:1»... t: as G. v...- a 7.7.. .IH u"? aka-fix. : uh: .. nun : 3...? . 1h...~..§.s« 2. L... r . :1)?.V H.261 Jfifikgm :n .. 3:55.: , ”win... Err Lifiufimarnvfi , . a s. a... ..... .3 $1... .. “dab h .1 ‘02 FHA...” 19. I t w .. I. ) . « in. .sslmw. I ‘1. . .v :1 2.21.3.3” sv .. IQ .3. y 9 .15;.« tn... ’3: ban»: » .. ... . 9. LIL} E in. .3.ng 5.. .4 . . 53.9». 01 3401‘s.. :ztfi in». chill... ug . It W? I" ' LIBRARY we? Michigan State University This is to certify that the thesis entitled OPTICAL COHERENCE TOMOGRAPHY AND MICROWAVE IMAGING: DIAGNOSTIC TECHNIQUES FOR OSTEOPOFIOSIS presented by Solimar Reyes Rodriguez has been accepted towards fulfillment of the requirements for the MS. degree in Electrical Engimeering lam w Major Professor’s Signature Eek Romeo; L) Date MSU is an affinnative-action, equal-opportunity employer _.—.-o- n-.-u-c-u-u----'-v-o-c-o-c-u-o--I-o---.-._.-.—A-.--.-. PLACE IN RETURN BOX to remove this checkout from your record. TO AVOID FINES return on or before date due. MAY BE RECALLED with earlier due date if requested. DATE DUE DATE DUE DATE DUE 5/08 K:IPrchAcc&Pres/CIRC/DaleDueindd OPTICAL COHERENCE TOMOGRAPHY AND MICROWAVE IMAGING: DIAGNOSTIC TECHNIQUES FOR OSTEOPOROSIS By Solimar Reyes Rodriguez A THESIS Submitted to Michigan State University In partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Electrical Engineering 2008 ABSTRACT OPTICAL COHERENCE TOMOGRAPHY AND MICROWAVE IMAGING: DIAGNOSTIC TECHNIQUES FOR OSTEOPOROSIS By Solimar Reyes Rodriguez Osteoporosis is a disease in which bone mineral density is reduced, making the bone brittle. Two different imaging techniques, Optical Coherence Tomography (OCT) and Microwave imaging, are proposed for osteoporosis detection. The OCT system was calibrated by measuring the thickness of a microscope cover Slip. The microscope cover slip was replaced by a cortical bone sample and was scanned. Different morphological image processing techniques were applied to the image and the variance was found in order to identify porosity between compact bone and cancellous bone. The variance of the compact bone was higher than that of cancellous bone. Difference in porosity was found using OCT but more experiments will be needed in order to determine that OCT could be used to find difference in porosity. In order to implement the microwave technique the reflection coefficient was calculated for a layered cylinder using Matlab and was calculated for a realistic tissue- bone model using a finite element package. The simulations, using the finite element package, were carried out with the permittivity and conductivity reduced by 5 percent in the bone to simulate loss of bone density and without reducing it. There was no difference between the total electric field calculated for both simulations. Other non- invasive methods have to be explored. COPYRIGHT BY SOLIMAR REYES RODRIGUEZ 2008 ACKNOWLEDGMENTS There were a lot of people that help me in the process to complete my complete my Master’s degree. First of all, I have to thank my advisors, Dr. Satish Udpa and Dr. Lalita Udpa for all their invaluable guidance through my research and course work and to Dr. David Fischer from NASA Glenn Research Center for all his guidance, support and help through the second part of this research. I also want to thank Dr. Rothwell for all his guidance, electromagnetic lessons, and because everytime I had problems with my research he gave me useful ideas to solve them. I am very grateful for all their support and invaluable help. I would also like to thank Dr. Kavitha Arunachalam for all her help, guidance and interest in my research topic. While I was at NASA Glenn Research Center I met incredible human beings that assisted me with the optical set up. I like to give special thanks to Marius Asipauskas, William Yanis, Gordon Berger, and Chris Garcia for all their help and support and great suggestions. Next, I would like to thank Dr. Barbara O’Kelly and Dr. Percy Pierre and the Sloan foundation for all their support and guidance through graduate school. I am a Harriet G. Jenkins Fellow and this fellowship provided me with fimding for my graduate studies. I would like to thank this program for all the financial support and all the wonderful experiences that I was exposed to while being part of this program. I would also like to thanks all my teachers and friends who provided me knowledge, and emotional support through all this process. I would like to thank Priscilla Génzalez, Alexandra Litchfield, and Giselle Agosto for all their unconditional friendship. 1V Finally, I would like to give all my gratitude to my parents, Aida Rodriguez Rodriguez and Samuel Reyes Saldar‘ia, my sister, my extended family, and to my beloved, Carlos Eduardo Nifio. These people mean the most to me because they give me all their support and all their unconditional love and the journey was very pleasant with their presence by my side. TABLE OF CONTENT LIST OF TABLES VIII LIST OF FIGURES IX CHAPTER 1 INTRODUCTION 1 CHAPTER 2 BACKGROUND 5 2.1 BONE MINERAL DENSITY RESEARCH 5 2.2 OPTICAL COHERENCE TOMOGRAPHY (OCT) 9 2.3 MICROWAVE TECHNIQUES 21 2.4 TISSUE DIELECTRIC PROPERTIES 24 2.5 THE INDUCTION THEOREM 26 2.6 LAYERED DIELECTRIC CYLINDER MODEL 27 CHAPTER 3 SIMULATION RESULTS FOR THE MICROWAVE TECHNIQUE........ 33 CHAPTER 4 CONSTRUCTION AND CALIBRATION OF AN OPTICAL COHERENCE SYSTEM 59 4.1 MICHELSON INTERFEROMETER 59 4.2 OCT SYSTEM WITH A LED AS A LIGHT SOURCE 61 4.3 OCT SOURCE 79 CHAPTER 5 ANALYSIS OF OPTICAL COHERENCE TOMOGRAPHY DATA ......... 87 5.1 CALIBRATION OF THE SYSTEM 87 5.2 EXPERIMENTAL OBSERVATIONS 93 5.3 DEPTH SCAN DATA ANALYSIS 97 CHAPTER 6 CONCLUSIONS 109 APPENDIX A 112 MATLAB CODES FOR OCT 112 A1 CODE USED To DETECI‘ AVERAGE DISTANCES 112 A2 CODE USED To APPLY MORPHOLOGICAL IMAGING TECHNIQUES TO THE BONE IMAGES 113 A.3 LAB VIEW PRINT OUTS USED To COLLECT DATA IN THE OCT TECHNIQUE 1 15 vi APPENDIX B 121 MATLAB CODES TO IMPLEMENT MICROWAVE IMAGING TECHINIIQUE............ 121 3.] CODE To DETERMINE THE DIFFERENT FIELDS FOR THE LAYERED CYLINDER ............. 121 3.2 CODE To CALCULATE THE REFLECTION COEFFICIENT FOR THE GRID 123 3.3 CODE T0 CALCULATE THE ELECTRICAL PROPERTIES OF HUMAN TISSUE .................... 124 vii LIST OF TABLES Table 1 Results from the experiment with the LED as a light source and both mirrors... 64 Table 2 Results from the Microscope cover slip experiment ........................................... 69 Table 3 Results of the average distance between the peaks ............................................. 98 Table 4 Varince of data after applying erosion operation ............................................... 104 Table 5 Varince of data after applying “opening” operation. ........................................ 106 Table 6 Varince of data after applying “closing” operation. .......................................... 107 viii LIST OF FIGURES Figure 2.1 OCT set up ...................................................................................................... 11 Figure 2.2 Interference Signal .......................................................................................... 12 Figure 2.3 In Vivo image of the aorta using OCT. ........................................................... 19 Figure 2.4 a) Shows the original problem and b) shows how the induction theorem is applied. ...................................................................................................................... 26 Figure 2.5 Induction Theorem for a Perfect Conductor ................................................... 27 Figure 2.6 Geometry of a circular dielectrical scatterer with three layers. ...................... 28 Figure 3.1 Geometry of a circular dielectric scatter with 4 layers. .................................. 35 Figure 3.2 Graph that shows the incident field, scatter field, and reflection coefficient. 40 Figure 3.3 “Images in this thesis are presented in color”. Grid showing different reflection coefficient numbers for different positions at 200 MHz. Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated. The numbers on top of the lines are the reflection coefficients for those regions. The regions inside the red line represent the skin, fat and bone. The outer regions in the figure have the smaller reflection coefficient (1.72). The next region has a reflection coefficient of 1.74. The reflection coefficient in the region close to the cylinder free space boundary is 1.76. Inside the cylinder the reflection coefficient varies fiom 1.78 to 1.86. ............................... 42 Figure 3.4 “Images in this thesis are presented in color”. Graph showing that the reflection coefficients are less than one far away from the Skin free space boundary. Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated The numbers on top of the lines are the reflection coefficients for those regions. The regions inside the red line represent the skin, fat and bone. The outer region in the figure has a reflection coeflicient of .95. The next region has a reflection coefficient of 1. The region below has a reflection coefficient of 1.05 and the region closer to the skin free space boundary has a reflection coefficient of 1.1 .............................................................................. 43 ix Figure 3.5 “Images in this thesis are presented in color”. Reflection coefficients calculated at different positions at 100MHz. Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated. The numbers on top of the lines are the reflection coefficients for those regions. The regions inside the red line represent the skin, fat and bone. The outer region has a reflection coefficient of .6. The reflection coefficient of the region close to the cylinder free space boundary is .61. ...................................................... 44 Figure 3.6 “Images in this thesis are presented in color” (a) Shows the reflection coefficients calculated at 200 MHz and (b) shows the reflection coefficients calculated at 900MHz. Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated. The numbers on top of the lines are the reflection coefficients for those regions. The regions inside the red line represent the skin, fat and bone. .................................................. 45 Figure 3.7 Pictures that Show the air box, leg, and coax antenna used in the simulation with HF SS. ................................................................................................................ 47 Figure 3.8 Mesh inside the structure that was simulated. ............................................... 48 Figure 3.9 Line behind the leg where the total field was measured. .............................. 49 Figure 3.10 Graph of the total electric field of the leg with regular permittivity and 5% less permittivity for 100 MHz. .................................................................................. 51 Figure 3.11 Graphs of the total electric field of the leg with regular permittivity and 5% less permittivity for 50 MHz. .................................................................................... 52 Figure 3.12 Graphs of the total electric fields of the leg for 200 MHz ........................... 53 Figure 3.13 Graphs of the total electric fields of the leg for 500 MHz ........................... 54 Figure 3.14 “Images in this thesis are presented in color”. Graph of the total electric field of the leg for 500 MHz when the difference in permittivity is 25%. ............... 55 Figure 3.15 “Images in this thesis are presented in color”. Graphs of the total electric fields of the leg with regular permittivity and 25% less permittivity for 50 MHz. .. 56 Figure 3.16 “Images in this thesis are presented in color”. Graphs of the total electric field of the leg with regular permittivity and 25% less permittivity for100 MHz. 57 X Figure 3.17 “Images in this thesis are presented in color”. Signals for a healthy bone and a bone with 25% of permittivity loss for a different position of the coaxial cable antenna. ..................................................................................................................... 58 Figure 4.1 “Images in this thesis are presented in color”. Michelson Interferometer 60 Figure 4.2 LED used for this experhent ......................................................................... 62 Figure 4.3 Set up of a Michelson Interferometer using a LED as a light source ............ 63 Figure 4.4 “Images in this thesis are presented in color”. Experimental and true interference when an LED was the source of the OCT system. . .............................. 66 Figure 4.5 Experimental data when an LED was the source of the OCT system. ........... 67 Figure 4.6 Michelson Interferometer with a Microscope cover slip ............................... 68 Figure 4.7 Gold coated cover slip. ................................................................................... 69 Figure 4.8 Graph showing the two interference peaks. ................................................... 73 Figure 4.9 Graph that shows experimental data vs. true approximation. ........................ 75 Figure 4.10 Interference with LED as a point source and a motorized linear stage. ....... 76 Figure 4.11 “Images in this thesis are presented in color”. Graph showing experimental and true interference. ................................................................................................ 78 Figure 4.12 Interference peaks with a LED as a point source and motorized linear stage. ................................................................................................................................... 79 Figure 4.13 Interference peaks with an OCT as a point source. ...................................... 80 Figure 4.14 Interference peaks with an OCT source and intensity around 6V. ............... 81 Figure 4.15 "Images in this thesis are presented in color”. Front surface of the microscope cover slip. .............................................................................................. 84 xi Figure 4.16 Bone sample used in the experiment. ........................................................... 85 Figure 4.17 Signal from the depth scan of the bone sample. ........................................... 86 Figure 5.1 OCT system built by Applied Science Innovations. ...................................... 88 Figure 5.2 Microscope cover slip coated with gold. ........................................................ 88 Figure 5.3 Image of the microscope slip cover with gold and depth scans of the microscope cover slip. .............................................................................................. 89 Figure 5.4 Schematic that explains how the thicknesses of the microscope cover slip cover with gold was obtained. .................................................................................. 90 Figure 5.5 Schematic of the microscope cover slips and the signal. ............................... 92 Figure 5.6 Image of the three microscope slips and depths scans for three microscope cover slips. ................................................................................................................ 92 Figure 5.7 Picture of the three microscope cover slips used to calibrate the OCT system. ................................................................................................................................... 93 Figure 5.8 Tibia slice sample scanned. ............................................................................ 94 Figure 5.9 “Images in this thesis are presented in color”. Picture of the tibia that shows the compact Structure and the cancellous structure of bone. .................................... 95 Figure 5.10 “Images in this thesis are presented in color.” Picture of the bone that shows the areas of the bone that were analized .................................................................. 95 Figure 5.11 Picture of the bone that shows how it was scanned ...................................... 96 Figure 5.12 Image of dot l and its depth scans ................................................................ 97 Figure 5.13 (a) Original Image (b) Line structural element of size 2 (c) Image after erosion ....................................................................................................................... 99 xii Figure 5.14 (a) Original Signals and (b) Signal after erosion with size 3 structuring element. ................................................................................................................... 100 Figure 5.15 (a) Original Signals and (b) Signal after ‘opening’ with size 2 structuring element. ................................................................................................................... 