Photoacoustics

Fluorescence imaging in the second near-infrared window (NIR-II, 950-1700 nm) offers reduced scattering, lower autofluorescence, and deeper tissue penetration than NIR-I imaging, but its adoption is limited by the need for custom-synthesized fluorophores. Here, we identify commercially available dyes that exhibit usable NIR-II emission. Eleven visible, far-red, and NIR-I fluorophores were screened under twelve acquisition configurations combining 670, 760, and 808 nm excitation with band-pass (950 nm, 1400 nm) or long-pass (1000 nm, 1250 nm) emission filters. Output varied markedly with fluorophore identity and excitation/emission configuration. Among hydrophobic dyes, DiR exhibited strong emission across almost all excitation and emission filters. Among hydrophilic dyes, strong NIR-II fluorescence was observed for IRDye 680RD (excitation at 670 nm), sulfo-cyanine 7 (excitation at 670 nm and 760 nm), and indocyanine green (excitation at 808 nm). DiR showed a linear concentration-response under 760 nm excitation with BP1400 detection. Upon encapsulation in PEGylated liposomes, strong NIR-II fluorescence was retained. In an in vivo study in mice, NIR-II resolved vasculature that NIR-I could not consistently delineate, and enabled pharmacokinetic analysis. Both windows returned similar ex vivo organ distributions. NIR-II imaging is therefore accessible using commercial off-the-shelf fluorophores, provided the dye is matched to the intended excitation/emission configuration.

Photoacoustic (PA) and ultrasound (US) imaging provide complementary molecular, functional, and anatomical contrasts. Here, we present a panoramic PA-US imaging platform that integrates multispectral PA computed tomography (PACT) along with reflection-mode and transmission-mode US imaging through a single shared full-ring ultrasound array. We employ an ultrafast planewave transmission scheme in reflection-mode US for power Doppler (PWD) imaging and ultrasound localization microscopy (ULM). Additionally, we use the transmission-mode US to reconstruct a spatially resolved speed of sound (SoS) map that corrects both PA and US reconstruction. Such correction sharpens the resolution of PACT, suppresses the artifacts of PWD, and improves microbubble localization of ULM. Elevational scanning further enables whole-body volumetric imaging with co-registered PA and US contrasts. The integrated system maps photoswitchable DrBphP1-expressing tumors alongside their blood perfusion and oxygenation environment. Applying the platform to monitor unilateral renal ischemia-reperfusion injury, we report that microvascular perfusion and renal oxygenation recover at different rates. Collectively, we demonstrate that the integrated PA-US imaging platform provides a unified framework for multiparametric study of anatomy, perfusion, microvascular flow, oxygenation, and molecular activities.

SignificanceDiffuse Correlation Spectroscopy (DCS) is an established technique for non-invasive monitoring of Cerebral Blood Flow (CBF), but existing applications primarily measure CBF changes averaged over cortical tissue volumes. A method capable of targeting blood flow within a particular intracranial artery would expand the utility of DCS for vessel-specific cerebral perfusion monitoring and continuous bedside assessment. AimWe aim to investigate the feasibility of targeted, non-invasive monitoring of blood flow in the Anterior Cerebral Artery (ACA) using DCS through optimization of probe geometry and placement. ApproachA custom-built DCS system operating at 785 nm was used to probe ACA from the glabellar region. Source-detector (SD) separation, probe orientation, and probe location were systematically optimized using lower-limb motor tasks and a mental arithmetic task. The optimized configuration was evaluated using an ACA-mimicking multilayer phantom and validated in forty healthy volunteers during lower-limb activation tasks and postural changes. ResultsAn SD separation of 17 mm, vertical probe orientation, and glabellar placement provided the highest sensitivity to ACA-related blood flow changes. Phantom experiments demonstrated sensitivity to flow changes in a vessel located 45 mm beneath the scalp and showed that the frontal sinus, cerebrospinal fluid, and the absence of cortical tissue beneath the glabella along the longitudinal fissure together provide the best optical window for probing deep ACA flow. Using the optimized probe configuration, significant increases in relative CBF were observed during standing leg marching (66.4 {+/-} 38.6%) and supine leg crunches (39.4 {+/-} 32.2%) (p < 0.01), with consistent responses during supine-to-stand postural transitions. ConclusionThe proposed DCS approach enables targeted measurement of blood flow within the ACA territory. This technique provides a framework for continuous, non-invasive monitoring of ACA perfusion and has potential applications in cerebrovascular monitoring and stroke care.

