1874 J. Opt. Soc. Am. A / Vol. 22, No. 9 / September 2005 R. B. Saager and A. J. Berger Direct characterization and removal of interfering absorption trends in two-layer turbid media Rolf B. Saager and Andrew J. Berger The Institute of Optics, University of Rochester, Rochester, New York 14627 Received January 19, 2005; accepted March 6, 2005 We propose a method to isolate absorption trends confined to the lower layer of a two-layer turbid medium, as is desired in near-infrared spectroscopy (NIRS) of cerebral hemodynamics. Several two-layer Monte Carlo simulations of NIRS time series were generated using a physiologically relevant range of optical properties and varying the absorption coefficients due to bottom-layer, top-layer, and/or global fluctuations. Initial results showed that by measuring absorption trends at two source–detector separations and performing a leastsquares fit of one to the other, processed signals strongly resemble the simulated bottom-layer absorption properties. Through this approach, it was demonstrated that fitting coefficients can be estimated within less than ⫾2% of the ideal value without any a priori knowledge of the optical properties present in the model. An analytical approximation for the least-squares coefficient provides physical insight into the nature of errors and suggests ways to reduce them. © 2005 Optical Society of America OCIS codes: 170.3660, 170.5280, 170.7050, 170.1470. 1. INTRODUCTION Noninvasive monitoring of the functional activity of the brain is a growing field. Several mature methods already exist for the investigation of functional brain activity: electroencephalography (EEG), positron emission tomography (PET), magnetoencephalography (MEG), and functional magnetic resonance imaging (fMRI). Each method has advantages and drawbacks. EEG and MEG are directly sensitive to neural activation (EEG measures electric fields generated from neural activity, whereas MEG measures the resultant induced magnetic field fluctuations) and have correspondingly high temporal resolution, but their spatial resolution is low (of the order of tens of centimeters). PET, which detects positron emission produced by the decay of radioactive isotopes introduced into the blood stream, and fMRI, which exploits the paramagnetic effect of deoxygenated hemoglobin on resonant magnetic fields, can offer submillimeter resolution, but have poor temporal resolution (typically seconds for fMRI and longer for PET), high purchase and operating expenses, and an indirect correlation with neural activity through the invoked hemodynamics. Another modality being explored is near-infrared spectroscopy (NIRS). It works by sensing changes in optical absorption of hemoglobin and is thus an indirect modality like PET and fMRI. Unlike those methods, NIRS measures changes in both oxygenated and deoxygenated hemoglobin concentration; a more complete description of the hemodynamics is therefore obtained. Both time resolution (milliseconds to seconds, limited by the hemodynamics) and spatial resolution (subcentimeter to fewcentimeter, limited by the diffusive nature of photon transport) lie between the extremes of the four methods previously mentioned. NIRS systems are also substantially less expensive and more compact than PET and fMRI systems. One significant limitation of NIRS is that the light 1084-7529/05/091874-9/$15.00 must interact with blood in regions other than the cerebral cortex. The most elementary NIRS measurement consists of delivering light at one surface location and collecting remitted light at another point some distance away. For the light to reach the brain during its travels, it must pass through all intervening layers of the head. These layers include the scalp, which has its own vasculature that influences the optical measurements. Even with this issue of multiple layers, most NIRS work is based on single source–detector combinations, referred to here as single-detector optodes (SDOs). Even when grids of sources and detectors are used for mapping, each pair of nearest neighbors is typically treated as an independent SDO. Because only one distance is used, the modeling must be correspondingly simplistic, treating the underlying tissue as a single homogeneous layer with a given absorption coefficient a. Changes in a are derived from the changes in the measured diffuse reflectance signal S共t兲: 冉 冊 ⌬A共t兲 = − ln S共t兲 S0 = ⌬a共t兲 · 具L典, 共1兲 where ⌬A共t兲 is the calculated absorbance change and 具L典 is the average travel distance of the detected photons. This approximate proportionality is often called the modified Beer-Lambert law (MBLL). It is assumed that 具L典, although dependent on a共t兲, does not change significantly with time. Despite the simplicity of SDOs and the homogeneous model, they have been useful in many proof-of-principle studies. Single-optode investigations of visual1 and motor and visual stimulation2 have shown increases of oxygenated hemoglobin during