102 Figure 5.16 (a) Original Signals and (b) Signal after ‘closing’ with size 3 structuring element. ................................................................................................................... 103 Figure 5.17 Signals after erosion with (a) size 2 and (b) size 5 structuring element. 105 Figure A.1 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. ................................................................. 115 Figure A.2 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. ................................................................. l 16 Figure A.3 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. ................................................................. 117 Figure A.4 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. ................................................................. 118 Figure A.5 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. ................................................................. 1 19 Figure A.6 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. ................................................................. 120 xiii CHAPTER 1 INTRODUCTION Osteoporosis, one of the prevalent diseases affecting bones results in loss of bone mineral density, rendering bones brittle and more susceptible to fractures [1]. The incidence of osteoporosis increases with age and plagues more women than men particularly post menopause. Besides senility and menopause, one of the major causes for osteoporosis is long term immobilization often experienced after trauma or extended space missions. The absence of earth’s gravity in space disrupts one of the key functionalities of the skeletal bones to support body weight. Diagnostic methods currently available to assess bone mass density include Dual and Single Energy X-Ray Absorptiometry, Quantitative Computed Tomography and Quantitative Ultrasound. The most commonly used X-Ray Absorptiometry methods are radioactive and are often less sensitive to early. stage osteoporosis. Two different imaging techniques for quantifying bone mass density are proposed here. The first approach employs Optical Coherence Tomography (OCT) and the second approach investigates microwaves. Imaging is an important tool in the medical field because it helps doctors to give accurate diagnostics. Computed tomography, Spiral or Helical CT, Electron beam CT, Magnetic Resonance Imaging, Ultrasound, Nuclear Medicine Technique, Microwave Imaging, and Optical Coherence Tomography are some of the imaging techniques used in the medical field. Optical coherence tomography (OCT) is a three dimensional imaging technique with ultrahigh Spatial resolution even in highly scattering media. In this technique the longitudinal locations tissue structures are determined by measuring the l time-of-flights delays of light backseattered from these structures. The optical delays are measured by low coherence interferometry. Information on lateral position is provided by transverse scanning of the probe beam. OCT is the optical analog of ultrasound, but with greatly improved spatial resolution. The second approach for bone density estimation employs microwaves. Microwave is a non-ionizing penetrating energy source with enormous potential in biomedical applications. Microwaves range from 300MHz to 300 GHz; this is between the VHF radiowaves and the far infrared in the electromagnetic spectrum. The electrical properties of different human tissues at RF and microwave fi'equencies are well documented in the literature. The dielectric properties of tissues depend on their water content and frequency. Muscle and skin have high water content and they have greater permittivities than bone and fat that have low water content [2]. Microwave imaging consists of illuminating the body to be imaged with a low-power coherent microwave field and measuring the field scattered by the body on the opposite side (transmission imaging) or on the same side (reflection imaging) as the illurninator. The measured data can be processed using specialized reconstruction algorithms [3]. In the past decade, efficient model based image reconstruction algorithms for active biomedical microwave imaging systems have been developed [3]. The model based tomographic algorithms yields 3D tomogram of the electrical properties of the internal tissue. A tomographic setup employing microwaves was used as an alternative approach for imaging skeletal bones. OCT technique offers a lot of advantages over other imaging techniques. OCT offers high depth and transverse resolution, high probing depth in scattering media, contact-free and non-invasive operation. It provides an axial (depth) resolution of roughly 10 um (depends on bandwidth of source) and a transverse resolution dictated by the beam spot size (focusing increases resolution). Because OCT is based in interferometry, it provides high dynamic range and sensitivity. Imaging of weakly scattering structures even in a scattering environment is possible. OCT is widely used in ophthalmology to diagnose retinal diseases. It is used to detect skin diseases and for the early detection of skin cancer. OCT is also used in the cardio-vascular area to detect plaque in veins. Microwaves also provide a lot of advantages as an imaging technique and is also non invasive. The radiation used is not harmfirl to the patient because of the low power employed and the equipment use by this technique is very common and already developed in the communications field, this makes it available and relatively inexpensive. Microwaves are used also in the medical field to shrink and detect cancerous tumors, and to treat atrial fibrillation. This thesis focuses on the detection of bone mineral density loss using OCT and microwave imaging. Three major contributions of this thesis are i) the equipment is small and relatively inexpensive and this allows that more people will be tested, ii) it is sensitive to early stages of osteoporosis, iii) does not requires much training for technicians. The rest of this thesis is organized as follows. In Chapter 2, microwave imaging and OCT techniques are explained in depth and previous work related to these techniques 3 is presented. The simulations done for the microwave technique are introduced in Chapter 3. Chapter 4 presents construction and calibration of an OCT system. The experimental results showing the images obtained with OCT are presented in Chapter 5. Finally some concluding remarks are presented in Chapter 6. CHAPTER 2 BACKGROUND 2.1 BONE MINERAL DENSITY RESEARCH Osteoporosis is caused by the lack of physical stress on the bones because of inactivity. This is why astronauts suffer from bone mineral density loss. Also malnutrition and lack of vitamin C can contribute to bone mineral density loss. Vitamin C is very important for the secretion of intercellular substances by cells [1]. Women that go through the menopause phase experience lack of estrogen secretion. Estrogen and vitamin C are very important because they produce osteoids. Osteoid is like a cartilage but calcium salts readily precipitate in it. Other factors that contribute to bone mineral density loss and osteoporosis are ageing and Cushing’s syndrome. Bone mineral density loss is usually determined by X-ray absorptiometry (DEXA)[4]. For this technique two different X-rays beams are used. If the bone is strong it will not allow a great amount of X-ray radiation to pass through them. This technique is used at the posterior-anterior and lateral lumbar spine, proximal femur and forearm. Another type of X-ray absorptiometry is Peripheral dual energy X-ray absorptiometry[4]. This technique measures bone mineral density loss in the arms and legs. It is not a good technique to follow up treatment or to measure bone mineral density loss in the hips or spine. There are other techniques that are used to detect bone mineral density loss. Quantitative computed tomography (OCT) [4] is a densitometry technique that measures bone mineral density loss in the spine because of the high responsiveness of the spinal trabecular bone. QCT is also used to asses vertebral fracture risk, and to measure the effectiveness of follow up treatments for osteoporosis and other bone related diseases. Peripheral OCT [4] is used for the same purpose but instead of measuring bone mineral density loss in the spine, it measures it in the arms and legs. This technique is expensive and it uses higher radiation doses. Dual photon absorptiometry [4] uses radioactive substances to measure bone mineral density loss in the hip and spine. The problem with this technique is that it scans very slowly and it takes more time. Ultrasound can be used to detect bone density loss in the heel. It can not be used to detect bone mineral density loss alone and can not be used to measure the effectiveness of follow up treatment. DEXA is ofien used to confirm the results. Bone mineral density assessment is very important to detect osteoporosis and to determine the effectiveness of the treatment selected for the patient. Research has been done in order to determine the effectiveness of each of the methods created to measure bone mineral status and new methods had been created. In [4] the most common noninvasive methods for assessing bone mineral density status are compared in terms of their respective abilities to reflect age and menopause related bone loss, and their ability to determine bone fractures. In this study among all the different techniques that are compared, spine computed tomography was the one that performed the best. Quantitative Computed Tomography was also found to be very accurate to measure bone mineral density loss after oopheroctomy [5] and also for determining the effectiveness of the treatment. The most common technique used to measure bone mineral density loss is DEXA. DEXA is used to measure bone mineral density loss accurately in the lumbar Spine. This technique is usually compared with QCT and Dual Photon absorptiometry (DPA). In [6] the precision of DEXA was better than DPA but the ability to predict future fractures was about the same for both methods. In the case of Lateral DEXA the diagnostic sensitivity [7] was between that of Posteroanterior DEXA and QCT. It was also found that Lateral DEXA has more sensitivity than QCT when anatomic abnormalities or degenerative processes of the spine are present. Duboeuf et a1 Show [8] that the performance of Lateral DEXA can be improved. In this case the DEXA machine was equipped with multiple detectors and a rotating arm. Lateral projections improve the discrimination between people with and without osteoporosis the method can also be used for early detection of trabecular bone loss in perimenopausal women and in the elderly. DEXA is also used to measure bone mineral density loss in the forearm but in [9] Deodhard et al showed that the method can be used to measure bone mineral content in the hand to asses and monitor rheumatoid arthritis. In order to accomplish this, the technique used to measure bone mineral density in the spine was modified by hardening the X-ray beam with a perspex aluminum plate. The method offers a quantitative way of measuring bone mineral content and is reproducible even when the patient changes the hand position. The procedure and is automated to avoid observer error. Recent research shows that DEXA often provides inaccurate measurements of bone mineral density loss. The variability in bone mineral density loss measured with DEXA arises from soft tissue anthropometrics than to natural variations in bone mineral 7 density loss [10]. Another factor that creates false bone mineral density readings is the fact that there can be disparities between the X-ray attenuation characteristics of soft tissues along photon paths laterally adjacent to the bone and those on paths intersecting the bone segment that are unavoidably assigned by DEXA to bone material[10]. Because of this the Red Marrow and Yellow Marrow mix along any given X-ray trajectory have to be such that their linear attenuation coefficient is less than that of the particular extraosseous fat and lean muscle tissue mix laterally adjacent to the bone. This absorptivity deficit is attributed by DEXA to bone mineral density loss and causes the bone mineral density loss value to be over or under estimated. For these reasons the inaccuracies of DEXA readings could be up to 20% [10]. Ultrasound has been found to measure different bone properties, like structure and elasticity, than the ones that can be measured with other methods using broadband ultrasonic attenuation (BUA) and the velocity of ultrasound through the heel (HV) [11]. Velocity of sound is related to the density and elasticity of bone and BUA to the density and trabecular architecture of cancellous bone. Research suggests that these properties change with age [11]. Radiographic absorptiometry (RA) is another technique that can be used to measure bone mineral density loss. It is usually used to predict fractures in the phalanges but Yang [12] et a1 show that the method can be used to find bone mineral density loss successfully in hip and spine, places prone to osteoporotic fracture. This technique can identify osteoporotic fractures as well as other techniques such as DEXA but not as well as QCT [10]. It is an easy technique to implement and the equipment is more available than bone densitometers and it does not require that much training for the technician [13]. Lately few new techniques to measure bone mineral density loss have been developed. In [2] a potential new technique is presented. This study indicates the potential that impedance spectroscopy has to measure bone mineral density loss. The study does not compare this technique with DEXA and ultrasound but suggests doing so. A new technique using an iterative numerical solver based on the finite volume method for simulating the induced current impedance for two dimensional polar grid objects is also being explored. This study shows a strong correlation between bone density variations and the corresponding surface potentials. It is recommended only as a complimentary method rather than an alternative technique because the values and the distribution of surface potential is a personal unique characteristic, and requires calibration with a conventional bone densitometry system or obtaining reference geometry from an imaging modality before using the bio-impedance technique. The advantage of this technique is that it is inexpensive and does not uses ionizing radiation like DEXA or QCT [14]. 2.2 OPTICAL COHERENCE TOMOGRAPHY (OCT) OCT is a non invasive three dimensional imaging technique that has superior spatial resolution and sensitivity than ultrasound. OCT is analogous to ultrasound but instead of measuring the backreflection intensity of sound, it measures the backreflection intensity of infrared light. A low time coherence light source in a Michelson Interferometer is part of the set up. The Michelson Interferometer splits the light beam into two different beams and recombines them with a beam splitter. The first beam is reflected by two different mirrors while the other beam is reflected by a mirror and the sample to be scanned. This light intensity that is recombined is directed towards a photodetector. The intensity or irradiance that reaches the detector is given by: ID =IR+15+2Rey(z)llJI—,Iscos(2kAl) (2.1) Where I D is the combine signal at the detector, 1R is the intensity reflected from the mirror, I S is the intensity reflected from the sample, k=£f , and AI is the coherence length. If the pathlengths of both beams match to within a coherence length, interference will occur [15]. Coherence length is the distance the light beam travels over the period of time where the phase correlation between the two beams stays constant. The backreflection intensity of infrared light can not be measured electronically because of the high speed associated with the propagation of light [15]. In order to measure backreflection intensity of light, low coherence interferometry is used. Low- coherence interferometry utilizes a light source with low temporal coherence. In order to optimize resolution, the OCT set up should, for convinience, have a source with a Gaussian spectrum because the autocorrelation function of a Gaussian source is Gaussian. In addition the source needs to have a low temporal coherence [15]. Figure 2.1 shows a common OCT set up. 10 Reference t OCT Depth Mirror 5C3" Low Coherence I t IS n Light Source . _ La era ca I «II-ll \ Beam ...... Expander ggmrc , Sample Lens .1 -,;_,; J .. . “JW' _ V Pinhole Detector Sample Signal Processing Figure 2.1 OCT set up. 0 Fercher A F, Drexler W, Hitzenberger CK and Lasser T 2003 Rep. Prog. Phys. 66 239-303 When a Gaussian source is used the irradiance becomes: .