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Functional near-infrared spectroscopy (fNIRS) is an optical brain monitoring technique which uses
near-infrared spectroscopy Near-infrared spectroscopy (NIRS) is a spectroscopic method that uses the near-infrared region of the electromagnetic spectrum (from 780 nm to 2500 nm). Typical applications include medical and physiological diagnostics and research inc ...
for the purpose of
functional neuroimaging Functional neuroimaging is the use of neuroimaging technology to measure an aspect of brain function, often with a view to understanding the relationship between activity in certain brain areas and specific mental functions. It is primarily used a ...
. Using fNIRS, brain activity is measured by using near-infrared light to estimate cortical hemodynamic activity which occur in response to neural activity. Alongside
EEG Electroencephalography (EEG) is a method to record an electrogram of the spontaneous electrical activity of the brain. The biosignals detected by EEG have been shown to represent the postsynaptic potentials of pyramidal neurons in the neocortex ...
, fNIRS is one of the most common non-invasive neuroimaging techniques which can be used in portable contexts. The signal is often compared with the BOLD signal measured by
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area ...
and is capable of measuring changes both in oxy- and deoxyhemoglobin concentration, but can only measure from regions near the cortical surface. fNIRS may also be referred to as Optical Topography (OT) and is sometimes referred to simply as NIRS.


Description

fNIRS estimates the concentration of hemoglobin from changes in absorption of near infrared light. As light moves or propagates through the head, it is alternately scattered or absorbed by the tissue through which it travels. Because hemoglobin is a significant absorber of near-infrared light, changes in absorbed light can be used to reliably measure changes in hemoglobin concentration. Different fNIRS techniques can also use the way in which light propagates to estimate blood volume and oxygenation. The technique is safe, non-invasive, and can be used with other imaging modalities. fNIRS is a non-invasive imaging method involving the quantification of chromophore concentration resolved from the measurement of near infrared (NIR)
light Light or visible light is electromagnetic radiation that can be perceived by the human eye. Visible light is usually defined as having wavelengths in the range of 400–700 nanometres (nm), corresponding to frequencies of 750–420 te ...
attenuation or temporal or phasic changes. The technique takes advantage of the
optical window The optical window is a range of wavelengths that are not blocked by the earth's atmosphere. The window runs from around 300 nanometers (ultraviolet-B) up into the range the human eye can detect, roughly 400–700 nm and continues up to approxim ...
in which (a) skin, tissue, and bone are mostly transparent to NIR light (700–900 nm spectral interval) and (b)
hemoglobin Hemoglobin (haemoglobin BrE) (from the Greek word αἷμα, ''haîma'' 'blood' + Latin ''globus'' 'ball, sphere' + ''-in'') (), abbreviated Hb or Hgb, is the iron-containing oxygen-transport metalloprotein present in red blood cells (erythrocyt ...
(Hb) and deoxygenated-hemoglobin (deoxy-Hb) are strong absorbers of light. There are six different ways for infrared light to interact with the brain tissue: direct transmission, diffuse transmission, specular reflection, diffuse reflection, scattering, and absorption. fNIRS focuses primarily on absorption: differences in the absorption spectra of deoxy-Hb and oxy-Hb allow the measurement of relative changes in hemoglobin concentration through the use of light attenuation at multiple
wavelength In physics, the wavelength is the spatial period of a periodic wave—the distance over which the wave's shape repeats. It is the distance between consecutive corresponding points of the same phase on the wave, such as two adjacent crests, t ...
s. Two or more wavelengths are selected, with one wavelength above and one below the
isosbestic In spectroscopy, an isosbestic point is a specific wavelength, wavenumber or frequency at which the total absorbance of a sample does not change during a chemical reaction or a physical change of the sample. The word derives from two Greek words ...
point of 810 nm—at which deoxy-Hb and oxy-Hb have identical absorption coefficients. Using the modified Beer-Lambert law (mBLL), relative changes in concentration can be calculated as a function of total photon path length. Typically, the light emitter and detector are placed ipsilaterally (each emitter/detector pair on the same side) on the subject's skull so recorded measurements are due to back-scattered (reflected) light following elliptical pathways. fNIRS is most sensitive to hemodynamic changes which occur nearest to the scalp and these superficial artifacts are often addressed using additional light detectors located closer to the light source (short-separation detectors).


