Unconstrained naturalistic human brain imaging and decoding with a fully wearable high-density optical system

Understanding how the brain supports complex cognition in real-world environments requires neuroimaging systems that impose minimal constraints on natural behavior. Existing high-fidelity modalities, such as functional magnetic resonance imaging (fMRI), confine participants to the scanner, while wearable alternatives sacrifice spatial resolution or cortical coverage. Here, we developed a fully untethered whole-head optical neuroimaging system that achieves high-fidelity tomographic reconstruction through dense spatial sampling, configurable source multiplexing, and high dynamic range detection. This wearable high-density diffuse optical tomography (WHD-DOT) system achieves 151 dB effective dynamic range and nearly 3000 source-detector measurements, comparable to the highest-performing fiber-based DOT systems, while maintaining wireless, battery-powered mobility. We validate WHD-DOT across three paradigms of increasing ecological complexity, ranging from standard functional localizers to naturalistic movie viewing and live piano performance. Across all paradigms, WHD-DOT produces robust, well-localized encoding, repeatable single-trial responses, and above-chance decoding of stimulus-specific dynamics. Piano performance, which requires continuous bimanual movement and an unconstrained posture, is a rigorous real-world test for a wearable neuroimaging system. By decoding song-segment identity of free piano performance at 71.1% accuracy (chance 12.5%), WHD-DOT shows that brain activity from unconstrained, real-world behavior, previously beyond reach of high-fidelity imaging, is now both measurable and decodable.