- -1223123. [areal exp[ onAz'p]exp (2.2) Where (00 is the central frequency, 0“,, is the standard deviation of the angular frequency spectrum, Az' p is the phase delay, and Arg is the group delay. The second term of this equation is oscillatory and is the Gaussian envelope of the autocorrelation function. This firnction carries ranging information and is critical to obtain high resolution images [15]. Figure 2.2 shows this autocorrelation function. 11 Interference 0.11 T I I l i 0.108_ J _ 0.106~ . > I '5 mi lit E 0104~ MMWWH‘ if {Mp/WWW. E ii i 0102— it _ 0.1» , 0091%“; 135 1.652 1.654 1.655 1.658 1.06 Position in um 4 X1 0 Figure 2.2 Interference Signal. OCT technique offers a lot of advantages over other imaging techniques. It has high depth resolution at sites where it is not possible with high numerical aperture beams [l 6]. The depth and transverse resolution of the OCT technique do not depend on each other. The depth resolution depends on the coherence length. The coherence length is given by: —2 21n2/1 7r 3 ( 2.3) 12 Where Ethe mean wavelength, and Al is is the spectral width. The coherence length is influence by the amount of different frequencies and phases within the beam [15]. The transverse resolution depends on the waist radius of the focused probe beam. The waist radius is given by: w J2 +7z2w4 biz 1 P Where WF is the waist radius, WP is the minimum beam waist radius, f is the focal ( 2-4) length of the sample lens, and 21 is the distance of the focal plane of the sample lens from the beam waist to the unfocused probe beam The depth resolution in the histological 1 pm range is possible [16]. Because OCT is based in interferometry, it provides high dynamic range and sensitivity. OCT enables the imaging of weakly scattering structures in a scattering environment and also is a non-invasive technique that allows in vivo data. Speckle is another factor that can influence or degrade the resolution of the images when using OCT. In order to obtained good resolution with OCT, single backreflected light has to be detected. Speckle results from multiple scattered light from out of focus sites [15]. If two or more of this sites are separated by a distance of odd multiples of one half the wavelength, but within the coherence length, speckle will be present [15]. Speckle produces grains in the image that deteriorates the images but if all the waves backreflect from the sample volume, interfere constructively, and produce contrast, then the OCT image improves [15]. Two different scans procedures are used in this technique. The longitudinal scan or depth scan is performed moving the mirror. Longitudinal tissue structure is 13 detemiined by measuring the times of flight (or phase delay) of backseattered light. It provides an axial (depth) resolution of roughly 10 um (depends on bandwidth of source). The axial resolution is given by: 21112120 AI =— m (25) 2. Where A11 is the full-width at half maximum of the bandwidth. The transverse scan or lateral scan is performed by moving the sample or by transverse scanning of the probe beam. It is determined by how light is directed and collected from the sample [15]. The transverse resolution is given by: was) Where d is the spot size on the objective lens and f is its focal length. High transverse resolution can be obtained by using a large numerical aperture and focusing beam to small spot size [17]. In order to choose the proper OCT light source some important considerations need to be taken into account. Some of the important properties include: coherence, and wavelength. One of the most commonly used light sources in OCT is a Superluminescent diode (SLD)[15]. SLDs are diodes that become optically active and generate amplified spontaneous emission. In contrast to laser diodes, there is not sufficient feedback to achieve lasing action. This amplified spontaneous emission allows l4 SLDs to be used in applications where low time coherence and high spatial coherence light is needed as is the casex of OCT imaging. Coherence can be defined as the degree of correlations that exist between the light fluctuations of two interference beams [15]. The wavelength selection is very important because the light penetration into the skin depends on it. Scattering decreases when the wavelength is increased. Near Infrared light experiences forward-directed scattering interactions in tissue [16]. This is one of the reasons why SLDs are good sources for OCT. SLDs wavelength range goes from 675nm to 1550nm, output powers up to SOmW and spectral widths up to 70nm. A number of different OCT imaging techniques relying on polarization, doppler, absorption, and elasticity OCT have been proposed [18]. Polarization OCT detects the modified state of backreflected polarized light that the tissue generates when the light passes through it. Normally the tissues that would produce this modifications of backreflected polarized light are the ones that have very well organize structures. Some of the tissues that have very well organized structures include: collagen, cholesterol crystals, acting-myosin complexes, nerve fibers, and calcium hydroxyapatite. Birefringence, dichroism, and optical rotation are three mechanisms used by the tissues to modify polarization. Birefi-ingence occurs when the light propagation velocity is dependent on the spatial orientation of the sample and is the most important mechanism. Some factors that can affect birefringence are: molecular concentration, chemical composition of molecules, form and intrinsic birefringence, molecular organization, and the presence of multiple birefiingent materials. Changes in molecular type, 15 concentration, and organization can be signs of different pathological conditions and this is why this technique is so powerful [15]. Doppler OCT measures the Doppler frequency shift in the OCT signal [15]. It provides local velocity mapping with high spatial resolution. In comparison with Doppler ultrasound, Doppler OCT measures the velocity resolution better than ultrasound because the wavelength of the lightwave is shorter. Doppler OCT has been applied to different fields like ophthalmology, dermatology, gastroenterology, cardiovascular medicine, oncology and several others. Absorption OCT measures the absorption spectrum of a sample [18]. It has the goal of providing depth resolved quantitative tissue spectroscopy [19]. In order to do this two different light sources are used These two light sources need to have center wavelengths within and outside the water absorption band. To separate the scattering and absorption effects, the scattering coefficients have to be similar for both sources [20]. It has applications in the field of ophthalmology. Elasticity OCT measures local variations of the stiffiress inside a tissue in a non- invasive way measuring the shear elastic modulus. It quantifies microscopic deformations of the tissues when stress is applied to them [18]. There are some conditions that produce changes in the shear elastic modulus like edema, fibrosis, and calcification. Elasticity OCT can be used to differentiate between hard and soft masses, to image arterial plaque, and to evaluate how a wound is healing [18]. Research has been done in many areas using OCT imaging. One of the earliest applications of OCT was in the field ophthalmology. A high-speed micrometer- l6 resolution OCT system for automated in viva transpupillary measurements of the human retina was developed[21]. The speed of the longitudinal scan was four times higher than obtained previously. In this work the retinal and retinal nerve fiber layer thickness was determined. The measurement is very important in order to diagnose retinal diseases such as macular degeneration, macular hole and macular edema. The ability of OCT to measure retinal thickness has been confirmed by several studies. In [22] the reproducibility of retinal thickness using commercially available mapping software of OCT was assessed. The thickness, measured by the software, was determined by the distance between the inner borders of the inner and outer red bands of high reflectivity. The study was performed in healthy and diabetic patients and proved that the software allows measurements of retinal thickness in all patients with a reproducibility of i5% in healthy subjects and 16% in diabetic patients with macular edema. In [23] OCT was used to obtain high resolution, cross-sectional images of the retina and cells of the retinal pigment epithelium (RPE). Images of RPE are very important because RPE is thought to be responsible for the formation of epiretinal membranes after retinal detachment. OCT images showed RPE proliferation and migration through the retina into regions of secondary epiretinal membranes. These images suggest that the migration of RPE cells may be responsible for creating the epirentinal membranes in the patients under study. OCT has a lot of applications in the medical area. One of the most important is in the area of cardiovascular medicine. Cardiovascular diseases are the number one leading 17 cause of death in America. OCT is used in the treatment and diagnostic of Acute Coronary Syndromes (ACS). ACS includes myocardial infarctions and unstable angina. OCT has been used for in vivo intravascular imaging in order to determine the thickening of the inner layer of the arteries. Polarization OCT was used in [24] for imaging of back- reflected light, birefringence, and fast-axis orientation simultaneously in different kinds of atherosclerosis plaque. The research suggests that birefringence changes in plaque are possible because of the collagen or cholesterol that is present in plaque. In [24] was found that Polarization OCT is sensitive and that is able to characterize different kinds of atherosclerotic plaques, has the potential to detect atherosclerosis early, and is able to predict plaque rupture. In [25] herniation of atheromatous plaque material into the coronary lumen was observed in all the patients using OCT and this was not obtained with ultrasound. The next figure shows an OCT image of a human coronary artery, the layered structure of this artery with intimal hyperplasia is clearly identified [15]. OCT has also been use for monitoring stent deployment. Stents are use to treat atherosclerotic plaques. In this area it provides high resolution visualization of detailed vessel wall structure within and adjacent to stents [25]. In Figure 2.3 a detailed image of an aorta is shown. Limitations of the imaging method include attenuation of the response due to blood. 18 Figure 2.3 In vivo image of the aorta using OCT. Another application of OCT is in the area of imaging the musculoskeletal system. In this area OCT is used for early diagnosis and monitoring of osteoarthritis. OCT can asses the extend of Osteoarthritis, monitor the effectiveness of chondroprotective agents in the treatment of the disease, and monitor the effectiveness of the techniques of cartilage repair [15]. Osteoarthritis is the number one cause of disabilities in the USA. This disease affects cartilages the most. Cartilages are mostly made of collagen. Collagen as was mention before has a well organized structure and because of this Polarization OCT can be used to detect Osteoarthritis in early stages when collagen disorganization is observed. In [26] OCT was used to detect and monitor progression of experimentally induced osteoarthritis in the rat knee joint. In this research thickness, surface abnormalities, and collagen organization was observed These knee joints were imaged with OCT and polarization sensitive OCT. In this case polarization sensitive OCT was able to detect collagen disorganization. Collagen disorganization is an indicator that osteoarthritis is present. This research proved the capability of OCT to assess articular changes and observe the progression of the disease. OCT can also be used to image tendons and ligaments. It is very useful to image the anterior cruciate ligament, the Achilles tendon and the ligaments that make up the rotator cuff. Research is being conduct to investigate how well OCT can detect cancer in early stages. Gastric cancer has a high rate of sm'vival when it is detected at it is early stages. In order to be detected at an early stage, the mucosa and submocosal diseases have to be differentiated. The problem with the detection of this cancer at this early stage is that it is very expensive. Images using OCT and propylene glycol as a contrast agent have shown differences exist between the lamina propia and muscularis mucosa. In [27] OCT was also used to identify different mucosal layers. OCT has limited depth range but is enough to penetrate the mucosal lining of endosc0pically accessible organs of the gastrointestinal tract and it provides images with resolution superior to other techniques. OCT endoscopies have the potential of guiding the selection of biopsy sites. This technique is better and cost effective if compare to the actual technique of practicing random biopsies for early stage cancer [28]. This shows the potential of OCT to detect early gastric malignancies in an inexpensive way. OCT research is being conducted for other cancer types as well [29]. In [30] intraoperative OCT is used for imaging prostate pathology in vivo. Ex vivo images suggest that OCT is 20 capable of differentiate glandular architectural morphology associated with prostate cancer. OCT has other potential applications in medicine. It is used in dentistry for the diagnosis of early dental caries and assessing the adequacy of restorations [15]. It can also be applied for prostate surgical guidance because it can reduce the impotence rates. Nerve repair surgery is another area that is being considered because OCT has the capability of imaging through the nerve and also distinguishes motor from sensory nerves. OCT could also be used for surgical guidance for the precise delivery of high power laser radiation and ablation of diseased tissue and tumors [31]. Research is being done in the areas of vascular repair, neurosurgery, and in the area of assessing subfertility. OCT has also been used in other fields in addition to the medical field. OCT research in [3 2] was done to analyze and to characterize paper as an alternative to slower, labor intensive, expensive, and invasive techniques. This research shows how OCT is a good alternative for paper characterization and evaluation and also to obtain information about paper quality. 2.3 MICROWAVE TECHNIQUES Microwaves are electromagnetic waves in the frequency range between 300 MHz and 300 GHz. Microwave technology is very important to diagnostic and therapeutic 21 medicine. Microwave has been used for the treatment of benign prostatic hypertrophy non-invasively. Microwaves are used to heat the prostate gland via the urethra and at the same time dilation is made with an expansion balloon of the part of the urethra that surrounds the prostate. This creates a safely long lasting enlarged lumens of the prostatic urethras in one session [33]. Microwaves are used also for creating hyperthermia devices for treating cancer. Hyperthennia treatments can increase the efficacy of conventional radiation and chemotherapy [33]. Another application of microwaves for cancer treatment involves the use of conformal array applicators for the treatment of breast cancer. These conformal array applicators are design to heat superficial tumors and can measure the temperatures of the heated tissues by measuring the thermal noise generated by heated tissues [33]. Microwaves are also applied to the treatment of prostate cancer using a dual microwave antenna system to heat tumors close to the urethra and the rectum. Microwaves are also used to create pores in malignant cells to introduce chemotherapeutic agents into the cell and destroy them [33]. The determination of the reflection coefficient and transmission coefficient at microwave frequencies can be very helpful to detect changes in structures or human body. In [34], [3 5] the refractive index was measured at a microwave frequency for concrete. The refractive index was calculated for concrete a week after curing and 14 months after curing. The index of refraction showed a difference in the imaginary part indicating that aging, in this case water desiccation, is responsible for this change in the imaginary part. 22 Microwaves can be used to determine electric and dielectric properties of materials using the free space technique which is contact-less. This can be used to create more techniques to non-invasively treat or diagnose different types of diseases. In [36] the permittivity of a material is found using the free space technique and the transmission and reflection coefficient values. In order to do this the material sample is prepared with large attenuation. The free space method has been improved in order to reduce the effect of multiple reflections and diffraction effects to measure complex permittivity and magnetic permeability. The complex permittivity and magnetic permeability are calculated from the reflection and transmission coefficients measured with horn lens antennas [37], [38]. Another method used to detect changes in material structures at microwave frequencies involves the use of open ended rectangular waveguide sensors. This technique is used to detect the minute thickness variations in laminate structures and is especially useful to detect rust under paint. Microwaves can penetrate inside low loss dielectric materials, like paint, and interact with their inner structure without suffering from high attenuation. Variations in the magnitudes and phase of the reflection coefficient indicate the presence of rust [39]. This technique and the variations in the reflection coefficients can be used in different fields to determine changes in different structures. 