CO-REGISTRATION OF BIOLUMINESCENCE TOMOGRAPHY AND ANATOMICAL IMAGING MODALITIES FOR CELL TRACKING AND SOURCE QUANTIFICATION by Moussa Chehade A thesis submitted to Johns Hopkins University in conformity with the requirements for the degree of Master of Science in Engineering Baltimore, Maryland May, 2014 © 2014 Moussa Chehade All Rights Reserved Abstract Bioluminescence tomography (BLT) is a molecular imaging tool that provides three-dimensional, quantitative reconstructions of bioluminescent sources in vivo. A main limitation of BLT to date, however, has been a lack of validation and demonstrated utility in preclinical research. An approach employing a fusion of BLT with other, well-established imaging modalities was used in this work to validate results obtained with BLT and improve the performance of source quantification. In the first chapter of this thesis, a method was developed to co-register BLT to magnetic resonance (MR) and computed tomography (CT) anatomical data for tracking cell transplants using a specialized animal holder. Using a luciferaseexpressing tumor model in mice, MRI was shown to be superior at locating cells while BLT provided a more sensitive measure of cell proliferation. A multimodal approach incorporating BLT can therefore provide a better understanding of cell dynamics in vivo in preclinical research than with anatomical imaging alone. In the second chapter of this thesis, anatomical MRI and CT images were segmented to provide hard spatial priors to quantify the power of calibrated luminescent sources implanted in mice. To do this, a finite element (FEM) implementation of the diffusion approximation was used as a forward model for light propagation and validated through a phantom experiment. Source powers quantified using hard prior information showed a 65% reduction in average ii deviation compared to traditional BLT using four spectral bins and comparable performance to eight bins. BLI imaging times using hard spatial priors were reduced by 16-fold and 100-fold compared to the four- and eight-bin BLT methods, respectively. Together with the results of the first chapter, these results show value in incorporating data from other imaging modalities into BLT. Thesis Committee: Jeff W. M. Bulte, Professor of Biomedical Engineering, Thesis Advisor Piotr Walczak, Associate Professor of Radiology Kevin J. Yarema, Associate Professor of Biomedical Engineering iii Acknowledgements The numerous medical and pre-clinical imaging modalities available today are a testament to the creativity of the individuals working in this research field, one that I have been fortunate enough to be a part of over the past two years. I would like to take this opportunity to thank a very talented group of individuals for their support; this thesis would not have been possible without them. First and foremost, I would like to thank my advisor, Jeff W. M. Bulte, for his continuous guidance and support during my graduate studies. Dr. Bulteโs emphasis on treating all members of the research group, regardless of experience, as independent scientists was intimidating to me at first, but in retrospect a tremendous help in developing my skills as a researcher. I am also thankful for the support of Piotr Walczak, who provided valuable suggestions on my work and for the opportunities he provided me with to improve my skills in image analysis and visualization. I would also like to thank Kevin Yarema for his valuable feedback on this thesis. Very special thanks go to Amit Srivastava for his mentorship over the past two years. Amit has taught me much of what I know in wet lab skills and was always willing to sacrifice his time and effort to assist me with experimentation. I am indebted to him for his help. I would like to acknowledge the help of Irina Shats for sharing her wisdom in and training me in cryosectioning and staining protocols. A thanks goes out to Lisa Song for her guidance on the relevant literature and software for bioluminescence tomography. I would also like to acknowledge Antje Arnold and iv Anna Jablonska for their advice in day-to-day issues that came up during the course of my graduate work and their always appreciated sense of humor. To my lab mates and others who I may have forgotten, I am grateful to you for your willingness to help and your friendship. It has been a pleasure working with you all. Last but not least, I would like to extend a heartfelt thanks to my parents for their unconditional support and words of encouragement during my time at Johns Hopkins. Without them I would not have gotten this far, and for that I am truly grateful. v Table of Contents Abstract ......................................................................................................ii Acknowledgements..................................................................................... iv Table of Contents ...................................................................................... vi List of Tables ............................................................................................. ix List of Figures............................................................................................. x Introduction ................................................................................................ 1 Chapter 1: Bioluminescence Tomography and MRI for Cell Tracking........ 3 1.1 Background ................................................................................... 3 1.1.1 Bioluminescent Imaging ..................................................... 3 1.1.2 Limitations of Planar BLI .................................................. 4 1.1.3 Bioluminescence Tomography ............................................ 7 1.1.4 Alternative Cellular and Molecular Imaging Modalities ... 10 1.1.5 Co-registration and Image Fusion .................................... 12 1.1.6 Approach and Significance of this Work .......................... 13 1.2 Methodology and Animal Holder Design..................................... 14 1.2.1 Equipment........................................................................ 14 1.2.2 Imaging Workflow ............................................................ 14 1.2.3 Holder Requirements ........................................................ 15 1.2.4 Holder Design ................................................................... 16 1.3 Phantom Tests and Co-Registration Procedure .......................... 19 1.3.1 Phantom .......................................................................... 19 1.3.2 Imaging and Registration ................................................. 19 1.3.3 Results ............................................................................. 20 1.4 Imaging Protocols ....................................................................... 23 1.4.1 MR Imaging ..................................................................... 23 1.4.2 CT Imaging Protocol........................................................ 23 1.4.3 Bioluminescent Imaging ................................................... 24 1.4.4 BLT Reconstruction ......................................................... 24 vi 1.4.5 MR to BLT/CT Registration ........................................... 25 1.5 In Vivo Validation ...................................................................... 26 1.5.1 Overview and Approach ................................................... 26 1.5.2 Cell Culture and Transplantation .................................... 27 1.5.3 Animal Imaging Protocol ................................................. 27 1.5.4 Histological Analysis ........................................................ 28 1.5.5 Results ............................................................................. 28 1.6 Conclusions ................................................................................. 35 Chapter 2: Quantitative Bioluminescence Tomography using Prior Spatial Information ....................................................................................... 36 2.1 Motivation .................................................................................. 36 2.1.1 Spatial Prior Knowledge in BLT ...................................... 37 2.1.2 Approach in this Chapter................................................. 38 2.2 Background Theory .................................................................... 40 2.2.1 Light Propagation in Biological Tissues ........................... 40 2.2.2 The Radiative Transfer Equation..................................... 42 2.2.3 Solutions to the RTE ....................................................... 43 2.3 Finite Difference Method ............................................................ 46 2.3.1 Implementation ................................................................ 46 2.3.2 Boundary Conditions ....................................................... 47 2.3.3 Numerical Validation ....................................................... 48 2.3.4 Limitations of FDM Approach ......................................... 52 2.4 Finite Element Method ............................................................... 54 2.4.2 Implementation ................................................................ 54 2.4.3 Matrix Assembly .............................................................. 56 2.4.4 Conversion of Photon Density to Radiance ...................... 59 2.5 Implementation and Source Quantification ................................. 61 2.6 Method Validation ...................................................................... 67 2.6.1 Numerical Validation of Forward Model .......................... 67 2.6.2 Validation against Tissue Mimicking Phantom ................ 70 2.7 In Vivo Testing ........................................................................... 73 2.7.1 Procedure ......................................................................... 73 vii 2.7.2 Results ............................................................................. 75 2.7.3 Discussion......................................................................... 78 2.8 Conclusions and Future Work .................................................... 80 Summary and Conclusions ........................................................................ 81 Glossary of Terms and Notation ............................................................... 83 Appendix .................................................................................................. 84 Appendix A: Histological Analysis .................................................... 84 Appendix B: FDM Matrix Coefficients ............................................. 86 Appendix C: Scaling Coefficient From Cross-Correlation ................. 88 Bibliography ............................................................................................. 90 Curriculum Vitae ...................................................................................... 98 viii List of Tables Table 1.1 MRI to CT transformation repeatability errors along each axis ..21 Table 2.1 List of optical properties for uniform and non-uniform spherical cases used in FDM validation ......................................................50 Table 2.2 List of optical properties for uniform and non-uniform spherical cases used in FEM validation ......................................................67 Table 2.3 Comparison of source power quantification using multispectral BLT and the hard spatial prior approach ....................................73 Table 2.4 Standard and mean absolute deviations of the normalized datasets from the calibrated bead power for each of the quantification methods .......................................................................................76 Table 2.5 Comparison of time needed for source quantification using planar BLI, multispectral BLT, and the hard spatial prior method .......77 ix List of Figures Figure 1.1 Cytosolic luciferase acts on D-Luciferin in the presence of oxygen and ATP to produce light. ........................................................... 4 Figure 1.2 BLT imaging procedure. .............................................................10 Figure 1.3 CAD model of animal holder (left). Animal holder in use during BLI, showing restrained mouse (right) ........................................17 Figure 1.4 Surface coil insertion into animal holder during MRI .................18 Figure 1.5 Air-water tube phantom used to determine coordinate transformation between CT and MRI scanners ...........................19 Figure 1.6 Axial (left) and coronal (right) sections of phantom in CT (blue) and MRI (yellow), showing agreement between the co-registered volumes........................................................................................20 Figure 1.7 Co-registered MRI (orange) and CT (greyscale) in a live mouse, showing good agreement between the modalities .........................25 Figure 1.8 BLT (hot color scale) reconstructed Luc+ cell location superimposed over T2 MRI at day 27 for all three test subjects. 