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RESEARCH · 2025–2026

Neonatal Photoacoustic Oximeter

Designed a miniaturized transesophageal photoacoustic sensing system to estimate pulmonary venous oxygen saturation in neonates with congenital heart disease. Across four milestones, our team combined computational modeling, patient-relevant anatomical analysis, benchtop hardware characterization, and hemoglobin-based signal validation.

Illustration of the E-PVO probe positioned transesophageally near the left atrium and pulmonary veins, with a sample oxygen-saturation readout
Illustration of probe placement in the esophagus, the sensing window near the left atrium and pulmonary veins, and the resulting signal estimate.
4

Staged engineering milestones

8–15 mm

Target anatomical sensing-depth envelope

±5%

Oxygen-saturation accuracy targetTarget

200

Peaks analyzed per condition, final benchtop study

The clinical need

Neonates with congenital heart disease often require invasive measurements to track oxygenation, and the neonatal chest and vasculature leave very little physical space for additional instrumentation. Our team's proposed system aims to obtain pulmonary venous oxygen-saturation information without vascular cannulation, using a route the body already has: the esophagus.

Our design response

The E-PVO is positioned transesophageally, adjacent to the left atrium and pulmonary veins. Multispectral optical pulses are delivered through miniature optical fibers and absorbed by hemoglobin; a co-located ultrasound receiver detects the resulting pressure waves, and bedside signal processing estimates oxygen saturation through spectral unmixing.

Current pathway

Catheter-based or invasive measurement

Proposed pathway

Esophageal probePhotoacoustic signalSaturation estimate

System

How the system works

  1. 1

    Optical excitation

    Multispectral pulses travel through miniature optical fibers.

  2. 2

    Hemoglobin absorption

    HbO₂ and HbR absorb different amounts of light at different wavelengths.

  3. 3

    Photoacoustic response

    Absorbed energy generates transient thermoelastic pressure waves.

  4. 4

    Acoustic detection

    A co-located ultrasound transducer records the resulting waveform.

  5. 5

    Signal processing

    Filtering, spectral unmixing, and feature extraction recover blood-composition information.

  6. 6

    Saturation estimate

    The processed result is translated into an estimated pulmonary venous oxygen saturation.

Development

Four staged milestones

  1. 1ComputationalFall 2025 / December 2025

    Can raw photoacoustic voltage signals be converted into oxygen-saturation estimates?

    What we did

    • Built a simulated photoacoustic forward model
    • Used hemoglobin extinction spectra
    • Modeled a 5–7.5 MHz receive chain
    • Implemented two-wavelength spectral unmixing
    • Translated voltage signals into HbO₂, HbR, and estimated saturation

    Outcome

    • Established an expected signal range and an initial processing architecture
    • Produced computational benchmarks for later hardware testing
    • Did not constitute experimental validation because hardware was not yet available
    Technical details

    Modeling assumptions

    • Target depth: approximately 8–15 mm
    • Pulse-energy study range: approximately 0.25–1.6 μJ per pulse
    • Modeled post-pulse signal envelope remained below approximately 0.5 V

    Project success targets

    • Calibration R² ≥ 0.9
    • Mean absolute saturation error ≤ 5%
    • Reproducible end-to-end processing

    Criteria the team set for itself — not achieved clinical findings.

  2. 2AnatomicalFebruary 2026

    Can a transesophageal probe safely reach a useful sensing window within neonatal anatomical constraints?

    What we did

    • Reviewed neonatal and pediatric anatomical literature
    • Segmented the esophagus and pulmonary venous region
    • Created three-dimensional models in SimVascular
    • Calculated closest-point distances between the esophageal wall and target vasculature
    • Evaluated posterior, lateral, and centered probe orientations

    Outcome

    • Established an approximate 8–15 mm sensing-depth envelope
    • Identified probe orientation as an important source of depth and signal variability
    • Converted anatomical measurements into probe-diameter, placement, and sensing requirements
    Technical details
    Anatomical modelPosterior-facingLateral-facingCenteredOrientation range
    Model 18.1 mm10.6 mm9.4 mm2.5 mm
    Model 27.8 mm11.9 mm10.3 mm4.1 mm
    Model 39.0 mm12.7 mm11.2 mm3.7 mm

    Posterior-facing orientations generally reduced the sensing distance in these representative models. This reflects three individual anatomical models, not a completed population-level clinical study.

  3. 3BenchtopMarch 2026

    Can the laser–transducer acquisition chain be operated repeatably and produce measurable transient signals?