23 2.4 TISSUE DIELECTRIC PROPERTIES The relationship between electrical properties and the microstructure of trabecular bone has been studied[2]. Some of these electrical properties are: permittivity, loss factor, conductivity, phase angle, impedance, and dissipation factor. The pemittivity for a dense, healthy bone is tipically high and low bone mineral density loss is associated with high conductivity. Perrnittivity also shows a dependency with the trabecular bone volume fraction; this parameter is strongly correlated with bone mineral density loss. Conductivity in the trabecular bone is dependent on the fluid phase distribution and the spatial orientation of the pores. These factors affect conductivity and the amount of liquid phase and its spatial distribution have an impact on permittivity at low frequencies. This effect decreases with increasing frequency [2]. The dissipation factor and relative permittivity are capable of characterize human trabecular bone microstructure because these two are related to the amount of calcified matrix of trabeculae [2]. There is also a relationship between mechanical properties of bone and electrical measurements. Bones that have complex architecture and high density have high permittivity, strength, and Young’s modulus. Bone strength was well predicted by relative permittivity but not by conductivity [40]. Dielectric properties of tissues are necessary for simulations involving tissue behavior towards microwave exposure. These dielectric properties are very important for the biomedical imaging area. The dielectric properties of tissues are dependent in the interaction between electromagnetic radiation and its constituents at the cellular and 24 molecular level [41]. The dielectric properties of the different tissues are calculated from their complex relative permittivity in [41] which is given by: 3 = £'— jg” (2.7) Where 8' is the relative permittivity of the material and 8" is the out of phase loss factor which is given by: 5" = _0' ( 213) 50w 0' is the conductivity of the material, sometimes depending on the tissue there is a contribution fi'om a frequency dependent-independent ionic conductivity 0',- , so is the free space permittivity and a) is the angular frequency of the field. These dielectric properties given in [42] were characterized from 10Hz to lOOGHz accross four dispersion regions. The frequency dependence within each dispersion region was expressed as a Cole-Cole equation: A5,, 1+ (jan'n )(l—a) A 8(a))=£oo +2 + , l (2.9) 16080 Where A8,, is the magnitude of the dispersion and A8,, =35 — goo , 800 is the permittivity at field frequencies where (or >>1, as is the permittivity at car << 1, and a is the low frequency dispersion and is associated with ionic diffusion processes at the site of the cellular membrane. 25 2.5 THE INDUCTION THEOREM The induction theorem is used to find the scatter field when an obstacle is present The incident field is defined as the field generated by the sources when an object is absent and the total field is defined as that produced when the object is present. The scatter field is defined as the difference between the field with the object present and the incident field, that is, [43]: 1355:1549i H3=H—H‘ (2.10) This scatter field is the field produced by the currents surrounding the object. The total field and the incident field have the same sources. Figure 2.4 shows how the induction theorem works. E=Ei+Es Es n n Object )Js=Hi x n L $st=n x Ei a b Figure 2.4 8) Shows the original problem and b) shows how the induction theorem is applied. The induction theorem can also be used to find the surface currents. In order to do this the object is retained and the total field exists internal to it and the scatter field exists external to it. The currents of these fields are given by: 26 Js=nx(Hs—H) MS=(ES—E)xn (2.11) When the object is a perfect conductor the induction theorem is simplified because the tangential total electric field is zero. Figure 2.5 shows how the induction theorem works for a perfect conductor object. The equations of the field and current are reduced to: anS=-ani MS=ES>1, 5 S is the permittivity at an >1, and a is the low frequency dispersion and is associated with ionic diffusion processes at the site of the cellular membrane. For this equation Clm is the scatter modal coefficient for free space. The total electric field distribution for layers 2 and 3 can be expressed in terms of an infinite number of both nonpropagating and propagating cylindrical wave modes. The total field for layer 2 is given by E22(10,¢)=Eo Z Bszm(k2.0)ejm¢+Eo Z szHm(2)(k2P)ejm¢ (3.3) m=—® fizz—(1) and for layer 3 is given by E32 (Pa¢) = E0 2 83m] m (k3p)ejm¢ + E0 2 C3mH ”1(2) (k3.0)ejm¢ (3-4) m=—oo mz-oo where Bzm,C2m,B3m,C3m are unknown modal coefficients that were found for the different dielectric regions. For layer 2,02 s p 5 al , and for layer 3, a3 3 p 5 a2 , where 02 =1.3 cm and a3 =1.1cm. For layer 4 the total electric field distribution can be expressed in terms of an infinite number of nonpropagating cylindrical wave modes: E4z(p,¢)=Eo Z B4me(k4p)e/""¢ (3.5) m=-oo 34 Where p 5 a3 and B4”, is an unknown penetrated field modal coefficients for this layer. The next figure shows the geometry of a circular dielectric scatterer with the different layers used in this simulation. Layer1 Boundary1 Boundary2 Figure 3.1 Geometry of a circular dielectric scatter with 4 layers. The angular component of the total magnetic field can be expressed in terms of the axial electric field in the respective layers, and these are given by: jkr °° --m . (2y jm¢ H1¢(p.¢) = ——E0 2 [J J m(k1p)+ ClmHm (kl/ans p 2 a1 0/11 m=—-q3 (3.6) 35 .k a) , ' _ H2¢(p,¢) = -'aj7}2-Eo 2 [13sz m (kzp) + CZmHm(2) (16219)]?! "”502 S P S a1 mz—q) (3.7) .k a) ' . H3¢1e1"'¢a3Spsa2 toys m=—oo (3.3) .k a) . H4¢(.0,¢) = 71::1-50 Z [B4mJ 'm (k4p)]81m¢10 5 a4 (39) m=—oo In order to determine the modal coefficients Clm,C2m,C3m,Bzm,B3m,and B4", the electromagnetic boundary conditions had to be enforced. Both the axial component of the total electric field and the angular component of the total magnetic field are continuous at the dielectric boundary. If they are continuous at the boundary then: E12 (,0, ¢) = E22 (,0, ¢) f = 3.10 H1¢(p,¢)=H2¢(p.¢) °”’ “1 ‘ ’ E22(pa ¢) = E3Z(pa ¢) f = 3.11 H2¢(P,¢)=H3¢(P,¢)orp 02 ( ) E3Z(p,¢) = E4Z(p> ¢) f = . H3¢(P,¢) =H4¢(.0,¢) mp 03 (3 12) The total electric field expressions and total magnetic field expressions were substituted into the boundary conditions just stated here and in order to find the modal coefficients 36 the following modal matrix equation is obtained based on the coupled boundary condition expressions: [M MA] = [V] (313) To find the elements of the [M] matrix the coupled boundary condition expressions were solved for the Bessel function of the total electric field in layer one. For E12 (,0, (’5) = E22 (.0: ¢) , j—m m(k101)+ ClmHm(2) (klal) = B2me (k2 al ) + CZmHm(2)(k201) - (2) (2) (3'14) -1 meU‘lal) = CrmH m (k101) -32me(k2 (11)- szH m (kzal) The first row of the [M] matrix is: [Hm‘2)(k1a1) —Jm(k2a1) -Hm‘2)(k2a1) o o 0] For H 1¢(10,¢) = H2¢(p,¢), k '- . k , k I k I “E1 me (klal)-E1ClmHm(2) (klal) = "$82me (k201) ‘fiCZmHM(2) (kzal) k ._ . k - k . k - —‘J “J", (k1a1)= ——‘C1mHm‘2>(k1a1>+-leme (k2a1)+—2C2mHm<2> (kzai) #1 #1 #2 #2 (3.15) The second row of the [M] matrix is: kl (2)' k2 ' k2 (2)' ] H ka J k a] Hm k a O 0 O [ m ( 1 l) 2 m( 2 ) 2 ( 2 l) 37 For Ezz(p,¢) = E3z(p,¢), Bszm (kzaz) + C 2mH ma) (k202) = 193me (16302) + C3mH mm (117302) BJk C 11(2)]: —BJk —CH(2)k -o (3'16) 2m m( 202)+ 2m m (2‘12) 3m m( 302) 3m m (302)- The third row of the matrix [M] is: [0 Jmaczaz) Hm‘2)(k2a2) —Jm(k3a2) -Hm(2)(k3a2) 0] For H2¢(,0,¢) = H3¢(,0,¢), k2 #2 k2 ' k ' k l k I Bszm (k202) ulczmHm‘Z) (k2a2)+—383me (k3 a21+4C3mHmm (ksaz) = o #2 #2 #3 #3 l k l k D k 0 Bszm (km) 722—672mHm‘2) (km) = 733—133me (km—jaws” (16302) (3.17) The fourth row of the matrix is: k ' k ' k ' k ' [0 --2-Jm(k202) -—2-Hm(2)(k202) —3-Jm(k302) "linen/€302) 0] #2 #2 #3 #3 For E3Z(pa¢) = E4Z(p3¢) , BngmacsamCsmHm(2>(k3a3)=B4me(k4a3> (3.18) Bstm (16303) + C3mHm(2) (16303 ) - 194me (16403) = 0 38 The fifth row of the matrix is: [0 0 0 Jm(k3a3) Hmm (1903) -Jm(k4a3)] For H3¢(,0,¢) = H4¢(p,¢), k I k ' k ' -434me (k 4 a3) = ——333me (k3a3)—-iC3mHm(2) (ksa3) (3.19) #4 #3 ”3 The sixth row of the matrix is: k . k ' k ' [o 0 o ——3-Jm(k3a3) ——3-Hm(2)(k3a3) —41m(k4a3)] #3 #3 #4 The excitation column vector [V] has the form: ,— .- -J'_m(k101) k ._ I —1 J "UM/€101) .ul COCO .. .J The unknown modal coefficients that conform matrix [A]: 39 The next figure shows the results obtained when the cylinder was used to resemble a finger. L-————-——.——: l g: 1——- : 1 l 0 500 1000 1500 f(MHZ) 2 , 1 _ /\\ i I U) 1..---- --__--____:-:1‘:::~:—_—_—_— ' a : : 0 : 1 0 500 1000 1500 f(MHZ) 2 I I \-\ : : E1r———— ~-----—-——-‘-‘“—.‘-‘=F I ——- o 1 1 0 500 1000 1500 f(MHZ) Figure 3.2 Graph that shows the incident field, scatter field, and reflection coefficient. In this figure the scatter field is more than one and the incident field, i.e. the field when no obstacle is present, was exactly one. The transmission coefficient, scatter field, and incident field were calculated for different fiequencies, from 100 MHz to 1.5 GHz. To find the reflection coefficient the following equation was used. E0 2 ClmH‘Zlmrka I“ = % = ”2:1: . (3.20) 1 EO 2 1"me (kl/OW m¢ m=—oo 40 The reflection coefficient is more than one because the microwaves were concentrated around the cylinder. In order to prove this, the cylinder model was placed in a grid and the reflection coefficient was calculated for different positions. The reflection coefficient was calculated for a Cartesian grid converting the original polar coordinates used for the cylinder model into Cartesian coordinates. Figure 3.3 shows how the reflection coefficient was decreasing while it was far away from the cylinder. The red line indicates the boundary between the skin and free space. Figure 3.4 shows how the reflection coefficient is less than one when it is calculated at positions very far away from the skin and free space boundary. 41 0.01 0.005 Cylinder-Free Space Boundary - .02 -0.02 -0.015 -0.01 -0.005 0 0.005 0.01 0.015 0.02 Figure 3.3 “Images in this thesis are presented in color". Grid showing different reflection coefficient numbers for different positions at 200 MHz. Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated The numbers on top of the lines are the reflection coefl'rcients for those regions. The regions inside the red line represent the skin, fat and bone. The outer regions in the figure have the smaller reflection coefficient (1.72). The next region has a reflection coefficient of 1.74. The reflection coefficient in the region close to the cylinder free space boundary is 1.76. Inside the cylinder the reflection coefficient varies from 1.78 to 42 Skin-Free Space Boundary 0 . , -— . -0.02 -0.015 -0.01 -0.005 0 0.005 0.01 0.015 0.02 Figure 3.4 “Images in this thesis are presented in color”. Graph showing that the reflection coefficients are less than one far away from the skin free space boundary. Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated. The numbers on top of the lines are the reflection coefficients for those regions. The regions inside the red line represent the skin, fat and bone. The outer region in the figure has a reflection coefficient of .95. The next region has a reflection coefficient of 1. The region below has a reflection coefficient of 1.05 and the region closer to the skin free space boundary has a reflection coefficient of 1.1. The only frequency that experienced reflection coefficients less than one at all positions in the grid was 100 MHz as can be seen in Figure 3.5. Reflection coefficients were more than one for all the different frequencies. The reflection coefficients were decreasing while the frequency was increasing from 200 MHz to 900 MHz as can be seen in Figure 3.6. At higher fi'equencies, from lGHz to 1.2GHz and from 1.3GHz to 1.5 43 GHz, the reflection coefficients remained the same and less than the reflection coefficient recorded at 900MHz. 0.02 0.015 0.01 0.005 Cylinder-Free Space Boundary 43.02 -o.015 -o.01 43.005 0 0.005 0.01 0.015 0.02 -0. 02 Figure 3.5 “Images in this thesis are presented in color”. Reflection coefficients calculated at difl‘erent positions at 100MHz. Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated. The numbers on top of the lines are the reflection coefficients for those regions. The regions inside the red line represent the skin, fat and bone. The outer region has a reflection coefficient of .6. The reflection coefficient of the region close to the cylinder the space boundary is .61. 0.005 -0.02 -0.015 -0.01 -0.005 0 0.005 0.01 0.015 0.02 -0.01 -0.015 -0.02 -0.02 -0.015 -0.01 -0.005 0 0.005 0.01 0.015 0.02 (b) Figure 3.6 “Images in this thesis are presented in color” (a) Shows the reflection coefficients calculated at 200 MHz and (b) shows the reflection coefficients calculated at 900MHz Each circular line in this figure represents a different region outside the cylinder where the reflection coefficient was calculated. The numbers on top of the lines are the reflection coefficients for those regions. The regions inside the red line represent the skin, fat and bone. 45 In order to simulate the actual shape of the leg and all the different layers High Frequency Structural Simulator or HF SS software was used. HF SS is a software based on finite element analysis used to calculate S parameters and 3-D electromagnetic field simulation of high-frequency and high speed components. The shape of the leg was drawn in Solid Works first and then was uploaded in HFSS and was drawn using an anatomy drawing of the leg. The simulation consisted of the different layers that constitute the leg. The piece of the leg was 50mm high and 92.06mm wide. One of the bones was 19.994 mm wide and 39.79mm long. The other bone was 17.70mm wide and 21 .973mm long. The muscle layer was 78.882mm wide and 63.67mm. The thickness of the layer of fat is 3.65mm and the thickness of the layer of skin is 2.1379mm. The following figures show the simulation drawing of the leg and the actual picture of the leg. In order to simulate the leg, the materials were defined in the software. To do this, the relative permittivity and conductivity of each material were calculated. The real + 0 1+ (jam, )(l"a) 15930 part of this equation 5, =500 +2 was used as the relative permittivity and the conductivity was calculated using the magnitude of 0' = (j5,.)5oa). To simulate the free space environment, the leg was placed inside a 300mm long, 200mm wide, and 50mm high box. Vacuum was selected as the material, already defined by the software, to fill the box. The boundary condition applied to all the faces of the box was radiation. This is done to simulate open space and make the waves radiate infinitely into space and avoid reflection from the wave. 46 A coaxial cable antenna was used to illuminate the body with a low power microwave field The inner cylinder of the coax antenna had a length of 58 mm and a radius of .5mm and was located in the middle of the box and 1.51mm away from the leg at its closest position. The thickness of the outer cylinder of the coax antenna was 1mm. The material assigned to the antenna was copper and this material was already defined by the sofiware also. The excitation used for this antenna was waveport excitation The following figure shows the leg inside the air box and the coaxial antenna. The coaxial antenna was placed pointing towards the middle of the leg. Figure 3.7 Pictures that show the air box, leg, and coax antenna used in the simulation with HFSS. HFSS is based on the finite elements method. In order to obtain a reliable result the mesh had to be refined depending on the frequency employed. Figure 3.8 shows how the mesh looks like in the model used. In this case the dimensions of the element were chosen such that the maximum dimension was 1% or less. Where the wavelength). =%, cis the velocity of light and f is the fi'equency. The geometry is remeshed every time 47 the frequency is changed. The simulations were carried out with the frequency varying from 100MHz to 1.5 GHz. W D (A) 1% u p.24! Figure 3.8 Mesh inside the structure that was simulated. This software is based also in an adaptive solution. In order to set how many times the simulation is going to run a maximum Delta S per pass is needed. The Delta S is the magnitude of the change of S-parameters or scatter parameter between two consecutive passes. If this magnitude is less than the value that was set for maximum Delta S the simulation stops. The maximum Delta S per pass given in the simulations was 0.0011 and the maximum number of passes was 3. The total field was measured across the line shown in Figure 3.9. In order to measure the scatter field the total field without the leg or incident field was measured at 48 the line. The total field was measured with the leg also. To find the scatter field the total field with and without the leg were subtracted Figure 3.9 Line behind the leg where the total field was measured. The simulations were carried out with the permittivity and conductivity reduced by 5 percent in the bone to simulate loss of bone density. The total field of the simulation with regular permittivity and the total field of the simulation with five percent less permittivity were graphed together in order to compare both of them. 49 The simulations were done for different frequencies. At 100 MHz the graph that shows the total field of the leg without changing permittivity values of the bone is very similar to the total field of the leg changing the permittivity of the bone by five percent. As can be seen in Figure 3.10 and Figure 3.11 both graphs are on top of each other showing no difference between the two signals. At 50 MHz there was no difference between the total field of the leg when the bone did not suffer changes in permittivity and the total field of the leg when the bone had a difference of five percent in permittivity. It can also be observed that the shape of the graph is a deformed Gaussian because of the presence of the bones inside the leg. This creates the antisiymmetric shape of the graph. 