Progress Report
Introduction
Research has shown that oxygenated haemoglobin (HbO2), deoxygenated haemoglobin (Hb) and oxidised cytochrome oxidase (CtOx), whose concentrations in tissue are strongly linked to tissue oxygenation and metabolism, have absorption spectra at near-infrared (NIR) wavelengths that are well defined. The desire to determine the 3D spatial variation of such absorbing substances (know as chromophores) within tissue has led to the development of NIR imaging techniques in which a series of NIR sources and detectors are placed on the surface of the tissue, the tissue is illuminated one light source at a time and the light leaving the tissue is determined by the array of detectors at large source-detector separations. This imaging technique is called Diffuse Optical tomography (DOT). The acquired measurements of light transmission between all sources and detectors can then be processed by algorithms and converted into transverse slices or 3D volumes of the distribution of internal optical properties. Such techniques have been demonstrated by Hebden [1] to image artificially induced variations of PaO2 and PaCO2 in the newborn infant brain. It is hoped that the wide base implementation of DOT will contribute towards a better understanding of overall brain hemodynamics and, among other things, assist in the treatment of patients suffering from cerebrovascular disease by discriminating between ischemic (due to insufficient blood flow) and hemorrhagic (due to internal bleeding) strokes.
Preterm (and term) infants that need to be mechanically ventilated are ideal for NIR imaging since mechanical ventilation facilitates controlled manipulation of PaO2 and PaCO2. However, such "ideal" situations are not readily available or indeed desirable so alternatives, which can effectively simulate the structure, state and conditions of a newborn infant brain, need to be considered. Preliminary research using magnetic resonance imaging (MRI) suggests that chick embryos could act as a substitute and be used as a method of testing MRI functional imaging techniques but up to now there has been no research to examine the use of eggs, and at a later stage chick embryos, as a test-bed for NIR optical imaging. It is therefore the objective of this project to ascertain whether unfertilised eggs can be used as a test-bed for NIR optical imaging.
In this progress report the various requirements and suggested building/measuring
processes as indicated in the project outline will be recalled and each requirement/process
will be examined in order to asses:
1. How closely has the initial design study been followed and
the reasons for any deviations that have been made ?
2. How much progress has been made at the half way stage towards achieving
the ultimate aim of the project ?
3. In light of work carried out so far, what are the plans for future work
on the project ?
1. How closely has the initial design study been followed and the reasons for any deviations that have been made ?
The proposed methodology as set out in the project outline was to divide
the project into four stages:
a. Building a holder that will connect the optical sources
and detectors to the egg.
b. Carrying out preliminary validation measurements on an
unfertilised egg.
c. Measuring the change in optical properties following
the injection of dye into an unfertilised egg.
d. Ideas for future development and research.
i. The holder must be designed to accommodate as wide a range of egg size as possible. This is necessary since both during the building of the holder and more importantly during its subsequent use for imaging a wide range of egg sizes will be used. During building it is anticipated that egg fragility will lead to many breakages and so many different eggs will be used for the production of the mould; for imaging it is only natural that researchers using the holder will want to image a large number of samples. It should be noted that there is a general lack of UK or EU regulation concerning the standardisation of egg size and so it will not be possible to follow a strict guideline concerning size during egg selection. The British Egg Industry Council [2] provides only four broad categories of egg size (small, medium, large, extra large) based on the mass of the eggs.
ii. The sources and detectors that are to be attached to the mould must be rigidly fixed in position and the fixed spatial coordinates of all sources and detectors must be determined prior to any imaging. This is necessary because it forms an essential requirement for the subsequent image reconstruction using the temporal optical absorption and scattering algorithm (TOAST).
iii. Provisions must be made in the design so that each detector can be optically isolated from direct illumination by sources in neighbouring detectors as well as from all external sources of light.
Proposed building process
The outer shell of the egg holder was to be constructed in two equal halves, an upper and a lower half, from low-temperature thermoplastic. The lower half was to be mounted on rods that in turn will be mounted on a flat horizontal rectangular or square base. Elevating the lower half of the holder on rods would make the holder more stable (in the absence of any support the holder would roll around on any surface it is placed) and provide access to its entire surface area. This would facilitate the placement of sources/detectors over the entire surface. The two halves were to come together and attach in such a way so that irrespective of the containing egg the spatial coordinates of the sources/detectors would remain fixed. Small sockets mounted onto the thermoplastic shell at predetermined positions were to be used to attach source/detector connectors.
Various methods were to be considered to determine the positioning and
spatial coordinates of the sources/detectors required for image reconstruction.
One possibility would involve a more or less random positioning of the
sources/detectors and the subsequent use of a 3D digitising arm preferably
while the egg is within the holder but if not possible then either before
or after (since as mentioned previously, theoretically, the design of
the holder will be such that the presence or not of an egg will not affect
the spatial coordinates of the sources/detectors). Another possibility
would involve a more orderly positioning of the sources and detectors
as well as more careful construction. The maximum number of source/detector
rings and the maximum number of sources/detectors that could be placed
on each ring would be estimated. The sources/detectors on each ring would
then be placed at equal angular separation as shown in figure 1 below.
