Time-Resolved Laser Speckle Contrast Imaging (TR-LSCI) of Cerebral Blood Flow Response to Intracranial Pressure

Faraneh Fathi1, Peiwen Zhang1, Mehrana Mohtasebi2

  • 1Department of Biomedical Engineering, University of Kentucky, Lexington, Kentucky, USA.

Insights

A new time-resolved laser speckle contrast imaging (TR-LSCI) platform noninvasively measures cerebral blood flow (CBF) dynamics. This technology advances neurovascular monitoring and assessment of cerebral autoregulation (CA).

Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Medical Imaging

Background:

  • Cerebral autoregulation (CA) failure impacts brain injury, but current methods lack spatial and temporal resolution for microvascular dynamics.
  • Existing techniques for measuring cerebral blood flow (CBF) are often indirect, spatially limited, or unable to capture real-time microvascular changes.

Purpose of the Study:

  • Develop and validate a scalable, noncontact time-resolved laser speckle contrast imaging (TR-LSCI) platform.
  • Enable depth-sensitive, high-speed, wide-field CBF imaging for assessing CA during controlled intracranial pressure (ICP) changes.

Main Methods:

  • TR-LSCI synchronizes a pulsed laser with a time-gated SPAD camera for depth-resolved CBF imaging.
  • Systems were tested in rats and piglets, with simultaneous invasive ICP and arterial blood pressure (ABP) monitoring.

Main Results:

  • TR-LSCI achieved high-speed (up to 52 Hz) imaging of heterogeneous, pulsatile CBF over large cortical areas.
  • Analysis revealed distinct CA states (autoregulation, compensation, suppression) and phase-dependent CBF signatures.

Conclusions:

  • TR-LSCI provides dynamic, physiology-informed neurovascular monitoring.
  • This technology supports future bedside assessment of cerebral autoregulation.
Abstract