The photoacoustic fiberscope
Figure 1a shows a freely behaving mouse wearing an imaging probe, which was used to monitor cortical activity. The imaging probe uses two optical fibers for photoacoustic excitation and detection (Figs. 1b and c). The excitation laser beam is guided in the yellow-jacketed fiber (SMF-28e+, Corning, N.A. = 0.14), collimated with an achromatic lens (AC050-008-A, Thorlabs, N. A.=0.33 in air), reflected by a 45-degree tilted mirror, and focused in the brain tissue by using an additional conjugated lens. The hemoglobin in the cerebral vessels partially absorbs the laser pulses and generates ultrasound waves via the photoacoustic effect. A horizontally placed fiber optic sensor detects the laser-induced ultrasound waves. The blue-jacketed optical fiber guides the sensing light to the photodetector and signal demodulation module. Volumetric images are acquired via raster scanning of the laser beam using a microelectromechanical system (MEMS) scanner.
The imaging probe utilizes fiber optic sensors to detect the photoacoustic signals. A small fiber laser with a lasing frequency of approximately ω0 = 2\(\pi \times\)195 THz is employed as the acoustically responsive element (see Methods). The laser cavity can be acoustically deformed, changing the lasing frequency by Δω0\(.\) The two orthogonally polarized laser modes have a 2-GHz frequency difference due to the intrinsic fiber birefringence. In the torsional-radial mode vibration state, the x- and y-polarized laser lights have identical frequency shifts but opposite signs, ±Δω0. We beat the two laser modes at radio frequency to collect the acoustically induced frequency change, 2Δω0. The radio-frequency beat signal responds to the ultrasound waves at S = 2.25 MHz/kPa over 30 MHz, which is mainly determined by the diameter, longitudinal and shear wave acoustic velocities and photo elastic coefficient of the optical fiber. The sensor can offer a noise-equivalent pressure (NEP) of 8 Pa.
Figures 1d and e show the laser-beam scanning and ultrasound detection schemes. The fiber optic sensor is immersed in an acoustic coupling medium. The sensor is placed 1.2 mm above the tissue surface, is parallel with the imaging plane, and detects ultrasound waves in a side-viewing manner. The sensor has a sensitive length of ~ 3 mm, which is defined by the two highly reflective Bragg reflectors. The ultrasound response has a cos(2θ) dependence, where θ denotes the incident angle of the ultrasound wave, offering a 60-degree view angle at half magnitude. By rotating the sensor, the overlap between the laser scanning and ultrasound detection areas can be maximized. The optical window for the excitation laser beam is sealed with a glass coverslip. The unfocused ultrasound detection reduces the optical alignment requirements, allowing an A-line scan rate of 100 kHz, a B-scan rate of 100 Hz, and a frame rate of 0.2 Hz over a 1.2 mm by 1.2 mm area. As a result, the imaging probe enables fast scanning, high optical resolution imaging of cerebral hemodynamics.
The headpiece has an aluminum baseplate (weight: 0.1 gram), which is permanently fixed on the mouse head over the cranial window (see Methods and Supplementary Figs. 1 and 2). The baseplate contains four permanent magnets in its corners, which are used to mount the imaging probe. The imaging probe was assembled by incorporating the optical fibers, lenses, and MEMS scanner before attaching the probe to the baseplate. This design is convenient for mounting the probe and guarantees imaging stability in freely behaving mice. Furthermore, this detachable design allows repeated imaging of the region of interest (ROI) based on the experimental requirements.
The experimental mouse wearing the imaging probe was placed in a cylindrical chamber that allowed free behavior (see Supplementary Fig. 3). We mounted a camera on the top of the chamber to track and record the motion of the mouse. The chamber has a gas inlet and an outlet at the bottom for hypercapnia and hypoxia experiments. The imaging probe is connected to the console through two optical fibers and an electrical wire. To prevent wire/fiber entanglements, the scanner driving and sensor interrogation unit was miniaturized, with an overall volume of 11×12×1.7 cm3, which includes the 980-nm semiconductor pump laser, erbium-doped fiber amplifier, photodetector, fiber polarizer, and optical isolator. A coaxial optical/electrical slip ring was used to transmit the excitation laser beam, supply power, and acquire electrical signals. As a result, this unit can rotate freely and is compliant with the motion of the experimental animal, allowing continuous cerebral imaging. The freely moving mouse can bend and vibrate the optical fibers in the experiment. However, the two orthogonally polarized laser beams of the sensing laser are highly correlated, and the heterodyne detection scheme utilizes common-noise cancelation to stabilize the sensor output during cerebral imaging. Moreover, the weight of the optical fibers is minimal and can be ignored. The lengths of the optical fibers were optimized to adapt to the size of the chamber.