Spectral computed tomography (CT) is a burgeoning quantitative imaging technique with applications in oncologic diagnostics, prognostic prediction, tissue perfusion studies, and treatment follow-up. While normalized iodine concentration values have been correlated with microenvironmental biophysical changes, obtaining accurate iodine concentrations, particularly at low concentrations remains difficult due to varying spectral CT instrumentation performance. Hybrid spectral CT systems, combining multiple spectral CT instrumentation techniques, address these quantitation insufficiencies by increasing spectral separation but have not been evaluated on a clinically analogous platform. We validate a hybrid spectral CT system, comprised of clinical-grade components, acquiring four distinct effective spectra and applying efficient noise-reducing weighting schemes to compare iodine noise and bias against conventional kVp-Switching (kVp-S). Two tube current levels (50, 350 mA) and three duty cycle ratios (33/67, 50/50, 75/25) were implemented to elucidate radiation dose exposure and kVp-S parameterization impact. A standard quality assurance (QA) and patient-derived, abdominal IodinePrint phantom were scanned on the system. The average absolute bias in iodine density images of the QA phantom was comparable across acquisition techniques, below 0.5 mg/mL, while quantitative noise improved by 22% using noise-optimized weighting schemes. In the IodinePrint phantom aorta and pancreas structures, the noise-optimized weighting scheme increased signal-to-noise ratio (SNR) by 1.3x compared to kVp-S alone. These results highlight the increased precision of hybrid, multi-channel spectral CT systems and motivate CT designs that enable robust CT biomarker development.

Gas-bubble-enhanced focused ultrasound (FUSGB) is advancing clinically across a myriad of applications, including targeted drug delivery through transient blood-brain barrier opening (BBBO). Its broader translation requires a better understanding of the bioeffects that enable reproducible enhancement of barrier permeability while avoiding vascular injury, underscoring the need to clarify the relationship between acoustic exposure, bubble activity, and the biological response central to treatment optimization. These interactions are difficult to isolate in vivo, and acoustic reflections, geometry, and field distortion in conventional cultureware hinder quantitative in vitro studies. Herein, we present a theoretically and experimentally characterized ultrasound-transparent organ-on-chip device with >99.9% US transparency that enables quantitative in vitro modeling of the FUSGB procedure and study of BBBO. Furthermore, submicron bubbles (sMB, ~800nm) were fabricated and characterized. Acoustic dose-dependent subharmonic and broadband cavitation dose curves (SCD and BCD), as well as temporal responses, were studied. A 3-day accelerated Caco--2 surrogate barrier with a high TEER (~1200xcm2) was used to demonstrate US dose-dependent targeted barrier opening, visualized using an in vitro Evans Blue assay. Together, this study and its findings establish a foundation for quantitative in vitro modeling of FUS BBBO, as well as other US interactions in microphysiological systems, supporting systematic evaluation of procedural regimens, large-parameter-space optimization, acoustic safety window, and exposure conditions for brain drug delivery, and additionally enabling mechanistic insight into FUSGB BBBO.

Joint optical measurement of hemoglobin and blood-flow dynamics could provide a compact route to richer functional monitoring of tissue physiology. However, hybrid diffuse-optical systems commonly optimize photon time-of-flight (TOF) for individual readouts, even when absorption and flow are recovered from the same acquisition. Here, we asked whether a single TOF window can optimally preserve both signals. Dual-wavelength TOF-iSCOS recovered absorption, hemoglobin and relative blood-flow index (BFI) from the same interferometrically sensed optical field, while Early, Middle and Late photon windows provided progressively greater weighting of longer and deeper photon paths. During forearm cuff occlusion in 11 adults, absorption and flow showed markedly different TOF dependence: Late-gate BFI responses were retained, whereas absorption decreased to a median Late/Early ratio of 0.18. The resulting readout-by-TOF interaction was positive in all 11 participants (median 2.61 octaves, 95% bootstrap CI 2.44-3.22; exact sign-test P = 9.8 x 10-4). Readout-specific gate selection increased held-out response retention by 24.8% (95% CI 8.8-42.5%) relative to a single common gate. We then tested the approach during prefrontal working-memory activation in seven participants using a higher-load 2-back task relative to a low-load 0-back control. Late-gate BFI increased in all seven participants (+5.07%, 95% CI 1.46-8.68%; P = 0.014) and remained positive after adjustment using an Early-TOF signal, whereas hemoglobin responses were less consistent. Layered Monte Carlo modeling showed that the same detected photon histories acquire different absorption and dynamic-scattering sensitivity across TOF, linking the experimental effects to anatomy- and geometry-conditioned tissue weighting. Within the present geometry and photon budget, the central result is therefore not that one readout is intrinsically superior, but that absorption and flow recovered from the same optical field retain physiological information differently across photon time-of-flight.