Modified Beer–Lambert law

Changes in light intensity can be related to changes in relative concentrations of hemoglobin through the modified
Beer–Lambert law The Beer–Lambert law, also known as Beer's law, the Lambert–Beer law, or the Beer–Lambert–Bouguer law relates the attenuation of light to the properties of the material through which the light is travelling. The law is commonly applied t ...
(mBLL). The Beer lambert-law has to deal with concentration of hemoglobin. This technique also measures relative changes in light attenuation as well as using mBLL to quantify hemoglobin concentration changes.


History


US & UK

In 1977, Jöbsis reported that brain tissue transparency to NIR light allowed a non-invasive and continuous method of tissue oxygen saturation using
transillumination Transillumination is the technique of sample illumination by transmission of light through the sample. Transillumination is used in a variety of methods of imaging. Microscopy In microscopy transillumination refers to the illumination of a sample ...
. Transillumination (forward-scattering) was of limited utility in adults because of light attenuation and was quickly replaced by reflectance-mode based techniques - resulting in development of NIRS systems proceeding rapidly. Then, by 1985, the first studies on cerebral oxygenation were conducted by M. Ferrari. Later, in 1989, following work with David Delpy at University College London, Hamamatsu developed the first commercial NIRS system: NIR-1000 cerebral oxygenation monitor. NIRS methods were initially used for cerebral oximetry in the 1990s. In 1993, four publications by Chance et al. ''PNAS'', Hoshi & Tamura ''J Appl Physiol'',  Kato et al. ''JCBFM,'' Villringer ''et al'' ''Neuros. Lett.'' demonstrated the feasibility of fNIRS in adult humans. NIRS techniques were further expanded on by the work of Randall Barbour,
Britton Chance Britton "Brit" Chance (July 24, 1913 – November 16, 2010) was an American biochemist, biophysicist, scholar, and inventor whose work helped develop spectroscopy as a way to diagnose medical problems. He was "a world leader in transforming t ...
, Arno Villringer, M. Cope, D. T. Delpy, Enrico Gratton, and others. Currently, wearable fNIRS are being developed.


Japan

Meanwhile, in the mid-80's, Japanese researchers at the central research laboratory of Hitachi Ltd set out to build a NIRS-based brain monitoring system using a pulse of 70-picosecond rays. This effort came into light when the team, along with their leading expert, Dr Hideaki Koizumi (小泉 英明), held an open symposium to announce the principle of "Optical Topography" in January 1995. In fact, the term "Optical Topography" derives from the concept of using light on "2-Dimensional mapping combined with 1-Dimensional information", or ''topography''. The idea had been successfully implemented in launching their first fNIRS (or Optical Topography, as they call it) device based on Frequency Domain in 2001: Hitachi ETG-100. Later, Harumi Oishi (大石 晴美), a PhD-to-be at Nagoya University, published her doctoral dissertation in 2003 with the subject of "language learners' cortical activation patterns measured by ETG-100" under the supervision of Professor Toru Kinoshita (木下 微)—presenting a new prospect on the use of fNIRS. The company has been advancing the ETG series ever since.


Spectroscopic techniques

Currently, there are three modalities of fNIR spectroscopy: 1. Continuous wave 2. Frequency domain 3. Time-domain


