Profile for Young L Kim

Jingjing Liu, Zhengbin Xu, Young L Kim. Optics letters Volume 34 Issue 16

We present that multiple mutually independent coherence areas can be used for simultaneous spatial filtering in an imaging platform as effective as pinhole scanning. In this imaging platform, the unique combination of low-spatial-coherence illumination and differential angle imaging allows us to take advantage of low-coherence enhanced-backscattering (LEBS) phenomenon to permit self-generated optical sectioning to the subsurface in a relatively large area. We further demonstrate that LEBS spectroscopic imaging substantially minimizes cross talk among adjacent pixels, rejects the background light caused by out-of-plane scattered light, and thereby enhances image contrast and resolution.

Hyeonsoo Chang, Ali H M Hassan, Young L Kim, Lester J Lloyd, Bon-Kwon Koo, Junya Ako, Yasuhiro Honda, Charles J Davidson, Peter J Fitzgerald. The Journal of invasive cardiology Volume 21 Issue 7

OBJECTIVES: This study aims at in-vitro validation of the principles of endovascular detection of contrast medium and assessing the feasibility of in-vivo detection and removal of contrast during angiography. BACKGROUND: Contrast-induced nephropathy is a growing concern in current percutaneous interventions with increasing lesion complexity and patient comorbidity. To address this clinical problem, a novel method of endovascular detection and automatic removal of contrast has been developed, and is comprised of a catheter-based system with a reflectance-type optical sensor. METHODS: Blood samples were obtained from ovine subjects to characterize the optical response of blood by measuring the reflectance spectrum at varying levels of hematocrit diluted by a contrast agent. The results from the in-vitro test were implemented into an in-vivo system. An aspiration catheter equipped with a fiberoptic sensor was inserted into the coronary sinus (CS) of 5 canines. Contrast was administered through the coronary artery and reflectance signals were recorded at the CS. The removal rate was analyzed through 20 specimen collections. RESULTS: A proportional relationship was found between hematocrit and reflectance intensity in in-vitro test. Upon in-vivo detection of contrast, the sensor signal showed a 79.5 +/- 9.9% (n = 33) drop from the pre-injection baseline. This was highly reproducible and beyond the noise level of baseline, (2.5 +/- 0.9%), enabling automatic activation of the aspiration system. The signal duration was 12.2 +/- 3.7 seconds. The removal rate of contrast was 59.3 +/- 11%. CONCLUSION: The present study validated the principles of endovascular contrast detection and demonstrated the feasibility of an in-vivo, catheter-based removal of contrast using reflectance technology.

Zhengbin Xu, Jingjing Liu, Young L Kim. Journal of biomedical optics Volume 14 Issue 3

We experimentally demonstrate that back-directional gating in an imaging setup can potentially remove unwanted diffuse light to improve the contrast of an object embedded in a high anisotropic surrounding medium. In such back-directional gating, the high anisotropic property of the surrounding medium can serve as a waveguide to deliver the incident light to the embedded object and to isolate the ballistic or snake-like light backscattered from the object in a moderate depth. We further discuss the effects of back-directional gating in the image formation in terms of the image resolution and the depth of field. Although backscattering detections of biological tissue have recently received considerable attention, we, for the first time to our knowledge, show its potential advantage for the contrast improvement in high anisotropic media.

Hyeonsoo Chang, Young L Kim, Ali Hassan, Peter J Fitzgerald. Applied optics Volume 48 Issue 13

We present simple whole blood reflectance analyses in the range 500-900 nm, using intact whole blood to simultaneously quantify hematocrit and oxygen saturation from a single spectral reading. We applied these results for the development of an intravascular catheter-based reflectance sensing system to detect and remove contrast media injected during angiography so as to reduce the risk of complications associated with the injected contrast media. We further tested the practicality of the optical detection of angiographic contrast media in a pilot animal study in vivo. We successfully demonstrated the feasibility of real-time in vivo contrast detection and removal during angiography. Our simple method for the detection and removal of angiographic contrast media will facilitate the development of intravascular optical sensing systems.

