Laser Doppler velocimetry uses the frequency shift produced by the Doppler effect to measure velocity. It can be used to monitor blood flow or other tissue movement in the body. Laser speckle is a random interference effect that gives a grainy appearance to objects illuminated by laser light. If the object consists of individual moving scatterers (such as blood cells), the speckle pattern fluctuates. These fluctuations provide information about the velocity distribution of the scatterers. It can be shown that the speckle and Doppler approaches are different ways of looking at the same phenomenon. Both these techniques measure at a single point. If a map of the velocity distribution is required, some form of scanning must be introduced. This has been done for both time-varying speckle and laser Doppler. However, with the speckle technique it is also possible to devise a full-field technique that gives an instantaneous map of velocities in real time. This review article presents the theory and practice of these techniques using a tutorial approach and compares the relative merits of the scanning and full-field approaches to velocity map imaging. The article concludes with a review of reported applications of these techniques to blood perfusion mapping and imaging.

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Laser Doppler, speckle and related techniques for blood perfusion mapping and imaging

Laser Doppler flowmetry is a non-invasive method of measuring microcirculatory blood flow in tissue. In this review the technique is discussed in detail. The theoretical and experimental developments to improve the technique are reviewed. The limitations of the method are elaborated upon, and the research done so far to overcome these limitations is critically assessed.

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Review of methodological developments in laser Doppler flowmetry

The study of time-varying speckle phenomena observed in light-fields scattered from living objects is reviewed. The laser speckles produced from living objects may be called ‘bio-speckles’ and fluctuate temporally due to various physiological movements such as blood flow. The time-varying properties of the bio-speckles are experimentally investigated from the analyses of the power spectrum and the autocorrelation function. Based on the knowledge of dynamic bio-speckles, some methods are introduced for evaluating blood flow in the skin surface, internal organs, and ocular fundus. The experimental results show that the degree of blood flow is reflected sensitively by the time-varying properties of the bio-speckles and this can be utilized for monitoring the blood flow.

Bio-speckle phenomena and their application to the evaluation of blood flow

A new method is proposed to visualize the microcirculation map using a dynamic laser speckle effect. A skin surface is illuminated by He-Ne laser line spot and its image speckle is detected by a CCD array sensor. The erence between a pair of output data for successive scannings of the image speckles at the sensor plane was calculated and integrated for each pixel. The results were displayed in color graphics showing the spatial variation of the flow level in the area of interest.

Evaluation of blood flow by laser speckle image sensing. Part 1.

This paper reviews the development and use of laser-Doppler perfusion monitors and imagers over the past two decades. The enormous interest in microvascular blood perfusion coupled with the ease of use of the technique has led to 1500+ publications citing its use. However, useful results can only be achieved with an understanding of the basic principles of the instrumentation and its application in the various clinical disciplines. The basic theoretical background is explored and definitions of blood perfusion and laser-Doppler perfusion are established. The calibration method is then described together with potential routes to standardisation. A guide to the limitations in application of the technique gives the user a clear indication of what can be achieved in new studies as well as possible inadequacy in some published investigations.

Principles and practice of the laser-Doppler perfusion technique

A new experimental laser Doppler setup has been designed to discriminate between total and superficial skin blood flow. This selectivity is based on the use of two wavelengths with different penetration depths into the skin. An argon ion and helium-neon laser are mounted on the same optical bench and are stabilized by an optical feedback loop. A single optical fiber directs the beams to the skin and collects the reflected light back to a photodetector, the signal of which is sampled and Fourier transformed to give a frequency power spectrum. Several models of light scattering by the skin are examined, and a single Lorentzian function is found to be the best fit for our experimental power spectra. Flow parameters have been thus measured for several in vitro and in vivo situations. In vitro calibration indicates that there is a constant ratio between the frequency responses at both wavelengths used. The decrease of this ratio encountered in in vivo measurements is attributed to different depths of investigated skin microcirculation according to the incoming wavelengths.

Luc Duteil

Papers

A Double Wavelength Laser Doppler System to Investigate Skin Microcirculation