The inner surface of the holder would be lined with soft NIR-absorbing foam of thickness to be determined. The foam would serve a dual purpose: On the one hand, since it is compressible it would provide the necessary padding to accommodate a wide range of egg sizes while the spatial coordinates of the sources/detectors remain fixed (requirement 1). On the other, its NIR absorbing properties would ensure that detectors were optically isolated (requirement 3). Holes would be made in the foam through which the connectors would be translated bringing the sources/detectors up to the egg surface.
Figure 2 shows the proposed model.

Actual building process and extent to which requirements were met
The outer shell of the holder has indeed been constructed using two sheets of thermoplastic as originally planned. It was decided to build two holders differing originally in the way in which they would be lined with NIR foam. Four pieces of thermoplastic of dimensions were cut from a larger sheet. One of the sheets was heated at its centre using a heat gun and made to take the shape of the egg by placing the egg at its centre and pulling down on the edges of the sheet until it had reached the middle of the egg as shown in figure 3:
The mould was then turned over so that its top side was now facing downwards. The bottom, still exposed side, was covered with very thin foil paper so as to prevent the two sheets from sticking together and thermally isolate them preventing deformation of either sheet when the heat gun was subsequently used to make small changes in the shape of the mould. The bottom half of the mould was formed in exactly the same way as the top half and is shown in figure 4:
Figure 5 shows a series of pictures of the mould being formed.
It has not been possible to fulfil requirement 1 to the extent that was originally thought. While it was originally believed that the holder would be able to hold small, medium and large eggs various constraints have meant that it can only hold a wide range of large eggs:
The original mould was created using a hard boiled medium sized egg by the method described above. It was originally thought that a combination of a mould formed from a medium sized egg and the compression of the subsequently added NIR foam would be suitable and sufficient for the holder to accommodate the 3 different egg sizes. However, once the mould had been formed it was found that it would accommodate precisely only the single egg from which it had been formed with the possibility of a small variation in size. It was therefore decided that the egg would have to incorporate the thickness of the foam (~1 cm) so that when the inner surface of the mould would subsequently be lined with foam it would be of the correct size to tightly fit the egg as shown in figure 6 below:
To form the “enlarged” mould an attempt was made to surround an egg with NIR foam and proceed as described above. This approach however did not work because of the small size and curved nature of the egg; The foam was available in strips of width approximately 2.5cm so covering the egg meant using a couple of strips around the central part and many small pieces for the top and bottom. As a result the egg lost its well defined shape and consequently the mould created was incorrectly shaped. Using thinner strips did not overcome the problem.
As an alternative, a papier mâché technique was considered: Fine paper was cut into long thin strips and flour and water were mixed together to form a paste like consistency. Each strip of paper was soaked in the mixture and wrapped around a large egg. This proved to be a successful way of increasing the overall size of the egg by the required ~2cm but along the way papier mâché -ing of a real hard boiled egg was replaced by papier mâché -ing of a porcelain egg that had been acquired for the following reasons:
i. this would save a lot of time given that the porcelain
egg was already much closer to the required size,
ii. there would be no possibility of the porcelain egg
rotting as could be the case with the real egg.
Once the papier mâchéd porcelain egg had dried it was sprayed with a fast dry enamel paint that would act as a protective layer preventing paper layers from being pulled off when the thermoplastic was to be separated from the porcelain egg.
Figure 7 show pictures of the real papier mâchéd egg and the porcelain papier mâchéd egg after it had been sprayed with enamel paint.
The porcelain egg was subsequently used to form the mould as described on pages 2 & 3. Having used an egg with dimensions analogous to a large egg surrounded with foam, means that the holder will now only accommodate large eggs. This possibly imposes a restriction on future use of the holder but it is believed that it is an acceptable compromise for two reasons:
i. The size of the egg to be imaged should not affect
the image obtained and since a wide range of large eggs can be imaged
the original requirement (requirement 1) that it should be possible to
image many samples is satisfied.
ii. An alternative method (described below) that would
theoretically overcome this restriction would be more complicated to
build, require the assistance of a workshop technician, take much longer
than originally planned and, in practice, very likely not work.
For the alternative method, instead of lining the inside of the mould with NIR foam, patches of foam would be attached to the end of small hollow rods that would be translated radially inwards and outwards up to and away from the egg within the holder and supported in place by small screws. The fibres would be passed through the hollow rods and brought up to the egg. This is shown in figure 8. This way the NIR foam would be in intimate contact with any egg size (requirement 1) supporting it in place as well as isolating the neighbouring fibres (requirement 3). This arrangement would also satisfy requirement 2.
The above solution would be very difficult to implement because of the very small surface area over which optodes can be placed. Even in the absence of the holding mechanisms the distance between adjacent optodes is very small and it is therefore unlikely that there would be enough room to position the holding mechanisms.