Continuous wave

Continuous wave (CW) system uses light sources with constant frequency and amplitude. In fact, to measure absolute changes in HbO concentration with the mBLL, we need to know photon path-length. However, CW-fNIRS does not provide any knowledge of photon path-length, so changes in HbO concentration are relative to an unknown path-length. Many CW-fNIRS commercial systems use estimations of photon path-length derived from computerized Monte-Carlo simulations and physical models, to approximate absolute quantification of hemoglobin concentrations. \text = \operatorname_(I_/I)=\epsilon\cdot cdot l \cdot \text + G Where \text is the optical density or attenuation, I_0 is emitted light intensity, I is measured light intensity, \epsilon is the
attenuation coefficient The linear attenuation coefficient, attenuation coefficient, or narrow-beam attenuation coefficient characterizes how easily a volume of material can be penetrated by a beam of light, sound, particles, or other energy or matter. A coefficient valu ...
, /math> is the chromophomore concentration, l is the distance between source and detector and \text is the differential path length factor, and G is a geometric factor associated with scattering. When the attenuation coefficients \epsilon are known, constant scattering loss is assumed, and the measurements are treated differentially in time, the equation reduces to: \Delta \Delta \frac Where d is the total corrected photon path-length. Using a dual wavelength system, measurements for HbO2 and Hb can be solved from the matrix equation: \begin \Delta \text_ \\ \Delta \text_ \end = \begin \epsilon^_d & \epsilon^_d \\ \epsilon^_d & \epsilon^_d \end \begin \Delta \\ \Delta \end Due to their simplicity and cost-effectiveness, CW-fNIRS is by far the most common form of functional NIRS since it is the cheapest to make, applicable with more channels, and ensures a high temporal resolution. However, it does not distinguish between absorption and scattering changes, and cannot measure absolute absorption values: which means that it is only sensitive to ''relative'' change in HbO concentration. Still, the simplicity and cost-effectiveness of CW-based devices prove themselves to be the most favorable for a number of clinical applications: neonatal care, patient monitoring systems, diffuse optical tomography, and so forth. Moreover, thanks to its portability, wireless CW systems have been developed—allowing individuals to be monitored in ambulatory, clinical and sports environments.


Frequency domain

Frequency domain (FD) system comprises NIR laser sources which provide an amplitude-modulated sinusoid at frequencies near 100 MHz. FD-fNIRS measures attenuation, phase shift and the average path length of light through the tissue. Multi-Distance, which is a part of the FD-fNIRS, is insensitive to differences in skin color—giving constant results regardless of subject variation. Changes in the back-scattered signal's amplitude and phase provide a direct measurement of absorption and scattering coefficients of the tissue, thus obviating the need for information about photon path-length; and from the coefficients we determine the changes in the concentration of hemodynamic parameters. Because of the need for modulated lasers as well as phasic measurements, FD system-based devices are more technically complex (therefore more expensive and much less portable) than CW-based ones. However, the system is capable of providing absolute concentrations of HbO and HbR.


Time domain

Time domain (TD) system introduces a short NIR pulse with a pulse length usually in the order of picoseconds—around 70 ps. Through time-of-flight measurements, photon path-length may be directly observed by dividing resolved time by the speed of light. Information about hemodynamic changes can be found in the attenuation, decay, and time profile of the back-scattered signal. For this photon-counting technology is introduced, which counts 1 photon for every 100 pulses to maintain linearity. TD-fNIRS does have a slow sampling rate as well as a limited number of wavelengths. Because of the need for a photon-counting device, high-speed detection, and high-speed emitters, time-resolved methods are the most expensive and technically complicated. TD-based devices are totally immobile, space-consuming, the most difficult to make, costliest, hugest, and heaviest. Even so, they have the highest depth sensitivity and are capable of presenting most accurate values of baseline hemoglobin concentration and oxygenation.


Diffuse correlation spectroscopy

Diffuse correlation spectroscopy (DCS) systems use localized gradients in light attenuation to determine absolute ratios of oxy-Hb and deoxy-Hb. Using a spatial measurement, DCS systems do not require knowledge of photon path-length to make this calculation, however measured concentrations of oxy-Hb and deoxy-Hb are relative to the unknown coefficient of scattering in the media. This technique is most commonly used in cerebral oxymetry systems that report a Tissue Oxygenation Index (TOI) or Tissue Saturation Index (TSI).


System design

At least two open-source fNIRS models are available online: *http://www.opennirs.org *https://openfnirs.org/


Data analysis software


HOMER3

HOMER3 allows users to obtain estimates and maps of brain activation. It is a set of matlab scripts used for analyzing fNIRS data. This set of scripts has evolved since the early 1990s first as the Photon Migration Imaging toolbox, then HOMER1 and HOMER2, and now HOMER3.


NIRS toolbox

This toolbox is a set of Matlab-based tools for the analysis of functional near-infrared spectroscopy (fNIRS). This toolbox defines the +nirs namespace and includes a series of tools for signal processing, display, and statistics of fNIRS data. This toolbox is built around an object-oriented framework of Matlab classes and namespaces.


AtlasViewer

AtlasViewer allows fNIRS data to be visualized on a model of the brain. In addition, it also allows the user to design probes which can eventually be placed onto a subject.


