In vivo quantification of placental hemodynamics with diffuse optical spectroscopy

Currently, no bedside tool measures placental hemoglobin properties. Thus, we developed a hybrid optical/ultrasound (US) system to measure and study placental oxygen dynamics noninvasively. The system combines a Frequency-Domain Diffuse Optical Spectroscopy (FD-DOS) instrument that is capable of probing tissue as deep as 5 cm below the surface, with a commercial US device to provide synchronized tissue morphological information. Multi-layer models of photon diffusion are then utilized to reconstruct placental hemoglobin properties from FD-DOS data with morphological constraints from US. Phantom experiments, simulations, and studies in human subjects demonstrate that this instrument quantifies in vivo placental hemodynamics non-invasively.