intervals of cognitive activation. Several studies of simple cognitive tasks, such as finger tapping tasks and passive knee movement, have been per© 2005 Optical Society of America R. B. Saager and A. J. Berger Vol. 22, No. 9 / September 2005 / J. Opt. Soc. Am. A formed using multiple SDOs to demonstrate its potential as a brain-mapping–localization technique.3,4 In part because a SDO cannot distinguish between scalp and cerebral hemodynamics, studies such as these use multiple trials and block averaging to suppress uncorrelated trends. In some cases, hundreds to thousands of trials are required.5 The severity of the interfering trends varies strongly with the physiology of the individual. Most groups discover that certain people are “good activators” while other subjects cannot produce detectable signals. The need for multiple trials and the low success rate among subjects have impeded the progress of the NIRS method. Several groups have discussed the issue of interfering blood flow and partially correlated effects such as blood pulsatility, sympathetic vessel dilation, and Mayer waves, along with coupling issues of blood volume versus blood flow artifacts.6,7 Auxiliary biometric devices, such as pulse oximeters, respiration meters, and laser Doppler flowmeters can be incorporated to help discriminate such effects from localized cerebral activations. Multivariate processing techniques, such as principal component analysis, can be used in conjunction with multiple optodes to remove trends that are common to different regions of the head.8 A slightly fancier optode is one with a second detector located at some point between the source and the first detector. We call this a dual-detector optode (DDO). Such optodes have already been employed in other studies to demonstrate detection of depth-dependent changes in absorption.9,10 By analogy with the discussion above, the DDO geometry now permits the head to be modeled as a system of two homogeneous layers with different a values.11 Isolation of the contribution of a particular layer is now possible.12 The generalization of Eq. (1) becomes ⌬AN共t兲 = ⌬a1共t兲 · 具L1典N + ⌬a2共t兲 · 具L2典N , ⌬AF共t兲 = ⌬a1共t兲 · 具L1典F + ⌬a2共t兲 · 具L2典F , 共2兲 where subscripts 1 and 2 refer to the upper and lower layers, respectively, and N and F refer to the near and far detectors, respectively. Increasingly complex systems [with lateral heterogeneities and/or more than two layers] can be modeled using correspondingly more sources and detectors; such three-dimensionally resolved calculations of ⌬a are usually called diffuse optical tomography (DOT).13 Following Fabbri et al.,11 all influence of a1共t兲 can be removed from the time course ⌬AF共t兲 by subtracting a multiple of ⌬AN共t兲: R共t兲 ⬅ ⌬AF共t兲 − K⌬AN共t兲 = ⌬a1共t兲共具L1典F − K具L1典N兲 + ⌬a2共t兲 ⫻共具L2典F − K具L2典N兲. 共3兲 It is clear that we can eliminate ⌬a1共t兲 and make R共t兲 have the same shape as ⌬a2共t兲 by choosing K= 具L1典F 具L1典N , 共4兲 i.e., the ratio of the average path length traveled in the top layer by photons reaching the far and near detectors. 1875 Unfortunately, these average path lengths are not known a priori and cannot generally be calculated from cw DDO measurements. Fabbri et al. have pointed out that K can be measured experimentally by obtaining the ratio ⌬AF共t兲 / ⌬AN共t兲 during a time interval when a2 is relatively static.11 This approach is valid, but requiring static hemodynamics in the cerebral layer is a strong constraint that is not under the complete control of the experimenter or the subject. In this paper, we propose a new method of subtracting the two measurements to isolate useful information about hemodynamics in the lower, cerebral layer. The approach is to compute a least-squares fitting coefficient of ⌬AN共t兲 to ⌬AF共t兲 using the entire time course of data. We will show that this approach correctly gives K in the special case of ⌬a1 and ⌬a2 being uncorrelated in time. More generally, the method isolates the component of ⌬a2共t兲 that is uncorrelated with ⌬a1共t兲. We will argue that this quantity is relevant for identifying localized cerebral activation signals. The method derives robustness from its use of the entire time course, and it requires no presumption of inactivity in one layer. In the following sections, we will (1) introduce the theory that not only describes the two-layer system we are considering, but motivates the employment of leastsquares as a robust method of estimating and removing interfering effects; (2) describe the Monte Carlo simulations used to generate data used in our analysis; (3) demonstrate the application of our new method across a range of physiologic parameters and scenarios; and finally (4) discuss the results, limitations, and potential refinements to this approach. 