Application


Brain–computer interface

fNIRS has been successfully implemented as a control signal for
brain–computer interface A brain–computer interface (BCI), sometimes called a brain–machine interface (BMI) or smartbrain, is a direct communication pathway between the brain's electrical activity and an external device, most commonly a computer or robotic limb. B ...
systems.


Hypoxia & altitude studies

With our constant need for oxygen, our body has developed multiple mechanisms that detect oxygen levels, which in turn can activate appropriate responses to counter hypoxia and generate a higher oxygen supply. Moreover, understanding the physiological mechanism underlying the bodily response to oxygen deprivation is of major importance and NIRS devices have shown to be a great tool in this field of research.


Brain mapping


Functional connectivity

fNIRS measurements can be used to calculate
functional connectivity Resting state fMRI (rs-fMRI or R-fMRI) is a method of functional magnetic resonance imaging (fMRI) that is used in brain mapping to evaluate regional interactions that occur in a resting or task-negative state, when an explicit task is not being ...
. Multi-channel fNIRS measurements create a topographical map of neural activation, whereby temporal correlation between spatially separated events can be analyzed. Functional connectivity is typically assessed in terms correlations between the hemodynamic responses of spatially distinct regions of interest (ROIs). In brain studies, functional connectivity measurements are commonly taken for resting state patient data, as well as data recorded over stimulus paradigms. The low cost, portability and high temporal resolution of fNIRS, with respect to
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area ...
, have proven to be highly advantageous in studies of this nature.


Cerebral oximetry

NIRS monitoring is helpful in a number of ways. Preterm infants can be monitored reducing cerebral hypoxia and hyperoxia with different patterns of activities. It is an effective aid in Cardiopulmonary bypass, is strongly considered to improve patient outcomes and reduce costs and extended stays. There are inconclusive results for use of NIRS with patients with traumatic brain injury, so it has been concluded that it should remain a research tool.


Diffuse optical tomography

Diffuse optical tomography is the 3D version of Diffuse optical imaging. Diffuse optical images are obtained using NIRS or fluorescence-based methods. These images can be used to develop a 3D volumetric model which is known as the Diffuse Optical Tomograph

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fNIRS cap

fNIRS electrode locations can be defined using a variety of layouts, including names and locations that are specified by the 10-20 system (EEG), International 10–20 system as well as other layouts that are specifically optimized to maintain a consistent 30mm distance between each location. In addition to the standard positions of electrodes, short separation channels can be added. Short separation channels allow the measurement of scalp signals. Since the short separation channels measure the signal coming from the scalp, they allow the removal of the signal of superficial layers. This leaves behind the actual brain response. Short separation channel detectors are usually placed 8mm away from a source. They do not need to be in a specific direction or in the same direction as a detector.


Functional neuroimaging

The use of fNIRS as a functional neuroimaging method relies on the principle of neuro-vascular coupling also known as the
haemodynamic response In haemodynamics, the body must respond to physical activities, external temperature, and other factors by homeostatically adjusting its blood flow to deliver nutrients such as oxygen and glucose to stressed tissues and allow them to function. ...
or
blood-oxygen-level dependent Blood-oxygen-level-dependent imaging, or BOLD-contrast imaging, is a method used in functional magnetic resonance imaging (fMRI) to observe different areas of the brain or other organs, which are found to be active at any given time. Theory N ...
(BOLD) response. This principle also forms the core of
fMRI Functional magnetic resonance imaging or functional MRI (fMRI) measures brain activity by detecting changes associated with blood flow. This technique relies on the fact that cerebral blood flow and neuronal activation are coupled. When an area ...
techniques. Through neuro-vascular coupling, neuronal activity is linked to related changes in localized cerebral blood flow. fNIRS and fMRI are sensitive to similar physiologic changes and are often comparative methods. Studies relating fMRI and fNIRS show highly
correlated In statistics, correlation or dependence is any statistical relationship, whether causal or not, between two random variables or bivariate data. Although in the broadest sense, "correlation" may indicate any type of association, in statistic ...
results in cognitive tasks. fNIRS has several advantages in cost and portability over fMRI, but cannot be used to measure cortical activity more than 4 cm deep due to limitations in light emitter power and has more limited spatial resolution. fNIRS includes the use of diffuse optical tomography (DOT/NIRDOT) for functional purposes. Multiplexing fNIRS channels can allow 2D topographic functional maps of brain activity (e.g. with Hitachi ETG-4000, Artinis Oxymon, NIRx NIRScout, etc.) while using multiple emitter spacings may be used to build 3D tomographic maps.