Significance: Continuous, non-invasive monitoring of cardiovascular physiology provides critical information for clinical decision-making and patient care. Emerging optical sensors enable non-contact measurement of physiological parameters such as heart rate and respiratory rate, but current methods are limited in their ability to capture spatially resolved physiological waveforms. Aim: We aimed to extend the capabilities of non-contact cardiovascular monitoring by using an imaging-based approach from which spatially resolved physiological waveforms can be extracted and cardiovascular biomarkers can be derived in vivo. Approach: We implemented a digital holographic imaging sensor to continuously measure calibrated tissue motion for in vivo assessment of cardiovascular biomarkers in six adult male Sprague-Dawley rats, with validation against electrocardiographic and invasive arterial blood pressure measurements. Results: Heart rate and pulse arrival time-derived pulse wave velocity calculated from digital holographic imaging demonstrate strong agreement with reference-derived metrics (concordance correlation coefficient [&ge;] 0.98). Heart rate variability shows moderate agreement with reference-derived metrics (concordance correlation coefficient [&ge;] 0.59).

Ultrathin endoscopy is highly attractive for real-time tissue imaging in narrow and hard-to-reach regions of the body. A single multimode fibre (MMF) is an attractive probe because of its small diameter, flexibility, and diffraction-limited spatial resolution enabled by the large number of transverse modes guided within a single core. Because the distal fibre tip is inaccessible during endoscopy, reflection-mode imaging, in which the same fibre delivers illumination and collects backscattered light, is more practical than transmission-mode imaging. However, image recovery from the resulting speckle pattern is challenging because light undergoes double-pass propagation through the MMF, with mode coupling and dispersion; the backscattered signal is weak, and the camera records intensity only, without phase information. Here, we propose a single-shot reflection-mode MMF imaging framework that combines a reflected real-valued intensity transmission matrix (reflected-RVITM) with an image restoration network. The reflected-RVITM is calibrated using intensity-only measurements, without interferometry or phase retrieval, and provides a physics-guided initial reconstruction from a single backscattered speckle frame. A restoration network then refines this initial reconstruction instead of inverting the raw speckle. Four restoration backbones are evaluated: HPM-Attention-UNet, GAM, MambaIRv2, and CICPNet. On matched datasets, hybrid models outperformed corresponding networks trained to map raw speckle directly to images. For example, HPM-Attention-UNet on MNIST improved mean PCC from 0.572 to 0.944 (+65.1%). Under domain shift, with training only on Fashion-MNIST and tested on unseen CIFAR scenes, hybrid models achieved mean PCC of 0.61-0.65, compared with 0.36-0.50 for direct learning. This framework is further demonstrated using physical objects at the distal fibre tip. These results demonstrate that a reflected-RVITM physics prior combined with a restoration network enables single-shot image recovery after intensity-only calibration, offering a phase-retrieval-free and generalisable route towards minimally invasive reflection-mode MMF endoscopy.

