Laser Doppler measurements of blood flow in capillary tubes and retinal arteries Charles Riva, Benjamin Ross, and George B. Benedek We have used the technique of Laser Doppler Velocimetry (LDV) to measure the velocity of blood floioing in retinal arteries of the rabbit. This technique does not require mechanical perturbation of the blood flow or alteration of chemical environment. It is more precise and. clinically less demanding than previous methocb, and gives information on the velocity distribution as well as the average velocity. We have also used LDV to measure the velocity distribution of whole blood, flotoing in <-^200 /.i diameter capillary tubes; our measurements agree with previous experimental results for the flow of erythrocyte ghost suspensions in larger tubes. Similar measurements on dilute suspensions of polystyrene spheres agree well with the hydrodynamic predictions. Key words: laser Doppler velocimeter, blood flow, retinal artery, flow velocity, velocity measurement. velocity of blood is determined by measuring the distance traveled by the dye profile between successive frames of the film. This method is limited by substantial blurring of the front of the fluorescein bolus and the noise associated with the granularity of the film. This limitation is severe when the dye is injected into the antecubital vein. Manipulating a catheter into the carotid artery improves the dye profile and allows a better estimation of the flow rate.3 However, this procedure is clinically quite demanding and is useless for routine clinical studies of retinal blood flow rate. The Laser Doppler Velocimeter may make it possible to perform such velocity measurements routinely. The Laser Doppler Velocimeter is an instrument that measures the velocity of particles suspended in a fluid.4~s The instrument is based on the Doppler effect: The laser light scattered from a moving particle lood velocity in the human retina is currently estimated by means of fluorescein fundus cinematography.1-'- Fluorescein dye is injected intravenously and the passage of the dye bolus through the retinal vessels is recorded with a movie camera. The From the Retina Foundation, Boston, Mass., and the Department of Physics and Center for Materials Science and Engineering, Massachusetts Institute of Technology, Cambridge, Mass. This research was supported in part by Public Health Service Grant No. EY-00227 and Public Health Service Fellowship Grant No. EY-54465 of the National Eye Institute, and Public Health Service Grant No. 1 PO1 HL14322-01 from the National Heart and Lung Institute to the Harvard-Massachusetts Institute of Technology Program in Health Sciences and Technology, and by Advanced Research Projects Agency Contract No. DAHC1567 CO222. Manuscript submitted June 5, 1972; revised manuscript accepted Aug. 21, 1972. 936 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 Volume 11 Xumber 11 Laser Doppler measurements 937 Fig. 1. Optical and electronic setup for measurement on capillary tube. is shifted in frequency in proportion to the velocity of the particle. The magnitude of the frequency shift is measured by optical heterodyning. With this technique, the light from particles moving with velocity V is combined at the surface of a photodetector with a local oscillator or reference beam consisting of light from the same laser. The photodetector mixes the two signals to give in the output photocurrent a signal at the difference frequency. The particle velocity is directly proportional to this difference frequency and can be measured absolutely from the scattering geometiy and the laser wavelength. We carried out an in vitro experimental study of the feasibility of this technique by measuring the velocity of whole blood flowing through a glass capillary tube ~200 /J. in diameter. This is about twice the diameter of the largest retinal vessels. We followed this by a successful detection of the blood velocity in the retinal arterioles of a living rabbit. Optical and electronic system The optical setup used in the in vitro experiments described in this paper is shown in Fig. 1. Light from a Helium-Neon laser, after being focused by Li on the pinhole Pi is collimated by lens L- and falls perpendicularly on the glass capillary tube CC. The size of the beam at its intersection with the tube is about twice the tube diameter. Light scattered at an angle 9 with respect to the incident beam from each moving particle is mixed at the photocathode of the photomultiplier with light scattered by the glass surface of the tube. This latter light has the same frequency as the incident light and acts as local oscillator. In front of the photomultiplier, an aperture P2 (1 mm. in diameter) limits the angular spread of the light accepted from the scattering region to less than 0.02 rad. For a particle moving with velocity V, the wellknown Doppler effect leads to a frequency shift f between the frequency of the light scattered' fuom the moving particle, and the incident light frequency. Appendix 1 shows that for our scattering geometry the frequency shift f is related to the velocity V, the light wavelength