50 Magnitude of E (V/m) vs. Normalized Distance for 100MHz 0.29 — 0 regular Siess 0.28 — 0.27 0.26 0.25 0.24 0.23 Magnitude of E (V/m) 0.22 — 0.21 l l l l l l J 1 0.3 0.4 0.5 0.6 0.7 0.8 0.9 Distance 0.2 —L Figure 3.10 Graph of the total electric field of the leg with regular permittivity and 5% less permittivity for 100 MHz. 51 Magnitude of E (Vlm) \5. Normalized Distance for 50MHz 0 regular fifi Sless 0 Q39 \ G) <2, ls 0.076 I 0.074 I I 0.072 0.07 0.068 0.066 0.064 Magnitude of E (Vim) 0.062 0.06 0.058 l l l l l l l l l 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Distance 0.056 0 Figure 3.11 Graphs of the total electric field of the leg with regular permittivity and 5% less permittivity for 50 MHZ. At 200 MHz there was no difference between the total field for a leg with no change in permittivity in the bone and the total field for a leg with a five percent change in permittivity. The results were similar for the total fields measured at 500MHz. It can be observed from this graph that the shape of the total fields is different from the graphs at 200, 50, and 100 MHz. This difference is because of cavitation effects of the box that simulates fi'ee space at high frequencies. 52 Magnitude of E (V/m) 0.95 0.9 0.85 .0 oo 0.75 .0 N 0.65 0.55 0 Magnitude of E (V/m) vs. Normalized Distance for 200MHz 0 regular -——— 5|ess I l l l l 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Distance Figure 3.12 Graphs of the total electric fields of the leg for 200 MHZ. 53 Magnitude of E (V/m) vs. Normalized Distance for 500MHz 1.4 ~ 1.2~ 0.8 - 0.6 Magnitude of E (Vlm) l l l l l l l l g l 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Distance Figure 3.13 Graphs of the total electric fields of the leg for 500 MHZ. The procedure was repeated changing the permittivity difference by twenty five percent instead of five percent in order to find a significant difference between the two signals and in this way find a new method to detect bone mineral density loss. It can be observed that the difference of both signals is not sufficient and it is difficult detect bone mineral density loss using this method. In Figure 3.14 it can be observed that at 500 MHz there was no difference between the signal without change in permittivity and the signal with twenty five percent change in permittivity. The same cavity effects that were observed at 500 MHz for the graph with five percent less permittivity were observed in 54 this graph too. Figure 3.15 and Figure 3.16 show the results obtained for 50MHz and 100MHz. Magnitude of E (Vlm) 1.4— Magnitude of E (V/m) \5. Normalized Distance for 500MHz —— regular -—--- 25|ess l l 1 l 1 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Distance 1 l l l J Figure 3.14 “Images in this thesis are presented in color”. Graph of the total electric field of the leg for 500 MHz when the difference in permittivity is 25%. 55 Magnitude of E (Vim) \5. Normalized Distance for 50MHz 0.076 I ——-— regular 0.074 —— 25|ess I 0.072 I I 0.07 I 2;. g Magnitude of E (V/m) 0.062 0.06 0.058 0.056 J l l l l l l l l l 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Distance Figure 3.15 “Images in this thesis are presented in color”. Graphs of the total electric fields of the leg with regular permittivity and 25% less permittivity for 50 MHz. 56 Magnitude of E (V/m) vs. Normalized Distance for 100MHz 0.29 — —— regular 0.28 — -————— 25|ess 0.27 0.26 0.25 p N A P N 00 Magnitude of E (V/m) 0.22 0.21 02 1 1 1 r 1 1 1 1 1 1 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Distance Figure 3.16 “Images in this thesis are presented in color”. Graphs of the total electric field of the leg with regular permittivity and 25% less permittivity forlOO MHz. The next figure shows the total field obtained when the coaxial cable antenna was moved 0.01m to the left. It can be observed in this figure that there is a small difference between the two signals. This small difference is not enough to make this technique capable of distinguishing between a healthy bone and osteoporotic bone. 57 Magnitude of E (V/m) vs. Normalized Distance for 100MHz Pos -0.01m 0.29 — 0.28 — 0.27 — / 0.26 - 0.25 — 0.24 Magnitude of E (V/m) 0.22 I I 0.21 0.2 b ~———-—-— regular ——-—- 25|ess l l 0.19 l l l l 0 0.1 0.2 0.3 0.4 Distance Figure 3.17 “Images in this thesis are presented in color”. Signals for a healthy bone and a bone with 0.8 0.9 25% of permittivity loss for a different position of the coaxial cable antenna. 58 CHAPTER 4 CONSTRUCTION AND CALIBRATION OFAN OPTICAL COHERENCE SYSTEM 4.1 MICHELSON INTERFEROMETER In order to fully understand the concept of Optical Coherence Tomography (OCT) it was necessary to become familiar with a Michelson Interferometer. The first phase of this work was building an interferometer and getting interference fiinges. The Michelson interferometer was built in two different configurations. The first configuration was with a plate beam splitter. The second was built with a cube beam splitter. The interference fringes were visible with both configurations. In this part of the research it was also necessary to become familiar with the concept of collimated beams. This was done with a laser as a light source. In order to build a Michelson interferometer Helium-Neon 4mW class IIIa Laser from Uniphase was used as the light source. The beam that is produced by the Helium- Neon laser goes through a plate glass beam splitter. Two mirrors were used to reflect their respective beams back to the beam splitter and then, ultimately, the detector. In order to obtain a proper alignment of the beam it was necessary to make sure that the beam was at the same height from the optical table through the path of the laser. After the beam was at the same height the beam splitter was placed in the optical table at a 45 degree angle. The next step was to place the two mirrors at the same distance away from the beam splitter. One was placed at the right hand side of it and the other one was 59 placed below it. The two beams reflected from the mirrors were observed in the black wall that was above the beam splitter. The two mirrors were adjusted until the beams reflected from each mirror overlapped and interference was observed. The construction of a Michelson Interferometer can be observed in Figure 4.1 Mirror #2 Light source m rourw A Figure 4.1 “Images in this thesis are presented in color”. Michelson Interferometer Due to multiple reflections the plate beam splitter was substituted by a cube beam splitter. The cube beam splitter was placed in the same place as the plate splitter. The cube beam splitter helps to minimize reflections and makes it easier to overlap the beams. The mirrors were adjusted once again to get interference fringes. In a Michelson Interferometer experiment, the beam should be fairly collimated To collimate the beam two lenses were used. These lenses were selected due to the space available on the optical table. The focal length of the lens closer to the laser beam was - 25 mm and the focal length of the one closer to cube beam splitter was 300 mm. The first 60 lens was placed 12 m away from the laser beam and the second lens was placed 46 mm from the cube beam splitter. One of the mirrors was placed 152 mm to the right of the cube beam splitter. The other mirror was placed 150 mm below the cube beam splitter. To produce a well collimated beam the distance between the lenses was 265 mm. This distance was obtained by trial and error for simplicity. After all this was done, the mirrors were adjusted to overlap the beams and produce interference fringes. 4.2 OCT SYSTEM WITH A LED AS A LIGHT SOURCE For the second phase of this research the laser was substituted with a LED because an OCT light source was not available at the time. The laser light source was used to learn the basic principles of interference and the Michelson Interferometer. It can not be used for OCT purposes because it is a monochromatic light source and its coherence length is very long. This means that interference of light occurs over a distance of meters. On the other hand, LEDs are broadband and emit light in all directions, making them an incoherent light source as opposed to a monochromatic light source. It has a low coherence length and interference of light occurs over a distance of micrometers. In order to construct this interferometer a red 10mm InGaAIP LED such as the one in Figure 4.2 was used as a light source. This type of LED had a Alt=l8nm, lt=644nm and a coherent length of [c = 22um. The LED was powered with 4.3 volts at 0.02 amperes. To avoid damaging the LED a 2.2 M!) resistor was connected in series to it. To spatially filter the emitter structure of the LED and pseudo-collimate the LED beam, two 61 lenses, one with a focal length of 25.40 mm and the other with a focal length of 50.20 mm were used in conjunction with a 25 um pinhole. A micro lens was also placed 5mm away from the LED. The 25.40mm lens was placed 22mm in front of this lens. To filter the structure of the LED, the 25 um pinhole was placed 60 mm away from the 25.40 mm lens. Finally, to roughly collimate the light (it is actually slightly convergent), the 50.20 mm lens was placed 50mm away from the pinhole. Figure 4.2 LED used for this experiment The distances between the mirrors and cube beam splitter were change to obtain interference with a LED light source. The distance between the 50.20mm lens to the cube beam splitter was 122 mm. The mirrors were placed 104mm away fi'orn the cube beam splitter. A photodetector was used to detect the power of both beams and the interference between the two. This device was placed 125mm away from the cube beam splitter. In order to see the interference a Tektronix TDS 30328, 300MHz and 2.5 GS/s 62 oscilloscope was connected to the photodetector. The set up for this experiment can be observed in Figure 4.3. Figure 4.3 Set up of a Michelson Interferometer using a LED as a light source. To test and measure the depth resolution of the system a multimeter was connected to the photodetector, so an accurate reading of the interference intensity could be made. The multimeter was used to measure the interference intensity of the combined beams, as well as the intensity of each of the beam, individually. Interference can be proven if the measurement of both beams intensities is not equal to the sum of each of the beams intensities. Interference leads to a new term appearing in the total intensity equation. The equation becomes 1 T = 11 + 12 + 2 * (II—1 * (II—2 *cos¢. Each of the 63 mirrors was adjusted in order to obtain the same intensity from each one of the beams. The intensity of each of the beams individually was measured with the photodetector and found to be 75.1 mV. The intensity of the two beams together was also measured. The distance at which the interference was maximum was located with the oscilloscope first. Then the multimeter was connected and intensity data was collected for that case. Intensity data was taken 30 um before and after this point. Measurements of the combined beam intensity and of each of the individual beam intensities were recorded with the multimeter. The intensity of each beam was added and this result was compared to the measurement of the intensity of the combined beams. If the sum of the two beams was exactly the same as the one measured, there was no interference. The results of this experiment are shown in the next table. It can be observed from this table that at 5725um, 5726um, 5730um, 5735um, 5736um, 5737um, 5739um, 5740um, 5743um, 5745um, 5747um, 5750um, 6005um and 6010um there was interference. Table 1 Results from the experiment with the LED as a light source and both mirrors. Distance Intensity Scan Intensity Sum of each Intensity of Mirror (mV) Regular Mirror intensity (mV) Both Beams (mV) (mV) 5700um 75.1 75.1 150.2 150.4 5705um 75.1 75.1 150.2 150.4 5710um 75.0 75.1 150.1 150.3 5715um 75.1 75.1 150.2 150.3 5720um 75.1 75.1 150.2 150.2 Table l (cont’d). 5725um 75.0 75.0 150.0 151 5726um 75.0 75.0 150.0 149.7 5727um 75.0 75.0 150.0 150.0 5730um 75.0 75 .0 150.0 151.7 5733um 75.0 75.1 150.1 150.0 5735um 75.0 75.0 150.0 152.4 5736um 75.0 75.0 150.0 152.3 5737 um 75.0 75.0 150.0 147.7 5739um 75.0 75. 1 150.1 153.3 5740um 75.0 75.0 150.0 154.1 5743um 75.0 75.0 150.0 154.7 5745um 75.0 75.0 150.0 145.5 5747um 75.0 75.0 150.0 155 5750um 75.0 75.0 150.0 146 6005um 75.0 75.0 150.0 152.1 6010um 75.0 75.0 150.0 151.1 6015um 75.0 75.0 150.0 150.2 6020um 75.0 75.0 150.0 150.9 602511111 75.0 75.0 150.0 150.2 6030um 75.0 75.0 150.0 150.4 Using Matlab a graph was constructed to analyze these results. The yellow graph in Figure 4.4 represents the true approximation to the experimental data. The blue graph 65 denoted by the x represents the experimental data. The true approximation is very close to the experimental value as can be seen in this graphical representation. Intensity (mV) vs. Distance (um) Intensity (mV) 0 X X X X X -5 -50 -4CI -31J -2D -10 0 10 2D 30 40 Distance (um) Figure 4.4 “Images in this thesis are presented in color”. Experimental and true interference when an LED was the source of the OCT system 66 1% I I r I 9 T I T 154 - {fl - < 153 l- . 152 r 151 - 15]- 149- 148- 147i- 146- <> 1 L l l l l I l ‘30:: 210 220 230 240 250 260 270 2&3 Figure 4.5 Experimental data when an LED was the source of the OCT system. In order to prove that the system that was built worked as an OCT system, the thickness of a micrOSCOpe cover slip was measured. The mirror in the stationary arm was substituted with a glass cover slip as can be observed in Figure 4.6. When this was done interference could not be detected because there was not enough light being reflected to the photodetector. Instead a gold coated cover slip was glued to the microscope slide to create the effect of a mirror. The back layer of the gold coated cover slip was acting as a mirror because it was coated with a 50nm gold coat; the front layer was covered with a 5nm gold coat which made it partially transparent as shown in Figure 4.7. The thickness of the glass cover slip was measured with a micrometer and found to be approximately 180 um thick. 