of 6
Retrospective respiration-gated whole-
body photoacoustic computed
tomography of mice
Jun Xia
Wanyi Chen
Konstantin Maslov
Mark A. Anastasio
Lihong V. Wang
Downloaded From: http://biomedicaloptics.spiedigitallibrary.org/ on 06/20/2016 Terms of Use: http://spiedigitallibrary.org/ss/TermsOfUse.aspx
Retrospective respiration-gated whole-body
photoacoustic computed tomography of mice
Jun Xia, Wanyi Chen, Konstantin Maslov, Mark A. Anastasio, and Lihong V. Wang
*
Washington University in St. Louis, Optical Imaging Lab, Department of Biomedical Engineering, One Brookings Drive, Saint Louis, Missouri 63130
Abstract.
Photoacoustic tomography (PAT) is an emerging technique that has a great potential for preclinical
whole-body imaging. To date, most whole-body PAT systems require multiple laser shots to generate one cross-
sectional image, yielding a frame rate of <
1
Hz. Because a mouse breathes at up to 3 Hz, without proper gating
mechanisms, acquired images are susceptible to motion artifacts. Here, we introduce, for the first time to our
knowledge, retrospective respiratory gating for whole-body photoacoustic computed tomography. This new
method involves simultaneous capturing of the animal
s respiratory waveform during photoacoustic data acquis-
ition. The recorded photoacoustic signals are sorted and clustered according to the respiratory phase, and an
image of the animal at each respiratory phase is reconstructed subsequently from the corresponding cluster. The
new method was tested in a ring-shaped confocal photoacoustic computed tomography system with a hardware-
limited frame rate of 0.625 Hz. After respiratory gating, we observed sharper vascular and anatomical images at
different positions of the animal body. The entire breathing cycle can also be visualized at
20
frames
cycle.
©
2014
Society of Photo-Optical Instrumentation Engineers (SPIE)
[DOI:
10.1117/1.JBO.19.1.016003
]
Keywords: photoacoustic computed tomography; small-animal whole-body imaging; respiratory motion; retrospective motion gating.
Paper 130724R received Oct. 6, 2013; revised manuscript received Nov. 20, 2013; accepted for publication Nov. 27, 2013; published
online Jan. 6, 2014.
Photoacoustic tomography (PAT) is an emerging small-animal
whole-body imaging technique that has drawn great interest in
recent years.
1
6
PAT is based on the photoacoustic effect, which
converts absorbed optical energy into pressure via thermoelas-
tic expansion. The generated pressure waves are detected by
ultrasonic transducers placed in multiple positions, and the
complete dataset is then computed to reconstruct an image
of the absorbed optical energy density in the tissue. The con-
version to acoustic waves enables PAT to generate high-reso-
lution images in the optically diffusive regime. In order to
capture photoacoustic waves traveling along different direc-
tions, small-animal whole-body PAT systems typically have
a large receiving aperture, achieved either by mechanically
scanning a transducer array
4
or by using an array with a
large number of elements.
1
,
7
However, even in the latter
case, due to the limited number of data acquisition channels,
it is challenging to capture signals from all elements with a
single-laser shot. Therefore, the majority of whole-body
PAT systems have a frame rate of <
1Hz
. Due to acoustic dis-
tortion from the lungs, whole-body PAT systems mainly focus
on regions below the chest, where respiration is the main cause
of motion. Because a mouse breathes at up to 3 Hz, images
acquired with a frame rate of <
1Hz
are susceptible to respi-
ratory motion artifacts. Respiratory gating is also essential in
many imaging applications, where accurate localization of
organs is required. For instance, in high-intensity focused
ultrasound (HIFU) tumor treatment, the respiration-induced
organ displacement can be larger than the focus of the treat-
ment beam.
8
To reduce respiratory motion, whole-body PAT imaging has
employed different animal mounting schemes. For instance,
Brecht et al.
4
used pretensioned fiberglass rods to minimize
animal movement. Lam et al.
9
laid the animal on its back to
image the kidney region. However, all these approaches can
only partially resolve the problem, and they are only applicable
to the specific system. In this report, we propose a retrospective
respiratory gating method that is widely applicable to different
whole-body PAT systems. In our approach, the respiratory
waveform is recorded during photoacoustic data acquisition,
where photoacoustic signals from different views are captured
at a constant speed as usual. After the experiment, the entire
dataset is sorted and clustered according to respiratory phases.