X (in vacuo) and the scattering angle 0 by the formula V f = - Sin 0 X (1) This frequency shift appears explicit)' in the photocurrent output as a result of the optical mixing process on the photocathode. The optical arrangement differs from the usual setups described in the literature in that no particular optical elements such as beamsplitters or masks are used to produce the local oscillator.0"12 Light scattered from the tube itself is mixed with the light scattered from the particles to provide the heterodyne detection of the Doppler shift. This considerably simplifies the problem of accurate alignment of the wavefronts between the local oscillator and the signal. The electronic system at the output of the photomultiplier consists of a cathode follower amplifier, a Hewlett Packard 310 A Spectrum Analyser, a squarer, and an integrator. The spectrum analyzer was scanned at a rate of 100 Hz. per second. Integration time was 2 seconds. Results Flow of polystyrene spheres in water. To test the apparatus, measurements were performed with distilled water containing Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 Investigative Ophthalmology November 1972 938 Riva, Ross, and Benedek r Frequency |khz) Fig. 2. The power spectrum N ( t ) of light scattered by a dilute suspension of polystyrene spheres in water flowing through a capillary tube. a suspension of polystyrene spheres 0.56 [i in diameter. Fig. 2 shows a typical power spectrum N(f) of the light scattered from the moving particles. N(f) is proportional to the number of particles scattering light at the Doppler frequency f, which is related to the velocity V by Equation 1. Bandwidth of the spectrum analyzer was 1,000 Hz. and frequency was varied from 2 to 40 KHz. The angle G was ~60°. This spectrum contains not just a single frequency corresponding to the movement of particles with a single velocity, but a range of frequencies corresponding to a range of velocities. In fact the form of N(f) contains information on the velocity profile of the flowing fluid. Appendix 2 demonstrates that if the velocity profile across the tube is parabolic, as is the case for Poiseuille flow," the spectrum of the scattered light is flat up to a maximum frequency im«x. This frequency is related to the maximum velocity V,, at the tube center by formula 1: v — sin 6 (2) The flat spectrum is a direct consequence of the fact that, for a parabolic velocity profile, there are equal numbers of particles flowing at each velocity up to the maximum velocity V,,. As is discussed further in Appendix 2, the flatness of the spectrum for parabolic flow depends on the assumption that the heterodyne mixing of the scattered light and local oscillator is the same for all velocities. The experimentally observed spectral distribution illustrated in Fig. 2 clearly shows this flat spectrum, which cuts off at ~32 KHz. This cutoff frequency corresponds to a maximum flow velocity of ~2.3 cm. per second which is in agreement with the measured pump flow rate of 0.0206 c.c. per minute and the tube diameter ~200 /*. In Appendix 2, we also show that the quantitative relationship between flow rate Q and V,, is given by where A is the cross-sectional area of the tube. Measurements similar to those shown in Fig. 2 were made with rate of flow ranging from 0.00206 c.c. per minute to 0.05 c.c. per minute. In each case the cutoff frequency was in good agreement (within ± 10 per cent) with the maximum velocity as determined from measurement of the flow rate. We have also studied the form of the power spectrum N(f) as a function of the scattering angle e. We found that Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 Volume 11 Number 11 Laser Doppler measurements 939 ?(khzj Fig. 3. The power spectrum N (f) of light scattered by whole blood flowing through a capillary tube. N(f) was always independent of frequency up to the cutoff, and that the maximum frequency at each angle was consistent with the value expected for the particles of highest velocity in accordance with Equation 2. The width of the high frequency cutoff is determined by: (1) the range of collection angles e, (2) the time the scattered particles remain in the illuminated region, and (3) the instrumental width of the spectrum analyzer and the integration time of the integrator following the squarer. In our experiments the width of the cutoff was found experimentally to be 1 KHz. This width corresponds to the instrumental width of the spectrum analyzer. Flow of red celh (RBC) in whole blood. Similar measurements were made with whole rabbit blood. This blood was heparinized with 5 units heparin per milliliter of blood. To prevent the blood from coagulating on the glass wall, the inner surfaces of the tubes were previously siliconed. The scattered light was collected from a small range of angles, around 9 = 160°. This backscattering configuration was chosen because the intensity of the heterodyne beat was stronger than at smaller scattering angles. Furthermore, the 160° scattering angle simulates more closely the geometry employed in the in vivo experiments. Fig. 3 shows a power spectrum N(f) of