67 Figure 4.6 Michelson Interferometer with a Microscope cover slip. The interference was detected with the oscilloscope first. The oscilloscope time scale was set at 40ms/division and the voltage scale was set at 20mV/division. After the interference was detected with the oscilloscope, the intensity of each beam was measured with the multimeter before and after interference was detected. The intensity of both beams was measured also. Two interference patterns were observed when the mirror was substituted with the microscope cover slip. The first pattern was observed between 7820um and 7835um. This is shown in table 2. The intensity of the beams was measured every 2.5um fi'om 7800um to 7850um. The second interference pattern was observed between 8075um and 8095um, also shown in table 2. The intensity of the beams was also measured every 2.5um from 8075um to 8100um. There was no interference from 68 7.850um to 8.075 urn. The intensity was measured every 10 um when there was no interference between the beams. Figure 4.7 Gold coated cover slip. Table 2 Results from the Microscope cover slip experiment Distance Intensity Scan Intensity Sum of each Intensity of Mirror (mV) Regular Mirror intensity (mV) Both Beams (mV) (mV) 7800.0um 39.69 68.72 107.41 108.9 7802.5um 39.69 65.16 104.85 105.3 7805.0um 39.7 65.16 104.86 104.8 7807.5um 39.76 65.19 104.95 105.4 7810.0um 39.7 65.2 104.90 105.3 7812.5um 39.7 65.2 104.90 105.4 69 Table 2 (cont’d). 7815.0um 39.7 65.19 104.89 104.3 7817.5um 39.7 65.2 104.90 105.2 7820.0nm 39.7 65.27 104.97 110.7 7822.5um 39.7 65.32 105.20 101.9 7825.0um 39.7 65.36 105.06 107.3 7827.5um 39.7 65.5 105.20 103.7 7830.0um 39.7 65.3 105.00 105.8 7832.5um 39.7 65.3 105.00 106.7 7835.0um 39.7 65.4 105.10 106.4 7837.5um 39.7 65.3 105.00 105.3 7840.0um 39.8 65.3 105. 10 105.9 7842.5um 39.7 65.4 105.10 105.7 7845.0um 39.7 65.4 105.10 105.5 7847.5um 39.7 65.5 105.20 105.7 7850.0um 39.7 65.6 105.30 105.9 7860.0um 39.7 65.6 105.30 105.8 7870.0um 39.7 65.5 105.20 105.7 7880.0um 39.7 65.6 105.30 105.8 7890.0um 39.8 65.7 105.50 106.14 7900.0um 39.7 65.7 105.40 106 70 Table 2 (cont’d). 7910.0um 39.81 65.80 105.61 106.1 7920.0um 39.82 65.7 105.52 106 7930.0um 39.7 65.8 105.50 106.07 7940.0um 39.8 65.7 105 .50 106.2 7950.0um 39.8 65.8 105.60 106.1 7960.0um 39.7 65.8 105.50 106.1 7970.0um 39.8 65.9 105.70 106.2 7980.0um 39.82 66 105.82 106.2 7990.0um 39.8 66.02 105.82 106.3 8000.0um 39.8 65.9 105.70 106.3 8010.0um 39.8 66.1 105.90 106.4 8020.0um 39.8 66.0 105.80 106.3 8030.0um 39.8 66.0 105.80 106.3 8040.0um 39.8 66.0 105.80 106.3 8050.0um 39.8 66.0 105.80 106.3 8060.0um 39.85 66.15 106.00 106.5 8070.0um 39.8 67.2 107.00 107.6 8075.0um 39.8 66.5 106.30 107.4 8077.5um 39.8 66.6 106.40 108.9 8080.0um 39.8 66.6 106.50 103.4 71 Table 2 (cont’d). 8082.5um 39.8 66.7 106.50 1 10.8 8085.0um 39.8 66.6 106.40 102.5 8087.5um 39.8 66.7 106.50 104.0 8090.0um 39.82 66.6 106.42 106.6 8092.5um 39.8 66.6 106.40 108.8 8095.0um 39.8 66.6 106.40 105.50 8097.5um 39.8 66.5 106.30 107.0 8100.0um 39.8 66.6 106.40 107.40 8102.5Ilm 39.8 66.5 106.30 106.80 8105.0um 39.8 66.6 106.40 107.20 8107.5um 39.87 66.7 106.57 106.70 81 10.0um 39.8 66.6 106.40 106.70 8112.5um 39.87 66.7 106.57 106.80 8115.0um 39.87 66.7 106.57 107.00 8117.5um 39.9 66.8 106.70 107.30 8120.0um 39.8 66.8 106.80 107.10 8122.7um 39.87 66.9 106.77 107.30 8125.0um 39.87 66.85 106.72 107.20 72 A graph was generated using the experimental data as well as the true data. It can be observed in Figure 4.8 that the first interference peak occurs at a relative distance of 7820um and the second one at 8082.5um. At these distances the sum of each of the beams was not the same as the measurement of both beams intensity. The difference of these two numbers generated an optical path difference of 262.5um. In order to obtain the thickness, the index of refraction of the glass was taken into account. The refraction index of glass is 1.5. The optical path difference was divided by the refraction index generating an experimental thickness of 17 Sum. Delta intensity (mV) vs. Distance (um) 111 ~ 1105 109 I 108 - 107 ~ M 1... ll 105 W 1' 104— Delta Intensity (mV) , 103 I 102 — 101 1 1 1 l 1 1 1 7800 7850 7900 7950 8000 8050 8100 8150 Distance (um) Figure 4.8 Graph showing the two interference peaks. 73 Because the interference data sub-samples the intensity in the interference region, a true approximation was made creating a Gaussian interference envelope based upon the specifications of the LED and superimposed on the graph that was made with the experimental data. The two peaks of the Gaussian beam were subtracted and the result was divided by the index of reflection of glass. The first one occurred at relative position of Guru and the second one at 265nm. The optical path is, in this case, 265nm. When this number is divided by the refraction index it generated a thickness of 176.6667 um. Both experimental thicknesses were very close to the true one of 180um. This graph is shown in Figure 4.9. These results prove that the OCT system would work for measuring thickness. This means that the system would be able to scan the sample. 74 Delta Intensity (mV) 15. Distance (um): Theoretical Comparison 111 — 109 — 1 l 107 ~ . Delta intensity (mV) 8 103 r 101 . 1 1 1 1 v 1 1 -50 0 50 100 150 200 250 300 350 Distance (um) Figure 4.9 Graph that shows experimental data vs. true approximation. In order to take more samples the scan mirror was placed in a miniature linear stage. The intensity was recorded every 3.028urn. The data was collected through the computer using LabView. The data was saved in a text file and analyzed with Matlab. The Virtual Instrument (VI) consisted of four main parts. The first one was created to control the movement of the linear stage. The second part recorded the position and the third one the intensity. In the fourth one a graph with the intensity values was created. The experiment was conducted and in Figure 4.10 it can be observed the interference plot that was captured when the linear stage was used. The motorized linear stage increases the accuracy and the data points in the experiment and Figure 4.10 shows 75 it. When the experiment was conducted with a motorized linear stage the interference was detected between positions 10,510um and 10,560urn approximately. interference O. 1 1 l l I I j 0.108~ - 0.106 — _ 0.104 — WWW“ i — Intensity in V 0.102 _ 11 i 0.1~ — 0098 1 1 1 l 1 1.048 1.05 1.052 1.054 1.056 1.058 1.06 Position in um 4 X1 0 Figure 4.10 Interference with LED as a point source and a motorized linear stage. In Figure 4.11 the yellow graph is the true approximation to the experimental data. The blue graph denoted by the x represents the experimental data. The true approximation is very close to the experimental value as can be seen in this graphical representation for this experiment. This graph also shows the precision that can be achieved with the motorized linear stage and the LED as a point source. Many data 76 points were lost but still the interference could be distinguished when the micrometer was used instead of the motorized linear stage. The graph in Figure 4.12 shows two interference points. The first one is the surface of the cover slip and the second is the back surface of the cover slip, which is coated with gold. The first peak occurred at 10293um and the second one at 10545um and the thickness is 252nm, which when divided by the index of refraction is 168nm. The difference between the true thickness and the experimental thickness of the cover slip was of about 6% when the motorized linear stage was used and between the experimental thicknesses using the motorized linear stage and the micrometer is about 4%. 77 Intensity (mV) ‘8 1* $01 Intensity (mV) vs. Distance (um) , X Distance (um) Figure 4.11 “Images in this thesis are presented in color”. Graph showing experimental and true interference. 78 Interference O. 1056 I l | l I l I 0.1054 — _ 0.1052 1 1 0.105 — _ 0.1048 — _ .1... 1 _ ‘ “1°” ‘1’1’0f11liiva V V VFW WU — 0.1042 I Intensity in V I 0.104 - 4 0.1038 1 1 1 1 1 1 1 1.02 1.025 1.03 1.035 1.04 1.045 1.05 1.055 1.06 Position in um 4 X10 Figure 4.12 Interference peaks with a LED as a point source and motorized linear stage. 4.3 OCT SOURCE The next step in this research was to use an OCT source as a point source. This source had a wavelength of 820 nm, a 3 dB bandwidth and an operating current of 220 mA. To focus the beam a lens with a focal lens of 25.40mm was used after the source and a lens with a focal length of 75mm was used before the photodetector. In Figure 4.13 interference peaks were observed at position 105 86um and 10844um. The subtraction of these two was equal to 258 um and when was divided by the index of refraction of glass 79 was 172nm. The difference between the true and experimental thickness was about 4.44%. Figure 4.13 show that the modulation in both arms is not the same. The other problem with this experiment is that the power was not strong enough for experiment purposes with bones because the intensity was about lOmV. Delta Intensity (V) 1.5. Distance (um) 0.0106 1 0.0105 I 0.0104 I I 0.0103 Delta Intensity (V) 0.0102 0.0101 I l l l l l l 0.01 l l 1 1 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.1 1.11 Distance(um) 4 X10 Figure 4.13 Interference peaks with an OCT as a point source. In order to increase the intensity another experiment was conducted and power was increased to a peak value of 6.1V but the modulation was again not the same in both arms, as can be seen in Figure 4.14. The difference between the peak in position 5189um and the one in position 5438um was 249um and divided by the index of refraction was 80 166nm. The difference with the true thickness of the cover slip was around 5.55%. The difference between the peaks in position 543 8um and position 5693um, and after dividing by the index of refraction, was l70um. Interference 6.3 . 1 . 1 r 1 6.2 ~ _ 6.11— ~ 5.9 - z Intensity in V 5.8 ~ a WWW” 11114.4.) WW1 “1M - 5.6 — ~ 5. 5 l l l l l 1 4600 4800 5000 5200 5400 5600 5800 6000 Position in um Figure 4.14 Interference peaks with an OCT source and intensity around 6V. In order to achieve both interference and the same modulation in both arms the lens was changed to an infrared lens with a diameter of 25.4mm and a focal length of 50.0mm. After this was done no interference was found. The reason that no interference was found was because the source was polarized The direction of the electric field was horizontal and that was causing the problem. To solve the problem the source was rotated vertically, after this was done interference was found. Also the modulation in each arm was about the same. 81 The problem after the infrared lens was installed was that a lot of data points could not be found. This was caused because the power reflected back from the mirror was higher than the one reflected from the cover slip and the interference was not strong. In order to solve this problem an absorptive neutral density filter with a neutral density of 0.1 was placed in front of the mirror. After this was done the intensity of the mirror was less than the intensity reflected by the cover slip and the interference was now stronger. Interference was found around 1600um, l850urn and 2100um. The difference between the first and second interference peaks was 250nm and the difference between the second and third peaks was 250nm. If both are divided by the index of refraction the experimental thickness is 166.67um. Each interference peak represents the interaction of the beam with each of the surfaces. The first interference peak at 1600um corresponds to the beam hitting the front surface of the cover slip, the second interference peak at 1850 um, which was very strong, corresponds to the beam hitting the back surface, which is cover with gold, of the cover slip. The third interference peak corresponds to the first of multiple bounces of the beam. From this position on interference peaks can be found every 250nm, which will be of less intensity because of the beam bouncing back and forth. After the OCT system was built and the thickness of the microscope cover slip was calculated an image of the microscope cover slip was obtained. In order to do these two linear stages were used to scan the microscope cover slip. The scan mirror was placed on top of one of the stages and the arm with the microscope cover slip was placed on top of the other stage. 82 For this experiment an infrared lens of a focal length of 30mm was used 35mm away from the source. The distance from the lens to the prism was about 340m and the distance from the prism to the photodetector was 160mm. The V1 had to be modified in order to acquire the data from the additional stage and make the scan quicker. In Figure 4.15 the scan of the microscope cover slip can be appreciated. The fi'ont surface of the microscope cover slip can be observed in this figure. In order to observe both front and back surfaces of the microscope cover slip the intensity of the beams needed to be increased and the alignment could have been improved. Alignment is very important in order to obtain perfect interference and also accurate results with this technique. 83 1002003004005006007008009001000 Figure 4.15 "Images in this thesis are presented in color”. Front surface of the microscope cover slip. In order to use the bone as a sample it was necessary to add another infrared lens between the prism and the sample arm. This was done to focus the beam that was coming into the bone sample. If this is done the beam will not overlap and a better lateral scan will be achieved. Figure 4.16 shows the bone sample used for the experiment. The sample is a thin slice of bone from a cadaver. It was dye in magenta because it was used for another experiment and it was necessary to take pictures of it. Figure 4.17 shows the signal obtained when a depth scan was done to the sample. The figure shows a very noisy signal that doesn’t show any interference peaks that were expected when pores or holes in the bone were found. Interference peaks were expected at each discontinuity in 84 the bone. The results were not as expected because when the infrared lens were placed between the prism and the sample it was very difficult to align the system to find strong interference. The intensity of the interference was not as strong as for the other experiments. Alignment and good interference was very important for this experiment because the bone doesn’t reflect back that much light as a gold coated microscope cover slip does. It was also very difficult to obtain a good signal from the bone because it did not reflect a lot of light. The reason it did not reflected a lot of light was because the pink dye in the bone absorbed much of the light. Figure 4.16 Bone sample used in the experiment. 85 Delta Intensity (V) Delta intensity (V) \8. Distance (urn) 2.98 ~ '8 .~ 58 2.92 - 2.9 — 2.88 ~ 2_ 86 1 1 1 1 1 l 1 1 g 0 10 20 30 40 50 60 70 80 90 Distance (um) Figure 4.17 Signal from the depth scan of the bone sample. 86 CHAPTER 5 ANALYSIS OF OPTICAL COHERENCE TOMOGRAPHY DATA 5.1 CALIBRATION OF THE SYSTEM The first image taken with the OCT system, built by Applied Science Innovations Inc., was the image of the microscope cover slip. The OCT system is shown in Figure 5.1. The microscope cover slip was used to calibrate the OCT system that was built in the laboratory as well as the commercial system. The experimental system with microscope cover slip coated with gold is shown in Figure 5.2 and the signals showing reflections from the front and back of this microscope cover slip is presented in Figure 5.3. The typical depth resolution for this system is around 10 um. The depth dimension of the display in Figure 5.3 is 2.4 mm and the lateral dimension is 273nm. The distance between samples along the depth dimension was obtained by dividing 2.4 mm by the total number of samples (280) which is equal to 8.6 pm. The depth location was then found by multiplying the sample number by 8.6 pm. 87 Figure 5.1 OCT system built by Applied Science Innovations. Figure 5.2 Microscope cover slip coated with gold. 88 Typical depth scans of the microscope cover slip can be observed in Figure 5.3. The distance between the two highest peaks circled in red was found to be 172 pm. In the schematic presented in Figure 5.4 the peaks locations can be observed. The first peak, which represents the front layer of the microscope cover slip, is located at 266.7 um and the second peak, which represents the back layer of the microscope cover slip, is located at 524.7 um. The distance between the two peaks is 258m. Dividing this value by the refractive index of glass which is 1.5, gives the thickness of the cover slip as 172nm. The true thickness of the microscope cover slip measured with a micrometer and found to be 180 um. Both numbers are very similar with a percentage of error around 4.44%. .sNOO-§U'la>\lm® 20406080100120140160180200220 ° 50° 1°00 150° 200° 250° Depth Loeation(um) Figure 5.3 Image of the microscope slip cover with gold and depth scans of the microscope cover slip. 89 258um A 266um 524.7um Figure 5.4 Schematic that explains how the thicknesses of the microscope cover slip cover with gold was obtained Another method used to calibrate the equipment was to scan three microscope cover slips that were not coated with gold. Figure 5.5 shows a schematic of the 3 90 microscope cover slips and the expected signal. The schematic shows that the first peak, labeled A, represents the front layer of the microscope cover slip labeled A and the second peak represents the back of the microscope cover slip labeled C. The true thickness of the three microscope cover slips was found to be 160 pm when measured with a micrometer. Figures 5.6 (a) and (b) show the b-scan image data from the three microscope cover slips and some of the typical a-scan signals. Figure 5.6 (b) shows the depth scans of the microscope cover slips. The experimental thickness between the two peaks circled in red in the figure was calculated The first peak, located at 258.1 um, represents the fi'ont layer of the first cover slip and the second peak, located at 524.7um, represents the back of the third cover slip. The experimental thickness was found to be 177.73 ,um. Figure 5.7 shows a picture of the three microscope cover slips used in the experimental setup. 