29 Figure 1.9 3D visualization of MR-segmented tumor volume (green) and BLT reconstruction (orange) .......................................................30 Figure 1.10 Ex vivo analysis of subject 1 brain after day 27...........................32 Figure 1.11 Plot of total bioluminescence signal and MR-segmented tumor volume over the duration of the study, normalized to day 1 values (n=3) ...........................................................................................33 Figure 1.12 Coronal MRI slices at 1, 2, and 4 weeks after transplantation. Increase in tumor size is only apparent by week 4.......................33 Figure 1.13 Comparison of total bioluminescence (left) and BLT-reconstructed source power (right) over the duration of the study, showing a similar trend but increased variance with BLT (n=3) .................34 Figure 2.1 Schematic of light propagation in biological tissues. Light traveling through tissue may be absorbed or scattered several times before exiting through the surface of the tissue. .................40 x Figure 2.2 Geometry for spherical volume with regions of varying optical properties. The light source is isotropic within a radius ๐๐ ..........49 Figure 2.3 Photon density vs. distance from center for the FDM compared against the ODE in the optically homogeneous case....................51 Figure 2.4 Photon density vs. distance from center for the FDM compared against the ODE in the optically inhomogeneous case, showing a discrepancy beyond a radius of 3 mm. .........................................51 Figure 2.5 The FDM approach in a voxelized mouse volume (left) causes banding artifacts in the photon density at the surface (right) due to attenuation over one voxel length ...........................................52 Figure 2.6 Tetrahedral mesh representation (right) of mouse CT volume (left) ............................................................................................54 Figure 2.7 Flowchart of source quantification process using prior spatial information ..................................................................................61 Figure 2.8 The CT volume is cropped and used to generate a mesh ...........62 Figure 2.9 Cross-correlation of simulated and measured BLI images shows a single peak near the center. .........................................................65 Figure 2.10 Output images showing simulated and measured images of radiance on the top surface of a tissue-mimicking phantom and an error image (right). ......................................................................66 Figure 2.11 Photon density vs. distance from center for the FEM model compared against the ODE in the optically homogeneous case. ..68 Figure 2.12 Photon density vs. distance from center for the FEM model compared against the ODE in the optically inhomogeneous case. ....................................................................................................68 Figure 2.13 Photon density vs. distance from center for the FEM model compared against TIM-OS in an optically homogeneous medium. ....................................................................................................69 Figure 2.14 XFM-2 tissue-mimicking phantom...............................................70 Figure 2.15 Emission spectra of firefly luciferase and tritium bead ................71 Figure 2.16 Coronal CT sections of XFM-2 phantom, showing two possible locations for tritium bead placement ...........................................72 xi Figure 2.17 Implanted tritium bead is visible in CT and shown segmented in red. ..............................................................................................74 Figure 2.18 Overall mouse volume (left) and segmented bone and brain tissue (right) obtained from CT images .................................................75 Figure 2.19 Comparison of reconstructed source powers using corrected total flux from BLI, BLT with differing number of bins used, and the hard prior method (n=9). Dashed line represents the actual power of the calibrated light source. Whiskers show the data minimum and maximum. .............................................................................76 Figure 2.20 Comparison of variances in reconstructed source powers after normalization of the dataset from Fig. 2.19 to give a mean source power of 1.15x1010 photons/s for each method. Dashed line represents the actual power of the calibrated light source. Whiskers show the data minimum and maximum. ......................77 xii Introduction Cell transplantation therapies, including stem cell transplants, are an active area of research that has shown potential for treating a wide range of diseases such as neurological disorders, cardiovascular diseases, and stroke [1,2,3]. A persistent challenge, however, has been the need to monitor cell targeting, survival, and tumorigenicity when evaluating potential treatments in vivo [2,3,4]. Today, this is accomplished using a wide range of non-invasive molecular and cellular imaging modalities, primarily: optical, magnetic resonance (MR), and nuclear imaging [5,6,7]. As one of the most popular optical methods, bioluminescent imaging (BLI) is a widely used molecular imaging tool for imaging of small animals, with the main advantages of this modality being its relative low cost, high throughput, and use of a robust reporter gene. A key limitation of BLI, however, has been its inability to provide spatial information comparable to anatomical imaging modalities such as MRI or CT. Over the past two decades, optical tomography has emerged as a promising solution to this limitation of BLI but has yet to be widely adopted for in vivo use. The aim of this work was to investigate the utility and limitations of tomographic BLI when paired with anatomical modalities such as MRI and CT, and improve upon the capabilities of optical tomography using a multimodal imaging approach. Chapter 1 of this thesis examines the co-registration of tomographic BLI (BLT) with CT and MRI for in vivo cell tracking in small animals. A specialized 1 animal holder was designed to simplify the registration of BLT to MRI and applied to an in vivo tumor model in mice to examine the utility of BLT paired with MRI. In Chapter 2 of this thesis, the use of prior spatial information from coregistered anatomical images in BLT source quantification was examined and compared to current BLT methods with implications for in vivo applications such as quantifying cell number. 2 Chapter 1: Bioluminescence Tomography and MRI for Cell Tracking 1.1 BACKGROUND 1.1.1 Bioluminescent Imaging Bioluminescent imaging (BLI) is a molecular imaging technique that captures light emitted from biochemical processes within a cell. By using a light-emitting probe, BLI allows for non-invasive tracking of cells expressing the probe as well as measuring the relative expression of a target molecular process in these cells. Currently used BLI reporters fall within the class of luciferase enzymes; several variants of luciferases occur naturally in certain organisms and differ in the substrate and co-factors required in the chemical reaction, reaction kinetics, and wavelength of light produced. By far the most commonly employed variant is Firefly luciferase (fLuc), which acts upon a luciferin substrate in the presence of ATP and emits with a peak of 560 nm at room temperature [8], shown in Fig. 1.1. The fLuc emission spectrum is red-shifted in vivo to a peak emission at 612 nm [9]. Other variants include Red and Green Click Beetle luciferase (544 nm and 611 nm, respectively), and Renilla luciferase which acts instead on coelenterazine in the absence of ATP to produce light at 480 nm [8]. In current studies the most widely used variant is firefly luciferase. 3 Figure 1.1 Cytosolic luciferase acts on D-Luciferin in the presence of oxygen and ATP to produce light. While BLI is more complex than other optical methods, such as fluorescence imaging, in that it requires the injection of a chemical substrate to produce a signal, BLI benefits from a high signal-to-noise ratio (SNR) with minimal background. As described by Sadikot and Blackwell, โbioluminescence is appealing as an approach for in vivo optical imaging in mammalian tissues because these tissues have low intrinsic bioluminescence.โ [10] 1.1.2 Limitations of Planar BLI Despite being one of the most widely used small animal imaging modalities, BLI nonetheless has a few key limitations: 4 1) Dependence of Luciferase Activity on External Factors The bioluminescence reaction is dependent on the action of the intracellular luciferase enzyme on D-luciferin, ATP, and oxygen, as well as the presence of Mg2+ as a cofactor. Ideally, the rate of this reaction is dependent only on the level of expression of luciferase so that the intensity of the BLI signal correlates directly with the level of gene expression or the number of viable cells, either in vitro or in vivo. To do this, enough luciferin must be administered so that the enzyme is saturated. A widely used dose in BLI today is a standard intraperitoneal injection of 150 mg/kg of luciferin per animal body weight. While earlier works have presented evidence that the standard dose is sufficient to saturate the available luciferase [11,12], more recent and comprehensive studies contradict this result. Lee et al. used a radioassay to study the biodistribution of luciferin following intraperitoneal injection and found that the lowest concentrations were found in the brain, bone, muscle, and myocardium, with luciferin concentrations in the brain 20 times lower than in the systemic circulation [13]. They concluded that given the relatively poor transport of luciferin across the cell membrane, intracellular concentrations are low enough to limit luciferase activity. In another study of the brain, Aswendt et al. found that BLI signal intensity increased beyond doses of 700 mg/kg [14]. Zhang et al. noted that for in vitro BLI of luc-expressing HEK-293T cells, activity did not saturate at the standard dose nor at an equivalent dose of 1000 mg/kg [15]. 5 In addition to substrate dependence, Moriyama et al. have documented a decrease in BLI output in response to reduced oxygenation in vitro, which they attribute to reduced ATP [16]. This may be relevant to studies involving tumors, which often contain hypoxic regions. Inhibition of the BLI signal was also found in vivo with the use of inhalant anesthetics such as isoflurane, which the authors attributed to changes in hemodynamics [17,18]. Finally, work by Bollinger demonstrated a dependence of BLI intensity on animal temperature, concluding that it is necessary to control body temperature between imaging sessions [18]. 2) Attenuation of Signal due to Tissue Optical Properties Light produced in vivo by bioluminescence must travel through tissue and exit the surface of the specimen before being detected by a camera or detector. All other variables unchanged, the BLI signal decreases with increasing depth in the tissue as a result of scattering and attenuation. An estimate for the effective attenuation coefficient, ๐๐๐๐ , using mouse tissue properties at the peak emission of luciferase (600 nm) [19] is 1 mm-1, meaning that the BLI signal will decrease by 99% for roughly every 5 mm that it must travel through tissue. While this may be less of an issue for subcutaneous transplants, it results in a significant loss of signal in deeper transplants. The topic of light propagation through tissue in vivo is explored in detail in Chapter 2. 6 3) Limited Spatial Information In traditional BLI, where a camera is used to image the specimen from a given direction, the captured images are planar and do not provide explicit depth information. In addition, the highly scattering nature of biological tissue causes light to spread as it travels within the specimen, causing a depth-dependent loss of spatial resolution. A rule of thumb is that the spatial resolution of BLI is roughly equal to the depth of the light source in the tissue [9], or on the order of several millimeters for typical in vivo applications. The dependence of luciferase activity on external factors can be somewhat mitigated by standardizing the imaging procedure to use consistent luciferin doses, anesthetic conditions, and animal body temperature. In addition, imaging at a fixed time after luciferin administration is necessary to account for in vivo bioluminescence kinetics resulting from the distribution, metabolism, and clearance of luciferin. To allow for quantification of the bioluminescence signal using an in vitro assay, where the light output per cell per second is measured, cells in the assay should be subjected to physiologically relevant oxygen and luciferin concentrations that correspond to the tissue of interest. 1.1.3 Bioluminescence Tomography A relatively recent extension of BLI, bioluminescence tomography (BLT), compensates for the lack of spatial information in BLI by providing a three 7 dimensional reconstruction of the light source in vivo. The BLT procedure typically follows the following four steps [20]: 1) Acquisition of 2D BLI images. Most commonly, a multispectral approach is used where a series of spectrally-limited BLI images are acquired at various wavelengths. This method provides depth-related information based on the fact that the bioluminescent emission spectrum is typically red-shifted as it travels through increasing distance in biological tissues. 2) The geometry of the sample-environment boundary is obtained. 3) A forward model is established that maps from the light source inside the tissue to the light measurements on the sample boundary. Forward models for light propagation are covered in depth in Chapter 2. 4) An inverse problem that solves for the light source distribution given the BLI measurements along the boundary. In this manner, BLT provides an estimate of the light source distribution producing the acquired BLI images. In addition, since the forward model incorporates the attenuation of light as it travels through the sample, BLT provides a quantitative measure of the in vivo light source power. In comparison, 2D BLI can provide only semi-quantitative measurements. An outline of the procedure for generating a BLT reconstruction in a small animal using a commercially available BLI/CT imager is shown in Fig. 1.2 below. While the capabilities of BLT go beyond planar BLI, it is still under development with two key areas currently under investigation: 8 1) Improvements to Reconstruction Accuracy Unlike other tomographic modalities such as MRI and CT, which provide a faithful reconstruction of the signal or geometry being imaged, the reconstruction obtained by BLT is dependent on the model used for light propagation in the tissue. Consequently, BLT reconstruction accuracy is dependent on a model that is physically accurate and a reconstruction algorithm that is robust to noise in measurements. As of this time, there are ongoing efforts to improve the accuracy of BLT reconstructions [21,22]. 