light scattered by the RBC in whole blood flowing at a rate of 0.033 c.c. per minute. Since the tube area A of our 200 ju. capillary is 3.1 x 10 4 cm.2 we calculate that the mean speed VUTl. for the flow is 2.0 cm. per second. There are two major differences between the spectra obtained with RBC and with the polystyrene spheres in water. First, with RBC, N(f) rises as the frequency increases. Second, the falloff near the maximum frequency is much slower than that for the polystyrene spheres in water. The rise in in N(f) may be associated with a flattening of the velocity profile, as is known to occur in erythrocyte flow." However, this effect cannot explain the slow frequency falloff of the tail of the spectral distribution. This broad tail may be associated with the presence of multiple scattering of light by RBC18: Light can be scattered by two or more red cells before entering the phototube entrance aperture, thereby broadening the spectral profile since two or more velocity combinations are possible in the multiply scattered light. Nevertheless, we observed that this Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 Unistitiativc Ophthalmology November 1972 940 Riva, Ross, and Benedek F i g . 4 . P o w e r s p e c t r a i \ ( f ) of light s c a t t e r e d b y b l o o d w h i c h is flowing t h r o u g h a c a p i l l a r y t u b e a l t e r r e s t i n g in a s y r i n g e tor s e v e r a l h o u r s . T h e s p e c t r a ( a ) - ( d ) c o r r e s p o n d t o different rates of flow: ( a ) 0.0097 c.c. p e r m i n u t e , ( b ) 0 . 0 1 9 4 c.c. p e r m i n u t e , ( c ) 0 . 0 3 8 8 c.c. p e r m i n u t e , a n d ( d ) 0.097 c.c. p e r m i n u t e . "knee" is shifted to higher frequencies in proportion to the flow rate, and that the mean velocity of 2 cm. per second corresponds to a frequency of approximately 11 KHz., which occurs near the peak of the spectrum. Unlike the measurement with polystyrene spheres in water, the spectra obtained with blood changed over time. After 1 or 2 hours of measurement with the same blood, which was not stirred so that sedimentation was not prevented, spectra like those shown in Figs. 4A to 4D could be recorded. These spectra are characterized by the appearance of two peaks, a broad one at the low frequency range of the spectra and a narrow one at the higher frequencies, followed immediately by a sharp cutoff (within two or three bandwidths of the spectrum analyzer). Within the range of accuracy of the apparatus, the frequency of the narrow peak varies proportionally to the rate of flow as is demonstrated in Fig. 5. The peak at the high frequencies corresponds to the flattening of the velocity profile. The sharpness of the cutoff in this case suggests that multiple scattering has been reduced. This may be attributed to the decrease in density of the RBC flowing through the tube due to blood cell sedimentation in the reservoir syringe. Because of the sharpness of the cutoff we believe that the velocity corresponding to the peak of N (f) is the same as the maximum velocity of the flow. For each of these spectra we have calculated the maximum velocity V,, from f,,mx and the average velocity V11V,. from the flow rate. In each case, Vo is about twice as large as V.,,,,, indicating that the velocity profile has become flat in only a small part of the tube cross-section. However, there is a considerable uncertainty in this figure due to an uncertainty of about 5° in the measurement of the angle O. Flow of blood in the retinal artery of Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 Volume 11 Number 11 Laser Doppler measurements 941 1 1 1 1 60 - / 50 - / 40 - / 30 - / / 20 _ 10 - / / / / / / / / • // V / / ~ / ~ / ~ / / / / / _ / — / / n / 1 1 1 0.0097: 0.0388 0.0194 1 0.097 Flow rate (cc/min) Fig. 5. Peak frequency of the spectra Fig. 4 plotted against flow rate. Because is so sharp, the peak frequency can be with the maximum frequency shift shown in the cutoff identified f,,,,IX-. an albino rabbit. Fig. 6 illustrates a recording of the power spectrum N(f) of the backscattered light obtained with the laser beam aimed at the retinal artery near the optic disc of an albino rabbit. The setup for this experiment is shown in Fig. 7. The Goldmann17 lens was used to illuminate the vessel with a collimated beam and to facilitate the positioning of the laser beam on. the vessel. The incident laser beam power was about 10 mw. and the exposure time for one measurement was about 2 minutes. The rabbit was anesthetized and its pupil dilated. It was placed on a platform, the upper incisive teeth were inserted into a metallic ring, and the maxillary bones were supported by two screws to restrain head movements. A 0.5 c.c. retrobulbar injection of 2 per cent xylocaine hydrochloride was given in the orbit to eliminate the saccadic eye movements. The angle 0 between the incident laser beam and the scattered beam was approximately 170°. The direction of blood flow in the optic disc is normal to the incident laser beam as is assumed in Equation 1. The spectrum of N(f) suggests that the maximum velocity of flow corresponds to frequencies between 