The Transport-of-Intensity Equation (TIE) and polarization differential phase contrast (pDPC) exhibit transfer characteristics that limit their use as standalone quantitative phase imaging modalities. TIE provides stable recovery of low spatial frequencies but attenuates fine structure, while pDPC enhances phase gradients but is intrinsically insensitive near zero frequency. We present a hybrid reconstruction framework that combines a single-shot pDPC measurement with an in-focus-defocused TIE image pair and fuses the resulting phase estimates in the Fourier domain using frequency-selective weighting. The illumination geometry is co-designed to enforce angular separation between modalities, enabling high-frequency phase-gradient acquisition in a single exposure while preserving low-frequency sensitivity through low-numerical-aperture symmetric illumination. The proposed method requires three intensity measurements without requiring interferometric stability or sequential asymmetric illumination. Experimental results demonstrate improved phase fidelity across spatial frequencies, reduced halo artifacts, and enhanced recovery of both smooth and fine structural features. This approach provides a compact and robust method that moves towards extended spatial-frequency phase imaging for dynamic and resource-constrained applications.

Ultrafast power Doppler imaging combined with singular value decomposition (SVD) clutter filtering has become a standard approach for label-free microvascular ultrasound, enabling the visualization of small vessels without microbubble contrast agents. In the absence of contrast, however, SVD filtered Doppler images remain limited by the blur of the imaging system point spread function (PSF) and by a residual noise floor that reduces sensitivity at depth, which together hinder the resolution of fine microvasculature. Here we establish a sparse deconvolution framework to SVD filtered ultrafast power Doppler images. Each Doppler frame is processed in two cascaded stages: a Split-Bregman optimization that solves a regularized least-squares problem combining a sparsity prior and a Hessian continuity prior, followed by an accelerated Richardson Lucy deconvolution with an estimated system PSF. We first validated the framework on a simulation phantom with known ground truth, and then evaluated the framework on in vivo rat-brain plane-wave acquisitions obtained with a Verasonics Vantage system and a 15-MHz linear array. Compared to conventional SVD power Doppler, sparse deconvolution improved the resolution by around 4 and 8 times to lambda/2 and lambda/4, in the lateral and axial directions respectively. We further show that decomposing the Doppler signal into velocity bands before deconvolution disentangles slow and fast flow and yields a velocity-resolved microvascular map. Finally, applying the same framework to task-evoked functional ultrasound, we show that sparse deconvolution preserves the stimulus-locked cerebral-blood-volume response measured by conventional functional ultrasound while sharpening the corresponding activation map from a diffuse cortical region to discrete penetrating vessels. These results indicate that the sparsity-prior super-resolution principles established in label-free ultrafast Doppler ultrasound, and that sparse deconvolution can serve as a practical, contrast-free post-processing front-end for super-resolution microvascular and functional imaging.

The lack of non-invasive, quantitative methods to track the location and proliferation of transplanted cells hampers the clinical translation of cardiac regenerative therapies. Here, we establish a PET reporter for tracking human induced pluripotent stem cell (hiPSC)-derived cardiac cells across complementary two-dimensional (2D) and three-dimensional (3D) cardiac tissue models. Methods hiPSCs were genetically engineered using CRISPR-Cas9 to express a human-derived, anticalin-based, bioorthogonal PET reporter (DTPA-R) that specifically binds radiolabeled DTPA-metal complexes. The engineered hiPSCs were differentiated into ventricular progenitors (HVPs) and cardiomyocytes (CMs). Stability of reporter gene expression and its effects on cellular differentiation and function were evaluated. Uptake of [18F]F-DTPA*Tb by DTPA-R-positive and -negative HVPs was analyzed in vitro, and DTPA-R HVPs were evaluated in ex vivo cultured porcine myocardial slices with and without radiofrequency ablation (RFA) injury. Phantom studies were performed to evaluate PET detectability under clinically relevant large-animal and human imaging conditions and to assess how activity distribution affects signal detection in relation to DTPA-R cardiac cell-equivalent numbers. Results DTPA-R expression was maintained during the differentiation stages of hiPSC-derived cardiac cells and had no measurable impact on migration, differentiation, and functional integration. PET imaging enabled the specific detection of DTPA-R HVPs in intact and injured myocardial slices. At the initial phantom scan, the measured activity corresponded to cell-equivalent numbers of approximately 3.2 x 10^6 HVPs or 5.5 x 10^6 CMs. The compact 200 uL source remained clearly detectable at 6 h, whereas the more dispersed 1,000 uL source progressively approached background activity, indicating that PET detectability depended strongly on local activity concentration and distribution. Conclusion This study establishes a bioorthogonal PET reporter gene platform for quantitative imaging of hiPSC-derived cardiac cells, with no measurable adverse effects on the biological parameters examined, and provides a methodological foundation for future translational and in vivo imaging studies. The approach may also be applicable to other hiPSC-derived cell products beyond cardiac cell lineages.