2) Demonstrated Utility and in vivo Applications A survey of existing literature shows a limited number of studies demonstrating the utility of BLT in research applications [23,24] or validating the quantification of source power through BLT [22]. For BLT to gain popularity over traditional BLI, it needs to be validated in its ability to provide a quantitative, spatially accurate reconstruction in a demonstrated small animal application. 9 Figure 1.2 BLT imaging procedure. (A) Luciferase-expressing cells are transplanted into the animal. (B) A solution of luciferin is administered 10-15 minutes prior to imaging in the BLI/CT scanner (C). A series of spectrally filtered BL images and CT volume (D) are used to reconstruct the bioluminescence source using a BLT algorithm (E). 1.1.4 Alternative Cellular and Molecular Imaging Modalities In addition to BLI, other modalities are commonly used for in vivo cellular imaging and are summarized below: 10 Magnetic Resonance Imaging (MRI) A popular method of in vivo cellular imaging is through the use of MRI labeling agents [25,26,27] and, currently in development, MR reporter genes [28]. For example, labeling of cells with superparamagnetic iron oxide (SPIO) prior to transplantation allows MRI to locate single cells [29]. The high spatial resolution of MRI and flexibility in choice of pulse sequences allows it to localize cells in space with high precision and relative to anatomical details, something that other modalities such as BLI, BLT, or PET cannot do. MRI may also be used for quantitative assessment of transplanted cell count using 19-F labeling or MR reporter genes, however these methods are limited to a minimum number of roughly 104 detectable cells [30]. Conversely, BLI is capable of detecting and quantifying down to 102-103 cells in vivo [14,31]. Positron Emission Tomography (PET) PET uses targeted radiotracers, such as 18F-FDG, that emit gamma radiation when decaying and allows for a tomographic reconstruction of the tracer distribution. Unlike BLT which uses low energy photons, the gamma emissions in PET travel with minimal interaction with biological tissue, allowing for a faithful reconstruction of the tracer location. Compared to MRI, PET benefits from high signal specificity but suffers from limited anatomical information [24] and poor spatial resolution (> 1 mm) due to fundamental limits such as positron range [32]. Compared to PET, BLI (and by extension BLT) provide lower limits of 11 detection, higher throughput, and avoids the cost and safety concerns with the use of radiotracers [24]. 1.1.5 Co-registration and Image Fusion A multimodal imaging approach, where different imaging modalities are coregistered, has the potential to compensate for the shortcomings of the individual modalities. One approach that has been explored in literature has been to use coregistered images in an attempt to improve BLT reconstruction accuracy. In an early example of this approach, Allard et al. registered BLI to MRI to provide a reference for light propagation simulations to investigate the accuracy of various BLT reconstructions [33]. Similarly, Beattie et al. have investigated the registration of planar BLI to CT and MRI using a specialized animal holder, providing anatomical information which they suggest may improve BLT reconstruction accuracy [34,35]. Phantom studies by Yan et al. also suggest that prior knowledge of structural information obtained from co-registration may improve the accuracy of BLT reconstructions [36]. While a growing body of work has examined the co-registration of BLI and MRI in feasibility studies, a currently underdeveloped area is the fusion of BLT with other modalities in pre-clinical or discovery research [22]. Among the few examples of this approach in literature, Virostko et al. co-registered BLT and PET images to evaluate three new PET radiotracers for imaging human pancreatic beta cells [37]. Similarly, Deroose et al. used a multimodal BLIfluorescence-PET reporter gene to provide planar BLI and co-registered PET-CT 12 imaging of tumors [24]. A more common approach thus far has been the use of BLI in multimodal imaging without the use of image fusion. In one example, Zhang et al. used independently acquired MRI and planar BLI in order to look at stem cell survival in rat models of myocardial infarct [38]. In a similar vein, a protocol by Tennstaedt et al. outlined multimodal imaging of neural stem cell transplants into the mouse brain using MRI and BLI [39], but without the use of BLT or co-registration. A remaining line of work in this area is the coregistration of tomographic BLI to MRI, or other modalities, in an in vivo application. 1.1.6 Approach and Significance of this Work The remainder of this chapter demonstrates a method for the co-registration of reconstructed BLT volumes to MR and CT anatomical data for tracking cell transplants in a small animal model. Furthermore, this work investigates whether this particular combination of imaging modalities provides a better understanding of transplanted cell dynamics than can be obtained with a single modality, due to the superior resolution of MRI and lower limits of detection of BLI/BLT. More importantly, it would help validate BLT as a method for cell tracking by providing a reference modality for comparison. Finally, some researchers have suggested that, given that the BLT algorithm is typically an underdetermined problem [40], the incorporation of a priori structural information from coregistered CT/MR images into BLT may improve its performance [36,41,42]. 13 1.2 METHODOLOGY AND ANIMAL HOLDER DESIGN 1.2.1 Equipment In this work, an IVIS Spectrum CT (PerkinElmer Inc.) was used to perform BLI and CT imaging for subsequent BLT reconstruction. The scanner contains a 2048x2048 pixel, cooled CCD camera to capture BLI with a filter wheel containing 18 bandpass emission filters. The IVIS also includes a rotating platform to perform microCT with a detector size of 3072x864 pixels, 50 kV x-ray energy at 1 mA, and a field of view of 126x126x31 mm with an effective resolution of 0.15 mm. A quad-core 2.8 GHz computer workstation with a 256core CUDA GPU is used to perform CT and BLT reconstructions. The IVISgenerated BLT volumes are by default co-registered with CT volumes. The IVIS Spectrum CT was acquired June 2012 through NIH #S10 OD010744. MR imaging was done in a Bruker Biospec 117/16 (Bruker Corporation) 11.7T horizontal bore MRI scanner, which is specifically designed for pre-clinical, small animal imaging. The Bruker 117/16 is actively shielded with a bore diameter of 160 mm. 1.2.2 Imaging Workflow Co-registration between modalities may be accomplished in one of two ways, namely: โข Maintaining subject position between imaging modalities and using a coordinate transformation between scanners (rigid transformation) 14 โข Freely positioning the subject in each scanner and using deformable/nonlinear registration to account for changes in subject position Intermodality non-linear registration is a non-trivial task, therefore a rigidtransformation approach was chosen despite requiring additional hardware to maintain the animal position between the two scanners. This approach provides a quick workflow since the coordinate transformation between the two scanners may be determined a priori. In a pre-clinical setting, where high imaging throughput is desirable, this feature is important. This method of co-registering BLT/CT to MRI entails the following steps: 1. Animal is imaged in BLI/CT scanner 2. Transportation to MRI scanner without disturbing position 3. Animal is imaged in MRI scanner 4. BLT/CT volumes aligned to MRI using prior transformation Due to the need to administer luciferin via intraperitoneal (IP) injection, BLI must be performed before MRI to maintain the animal position. Step 2 entails the use of a specialized animal holder. 1.2.3 Holder Requirements For successful use in both BLI and MRI, it was decided that the animal holder should meet the following criteria at minimum: โข Immobilization of the animal during BLI and MRI to reduce motion artifacts 15 โข Allow transfer of the animal between the BLI/CT and MR imagers without altering the position of the animal โข Allow repeatable positioning in each imager to simplify co-registration by use of an a priori determined transformation โข Made of MR- and CT-compatible material, which should be: non-ferrous, low radiodensity, low MR signal โข Compatible with BLI: made of non-reflective material with low autofluorescence and autoluminescence. Should minimize interference with light transport from the animal to the CCD camera 1.2.4 Holder Design Main Features The animal holder consists of a custom-modified design of the Mouse Imaging Shuttle (Perkin Elmer) provided with the IVIS Spectrum and is shown in Fig. 1.3. The original shuttle consisted of a rectangular bed with a nosecone for anesthetic delivery and a clear plastic lid for use in either BLI or fluorescent imaging, which immobilizes the mouse by applying pressure from above when the lid is attached. In this work, the lid was omitted and the shuttle modified to fit an RF read coil on top of the mouse during MRI. The shuttle is machined from non-fluorescent, MR-compatible Delrin plastic and is colored black to minimize light scattering during BLI. A set of clear, elastic polyurethane straps were added to gently restrain the mouse during BLI (Fig. 1.3) without contributing detectable autofluorescence or autoluminescence in the wavelengths of interest 16 (580-680 nm). During imaging, gas anesthesia is provided from the IVIS Spectrum and MR scanners through an entry port in the front of the holder. The subject and holder are kept at 37°C by the heating beds in the IVIS and MR scanners. Figure 1.3 CAD model of animal holder (left). Animal holder in use during BLI, showing restrained mouse (right) Respiration Monitoring Tubing running through the back of the holder allows for an MR-compatible pressure transducer (Biopac Systems Inc.) to be placed under the mouse to monitor respiration during MR imaging. This feature is used for respiration gating to reduce the effect of motion artifacts during MRI. Rotation of the stage for CT in the IVIS Spectrum precludes the use of the sensor during BLI/CT; however this is less of an issue since respiration artifacts, which mostly introduce motion in the dorsal-ventral axis, are less significant in BLI where the animal is imaged from above. 17 Removable MR Coil During MRI, a phased-array surface read coil, suitable for brain or cervical imaging, is inserted into the holder as shown in Fig. 1.4. The coil may be omitted and the volume coil in the 11.7T scanner used instead, allowing for whole-body imaging at the cost of reduced SNR. The use of a removable MRI coil allows the shuttle to maintain an open top during BLI and avoids optical distortions or attenuation of light traveling to camera. Figure 1.4 Surface coil insertion into animal holder during MRI Shuttle Positioning Repeatable positioning of the holder is accomplished by a snap-fit mechanism that locks it into the stage of the IVIS and MR scanners. The imaging stage is fixed in position in the IVIS spectrum and movable in the MR scanner. In the Bruker 11.7T scanner, a motorized positioning stage with 0.1 mm precision is used to position the shuttle along the axis of the bore. The imaging stage in the MR scanner is freely adjustable along the two axes in the sagittal plane using manual adjustment knobs in order to accommodate stage inserts of varying size. 18 1.3 PHANTOM TESTS AND CO-REGISTRATION PROCEDURE 1.3.1 Phantom To determine the transformation that maps between the coordinate systems of the BLI/CT and MRI scanners, an air-water phantom visible to both CT and MR was made out of a 15mL polypropylene tube filled with deionized water and smaller air-filled tubes (Fig. 1.5). The phantom was imaged using the MR and CT protocols described below, repeating the procedure three times with removal of the shuttle, reinsertion, and re-adjustment of the stage position knobs in the MR scanner to measure repeatability under typical use. Figure 1.5 Air-water tube phantom used to determine coordinate transformation between CT and MRI scanners 1.3.2 Imaging and Registration Phantom imaging utilized the scannerโs volume coil and a T2-weighted RARE sequence with parameters: repetition time (TR) = 3400 ms, echo time (TE) = 30 ms, FOV = 6x2x1.6 cm, number of slices (Nslice) = 32 with 0.5mm spacing, matrix = 360x128, number of averages (Navg) = 1. 19 To determine the transformation between the MR and CT coordinates, the phantom datasets were imported into Amira 5.3 (Visualization Sciences Group) and co-registered by manual positioning followed by automatic registration using a rigid transformation and normalized mutual information metric. Since automatic registration methods may converge to local minima depending on the start position, registration accuracy was examined visually slice-by-slice. The transformation between the CT and MR coordinate systems was taken as the mean of the transformations obtained from the three trials. 1.3.3 Results The co-registered CT and MR volumes of the phantom are shown in Fig. 1.6 Figure 1.6 Axial (left) and coronal (right) sections of phantom in CT (blue) and MRI (yellow), showing agreement between the co-registered volumes. 