Simultaneous 3D co-registered perfusion and oxygenation with ULM, photoacoustic imaging, and a planar matrix array
Objective. Joint assessment of tissue oxygenation and microvascular perfusion could offer valuable insights into vascular function across a wide range of biomedical applications. Multispectral photoacoustic imaging enables the evaluation of blood oxygenation, while ultrasound localization microscopy provides sub-diffraction visualization of the microvasculature and blood perfusion. Here, we combine these two complementary modalities to simultaneously generate co-registered, volumetric maps of blood oxygenation and perfusion. Approach. Photoacoustic imaging and ultrasound localization microscopy are both ultrasound-based techniques. We developed an imaging platform that integrates the two modalities using a single planar ultrasonic matrix array, a state-of-the-art array for 3D ultrasound localization microscopy. The bimodal platform was validated in vitro using vessel-mimicking phantoms, then in vivo in mice. Main results. In vitro bimodal images of tubes injected with contrast agents demonstrated a coregistration accuracy of 20 $\mu$m and revealed complementary structural and functional information. Multispectral photoacoustic imaging achieved oxygen saturation measurements spanning the physiological range (60-95 %) with 5 % accuracy using only five optical wavelengths. In vivo imaging of healthy mouse tissues with known vascular anatomy further demonstrated the ability of the proposed platform to jointly characterize blood oxygenation and microvascular perfusion. Significance. This work experimentally validates a bimodal photoacoustic imaging-ultrasound localization microscopy approach using a planar ultrasound array. We characterized the functional imaging performance of this platform and identified limited-view artifacts inherent to this array configuration in photoacoustic imaging. These findings establish a foundation for adopting the platform in future studies of murine models and for advancing this promising bimodal approach.