Optical Imaging: A New Window to the Adult Brain

Abstract

Noninvasive optical imaging is an emerging method of functional neuroimaging that has major advantages that make it particularly suited to both basic and clinical neuroscience research as well as to clinical practice.2–7 It has great promise for contributing to neuropsychiatry.2 The required equipment is compact and portable, it is relatively easy to use, and the method is relatively tolerant of subject movement. Studies can be performed in almost any location including at the bedside and in natural settings. Patients who are not good candidates for more traditional functional imaging methods (e.g., functional MRI [fMRI] and positron emission tomography [PET]) often do well with optical imaging, as it does not require absolute stillness or confinement and has no associated loud noises. It is also safe to use in the presence of metal (e.g., plates, pins, pacemakers), an important consideration for some populations of interest. It has much faster time resolution than most other functional imaging techniques and can easily provide repeated within-subject measures. Other major advantages are low cost and high safety. Like surface electroencephalography (EEG), optical imaging captures activation-related changes only from the cerebral cortex. Historically, the major disadvantages of optical imaging have been its lower spatial resolution and smaller regions of coverage, areas of major improvement over the last decade. Use of optical imaging for monitoring of cerebral state in high-risk situations (e.g., neurosurgery, intensive care unit), while an important clinical application, is outside the scope of this review.8–10