For oxygenation imaging, we built a customized dual-colored laser source (see Methods and Supplementary Fig. 4). The 558-nm component is produced by the second-order Stokes wave generated by the stimulated Raman scattering in the highly nonlinear optical fiber. This component was combined with a 532-nm laser beam with the same repetition rate and an optimal pulse interval of 2.75 µs before being input into the imaging probe. A field-programmable gate array card (PXI-7852R, National Instruments) was used to synchronize the laser pulses, the MEMS scanner, and the data acquisition module. We use a LabVIEW program to acquire and process data. Figures 1f and g demonstrate photoacoustic images showing cerebral hemoglobin and sO2 in the same region. Small veins, arteries, and capillaries can be visualized and distinguished in the images. Oxy- and deoxygenated hemoglobin have different absorption coefficients at these two wavelengths. Identical laser energies induce photoacoustic signals with different strengths PA532 and PA558 (Fig. 1h). As a result, oxygen saturation (sO2), namely, the molecular ratio of oxygenated hemoglobin to total hemoglobin, can be quantitatively measured and imaged based on Eq. (1) (see Methods).
Hypercapnia experiment under anesthesia
We first investigated acute hypercapnia in the experimental animal under anesthesia and performed cerebral imaging with the photoacoustic fiberscope. We performed baseline imaging under normocapnia conditions (Fig. 2a). Then, we changed the respiratory gas from normal air (with 1.5% isoflurane anesthesia) to a 50%:50% air/CO2 mixture to induce hypercapnia. A high CO2 concentration was used to generate a quick cerebrovascular response (Supplementary Video 1). After imaging, we repeated the hypercapnia experiment and performed a cardiac blood analysis 50 seconds after the animal was presented with the air/CO2 mixture. The measured CO2 partial pressure of 100 ± 12 mmHg (normal condition: 40 mmHg) and oxygen partial pressure of 34 ± 8 mmHg (normal state: 90 mmHg) verified the occurrence of acute hypercapnia. As shown in Figs. 2b and c, hypercapnia dramatically increased the overall oxygen saturation (sO2), while the relative hemoglobin concentration (Hb) decreased. After the hypercapnia experiment, the sO2 and Hb levels recovered to normal levels (Fig. 2d).
We performed normocapnia–hypercapnia imaging with four mice and extracted the changes in the sO2 and Hb levels and the diameters of the veins and arteries (Figs. 2e to g). Figure 2e shows that the averaged venous sO2 level decreased from 92–64%, and the arterial sO2 level decreased from 95–75% in the first 10 seconds before decreasing to a minimal value of 70% (see Supplementary Fig. 5 for the statistical results). Figure 2f exhibits that the Hb level decreased in both the arteries and veins by approximately 10%. Figure 2g shows the vasoconstriction in an artery (by 15%) and a vein (2.5%). sO2 and Hb recovery took 50 seconds. These results are consistent with previous measurements of high-concentration CO2 respiration in animals23. Moreover, the oxygen extraction fraction (OEF), which is defined as the ratio of oxygen consumption to delivery in a tissue or organ, is a useful parameter for quantifying abnormal cerebrovascular oxygenation. Figure 2h shows the OEF variation in the hypercapnia experiment, which was calculated based on the sO2 measurement results (see Methods). The OEF increased from 5–15% in the hypercapnia experiment due to insufficient oxygen delivery.
In comparison, we performed hypoxia experiments with anesthetized mice (Supplementary Fig. 6 and Supplementary Video 2). In this experiment, the oxygen fraction was reduced from ~ 21% of the respiratory air to approximately 10% by mixing air and nitrogen with the same volumes. This experiment lasted 100 seconds and was repeated with five mice. Hypoxia also induced a decrease in sO2 from 90–70% in the veins and 95–80%in the arteries and an Hb decrease of approximately 7% (see Supplementary Fig. 7 for the statistical results). In addition, a maximum of 3% vasodilation was observed in the vein during the hypoxia experiment, and the OEF in the cerebral vessels changed from 4–8% during the experiment. The recorded hemodynamic response is consistent with the results of previous medical studies and the imaging results acquired using benchtop photoacoustic microscopy10. The above experimental results demonstrate that the proposed imaging system can visualize cerebrovascular responses with high spatial and temporal resolution. Furthermore, the OEF profiles differ in the hypoxia and hypercapnia experiments, suggesting that the photoacoustic fiberscope can distinguish different hemodynamic responses under various stimuli.