Vladimir M Turzhitsky, Andrew J Gomes, Young L Kim, Yang Liu, Alexey Kromine, Jeremy D Rogers, Mohammed Jameel, Hemant K Roy, Vadim Backman. Applied optics Volume 47 Issue 32

There has been significant interest in developing depth-selective optical interrogation of biological tissue in general and of superficial (e.g., mucosal) tissue in particular. We report an in vivo polarization-gating fiber-optic probe that obtains backscattering spectroscopic measurements from a range of near-surface depths (100-200 microm). The design and testing was performed with polarized light Monte Carlo simulations and in tissue model experiments. We used the probe to investigate mucosal changes in early carcinogenesis. Measurements performed in the colonic mucosa of 125 human subjects provide the first in vivo evidence that mucosal blood supply is increased early in carcinogenesis, not only in precancerous adenomatous lesions, but also in the histologically normal-appearing tissue surrounding these lesions. This effect was primarily limited to the mucosal microcirculation and was not present in the larger blood vessels located deeper in colonic tissue.

Hemant K Roy, Vladimir Turzhitsky, Young L Kim, Michael J Goldberg, Joseph P Muldoon, Yang Liu, Randall E Brand, Curtis Hall, Nahla Hasabou, Mohammed Jameel, Vadim Backman. Diseases of the colon and rectum Volume 51 Issue 9

PURPOSE: We previously reported that analysis of histologically normal intestinal epithelium for spectral slope, a marker for aberrations in nanoscale tissue architecture, had outstanding accuracy in identifying field carcinogenesis in preclinical colorectal cancer models. In this study, we assessed the translatability of spectral slope analysis to human colorectal cancer screening. METHODS: Subjects (n = 127) undergoing colonoscopy had spectral slope determined from two endoscopically normal midtransverse colonic biopsies using four-dimensional elastic light-scattering fingerprinting and correlated with clinical findings. RESULTS: Four-dimensional elastic light-scattering fingerprinting analysis showed the submicron particles size progressively shifted toward larger sizes in subjects harboring neoplasia. There was a corresponding decrease in spectral slope values from the endoscopically normal mucosa in subjects harboring adenomas (n = 41) and advanced adenomas (n = 10), compared to neoplasia-free subjects (P

Claudia Mujat, Cherry Greiner, Amy Baldwin, Jonathan M Levitt, Fenghua Tian, Lee A Stucenski, Martin Hunter, Young L Kim, Vadim Backman, Michael Feld, Karl Münger, Irene Georgakoudi. International journal of cancer. Journal international du cancer Volume 122 Issue 2

Cellular transformation is associated with a number of phenotypic, cell biological, biochemical and metabolic alterations. The detection and classification of morphological cellular abnormalities represents the foundation of classical histopathology and remains an important mainstay in the clinic. More recently, significant effort is being expended towards the development of noninvasive modalities for the detection of cancer at an early stage, when therapeutic interventions are highly successful. Methods that rely on the detection of optical signatures represent one class of such approaches that have yielded promising results. In our study, we have applied two spectroscopic imaging approaches to systematically identify in a quantitative manner the fluorescence and light scattering signatures of subcellular abnormalities that are associated with cellular transformation. Notably, we find that tryptophan images reveal not only intensity but also localization differences between normal and human papillomavirus immortalized cells, possibly originating from changes in the expression, 3D packing and organization of proteins and protein-rich subcellular organelles. Additionally, we detect alterations in cellular metabolism through quantitative evaluation of the NADH, FAD fluorescence and the corresponding redox ratio. Finally, we use light scattering spectroscopy to identify differences in nuclear morphology and subcellular organization that occur from the nanometer to the micrometer scale. Thus, these optical approaches provide complementary biomarkers based on endogenous fluorescence and scattering cellular changes that occur at the molecular, biochemical and morphological level. Since they obviate the need for staining and tissue removal and can be easily combined, they provide desirable options for further clinical development and assessment. Copyright 2007 Wiley-Liss, Inc.

Young L Kim, David R Jacobs, Myron D Gross, Raymond C Bergan, Peter H Gann, Kiang Liu, Susan M Gapstur. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology Volume 16 Issue 12

Yang Liu, Randall E Brand, Vladimir Turzhitsky, Young L Kim, Hemant K Roy, Nahla Hasabou, Charles Sturgis, Dhiren Shah, Curtis Hall, Vadim Backman. Clinical cancer research : an official journal of the American Association for Cancer Research Volume 13 Issue 15 Pt 1