We then reconstruct the photoacoustic image using only data
acquired from the same respiratory phase, greatly diminishing
respiratory motion artifacts.
A key requirement of this approach is the accurate monitor-
ing of the animal
s respiratory waveform. Because photoacous-
tic experiments require water coupling, the animal is fully or
partially immersed in water. Therefore, conventional electrical-
based respiratory monitoring approaches, such as impedance
pneumography,
10
cannot be employed. In addition, to ensure
transmission of both light and sound, we cannot mount any
opaque devices, such as a pressure sensor or a strain gage,
on the animal body. Alternatively, one can use intubation and
ventilation to precisely control the breathing cycle.
11
However,
that procedure requires special training, and repeated intubation
for longitudinal monitoring may damage the animal
s trachea or
vocal cords.
12
Here, we devise an approach that takes advantage
of the water coupling. In this approach, a pressure sensor is used
to continuously monitor fluctuations in the water level, which
directly correlates to changes in the animal
s corporeal volume.
This method demands minimal hardware modification and is
applicable to any whole-body PAT system.
*
Address all correspondence to: Lihong V. Wang, E-mail:
lhwang@wustl.edu
0091-3286/2014/$25.00 © 2014 SPIE
Journal of Biomedical Optics
016003-1
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Vol. 19(1)
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Figure
1(a)
is a schematic diagram of the ring-shaped con-
focal photoacoustic computed tomography (RC-PACT) system
with respiratory motion detection. A 10-Hz pulse-repetition rate
Ti:sapphire laser (LS-2137, Symphotic TII) is used as the exci-
tation source. The laser beam is first converted into a ring-
shaped beam by a conical lens and then redirected to the animal
body by an optical condenser. The photoacoustic signals are
detected by a 512-element full-ring transducer array with 5-
MHz central frequency and
>
80%
bandwidth.
13
The array
data is acquired by a 64-channel data acquisition system
(DAQ) with 40-MHz sampling rate. Due to the limited data
transfer speed, the DAQ system can capture data from only
every other laser shot, yielding a full-ring acquisition time of
1.6 s. A detailed description of the imaging system and animal
mounting schemes can be found in Refs.
1
,
2
, and
14
. To capture
the respiratory waveform, we used a pressure sensor (PXCPC,
OMEGA Engineering Inc., Stamford, Connecticut). As shown
in Fig.
1(a)
, the input of the pressure sensor is connected to a
plastic tube. The other end of the tube is immersed in the cou-
pling water, which compresses the air in the tube. Therefore,
when the water level varies, the air pressure in the tube also
changes. The output of the pressure sensor is amplified and
then digitized by a data acquisition system (PCI-6220,
National Instruments, Austin, Texas) at a 100-Hz sampling
rate. Figure
1(b)
shows a section of the pressure signal acquired
over 25 s. Pressure peaks due to periodic breathing can be
clearly seen for every 3 s.
The data processing steps are illustrated in Fig.
2
. In each
experiment, we continuously acquire 180 image frames over
a span of 4.8 min and then sort the data according to the res-
piratory waveform. For signals acquired at each laser shot,
we first identify the temporal position in the respiratory wave-
form and then assign it a phase value, ranging from 0% to 100%,
determined by its relative position between two adjacent respi-
ratory peaks. The data are then sorted according to the respira-
tory phase and evenly clustered into 20 sets. The number of
clusters is chosen to ensure that each cluster contains data from
all 512 transducer elements, i.e., a full
2
π
imaging aperture is
covered. Due to
8
1
multiplexing, the full-ring array is divided
into eight segments, and each laser pulse generates data from
one segment. Within a cluster, different array segments may
have produced data with different numbers of copies. Therefore,
we first average the data from each segment according to its
number of copies and then combine all of them to form a single
full-ring dataset, which is used to reconstruct a photoacoustic
image for the given cluster. Merging images from all clusters
produces a continuous video of the entire respiratory cycle.
Because photoacoustic image reconstruction is also a data aver-
aging process, the effect of the different number of data copies at
each array segment is mitigated after the reconstruction. As each
cluster has approximately the same total number of data copies
(
180
×
8
20
), the final reconstructed image at each frame has a
similar signal-to-noise ratio. To mitigate image artifacts induced
by acoustic reflectors, such as the spine and GI tract, we used the
half-time image reconstruction principle.
