Innovative Brain Imaging Combines Sound And Light : Shots - Health News Try to look inside the brain, and you're not going to get very far. But photoacoustic imaging may be a solution for the shortcomings of conventional imaging. It uses lasers to make the brain sing.

A Scientist Deploys Light And Sound To Reveal The Brain

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STEVE INSKEEP, HOST:

In Your Health in this Monday, we meet a scientist developing medical technology that sounds like science fiction, maybe something from "Star Trek." Lihong Wang has already helped to create devices that can detect cancer cells in the bloodstream and oxygen levels deep within the body. Now he's using a combination of light and sound to study the inner workings of the brain. NPR's Jon Hamilton reports on research from a researcher with a habit of achieving what seems impossible.

JON HAMILTON, BYLINE: When President Obama unveiled his brain initiative a couple of years ago, Lihong Wang realized that scientists really needed a tool he had been working on.

LIHONG WANG: We want to conquer the brain. But even for a mouse brain, which is only a few millimeters thick, we really don't have a technique that allows us to see throughout the whole brain.

HAMILTON: Wang is a professor of biomedical engineering at Washington University in St. Louis. He says current brain-imaging techniques have drawbacks. They're slow or blurry, or they can only see things near the surface. And Wang says these limitations are holding back efforts to solve the mysteries of the human brain.

WANG: This is the most magical black box we still don't quite understand.

HAMILTON: So he's been trying a new approach, one he believes will be fast enough to monitor brain activity in real time and sharp enough to see an individual brain cell. Wang's initial idea was to use light. There was a problem, though, one that's obvious if you hold your hand up to a light bulb. When light enters the body, it starts bouncing around.

WANG: This is why we can't even see our own bone in the hands. Because light, after like a millimeter, it becomes hopeless to get a very good, sharp image. We have to somehow overcome that problem.

HAMILTON: Wang thought he had a solution. It involved sound. Sound waves don't bounce around much in the body. That's why an ultrasound can show a growing fetus. But ultrasound images are blurry, sometimes so blurry it's hard to tell a boy from a girl. So Wang began experimenting with a technique that blends the speed and precision of light with the penetrating ability of sound. It's called photoacoustic imaging.

WANG: We're combining the strengths of two forms of energy, light and sound, in a single form of imaging.

HAMILTON: In the past few years, photoacoustic imaging has become a very big deal in the scientific world, and so has Wang. Last year, he published more than 50 scientific papers. So far, his research has attracted nearly $50 million in grant funding. And next year, Wang will take a new job at Caltech. In the meantime, he seems to be everywhere, delivering speeches, chairing meetings and sitting on scientific advisory boards.

WANG: It's really nonstop, right? You have to sleep, but then other than that, you try to work all the time.

HAMILTON: Wang has so many projects going that his lab now has teams working on four different floors of one research building at Washington University. A researcher named Jinyang Liang shows me around.

JINYANG LIANG: OK, so we're in the third floor of Whitaker, and we're walking to one of the labs in Dr. Wang's lab.

HAMILTON: We end up in a room with a metal workbench the size of a pingpong table. This is where Wang's team has built its latest photoacoustic microscope. Liang shows me how the device turns light into sound and sound into images of a living brain.

LIANG: So that big guy, metal box there, is a laser.

HAMILTON: During an experiment, the laser generates pulses of light. They travel through a maze of mirrors and filters before reaching an anesthetized mouse.

LIANG: What you see here, that's what we call the animal holder.

HAMILTON: Once the pulses of light enter the mouse's skull and brain, they start to bounce around. But enough light energy gets through to cause molecules of brain tissue to vibrate, and those vibrations produce distinctive sound waves. So light goes into the brain, and sounds come out. Liang says just a few months ago, those sounds allowed a lab team to construct a highly detailed three-dimensional image of a mouse brain at work.

LIANG: When I first saw that image, I was amazed.

HAMILTON: So was Richard Conroy at the National Institute of Biomedical Imaging and Bioengineering. Conroy says he's often amazed by Wang, who has been funded by the institute for more than a decade.

RICHARD CONROY: He's one of these unique people who's able to take technologies and ideas from one field and apply them to a different field. So, for example, his work in trying to target light at individual cells within the body, that's really borrowing ideas from astronomy.

HAMILTON: And applying them to biology and medicine. Conroy says photoacoustic imaging can do more than reveal the brain. Wang's lab has helped develop systems that can show tumors of the breast and skin and even detect individual cancer cells in the bloodstream. And Conroy says that's just the beginning.

CONROY: It's research that really pushes the limits of our understanding of how to image in space and time. And it's really about turning some of these ideas that we thought were science fiction into fact.

HAMILTON: Conroy says that includes ideas as futuristic as the medical tricorder on the Starship Enterprise.

CONROY: It would be great to have a device like they had in "Star Trek." You could just lie there, the beam of light would pass over you, it would be able to tell everything that was wrong with you.

HAMILTON: Photoacoustic imaging can't do that yet. It still hasn't been used on a human brain. But Wang says he follows a simple rule in his lab.

WANG: Never say impossible.

HAMILTON: A couple of years ago, Wang got some very special funding from the National Institutes of Health.

WANG: This is a grant that gives you unbridled funds for you to do anything you see fit essentially. So we were really emboldened to explore very new directions.

HAMILTON: One of those directions involved a camera, the fastest camera ever built, a camera so fast it could capture pulses of light racing by. Wang picked a small team that included Jinyang Liang, the same researcher who showed me around the lab.

LIANG: We thought, man, it sounds crazy, but can we see the propagation of light? Because that's literally the fastest object in the universe.

HAMILTON: Liang says his boss suggested an approach, something Wang often does in the early stages of a project.

LIANG: He's always conceived some really great ideas, and he's several steps ahead of me all the time. So I have to, like, be very focused and try to concentrate so I can catch him up.

HAMILTON: Liang says just six months later, the team was showing their boss the first movie ever of a pulse of light reflecting off a mirror.

LIANG: At a moment, I feel like he's speechless because, you know, no one has ever seen this before.

HAMILTON: Wang says he was awed but not exactly surprised.

WANG: Science, really, has no limit, you know. The minute that you reach one limit, you are trying to break it, you know, trying to reach the next limit.

HAMILTON: The final frontier. And for Wang, that means lighting up the black box that is the human brain. Jon Hamilton, NPR News.

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