Publications by authors named "Nicholas Everdell"

High-density diffuse optical tomography (HD-DOT) has been shown to approach the resolution and localization accuracy of blood oxygen level dependent-functional magnetic resonance imaging in the adult brain by exploiting densely spaced, overlapping samples of the probed tissue volume, but the technique has to date required large and cumbersome optical fiber arrays. : To evaluate a wearable HD-DOT system that provides a comparable sampling density to large, fiber-based HD-DOT systems, but with vastly improved ergonomics. : We investigated the performance of this system by replicating a series of classic visual stimulation paradigms, carried out in one highly sampled participant during 15 sessions to assess imaging performance and repeatability.

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Neonates are a highly vulnerable population. The risk of brain injury is greater during the first days and weeks after birth than at any other time of life. Functional neuroimaging that can be performed longitudinally and at the cot-side has the potential to improve our understanding of the evolution of multiple forms of neurological injury over the perinatal period.

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Article Synopsis
  • Traditional neuroimaging methods struggle to study the cortical function of awake infants, leading to the increased use of functional near-infrared spectroscopy (fNIRS), which has notable limitations in resolution and ergonomics.
  • Recent advancements in high-density diffuse optical tomography (HD-DOT) technology address many of these fNIRS limitations, allowing for better spatial resolution and specificity in imaging the infant brain.
  • A study utilizing HD-DOT demonstrates its capability to produce high-quality functional images of infants' brains during social stimulus tasks, showing improved response consistency and tolerability in infants compared to previous low-density fNIRS methods.
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The ability to produce high-quality images of human brain function in any environment and during unconstrained movement of the subject has long been a goal of neuroimaging research. Diffuse optical tomography, which uses the intensity of back-scattered near-infrared light from multiple source-detector pairs to image changes in haemoglobin concentrations in the brain, is uniquely placed to achieve this goal. Here, we describe a new generation of modular, fibre-less, high-density diffuse optical tomography technology that provides exceptional sensitivity, a large dynamic range, a field-of-view sufficient to cover approximately one-third of the adult scalp, and also incorporates dedicated motion sensing into each module.

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We present the first three-dimensional, functional images of the human brain to be obtained using a fibre-less, high-density diffuse optical tomography system. Our technology consists of independent, miniaturized, silicone-encapsulated DOT modules that can be placed directly on the scalp. Four of these modules were arranged to provide up to 128, dual-wavelength measurement channels over a scalp area of approximately 60 × 65 mm.

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Burst suppression (BS) is an electroencephalographic state associated with a profound inactivation of the brain. BS and pathological discontinuous electroencephalography (EEG) are often observed in term-age infants with neurological injury and can be indicative of a poor outcome and lifelong disability. Little is known about the neurophysiological mechanisms of BS or how the condition relates to the functional state of the neonatal brain.

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The first wearable multi-wavelength technology for functional near-infrared spectroscopy has been developed, based on a custom-built 8-wavelength light emitting diode (LED) source. A lightweight fibreless probe is designed to monitor changes in the concentrations of multiple absorbers (chromophores) in biological tissue, the most dominant of which at near-infrared wavelengths are oxyhemoglobin and deoxyhemoglobin. The use of multiple wavelengths enables signals due to the less dominant chromophores to be more easily distinguished from those due to hemoglobin and thus provides more complete and accurate information about tissue oxygenation, hemodynamics, and metabolism.

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Article Synopsis
  • Optical tomography is being refined to detect diseases in the adult female breast using a specialized 32-channel imaging system.
  • The imaging setup involves patients placing their breasts in a hemispherical cup filled with a scattering fluid, allowing for better visualization of tumors.
  • Out of 38 patients scanned, tumor-related hypervascularization showed high contrast in images, but only half of the benign fibroadenomas were detectable, with most indicating changes in blood volume and oxygen levels.
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Article Synopsis
  • - A new method has been developed to create 3D optical images of the breast using a specialized 32-channel system and fluid interface, allowing for detailed imaging of breast tissue.
  • - The system has several advantages: it accommodates various breast sizes, maintains consistent optical measurements regardless of the subject, and provides precise knowledge of the external structure of the breast.
  • - Initial tests show that the imaging system effectively captures details like contrast and spatial resolution within the breast, and early images of a healthy subject reveal varying scatter patterns, indicating the system's potential for clinical use.
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Most research in optical imaging incorrectly assumes that light transport in nonscattering regions in the head may be modeled by use of the diffusion approximation. The effect of this assumption is examined in a series of experiments on tissue-equivalent phantoms. Images from cylindrical and head-shaped phantoms with and without clear regions [simulating the cerebrospinal fluid (CSF) filled ventricles] and a clear layer (simulating the CSF layer surrounding the brain) are reconstructed with linear and nonlinear reconstruction techniques.

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Results are presented of a study to monitor the changes in the optical properties of breast tissue over a 12-month period after interstitial laser photocoagulation treatment of a fibroadenoma. The study involved generating cross-sectional images of the breast with a multichannel time-resolved imaging system and a nonlinear image reconstruction algorithm. Images of the internal absorbing and scattering properties revealed the expected initial inflammatory response, followed by the development of low-scattering cysts consistent with corresponding ultrasound examinations.

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Babies weighing under 6 kg are difficult to dialyse, especially those as small as 1 kg. Peritoneal dialysis is easier than haemodialysis, but is not always possible, and clears molecules less efficiently. Two factors complicate haemodialysis.

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