15
Because the main
purpose of this study was to compensate for respiratory motion,
rather than performing quantitative analysis, a noniterative half-
time reconstruction algorithm was employed that is operated by
directly back-projecting the first half of the raw data.
Figure
3
shows
in vivo
cross-sectional images acquired from
the liver region of a 2-month-old nude mouse. The mouse was
anesthetized with isoflurane, which slowed its respiratory rate to
1.25 s
breath
. Without motion compensation, each image frame
is thus acquired over a period of 1.28 (i.e.,
1.6
1.25
) breathing
cycles with eight laser pulses. As expected, the ungated image
[Fig.
3(a)
] is appreciably more blurry than the gated image
[Fig.
3(b)
], especially for the hepatic vasculature. The skin
boundary and cross sections of main blood vessels, such as
vena cava, are also less clear in the ungated image due to the
respiratory motion.
To better illustrate the respiratory effect, we plot the temporal
changes of photoacoustic amplitude from a small region marked
with red circles in Figs.
3(a)
and
3(b)
. Both Figs.
3(c)
and
3(d)
contain data from 90 frames of images of the red circled region.
It can be seen that respiratory gating not only allows us to visu-
alize the breathing cycle coherently but also improves the tem-
poral resolution. In Fig.
3(d)
, we can see the amplitude drop with
body expansion, which moves the skin vessel out of the red
circled region. In contrast, Fig.
3(c)
shows only randomized
amplitude fluctuation. Video
1
shows the ungated images
acquired at
1.6 s
frame
, and Video
2
shows the gated images
resampled to
0.065 s
frame
, corresponding to 20 frames/
Fig. 1
(a) Schematic diagram of the ring-shaped confocal photo-
acoustic computed tomography system with respiratory motion gat-
ing. (b) A section of the respiratory waveform as monitored by the
pressure sensor.
Image
acquisition
over 4.8
minutes
Phase
assignment
for data
acquired
at
each
laser
shot
Data sorting
and clustering
Signal
averaging
within each
cluster
Image
reconstruction
Fig. 2
Flow chart illustrating the data processing steps.
Journal of Biomedical Optics
016003-2
January 2014
Vol. 19(1)
Xia et al.: Retrospective respiration-gated whole-body photoacoustic computed tomography of mice
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respiratory cycle. Compared to the random body movements
seen in Video
1
, we clearly see the rhythmic respiratory expan-
sion and contraction of the animal body. It should be noted that
the resampled 15.4-Hz (i.e.,
1
0.065 s
) frame rate is faster than
the 10-Hz laser pulse repetition rate. This improvement is due to
both the noninteger ratio of the laser
s pulse repetition rate
(10 Hz) to the respiratory rate (
0.8 Hz
) and the fluctuation
of the respiratory cycle (

4%
over the imaging period).
It should be emphasized that the role of respiratory gating is
twofold. First, it improves the image sharpness because image
reconstruction is performed using only data acquired at the same
respiratory phase. Second, it improves the signal-to-noise ratio,
as data acquired at the same respiratory phase can be construc-
tively averaged. To better illustrate the two effects, we attached
Video
3
, which was generated using only a single copy of data at
each respiratory phase (without constructive averaging). It can
be seen that while the vessel sharpness here is comparable to that
in Video
2
, the ring-shaped electronic noise is more noticeable.
We also imaged the kidney region, where more organs can be
visualized. Although the kidneys are farther away from the
lungs than the liver, the effect of respiratory motion is still evi-
dent. The kidneys, spleen, spine, and vascular network in the
uncorrected Fig.
4(a)
are more blurred than the counterparts
in the motion-compensated Fig.
4(b)
. The skin and abdominal
vessels are also difficult to identify in Fig.
4(a)
. We also plot in
Figs.
4(c)
and
4(d)
the temporal photoacoustic signal changes
within a red circle placed in between the skin and spleen. In
Fig.
4(d)
, we can clearly see the signal increase due to body
expansion, which moves the spleen to the red circled region.
The ungated and gated imaging frames are also compiled as
Videos
4
and
5
, respectively. The rhythmic respiratory motion
of the animal body, as well as the movements of its organs, can
be clearly observed in Video
5
.
The rate of animal respiration can be slowed by increasing
the isoflurane concentration in the inhalation gas. In another
study, we imaged a mouse with a respiratory rate of
0.31 Hz
,
which is slower than our imaging frame rate (0.625 Hz).