9] 8] ii . 258.1um 524.7um Figure 5.5 Schematic of the microscope cover slips and the signal. ’. r--~_-“‘-a-. . 2040 60 80100120140160180 200 20 Depth Location (um) (a) B-Scan Image (b) A—Scan Signals Figure 5.6 Image of the three microscope slips and depths scans for three microscope cover slips. 92 Figure 5.7 Picture of the three microscope cover slips used to calibrate the OCT system. 5.2 EXPERIMENTAL OBSERVATIONS The thin slice of the tibia bone sandwiched between two acrylic layers shown in Figure 5.8 was scanned in different areas. Each of the black dots in the bone represents the different areas where it was scanned. The bone has two different structures. The compact structure of the bone is shown in Figure 5.9 between the two red lines in the picture. The cancellous structure of the bone is the inner area of the bone shown in Figure 5.9. This area is also known as spongy bone. The compact structure of the bone is usually found in the shafts of long bones and surrounds the marrow cavities. It consists of cylindrical units called osteons [45]. Osteons are bone deposits that occur in a concentric form inside the tunnels left by the osteoclast [1]. Each osteon contains concentric layers of hard, calcified matrix with osteocytes, which are bone cells that do not divide into more bone cells and become entrapped in the osteoid [1], they are located in spaces between the layers. The spongy or cancellous bone is made up of a 93 network of fine interlacing partitions, which is called the trabeculae [45]. The network of interlacing partitions encloses fatty marrow [45]. Based on this observation the bone slice image can be divided in different sections 1 (compact), 2 (cancellous) and 3 (cancellous). The depth scans obtained from the regions labeled 1, 2, 12 were analyzed in terms of the porosity in the corresponding region. The different sections can be observed in Figure 5.10. Figure 5.8 Tibia slice sample scanned. 94 Figure 5.9 “Images in this thesis are presented in color”. Picture of the tibia that shows the compact structure and the cancellous structure of bone. Figure 5.10 “Images in this thesis are presented in color." Picture of the bone that shows the areas of the bone that were analized. 95 Figure 5.11 Picture of the bone that shows how it was scanned. Figure 5.12 shows the scans from the dot labeled as number 1. The line parallel to the x-axis, in the image represents a strong reflection from the first layer of acrylic covering the bone. In the graph, which represents the depth scans at this particular dot, the highest peak in the figure represents the discontinuity between the acrylic material and bone material. The peaks located after this high peak represents the bone discontinuities. These peaks are marked in red in Figure 5.12. The reflection from the second acrylic layer can not be observed because of the attenuation of the signal and also due to the scattering from the bone. Since there were no samples of bone with osteoporosis, the depth scan data from different regions (labeled 1, 2, and 3) of the single bone slice were analyzed in terms of the porosity of the corresponding region. These results are presented in the following sections. 96 20 40 60 80 100 120 140 160 180 200 20 Depth Location (um) Figure 5.12 Image of dot l and its depth scans. 5.3 DEPTH SCAN DATA ANALYSIS The bone slice image can be divided in different sections 1 (compact), 2 (cancellous) and 3 (cancellous). Compact bone is assumed to have small holes because is more dense and cancellous bone is assumed to have larger holes because the bone is less dense and has a texture such as that of a sponge. The distances between the holes in the compact region should be shorter because of the small holes and the distance between the holes in the cancellous region should be greater because of the large holes. The data matrix comprising depth scans at a specific region was first reduced in size by eliminating the peak corresponding to front surface reflection. The peak to peak distances of the thresholded data was used as a measure of pore diameter. In order to 97 calculate the distance between the peaks the variance of each column was computed N 2 asal-2 =—Z(xi—,ui) . Where N is the number of samples, and p,- is the mean. i=1 Using a threshold a. = 202 the data of each column in the data matrix was thresholded. Table 3 summarizes the values obtained at the different scan areas, represented by dots numbered 1 through 12, in the 3 regions. There were some dots that were in between the two different regions that were not analyzed such as dot number 2, 8 and 12. Table 3 Results of the average distance between the peaks. Region 1 (Compact Bone) Region 2 (Cancellous Bone) Region 3 (Cancellous Bone) Average Distance (um) Average Distance (um) Average Distance (um) Dot 1 23.03 Dot 4 21.86 Dot 7 20.93 Dot 3 21.66 Dot 5 22.54 Dot 10 22.75 Dot 6 21.60 Dotll 21.63 As can be observed from table 3 the average distances of the peaks were very similar in all the different regions. These results were not useful to distinguish between regions in the bone or to determine different porosities in the bone. A second approach using morphological image processing techniques was also investigated. Erosion, 98 Opening and Closing were some of the morphological operations used to analyze the images [46]. Erosion is defined as A9B={z (B)z g A}. “This equation indicates that the erosion of A by B, translated by z, is contained in A”[46]. Erosion eliminates irrelevant detail from the image and it shrinks the image by a certain amount specified by the structuring element[46]. The structuring element used in this thesis is shown in Figure 5.13. The size of the structuring element was varied from 2 to 5. Figure 5.14 shows how the signal change after erosion is applied. l he. term ‘~'\'£ilCT‘~hC‘LI rcl‘m‘s m :l ridge l'nnt Lll\1dcf\ (trszls drained by di l-‘lEl‘c‘Y‘ll river 5.}; s. [cm s. Figure 5.l3 (a) Original Image (b) Line structural element of size 2 (c) Image afler erosion. 99 500 1000 1500 2000 2500 Depth Location (um) (8) \w f L A l 1000 1500 2000 2500 Depth Location (um) g _ (b) Figure 5.14 (a) Original Signals and (b) Signal afier erosion with size 3 structuring element. Opening operation “smoothes contours, break narrow isthmuses, and eliminates small islands and sharp peaks’ ’ and is defined as A o B = (A9 B) EBB [46]. “The opening A by B is the erosion of A by B followed by the dilation of the result by B”[46]. Dilation enlarges objects in the image. Figure 5.15 shows the original signals and the signals after opening was applied. Closing operation “smoothes contours, fuses narrow breaks and long thin gulfs, and eliminates small holes” and is defined as A. B = (A EBB) 9B [46]. “The closing of set A by B is the dilation of A by B, followed by the erosion of the result by B”[46]. Figure 5.16 shows the original signals and the signals after closing was applied. 101 an O O -| M (a! & 0| O V G O A I t I > v 7 t > I A (a) 9k 8%. 7%“ W“ 3W“ 2M. .3 - . the 0M; . z - . . O 500 aggl-mfimzfi 2000 2500 (b) Figure 5.15 (a) Original Signals and (b) Signal afier ‘opening’ with size 2 structuring element 102 10F o -| N 0’ & (II a, ‘1 O ‘0 < < > ‘% lb ’ W , O 500 1000 1500 2000 2500 Depth Location (um) (a) ii 0 500 1000 1500 2000 2500 Depth Location (um) (b) Figure 5.16 (2) Original Signals and (b) Signal alter ‘closing' with size 3 structuring element. 103 After the erosion, Opening and closing were applied to the raw image with the different structuring elements sizes the variance of the new matrix consisting of 116 rows and 179 columns was calculated. The mean of the variance is summarized in Table 4. It can be observed from this table that the average variance is always greater for region 1 (compact bone). It can also be observed that when structuring elements of size 2 and 3 were used, the average variance was higher than that obtained using structuring elements of size 4 and 5. This is because in the latter case the signal features were erased or eroded. It can also be observed that dot 1 and 5 have similar results even though they are not in the same regions. Figure 5.17 shows the results on data at dot 11 when size 2 and 5 structuring elements were used. Table 4 Varince of data after applying erosion operation. Region 2 Region 3 Region 1 (Compact Bone) (Cancellous Bone) (Cancellous Bone) Structure Length Average Variance Average Variance Average Variance Dot 1 Dot 3 Dot 6 Dot 11 Dot 4 Dot 5 Dot 7 Dot 10 2 0.0017 0.0024 0.0026 0.0026 0.0013 0.0016 0.0010 0.0015 3 0.0017 0.0024 0.0026 0.0026 0.0013 0.0016 0.0010 0.0015 4 0.0013 0.0018 0.0020 0.0018 9.008e-4 0.0010 6.816e—4 0.0011 5 0.0013 0.0018 0.0020 0.0018 9.008e-4 0.0010 6.816e—4 0.0011 104 500 1000 1500 2000 2500 Depth Location (in) (a) 0 \f\‘ a a t J 0 500 1000 1500 2000 2500 Depth Location (um) (b) Figure 5.17 Signals alter erosion with (a) size 2 and (b) size 5 structuring element. 105 Table 5 shows corrpesonding results for the compact and cancellous bone when “opening” operator is applied to the image. This table shows results similar to table 4. The compact bone region has higher average variance than cancellous bone region and dots l and 5 have similar results. It can also be observed that when structuring elements of size 2 and 3 were used, the average variance was higher than that obtained using structuring elements of size 4 and 5. The average variance numbers obtained when the opening technique is applied are larger than that obtained when erosion technique was applied. This is because erosion shrinks an image and opening just smoothes the contour of objects in the image. Table 5 Varince of data after applying “opening” operation. Region 2 Region 3 Region 1 (Compact Bone) (Cancellous Bone) (Cancellous Bone) Structure Length Average Variance Average Variance Average Variance Dot 1 Dot 3 Dot 6 Dot 11 Dot 4 Dot 5 Dot 7 Dot 10 2 0.0020 0.0027 0.0029 0.0030 0.0015 0.0019 0.0012 0.0017 3 0.0020 0.0027 0.0029 0.0030 0.0015 0.0019 0.0012 0.0017 4 0.0015 0.0023 0.0024 0.0024 0.0012 0.0013 8.213e-4 0.0013 5 0.0015 0.0023 0.0024 0.0024 0.0012 0.0013 8.213e-4 0.0013 106 Table 6 shows the results that were obtained when “closing” was applied to the raw image. As observed in the previous cases, average variances for compact bone are greater than those calculated for cancellous bone. It can also be observed that when structuring elements of size 2 and 3 were used, the average variance was higher than that obtained using structuring elements of size 4 and 5. Table 6 Varince of data after applying “closing” operation. Region 2 Region 3 Region 1 (Compact Bone) (Cancellous Bone) (Cancellous Bone) Structure Length Average Variance Average Variance Average Variance Dot 1 Dot 3 Dot 6 Dot 11 Dot 4 Dot 5 Dot 7 Dot 10 2 0.0019 0.0029 0.0030 0.0031 0.0017 0.0020 0.0013 0.0017 3 0.0021 0.0029 0.0030 0.0031 0.0017 0.0020 0.0013 0.0017 4 0.0019 0.0026 0.0028 0.0029 0.0014 0.0019 0.0011 0.0014 5 0.0019 0.0026 0.0028 0.0029 0.0014 0.0019 0.0011 0.0014 After analyzing the results presented in the last three tables it can be concluded that there is a difference in the average variance of eroded, opened and closed images in the compact and cancellous regions of the bone. This difference could be used to identify and quantify porosity in the bone but more experimental data are needed to validate this observation conclusively. Dot 1 and 5, have similar variance values but are from different areas in the bone. One reason for this could be that dot 1 is close to the 107 cancellous bone region. The analysis techniques must be validated with more experimental data in order to corroborate this conclusion. Finally experiments using skin, fat and bone will have to be conducted to determine if OCT could be used to noninvasively detect bone mineral density loss. In a realistic situation, attenuation and penetration depth of optical signals could pose a significant problem. 108 CHAPTER 6 CONCLUSIONS Two techniques were investigated in this thesis tO identify differences between healthy bone and a porous or osteoporotic bone. The two techniques used were OCT and Microwave Imaging. In the OCT technique a bone sample was scanned in different areas with an OCT system. Different techniques were applied on the measured data tO identify or quantify porosity in the bone. Morphological image processing was applied to the irnagem data and variance Of the processed data was calculated. The variance Of the compact bone was seen tO be higher than that Of cancellous bone. Difference in porosity was found using OCT but more experiments will be needed in order to conclusively state that OCT could be used to find difference in porosity. However the more important problem is to study the feasibility Of using OCT noninvasively for detecting bone mineral density loss. Microwave technique was simulated using a layered cylinder model, (representing a finger), tO determine the reflection coefficients at different frequencies. This was done tO determine the Optimum frequency for conducting the experiments. In order to have a more accurate representation, a realistic tissue-bone model that resembled a leg was simulated using HFSS. Two different simulations were performed using the tissue-bone model. One Of the simulations was performed using the permittivity calculated for bone and the other simulation was performed after reducing that permittivity by five percent. The change in permittivity represented the difference in porosity. Both fields had the same magnitude or their difference was not strong enough to differentiate between 109 healthy and osteoporotic bone. A more rigorous evaluation and validation of the model needs to be performed using simple calibration sample geometries for which analytical results can be clauclated. As future work Other non-invasive methods such as ultrasonic techniques will be explored for noninvasively determining bone mineral density loss. llO APPENDICES 111 APPENDIX A MATLAB CODES FOR OCT A.1 Code used to detect average distances clc clear all close all [yl] = imread('reference.bmp'); [y2] = imread('fifthdot.bmp'); y3=y2-y1; %%Resto las dos imagenes porq la original q es reference tiene unas lineas q el equipo afiade y3=y3(34:l49,41:179); figure image(y3); colormap('gray') figure image(y2); colormap('gray’) I1 = im2double(y1); 12 = im2double(y2); I3 = im2double(y3); x=(0:1:279)*(((2.4*lO“—3)/10“—6)/279); varianza=var(I3); treshold=2*(varianza); for i=1:1:1l6 for j=1:l:139 if I3(i,j)>treshold(j) I4(i,j)=1; else I4(i,j)=0; end end end for j=1:l:139 findingones=find(l4(:,j)); distl=abs(findingones(l:(length (findingones)—l))—findingones(2:(length (findingones)))); convirtiendo=dist1*8.6; promedio(j)=mean(convirtiendo); 112 clear findingones; clear distl; clear convirtiendo; end promedio_matriz=mean(promedio); A.2 Code used to apply morphological imaging techniques to the bone images clc clear all close all [y2] imread('tendot001.bmp'); dotl imread('tendot001.bmp’); se = strel('line',5,0); IM2 = imclose(dot1,se); imshow(dotl), figure (2), imshow(IM2) de_column=10; vspace_l=0.4; figure(3) hold on 13 = im2double(y2); x=(0:1:279)*(((2.4*10“—3)/10“-6)/279); for i=1:1:235/de_column; k=i*de_column; yy=I3(:,k)+(i—1)*vspace_l; plot(x,yy) Xlabel('Depth Location (um)') end figure (4) hold on I4 = im2double(IM2); x=(0:1:279)*(((2.4*lO“—3)/10“-6)/279); 113 for i=1:1:235/de_column; k=i*de_column; yy=I4(:,k)+(i-1)*vspace_l; plot(x,yy) xlabel('Depth Location (um)') end I6=IM2(34:149,41:179); figure(S) image(16); colormap('gray') I7=im2double(I6); de_column1=5; vspace_11=0.4; figure(6) hold on x1=(0:1:115)*(((2.4*10“—3)/lOA—6)/115); for i=l:1:139/de_columnl; k=i*de_columnl; yy=I7(:,k)+(i-1)*vspace_ll; plot(xl,yy) xlabel('Depth Location (um)') end figure (7) image(y2); colormapt'gray') hold on varianza=var(I7); varianza_prom=mean(varianza) 114 A.3 Lab View print outs used to collect data in the OCT technique F «L. r :I-.