PURPOSE: Pancreatic cancer remains one of the most deadly cancers and carries a dismal 5-year survival rate of <5%. Therefore, there is urgent need to develop a highly accurate and minimally invasive (e.g., without instrumentation of the pancreatic duct given high rate of complications) method of detection. Our group has developed a collection of novel light-scattering technologies that provide unprecedented quantitative assessment of the nanoscale architecture of the epithelium. We propose a novel approach to predict pancreatic cancer through the assessment of the adjacent periampullary duodenal mucosa without any interrogation of the pancreatic duct or imaging of the pancreas. EXPERIMENTAL DESIGN: Endoscopically and histologically normal-appearing periampullary duodenal biopsies obtained from 19 pancreatic cancer patients were compared with those obtained at endoscopy from 32 controls. Biopsies were analyzed using our newly developed optical technologies, four-dimensional elastic light-scattering fingerprinting (4D-ELF) and low-coherence enhanced backscattering (LEBS) spectroscopy. RESULTS: 4D-ELF- and LEBS-derived optical markers from normal-appearing periampullary duodenal mucosa can discriminate between pancreatic cancer patients and normal controls with 95% sensitivity and 91% specificity. Moreover, the diagnostic performance of these optical markers was not compromised by confounding factors such as tumor location and stage. CONCLUSIONS: Here, we showed, for the first time, that optical analysis of histologically normal duodenal mucosa can predict the presence of pancreatic cancer without direct visualization of the pancreas.

Hariharan Subramanian, Prabhakar Pradhan, Young L Kim, Vadim Backman. Physical review. E, Statistical, nonlinear, and soft matter physics Volume 75 Issue 4 Pt 1

The mechanisms of photon propagation in random media in the diffusive multiple scattering regime have been previously studied using diffusion approximation. However, similar understanding in the low-order (subdiffusion) scattering regime is not complete due to difficulties in tracking photons that undergo very few scatterings events. Recent developments in low-coherence enhanced backscattering (LEBS) overcome these difficulties and enable probing photons that travel very short distances and undergo only a few scattering events. In LEBS, enhanced backscattering is observed under illumination with spatial coherence length L{sc} less than the scattering mean free path l{s}. In order to understand the mechanisms of photon propagation in LEBS in the subdiffusion regime, it is imperative to develop analytical and numerical models that describe the statistical properties of photon trajectories. Here we derive the probability distribution of penetration depth of LEBS photons and report Monte Carlo numerical simulations to support our analytical results. Our results demonstrate that, surprisingly, the transport of photons that undergo low-order scattering events has only weak dependence on the optical properties of the medium (l{s} and anisotropy factor g) and strong dependence on the spatial coherence length of illumination, L{sc} relative to those in the diffusion regime. More importantly, these low-order scattering photons typically penetrate less than l{s} into the medium due to the low spatial coherence length of illumination and their penetration depth is proportional to the one-third power of the coherence volume (i.e., [l{s}piL{s}{2}]1/3) .

Josephine Allen, Yang Liu, Young L Kim, Vladimir M Turzhitsky, Vadim Backman, Guillermo A Ameer. Biomaterials Volume 28 Issue 2

The characterization of cellular interactions with a biomaterial surface is important to the development of novel biomaterials. Traditional methods used to characterize processes such as cellular adhesion and differentiation on biomaterials can be time consuming, and destructive, and are not amenable to quantitative assessment in situ. As the development of novel biomaterials shifts towards small-scale, combinatorial, and high throughput approaches, new techniques will be required to rapidly screen and characterize cell/biomaterial interactions. Towards this goal, we assessed the feasibility of using 4-dimensional elastic light-scattering fingerprinting (4D-ELF) to describe the differentiation of human aortic smooth muscle cells (HASMCs), as well as the adhesion, and apoptotic processes of human aortic endothelial cells (HAECs), in a quantitative and non-perturbing manner. HASMC and HAEC were cultured under conditions to induce cell differentiation, attachment, and apoptosis which were evaluated via immunohistochemistry, microscopy, biochemistry, and 4D-ELF. The results show that 4D-ELF detected changes in the size distributions of subcellular organelles and structures that were associated with these specific cellular processes. 4D-ELF is a novel way to assess cell phenotype, strength of adhesion, and the onset of apoptosis on a biomaterial surface and could potentially be used as a rapid and quantitative screening tool to provide a more in-depth understanding of cell/biomaterial interactions.

Young L Kim, Prabhakar Pradhan, Min H Kim, Vadim Backman. Optics letters Volume 31 Issue 18

We experimentally study the propagation of circularly polarized light in the subdiffusion regime by exploiting enhanced backscattering [(EBS), also known as coherent backscattering] of light under low spatial coherence illumination. We demonstrate for the first time, to the best of our knowledge, that a circular polarization memory effect exists in EBS over a large range of scatterers' sizes in this regime. We show that low-coherence EBS signals from the helicity preserving and orthogonal helicity channels cross over as the mean free path length of light in media varies, and that the cross point indicates the transition from multiple to double scattering in EBS.