Figures
5(a)
and
5(b)
compare the ungated and gated images.
Although the blurs caused by the respiratory motion are not
as obvious as in the previous cases, the hepatic vascular
structures are still clearer in the motion-compensated image
[Fig.
5(b)
]. In addition, the signal-to-noise ratio is also
improved, as can be seen from the disappearance of the system
s
electronic-noise artifact in Fig.
5(b)
. Because each gated image
is an average of approximately nine (
180
20
) projections, the
signal
to-noise ratio is improved by three times. Therefore,
even when the respiratory rate is slower than the imaging
frame rate, respiratory gating is still beneficial. Figures
5(c)
(a)
(b)
Spine
Vena cava
Portalvein
Hepatic
artery
Skin
vessels
Hepatic
vessels
5mm
0123456
0.010
0.015
0.020
0.025
0.030
Time (s)
0 20406080100120140
0.005
0.010
0.015
0.020
0.025
PA amplitude (a.u.)
Time (s)
(c)
(d)
Fig. 3
In vivo
mouse cross-sectional photoacoustic images acquired around the liver region. (a) Image
reconstructed without respiratory motion gating (Video
1
, MPEG, 2.47 MB) [URL:
http://dx.doi.org/10
.1117/1.JBO.19.1.016003.1
]. (b) Image reconstructed with respiratory motion gating (Video
2
, MPEG,
10.6 MB) [URL:
http://dx.doi.org/10.1117/1.JBO.19.1.016003.2
]. The hepatic vessels in the red box
are enlarged to show the effect of respiratory motion correction. (c) and (d) show temporal changes
in photoacoustic amplitude within the red circled regions in (a) and (b), respectively. Video
3
, MPEG,
10.9 MB) [URL:
http://dx.doi.org/10.1117/1.JBO.19.1.016003.3
] was generated using a single copy of
data at each respiratory phase. The motion-gated image and videos were reconstructed from data
acquired over 4.8 min.
Journal of Biomedical Optics
016003-3
January 2014
Vol. 19(1)
Xia et al.: Retrospective respiration-gated whole-body photoacoustic computed tomography of mice
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Spleen
Kidney
Kidney
Spine
GI tracts
Abdominal
vessel
PA
amplitude
(a.u.)
Skin
vessels
(a)
(b)
5 mm
0 20406080100120140
-0.001
0.000
0.001
0.002
PA amplitude (a.u.)
Time (s)
(c)
(d)
012345
-0.02
-0.01
0.00
0.01
0.02
0.03
0.04
Time (s)
Fig. 4
In vivo
small-animal cross-sectional photoacoustic images acquired around the kidney region.
(a) Image reconstructed without respiratory motion gating (Video
4
, MPEG, 2.75 MB) [URL:
http://dx
.doi.org/10.1117/1.JBO.19.1.016003.4
]. (b) Image reconstructed with respiratory motion gating
(Video
5
, MPEG, 11.8 MB) [URL:
http://dx.doi.org/10.1117/1.JBO.19.1.016003.5
]. The abdominal ves-
sels are enlarged to show the effect of respiratory motion correction. (c) and (d) show temporal changes
in photoacoustic amplitude within the red circled regions in (a) and (b), respectively. The motion-gated
image and video were reconstructed from data acquired over 4.8 min.
0 20406080100120140
0.004
0.006
0.008
0.010
0.012
PA amplitude (a.u.)
Time (s)
Spine
Vena cave
PA amplitude (a.u.)
Electronic noise
Portal
vein
Hepatic
artery
(a)
(b)
(c)
(d)
0246810121416
0.007
0.008
0.009
0.010
Time (s)
5mm
Skin
vessels
Fig. 5
In vivo
small-animal cross-sectional photoacoustic images acquired around the liver region.
(a) Image reconstructed without respiratory motion gating (Video
6
, MPEG, 2.16 MB) [URL:
http://dx
.doi.org/10.1117/1.JBO.19.1.016003.6
]. (b) Image reconstructed with respiratory motion gating. The
hepatic vessels are enlarged to show the effect of respiratory motion (Video
7
, MPEG, 9.22 MB)
[URL:
http://dx.doi.org/10.1117/1.JBO.19.1.016003.7
]. (c) and (d) show temporal changes in photo-
acoustic signal within the red circled regions in (a) and (b), respectively. The motion-gated image
and video were reconstructed from data acquired over 4.8 min.
