Optical Coherence Tomography (OCT), a well-established imaging method based on low-coherence interferometry, provides cross-sectional images of the internal structure of biological samples with a resolution in the micrometer range. OCT was successfully applied on various tissues such as for instance the retina, the skin or a tooth. In highly scattering tissues like the skin, probing depth is limited to approximately 2mm, mainly due to insufficient rejection of multiply scattered light. Presently, the contribution of multiple scattering in OCT is not fully understood. Therefore, there is a strong and urgent need to develop models allowing a reliable evaluation of the system's limitations as well as the improvement of the imaging capabilities. It is generally believed that a relevant model should account for loss of correlation between the reference and the sample field due to multiple scattering. We developed a new comprehensive model of OCT. Our preliminary study revealed that the reference and sample fields are actually fully correlated. This important result allowed us to model the OCT signal as a sum of stationary random phasors and treated it as a statistical signal. The mean of this signal can be calculated thanks to classical results of statistical optics and to a Monte Carlo simulation. Unlike other existing models, our model accounts for the source autocorrelation function. The model proved to be in excellent agreement with a whole range of experimental data gathered in a comprehensive study of cross-talk in wide-field OCT. Moreover, our results put in question the applicability of widely used models of OCT based on the "extended Huygens-Fresnel principle", which assume a partial correlation between interfering fields due to multiple scattering. The construction of conventional OCT images is based on lateral scanning of a beam focused within the sample. To increase image acquisition speed and eliminate the need for lateral scanning, wide-field OCT was recently developed. Our experimental and theoretical investigations of the potential and limitations of wide-field OCT revealed the crucial role played by the spatial coherence of the light source. Spatially coherent illumination generates considerable coherent optical cross-talk, which prevents shot-noise-limited detection and diffraction-limited imaging in scattering samples. The dependence on several parameters of the optical system and of the sample properties was investigated in a comprehensive study. Cross-talk increases with the wide-field diameter, numerical aperture, source coherence length, and sample optical density; and strongly depends on sample anisotropy. We showed that spatially incoherent illumination realized with a thermal light source permits cross-talk suppression in wide-field OCT, i.e. rejection of multiply scattered light to a level comparable to that of point scanning OCT. We performed a theoretical study which revealed that the power per spatial mode radiated by thermal light sources is too low to permit a high signal-to-noise ratio while maintaining a fast acquisition speed. Therefore, wide-field OCT realized with either spatially coherent or spatially incoherent illumination suffers from inherent fundamental limitation. This led us to investigate the possibility of exploiting a spatially incoherent light source brighter than a thermal light source. We came to the conclusion that such a "pseudothermal" light source can potentially lead to wide-field OCT systems devoid of cross-talk and an image acquisition speed higher than that of a point scanning OCT system. However, the attractive properties of pseudothermal light sources could be gained at the expense of the simplicity and the economical advantages offered by thermal light sources. Furthermore, fast acquisition speed also relies on a performing "smart pixel detector array". Presently, such detectors do not have sufficient sensitivity and their frequency readout is too low as shown in our feasibility study. We performed a theoretical investigation of the potential of thermal light sources in terms of axial resolution and power per mode. The former revealed that the maximum power per mode is radiated at a wavelength higher than the spectral peak of a blackbody radiator. This led to the important practical conclusion that, at 6000 K, the maximum power is collected in the therapeutic spectral window in OCT (600 - 1300 nm), while at 3000 K this peak is shifted out of the therapeutic window leading to significant power losses. More generally, our work provides a design tool for choosing the optimal thermal light source for a given therapeutic window in terms of signal-to-noise ratio. Currently available sources at 6000 K consist of high pressure gas arc lamps providing a spectrum endowed with spectral lines deleterious for OCT. By suppressing a portion of the spectrum devoid of spectral lines of a mercury arc lamp, we obtained amongst the highest axial resolution so far reported in OCT. Furthermore, the importance of the speckle statistics in OCT incited us to clarify the origin of a difference between two theoretical results reported in the literature. Indeed, two calculations of the amplitude distribution of speckles in OCT, each of them based on a different mathematical formulation, yield different results. We showed that a modification of an initial assumption in one of the formulation leads to equivalent results. In conclusion, this thesis provides a deeper understanding of the potential and limitations of widefield OCT, leading to important design rules. Moreover, it presents a new comprehensive model of OCT putting in question other widely used models.
EPFL2004
