxlx+sclc) Excitation laser * NA2 Tissue Raman x c x Fiber background From McCreery RL “Raman Spectroscopy for Chemical Analysis,” 2000. 36 Tissue Sample Tissue Sample c Filter Transmission 100 Transmission (%) 80 Region of Interest 60 Collection Filter Excitation Filter 40 20 0 0 37 500 1000 -1 Raman Shift (cm ) 1500 Solution #1: Filtering Solutions Problems 1. Fiber background • • Distorts signal Adds shot-noise 2. Low signal collection • • Raman effect is weak Tissue is highly diffusive 1. Micro-optical filters • • 2. Optimize optical design • • • 38 Short-pass excitation filter Long-pass collection filter Characterize distribution of Raman light in tissue Define optimal geometry Design collection optics Excitation Light Diffusing Through Tissue Experimental 1 mm Monte Carlo 39 Solution #2: Optical Design Problems 1. Fiber background • • Distorts signal Adds shot-noise 2. Low signal collection • • Raman effect is weak Tissue is highly diffusive Solutions 1. Micro-optical filters • • 2. Optimize optical design • • • 40 Short-pass excitation filter Long-pass collection filter Characterize distribution of Raman light in tissue Define optimal geometry Design collection optics Raman Probe Design Goals • Restricted geometry for clinical use – Total diameter ~2mm for access to coronary arteries – Flexible – Able to withstand sterilization • Designed to work with 830 nm excitation • High throughput – – – – 41 Data accumulation in 1 or 2 seconds Safe power levels SNR similar to open-air optics laboratory system Accurate application of models Raman Probe Design collection fibers aluminum jacket excitation fiber 1 mm long-pass filter tube metal sleeve short-pass filter rod retaining sleeve 42 2 mm ball lens 0.55 0.70 1.75 mm Single Ring Probe has 15 Fibers Motz et al. Appl Opt 43: 52 (2004) Calcified Aorta 800 Single Ring, sapphire lens Lab system Intensity (CCD counts/mW/s) 700 600 500 400 300 200 100 0 0 43 500 1000 Raman Shift (cm-1) 1500 Outline • The Raman Effect – Theory – Techniques & Applications • Biomedical Raman Spectroscopy – History – Excitation wavelength selection – Advantages of Raman spectroscopy • Instrumentation – Laboratory – Clinical: optical fiber probes • Case Study: Atherosclerosis – Disease background – Impact of Raman spectroscopy • Frontiers 44 The Burden of Cardiovascular Disease† • 71,300,000 people in United States afflicted • 910,600 deaths per year – 1 out of every 2.7 deaths • Coronary artery disease claims 653,000 lives annually – 1 out of every 5 deaths – Economic cost: greater than $142.5 billion 45 † American Heart Association, Heart and Stroke Statistics-2006 Update Arterial Anatomy Normal Mildly Atherosclerotic Plaque Ruptured Plaque Media Lumen Fibrous Cap Atheroma Intima T NC Adventitia • Intima: innermost layer of arterial wall • composed of a single layer of endothelia cells in normal artery • region of artery involved in atherosclerotic disease • Media: arterial layer composed primarily of smooth muscle cells • constricts and dilates to control blood flow • in large arteries (e.g. aorta) this layer is largely composed of elastin • Adventitia: outermost layer of arterial wall 46 • connective tissue and fat T: thrombus NC: necrotic core Some Current Challenges in Cardiology • Evaluation and development of therapeutics • Etiology of atherosclerosis • Mechanisms of re-stenosis – Post-angioplasty – Transplant vasculopathy • Detection of vulnerable atherosclerotic plaques – Prediction/prevention of cardiac events 47 Vulnerable Plaques • Account for majority of sudden cardiac death • Frequently occur in clinically silent vessels – <50% stenosis • Effective