Purpose: To evaluate, within a synthetic pulmonary-artery benchmark, whether biomarker-aware super-resolution improves hemodynamic endpoint fidelity in 4D flow MRI. Methods: A 3D residual channel attention network (RCAN) was trained on 22 CFD simulations from 11 pulmonary-artery geometries with 2x spatial degradation. The original primary comparison evaluated full biomarker-aware training against a combined divergence-temporal-regularization control across 14 matched seeds on a fixed six-case test set. Additional matched analyses subsequently separated divergence and adjacent-frame temporal-difference regularization and evaluated biomarker supervision in a controlled 2x2 design with a common reconstruction schedule. Results: In the original primary comparison, biomarker-aware training reduced PI error relative to the matched combined-regularization control (12.76 +/- 2.34% vs. 17.12 +/- 1.23%; paired difference -4.35 percentage points [95% CI -5.58, -3.09]; p = 0.0015). In the matched factorial analysis, biomarker supervision reduced PI error without (-2.235 percentage points [95% CI -3.514, -0.849]) and with (-4.125 percentage points [95% CI -5.392, -2.732]) combined regularization. PI improvement was not mirrored by uniformly improved reconstruction metrics: PSNR changed by -0.058 (p = 0.50) and +0.144 dB (p = 0.28), while SSIM decreased by 0.009 (p = 0.004) and 0.007 (p = 0.009), respectively. Divergence alone changed PI by +0.034 percentage points [95% CI -0.705, 0.809] while reducing DivRMS by 1.869 percentage points; temporal-difference regularization increased PI error by 1.562 percentage points [95% CI 0.594, 2.439]. Conclusion: Within this synthetic, fixed-case RCAN benchmark, biomarker supervision improved PI under both regularization conditions. PI improvement was not mirrored by uniformly improved reconstruction metrics. Temporal-difference - not divergence - regularization was the only isolated component associated with reproducible PI deterioration. These findings are configuration-specific and require geometry-independent and in vivo validation.

Objectives: Intraoperative ultrasound (IOUS) is an increasingly valuable real-time imaging modality in neurosurgery, enabling visualization of brain parenchyma, tumor margins, ventricular anatomy, and vascular structures during cranial procedures. Despite its clinical relevance, the development of artificial intelligence (AI)-assisted interpretation tools for neurosurgical IOUS has been limited by the scarcity of large, annotated datasets. Manual pixel-level annotation of ultrasound video frames is labor-intensive, requires specialized neuroanatomical expertise, and scales poorly. To address this bottleneck, we developed a proof-of-concept interactive semi-automated annotation pipeline designed to explore the feasibility of scalable, expert-guided labeling for intraoperative neurosurgical IOUS. Methods: We implemented the system as a napari-based graphical interface coupled with a scikit-learn Random Forest (RF) pixel classifier. Real intraoperative neurosurgical ultrasound videos from five craniotomy cases were used as training material. A neurosurgical expert annotated a minimal set of representative frames using brush-based labeling to define anatomical classes of interest. For each labeled pixel, a feature vector was computed comprising raw intensity, multi-scale Gaussian filtering ({sigma} = 1, 2, 3), Laplacian of Gaussian, and Sobel edge magnitude. The RF classifier was trained on accumulated annotations using class-balanced weighting and out-of-bag (OOB) validation, then applied across full video sequences. An incremental accumulator module enabled multi-case training. Segmentation outputs were exported as TIFF overlays for expert quality review. Results: Across five intraoperative cases, sparse expert annotation of a small number of representative frames per case was sufficient to train case-specific Random Forest classifiers that propagated labels across the full video sequences. Out-of-bag estimation served as an internal coherence check during training, and the classifier additionally produced per-class probability maps that exposed regions of uncertainty at acoustic boundaries. On expert qualitative review, the auto-segmented frames were anatomically coherent, with the classifier reliably distinguishing anechoic fluid compartments from echogenic tissue interfaces; residual misclassification was concentrated in low-contrast boundary regions. Conclusions: This proof-of-concept study demonstrates that semi-automated, expert-guided annotation of intraoperative neurosurgical ultrasound is technically feasible using classical machine learning. By combining neurosurgical domain expertise with an interactive, incremental annotation workflow applied to real intraoperative acquisitions, this framework represents a foundational step toward scalable generation of labeled datasets for neurosurgical IOUS. Future directions include formal multi-rater validation, expanded multi-class anatomical labeling, and eventual migration to deep learning architectures as annotated datasets grow.