-. " $3“: .3; ; _. ‘: 1‘? 'ul'h‘."m‘h" o it u...“ infants.» BL " f h. "the" __............... ”.05.... _...-.a Figure A.1 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. 115 Figure A.2 “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. 116 ;.- :H-‘tl II n Mn- 1 Lin-1mm ‘ trachea-er» armor-mesh - - - 5.153ng . . JWWFM . 9 - ‘Ifl-rf“‘ m '_--‘,‘.'.'." __. .. WEQLJ "~ Figure A.3 “Images in this thesis are presented in color”. Lab View print out Of the program made to move the linear stage. 117 Figure A.4 “Images in this thesis are presented in color”. Lab View print out of the program made to nmvedwhnuusmge 118 'fiii‘lrirf', agauizuraa ‘ef‘ ' E!“ Figure A.S “Images in this thesis are presented in color”. Lab View print out of the program made to move the linear stage. 119 Figure A.6 “Images in this thesis are presented in color”. Lab View print out Of the program made to move the linear stage. 120 APPENDIX B MATLAB CODES TO IMPLEMENT MICROWAVE IMAGING TECHNIQUE B.l Code to determine the different fields for the layered cylinder clear all % close all load k1fs.mat; kvl k1; clear kl mul 4*pi*le-7; load k25kinwet.mat; kv2 k2; Clear k2 mu2 4*pi*le—7; load k3fat.mat; kv3 k3; clear k3 mu3 4*pi*le—7; load k4bone.mat; kv4 = k4; clear k4 mu4 = 4*pi*1e-7; c0 = 3e8; a1=1.5e—2; a2=l.3e-2; a3=1.1e-2; % al = 3e-2; % a2 = 2.5e—2; % a3 = le—2; r0 = 4e-2; phiO = pi; L = 15; f = [1:L]*le8; Ei = zeros(L,1); Es = zeros(L,1); M = 25; for n = 1:L kl k2 kvl(n); kv2(n); 121 k3 = kv3(n); k4 = kv4(n); for m = —M:M arl = [besselh(m,2,kl*al), —besselj(m,k2*al), - besselh(m,2,k2*a1), 0, 0, 0]; ar2 = [0, besselj(m,k2*a2), besselh(m,2,k2*a2), - besselj(m,k3*a2), besselh(m,2,k3*a2), O]; ar3 = [0, 0, O, besselj(m,k3*a3), besselh(m,2,k3*a3), - besselj(m,k4*a3)]; end .9 a41 = k1/mu1*(besselh(m-1,2,k1*a1)-besselh(m+1,2,k1*al))/2; a42 -k2/mu2*(besselj(m-1,k2*al)—besselj(m+l,k2*a1))/2; a43 -k2/mu2*(besselh(m—1,2,k2*al)-besselh(m+1,2,k2*al))/2; ar4 = [a41, a42, a43, 0, 0, 0]; a52 = k2/mu2*(besselj(m-1,k2*a2)-besselj(m+1,k2*a2))/2; a53 = k2/mu2*(besselh(m—1,2,k2*a2)-besselh(m+1,2,k2*a2))/2; a54 = -k3/mu3*(besselj(m-1,k3*a2)-besselj(m+l,k3*a2))/2; aSS = —k3/mu3*(besselh(m-1,2,k3*a2)—besselh(m+1,2,k3*a2))/2; arS = [0, a52, a53, a54, ass, 0]; a64 = k3/mu3*(besselj(m-1,k3*a3)—besselj(m+l,k3*a3))/2; a65 k3/mu3*(besselh(m-1,2,k3*a3)—besselh(m+1,2,k3*a3))/2; a66 -k4/mu4*(besselj(m-1,k4*a3)-besselj(m+l,k4*a3))/2; ar6 = [0, 0, 0, a64, a65, a66]; % Modal solution A = [ar1; ar2; ar3; ar4; ar5; ar6]; [ —j“-m*besselj(m,kl*al) O 0 -kl/mul*j“—m*(besselj(m~1,k1*a1)-besselj(m+l,k1*al))/2 0 O 0' ll ]; coef = A\b; % Incident and scattered fields Ei(n) = Ei(n) + j“—m*besselj(m,k1*r0)*exp(j*m*phiO); Es(n) = Es(n) + coef(1)*besselh(m,2,kl*r0)*exp(j*m*phiO); s reflection coefficient Gamma(n) = Es(n)/Rim); %transmission coefficient 122 transcoeff(n)=l+abs(Gamma(n)); %angle reflection coefficient angl_reflec_coeff=angle(Gamma); end figure(l); subplot(311); plot(f/le6,abs(Ei),'r'); xlabel('f (MHz)'); ylabel('|E_i|‘);grid on; hold on subplot(312); plot(f/1e6,abs(Es),‘r'); xlabel('f (MH2)'); ylabel('lE_s|‘);grid on; hold on subplot(313); plot(f/le6,abs(Gamma),'r'); xlabel('f (MHz)'); ylabel('|\Gammal‘);grid on; hold on figure(2); subplot(21l); plot(f/1e6,abs(transcoeff),'r');xlabel('f(MHz)');ylabel('|transmission coefficientl‘);grid on; hold on subplot(212); plot(f/le6,angl_reflec_coeff,'r');xlabel('f(MHz)');ylabel('angle of reflection coefficient');grid on; hold on B.2 Code to calculate the reflection coefficient for the grid lc clear all clear all x=0:0.001:0.02; =—0.02:.OOl:0.02; for m=1:length (y) for n=l:length (x) XC=x(n) YC=y(m) [phi0,r0] = cart2pol(XC,YC); [Gamma]=solimar1(r0,phiO); yy(n,m,:)=Gamma; end end clc close all figure R_COEF(1:length(x),1:length(y))=yy(:,:,15); 123 [C,h]=contourf(y,x,R_COBF); set(h,’ShowText','on','TextStep',get(h,'LevelStep')*2) hold on l=(0:1:360)*pi/180; R=0.015; for m=1:length(l) x1(m)=R*cos(l(m)); y1(m)=R*sin(1(m)); end plot(x1,y1,'r*') B.3 Code to calculate the electrical properties of human tissue clc close all clear all epsilon_inf=[2.5 2.5 4.0 4.0] ; %%infinite epsilon from table 1 for bone, fat, muscle and skin respectively sigma=[0.0700 0.01 .2000 0.0004]; %%static ionic conductivity for bone, fat, muscle and skin respectively epnot=8.854e—12; %% permittivity of free space delta_eps=[ 18 300 2e4 2e7; %delta epsilon for BOne 3 15 3.3e4 1.0e7 %delta epsilon for Fat 50 7000 1.2e6 2.5e7; %delta epsilon for Muscle 39 280 3e4 3e4]; %delta epsilon for Skin tau=[ 13.26e—12 79.58e—9 159.15e—6 15.915e—3; %time constant for Bone 7.96e—12 15.92e-9 159.15e-6 7.958e-3; %time constant for Fat 7.23e-12 353.68e-9 318.31e-6 2.274e-3; %time constant for Muscle 7.96e-12 79.58e-9 1.59e—6 1.592e—3]; %time constant for Skin alpha=[ .22 .25 .20 0; elaxation regions for Bone .10 .10 .10 0; ~ elaxation regions for Muscle %r .20 .10 .05 .01; %relaxation regions for Fat or .10 0 .16 .20]; trelaxation regions for Skin u0=(4*pi)*10“—7; %permeability of free space 124 %f_all=[25 50 75 100 200 300 400 500 600 700 800 900 1000 1500]; %vector of frequencies for the simulations f_all=[100 200 300 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500]; for i=1:4 %for loop for choosing the values of epsilon_inf, sigma, delta_eps, tau, alpha 4 differents materiasl for l=1:length(f_all) %for loop for to evaluate each frequency asd=0; %initializing the summation for n=l:4 %for loop for the summation f=f_all(l)*1e6; %calculating the frequency in terms of MHz w=2*pi*f; %calculating w asd=asd+((delta_eps(i,n))/(1+(j*w*(tau(i,n)))“(1- alpha(i,n)))); %calculating the summation of the cole cole eqt. end ew(l,i)=asd+epsilon_inf(i)+(sigma(i)/(j*w*epnot)); %c*lculating the cole cole equation sig_x(l,i)=abs(imag(ew(l,i))*w*epnot); %calculating the conductivity sigma k(l,i)=(w*sqrt(ew(l,i)*1*u0*epnot)); kbonedifper(l,i)=(w*sqrt((.95*(ew(l,i)))*1*u0*epnot)); end end e_rel_100=real(ew); %calculating the relative permitivity e_rel_25_less=0.75*real(ew); %calcu1ating the relative permitivity with a loss of 25 percent sig_x_100=sig_x; sig_x_25_less=0.75*sig_x; %calculating the conductivity with a loss of 25 percent 125 REFERENCES 126 [ll [21 [31 I41 [51 I6] [71 [9] A. C. Guyton and J. E. Hall, Textbook of Medical Physiology, 10th ed. Philadelphia Saunders, 2000. J. Sierpowska, M. A. Hakulinen, J. Toyras, J. S. Day, H. Weinans, I. Kiviranta, J. S. Jurvelin, and R. Lappalainen, "Interrelationships between electrical properties and microstructure of human trabecular bone," Physics in Medicine and Biology, vol. 51, pp. 5289-5303, 2006. P. M. Q. F. G. Meaney, S.D.; Streltsov, A.V.; Paulsen, K.D.,, "3D scalar microwave image reconstruction algorithm," Microwave Symposium Digest, 2002 IEEE M TT-S International, vol. 3, pp. 2269-2272, 2002. S. Grampp, H. K. Genant, A. Mathur, P. Lang, M. Jergas, M. Takada, C.-C. Gluer, Y. Lu, and M. Chavez, "Comparisons of Noninvasive Bone Mineral Measurements in Assessing Age-Related Loss, Fracture Discrimination, and Diagnostic Classification," Journal of Bone and Mineral Research, vol. 12, pp. 697-711, 1997. H. K. Genant, C. E. Cann, B. Ettinger, and G. S. Gordan, "The Classic: Quantitative computed tomography of vertebral spongiosa: a sensitive method for detecting early bone loss after oophorectomy. 1982," Clin Orthop Relat Res, vol. 443, pp. 14-8, 2006. M. A. Hansen, C. Hassager, K. Overgaard, U. Marslew, B. J. Riis, and C. Christiansen, "Dual-Energy X-ray Absorptiometry: A Precise Method of Measuring Bone Mineral Density in the Lumbar Spine," J Nucl Med, vol. 31, pp. 1156-1162, 1990. G. Guglielmi, S. K. Grimston, K. C. Fischer, and R. Pacifici, "Osteoporosis: diagnosis with lateral and posteroanterior dual x-ray absorptiometry compared with quantitative CT," Radiology, vol. 192, pp. 845-850, 1994. F. Duboeuf, R. Pommet, P. J. Meunier, and P. D. Delmas, "Dual-energy X- ray absorptiometry of the spine in anteroposterior and lateral projections," Osteoporosis International, vol. 4, pp. 110-1 16, 1994. A. A. Deodhar, J. Brabyn, P. W. Jones, M. J. Davis, and A. D. Woolf, "Measurement of hand bone mineral content by dual energy x-ray absorptiometry: development of the method, and its application in normal volunteers and in patients with rheumatoid arthritis," Ann Rheum Dis, vol. 53, pp. 685-690, 1994. 127 [10] [11] [121 [13] [14] [151 [16] [17] [131 [19] H. H. Bolotin and H. Sievanen, "Inaccuracies Inherent in Dual-Energy X- Ray Absorptiometry In Vivo Bone Mineral Density Can Seriously Mislead Diagnostic/Prognostic Interpretations of Patient-Specific Bone Fragility," Journal of Bone and Mineral Research, vol. 16, pp. 799-805, 2001. R. J. M. Herd, G. M. Blake, T. Ramalingam, C. G. Miller, P. J. Ryan, and I. Fogelman, "Measurements of postmenopausal bone loss with a new contact ultrasound system," Calcified Tissue International, vol. 53, pp. 153-157, 1993. S. O. Yang, S. Hagiwara, K. Eugelke, M. S. Dhillon, G. Guglielmi, E. J. Bendavid, 0. Soejima, D. L. Nelson, and H. K. Genant, "Radiographic absorptiometry for bone mineral measurement of the phalanges: precision and accuracy study," Radiology, vol. 192, pp. 857-859, 1994. M. Takada, K. Eugelke, S. Hagiwara, S. Grampp, M. Jergas, C. C. Gluer, and H. K. Genant, "Assessment of osteoporosis: comparison of radiographic absorptiometry of the phalanges and dual X-ray absorptiometry of the radius and lumbar spine," Radiology, vol. 202, pp. 759-763, 1997. S. Kati, S. Zlochiver, and S. Abboud, "Induced Current Bio-impedance Technique for Monitoring Bone Mineral Density—A Simulation Model," Annals of Biomedical Engineering, vol. 34, pp. 1332-1342, 2006. M. Brezinski, Optical Coherence Tomography Principles and Applications, First ed. New York: Elsevier, 2006. A. F. Fercher, W. Drexler, C. K. Hitzenberger, and T. Lasser, "Optical coherence tomography - principles and applications," Reports on Progress in Physics, vol. 66, pp. 239-303, 2003. M. E. Brezinski and J. G. Fujimoto, "Optical coherence tomography: high- resolution imaging in nontransparent tissue," Selected Topics in Quantum Electronics, IEEE Journal 0], vol. 5, pp. 1185-1192, 1999. J. M. Schmitt, "Optical coherence tomography (OCT): a review," Selected Topics in Quantum Electronics, IEEE Journal of, vol. 5, pp. 1205-1215, 1999. V. V. Tuchin, Hanbook of Coherence Domain Optical Methods Biomedical Diagnostics, Environmental and Material Science, vol. 2: Kluwer Academic Publishers, 2004. 128 [20] [211 [22] W] l241 [25] [26] [271 M. Pircher, E. Giitzinger, R. Leitgeb, A. Fercher, and C. Hitzenberger, "Measurement and imaging of water concentration in human cornea with differential absorption optical coherence tomography," Opt. Exgpress, vol. 11, pp. 2190-2197, 2003. E. A. Swanson, J. A. Izatt, M. R. Hee, D. Huang, C. P. Lin, J. S. Schuman, C. A. Puliafito, and J. G. Fujimoto, "In-vivo retinal imaging by optical coherence tomography," Opt. Lett., vol. 18, pp. 1864, 1993. P. Massin, E. Vicaut, B. Haouchine, A. Erginay, M. Paques, and A. Gaudric, "Reproducibility of Retinal Mapping Using Optical Coherence Tomography," Arch Ophthalmol, vol. 119, pp. 1135-1142, 2001. D. N. Zacks and M. W. Johnson, "Transretinal Pigment Migration: An Optical Coherence Tomographic Study," Arch Ophthalmol, vol. 122, pp. 406- 408, 2004. W. C. Kuo, J. J. Shyu, N. K. Chou, C. M. Lai, H. C. Huang, C. Chou, and G. J. Jan, "Imaging of human aortic atherosclerotic plaques by polarization- sensitive optical coherence tomography," presented at Engineering in Medicine and Biology Society, 2004. IEMBS '04. 26th Annual International Conference of the IEEE, 2004. B. E. Bouma, M. Shishkov, K. H. Schlendorf, S. L. Houser, I. K. Jung, and G. J. Tearney, "Monitoring coronary artery stent deployment in living human patients with optical coherence tomography," presented at Lasers and Electro-Optics, 2001. CLEO '01. Technical Digest. Summaries of papers presented at the Conference on, 2001. N. A. Patel, J. Zoeller, D. L. Stamper, J. G. Fujimoto, and M. E. Brezinski, "Monitoring osteoarthritis in the rat model using optical coherence tomography," Medical Imaging, IEEE Transactions on, vol. 24, pp. 155-159, 2005. F. I. Feldchtein, V. M. Gelikonov, G. V. Gelikonov, R. V. Kuranov, N. D. Gladkova, A. M. Sergeev, N. M. Shakhova, I. A. Kuznetzova, A. N. Denisenko, and O. S. Streltzova, "Design and performance of an endoscopic OCT system for in vivo studies of human mucosa," presented at Lasers and Electro-Optics, 1998. CLEO 98. Technical Digest. Summaries of papers presented at the Conference on, 1998. 129 [23] [29] I301 [311 l32] l33l 134] [35] [36] J. A. Izatt, M. D. Kulkarni, W. Hsing-Wen, K. Kobayashi, and M. V. Sivak, Jr., "Optical coherence tomography and microscopy in gastrointestinal tissues," Selected Topics in Quantum Electronics, IEEE Journal of, vol. 2, pp. 1017-1028, 1996. P. Hsuing, C. Chudoba, C. Pitris, X. D. Li, T. Ko, and J. G. Fujimoto, "In vivo colposcopic imaging of neoplastic tissues using Optical Coherence Tomography," presented at Lasers and Electro-Optics, 2001. CLEO '01. Technical Digest. Summaries of papers presented at the Conference on, 2001. P. Hsiung, T. H. K0, X. D. Li, J. G. Fujimoto, M. Weinstein, A. V. D'Amico, and J. R. Ritchie, "Intraoperative imaging using optical coherence tomography," presented at Lasers and Electro-Optics, 2002. CLEO '02. Technical Digest. Summaries of Papers Presented at the, 2002. S. A. Boppart, J. M. Herrmann, C. Pitris, B. E. Bouma, and G. J. Tearney, "Interventional optical coherence tomography for surgical guidance," presented at Lasers and Electro-Optics, 1998. CLEO 98. Technical Digest. Summaries of papers presented at the Conference on, 1998. E. Alarousu, L. Krehut, T. Prykari, and R. Myllyla, "Study on the use of optical coherence tomography in measurements of paper properties," Measurement Science & Technology, vol. 16, pp. 1131-1137, 2005. F. Sterzer, "Microwave medical devices," Microwave Magazine, IEEE, vol. 3, pp. 65-70, 2002. K. Sato, T. Manabe, J. Polivka, T. Ihara, Y. Kasashima, and K. Yamaki, "Measurement of the complex refractive index of concrete at 57.5 GHz," Antennas and Propagation, IEEE Transactions on, vol. 44, pp. 35-40, 1996. S. N. Kharkovsky, M. F. Akay, U. C. Hasar, and C. D. Atis, "Measurement and monitoring of microwave reflection and transmission properties of cement-based specimens," Instrumentation and Measurement, IEEE Transactions on, vol. 51, pp. 1210-1218, 2002. M. Zhihong and S. Okamura, "Permittivity determination using amplitudes of transmission and reflection coefficients at microwave frequency," Microwave Theory and Techniques, IEEE Transactions on, vol. 47, pp. 546- 550, 1999. 130 [37] [38] I39] [401 [41] I421 [43] [44] [451 [461 D. K. Ghodgaonkar, V. V. Varadan, and V. K. Varadan, "Free-space measurement of complex permittivity and complex permeability of magnetic materials at microwave frequencies," Instrumentation and Measurement, IEEE Transactions on, vol. 39, pp. 387-394, 1990. D. K. Ghodgaonkar, V. V. Varadan, and V. K. Varadan, "A free-space method for measurement of dielectric constants and loss tangents at microwave frequencies," Instrumentation and Measurement, IEEE Transactions on, vol. 38, pp. 789-793, 1989. N. Qaddoumi, L. Handjojo, T. Bigelow, J. Easter, A. Bray, and R. Zoughi, "Microwave corrosion detection using open ended rectangular waveguide sensors," Materials Evaluation ; VOL. 58 ; ISSUE: 2 ; PBD: Feb 2000, pp. page(s) 178-184, 2000. J. Sierpowska, M. A. Hakulinen, yr, J. s, J. S. Day, H. Weinans, J. S. Jurvelin, and R. Lappalainen, "Prediction of mechanical properties of human trabecular bone by electrical measurements," Physiological Measurement, vol. 26, pp. 8119-8131, 2005. C. Gabriel, S. Gabriel, and E. Corthout, "The dielectric properties of biological tissues: 1. Literature survey," Physics in Medicine and Biology, vol. 41, pp. 2231-2249, 1996. S. Gabriel, R. W. Lau, and C. Gabriel, "The dielectric properties of biological tissues: III. Parametric models for the dielectric spectrum of tissues," Physics in Medicine and Biology, vol. 41, pp. 2271-2293, 1996. R. F. Harrington, Time Harmonic Electromagnetic Fields. New York: Wiley Interscience, 2001. K. Umashankar and A. Taflove, Computational Electromagnetics, 1st ed. Boston: Artech House, Inc., 1993. J. M. Vaughan, The Physiology of bone Second ed: Oxford : Clarendon Press, 1975. R. W. Rafael Gonzalez, Digital Image Processing. Upper Saddle River, NJ: Prentince Hall, 2002. 131 n1x[lllililllflljllullll‘ljil