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Updated: Jan 6, 2026

Multispectral Optoacoustic Tomography for Functional Imaging in Vascular Research
Published on: June 8, 2022
Functional-Optical Coherence Tomography: A Non-invasive Approach to Assess the Sympathetic Nervous System and
Nicholas G Jendzjowsky1, Craig D Steinback2, Robert J Herman3
1Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Functional-OCT imaging of choroid vascular perfusion density offers a non-invasive method to assess sympathetic nervous system activity, outperforming heart rate variability in correlation with microneurography. This technique may aid in evaluating autonomic function and vascular health.
Area of Science:
- Cardiovascular Physiology
- Ophthalmology
- Neuroscience
Background:
- Sympathetic nervous system (SNA) dysregulation and vascular impairment are key features of cardiorespiratory diseases.
- Current methods for assessing SNA and vascular regulation are invasive or inconvenient, limiting clinical and research applications.
Purpose of the Study:
- To investigate if spectral domain optical coherence tomography (OCT) can assess sympathetic activity and vascular responsiveness.
- To develop a quick, easy, and non-invasive index for sympathetic activity using OCT.
Main Methods:
- Compared choroid and retina vascular perfusion density (VPD) via OCT with heart rate variability (HRV) and microneurography in 11 healthy adults.
- Assessed responses to physiological challenges including cold pressor test, hypoxia, breath-hold, hyperoxia, and hyperpnea.
Main Results:
- Choroid VPD decreased with sympathetic activation (cold pressor, hypoxia, breath-hold) and increased with parasympathetic dominance (hyperoxia, hyperpnea).
- Retina VPD showed metabolic regulation patterns, unaffected by cold pressor test but responsive to respiratory challenges.
- Choroid VPD demonstrated a strong inverse correlation (R = -0.76; p < 0.0001) with muscle sympathetic nerve activity, while HRV showed low predictive power.
Conclusions:
- Functional-OCT provides a novel, non-invasive approach to assess sympathetic activity and intrinsic vascular responsiveness (autoregulation).
- This technique holds potential for broad clinical and research applications in autonomic function and cardiovascular/cardiorespiratory diseases.
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