20 Two measures of positioning repeatability were taken: 1) the RMS error between the individual transformation components along each axis against the averaged transformation above 2) the 95% confidence interval of the transformations. The results are given in Table 1.1 below. Table 1.1 MRI to CT transformation repeatability errors along each axis Mediolateral (ML) Dorsoventral (DV) Anterioposterior (AP) Mean Translation (mm) -55.18 -13.99 -50.49 + x RMS Error (mm) 7.59x10-3 0.93 0.77 95% C.I. (mm) 8.59x10-3 1.05 0.87 Where x is the MR stage position readout, measured towards the bore and relative to the typical imaging position of 870 mm (๐ฅ = ๐ ๐ก๐๐๐ ๐๐๐ ๐๐ก๐๐๐ โ 870) The repeatability test showed that errors were greatest in the DV and AP axes, with RMS errors of 7.6x10-3 mm, 0.93 mm, and 0.78 mm along the ML, DV, and AP axes respectively. Rotation errors were negligible. For reference, the MR and CT voxel resolutions were roughly 0.15 mm. Ideally, the rigid transformation that was obtained between the BLT/CT and MR coordinates eliminates the need for subsequent software registration. However, the results obtained with the phantom indicate that this method still requires software co-registration along the DV and AP axes to correct for the <1 mm deviations observed. This may be attributed to the design of the MR scanner stage, which includes manual finepositioning knobs that translate the stage along the sagittal plane and are 21 necessary to allow the scanner to accommodate stages and inserts of different geometries. Nonetheless, the current animal holder design is valuable in that it maintains the animal in a fixed position, eliminating the need for non-rigid deformation-based registration, and greatly simplifies the registration procedure from a six-degree-of-freedom problem to a simple translation along two axes. 22 1.4 IMAGING PROTOCOLS For imaging small animals under co-registered MR, BLI, and CT, the following protocols were developed: 1.4.1 MR Imaging A 2x2 phased array surface coil (Bruker Corporation) was placed into the shuttle. The coil has a cylindrical profile and rests closely over the mouse head. Each mouse was imaged using two sequences to generate different contrast images: 1) a T1-weighted FLASH sequence with sequence parameters: TR = 480 ms, TE = 6.3 ms, FOV = 1.6x1.6 cm, Nslice = 40 with 0.35mm spacing, matrix = 196x196, Navg = 1, for a total scan time of 3 min. 2) a T2-weighted RARE sequence with identical FOV geometry and parameters: TR = 4000 ms, TE = 31.9ms, flip angle (FA) = 180°, matrix = 256x256, Navg = 3, and a total scan time of 10:25 min. Respiration gating was used for both animal imaging sequences to suppress motion artifacts. 1.4.2 CT Imaging Protocol All CT images were acquired in the IVIS Spectrum CT with the following parameters: 50 kVp at 1mA current, 50 ms exposure time, aluminum filter. A total of 720 projections spaced 0.5° apart were acquired and the CT volume reconstructed using the IVISโs Living Image software (PerkinElmer Inc.), giving a field of view (FOV) of 12.0 x 12.0 x 3.0 cm at an isotropic resolution of 0.15 mm. 23 1.4.3 Bioluminescent Imaging Bioluminescent images of the animals were acquired using a cooled CCD camera in the IVIS Spectrum CT (Perkin Elmer). For each animal, anesthesia was induced using 2% isoflurane gas in oxygen and 150 mg/kg body weight of Dluciferin were injected intraperitoneally. Images were acquired 10 min after injection to maximize the bioluminescence signal. During imaging, four spectrallybinned images were acquired using emission filters at 600, 620, 640, and 660 nm with a bandwidth of 20 nm each. Imaging parameters were: exposure time = 180 s, aperture = f/1, FOV = 13x13 cm, 2048x2048 pixel resolution. Pixel binning was set to 8x8 for an effective image resolution of 256x256. 1.4.4 BLT Reconstruction Reconstruction of the bioluminescent source and superposition over the CT volume was done using the DLIT algorithm in Living Image 4.3 (Perkin Elmer), derived from work described by Kuo et al. in 2007 [43]. Briefly, the algorithm uses single-view, multispectral BLI images to constrain the reconstruction with segmentation of the CT images providing the mouse volume boundary. Bioluminescent source and tissue absorption spectra for the luciferase reporter and mouse tissue were predefined in the software. The source distribution was visualized in Living Image using a voxel size of 0.31 mm and no smoothing. 24 1.4.5 MR to BLT/CT Registration MR volumes were co-registered with BLT/CT using the same procedure developed for the tube phantom. As mentioned before, the datasets were loaded into Amira using the coordinate transformation determined for the phantom, and translation was adjusted along the AP and DV axes until the MR and CT volumes were aligned. The animal holder was effective in restraining the live mouse between modalities as seen in Fig. 1.7 below. Figure 1.7 Co-registered MRI (orange) and CT (greyscale) in a live mouse, showing good agreement between the modalities 25 1.5 IN VIVO VALIDATION 1.5.1 Overview and Approach To examine the application of BLT in tracking the progress and safety of cell transplant therapy, the approach followed in this work was to graft rapidly growing, luminescent in an animal model. The cells, tagged to be MR-visible, were then imaged using the method of co-registering BLT and MRI developed previously, allowing a comparison of how both modalities track the growth and location of the transplant. A mouse embryonic stem cell line was used because of its relevance to preclinical stem cell therapy research, as well as the propensity to proliferate rapidly and form tumors in vivo. The brain was chosen as a relevant site of transplantation for two main reasons: 1) Brain tissue provides a relatively uniform background in MRI, making it easier to locate the cells 2) A large research effort has focused on stem cell transplants in the brain for the treatment of neurodegenerative diseases [1,44,45] The choice of the brain as the site of transplantation introduces some complexities into BLT, including the limited transport of luciferin into the brain from the bloodstream [13] and an optically heterogeneous environment including brain, bone, and skin that may pose a challenge for the BLT reconstruction. Nonetheless, it provided a convenient location for comparison against MRI that is relevant to currently researched therapies. 26 1.5.2 Cell Culture and Transplantation Luciferase-expressing HBG3 mouse embryonic cells (mESC) were engineered by transducing them with a lentivirus carrying the fLuc reporter gene under control of the ubiquitin promoter. For MR-visible labeling, fLuc-mESCs were incubated overnight with Molday ION-Rhodamine SPIO nanoparticles (BioPal, Inc.) prior to transplantation. Fluorescence imaging of the cells prior to resuspension was used to verify that the SPIO particles were taken up by the cells. Three male BALB/c mice (3 weeks old, Harlan Laboratories) were anesthetized using 2% isoflurane, shaved, then immobilized in a stereotactic frame (Harvard Apparatus). 2 ฮผL of the iron-tagged fLuc-mES cell suspension containing 5x104 cells in each volume were loaded into a 31G needle and injected into the brain (coordinates AP: 0 mm, ML: 2 mm, DV: 1.5 mm) using a motorized injector (Stoelting Co.) at a rate of 0.5 µL/min. The needle was carefully withdrawn 2 min after the end of the injection to minimize backflow. Animals were kept on a heated blanket during surgery to maintain body temperature. All animal procedures were approved and conducted in accordance with the institutional guidelines for the care of laboratory animals. Mice were immunosuppressed using FK506/rapamycin (1 mg/kg, daily IP injection) 1.5.3 Animal Imaging Protocol To monitor the growth of the transplant, mice were imaged the next day after transplantation, then weekly for a total of four weeks. In each imaging session, anesthesia was induced using 3% isoflurane in oxygen and maintained using 1 27 L/min of 1-2% isoflurane throughout the session. Fur was trimmed in proximity to the transplantation site to improve BLI signal strength and avoid introducing errors in the BLT reconstruction. The mice were gently restrained in the shuttle using the elastic straps in the prone position with the nose fully inserted into the anesthetic nosecone. BLI and CT images were then acquired in the IVIS imager. Anesthetic delivery was briefly interrupted at the end of BLI while the shuttle was transported to the Bruker MR scanner for imaging, and resumed before the animals could recover. 1.5.4 Histological Analysis All animals were euthanized after the conclusion of the imaging session at week 4. Ex vivo analysis of the brains was performed using the following staining protocols: 1) Hematoxylin and Eosin (H&E) staining to visualize tumor morphology 2) Prussian Blue staining to visualize SPIO deposits 3) Immunostaining to locate fLuc+ cells derived from the initial transplant Sample preparation and staining protocols are described in Appendix A. 1.5.5 Results Reported Cell Location At the conclusion of the study, MR coronal images showed two features of interest: an original implantation site indicated by a hypointense region and corresponding to a concentration of SPIO, and increased T2 signal intensity due 28 to tumor formation by migratory cells. The BLT reconstructions, shown superimposed over MRI below in Fig. 1.8, indicated a single, diffuse region of viable fLuc-mES cells. Figure 1.8 BLT (hot color scale) reconstructed Luc+ cell location superimposed over T2 MRI at day 27 for all three test subjects. In two out of the three subjects, BLT overestimated the depth of the Luc cells by several mm, compared to a BLT voxel size of 0.4 mm. Looking at Fig. 1.8, however, the diffuse reconstructions suggest that the effective resolution of BLT in practice is lower than the voxel resolution. Subject 1 provided a more difficult reconstruction task for BLT since MRI showed the formation of a secondary tumor site by migratory cells from the original transplantation site. The BLT reconstruction in this case shows a single cell location between the original and secondary tumor sites. The MRI tumor volume was manually segmented from the T2 images. A 3D visualization of the tumor volume and BLT reconstruction is shown in Fig. 1.9 below, showing reasonable overlap between the modalities given the lower resolution of BLT. 29 Figure 1.9 3D visualization of MR-segmented tumor volume (green) and BLT reconstruction (orange) Histological analysis (Fig. 1.10) was used to validate the results obtained from in vivo imaging. H&E staining confirmed the presence of a tumor mass both in the hypointense region and area of increased signal intensity seen in MRI. Prussian blue staining confirmed the presence of iron deposits seen as the hypointense region in MRI. fLuc staining (green) indicated the presence of expressing cells located at both the original transplantation and migrated cell sites. These results suggest that BLT in the mouse brain is only able to provide reconstructions that are accurate to within a few mm. The use of MRI is necessary where more accuracy is required. There are several factors which may account for the relatively low accuracy of BLT relative to MRI: โข The principle of operation of MRI provides a spatially faithful reconstruction of the signal. The scattering nature of light in biological tissue makes this difficult in optical imaging and necessitates accurate models for light propagation. 30 โข An accurate BLT reconstruction requires knowledge of the in vivo optical properties in order to model light propagation correctly. The heterogeneous nature of biological tissues makes this more challenging. The BLT algorithm used by the IVIS Spectrum approximates the mouse tissue as optically homogeneous. โข Luciferin kinetics cause the BLI signal to diminish over the course of imaging. For multi-spectral imaging, where several images are acquired in succession, if the imaging time per spectral bin is large enough (several minutes) the BLI kinetic profile will cause a significant drop in signal intensity during imaging. As a result BLT results may be inaccurate unless corrections are made. In this study only four spectral bins were used to limit imaging time and mitigate the effect of the BLI kinetic profile. A tissue-mimicking phantom, detailed in Chapter 2, was used to test the best-case performance of BLT using four spectral bins and was able to locate the light source locations with a mean error of 3.0 mm (n=3). Furthermore, as was noted in later experiments in Chapter 2, the accuracy of BLT was found to increase with the number of bins up to eight bins tested. For future experiments where the BLI signal is sufficiently intense, the imaging time per bin may be shortened and a greater number of spectral bins used in the imaging window allowed by the kinetic profile. Alternatively, time course corrections to the BLI signal could be used to compensate for BLI kinetics. 31 Figure 1.10 Ex vivo analysis of subject 1 brain after day 27 (a,b) H&E stained coronal section showing tumor near implantation site (c,d) Prussian blue stained section with Nuclear Fast Red counterstain. SPIO appears as blue deposits in the stain (e,f) Immunohistological stain for Luc (green) against DAPI nuclear counterstain, showing Luc-expressing cells at both the original transplantation site and superficial lesion Cell Viability and Proliferation A plot of BLI intensity compared to MR tumor volume (Fig 1.11) shows a significant (p<0.05) increase in signal intensity within 1 week. Segmented tumor volume from the MR datasets showed minimal change over first few weeks and it was not until Week 4 that rapid tumor growth was seen (Fig 1.12). 32 Figure 1.11 Plot of total bioluminescence signal and MR-segmented tumor volume over the duration of the study, normalized to day 1 values (n=3) Figure 1.12 Coronal MRI slices at 1, 2, and 4 weeks after transplantation. Increase in tumor size is only apparent by week 4. Quantification of the BLT reconstructed light source showed a significant increase in source intensity by Week 1 and followed a similar trend as BLI, as expected (Fig 1.13). The larger variance in the BLT plot compared to BLI is likely due to the errors in locating the BLI source. Since BLT accounts for attenuation of the signal through the tissue, an incorrectly estimated depth will result in an incorrectly quantified source. 