Continuous wave diffuse correlation spectroscopy (cw-DCS) is a noninvasive optical technique to monitor the tissues blood flow changes. This technique measures the tissue blood flow index (BFI) by evaluating the decay rate of the autocorrelation function. The derived BFI is proportional to mean squared displacements of the red blood cells considered as the fast-dynamic scatterer component of tissue in time. However, biological tissue contains static scatterer component and slow-dynamic scatterer component which affect the decay rate of autocorrelation function and as a result the derived BFI. In this study, we assessed the fractional contribution of static, slow-dynamic and fast-dynamic scatterer components of a medium in the flow index derived by cw-DCS. The measurements performed on Agar-based phantom with tube showed that presence of static scatterer component and slow-dynamic scatterer component led to substantial underestimation ({approx} 123%) of the flow index derived by Siegert relation, compared to effective diffusion coefficient of fast-dynamic scatterers components derived by modified Siegert relation and bi-exponential model. The less underestimation was observed for the corresponding parameters obtained from the liquid phantom measurements ({approx} 25%) as well as during the forearm occlusion test and respiratory challenges ({approx} 16% - 26%).

Preclinical stroke research is severely hampered by the lack of high-throughput, quantitative perfusion imaging tools capable of bridging the gap between functional hemodynamics and structural injury. The emerging second near-infrared (NIR-II) fluorescence imaging offers superior spatial resolution and tissue penetration, but its utility remains restricted by a lack of standardized analysis protocols and inability to resolve in-depth infarct regions. Here, we introduce FIMPA, an integrated analytical framework for standardized, multi-parametric stroke evaluation based on NIR-II fluorescence perfusion imaging. FIMPA systematically processes the image sequence through motion correction and atlas registration to generate an anatomically aligned library of 125 vascular and hemodynamic parameters. Statistical screening identifies 67 stroke-correlated features, enabling objective, data-driven quantification of perfusion deficits. To resolve spatial infarct boundaries, we developed FIMPA-SI (FIMPA Stroke Index), a deep learning-based index utilizing a ViT-UNETR framework. By leveraging self-supervised pre-training with MRI data, FIMPA-SI suppresses dominant vascular signals to translate multi-parametric dynamics into anatomically precise stroke severity maps. Validated in tMCAO mice, FIMPA-SI achieves high spatial concordance with MRI and significantly outperforms conventional laser speckle contrast imaging and single-parameter metrics. FIMPA provides a robust solution for accelerating preclinical therapeutics and advancing optical neuroimaging.

Interactions between light and biological tissue could reveal disease-related changes that could be advantageous for rapid diagnosis when applied to whole limbs. Here, we tested the extent to which visible/near-infra-red hyperspectral imaging (HSI) deployed in the emergency department could classify cellulitis, non-cellulitis edema, and healthy lower-leg tissue across skin pigmentation types. We collected HSI data of the lower leg from 83 emergency-room patients and analyzed the calibrated normalized spectra (400-1000 nm) using a machine-learning classification algorithm, evaluated by cross-validation and benchmarked against standard spectral indices (oxygenation, hemoglobin, water, near-infrared perfusion). Classification at patient-level and pixel-level resolution performed comparably well using whole-spectrum and indices, for cellulitis versus healthy (AUC: 0.93 vs. 0.96) and non-cellulitis edema versus cellulitis (AUC: 0.92 vs. 0.89). Full-spectrum analysis substantially improved non-cellulitis edema versus healthy classification (patient-level AUC: 0.72 vs. 0.41; pixel-level AUC: 0.78 vs. 0.50), with no significant effect of skin type on accuracy.