Cerebral imaging in the wakening process
Next, we placed an isoflurane-anesthetized, 8-week-old male BALB/c mouse wearing an imaging probe on its head in the chamber and continuously imaged its cerebral activity. Supplementary Video 3 shows the recorded mouse behavior during the period from anesthesia to freely moving and the real-time sO2 and Hb photoacoustic images over 30 minutes. The video shows that the fiberscope can stably image cerebral hemodynamics in a freely behaving state, even when the mouse accidentally hits the chamber wall. Figure 3 demonstrates the motion trajectory of the mouse during wakening (Fig. 3a), anticlockwise movement (Fig. 3b), clockwise movement (Fig. 3c), and a short rest period in the chamber (Fig. 3d, see Methods for details about the motion trajectory tracking). The four photoacoustic images presented in Figs. 3a to d show that the sO2 levels in the veins decreased when the mouse woke and moved freely. In the first 20 minutes, venous sO2 decreased (Fig. 3e), arterial Hb increased (Fig. 3f) and vasoconstriction (Fig. 3g), and OEF increased (Fig. 3h) due to the increased oxygen metabolism in the wakening and freely moving states and the reduced isoflurane anesthesia. After 20 minutes, cerebral oxygenation recovered to a normal state.
Hypercapnia experiment in freely behaving mice
Next, we imaged hypercapnia-induced cerebral responses in a freely moving mouse (Supplementary Video 4). The experiment was performed over 100 seconds. Figure 4 shows the sO2 and Hb photoacoustic images captured during the baseline (Fig. 4a), hypercapnia (Figs. 4b, c), and normocapnia states (Figs. 4d, e). The imaging results show that the overall sO2 level increased slightly when CO2 was injected into the chamber and subsequently decreased after the experiment. The mouse could move freely in the chamber during the hypercapnia experiment, as shown by the recorded motion trajectory in Fig. 4f. We repeated the imaging experiment with four mice to record the temporal variations in the individual hemodynamic parameters. Figures 4g to j demonstrate that the sO2 level increased (by 5% in the artery and 4% in the vein, Fig. 4b), Hb levels slightly increased (Fig. 4h), vasodilation decreased (by 5% in the vein and 2% in the artery, Fig. 4i), and the OEF decreased by 4% (Fig. 4j). The results suggest that the cerebral vessels tend to deliver more oxygen to compensate for hypercapnia. This oxygenation enhancement induced by CO2 respiration was not observed in the anesthetized mice. As shown in the motion trajectory in Fig. 4f, this compensation process is accompanied by fast mouse locomotion (frames in c and d). As the hypercapnia continued, the arterial and veinous sO2 levels decreased by 15% and 14% (beginning at approximately 150 seconds), and the total Hb level decreased by approximately 5%. The OEF gradually increased over the next 300 seconds, corresponding to insufficient blood oxygen delivery, which is consistent with previous observations in human experiments conducted under hypoxic conditions24,25.
Hyperlipidemia is known as one of the major causes of vascular dysfunction26,27. It can slow blood flow, cause cerebral hypoperfusion, and induce chronic brain hypoxia27–30. Here, we also imaged the cerebrovascular responses in freely moving obese (hyperlipidemia) mice (Fig. 5 and Supplementary Video 5, see Methods for details). The photoacoustic images shown in Figs. 5a to e demonstrate that the overall sO2 levels tended to remain stable (Fig. 5b) and then decreased by approximately 10% during the experiment (Fig. 5c). In addition, the Hb levels decreased by approximately 10% in the arteries and 5% in the veins (Fig. 5h). The vessel diameter increased by 2% in the vein and decreased by 2% in the artery (Fig. 5i). After the experiment, the sO2 levels in the cerebral veins remained low. The tracked motion trajectory presented in Fig. 5f shows that the obese mice can freely move in the experiment as well as the healthy mice. We selected three periods and compared the cerebral responses of the healthy and obese mice, including period #1 (115 to 135 s, at the beginning of the hypercapnia experiment), period #2 (170 to 190 s, at the end of the experiment), and period #3 (270–290 s, after the experiment). The statistical results shown in Figs. 5k to n were calculated based on the measured results presented in Figs. 4 and 5 over the three selected periods. The results suggest that oxygenation enhancement occurred in both the healthy and obese groups. However, the induced oxygenation was significantly stronger in the control group than in the obese group (Figs. 5k and l). The sO2 level changed only slightly in response to the hypercapnia experiment (P = 0.0013 in artery and P = 0.0193 in vein for 15–35 seconds). At the end of the experiment, a notable decrease in the sO2 and Hb levels was observed in the obese group, while normal oxygenation levels were maintained in the control group. The Hb levels in the veins and arteries decreased significantly 70–90 seconds after gas injection.
The OEF decrease in the experiment was hardly observable in the obese group. In addition, the sO2 level decreased at 120 seconds (20 seconds after CO2 injection), which was earlier than in the control group, and the artery diameter decreased by 4%. The different hypercapnia-induced responses in obese and healthy mice can be understood by comparing the results shown in Figs. 4 and 5. Additionally, the baseline OEF values in the obese mice were higher than those in the healthy mice.