treatments unknown • Characterized by: – – – – – Biochemical changes Foam cells Lipid pool Inflammatory cells Thin fibrous cap (<65 m) • Currently undetectable 48 Standard Diagnostic Techniques • Angiography – Severity of stenosis, thrombosis, dense calcifications – Provides no biochemical information • Angioscopy – Surface features of plaque, including color – No information of sub-surface features • Histopathology – Biochemical and morphological information – Requires excision of tissue 49 Emerging Diagnostic Techniques • Magnetic resonance imaging • External ultrasound • Positron emission tomography • Electron beam computed tomography • Thermography • Elastography • Intravascular ultrasound • Optical coherence tomography 50 Non-Invasive Spectroscopic Diagnostic Techniques • NIR Absorption spectroscopy – Inhibited by water absorption – Broad spectral features • Fluorescence spectroscopy – Limited chemical information – Broad spectral features • Raman Spectroscopy – Quantitative biochemical information – Morphological analysis 51 In Vitro Experimental Methods • Macroscopic Raman Spectroscopy – 1 mm3 volumes of excised tissue are examined • 100-350 mW excitation with 830 nm laser light • 10 - 100 s collection times – Comparison with histopathology for disease classification – Principal Component Analysis 52 Raman Spectral Pathology of Atherosclerosis 1.0 0.8 0.6 • Ca hydroxyapatite • proteins 0.4 0.2 0.0 -0.2 1.2 Intensity (a.u.) 1.0 0.8 0.6 0.4 • cholesterol • -carotene • proteins 0.2 0.0 -0.2 -0.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 -0.2 -0.4 -0.6 53 800 1000 1200 1400 1600 1800 800 1000 1200 1400 1600 1800 • collagen • elastin • actin 800 1000 1200 1400 1600 1800 -1 Image from medstat.med.utah.edu/WebPath/webpath.html Raman Shift (cm ) Raman Spectral Modeling • Goal: Diagnose disease by analyzing the complex macroscopic spectra (R) obtained from biopsy samples • Strategy: Develop a library of microscopic or chemical basis spectra (B) that compose the macroscopic data • Implementation: Use ordinary least squares fitting to determine a weighted linear combination of basis spectra to evaluate the biopsies R()artery = wcollagenB()collagen+ wcholesterolB()cholesterol+ wcalcificationB()calcification+… 54 Potential Features for Spectral Identification 56 Collagen Elastin Actin Adventitial fat -carotene Foam cells Cholesterol Necrotic core Calcification Hemoglobin Fibrin In Vitro Experimental Methods • Macroscopic Raman Spectroscopy – 1 mm3 volumes of excised tissue are examined • 100-350 mW excitation with 830 nm laser light • 10 - 100 s collection times – Comparison with histopathology for disease classification – Principal Component Analysis • Confocal Microscopic Raman Spectroscopy – ~(2x2x2) m3 sampling volume of microscopic structures • 100 mW excitation of 6 m thick sections with 830 nm laser light • 10-360 s collection times – Development of morphological model – Spectroscopic mapping of tissue sections 57 Atherosclerosis In Vitro: Confocal Microscopy Foam Cell 0.6 0.6 0.4 0.4 0.2 0.0 0.2 0.0 -0.2 -0.2 -0.4 -0.4 0.1 mm 800 1000 1200 Elastic Lamina 0.8 Intensity (a.u.) Intensity (a.u.) 0.8 1400 1600 1800 800 -1 Raman Shift (cm ) 1000 1200 1400 1600 1800 -1 Raman Shift (cm ) 0.8 Smooth Muscle Cell Intensity (a.u.) 0.6 0.4 0.2 0.0 -0.2 -0.4 800 1000 1200 1400 1600 1800 -1 58 Intima Media Adventitia Raman Shift (cm ) ~(2x2x2) m3 Sampling Volume Coronary Artery Morphological Structures Smooth Muscle Cell Intensity (a.u.) -Carotene Crystal Foam Cell/Core Adventitial Fat Elastic Lamina Calcification Cholesterol Crystal Collagen 800 1000 1200 1400 1600 1800 -1 Raman