Hyperscanning

Hyperscanning involves two or more brains monitored simultaneously to investigate interpersonal (across-brains) neural correlates in various social situations, which proves fNIRS to be a suitable modality for investigating live brain-to-brain social interactions.


Virtual and augmented reality

Modern fNIRS systems are combined with virtual or augmented reality in studies on brain-computer interfaces, neurorehabilitation or social perception.


Music and the brain

fNIRS can be used to monitor musicians' brain activity while playing musical instruments.


Pros and cons

The advantages of fNIRS are, among other things: noninvasiveness, low-cost modalities, perfect safety, high temporal resolution, full compatibility with other imaging modalities, and multiple hemodynamic biomarkers. However, no system is without limitations. For fNIRS those include: low brain sensitivity, low spatial resolution, and shallow penetration depth.


Future directions

Despite a few limitations, fNIRS devices are relatively small, lightweight, portable and wearable. Thanks to these features, applications for the devices are astounding—which make them easily accessible in many different scenarios. For example, they have the potential to be used in clinics, a global health situation, a natural environment, and as a health tracker. Ultimately, future at-risk individuals in hospitals could benefit from neuromonitoring and neurorehabilitation that fNIRS can offer. Now there are fully wireless research grade fNIRS systems in the market.


fNIRS compared with other neuroimaging techniques

Comparing and contrasting other neuroimaging devices is an important thing to take into consideration. When comparing and contrasting these devices it is important to look at the temporal resolution, spatial resolution, and the degree of immobility. EEG (electroencephalograph) and MEG (magnetoencephalography) have high temporal resolution, but a low spatial resolution. EEG also has a higher degree of mobility than MEG has. When looking at fNIRS, they are similar to an EEG. They have a high degree of mobility as well as temporal resolution, and they have low spatial resolution. PET scans and fMRIs are grouped together, however they are distinctly different from the other neuroimaging scans. They have a high degree of immobility, medium/high spatial resolution, and a low temporal resolution. All of these neuroimaging scans have important characteristics and are valuable, however they have distinct characteristics. Among all other facts, what makes fNIRS a special point of interest is that it is compatible with some of these modalities, including: MRI, EEG, and MEG.


See also

*
Near-infrared spectroscopy Near-infrared spectroscopy (NIRS) is a spectroscopic method that uses the near-infrared region of the electromagnetic spectrum (from 780 nm to 2500 nm). Typical applications include medical and physiological diagnostics and research inc ...
* Diffuse optical tomography *
Functional neuroimaging Functional neuroimaging is the use of neuroimaging technology to measure an aspect of brain function, often with a view to understanding the relationship between activity in certain brain areas and specific mental functions. It is primarily used a ...
*
Cognitive neuroscience Cognitive neuroscience is the scientific field that is concerned with the study of the biological processes and aspects that underlie cognition, with a specific focus on the neural connections in the brain which are involved in mental process ...

The Society for Functional Near Infrared Society (external link)Global fNIRS (external Link)An example of a mobile fNIRS system designed for studies in VR environmentsSoterix Medical fNIRSCortech Solutions fNIRS
* Neural synchrony


References

{{Cite journal, last1=Aasted, first1=Christopher M., last2=Yücel, first2=Meryem A., last3=Cooper, first3=Robert J., last4=Dubb, first4=Jay, last5=Tsuzuki, first5=Daisuke, last6=Becerra, first6=Lino, last7=Petkov, first7=Mike P., last8=Borsook, first8=David, last9=Dan, first9=Ippeita, last10=Boas, first10=David A., date=April 2015, title=Anatomical guidance for functional near-infrared spectroscopy: AtlasViewer tutorial, journal=Neurophotonics, volume=2, issue=2, pages=020801, doi=10.1117/1.NPh.2.2.020801, issn=2329-423X, pmc=4478785, pmid=26157991 Neuroimaging Optical imaging