2. THEORY A. Physiology As noted above, simplified multilayer models of the head have proven useful in interpreting the way it is probed by near-infrared light. The bottom layer is the layer of interest (brain) and all layers above it (scalp, bone, cerebrospinal fluid, etc.) are potential sources of interference.14–16 Since hemoglobin is the dominant chromophore in the near-infrared, the only layers with timevarying optical properties are the two experiencing blood flow, namely scalp and brain. Scattering changes are considered to be negligible in relation to the magnitude of absorption changes, and the remaining optical properties present in the tissue are assumed to be constant and homogeneous.17 Under these conditions it is reasonable to adopt a twolayer model to describe the optically active properties of the head. Here, the top layer contains the average static optical properties assigned to scalp, bone, and cerebrospinal fluid (CSF) as well as the active absorption properties of blood in the scalp. The bottom layer then contains the static and dynamic optical properties assigned to the outer regions of the brain. B. Parametrization of Absorption Changes For compactness, we denote all time-series vectors such as ⌬AN共t兲 and ⌬AF共t兲 henceforth in bold type, i.e., as ⌬AN 1876 J. Opt. Soc. Am. A / Vol. 22, No. 9 / September 2005 R. B. Saager and A. J. Berger and ⌬AF, respectively. We parametrize the changes in absorption in both layers in the following manner: ⌬a1 = G, ⌬a2 = ␥G + B, 共5兲 where B (bottom) is an absorption time course that appears only in the lower layer and G (global) is another one that can appear in both layers with different magnitudes, depending on the scaling parameter ␥. Without loss of generality, we can define B to be the part of ⌬a2 uncorrelated with G in the limit of infinitely long measurement; i.e., B·G lim t→⬁ G ·G 共6兲 = 0. By hypothesis the goal of the optical measurements here is to extract not ⌬a2 (the total cerebral hemodynamic time course), but B (the signal that is intrinsic to the cerebral layer only). By including ␥, we allow for the possibility that the interfering trend, G, need not be exclusively confined to the top layer. Since bone and CSF confine vascular beds to scalp or brain layers, cerebral hemodynamics are confined to the bottom layer; however, that does not place any requirement that interfering processes need be confined to the top layer. Interference may be global in nature as well. Even for a two-layer model the parametrization of Eq. (5) does not describe the most general case. There could be additional activity present in the scalp, described by a third time course T (top) that is independent of both B and G. Under these circumstances, an exact solution for B cannot be determined with only two measurements. We include such a case in our simulations below in an effort to study the performance of this approach even in underdetermined circumstances. D. Least-Squares Solution The possibility of this “ideal” extraction always exists in this model, regardless of choice of N and F. The value for ␣I, however, cannot be directly determined by the proposed measurements since the various 具L典 lengths and ␥ are not directly measurable in a cw system. A practical alternative is to fit ⌬AN to ⌬AF using a least-squares criterion. Such a fit will create a residual R that is uncorrelated with ⌬AN. If ⌬AN is similar in shape to G, this will cause R to resemble B, as desired. Unlike ␣I [Eq. (7)] a least-squares coefficient ␣LS can always be calculated, independent of any assumptions. We therefore are motivated to explore the notion of least-squares fitting in more detail. As just noted, least-squares fitting will be most successful if ⌬AN is similar in shape to G. Within the limits of the model, this can be ensured by placing the N detector sufficiently close to the source that very few of the detected photons explore the bottom layer. Mathematically, we define ⑀= ␣I = 具L1典F + ␥具L2典F 具L1典N + ␥具L2典N 共7兲 , (subscript I for ideal) then the residual becomes 冋 冉 R = 具L2典F 1 − 具L2典N 具L1典F + ␥具L2典F 具L2典F 具L1典N + ␥具L2典N 冊册 B, 共8兲 where the term in front of B is simply a constant. The parameter ␣I explicitly extracts B, whereas K extracts ⌬a2, which in general is not the same time course. We note that Eq. (7) reduces to Eq. (4) in the limit of ␥ = 0, i.e., in the special case where ⌬a2 is identical to B with no interference from G. 共9兲 , E. Derivation Fitting the N absorbance measurement to the F measurement by least-squares yields a fitting coefficient ␣LS, where ␣LS = ⌬AN · ⌬AF ⌬AN · ⌬AN 共10兲 . Substituting the definitions from Eqs. (2) and (5) it can be shown (see Appendix A) that −2 具L2典F B · G · +⑀ 具L1典N G · G 再 G · 共B + ␥G兲 G·G 再冋 冎册 2 共B + ␥G兲 · 共B + ␥G兲 具L2典F 具L1典N G·G − G · 共B + ␥G兲 具L1典F G·G ⬅ ␣ˆ LS . 