3 and 5 KHz. The former figure corresponds to the peak of N(f), and the latter to the approximate half width. The corresponding flow velocities according to Equation 1, are between 1.1 and 1.8 cm. per second. At the present time, there are to our knowledge no published data which can be made compatible with our measurements. However, Greenls has found that for a dog, the flow velocity of blood in vessels of 0.02 mm. in diameter is 0.32 mm. per second and in an artery of 0.6 mm. in diameter, 6 cm. per second. Our values refer to an artery of approximately 0.0S mm., and are not inconsistent with these results. Ophthalmoscopic observation of the rabbit fundus immediately after the experiment and two days later showed no damage to the vessel or surrounding tissues. Conclusion The experiments described here demonstrate the utility of LDV for studying the flow of fluids in small tubes. It can very sensitively indicate departures from the parabolic velocity profile. The present method provides a much more quantitative, safe, and rapid means of measuring retinal blood velocity than has previously been available. The measurement with whole blood is complicated by multiple scattering, at least in the case of tubes of a diameter of 200 /x or larger. However, in small blood vessels like those in the ocular fundus or in the conjunctiva, multiple scattering should be less troublesome. Already in this first experiment the spectral distribution of the light scattered from the retinal arteries of the rabbit permits reasonable estimates of the flow velocity. The sensitivity of the method indicates that interesting information on the velocity and Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 hit estimative Opltthnlntology November 1972 942 Riva, Ross, and Bcncdck Fij». (i. The power spectrum M f ) of light scattered from a retinal arteriole or a rabbit. Goldmann Lens Fig. 7. Optics of experimental setup for measurements on rabbit. Electronics were identical to those of Fig. 1. velocity distribution in pathologic cases can be obtained even in the absence of a detailed explanation for the spectral features. It is natural to speculate as to whether or not these experiments can be conducted safely on the human fundus. In this connection, we observe that the 10 mw., 2 minute exposure in the rabbit produced no retinal damage detectable with the ophthal- moscope. Furthermore, the signal-to-noise ratio achieved in the present experiments suggests that a reduction of incident power by a factor of 10 or more would still permit the observation of the spectrum. Also, the exposure time can be reduced by at least a factor of 50 if more sophisticated recording and analysis techniques for the photoeurrent are used. Both intensity and exposure time diminution are most en- Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 Laser Doppler measurements 943 Volume 11 Number 11 couraging indicators for the applicability of this method to the study of blood flow in the living human eye. We also intend to investigate the effect of the saccadic movements of the eye on the detection of the blood flow with this Doppler velocimeter. The authors wish to thank Lon Hocker for helpful discussions concerning this work and Dr. F. Crignolo for assistance during the in vivo experiment and post experimental ophthalmoscopic examination. We also thank Dr. C. L. Schepens for making this collaborative effort between the Massachusetts Institute of Technology Department of Physics and the Retina Research Foundation possible. REFERENCES 1. Bulpitt, C. J., and Dollery, C. T.: Retinal cineangiography, British Kinematography Sound and Television, January, 1970, p. 14. 2. OberhofF, P., Evans, P. Y., and Delaney, J. F.: Cinematographic documentation of retinal circulation times, Arch. Ophthalmol. 74: 77, 1965. 3. Delori, F. C, Airey, R. W., Dollery, C. T., et al.: Image intensifier cine-angiography, Fifth Symposium on Photo-electronic Image Devices, London, September, 1971, Academic Press (In press.) 4. Yeh, Y., and Cummins, H. Z.: Localized fluid flow measurements with an He-Ne laser spectrometer, Appl. Phys. Lett. 4: 176, 1964. 5. Foreman, J. W., Jr., George, E. W., and Levis, R. D.: Measurement of localized flow velocities in gases with a laser doppler flowmeter, Appl. Phys. Lett. 7: 77, 1965. 6. Rudd, M. J.: The laser dopplermeter—a practical instrument, Opt. Technol. 1: 264, 1969. 7. Lading, L.: Differential doppler heterodyning technique, Appl. Opt. 10: 1943, 1971. 8. Blackshear, P. L., Forstrom, R. J., Dorman, F. D., et al.: Effect of flow on cells near walls, Fed. Proc. 30: 1600, 1971. 9. Wilmshurst, T. H.: Resolution of the laser fluid-flow velocimeter, J. Phys. Eng. Sci. Instrum. 4: 77, 1971. 10. Bedi, P. S.: A simplified optical arrangement for the laser doppler velocimeter, J. Phys. Eng. Sci. Instrum. 4: 27, 1971. 11. Mayo, W. T., Jr.: Simplified laser doppler velocimeter optics, J. Phys. Eng. Sci. Instrum. 3: 235, 1970. 12. Adrian, R. J., and Goldstein, R. J.: Analysis of a laser doppler anemometer, J. Phys. Eng. Sci. Instrum. 4: 505, 1971. 13. Li, W. H., and Lam, S. H.: Principles of 14. 15. 16. 17. 