As stated on page 3, it was originally decided to build two holders differing in the way in which they would be lined with NIR foam. One would be lined using continuous strips while the other would be lined with patches as shown in figure 7 but with the patches actually glued to the inner surface of the mould. In both cases holes would be made through the foam for the light to penetrate. The former of these lining techniques was abandoned in favour of both moulds (each having a slightly different shape) being lined with NIR foam cut into patches. The advantage of this method was that the small patches could be placed at any angle producing a tighter fit around the egg and reducing the risk of any light travelling through air gaps and reaching the detectors without passing through the egg.
It was also proposed, as part of the project outline (c.f. Fig 1), that the exact positions of the optodes could possibly be determined prior to actual positioning. This proposal was also abandoned since apart from the complexity of determining the positions for such an irregularly shaped 3D object, experimental errors would lead to the actual positionings being different from those calculated. Nonetheless the holes for the optodes have been made to form rings around the mould and the maximum number of holes forming each ring have been equally distributed. By trial and error it has been found that the maximum number of holes/optodes that can be fitted is 26 in the arrangement shown in figure 9.
To make the holes and hold the optodes in position (requirement 2) 3
different methods were tried:
i. The heat gun was used to make the area surrounding
the position where an optode was to be placed pliable. The plastic channel
was then simply pushed through and held in position until the plastic
became hard again.
ii. Holes were cut into the thermoplastic at the positions
where the optodes were to be placed.
iii. A hand drill with a drill bit of 6.1mm was used
to make round holes at the positions where the optodes were to be fixed.
A reamer was used to slightly increase the size of the hole and push
the edges inwards as shown in figure 10.
Out of the 3 methods, method (ii) was found to be the least effective with the cut holes being either too small for the plastic channels to pass through or too large. Method (i) was better than (ii) – it gave a tight fit for the optodes but as was the case when trying to form the mould, using the heat gun even on isolated areas caused the thermoplastic to deform in an undesirable way. Method (iii) was found to be the most effective – it did not deform the thermoplastic and with a choice of correct drill size and some reaming the fit for the optodes was very tight.
Figure 11 is a picture of the base and holder with NIR foam lining and an egg in position.
The 2nd, 3rd and 4th stages of the proposed methodology, i.e. carrying out preliminary validation measurements on an unfertilised egg, measuring the change in optical properties following the injection of dye into an unfertilised egg and ideas for future development and research have not as yet been carried out and as such become relevant in answering the 2nd and 3rd questions of this progress report.
2. How much progress has been made at the half way stage towards achieving the ultimate aim of the project ?
It shall be recalled that the aim of this project is to ascertain whether unfertilised eggs can be used as a test-bed for NIR optical imaging. Since this is a preliminary project a significant amount of the time needs to be spent in building the egg holder so that it can be used both in this project, to take preliminary validation measurements and measurements following simple induced changes in optical properties, as well as future projects to take measurements from fertilised embryos, if the conclusions of this project are that such measurements are possible and useful. The building of the holder is now complete and since this was probably the largest section of the project, it is concluded that satisfactory progress has been made at the half way stage towards achieving the ultimate aim.
3. In light of work carried out so far, what are the plans for future work on the project ?
The plans for future work on the project are to proceed with points b. c. and d. of the outlined methodology. None of the work carried out so far has necessitated a change in any of the 3 points.
For purposes of carrying out this stage of the investigation as well as the next, eggs must be carefully selected so as to be of high quality. In accordance with EU legislation, there are three quality classes for eggs: Class A, Class B and Class C. Classification takes into account the quality of the cuticle, shell, albumen and yolk, the air space within the egg, the development of a germ cell and smell. The criteria to be met by all of the aforementioned constituents of the egg for the various classification are outlined in the “Egg quality guide” of the Department for Environment, Food and Rural Affairs (DEFRA) [3]. In general, all eggs sold in supermarkets are Class A eggs. Despite this, prior to imaging, eggs should, if possible, undergo some form of candling (even if it involves simply using a strong flashlight) to ensure that there has not been any damage from when they last underwent candling prior to marketing.
c. MEASURING THE CHANGE IN OPTICAL PROPERTIES FOLLOWING THE INJECTION OF DYE
Using information obtained either from the general literature or from a research group involved in using magnetic resonance imaging (MRI) to monitor the development of chick embryos, the correct type and amount of dye necessary to simulate various conditions of stress will be injected into the egg. It is predicted that injection of the dye can be achieved using a hypodermic needle inserted through the tiny pores that permeate the shell and allow gases to move between the contents of the egg and the surroundings. MONSTIR and the TOAST algorithm will then be used to determine the changes in optical properties resulting from this injection.
d. FUTURE DEVELOPMENT AND RESEARCH
Based on the outcome of the previous three stages the usefulness of eggs as a test-bed for optical imaging will be determined and suggestions will be made for future development and research.
References
1. J. C. Hebden, Advances in optical imaging of the newborn infant brain, Psychophysiology, Vol 40, 501-510 (2003)
2. British Egg Information Service, “Egg Sizes”
http://www.britegg.co.uk/beissection/beis_eggsz.html
3. UK Department for Environment, Fod and Rural Affairs, “Egg Quality Guide”
http://www.defra.gov.uk/foodrin/poultry/pdfs/eggqual.pdf