具L1典N 冎 共11兲 The hat on ␣LS emphasizes that it is an analytical estimate of the experimental value ␣LS. Terms to second order in ⑀ are neglected in accordance with the assumption of small ⑀. In this same limit the 具L2典N can be dropped from Eq. (7), yielding ␣I ⬇ −1 具L1典N and say that this is the ⑀ Ⰶ 1 limit. At the end of this paper, we discuss the practical limitations of this approximation. ␣LS ⬇ ␣I + C. Ideal Solution Measurements of reflectance at two detectors N and F permit the calculation of ⌬AN and ⌬AF [see Eq. (2)]. Now if we introduce a scaling parameter ␣ and take a weighted difference of the two equations, assuming the parametrization of Eq. (5), we find the residual signal R has the same temporal shape as B, provided the appropriate weighting is employed. Specifically, if we choose 具L2典N 具L1典F + ␥具L2典F 具L1典N . 共12兲 As Eq. (11) shows, ␣LS will not exactly equal ␣I. An expression for the expected fractional discrepancy can be written as ␦␣ˆ = ␣ˆ LS − ␣I ␣I = ␦␣ˆ 1 + ␦␣ˆ 2 , where we identify two separate error terms, 共13兲 R. B. Saager and A. J. Berger ␦␣ˆ 1 = and ␦␣ˆ 2 = − ⑀ ⫻ 再冋 冋 B·G G·G B·G Vol. 22, No. 9 / September 2005 / J. Opt. Soc. Am. A 冉 G · G 具L1典F + ␥具L2典F 册冋 册冎 +␥ + ␥ 具L2典F 具L2典F 具L1典F + ␥具L2典F B·G G·G 冊 冉 冊 B·G +2 G·G . 共14兲 2 B·B − G·G 册 共15兲 The merit of Eq. (13) is that it estimates in analytical form the discrepancy between ␣I and ␣LS. The two terms identified as sources of error in the estimate are governed by physiologic properties. The first is dependent on the chance (finite-time) correlation of absorption fluctuation, whereas the second is additionally dependent on the statistical probe depth of the near detected signal. We note that in the limit when ⑀ goes to zero (i.e., when detector N is sufficiently close to the source), ␦␣ˆ 2 vanishes. If in addition the measurement time is arbitrarily long, then the correlation 共B · G兲 / 共G · G兲 can be made arbitrarily small, at which point ␣LS = ␣I. We thus see that least-squares fitting extracts the B time course under optimal conditions. Even if multiple events need to be recorded before this correlation can be made negligible, the resulting residual R provides a corrected version of the entire time course, allowing variations between stimulus responses to be inspected. Such opportunities are unavailable when averaging multiple responses to reduce noise in the SDO paradigm. 3. MONTE CARLO SIMULATIONS There are several approximations made in the preceding analysis of light propagation in a two-layer system with temporally varying absorption: 1. ⑀ Ⰶ 1, i.e., the N detector is only faintly sensitive to the lower layer; 2. 具exp共−aL兲典 ⬇ exp共−a具L典兲, i.e., averages of exponentials are equal to exponentials of averages; 3. 具L共t兲典 ⬇ 具L共t = 0兲典, i.e., average path lengths are constant in time. To test the range of validity of these approximations, Monte Carlo (MC) simulations were employed. Because the goal was to simulate a time series with varying a but fixed scattering properties, the “white MC” could be employed for efficiency.18,19 The white code simulates photon behavior in two separate stages. In the first stage a pencil beam of photons is injected into the two-layer model with all absorptions set to zero (hence white). This simulation accounts only for physical dimensions, index mismatches, and scattering properties of the two layers. The end result of this stage is a large file that contains the complete histories of each photon injected into the system. In particular, all photons that arrive at the N and F detectors (idealized to collect over a full 2 steradians) are noted. The second stage of the routine then applies weights to all of these photons’ histories based on particular absorption properties specified for each layer. While the first 1877 stage of the ANSI-C-compiled routine takes 40 min to generate the white histories of one million simulated photons, the second stage runs in ⬇10 s on a generic personal computer with a 1.5 GHz processor and 512 megabyte memory. After the first part is completed, the second stage may be run hundreds of times within half an hour to generate simulated ⌬a1 and ⌬a2 time courses that lead to ⌬AN and ⌬AF measurements. The G and B trends were simulated for a 12-epoch block design experiment and were generated as follows. Each individual epoch consisted of a series of 100 absorption values. The spacing between data points can be thought of as arbitrary temporal units. The activation signal B was modeled by a third-order skewed Gaussian function shaped to simulate a hypothetical cerebral response (see Fig. 1). The interfering G signal was generated by smoothed random numbers to provide uncorrelated fluctuations on time scales at and faster than that of B, as seen in NIRS cerebral measurements. These functional forms for G and B were chosen to emphasize the connection to cerebral hemodynamics. Outside of the correlation criterion stated in Eq. (6) the forms do not affect the generality of the results. A multidimensional parameter space of optical and physiologic properties was examined. Selected ranges and values were based on previously published results from several sources.3,11,20,21 For this initial investigation the temporally varying absorption component was induced by changes in oxygenation only (with fixed blood volume) without affecting the generality of the method. Twenty different combinations spanning the ranges of layer thickness, scattering, and blood volume were simulated, and the time courses G and B were scaled to create an average of 1% fluctuation in oxygenation. The far-detector distance was set at dF = 35 mm, and various near-detector measurements were tabulated at values of dN ranging from 1 to 13 mm. This led to different values of ⑀, the path length ratio. For example in Fig. 1, where dN = 1 mm, ⑀ = 0.029, whereas for 13 mm, ⑀ in- Fig. 1. Graphical representation of the model described in the Monte Carlo simulation.