18. Fluid Mechanics, Reading, Mass., 1964, Addison Wesley. Benedek, G. B.: Optical mixing spectroscopy, with applications to problems in physics, chemistry, biology, and engineering, in the jubilee volume in honor of Alfred Kastler, Polarization, Matter and Radiation, Paris, 1969, Presses Universitaires de France, p. 49. Goldsmith, H. L.: Microscopic flow properties of red cells, Fed. Proc. 26: 1813, 1967. Anderson, N. M., and Sekelj, P.: Reflection and transmission of light by thin films of nonhemolyzed blood, Phys. Med. Biol. 12: 185, 1967. Coldmann, H., and Schmidt, T.: Ein Kontaktglas zur Biomikroskopie der Ora Serrata und der Pars Plana, Ophthalmol. 149: 481, 1965. Green, H.: Circulation: Principles, in Glasser, O., editor: Medical Physics, Vol. 1, Chicago, 1944, The Year Book Medical Publishers, Inc., p. 210. Appendix I In general, if the wave vector Ki of the incident light makes an angle ©i with the flow velocity V and the wave vector Ks of the scattered light —> makes an angle ©8 with V, then the Doppler frequency shift f is given by C . (Ks - K,)-V 2TT — (K. cos e s - K, cos 6 , ) 2 K, = Ks = Since where n is the refractive index of the following medium and X is the wavelength in vacuo, this implies in general: nV f = — (cos ©s - cos ©i). X In our experiments, ©i was always 90°, and therefore cos ©i = 0. If we call the angle between the incident and scattered beams, as measured inside the tube, 0I,1SI.I.;, we have ©S = 90° ©I,,SUI<>. Our formula then reduces to: nV e f = - • A Sill ©inside X But the measured angle ©, as shown in Fig. 1, is the angle between the incident and scattered beams as measured outside the tube. Snell's law gives sin © = n sin ©inside. Thus we find, when the incident beam is normal to the flow velocity, Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017 944 Riva, Ross, and Benedek Investigative Ophthalmology November 1972 that the magnitude of the Doppler shift is given by: f = — sin © Appendix II The correspondence between the flat spectrum shape shown in Fig. 2 and a parabolic velocity profile may be seen from the following argument. Since the number of particles scattering light with a frequency shift between f and f + df is equal to the number of particles with velocity between V and V + dV we have N(f)df = N(V) dV Furthermore, since V is a function of the distance r from the tube center to the particle, we can also write Thus, if the light illuminates all the elements of the flowing fluid equally and if the velocity profile is parabolic, the power spectral density in the scattered light will be flat between 0 frequency shift and the maximum fllinx = V,, sin ©A. This results from the fact that the number of particles with velocity between V and V + dV is constant up to the maximum flow velocity for a parabolic profile. It is often convenient to define a mean velocity of flow Vnvc which is related to the volumetric flow rate Q by the formula Q = VoveA Here A is the cross-sectional area of the tube. In the case that the flow has a parabolic velocity profile we have seen that N(V) is a constant up to V,,. It follows that the mean velocity V,,ve is related to the maximum velocity V» by N(V)dV = N(r)dr V,,, = - where N(r)dr is the number of particles between r and r + dr. Thus dr dV N(f) = N(r) dV df . For a circular tube of radius r and particles of uniform density p, for r < ro N(r) = 0 for r > in For a parabolic profile V(r) = - [r/r..]*) where V,, is the velocity at the center of the tube. Thus — = iv/2V o r dV moreover, from Equation 1 we have dV _ X df ~~ sin e Therefore, the velocity distribution has the form mvpX N(f) = • Vt 0 G for f < f111BX for f > f,,,,,v where f.n«, = V. Thus, also Q = - V.,A The interpretation given here for the spectral distribution in the scattered light is based implicity on the assumption that the heterodyne mixing of the light is equally effective for all velocities. In the present experiments, the spatial distribution of particles with different velocities is such that those particles with large velocities are located in a small cylinder near the center of the tube, while those with small velocities are located in large cylinders close to the walls of the tube. Thus, we can expect that at the photocathode the coherence area corresponding to high velocity flowing particles will be larger than the coherence area associated with low velocity flowing particles.14 If the size of the coherence area of the local oscillator field is small compared to the coherence area corresponding to each group of flowing particles, particles of each velocity will contribute equally to the spectrum. We believe that the latter situation applied in our experiments because the local oscillator originated from the total illuminated surface of the tube which provides a source volume of larger crossection than any of the flow cylinders mentioned above. This consideration should be kept in mind when a beam splitter arrangement is considered for use to provide a local oscillator. Vo sin 0 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932869/ on 06/18/2017
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