Light scattering in biological tissue limits deep optical imaging. Acoustic waves can modulate optical properties and enhance photon delivery, but source-positioning requirements can complicate integration with other imaging modalities. Here, we present an open elliptical reflector that focuses laser-induced acoustic waves at a spatially separated target while maintaining open optical access. We characterized the spatiotemporal optical modulation induced by the localized acoustic focus. The system increased the local transmitted-light intensity by a factor of 2.57-fold through a 2-mm-thick 1% intralipid hydrogel and enhanced fluorescence signal under two-photon excitation through a 1.5-mm-thick scattering sample. These results demonstrate spatially separated, reflector-based acoustically assisted light guiding for enhanced light delivery and fluorescence excitation through scattering media.

Spectroscopic single-molecule localization microscopy (sSMLM) enables multiplexed super-resolution imaging by simultaneously acquiring the spatial position and spectral information of individual fluorophores. Dual-wedge prism (DWP)-based implementations provide a compact, alignment-stable approach to spectral dispersion, but trade-offs between localization precision, spectral precision, and experimental complexity remain. We systematically compare five DWP-based sSMLM configurations, including two-dimensional (2D) and three-dimensional (3D) implementations using single DWP (DWP-sSMLM) and symmetrically-dispersed DWP (SDDWP-sSMLM). We evaluate lateral precision, spectral precision, and ease of use. SDDWP configurations acquire spectral images in both channels and utilize both for spatial localization, yielding the highest lateral and spectral precision. However, for applications that do not require axial information, 2D-DWP provides a simple, plug-and-play solution with robust performance. This work offers a guideline for selecting DWP configurations based on experimental needs.

Background: A major hallmark of necrotizing enterocolitis (NEC) is intestinal hypoxia, but detection of this feature is difficult. Photoacoustic imaging (PAI) is an emerging imaging method to noninvasively visualize intestinal oxygenation and microvasculature and is promising for improved NEC detection. Prior to clinical translation of PAI for NEC detection, initial studies must be performed in a pediatric population to assess safety and feasibility. Methods: Under IRB approval, eighteen healthy pediatric participants underwent PAI scans before and after eating a lipid-rich snack. PAI was acquired in each abdominal quadrant with intestinal regions-of-interest (ROI) manually drawn on each image series to measure averaged values of deoxygenated hemoglobin (Hb), oxygenated hemoglobin (HbO2), total hemoglobin (HbT), and oxygen saturation (sO2). Results: Minor temporary erythema and pressure from safety goggles in some participants were the only adverse events reported. Pre-/post-prandial changes for HbT, HbO2, Hb, and sO2 were assessed for each abdominal region and age cohort. Results showed significant post-prandial hyperemia in the intestines with no changes in bowel oxygenation. Conclusions: PAI is a safe and feasible imaging modality for evaluating intestinal blood flow in pediatric patients that detects physiological changes in bowel microvasculature and shows strong potential as a quantitative biomarker for assessment and monitoring of intestinal vascular health.

Optical coherence tomography angiography (OCTA) has been extensively explored for the detection of pathological retinal changes arising in various ophthalmological diseases. Due to phase instability of conventional systems, most OCTA signal processing methods to date have relied on intensity-based averaging, despite the resulting lower contrast and dynamic range compared to coherent averaging approaches. In this work, we (1) present a novel computation pipeline that enables fully-coherent processing in any phase-stable or phase-unstable system, and (2) demonstrate the first angiography metric with integrated signal-to-noise ratio (SNR) correction and coherent spatiotemporal ensemble averaging effective in any OCT system. Our method does not rely on 2D en face projections or binarization to produce high-contrast en face views and it significantly enhances the contrast-to-noise ratio of computed OCTA volumes, particularly in regions with reduced SNR levels. Our OCTA volumes also have high cross-sectional quality, enabling the use of single-depth en face views and the localization of capillary paths in the axial dimension. We can now identify capillaries below the retinal pigment epithelium, near the lamina cribrosa in the optic cup, which was not previously possible due to low SNR. We also conducted an analysis of strategies for bias reduction in OCTA and developed the optimal method utilizing coherent spatiotemporal ensemble averaging. Because our method leverages coherent averaging across all dimensions, it provides flexibility in shaping the averaging kernel to target specific workflows. The value of this additional degree of freedom is illustrated in our vessel tracing investigations, in which the depth resolution was maximized by limiting coherent ensemble averaging to the two lateral dimensions even in presence of strong phase noise, enabling the identification of 3D features such as overlapping capillary paths.