33 Figure 1.13 Comparison of total bioluminescence (left) and BLT-reconstructed source power (right) over the duration of the study, showing a similar trend but increased variance with BLT (n=3) 34 1.6 CONCLUSIONS As shown, BLT was a suitable modality for measuring cell proliferation and was able to detect the onset of tumor formation earlier than could be seen from the MR images. Conversely, MRI was superior in its ability to locate the transplanted cells compared to BLT, which suffered from inaccuracy in the depths of the reconstructed sources. The modalities used in this work provided complementary information on cell fate after transplantation that would be otherwise incomplete if a single modality were used. It is notable that the plot of absolute light output in Fig. 1.13, quantified using BLT, showed greater variability than the relative measurements made with just planar BLI (Fig. 1.11), the cause of which is likely due to the depth errors seen in the BLT-reconstructed light sources. Since this quantification is dependent on the source being located correctly due to the attenuation of light as it travels through the tissue, an area worth investigation would be on the use of prior spatial information from the co-registered MR images to improve the performance of BLT in this area. By incorporating accurate anatomical information on the location of the light source, the performance of BLT in quantifying the absolute output from the bioluminescent source might be improved. This approach is investigated in the next chapter. 35 Chapter 2: Quantitative Bioluminescence Tomography using Prior Spatial Information 2.1 MOTIVATION A fundamental challenge with bioluminescent tomography (BLT) is that it is an ill-posed problem: namely, it attempts to solve for a light source distribution inside an entire volume of tissue given a single measurement of light exiting from the top surface of the tissue boundary. In the general case this solution is nonunique [46] and additional information is required, which may include the following: โข Assumptions on the geometry of the light source e.g. point source or spherical [46,47] โข Multispectral imaging, based on the principle that the spectrum of a BLI image is altered according to the depth of tissue through which it travels [48,49,50] โข Multiview imaging, where BLI images are acquired from multiple directions [48,51] The performance of BLT is dependent on the use of a priori knowledge such as the optical characteristics of the tissue being imaged [52]. There is ongoing research as well on the use of spatial a priori information in BLT, which includes anatomical or structural information on the tissue or bioluminescent source and is summarized in the section below. 36 2.1.1 Spatial Prior Knowledge in BLT The use of spatial information from other imaging modalities in optical tomography has been most commonly studied in a closely related modality to BLT, fluorescence molecular tomography (FMT). In one approach, Davis et al. used MRI coupled with FMT to reconstruct fluorophore concentrations in tumors in mice. Segmentation of the tumor and surrounding tissue in MRI provided hard spatial priors on the distribution of the fluorophore [53,54,55]. Similarly, Zhou et al. obtained a priori anatomical information from MRI on the expected distribution of fluorophore in the lungs. By using a soft prior approach, where a penalty is assigned for deviation of the FMT reconstruction from the prior information, they demonstrated improved FMT spatial resolution [56]. Lin et al. used co-registered CT and Diffuse Optical Tomography (DOT) to improve the quantification of fluorophore concentration in a phantom study [57]. In the case of BLT, some groups have used DOT to obtain the spatial distribution of optical properties prior to reconstruction [52,58]. Naser et al. extended this approach further by using CT as prior spatial information for DOT, which was then subsequently used to assist BLT [59]. In another application, groups have used a mouse organ atlas or segmented the organ locations directly from anatomical images in order to determine the true distribution of optical properties within the tissue, improving the quantitative performance of BLT [60,61,62]. 37 2.1.2 Approach in this Chapter Building upon the results of Chapter 1, in this chapter co-registered MRI and/or CT will be used to provide prior spatial information on the location of the bioluminescent source in BLT, an aspect that has not been thoroughly examined in literature. Anatomical imaging modalities such as MRI are better suited for localizing cells compared to BLT due to their superior accuracy and resolution. Furthermore, the previous results suggest that errors in the reconstructed source depth in BLT may be a factor in the accuracy of source power quantification, which is supported by the work of Allard et al. [33]. It would be expected, then, that the use of spatial priors on the location of the bioluminescent source would improve the accuracy of source power estimation in BLT. The approach in this chapter is as follows: coregistered anatomical images, obtained either from MRI or CT, will be segmented to provide an estimate of the true light source location. This information will be used as a hard spatial prior, which assumes that the bioluminescent light source is distributed in the tissue exactly as indicated by the anatomical images. A simulation of light propagation through the tissue from the source, assumed to have unit power, will allow quantification of source power from a single BLI image, in comparison to the multispectral approach in traditional BLT. This approach may be more accurately described as BLI attenuation correction than BLT, but nonetheless uses the same framework in modeling light propagation. In addition, it is expected that the accuracy of this technique is 38 dependent on the accuracy of prior spatial information. A more robust approach, which is beyond the scope of this work, would be to use soft spatial priors which instead penalize deviation of the reconstructed source from the prior information. An expected benefit of the hard prior method over multispectral BLT, when used in a multimodal imaging study, is that only a single BLI image is needed since there is no need to use multispectral imaging to reconstruct the source location. This single BLI image may either be integrated for a longer time period to improve sensitivity when quantifying weak light sources, or used to reduce imaging time, speeding up the workflow and reducing the influence of the bioluminescence kinetic profile. 39 2.2 BACKGROUND THEORY 2.2.1 Light Propagation in Biological Tissues A defining characteristic of light propagation in biological tissues is the high ratio of scattering to absorption events. Unlike radiographic modalities such as PET and SPECT, the low energy photons in optical imaging scatter several times before exiting the tissue and traveling through the air to the camera. This is illustrated in Fig. 2.1 below. Figure 2.1 Schematic of light propagation in biological tissues. Light traveling through tissue may be absorbed or scattered several times before exiting through the surface of the tissue. Light transport in scattering media, including biological tissues, is typically described by the following set of parameters [63]: 40 ๐๐ Absorption coefficient. Describes the probability of light absorption per unit path length and has units of [length]-1 ๐๐ Scattering coefficient. Describes the probability of a scattering event per unit path length and has units of [length]-1 g Scattering anisotropy factor, equal to the mean of the cosine of the scattering angle. A small value of g indicates isotropic scattering. [64] n Index of refraction, which influences interactions at the tissue-air boundary due to mismatch of the indices between air and the tissue. For a total path length of x, the probabilities of absorption and scattering occurring in a medium are, respectively [63]: ๐๐ (๐ฅ) = ๐โ๐๐ ๐ฅ ๐๐ (๐ฅ) = ๐โ๐๐ ๐ฅ A meaningful measure is also the inverse of the two coefficients, giving the mean path length that a photon travels in the medium before encountering and absorption or scattering event [63]. It is important to note that these parameters vary widely in biological systems and depend on: โข The type of tissue โข Physiological conditions such as oxygenation, in vivo vs. ex vivo โข Wavelength of light The wavelength dependence of ๐๐ is the most apparent in optical imaging, where red-shifted probes provide better penetration through tissue. 41 2.2.2 The Radiative Transfer Equation Simulations and reconstructions of bioluminescent sources in biological tissue are dependent on an accurate model for the propagation of light in scattering media. By far the most commonly applied transport equation is the Radiative Transfer Equation (RTE) [65]: 1 ๐๐ฟ + ๐ฬ โ โ๐ฟ(๐, ๐ก, ๐ฬ) + (๐๐ + ๐๐ )๐ฟ(๐, ๐ก, ๐ฬ) = ๐๐ ๏ฟฝ ๐ ( ๐ฬ, ๐ฬโฒ)๐ฟ(๐, ๐ก, ๐ฬโฒ)๐2 ๐ฬโฒ + ๐๐ (๐, ๐ก, ๐ฬ) ๐ ๐๐ก ๐ (1) Where L is the radiance at position r in direction ๐ฬ, ๐ is the speed of light in the medium, P is the scattering phase function, and ๐๐ is the light source term. The integral is taken over all solid angles, 4ฯ. A glossary of mathematical notation used in this work is provided at the end of this thesis. A reasonable simplification in bioluminescent imaging is to consider the RTE at steady state, since the time scale of the measurement is far greater than that of any time-dependent behavior. In this case, Arridge et al. give a steady-state expression for ๐(๐, ๐ฬ), the volumetric density of photons traveling in direction ๐ฬ, [66]: ๏ฟฝ๐ฬ โ โ + ๐๐ (๐) + ๐๐ (๐)๏ฟฝ๐(๐, ๐ฬ) = ๐๐ (๐) ๏ฟฝ ๐ (๐ฬ, ๐ฬโฒ )๐(๐, ๐ฬโฒ )๐๐ฬโฒ + ๐๐ (๐, ๐ฬ) (2) ๐ With the exception of simple, semi-infinite geometries [67], the RTE must be solved numerically. This is especially the case in biological applications, which involve arbitrary geometries and distributions of optical parameters. 42 2.2.3 Solutions to the RTE Diffusion Approximation The diffusion approximation (DA) is a widely used approximation to the RTE in biomedical optics due to its simplicity, and hence, low computational cost, and forms the basis of many tomographic reconstruction methods. It is based on the following assumptions [65]: 1) Scattering dominates absorption in light transport (๐๐ โซ ๐๐ ) 2) Consequently, light propagation is mostly isotropic These are generally valid deep within biological tissue where the scattering coefficients are typically an order of magnitude larger than the absorption coefficients. The assumptions tend to break down near light sources and tissue boundaries, where light propagation is anisotropic, but nonetheless the DA has been widely applied in practice. The photon density and light source terms may be replaced with their isotropic counterparts [66]: (3) ฮฆ(๐) = ๏ฟฝ ๐(๐, ๐ฬ)๐๐ฬ ๐ (4) ๐(๐) = ๏ฟฝ ๐๐ (๐, ๐ฬ)๐๐ฬ ๐ The resulting DA equation is shown below, with derivations available in the relevant literature [65,68]: (5) ๐๐ (๐)ฮฆ(๐) โ โ โ ๐ (๐)โฮฆ(๐) = ๐(๐) Where ๐ (๐) = 3(๐ 1+๐โฒ ) and ๐โฒ๐ = ๐๐ (1 โ ๐) ๐ ๐ 43 Simplified Spherical Harmonics The DA is a first-order approximation to the RTE that is in the class of spherical harmonics equations [69]. A more accurate solution to the RTE may be obtained using higher-order approximations known as the simplified spherical harmonics (๐๐๐ ) equations, which gives a set of (N+1)/2 coupled diffusion equations, where N is the order of the approximation [69]. In studies of bioluminescence tomography, the third-order ๐๐3 approximation is gaining popularity and provides more accurate reconstructions [70]. Monte Carlo Monte Carlo (MC) simulations approximate a solution to light transport in a different manner, namely by simulating the paths of randomly sampled photons through the optical medium. As a result, MC methods are highly accurate but computationally expensive due to the need to simulate a large number of photons (105-106 in studies or greater) to ensure stable results [71]. This makes the use of MC more difficult in BLT reconstructions since it is both time intensive and statistical, lacking a closed-form expression unlike the DA or SPN methods. A few groups, however, have studied iterative methods using MC to estimate source distributions [72,73]. The issue of computational cost will likely become less significant in the future given the steady increase in computing power available to researchers. There currently exist several dedicated software packages for MC simulations of photon transport in scattering media, notable examples being MCML [71], MOSE [74], and TIM-OS [75]. 44 Choice of Forward Model BLT, despite being an inverse problem in that it attempts to reconstruct a light source given surface measurements of exiting light, nonetheless requires a forward model for the propagation of light that maps from the light source to the surface. In this work, the DA will be examined first as a forward model since it is efficiently solved and simple to implement. In addition, it provides a fair basis for comparison with results obtained using the methods in Chapter 1 since the Living Image software used to perform BLT uses the DA as its forward model [76,77]. MC simulations will be used as a gold standard for comparison using one of the existing software packages. Solutions to the DA are implemented using numerical methods, outlined in the next sections. 