(a) dN, dF are the source–detector separations for the near and far detector, respectively, and SN, SF are the detected signals at those locations. Note that this is merely a cartoon of the system; items are not drawn to scale. (b) Typical plots of the fluctuations in absorption properties specific to each layer. (c) Plots of the detected absorption changes at each detector. 1878 J. Opt. Soc. Am. A / Vol. 22, No. 9 / September 2005 Table 1. Parameter Space of Optical and Physiologic Properties Examined in Simulations Parameter Top Layer Bottom Layer s⬘ Thickness Blood volume Baseline oxygenation Oxygenation change 7–15 cm−1 7–12 mm 2–3% 80% ⫾1% 7–15 cm−1 — 2–3% 80% 0–1% creases to 0.42. The ⌬AN and ⌬AF signals in Fig. 1 look similar, but in fact ⬇40% of the ⌬AF signal is the contribution from bottom-layer fluctuations. For NIRS techniques to report changes in both oxyhemoglobin and deoxyhemoglobin, at least two wavelengths in the 650–900 nm range need to be employed. For the case of these simulations, optical properties related to 690 and 830 nm were examined. Since the Monte Carlo simulations did not model any external noise sources or artifacts, wavelength selection did not influence the quality of the ␣LS computation. To that end, results presented here will be only of data generated at 830 nm. Figure 1 shows a schematic of the simulated Monte Carlo model with plots of typical absorption fluctuations and detected signals. Because the MC program keeps track of each photon’s history, average path lengths can be calculated, permitting direct evaluation of ␣I and the individual terms in the expression for ␦␣ˆ [Eq. (13)]. MC simulations were performed given over the range of optical properties given in Table 1. In all cases the least-squares coefficient ␣LS was computed and, where applicable, compared to the ideal value ␣I. Residual time series R = ⌬AF − ␣⌬AN were created using three different values of ␣: ␣LS, the ideal ␣I [Eq. (7)], and ␣ = 0, corresponding to the unaltered measurement from a single detector. 4. RESULTS R. B. Saager and A. J. Berger the absorption changes of the bottom layer used in the simulations. The second plot shows ⌬AF, the resulting absorbance signal detected at the far detector. This is the type of signal one would measure using a standard cw NIRS system with a single source–detector pair. From this plot, it is evident how strongly the top layer interference affects the measurement. Below this are the two corrected signals R using ␣LS and ␣I. Under these conditions, least-squares performs extremely well in extracting the individual activation events of the B time course, whereas these activations can not be discerned in the single optode measurement (⌬AF, corresponding to R0, the residual computed using ␣ = 0). Figure 2(b) shows the result of event-averaging the different R time courses, as is commonly done in SDO. The average for R0, the single optode signal, begins to reveal the activation sequence of B, but significant interference from G remains. The average for RLS, in contrast, resembles B nearly perfectly. Overall the least-squares method was very accurate at estimating ␣I under these conditions. For all combinations of optical parameters with ␥ = 0, using 12 epochs and dN = 1 mm, the standard deviation between ␣LS and ␣I was 1.9%. With this set of simulations, we can evaluate the accuracy of Eq. (11), the analytical estimate of ␣LS. For dN = 1 mm the standard deviation between the two is only 0.04% over all simulations, with a bias of ⫹0.03%. Errors increase when the near detector is farther from the source, because this increases ⑀ [see the final term in Eq. (11)]; however, even at dN = 13 mm, the standard deviation and bias increase to only 1.2% and 2.2%, respectively. The formula is therefore useful in estimating ␣LS from fundmental properties of the optical system. We therefore proceed to examine the two error terms in Eq. (13), the estimate of the discrepancy between ␣LS and ␣I. The first error term, ␦␣ˆ 1, scales as the correlation between B and G, with no dependence on the location of the The main purpose of the MC simulations was to determine how accurately ␣LS estimates the target value ␣I, along with any consistent bias. Conceivably, the standard deviation LS in the ␣LS values might depend on the timeindependent quantities that