Shift (cm ) 59 Buschman HPJ, et al. Cardiovascular Pathology 10(2), 69-82 (2001) Morphological Model of Coronary Arteries Normal Coronary Artery Intensity (a.u.) Intensity (a.u.) Non-Calcified Plaque Calcified Plaque 800 1200 1600 800 Raman shift (cm-1) 1600 Raman shift (cm-1) Intensity (a.u.) Macroscopic Data Microscopic Model Fit 800 1200 Raman shift (cm-1) 60 1200 1600 Residual Buschman HPJ, Motz JT, et al. Cardiovascular Pathology 10(2), 59-68 (2001) Morphological Assay of Coronary Arteries Intensity (a.u.) Normal Coronary Artery 1.2 1.0 0.8 0.6 0.4 0.2 0.0 -0.2 -0.4 -0.6 -0.8 -1.0 -1.2 800 1000 1200 1400 1600 1800 Structure Collagen Cholesterol Calcification Elastic Lamina Fat Foam Cell / Core -Carotene Smooth Muscle Contribution 20% 6% 0% 6% 38% 0% 3% 27% Structure Collagen Cholesterol Calcification Elastic Lamina Fat Foam Cell / Core -Carotene Smooth Muscle Contribution 39% 10% 11% 0% 28% 0% 0% 12% -1 Raman Shift (cm ) Intensity (a.u.) Mildly Calcified Plaque 1.2 1.0 0.8 0.6 0.4 0.2 0.0 -0.2 -0.4 -0.6 -0.8 -1.0 -1.2 800 61 1000 1200 1400 1600 -1 Raman Shift (cm ) 1800 Diagnostic Database • 165 intact samples from explanted hearts – Biopsies snap frozen until examination – 2 data sets • Calibration (n=97) • Prospective (n=68) • Three tissue categories determined by histopathology – Non-atherosclerotic – Non-calcified plaque – Calcified plaque 62 Coronary Artery Disease Classification: A Prospective Study 1.0 Normal Artery Non-Calcified Plaque Calcified Plaque Punctate Calcification Calcification 0.8 0.6 0.4 3 error zone 0.2 0.0 0.0 0.1 0.2 0.3 0.4 0.5 0.6 CholesterolNCR + Lipid CoreNCR 63 Buschman HPJ, Motz JT, et al. Cardiovascular Pathology 10(2), 59-68 (2001) 0.7 0.6 0.5 0.3 0.2 0.1 ch ol es te ro l ca lci f ic at io n el as tic la m in a ad fo ve am nt ita ce lf ll / at ne cr ot ic sm co oo re th m us be cle ta -c ce ar ll ot en e cr ys ta l 0 co 64 Normal Coronary Artery Non-Calcified Plaque Calcified Plaque 0.4 lla ge n Relative Fit Coefficient (Mean +/- SEM) Raman Morphometry of Coronary Artery Buschman HPJ, et al. Cardiovascular Pathology 10(2), 59-68 (2001) Clinical Data: Methods • Peripheral vascular surgery – Femoral bypass – Carotid endarterectomy • Laser power calibration set with Teflon – ~100 mW (82-132mW) • OR room lights turned off as during angioscopy • Spectra collected for a total of 5 seconds – 20 accumulations of 0.25s each – Probe held normal to arterial wall • Analysis of 1s and 5s data – Additional model components: sapphire, epoxy, water, HbO2 All data presented are integrated for only 1 second 65 Clinical Data: Intimal Fibroplasia (Normal) 0.4 mm 1 Data Fit Residual Intensity (a.u.) 0.5 0 -0.5 -1 800 66 1000 1200 1400 Raman Shift (cm-1) 1600 1800 Motz JT et al., J Biomed Opt 11(2): 021003 Clinical Data: Atheromatous Plaque 1 Data Fit Residual 1.8 mm deep calcification Intensity (a.u.) 0.5 0 0.4 mm 0.1 mm -0.5 800 67 1000 1200 1400 Raman Shift (cm-1) 1600 Motz JT et al., J Biomed Opt 11(2): 021003 1800 Clinical Data: Calcified Plaque 50 m 1 Data Fit Residual Intensity (a.u.) 0.5 0 -0.5 800 68 1000 1200 1400 Raman Shift (cm-1) 1600 1800 Motz JT et al., J Biomed Opt 11(2): 021003 Clinical Data: Ruptured Plaque 1 Data Fit Residual Intensity (a.u.) 0.5 0 -0.5 -1 -1.5 800 1000 1200 1400 Raman Shift (cm-1) 1600 1800 0.1 mm 0.4 mm 69 Motz JT et al., J Biomed Opt 11(2): 021003 Clinical Data: Thrombotic Plaque 0.4 mm 1 Data Fit Residual Intensity (a.u.) 0.5 0 -0.5 -1 0.1 mm -1.5 800 70 1000 1200 1400 Raman Shift (cm-1) 1600 1800 Motz JT et al., J Biomed Opt 11(2): 021003 Clinical Data: Representative Analysis Model Component Intimal Atheromatous Calcified Ruptured