45 2.3 FINITE DIFFERENCE METHOD The finite difference method (FDM) is a numerical method of approximating solutions to partial differential equations, such as the DA, by discretizing the problem on a grid and approximating the derivatives in the PDE at each grid point by finite differences [78]. FDM solutions to light transport have been previously used in literature [69,79,80,81] and are investigated below: 2.3.1 Implementation The FDM implementation used here computes photon density on a uniform rectangular grid. Starting from the DA expression for light propagation: (5) ๐๐ (๐)ฮฆ(๐) โ โ โ ๐ (๐)โฮฆ(๐) = ๐(๐) Where ๐๐ , ฮฆ, ๐ , ๐ vary arbitrarily over space. Expanding the gradient and divergence operators gives: ๐๐ ฮฆ โ ๏ฟฝ โ ๐ฮฆ โ ๐ฮฆ โ ๐ฮฆ ๏ฟฝ๐ ๏ฟฝ + ๏ฟฝ๐ ๏ฟฝ + ๏ฟฝ๐ ๏ฟฝ๏ฟฝ = ๐ โx ๐๐ฅ โy ๐๐ฆ โz ๐๐ง (6) Working with three-dimensional tissue volumes, ๐๐ , ฮฆ, ๐ , ๐ are represented as voxels on a regular grid with spacing ฮ between each voxel along each axis. Approximation of the derivatives in Eq. (6) with central differences gives a system of equations that may be represented in matrix form: (7) (๐๐ ๐ผ โ ๐ )๐ฝ = ๐ 46 The tissue volume is comprised of a total of m voxels. ๐๐ , ๐ฝ, ๐ are vectors of size m, I is the [m x m] identity matrix, M is an [m x m] matrix of coefficients. The photon density is computed given the light source: (8) ๐ฝ = (๐๐ ๐ผ โ ๐)โ๐ ๐ With the necessary boundary conditions applied. M is a sparse matrix of coefficients and is detailed in Appendix B. 2.3.2 Boundary Conditions Solutions to the DA have typically used one of two boundary conditions in previous work: 1) Dirichlet boundary condition This simple boundary condition forces ฮฆ to zero at the physical boundary, an approach which is physically unrealistic [82]. A more physically accurate extension of the Dirichlet boundary condition is the Extrapolated-Boundary condition (EBC), where ฮฆ is set to zero at a boundary extended a distance ๐๐๐ฅ๐ก from the original boundary. More detail on this approach can be found in the work of Haskell et al. [65] and Schweiger et al. [82]. While mathematically simple, implementing the EBC may pose problems when dealing with complex geometries such as biological tissues, where concavities may be present. 47 2) Robin boundary condition The most commonly applied, and more physically accurate, boundary condition in the diffusion approximation is the Robin-type boundary condition (RBC) [65]: ฮฆ(๐) + 2๐ ๐ด๐ฬ โ โฮฆ(๐) = 0 ๐ด= (9) ๐ โ ๐ฮฉ (10) 1 + ๐ ๐ 1 โ ๐ ๐ Where ๐ ๐ is a coefficient that accounts for internal reflection at the boundary due to the refractive index mismatch, approximated by using a curve fit [65]: (11) ๐ ๐ โ โ1.4399๐โ2 + 0.7099๐โ1 + 0.6681 + 0.0636๐ Assuming an index of refraction n = 1 for the environment. In the FDM solution to the diffusion approximation, the entries in the matrix (๐๐ ๐ผ โ ๐ ) corresponding to boundary voxels are replaced with a finite difference expression for the RBC above. 2.3.3 Numerical Validation The FDM implementation was validated against a numerical solution to a simplified case of the diffusion approximation. For the case of a volume with spherical symmetry and boundary at ๐ = ๐๐ , as shown in Fig. 2.2, the DA reduces to a 1-D differential equation: 48 โ๐ ๐2 ฮฆ 2๐ ๐๐ ๐ฮฆ โ ๏ฟฝ + ๏ฟฝ + ๐๐ ฮฆ = ๐(๐) ๐๐2 ๐ ๐๐ ๐๐ (12) With boundary conditions: ๐ฮฆ =0 ๐๐ ฮฆ + 2๐ ๐ด ๐๐ก ๐ = 0 ๐ฮฆ =0 ๐๐ ๐๐ก ๐ = ๐๐ The ordinary differential equation (ODE) in Eq. (12) is solved easily using a numerical software package. A comparison was done between the computed photon densities by FDM and the ODE above for cases with uniform and nonuniform optical properties. The optical parameters used are listed in Table 2.1. Figure 2.2 Geometry for spherical volume with regions of varying optical properties. The light source is isotropic within a radius ๐๐ 49 Table 2.1 List of optical properties for uniform and non-uniform spherical cases used in FDM validation Uniform ๐๐ (mm-1) ๐๐ โฒ (mm ) -1 Non-uniform ๐๐ (mm ) -1 ๐๐ โฒ (mm-1) ๐1= 7 mm 0 โค ๐ โค ๐1 ๐2 = 7 mm ๐1 โค ๐ โค ๐2 ๐3 = 7 mm ๐2 โค ๐ โค ๐3 2 2 2 ๐1= 1 mm 0 โค ๐ โค ๐1 ๐2 = 3 mm ๐1 โค ๐ โค ๐2 ๐3 = 7 mm ๐2 โค ๐ โค ๐3 0.1 1 2 0.1 2 0.1 1 0.1 0.01 In both cases, ๐๐ = 2 mm, ๐๐ = 100 photons/mm4 inside ๐๐ , n = 1.4, ฮ = 0.25 mm. Plots of photon density along r are shown in Fig. 2.3 for uniform and Fig. 2.4 for non-uniform optical properties and show good agreement between the FDM and expected profile. The larger error in the non-uniform case (Fig. 2.4) is likely in part due to discretization of the optical properties on the grid. On a grid size of 0.25 mm, which was chosen to keep memory and computation costs reasonable, errors in assigning optical properties are noticeable even over a single voxel, with attentuations of 22% for ๐๐ = 1 mm-1 and 0.25% for ๐๐ = 0.01 mm-1 over one grid spacing (0.25 mm). 50 Figure 2.3 Photon density vs. distance from center for the FDM compared against the ODE in the optically homogeneous case. Figure 2.4 Photon density vs. distance from center for the FDM compared against the ODE in the optically inhomogeneous case, showing a discrepancy beyond a radius of 3 mm. 51 2.3.4 Limitations of FDM Approach The above implementation of FDM revealed a few limitations when dealing with a voxelized representation of biological tissue where complex geometries are involved: Computation of Surface Normal Calculating surface normals of a volume, needed for boundary conditions, is typically taken from the gradient of the volume [83] but has added computational overhead to avoid โstaircaseโ artifacts [84,85] (Fig. 2.5). Banding Artifacts Due to a significant drop in photon density over one voxel length, the photon density at the tissue boundary exhibits banding as seen in Fig. 2.5, which used an optimal voxel spacing of 0.6 mm to keep computation times reasonable. Figure 2.5 The FDM approach in a voxelized mouse volume (left) causes banding artifacts in the photon density at the surface (right) due to attenuation over one voxel length 52 Inefficiencies with Regular Grid Uniformly spaced voxels are non-optimal in both memory usage and computational cost for two main reasons: 1) changes in photon density are greatest near the light source and boundary and require a higher grid density there, 2) a voxelized representation of geometry needs a higher grid density near small features and lower in smooth regions. For reference, a voxelized representation of a mouse with a resolution of 200x298x398 would occupy 190 Mb in memory and take an estimated 3h of computation using the FDM implantation in this work. Downsampling to a low resolution of 50x74x100 resulted in a matrix M with size [106x106] elements (sparse) and a more reasonable 2.3s of computation, at a cost of reduced detail in the mouse volume and more pronounced banding artifacts. Computation was performed on a dual 4core Xeon E5 workstation running at 2GHz. While it is possible to improve upon the issues above with more advanced FDM methods using non-uniform grids [86,87] and surface normal interpolation [84,85], it is more efficient to use Finite Element Methods (FEM), which are better suited for dealing with non-uniform spacing and irregular geometry. 53 2.4 FINITE ELEMENT METHOD The Finite Element Method (FEM) is a widely used numerical method that provides an approximate solution to, typically a differential equation, over a domain ฮฉ by dividing that domain into small elements [88]. For the purposes of modeling light propagation in three dimensions in a small animal such as a mouse, the problem domain, which is the volume containing the tissue, can be represented as a mesh of tetrahedral elements as shown in Fig. 2.6. The solution to the DA is approximated by discrete values of the photon density ฮฆ at the vertices of these elements, called nodes. Figure 2.6 Tetrahedral mesh representation (right) of mouse CT volume (left) 2.4.2 Implementation Starting with the Diffusion Approximation: (5) ๐๐ (๐)ฮฆ(๐) โ โ โ ๐ (๐)โฮฆ(๐) = ๐(๐) Subject to the RBC on the boundary: ฮฆ(๐) + 2๐ ๐ด๐ฬ โ โฮฆ(๐) = 0 (9) ๐ โ ๐ฮฉ 54 The weak formulation of this differential equation can be written as [65,66]: ๏ฟฝ [โฯ๐ (๐) โ ๐ (๐)โ๐๐ (๐) + ๐๐ (๐)๐๐ (๐)๐๐ (๐)]ฮฆ(๐)๐๐ + ๏ฟฝ ฮฉ ๐ฮฉ 1 ๐ (๐)๐๐ (๐)๐๐ 2๐ด ๐ (13) = ๏ฟฝ ๐(๐)๐๐ (๐)๐๐ (๐)๐๐ ฮฉ To approach this problem, the region ฮฉ is divided into ๐๐ tetrahedral elements and the boundary ๐ฮฉ into ๐๐ triangles, although other element geometries are possible. The functions ฮฆ(๐) and ๐(๐) are represented using a piecewise linear approximation. Consequently, the integrals can be taken element-by-element and, due to the use of linear functions in each element, reduce to simple expressions, shown later. This approximation relies on the use of โshape functionsโ or basis functions ๐๐ which interpolate the nodal values inside the elements. For a given tetrahedral element T containing four nodes, the value of an arbitrary function ๐(๐) inside that element is approximated by: 4 (14) ๐(๐) โ ๏ฟฝ ๐๐ ๐๐ (๐) ๐=1 Where ๐๐ is the value of ๐(๐) at node i . Using this, Eq. (13) is written in matrix form: (15) [๐พ + ๐ถ + ๐ต]๐ฝ = ๐ 55 Where K, C, B are sparse matrices with size [n x n] and ๐ฝ, ๐ are vectors of size [n x 1], where n is the total number of nodes in the tetrahedral mesh. The entries (i, j) of the matrices and entries i in the load vector q are given by: ๐พ๐,๐ = ๏ฟฝ โ๐๐ โ ๐ โ๐๐ ๐๐ (16) ๐ถ๐,๐ = ๏ฟฝ ๐๐ ๐๐ ๐๐ ๐๐ ฮฉ ๐ต๐,๐ = (17) ฮฉ 1 ๏ฟฝ ๐๐ ๐๐ ๐๐ 2๐ด (18) ๐๐ = ๏ฟฝ ๐๐๐ ๐๐ โฮฉ (19) ฮฉ The integrals are evaluated only over elements containing nodes i and j since the shape functions vanish outside this region. 2.4.3 Matrix Assembly For each element T in the mesh, local 4x4 matrices are computed for K and C, and local and 3x3 matrices for B since each tetrahedron T consists of 4 nodes and each boundary triangle 3 nodes. For each T, a simple expression for the shape functions is obtained by using a Barycentric coordinate system [89]: ๐๐ (๐) = 1 ๐น๐ โ (๐ โ ๐๐ ) โ ๐ ๐ 4 3๐๐ ๐ โ [1,2,3,4] Where ๐น๐ is the area of the face opposite node i ๐๐ is the outward-facing unit normal to the face opposite node i ๐๐ is the volume of the element ๐๐ is the centroid of the tetrahedron 56 (20) Similarly, an expression for the gradient of the shape function [89]: โ๐๐ (๐) = โ ๐น๐ ๐๐ 3๐๐ (21) ๐ โ [1,2,3,4] Using Eq. (21), the local matrix K can be simplified: ๐๐๐๐๐ ๐พ๐,๐ = ๏ฟฝ โ๐๐ โ ๐ โ๐๐ ๐๐ = ฮฉ ๐น๐ ๐น๐ ๐๐ โ ๐๐ ๐น๐ ๐น๐ ๐๐ โ ๐๐ ๐ (๐๐ ) ๏ฟฝ ๐ ๐๐ = 2 9๐๐ 9๐๐ (22) ฮฉ Where ๐ (๐๐ ) is the value of ๐ (๐) at the centroid of the element. The local matrix K for an element T is therefore: ๐พ ๐๐๐๐๐ = ๐ (๐๐ ) ๐11 ๏ฟฝ โฎ 9๐๐ ๐ 41 โฏ โฑ โฏ ๐14 โฎ ๏ฟฝ ๐44 (23) Where ๐๐๐ = ๐น๐ ๐น๐ ๐๐ โ ๐๐ A closed-form expression for the elements of matrix C is obtained by using a result derived by Sharp for integrating the product of linear shape functions over a tetrahedral element, which is rewritten here in consistent notation [81]: โง ๏ฟฝ ๐! ๐! ๏ฟฝ (๐๐ )๐ (๐๐ )๐ ๐๐ = 6๐๐ = โจ (๐ + ๐ + 3)! ๏ฟฝ ฮฉ โฉ 1 ๐ 20 ๐ 1 ๐ 10 ๐ ๐โ ๐ (24) ๐=๐ ๐, ๐ โ [1,2,3,4] Borrowing notation from Sharp where he defines ๐ฟ๐๐ = ๏ฟฝ 1 0 ๐=๐ [81], the ๐โ ๐ elements of matrix C may be written as follows, with the assumption that the 57 mesh is appropriately generated so that ๐๐ does not vary significantly over an individual element: ๐๐๐๐๐ ๐ถ๐,๐ = ๏ฟฝ ๐๐ ๐๐ ๐๐ ๐๐ = ฮฉ 1 ๐ ๐ (๐ )(1 + ๐ฟ๐๐ ) 20 ๐ ๐ ๐ (25) ๐, ๐ โ [1,2,3,4] The matrix B enforcing boundary conditions (Eq. (18)) may also be simplified. Noting that the boundary elements are triangles and that the shape functions here are two dimensional. Again, a formula derived by Sharp is used here [81]: โง1 ๐ด ๏ฟฝ ๏ฟฝ12 ๐ ๐! ๐! ๐ ๐ ๏ฟฝ (๐๐ ) (๐๐ ) ๐๐ = 2๐ด = โจ (๐ + ๐ + 2)! ๐ ๏ฟฝ ฮฉ ๏ฟฝ 1 ๐ด๐ โฉ6 ๐โ ๐ ๐=๐ (26) ๐, ๐ โ [1,2,3] Where ๐ด๐ is the area of the triangular element ฮฉ. This gives the following result, noting that A is the reflection coefficient from Eq. (10) and not an area: ๐๐๐๐๐ ๐ต๐,๐ = 1 ๐ด (1 + ๐ฟ๐๐ ) 24๐ด ๐ (27) ๐, ๐ โ [1,2,3] Finally, the load vector q from Eq. (19) is simplified by using Eq. (20): 1 ๐๐ = ๏ฟฝ ๐๐๐ ๐๐ โ ๐(๐๐ )๐๐ (๐๐ )๐๐ = ๐(๐๐ ) โ ๐๐ 4 ฮฉ 58 (28) 2.4.4 Conversion of Photon Density to Radiance Eq. (15) provides a solution to the photon density, ฮฆ, that satisfies the DA and boundary conditions. Since the IVIS Spectrum CT bioluminescence imager used in this work provides absolutely calibrated images of radiance, in units of photons/(s·cm2·sr), it is necessary to convert between photon density at the tissue boundary and surface radiance. At the boundary, the outward photon flux density or exitance is given by the following expression [90]: ๐ฝ (๐) = โ๐ (๐)๏ฟฝ ๐ฬ โ โ๐ท(๐)๏ฟฝ = ๐ท(๐) 2๐ด (29) Where ๐ท(๐) denotes โphoton flux densityโ in Luโs paper (units of photons/mm2·s) rather than the photon density ฮฆ used in this work (units of photons/mm3) [90]. Noting that the two are related [91]: ๐ท(๐) = ๐ ฮฆ(๐) ๐ (30) One approximation is to consider the tissue surface to be a Lambertian source [92,93], in which case the radiance is angle-independent and given by the following [94]: ๐ฟ(๐) = ๐ฝ (๐) 1 ๐ = ฮฆ(๐) ๐ 2๐ด ๐๐ (31) 59 Alternatively, Kuo et al. provide an expression for surface radiance in terms of photon density for the IVIS 200 Imaging system, similar to the IVIS Spectrum CT used in this work [76]: ๐ฟ(๐, ๐๐ ) = 3๏ฟฝ1 โ ๐ ๐๐๐ ๏ฟฝ ๐ ๐ (๐) ๏ฟฝ1 + cos ๐๏ฟฝ ฮฆ(๐) 2 4๐๐ 2๏ฟฝ1 + ๐ ๐๐๐ ๏ฟฝ (32) Where ฮฆ is the photon density at the tissue boundary and ๐๐ is the angle between the tissue surface normal and camera lens. The geometry of the emission angles ๐๐ and ๐, and coefficients ๐ (๐), ๐ ๐๐๐ are defined in the original paper by Kuo et al. [76]. In subsequent real-world tests (Section 2.6.2), Eq. (31) underestimated surface radiance by 30-60% while Eq. (32) provided accurate results and was used in the remainder of this work. 60 2.5 IMPLEMENTATION AND SOURCE QUANTIFICATION Software was written in MATLAB (MathWorks Inc.) to quantify the power of a bioluminescent source using the hard spatial prior approach. The program flow is outlined in Fig. 2.7 Figure 2.7 Flowchart of source quantification process using prior spatial information Preprocessing and Segmentation The CT volume (0.15mm isotropic resolution) is first filtered using a median filter in the XY plane with a 3x3 kernel size and segmented to obtain the overall tissue boundary. The segmented volume is cropped and filtered to remove isolated segments and fill holes in preparation for mesh generation. Segmentation 61 of internal organ boundaries is done using CT to locate bones and co-registered MRI to locate the brain. The current version of the software does not segment other organs but may be extended to do so in the future. All other tissue is assumed to have the optical properties of muscle. The location of the bioluminescent source is segmented from either CT, when radio-visible labeling is used, or from co-registered MRI. Source segmentation from MRI may rely on intrinsic contrast or using cell labeling as previously shown in Chapter 1: Figure 1.9, for example. Mesh Generation The iso2mesh toolbox [95] was used to generate a tetrahedral mesh from the segmented anatomical volumes, as shown in Fig. 2.8. In this work, mesh generation density was adjusted to give 500,000 elements on average and took approximately 10s to generate, occupying 19 Mb in memory per mesh. Figure 2.8 The CT volume is cropped and used to generate a mesh 62 Forward Simulation The matrices in Eq. (15) are sparse and are assembled by iterating through each mesh element and computing the local matrices according to Eq. (23), (25), and (27). After previously segmenting the anatomical images to obtain a hard spatial prior on the light source, the value of each non-zero voxel in the source prior multiplied by its volume is added to the nearest mesh element according to Eq. (28) to form the load vector q The preconditioned conjugate gradient (PCG) method was used to solve for the photon density ๐ฝ. The MATLAB 2013 implementation was used with the following parameters: max. iterations = 750, tolerance (relative residual): 10-10. While the entries of ๐ฝ should all be greater than or equal to zero, the PCG method was chosen over a non-negative least squares (NNLS) solver for increased speed and provided reasonably accurate results. For a mesh density of 5x105 elements and n = 75,000 nodes, matrix assembly took 40s (sparse [n x n] matrix with 106 non-zero elements). Solutions using PCG took an average of 1.1s for this mesh size. Calculation of radiance was done through Eq. 32 and an orthographic projection from above of the photon density at the tissue-environment boundary. Multispectral Calculations The emission spectrum of firefly luciferase was divided into N = 8 bins (bin centers: 540-680 nm, bin width: 20 nm). Forward simulations using the optical 63 properties at each bin wavelength gave N images of radiance, which were then summed into an image of total radiance: ๐ (33) ๐ฟ๐ก๐๐ก = ๏ฟฝ ๐๐ ๐ฟ(๐๐ ) ๐=1 Where ๐๐ is the bin center wavelength, ๐ฟ(๐๐ ) is the radiance at that wavelength, and ๐๐ is the fraction of the total emission spectrum power contained in that bin, satisfying: ๐ ๏ฟฝ ๐=1 (34) ๐๐ = 1 Eq. (33) holds approximately true for the spectrum of firefly luciferase for the choice of bins used, where the range of 530-690 holds 90% of the total spectral power. For the remainder of the spectrum outside the bins used, a zero-order approximation was used to add its contribution to the total radiance: ๐ฟ(๐๐ ) = ๐ฟ(๐1 ) ๐<1 ๐ฟ(๐๐ ) = ๐ฟ(๐๐ ) ๐>๐ (35) Source Quantification The total radiance image computed was compared against radiance measured from BLI without the use of an emission filter. If ๐ด(๐ฅ, ๐ฆ) is the simulated radiance image using a unit power light source and ๐ต(๐ฅ, ๐ฆ) is the measured image, then an accurate forward simulation will ensure that they are linearly related: 64 (36) ๐ด(๐ฅ โ ๐, ๐ฆ โ ๐) = ๐ผ๐ต(๐ฅ, ๐ฆ) Where (m,n) is any small offset between the images due to error in coregistration. The scale factor ๐ผ is obtained from the cross-correlation of the images: ๐ผ= โ๐ฅ,๐ฆ ๐ด(๐ฅ โ ๐, ๐ฆ โ ๐)๐ต(๐ฅ, ๐ฆ) โ๐ฅ,๐ฆ ๐ต(๐ฅ, ๐ฆ)๐ต(๐ฅ, ๐ฆ) = ๐(๐ด, ๐ต; ๐ฅ = ๐, ๐ฆ = ๐) ๐(๐ต, ๐ต; ๐ฅ = 0, ๐ฆ = 0) (37) Where ๐(๐ด, ๐ต; ๐ฅ = ๐, ๐ฆ = ๐) is the value of the cross-correlation matrix of the two images at location (m,n). A derivation is given in Appendix C. The offset in practice was a few pixels at most and was accounted for by taking the peak value of the cross-correlation (Fig. 2.9). Figure 2.9 Cross-correlation of simulated and measured BLI images shows a single peak near the center. 65 Since the measured surface radiance is linear with respect to source intensity, the source power is obtained by scaling of the source power used in the forward simulation by ๐ผ. A sample of the software output is shown in Fig. 2.10. Figure 2.10 Output images showing simulated and measured images of radiance on the top surface of a tissue-mimicking phantom and an error image (right). 66 2.6 METHOD VALIDATION 2.6.1 Numerical Validation of Forward Model 1) Against ODE The FEM implementation of the DA was tested in spherical geometry as was done in Section 2.3.3. A table of optical properties used is given below: Table 2.2 List of optical properties for uniform and non-uniform spherical cases used in FEM validation Uniform ๐๐ (mm-1) ๐๐ โฒ (mm-1) Non-uniform ๐๐ (mm-1) ๐๐ โฒ (mm ) -1 ๐1= 7 mm 0 โค ๐ โค ๐1 0.2 ๐2 = 7 mm ๐1 โค ๐ โค ๐2 0.2 ๐3 = 7 mm ๐2 โค ๐ โค ๐3 0.2 1 1 1 ๐1= 1 mm 0 โค ๐ โค ๐1 ๐2 = 3 mm ๐1 โค ๐ โค ๐2 ๐3 = 7 mm ๐2 โค ๐ โค ๐3 0.1 1 2 2 1 0.01 In both cases, ๐๐ = 2 mm, ๐๐ = 100 photons/mm4 inside ๐๐ , n = 1.4. The results indicate good agreement between the FEM and ODE, with the constant error seen beyond 3 mm in the inhomogeneous case likely due to the method of assigning optical properties to discrete elements in this test. A more sophisticated mesh generation procedure, which avoids creating elements that span two separate optical regions, would mitigate this error. 67 Figure 2.11 Photon density vs. distance from center for the FEM model compared against the ODE in the optically homogeneous case. Figure 2.12 Photon density vs. distance from center for the FEM model compared against the ODE in the optically inhomogeneous case. 68 2) Comparison of DA with Monte Carlo The validity of the DA was compared to a Monte Carlo (MC) simulation as a gold standard using the TIM-OS software package by Shen et al. [75]. This case tested a uniform spherical mesh of radius 7 mm with a point source emitting from the center. 106 photons were simulated, taking 21s to simulate. Optical properties were chosen to be representative of typical values seen in biological tissues at around 600 nm: ๐๐ = 0.05 mm-1, ๐๐ = 10mm-1, g = 0.9, n = 1.4 Figure 2.13 Photon density vs. distance from center for the FEM model compared against TIM-OS in an optically homogeneous medium. The largest deviations are seen near the light source (r = 0 mm) and near the boundary where the assumptions of the DA are violated, as expected. Nonetheless, the DA is reasonably accurate near the boundary (r = 7 mm) compared to the MC simulation, with a maximum relative error of 10%. 69 2.6.2 Validation against Tissue Mimicking Phantom Having verified the DA forward model, the accuracy of the overall source quantification software was tested using calibrated light sources placed inside a tissue mimicking, mouse-shaped phantom (XFM-2 Phantom, PerkinElmer Inc.), shown in Fig. 2.14. Phantom optical properties and spectra were provided by PerkinElmer Inc. and are roughly equal to the following at 600 nm: ๐๐ = 0.03 mm-1, ๐๐ โฒ = 1.8 mm-1, n = 1.5 Figure 2.14 XFM-2 tissue-mimicking phantom The calibrated light sources used were cylindrical, radioluminescent beads (Traser, mb-microtec). Each bead measures 2.5 mm x 0.9 mm (length x diameter) and is filled with tritium gas that excites a phosphor coating, giving a steady light output. 70 Output power from the beads was measured using the IVIS Spectrum CT, which provides 2D images of radiance, by integrating over the visible surface of the beads. The bead emission spectrum was verified against manufacturer specifications using the emission filters on the IVIS machine and is shown in Fig. 2.15. The spectrum closely matches that of firefly luciferase, making the beads a good model for a bioluminescent light source. Bead light output power was measured to be 1.15x1010 ± 0.14 x1010 photons/s (95% CI), which is on the order of the bioluminescent source powers measured in Chapter 1. Figure 2.15 Emission spectra of firefly luciferase and tritium bead The beads were easily visible in CT images of the phantom (Fig. 2.16). Source power was quantified using three methods for comparison: 1) Multispectral BLT using Living Image software, similarly to Section 1.4. Phantom optical properties and tritium bead spectra were predefined in 71 software. Six spectral bins were used in the reconstruction, from 560 nm to 660 nm. 2) The hard spatial prior method (Section 2.5). Bead location was segmented from the CT volume (Fig 2.16). 3) The hard spatial prior method with the TIM-OS Monte Carlo software used in place of the DA forward model Figure 2.16 Coronal CT sections of XFM-2 phantom, showing two possible locations for tritium bead placement The errors in the reconstructed source powers are given in Table 2.3 below. In the case of the phantom, which is optically homogeneous, prior knowledge of the light source location provides more accurate quantification of the source power. The performance of the DA forward model is comparable to that of the MC simulation. Interestingly, there is a bias in the errors of the FEM and MC methods, with an increasing tendency to overestimate the source power with increasing depth, suggesting that the optical properties of the phantom used in the simulation slightly overestimate attenuation. 72 Table 2.3 Comparison of source power quantification using multispectral BLT and the hard spatial prior approach Number of Sources Source Depth(s) (mm) No Spatial Prior Hard Spatial Prior 1 1 11.5 19.0 Living Image FEM MC 36% -27% 7% 27% 1% 28% 2 11.5, 19.0 45% 18% 15% Mean Absolute Error 36% 17% 15% 2.7 IN VIVO TESTING 2.7.1 Procedure To measure real-world performance of the hard spatial prior approach, the tritium beads, which provide a stable, calibrated light output mimicking the spectrum of firefly luciferase, were implanted into mice to simulate bioluminescent imaging. Nine BALB/c mice were euthanized and an incision was made through the skin to allow a small hole to be drilled into the skull. A tritium bead was inserted into the brain in varying locations and depths and the skin and fur flap was restored and held in place until it adhered to the skull. The animals were immediately imaged afterwards in the IVIS Spectrum CT. The procedure was done on one animal at a time to minimize the time between the procedure and imaging. While previous studies have inserted calibrated beads into the abdomen of mice [33,35], in this work the brain was chosen as the site of transplantation for consistency with the tests in Chapter 1 of this thesis. In addition, the hard spatial prior approach is particularly valid in the brain where 73 MRI may be used to locate and segment tagged cells but is otherwise more difficult to implement in other areas in the body. Reconstruction of bead source power was done similarly to Section 2.6.2 using eight bins using emission filters from 560-700 nm with a bandwidth of 20 nm each. Imaging parameters were: aperture = f/1, FOV = 13x13 cm, 2048x2048 pixel resolution, 8x8 pixel binning. Exposure time was set to automatic, and ranged from 30 s at 560 nm to 1 s at 640 nm. Bead location was segmented from the CT volumes (Fig. 2.17). Figure 2.17 Implanted tritium bead is visible in CT and shown segmented in red. The Living Image BLT reconstruction treats the mouse as a homogeneous volume and uses overall tissue properties. Likewise, the same uniform optical properties were used in the hard spatial method for comparison. The optical properties are proprietary to PerkinElmer Inc. and are approximately equal to the following at 600 nm: ๐๐ = 0.2 mm-1, ๐๐ โฒ = 1 mm-1, n = 1.4. For reference, a survey of in vivo mouse optical properties can be found in the literature [49,96]. 74 To give an upper bound on the accuracy of the hard prior method, an MC simulation was performed in place of the DA-FEM method, using a heterogeneous model for the mouse tissue. Bone and brain tissue were segmented from the CT volume captured by the IVIS imager in Amira; all other tissue was assigned as muscle (Fig. 2.18). Optical properties for the bone and brain were obtained from the Living Image software. The same spectral bins were used in the MC simulation as the Living Image BLT and DA-FEM methods. Figure 2.18 Overall mouse volume (left) and segmented bone and brain tissue (right) obtained from CT images 2.7.2 Results The source powers obtained with each method are shown below in Fig. 2.19. For comparison purposes, source power was also computed by integrating the total surface flux (photons/s) from unfiltered 2D BLI images and using a retrospectively determined attenuation correction factor of 0.24, chosen so that the mean source power using this method matched the actual bead power of 1.15x1010 photons/s. 75 Figure 2.19 Comparison of reconstructed source powers using corrected total flux from BLI, BLT with differing number of bins used, and the hard prior method (n=9). Dashed line represents the actual power of the calibrated light source. Whiskers show the data minimum and maximum. To give a meaningful comparison of the variances in the results in Fig. 2.19, the datasets were normalized so that each method gave a mean source power equal to the actual bead power (Fig. 2.20). In practice, this corresponds to using an empirically determined correction factor. The standard deviations and mean absolute deviations of the normalized source powers from the actual bead power for each method are reported below: Table 2.4 Standard and mean absolute deviations of the normalized datasets from the calibrated bead power for each of the quantification methods Std. Deviation (109 photons/s) Mean Absolute Deviation (109 photons/s) 2D BLI Homogeneous, BLT โ 8 bins Homogeneous, BLT โ 4 bins Homogeneous, DA Heterogeneous, MC 7.39 3.13 8.28 3.90 3.77 5.09 2.74 6.75 3.13 2.40 76 Figure 2.20 Comparison of variances in reconstructed source powers after normalization of the dataset from Fig. 2.19 to give a mean source power of 1.15x1010 photons/s for each method. Dashed line represents the actual power of the calibrated light source. Whiskers show the data minimum and maximum. A comparison between the methods is given below, examining the time needed to acquire the BLI images and perform the simulations/reconstructions. Computation time includes both the time needed to assemble any applicable matrices and solve for the photon density, but excludes image preprocessing and mesh generation since it is common to all methods (excluding 2D BLI): Table 2.5 Comparison of time needed for source quantification using planar BLI, multispectral BLT, and the hard