were varied from run to run: layer thickness, scattering coefficient, and blood volume percentage. As a check, each simulated time course was subdivided into its 12 epochs, and ␣LS was computed 12 times, once for each epoch. We found that LS remained the same to within less than 2% across the range of layer thicknesses, scattering coefficients, and blood volume percentages simulated (see Table 1). Because changes in these baseline parameters did not noticeably influence the stability of ␣LS estimation, we can draw general conclusions from particular simulations. In the following we report in detail on representative cases from three scenarios. A. Scenario 1: Top Layer Interference Figure 2 shows results from the simplest nontrivial situation possible: the interfering absorption changes G are exclusively located in the top layer. In terms of our model, ␥ is equal to zero. The top plot in Fig. 2(a) displays ⌬a2, Fig. 2. Results for simulations with no interfering effects in the bottom layer 共␥ = 0兲. (a) From top to bottom, these plots show the individual ⌬a2 in the bottom layer, the detected signal at the far detector alone (␣ = 0, i.e., a SDO configuration), the extracted signal from the least-squares approach, and the ideal extraction calculated from average photon pathlengths. (b) Plots of the block average of 12 individual events under the same conditions. R. B. Saager and A. J. Berger Vol. 22, No. 9 / September 2005 / J. Opt. Soc. Am. A 1879 portion of it that is unique to the bottom layer, i.e., B, as t → ⬁. Fig. 3. Characterization of error sources in the least-squares estimate. (a) Mean and distribution of error values described by ␦␣ˆ 1 (stars) and ␦␣ˆ 2 (circles) as a function of epochs recorded (i.e., measurement time); while ␦␣ˆ 1 is independent of dN, ␦␣ˆ 2 is shown here for dN = 1 mm. (b) Mean and distribution of error values as a function of dN; all data shown were calculated from a 12-epoch measurement. near detector (i.e., on ⑀). Therefore, increasing the integration time should reduce this error term, as chance correlations from finite sampling are reduced. No bias is expected. Figure 3(a) shows the mean and standard deviation of ␦␣ˆ 1 from many simulations, plotted for various numbers of epochs. As predicted, there is no significant bias, and the error amplitude drops as measurement time increases. The second error term ␦␣ˆ 2 is more complex, containing correlation terms, but also a dependence on ⑀ and other terms that are always positive. As shown in Fig. 3(a), the magnitude and spread in ␦␣ˆ 2 errors were much smaller than for ␦␣ˆ 1, indicating the primary problem was chance correlations between finite samplings of B and G. Figure 3(b) takes the final data points from Fig. 3(a) and shows how the errors increase as dN increases from 1 to 13 mm. At the largest separations ␦␣ˆ 2 introduces a significant bias in the estimation of ␣I, and the standard deviation becomes comparable to that introduced by ␦␣ˆ 1. B. Scenario 2: Global Interference For this case we allow for the possibility that interference occurs globally. Now the interfering absorption changes occur in both layers but in differing amounts. In terms of our model, ␥ is equal to 0.5, with the amplitudes of the B and G time courses set equal. Figure 4 displays a summary of typical results from simulations run under this scenario. Yet again, RLS strongly resembles B, whereas the single optode result R0 is even further degraded by the overall increase in interference. In this case the standard deviation between ␣LS and ␣I (again for 12 epochs and dN = 1 mm) was 1.3%. The method estimates the correct fitting coefficient accurately, while being insensitive to the presence of the interference G in the lower layer. In contrast, the SDO performance R0, suffers more when the interference is present in the lower layer. The higher the value of ␥, the more interference there is and the greater the amount of averaging needed to obtain a useful SDO signal. Again we emphasize that the least-squares approach not only significantly improves the event averaged signal, but provides an entire RLS time course from which information pertaining to single events can be extracted. We also stress that the extracted RLS time course is not ⌬a2, but rather only the C. Scenario 3: Independent Top Layer and Global Interference As noted earlier, a T signal could also be present in the top layer, in which case the problem is underdetermined theoretically. This was simulated with the G and T signals contributing equally to the total fluctuation in the top layer, while the bottom layer absorption changes were 30% G and 70% B. As Fig. 5 shows, there is degradation in the signal extraction in all methods, even including the extraction us- Fig. 4. Results for simulations with equal contributions of interference and activation in the bottom layer 共␥ = 0.5兲. (a) From top to bottom, these plots show the individual ⌬a2 in the bottom layer, the detected signal at the far detector alone (␣ = 0, i.e., a SDO configuration), the extracted signal from the least-squares approach, and the ideal extraction calculated from average photon path lengths. (b) Plots of the block average of 12 individual events under the same conditions. Fig. 5. Results for simulations with both top layer and global interference terms 共␥ = 0.3兲. (a) From top to bottom, these plots show the individual ⌬a2 in the bottom layer, the detected signal at the far detector alone (␣ = 0, i.e., a SDO configuration), the extracted signal from the least-squares approach, and the ideal extraction calculated from average photon path lengths. (b) Plots of the block average of 12 individual events under the same conditions. 