Thrombotic Plaque Plaque Plaque Plaque Fibroplasia Collagen (%) 9 0 7 0 0 Cholesterol (%) 0 44 2 27 14 Calcification (%) 0 16 71 1 12 Elastic Lamina (%) 0 4 3 0 0 Adventitial Fat (%) 50 13 0 1 0 Lipid Core (%) 13 16 0 0 0 -Carotene (%) 0 7 4 23 13 28 0 12 47 61 3 0 0 13 27 Smooth Muscle (%) Hemoglobin (a.u.) 71 Raman Spectroscopy in Cardiology • Clinical contributions – Detection of vulnerable plaque (Prediction and Prevention) • Collagen content fibrous cap thickness • Chemical composition of plaques • Identification of mechanical instabilities – Evaluation and selection of interventional methods • Drug therapy • Restenosis of bypassed vessels – Guidance for laser ablation therapy • Basic science – Etiology: monitoring of chemical and morphological changes during disease progression – Differences in diabetic atherosclerosis 72 Application To Other Diseases Normal Breast Tissue 1 1 Data Fit Residual 0.5 Malignant Breast Tumor Data Fit Residual Intesnity (a.u.) Intesnity (a.u.) 0.5 0 0 -0.5 -1 -0.5 800 1000 1200 1400 Raman Shift (cm-1) 1600 1800 -1.5 800 1000 1200 1400 Raman Shift (cm-1) 100 mW excitation, 1 second collection 73 1600 1800 Outline • The Raman Effect – Theory – Techniques & Applications • Biomedical Raman Spectroscopy – History – Excitation wavelength selection – Advantages of Raman spectroscopy • Instrumentation – Laboratory – Clinical: optical fiber probes • Case Study: Atherosclerosis – Disease background – Impact of Raman spectroscopy • Frontiers 74 Frontier Investigations: High-Wavenumber Raman Cholesterol Advantages • Higher Raman signal • Lower fluorescence • No fiber background • Distinguishes cholesterol esters 75 Disadvantages • Broader lineshapes • Smaller spectral region • Mostly limited to lipids • No calcification signalc www.sigma.com High-Wavenumber Raman Spectroscopy Normal Bladder DNA Glycogen Collagen Actin High-Wavenumber Cholesteryl palmitate Cholesteryl linoleate H&E lp: lamina propria u: urothelium Triolein 76 Koljenovic S et al., J Biomed Opt 10(3): 031116 (2005) Frontier Investigations: Pulsed Excitation Remitted Intensity with Pulsed Excitation 1 0.9 0.8 0.7 Remitted Intensity with Pulsed Excitation 1 0.6 0.9 0.5 0.8 0.4 0.7 Normalized Power Normalized Power • 80 MHz repetition rate • 2 ns fluorescence lifetime • Rayleigh scattering ~t-3/2 • Raman scattering ~t-1/2 Laser Pulse Raman Rayleigh Fluorescence 0.3 0.2 0.1 0.6 0.5 0.4 0.3 Laser Pulse Raman Rayleigh Fluorescence 0.2 0 77 0 5 10 15 20 Time (ns) 250.1 0 0 30 35 10 40 20 30 Time (ps) 40 50 60 Decay kinetics based on work of Everall N et al., Appl Spectrosc 55(12): 1701 (2001) Frontier Investigations: Pulsed Excitation 78 Martyshkin DV et al., Rev Sci Instr 75(3): 630 (2004) Conclusions • Raman spectroscopy ‘fingerprints’ molecules by characterizing interactions between photons and molecular vibrations • Near-infrared excitation is preferred for biomedical applications • Recent optical fiber probe developments allow accurate real-time analysis in vivo • New areas of research are promising for widespread clinical application 79 References • McCreery RL. Raman Spectroscopy for Chemical Analysis. Wiley-Interscience, New York, 2000. • Ferraro JR, Nakamoto K, and Brown CW. Introductory Raman Spectroscopy 2nd ed. Academic Press, Boston, 2003. • Hanlon EB, et al. “Prospects for in vivo Raman spectroscopy,” Phys Med Biol 45: R1-R59 (2000). • Mahadevan-Jensen A and Richards-Kortum R. “Raman spectroscopy for the detection of cancers and precancers,” J Biomed Opt 1:31-70 (1996). • Utzinger U and Richards-Kortum R. “Fiber optic probes for biomedical spectroscopy,” J Biomed Opt 8: 121-147 (2003). 80