spatial prior method Method 2D BLI Homogeneous BLT โ 4 bins Homogeneous BLT โ 8 bins Homogeneous DA-FEM Heterogeneous MC BLI Acquisition Time (s) Computation Time (s) 0.5 8 51 0.5 0.5 N/A โ1 โ1 50 186 77 2.7.3 Discussion A strong bias was observed in the source powers obtained using the hard prior method as seen in Fig. 2.19. A possible cause may be the loss of tissue oxygenation after euthanasia, causing an increase in the attenuation coefficient in the tissues of the brain due to the increased absorption of light by deoxyhemoglobin. As a result, the simulations underestimate the attenuation of light and consequently the source power needed to produce the measured BLI image. To test this, a subsequent test was done where a bead was implanted deep into the leg muscle of one of the euthanized animals since skeletal muscle has only 30% the blood perfusion of the brain in mice [97]. The hard prior method in this case gave a source power of 1.01x1010 photons/s, closer to the true source power compared to a mean of 4.15x109 photons/s in the brain (Fig. 2.19). This suggests that correcting the optical properties used for the brain tissue, either through empirical fitting or an in situ measurement, may correct the bias in the errors from the hard prior method when testing in euthanized animals. After normalizing the results in Fig. 2.20, both hard prior methods outperformed multispectral BLT using four bins. Source quantification using the homogeneous DA implementation was inferior to BLT using eight bins in, however, with a greater spread in the reconstructed source powers. It is possible that adjustment of the optical properties used, to correct the error seen in Fig. 2.19, would improve the performance of the hard prior DA-FEM method. Even with the possible error in optical properties, the hard prior method using a 78 heterogeneous tissue model and a MC simulation of light performed similarly to multispectral BLT using eight bins. The comparison of the time needed by the multispectral BLT and hard prior methods in Table 2.5 shows that while the MATLAB code implementation of the DA in this thesis is not as efficient as the calculations performed by the Living Image software, the hard prior method saves significant time during imaging by eliminating the need for spectrally binned images completely. In terms of the applicability of the bead procedure to tests in live mice with luciferase-expressing cells, it is apparent that the optical properties in the euthanized animals used in this work would be different due to the decrease in blood and tissue oxygenation. However, it is important to note that in testing the performance of the hard prior and multispectral BLT methods in the brain, it would not be ethical to implant a large object such as a luminescent bead into live mice. It is likewise difficult to measure the performance of source quantification by, for instance, injecting a known number of luminescent cells with a calibrated light output, since changes in cell viability, the successfully transplanted population, and proliferation after injection could impact the results. The use of a calibrated light source in recently sacrificed animals provides a heterogeneous optical environment with similar, but not identical, optical properties to a live mouse. In comparison, current studies in BLT algorithms have largely used tissue mimicking phantoms or numerical simulations to in order to validate their results. 79 2.8 CONCLUSIONS AND FUTURE WORK The hard spatial prior method for source quantification demonstrated in this work adds the ability to quantify a bioluminescent source in vivo to studies incorporating anatomical imaging modalities such as MRI or CT. The overhead in this method is a single BLI image and relatively quick computations that can be done after imaging. The benefit of this approach, in addition to reducing the contribution of depth-related errors from BLT on quantification, as seen in Chapter 1 for example, is that it mitigates the issue of BLI kinetics by reducing the imaging time needed. While this work has examined the hard spatial prior method in the brain, in other sites of transplantation where it is more difficult to segment the location of light-producing cells from anatomical imaging, such as near the viscera, the performance of multispectral BLT on its own may be sufficient. For instance, previous work by Allard et al. indicates that the use of a homogeneous tissue model for light sources implanted into in the abdomen of mice introduces only marginal errors compared to a heterogeneous model [33]. A future extension of this work should examine the use of a soft prior approach instead, which penalizes the deviation of the reconstructed light source from prior spatial information. Since prior anatomical images may not always reflect the true location of viable, luciferase-expressing cells, the soft prior approach may be more robust to incorrect prior information than hard priors. 80 Summary and Conclusions The co-registration of the relatively new optical imaging modality of BLT with well-established anatomical imaging methods was examined in two applications in this thesis. In Chapter 1, the benefits of a multimodal imaging approach incorporating BLT and MRI for in vivo cell tracking were investigated. BLT provided a low-resolution, low accuracy reconstruction of the light-producing cells that was highly sensitive to changes in viable cell number. Conversely, MRI was superior at localizing the transplanted cells both in accuracy and resolution, but did not directly provide information on the viability of the transplanted cells. In research applications, the complementary data obtained from multimodal imaging may be used where transplanted cell fate needs to be examined in detail. Alternatively, co-registered BLT may be used as a low-cost, high throughput method to pinpoint areas of interest in an animal model, to be followed up with more accurate, time-expensive MRI methods in the highlighted regions. In Chapter 2 of this thesis, co-registered anatomical information was used in an alternate approach by providing prior information on the light source location in an attempt to improve the performance of BLT as a quantitative in vivo imaging modality. While the hard spatial prior method did not show a clear improvement in quantification accuracy over multispectral BLT, likely due to inaccuracy in the optical properties used in this work, it showed significant improvement in imaging times, making the incorporation of BLT into multimodal imaging studies a more viable option. 81 To this date BLT remains a highly researched topic, due to the promise of a low-cost, safe, and high-throughput quantitative imaging technique. While it is unlikely that BLT will displace the better established molecular or cellular imaging techniques in MRI, in the future it is hoped that multimodal approaches to imaging incorporating BLT will be used to draw more valuable conclusions from studies while still in their pre-clinical stages. 82 Glossary of Terms and Notation Symbol ๐ฟ Description Radiance Units ๐ Position vector [m,m,m] ๐ฬ Unit direction vector ๐ Speed of light, in vacuum m/s ๐ Speed of light, in medium m/s ๐ Medium refractive index ๐๐ Absorption coefficient m-1 ๐๐ Scattering coefficient m-1 ๐โฒ๐ Reduced scattering coefficient m-1 ๐ photons/(m2·s·sr) Scattering anisotropy ฮฆ(๐) Scattering phase function, probability of scattering from direction ๐ฬโฒ to ๐ฬ Directional source term, giving density of photons at location ๐ traveling in direction ๐ฬ Photon density at location ๐ traveling in direction ๐ฬ Isotropic photon density at location ๐ ๐ (๐) Diffusion coefficient m ๐(๐) Isotropic light source term at location ๐ photons/m4 ๐ (๐ฬ, ๐ฬโฒ) ๐๐ (๐, ๐ฬ) ๐(๐, ๐ฬ) ๐ฬ Unit normal vector to boundary ๐ด Reflection coefficient ฮฉ Interior region of mesh ๐ฮฉ Boundary region of mesh ๐(๐ด, ๐ต) Cross-correlation matrix of images A and B 83 photons/(m4·sr) photons/(m3·sr) photons/m3 Appendix APPENDIX A: HISTOLOGICAL ANALYSIS Hematoxylin and Eosin (H&E) Staining H&E staining was performed as described in previous work by our group [98]. Briefly, the mice were transcardially perfused with 1X phosphate-buffered saline (PBS), followed by 4% paraformaldehyde in PBS (PFA). The brains were removed, postfixed in PFA overnight at 4°C, cryopreserved in 30% sucrose, and then snap frozen on dry ice. Serial coronal sections 30 µm thick were cut using a Thermo Scientific HM 550 cryostat and transferred to electrostatically-charged glass slides. Sections were then stained using H&E stains and examined under a light microscope. Prussian Blue Staining A Prussian blue staining protocol was used to visualize SPIO deposits in the sectioned tissue. Sections were dried for 2 h at 50°C then rehydrated overnight in 1X PBS at 4°C. Sections were incubated for 1 h in the dark in freshly prepared Perls reagent (Prussian Blue Reagent, BioPAL Inc.), rinsed in PBS, then counterstained with Nuclear Fast Red stain for 5 min. Sections were rinsed in distilled water, dehydrated, and mounted on coverslips using a toluene-based medium (SHUR/Mount, Triangle Biomedical Sciences) prior to being examined under a light microscope. 84 Immunohistochemistry Immunohistochemical analysis was done similar to previous work [99]. In brief, coronal sections were dried for 2 h at 50°C then rehydrated in PBS for 15 min at room temperature. Nonspecific binding was blocked using a blocking solution consisting of 10% horse serum, 0.1% Triton X-100 in PBS for 2 h at room temperature. Sections were then incubated overnight at 4°C with anti-firefly luciferase (1:1000 dilution) (GeneTex) primary antibody in 0.1% Triton X-100 solution. The corresponding secondary antibodies were added 1:500 in 10% horse serum for 2 h at room temperature. Sections were then rinsed with 0.1 M PBS, counterstained with DAPI, and mounted on coverslips with aqueous nonfluorescing medium (Fluoro-gel with Tris Buffer, Electron Microscopy Sciences). Images were obtained with a Zeiss AX10 fluorescence microscope. 85 APPENDIX B: FDM MATRIX COEFFICIENTS Starting with the diffusion approximation: ๐๐ ฮฆ โ โ โ ๐ โฮฆ = ๐ Expansion using the product rule and approximation of the derivatives of ฮฆ with central differences gives: ๐๐ (x, y, z)ฮฆ(x, y, z) โ ฮฆ(๐ฅ + ฮ, ๐ฆ, ๐ง) โ 2ฮฆ(๐ฅ, ๐ฆ, ๐ง) + ฮฆ(๐ฅ โ ฮ, ๐ฆ, ๐ง) โฮบ ฮฆ(๐ฅ + โ, ๐ฆ, ๐ง) โ ฮฆ(๐ฅ โ ฮ, y, z) +๐ +โค โกโx ฮ2 2ฮ โข โฅ โข โฅ ฮฆ(๐ฅ, ๐ฆ + ฮ, ๐ง) โ 2ฮฆ(๐ฅ, ๐ฆ, ๐ง) + ฮฆ(๐ฅ, ๐ฆ โ ฮ, ๐ง) โฅ โขโฮบ ฮฆ(๐ฅ, ๐ฆ + โ, ๐ง) โ ฮฆ(๐ฅ, y โ ฮ, z) +๐ +โฅ โขโy ฮ2 2ฮ โข โฅ โข โฅ โข โฮบ ฮฆ(๐ฅ, ๐ฆ, ๐ง + โ) โ ฮฆ(๐ฅ, y, z โ ฮ) ฮฆ(๐ฅ, ๐ฆ, ๐ง + ฮ) โ 2ฮฆ(๐ฅ, ๐ฆ, ๐ง) + ฮฆ(๐ฅ, ๐ฆ, ๐ง โ ฮ) โฅ +๐ โฃ โz โฆ ฮ2 2ฮ = ๐(๐ฅ, ๐ฆ, ๐ง) Where ฮ is the grid spacing. Working with a voxelized representation of the tissue with a total of m voxels, the equation relating the photon density ฮฆ at each voxel to the light source ๐ is (๐๐ ๐ผ โ ๐ )๐ฝ = ๐ ๐๐ , ๐ฝ, ๐ are vectors of size m, I is the [m x m] identity matrix, M is an [m x m] matrix of coefficients. The photon density is computed given the light source: ๐ฝ = (๐๐ ๐ผ โ ๐)โ๐ ๐ 86 M is a sparse matrix with entries in each row chosen as follows: for a given voxel i with photon density ฮฆ(๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ), row i of M is populated to multiply ฮฆ(๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) and neighboring voxels by the following coefficients: ฮฆ(๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) 6 ๐ (๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) : โฮ ฮฆ(๐ฅ๐+1 , ๐ฆ๐ , ๐ง๐ ) : 1 ๐๐ ๏ฟฝ 2ฮ ๐๐ฅ (๐ฅ๐ ,๐ฆ๐ ,๐ง๐ ) + ฮ12 ๐ (๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) ฮฆ(๐ฅ๐โ1 , ๐ฆ๐ , ๐ง๐ ) : โ1 ๐๐ ๏ฟฝ 2ฮ ๐๐ฅ (๐ฅ๐ ,๐ฆ๐ ,๐ง๐ ) + ฮ12 ๐ (๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) ฮฆ(๐ฅ๐ , ๐ฆ๐+1 , ๐ง๐ ) : 1 ๐๐ ๏ฟฝ 2ฮ ๐๐ฆ (๐ฅ๐ ,๐ฆ๐ ,๐ง๐ ) + ฮ12 ๐ (๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) ฮฆ(๐ฅ๐ , ๐ฆ๐โ1 , ๐ง๐ ) : โ1 ๐๐ ๏ฟฝ 2ฮ ๐๐ฆ (๐ฅ๐ ,๐ฆ๐ ,๐ง๐ ) + ฮ12 ๐ (๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) ฮฆ(๐ฅ๐ , ๐ฆ๐ , ๐ง๐+1 ) : 1 ๐๐ ๏ฟฝ 2ฮ ๐๐ง (๐ฅ๐ ,๐ฆ๐ ,๐ง๐ ) + ฮ12 ๐ (๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) ฮฆ(๐ฅ๐ , ๐ฆ๐ , ๐ง๐โ1 ) : โ1 ๐๐ ๏ฟฝ 2ฮ ๐๐ง (๐ฅ๐ ,๐ฆ๐ ,๐ง๐ ) + ฮ12 ๐ (๐ฅ๐ , ๐ฆ๐ , ๐ง๐ ) 87 APPENDIX C: SCALING COEFFICIENT FROM CROSSCORRELATION Given two images ๐ด(๐ฅ, ๐ฆ) and ๐ต(๐ฅ, ๐ฆ) that are related by a scaling factor in addition to some deviation ๐(๐ฅ, ๐ฆ) that is not linearly related: ๐ด(๐ฅ, ๐ฆ) = ๐ผ๐ต(๐ฅ, ๐ฆ) + ๐(๐ฅ, ๐ฆ) Additionally, image ๐ด(๐ฅ, ๐ฆ) is displaced by (๐, ๐) due to a slight registration error: ๐ด(๐ฅ โ ๐, ๐ฆ โ ๐) = ๐ผ๐ต(๐ฅ, ๐ฆ) + ๐(๐ฅ, ๐ฆ) The sum of squared error between the images is: ๐ธ = ๏ฟฝ(๐ด(๐ฅ โ ๐, ๐ฆ โ ๐) โ ๐ผ๐ต(๐ฅ, ๐ฆ) โ ๐(๐ฅ, ๐ฆ))2 ๐ฅ,๐ฆ The error as a function of the scaling factor is convex. Minimization with respect to the scaling factor gives: ๐๐ธ =0 ๐๐ผ 0 = ๏ฟฝ โ2๐ต(๐ฅ, ๐ฆ)(๐ด(๐ฅ โ ๐, ๐ฆ โ ๐) โ ๐ผ๐ต(๐ฅ, ๐ฆ) โ ๐(๐ฅ, ๐ฆ)) ๐ฅ,๐ฆ 0 = ๏ฟฝ ๐ด(๐ฅ โ ๐, ๐ฆ โ ๐)๐ต(๐ฅ, ๐ฆ) โ ๏ฟฝ ๐ผ๐ต(๐ฅ, ๐ฆ)2 โ ๏ฟฝ ๐ต(๐ฅ, ๐ฆ)๐(๐ฅ, ๐ฆ) ๐ฅ,๐ฆ ๐ฅ,๐ฆ ๐ฅ,๐ฆ If the non-linear term ๐(๐ฅ, ๐ฆ) is small, noting that ๐ผ is independent of x and y the optimal scaling factor is: 88 ๐ผ= โ๐ฅ,๐ฆ ๐ด(๐ฅ โ ๐, ๐ฆ โ ๐)๐ต(๐ฅ, ๐ฆ) โ๐ฅ,๐ฆ ๐ต(๐ฅ, ๐ฆ)๐ต(๐ฅ, ๐ฆ) The numerator โ๐ฅ,๐ฆ ๐ด(๐ฅ โ ๐, ๐ฆ โ ๐)๐ต(๐ฅ, ๐ฆ) is simply the value at (๐, ๐) of the cross-correlation matrix of images ๐ด(๐ฅ, ๐ฆ) and ๐ต(๐ฅ, ๐ฆ). Likewise, the denominator is the value at the center of auto-correlation matrix of image ๐ต(๐ฅ, ๐ฆ). 89 Bibliography [1] Y. Liang, L. Agren, A. Lyczek, P. Walczak, and J. W. M. Bulte, โNeural progenitor cell survival in mouse brain can be improved by co-transplantation of helper cells expressing bFGF under doxycycline control,โ Exp. Neurol. , vol. 247, pp. 73โ79, Sep. 2013. [2] P. Walczak, J. Zhang, A. A. Gilad, D. A. 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Moussa was the recipient of an Alexander Graham Bell Canada Graduate Scholarship in 2012. His research focus includes medical image processing, co-registration, and visualization. 98
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