1880 J. Opt. Soc. Am. A / Vol. 22, No. 9 / September 2005 ing the ideal scaling parameter. This is expected, since the theoretical model used to solve for this ideal value is now invalid. It is encouraging, however, that leastsquares can still offer significant improvement toward the isolation of the underlying activation signal. Remarkably, the block-averaged RLS resembles the activation more than the block average of ⌬a2 itself. 5. DISCUSSION Removing uncorrelated features from NIRS data is an important goal. Any technical improvement in eliminating these features directly, rather than by signal averaging, offers several payoffs. The benefits could include shorter measurement times, a larger population of eligible subjects, and the ability to inspect responses to individual stimuli rather than ensemble averages. Techniques that solve one part of the problem may eventually be incorporated into a global solution. The DDO–least-squares approach investigated here suppresses two sources of interference: top-layer-only fluctuations (i.e., from the scalp) and global fluctuations (i.e., systemic responses, such as respiration). It does not reduce the interference from uncorrelated cerebral activity; measurements of two separate cerebral regions could be employed for this purpose, as has been suggested by others.8 The results reported here indicate that the technique is a useful building block for improving NIRS cerebral hemodynamic monitoring. The targeted sources of interference were dramatically suppressed in all simulated cases, including ones where the accompanying theoretical model was strongly violated. The method and theory described in this paper are also in agreement with other current work on the DDO approach. In the limit of top-layer-only interference 共␥ = 0兲 and uncorrelated absorption timecourses 共B · G = 0兲, our theory matches exactly with that described by Fabbri et al.11 (i.e., lim ␣I = K). We also note that their suggested method of determining K, namely by using a time interval during which ⌬a2 = 0, is a special case of satisfying the requirement for uncorrelated time courses. One particular issue these simulations do not address is that of tissue heterogeneity. Although efforts were made to simulate bulk optical properties that are physiologically relevant, blood flow occurs across a complex and confined network of vessels. The corresponding optical effects, particularly in the small volume probed by the near detector, can be strongly location specific, thus violating the assumption of homogeneous layers. This paper provides the groundwork for isolation of cerebral signals, but future studies must address the issue of heterogeneity by additional measurements or by judicious choice of source– detector distance. This initial consideration of homogeneous layers, however, provides some valuable insights on its own. Equation (13) identifies two primary sources of error in estimating the scale factor ␣. We have demonstrated that this analytical formulation of error is in fact in good agreement with the actual least-squares calculation, even though some approximations have been made to simplify R. B. Saager and A. J. Berger its form. As noted above, the error terms have straightforward interpretations. In particular, ␦␣ˆ 1 represents the error due to chance correlations between B and G during the finite measurement time. These chance correlations can be reduced by increasing the integration time. This is different from the method proposed by Fabbri et al. in which K is estimated during a period when no lower-layer (cerebral) fluctuations occur. In this case increased integration time would presumably lead to greater violations of this underlying assumption. In the least-squares approach, we are afforded the luxury of using all data collected whether stimulation is occurring or not. Having gained a good understanding of the principal factors affecting the performance of our approach in an idealized homogeneous case, we can then apply these insights in addressing layer heterogeneity. The influence of heterogeneity on the measurements can be reduced by increasing the distance dN and thus averaging over a larger tissue volume. However, this increases ⑀, and