Hariharan Subramanian, Prabhakar Pradhan, Young L Kim, Yang Liu, Xu Li, Vadim Backman. Applied optics Volume 45 Issue 24

Constructive interference between coherent waves traveling time-reversed paths in a random medium gives rise to the enhancement of light scattering observed in directions close to backscattering. This phenomenon is known as enhanced backscattering (EBS). According to diffusion theory, the angular width of an EBS cone is proportional to the ratio of the wavelength of light lambda to the transport mean-free-path length l(s)* of a random medium. In biological media a large l(s)* approximately 0.5-2 mm >> lambda results in an extremely small (approximately 0.001 degrees ) angular width of the EBS cone, making the experimental observation of such narrow peaks difficult. Recently, the feasibility of observing EBS under low spatial coherence illumination (spatial coherence length Lsc << l(s)*) was demonstrated. Low spatial coherence behaves as a spatial filter rejecting longer path lengths and thus resulting in an increase of more than 100 times in the angular width of low coherence EBS (LEBS) cones. However, a conventional diffusion approximation-based model of EBS has not been able to explain such a dramatic increase in LEBS width. We present a photon random walk model of LEBS by using Monte Carlo simulation to elucidate the mechanism accounting for the unprecedented broadening of the LEBS peaks. Typically, the exit angles of the scattered photons are not considered in modeling EBS in the diffusion regime. We show that small exit angles are highly sensitive to low-order scattering, which is crucial for accurate modeling of LEBS. Our results show that the predictions of the model are in excellent agreement with the experimental data.

Hemant K Roy, Dhananjay P Kunte, Jennifer L Koetsier, John Hart, Young L Kim, Yang Liu, Marc Bissonnette, Michael Goldberg, Vadim Backman, Ramesh K Wali. Molecular cancer therapeutics Volume 5 Issue 8

Polyethylene glycol (PEG) is one of the most potent chemopreventive agents against colorectal cancer; however, the mechanisms remain largely unexplored. In this study, we assessed the ability of PEG to target cyclin D1-beta-catenin-mediated hyperproliferation in the azoxymethane-treated rat model and the human colorectal cancer cell line, HT-29. Azoxymethane-treated rats were randomized to AIN-76A diet alone or supplemented with 5% PEG-8000. After 30 weeks, animals were euthanized and biopsies of aberrant crypt foci and uninvolved crypts were subjected to immunohistochemical and immunoblot analyses. PEG markedly suppressed both early and late markers of azoxymethane-induced colon carcinogenesis (fractal dimension by 80%, aberrant crypt foci by 64%, and tumors by 74%). In both azoxymethane-treated rats and HT-29 cells treated with 5% PEG-3350 for 24 hours, PEG decreased proliferation (45% and 52%, respectively) and cyclin D1 (78% and 56%, respectively). Because beta-catenin is the major regulator of cyclin D1 in colorectal cancer, we used the T-cell factor (Tcf)-TOPFLASH reporter assay to show that PEG markedly inhibited beta-catenin transcriptional activity. PEG did not alter total beta-catenin expression but rather its nuclear localization, leading us to assess E-cadherin expression (a major determinant of beta-catenin subcellular localization), which was increased by 73% and 71% in the azoxymethane-rat and HT-29 cells, respectively. We therefore investigated the effect of PEG treatment on levels of the negative regulator of E-cadherin, SNAIL, and observed a 50% and 75% decrease, respectively. In conclusion, we show, for the first time, a molecular mechanism through which PEG imparts its antiproliferative and hence profound chemopreventive effect.

Young L Kim, Vladimir M Turzhitsky, Yang Liu, Hemant K Roy, Ramesh K Wali, Hariharan Subramanian, Prabhakar Pradhan, Vadim Backman. Journal of biomedical optics Volume 11 Issue 4

The phenomenon of enhanced backscattering (EBS) of light, also known as coherent backscattering (CBS) of light, has been the object of intensive investigation in nonbiological media over the last two decades. However, there have been only a few attempts to explore EBS for tissue characterization and diagnosis. We have recently made progress in the EBS measurements in tissue by taking advantage of low spatial coherence illumination, which has led us to the development of low-coherence enhanced backscattering (LEBS) spectroscopy. In this work, we review the current state of research on LEBS. After a brief discussion of the basic principle of EBS and LEBS, we present an overview of the unique features of LEBS for tissue characterization, and show that LEBS enables depth-selective spectroscopic assessment of mucosal tissue. Then, we demonstrate the potential of LEBS spectroscopy for predicting the risk of colon carcinogenesis and colonoscopy-free screening for colorectal cancer (CRC).