Journal of Biomedical Optics
016003-4
January 2014
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Xia et al.: Retrospective respiration-gated whole-body photoacoustic computed tomography of mice
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and
5(d)
show changes in photoacoustic amplitude within the
red circles in Figs.
5(a)
and
5(b)
, respectively. As expected,
Fig.
5(d)
shows periodic drop in photoacoustic amplitude due
to body expansion, which moves the skin vessel out of the
red circled region. Compared to Fig.
4(d)
, Fig.
5(d)
has a longer
resting period between breaths. This phenomenon is commonly
observed in respiratory depression caused by high isoflurane
concentrations.
16
The same effect can also be seen in Video
7
.
In summary, we implemented, for the first time, respiratory
gating in mouse whole-body PAT. Taking advantage of the water
coupling, we used a pressure sensor to monitor the water level
fluctuation induced by animal respiration. This noninvasive
procedure lends itself to other whole-body PAT systems. We
demonstrated the improvement in imaging quality under differ-
ent respiratory rates and at multiple anatomical locations.
Respiratory gating also allows us to sort and resample the
data to a much higher frame rate, allowing visualization of
the entire breathing cycle. In the respiration-gated videos (vid-
eos
2
,
3
,
5
, and
7
), we can clearly see the rhythmic movement of
the liver, spleen, and kidneys. Because the respiratory waveform
can be accessed in real time, after a control experiment is per-
formed, our gating method can also potentially permit accurate
tumor targeting during HIFU (Ref.
8
) and radiation
17
therapies.
In the current study, because our excitation laser could not be
triggered at a rate other than 10 Hz, we opted for retrospective
respiratory gating. Using laser systems with flexible triggering
options, we can also employ prospective respiratory gating,
which can be used for high-speed imaging of a chosen respira-
tory phase. The same data processing principle can be used for
cardiac gating. Compared to image-based gating approaches,
18
monitoring of the respiratory or cardiac waveform is immune to
image noises and the data processing is computationally less
intensive. Therefore, we expect that our proposed method
will be widely used to improve the image quality and broaden
the applications of small-animal whole-body PAT.
Acknowledgments
The authors appreciate Prof. James Ballard
s close reading of
the manuscript. This work was sponsored in part by National
Institutes of Health grants DP1 EB016986 (NIH Director
s
Pioneer Award), R01 EB016963, R01 CA134539, R01
EB010049, and R01 CA159959. L.W. has a financial interest
in Microphotoacoustics, Inc. and Endra, Inc., which, however,
did not support this work. K.M. has a financial interest in
Microphotoacoustics, Inc., which, however, did not support
this work.
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Jun Xia
earned his PhD degree at the University of Toronto and is
currently a postdoctoral fellow at Washington University in St.
Louis, under the mentorship of Dr. Lihong V. Wang. His research
interests are the development of novel biomedical imaging techniques
including photoacoustic, photothermal and ultrasonic imaging. He has
published more than 20 peer-reviewed journal articles in photoacous-
tic and photothermal research.
Wanyi Chen
is currently an undergraduate student at Washington
University in St. Louis and a research assistant in Dr. Lihong V.
Wang
s lab. Her research interests are in photoacoustic and ultra-
sonic imaging.
Konstantin Maslov
graduated from Moscow Institute of Physics and
Technology, Moscow, Russia and received a PhD in physical acous-
tics from Moscow State University, Russia, in 1993. Currently,
he is a research associate professor in the Biomedical Engineer-
ing department at Washington University in St Louis, Missouri.
His research interests include ultrasonics, optical, photoacoustic
and photothermal imaging.
Mark A. Anastasio
earned his PhD degree at the University of
Chicago and is currently a professor of biomedical engineering at
Washington University in St. Louis. His research interests include
tomographic image reconstruction, imaging physics, and the develop-
ment of novel computed biomedical imaging systems. He has con-
ducted extensive research in the fields of diffraction tomography,
x-ray phase-contrast x-ray imaging, and photoacoustic tomography.
Lihong V. Wang
earned his PhD degree at Rice University, Houston,
Texas. He currently holds the Gene K. Beare distinguished professor-
ship of Biomedical Engineering at Washington University in St. Louis.
He has published 342 peer-reviewed journal articles and delivered
370 keynote, plenary, or invited talks. His Google Scholar h-index
and citations have reached 81 and over 26,000, respectively.
Journal of Biomedical Optics
016003-5
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Vol. 19(1)
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