as the modeling shows, the ␦␣ˆ 2 error increases. The simple model helps us to analyze this tradeoff. In particular we note that ␦␣ˆ 2 takes the form of a deterministic bias, since ⑀ and some of the correlation terms are positive definite [see Eq. (13)]. Perhaps, then, one way of compensating for upperlayer heterogeneity is to increase dN, simulate the amount of ␦␣ˆ 2 error that this adds, and then apply a bias correction to the experimental least-squares estimate of ␣I. The proper value of dN for optimizing this tradeoff would have to be determined. The far-detector path length also plays a role in the magnitude of the first error term in ␦␣ˆ . The error is proportional to 具L2典F / 共具L1典F + ␥具L2典F兲. This functional form suggests an experimental modification that could reduce ␦␣ˆ . If we reduce the source–detector separation of the far detector, dF, the detected photons will travel a statistically shorter distance in the bottom layer and hence reduce this error term. This action serendipitously would increase the 2D mapping resolution were an array of DDOs to be used. Once again, however, this has a tradeoff. Reducing the distance also reduces the measured absorbance change, making it more susceptible to instrumental noise artifacts. Further study is required to examine the potential benefits of this action. Such a study would require refinements to the two-layer model with considerations of instrumentation artifacts and noise, which were not considered in this initial study. Once again, the value of dF that optimizes the tradeoff would have to be determined. The homogeneous model, while simple, provides the conceptual framework for choosing optimal separation distances for both detectors. 6. CONCLUSION This work has investigated the novel combination of a dual detector optode and a least-squares approach for the extraction of cerebral hemodynamics signals in nearinfrared spectroscopy. Monte Carlo results based on a simple two-layer, homogeneous model show great promise. Two major results are that (a) the method removes interference to within 2% of the ideal limit in all cases R. B. Saager and A. J. Berger Vol. 22, No. 9 / September 2005 / J. Opt. Soc. Am. A APPENDIX A where such a limit exists, and (b) the method substantially removes interference even in more complicated cases where there is no unique theoretical solution. Further investigations include increasing the detail of the Monte Carlo models to incorporate, for instance, dedicated layers for bone and CSF; and analyzing measurements from an experimental DDO system currently under refinement. A mature instrument incorporating this approach should be able to offer greatly improved specificity for cerebral hemodynamics, thus reducing measurement time and increasing the range of potential subjects for both clinical and research purposes. ␣LS = We derive the analytical approximate form of the leastsquares fitting coefficient ␣ˆ LS [Eq. (11)]. By definition the least-squares fitting coefficient between the absorption time courses is 关⌬a1共t兲 · 具L1典F + ⌬a2共t兲 · 具L2典F兴 · 关⌬a1共t兲 · 具L1典N + ⌬a2共t兲 · 具L2典N兴 关⌬a1共t兲 · 具L1典N + ⌬a2共t兲 · 具L2典N兴 · 关⌬a1共t兲 · 具L1典N + ⌬a2共t兲 · 具L2典N兴 再 ⬇ 具L1典F 具L1典N + 冋 ⫻ 1 − 2⑀ 12 ⬅ ⌬␣1共t兲 · ⌬␣2共t兲, 22 ⬅ ⌬␣2共t兲 · ⌬␣2共t兲. 具L1典F ⬇ 具L1典N Then Eq. (A2) becomes = 具L1典F + 12 具L1典N 冋 具L1典F具L2典N 具L1典N具L1典N 11 + 212 具L2典N + 具L2典F 具L1典N + 22 具L1典N 册 −2 + 22 具L2典F具L2典N 具L1典N具L1典N 具L2典N具L2典N . = 具L1典F 具L1典N + 12 冋 具L1典F 具L1典N ⑀+ 具L2典F 具L1典N 11 + 212⑀ + 22⑀ 册 + 22 具L2典F 具L1典N 2 具L1典N +⑀ ⑀ . 共A4兲 Assuming ⑀ Ⰶ 1, ⑀ → 0, then 11 ␣LS ⬇ 具L1典N 冋 具L1典N ⑀+ 具L2典F 具L1典N 册 + 22 具L2典F 具L1典N ⬇ ⑀ 11 + 212⑀ 再 ⬇ 11 ⫻ + 12 具L1典F 具L1典F 具L1典N 1 11 冋 + 12 1 − 2⑀ 冋 册 12 11 具L1典F 具L1典N ⑀+ 具L2典F 具L1典N 冉 册 + 22 具L1典N ⑀ 冎 12 11 12 具L2典F 11 具L1典N 12 具L2典F 2 11 具L1典N ⑀+ +⑀ 再 具L2典F 具L1典N 册 22 具L2典F 11 具L1典N + − 22 具L2典F 11 具L1典N ⑀ 冎 12 具L1典F 11 具L1典N + O共⑀2兲. 冋 共A5兲 −2 冋 G · 共B + ␥G兲 具L2典F 具L1典N G·G 具L1典N G·G G · 共B + ␥G兲 具L1典N 再 + 共B + ␥G兲 · 共B + ␥G兲 具L2典F 具L1典F +⑀ 具L2典F 再 −2 2 具L1典F 11 具L1典N 冋 册 冎 具L1典F ␣LS ⬇ Let [see Eq. (9)] ⑀ = 具L2典N / 具L1典N 11 + 冋 册 12 具L1典F 共A2兲 . Now, introduce the parametrizations for ⌬a1, ⌬a2 in terms of time courses B and G; relation (A5) becomes 具L1典N具L1典N 共A3兲 共A1兲 . ⌬AN · ⌬AN Expanding the changes in absorption in terms of the MBLL, Eq. (A1) becomes 11 ⬅ ⌬␣1共t兲 · ⌬␣1共t兲, 11 ⌬AN · ⌬AF ␣LS = For simplicity, let ␣LS 1881 具L2典F 具L1典N 2 G·G 具L1典N 具L2典F 冊 + G · B 具L2典F G · G 具L1典N 共B + ␥G兲 · 共B + ␥G兲 具L2典F G·G G · 共B + ␥G兲 G·G G · 共B + ␥G兲 具L1典F 具L1典N G·G +␥ 册 冎 − 具L1典N 册 冎 2 具L2典F 具L1典N . − G · 共B + ␥G兲 具L1典F G·G 具L1典N 共A6兲 Noting that the first two terms are equal to the ideal coefficient ␣I, we have finally 1882 J. Opt. Soc. Am. A / Vol. 22, No. 9 / September 2005 ␣LS ⬇ ␣I + −2 再 具L2典F B · G · +⑀ 具L1典N G · G G · 共B + ␥G兲 G·G 再冋 冎册 2 ⬅ ␣ˆ LS , R. B. Saager and A. J. Berger 共B + ␥G兲 · 共B + ␥G兲 具L2典F 具L1典F 8. G·G − G · 共B + ␥G兲 具L1典F G·G 具L1典N 冎 共A7兲 which is Eq. (11). 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