Jianmin Gong, Bo Liu, Young L Kim, Yang Liu, Xu Li, Vadim Backman. Optics express Volume 14 Issue 13

We analyze the resolution limit that can be achieved by means of spectral reshaping in optical coherence tomography images and demonstrate that the resolution can be improved by means of modelessly reshaping the source spectrum in postprocessing. We show that the optimal spectrum has a priori surprising "crater-like" shape, providing 0.74 micron axial resolution in free space. This represents ~50% improvement compared to resolution using the original spectrum of a white light lamp.

Young L Kim, Prabhakar Pradhan, Hariharan Subramanian, Yang Liu, Min H Kim, Vadim Backman. Optics letters Volume 31 Issue 10

The origin of low-coherence enhanced backscattering (EBS) of light in random media when the spatial coherence length of illumination is much smaller than the transport mean free path has been poorly understood. We report that in weakly scattering discrete random media low-coherence EBS originates from time-reversed paths of double scattering. Low spatial coherence illumination dephases the time-reversed waves outside its finite coherence area, which isolates the minimal number of scattering events in EBS from higher-order scattering. Moreover, we show the first experimental evidence that the minimal number of scattering events in EBS is double scattering, which has been hypothesized since the first observation of EBS.

Hemant K Roy, Young L Kim, Yang Liu, Ramesh K Wali, Michael J Goldberg, Vladimir Turzhitsky, Jonathan Horwitz, Vadim Backman. Clinical cancer research : an official journal of the American Association for Cancer Research Volume 12 Issue 3 Pt 1

INTRODUCTION: Our group has been interested in applying advances in biomedical optics to colorectal cancer risk stratification. Through a recent technological breakthrough, we have been able to harness information from enhanced backscattering spectroscopy, an optics phenomenon that allows quantitative, depth-selective analysis of the epithelial microscale/nanoscale architecture. In the present study, we investigated the ability of enhanced backscattering analysis of the preneoplastic mucosa to predict risk of colon carcinogenesis. METHODS: Enhanced backscattering analysis was done on intestinal mucosa at preneoplastic time points from two experimental models of colorectal cancer: the azoxymethane-treated rat and the multiple intestinal neoplasia (MIN) mouse. Data were analyzed using two previously validated spectral markers: spectral slope and principle components. We then did a pilot study on mucosal biopsies from 63 subjects undergoing screening colonoscopy. RESULTS: In the azoxymethane-treated rat, when compared with saline-treated controls, significant changes in the enhanced backscattering markers were observed as early as 2 weeks after azoxymethane treatment (before the development of aberrant crypt foci and adenomas). Enhanced backscattering markers continued to progress over time in a manner consonant with future neoplasia. These data were replicated in the preneoplastic MIN mouse mucosa. In humans, spectral slopes in the endoscopically normal cecum, midtransverse colon, and rectum were markedly reduced in patients harboring adenomas when compared with those who were neoplasia free. CONCLUSIONS: We show, for the first time, that enhanced backscattering analysis of an aliquot of uninvolved mucosa has the potential for predicting neoplastic risk throughout the colon in both experimental colorectal cancer models and humans.

Michael P Siegel, Young L Kim, Hemant K Roy, Ramesh K Wali, Vadim Backman. Applied optics Volume 45 Issue 2

We report the feasibility of monitoring both hemoglobin oxygen saturation and hemoglobin concentration in the superficial layer of tissue using polarization-gated elastic light-scattering spectroscopy. We detail our analysis technique, the experimental validation of our analysis, and the detection of an early increase in blood supply to the superficial layer of colon tissue in human patients with colonic adenomas as well as in an animal model of colon carcinogenesis. To the best of our knowledge, this study represents the first evidence that polarization gating can be used as a spectroscopic tool to quantify hemoglobin concentration as well as oxygen saturation in the uppermost tissue layer.

Yang Liu, Xu Li, Young L Kim, Vadim Backman. Optics letters Volume 30 Issue 18

The spectral properties of elastic light-scattering signals have been shown to provide a wealth of information on nanostructures and microstructures. We present elastic backscattering spectroscopic microscopy that allows simultaneous acquisition of microscopic images and backscattering spectra at each pixel. Within a single homogeneous micrometer-scale particle we observe two distinct and highly localized spectral oscillation features that arise from different optical paths: (1) surface waves (e.g., the ripple structure) and (2) a not previously reported anomalous ripple structure that is due to the interference of waves scattered from front and back surfaces at the particle's center. We also demonstrate that the spectroscopic data can provide nanoscale structural information beyond what conventional microscopy reveals.