It is now just over one-hundred years since Roentgen's first x-ray image
was obtained and approximately twenty-five years since the first MRI
picture was recorded. Between the frequencies of the electromagnetic
spectrum that are deployed in these medical imaging modalities lies the
terahertz (THz) region, here defined as 300 GHz - 10 THz. This special issue
of Physics in Medicine and Biology is devoted to papers reporting
applications of this radiation in both medicine and biology. The papers in
this issue are an edited selection from the First International Conference
on Biomedical Imaging and Sensing Applications of THz Technology (BISAT) held
in Leeds, UK, towards the end of 2001.
Until recently, the THz range had not been exploited fully due to the
severely limited number of sources available. Such sources as were
available were bulky, expensive, inefficient and, usually, incoherent. A
step-change was brought about by the development, some five or more years
ago, of optically generated THz sources, which enable both the production
and detection of coherent radiation. Spectroscopic systems, usually with
imaging capability, were then quickly realized and these have been shown to
operate with extraordinary sensitivity. THz radiation passes easily
through most non-metals, and interacts with molecular rotations and
vibrations in matter. In consequence, applications of this new technology
in areas of biological and medical interest were soon identified.
THz radiation, unlike x-rays, is non-ionizing. Since THz radiation has a
longer wavelength than near infrared radiation, it will suffer less
Rayleigh scattering, and so images (especially of biological materials)
should be sharper. Moreover, THz images have better spatial resolution than
those that can be obtained by millimetre waves. THz radiation is, of
course, strongly attenuated by the presence of water but can, nevertheless,
pass through almost one kilometre of mist and through several millimetres
of tissue using state-of-the-art technology. Terahertz signals and images
provide full spectroscopic information about the real and imaginary parts
of the refractive index of the tissue under examination. This capability,
coupled with the resonant effects in tissue, suggests that THz techniques
will be a rich source of information about tissue both in vivo and in
vitro. At the time of writing this Editorial in vivo studies of skin
cancers, particularly melanoma and basal cell carcinoma, have been reported,
as have in vitro measurements of teeth for the investigation of dental
disease. In addition there appears to be every possibility that methods
will soon be devised to deliver THz radiation via endoscopes or catheters
and analyse reflections from internal body surfaces.
The resolution of THz radiation enables it to be used for molecular sensing
with the exciting prospect of studying biomolecules. Biomolecules will
exhibit resonances in the THz region of the spectrum, and these may be used
to probe both intra- and inter-molecular motion. Although this field is
still at a very early stage, the characteristic spectra of the basic
building blocks of DNA are now being assembled. As an extension of this
work, the ability of THz radiation to determine the hybridization state of
DNA has been shown, and this has led to the development of a genetic
diagnostics system with femtomol sensitivity.
This special issue is organized as follows. Following this Editorial,
there is an Overview of the field from X-C Zhang, the Honorary Chair
of the BISAT meeting. There then follow three sections: Sources and Systems
Development; Applications of Terahertz Radiation in Biomolecular Sensing
and Spectroscopy; and Applications of Terahertz Imaging in Medicine.
The first section provides a coherent picture of the present state of
development of THz pulsed imaging systems, with especial reference to
applications in both biology and medicine. Of particular note are the
advances that have been made to improve signal to noise ratios and to
speed-up the rate of image acquisition; attowatt sensitivity now appears to
be achievable, and real-time imaging is a very close possibility.
Developments in electronics that will lead to the eventual realization of
robust, compact equipment suitable in all respects for a hospital
environment are also reported. The deployment of near-field imaging
techniques to break the Abbé limit is a significant achievement, and will
in due course provide a new tool to establish the origin of contrast in THz
imaging of medical material, and to probe cellular vibrations and related
effects. Although impulsive optically generated THz pulses are used in the
majority of imaging systems at present, a new class of CW imaging systems,
that have particular advantages in cost and sensitivity, are now in the course
of development and these are also reported in this special issue.
Finally, the potential of free electron laser approaches to biomedical
measurements is reviewed.
The second section deals with biomolecular sensing and spectroscopy. A
significant instrumentation development reported here is the use of
all-electronic systems in the range of frequencies up to 1 THz. This equipment
might, for example, be used to determine rapidly the presence of unusual
(chemical or biological) substances concealed within envelopes or under
clothing. THz time-domain spectroscopy provides an ideal tool for probing
the response of biomolecules over a wide frequency range, and gaining an
understanding of the form of the dielectric function for the four
nucleobases (and corresponding nucleosides) that form the building blocks
of DNA is an essential step for both pure and applied research in this
area. The development of biosensors that rely on THz frequency interactions
is clearly a major goal for applicable science at THz frequencies. This
section details advances in THz sensor technology for bioaffinity detection
and the label-free probing of genes. Finally, a wholly new approach to the
question of modelling the propagation of THz radiation through biological
media is presented.
The third section describes recent advances in THz medical imaging. This
field is now growing rapidly and several significant advances are reported
here. The first comparisons of the results of THz imaging with
histopathological studies provide an ideal example, as does the development
of dark-field imaging techniques. Visualization and classification
techniques, which are widely used elsewhere in imaging science, have many
possibilities in the THz field, especially in view of the many parameters
that may be used to form a THz image. Finally, the use of other types of
THz imaging equipment using, for example, CW sources and bolometric
detection, may be another fruitful route for eventual exploitation.
This meeting provided the first opportunity for the terahertz medical and
biological community to identify itself as a distinct grouping. During the
course of the meeting, as is reflected in the present selection of papers,
a number of very significant questions emerged. For example, what is the
origin of contrast in a THz image of a biomedical sample: is it simply
absorption by increased water concentration in tissue, or are there
important scattering effects that should be considered? Other debatable
issues are: What are the critical design choices that must now be used for
future THz imaging systems (in terms of frequency choice, pulsed or CW
operation, electronic or optical generation, etc)? What are the engineering
challenges that must be addressed for remote delivery and analysis, and to
achieve practical imaging times for moving subjects? Will these challenges
be met with the present generation of large-scale pulsed systems, or will
quantum cascade laser sources be deployed more effectively in future
smaller scale systems that might incorporate, for example, tomographic
capability? Finally, and perhaps most crucially, how can THz imaging be
accepted alongside other established clinically useful modalities and what
could it image that cannot be imaged by other techniques?
For applications of THz radiation in bio-sensing and spectroscopy, some
significant questions might include: What will be the crucial developments
that will enable THz devices to compete effectively with established
technologies such as fluorescence marking of genes? Can THz measurements be
accomplished at the cellular level, perhaps to shed light on mechanisms of
protein folding? Will an effective theoretical framework ever be
established to interpret both spectroscopic data and the passage of THz
radiation through biomedical materials?
The Editors offer the following papers to the readers of Physics in
Medicine and Biology, in the hope that they will provide a useful record of
the first meeting of this community, and stimulate further scientific,
technological and medical advances in the years to come.