    What we did

    • Assembled and troubleshot the optical and acoustic acquisition chain
    • Established baseline transducer noise
    • Standardized the laser, target, and transducer geometry
    • Repeated each test condition across three trials

    Outcome

    • Established a repeatable baseline
    • Identified operating conditions capable of generating measurable transient peaks
    • Prepared the system for hemoglobin-containing samples
    Technical details

    Laser settings

    2.5 · 5 · 10

    Source-to-target distances

    2 cm · 5 cm · 10 cm

    Environmental & medium variables

    • Lights on vs. lights off
    • DI water
    • Layered water-front configuration
    • Carbon suspensions at 1, 2.5, and 5 mg/mL

    Metrics

    • Peak-to-peak voltage
    • Absolute peak amplitude
    • Signal RMS
    • Noise RMS
    • Peak-based SNR
    • RMS-based SNR
    • Peak timing
  4. 4ExperimentalWinter 2026

    Can the acquisition and processing pipeline distinguish signal differences in hemoglobin-containing samples?

    What we did

    • Tested hemoglobin concentrations of 25, 75, and 150 mg/mL
    • Compared hemoglobin-only samples with fibrinogen-containing samples
    • Aligned and averaged three replicate traces
    • Subtracted matched background controls
    • Localized high-energy regions using RMS analysis
    • Applied matched filtering
    • Extracted peak-to-peak voltage across 200 detected peaks per condition

    Outcome

    • The system detected composition-dependent differences in controlled hemoglobin samples
    • The fibrinogen experiment demonstrated that biologically relevant matrix effects may confound amplitude-only measurements

Constraints

Designing within neonatal constraints

Approximately 8–15 mm target depth
Optical fluence and acoustic sensitivity must remain adequate across variable anatomy
Limited esophageal lumen
The probe must remain miniaturized and flexible
Esophageal wall and intervening tissue
Tissue attenuation must be included in the sensing budget
Rotational variability
The sensing window should tolerate imperfect probe orientation
Wall apposition and acoustic coupling
Mechanical design must maintain safe, consistent contact
Neonatal optical safety
Pulse energy and thermal exposure require conservative limits
Composition-dependent signal behavior
Calibration cannot rely on amplitude alone

Analysis

Signal-processing pipeline

The final experimental processing sequence, from raw oscilloscope traces to statistical comparison. Tap a stage for a one-line explanation.

Results

What the experiments showed

Mean peak-to-peak voltage by concentration and sample typeGrouped bar chart comparing mean peak-to-peak voltage in millivolts for hemoglobin-only and fibrinogen-plus-hemoglobin samples at 25, 75, and 150 milligrams per milliliter. Hemoglobin-only samples show distinguishable amplitude differences, largest at 150 milligrams per milliliter. Fibrinogen samples show nearly flat responses across concentrations. Exact values are listed in the table below the chart.25 mg/mL75 mg/mL150 mg/mL0.03.57.0
  • Hemoglobin only
  • Fibrinogen + hemoglobin
  • Error bars show ± 1 SD
ConcentrationHemoglobin only (mean Vpp)Fibrinogen + hemoglobin (mean Vpp)
25 mg/mL4.605 ± 0.555 mV3.402 ± 0.557 mV
75 mg/mL4.345 ± 0.592 mV3.427 ± 0.446 mV
150 mg/mL5.782 ± 0.824 mV3.435 ± 0.468 mV

Hemoglobin only: one-way ANOVA F = 261.5, p < 0.0001. Fibrinogen + hemoglobin: one-way ANOVA F = 0.24, p = 0.784.

  • Hemoglobin-only samples exhibited statistically distinguishable signal amplitudes.
  • The largest response occurred at 150 mg/mL.
  • Fibrinogen-containing samples showed nearly overlapping responses, motivating more robust calibration and compensation methods.

My role

My contributions

This was a five-person team effort. The contributions below describe what I personally worked on within that team, not sole ownership of the project.

  • Clinical framing

    Contributed to translating the clinical need into sensing, localization, and validation requirements.

  • Staged strategy

    Helped develop the project's staged de-risking strategy across simulation, anatomy, and benchtop testing.

  • Anatomical analysis

    Contributed to anatomical modeling and interpretation of esophagus-to-pulmonary-vein sensing constraints.

  • Experimentation

    Supported experimental design, waveform analysis, and interpretation of photoacoustic results.

  • Technical communication

    Helped communicate technical findings through milestone reviews, reports, and design iterations.

Engineering judgment

Technical challenges and decisions

Challenge 1

Hardware was unavailable during the initial milestone

Decision

Build the signal-processing and expected-voltage framework in simulation first.

Why it mattered

This established expected signal ranges and informed later analog-front-end and acquisition decisions.

Challenge 2

Sensing performance depends on anatomy and orientation

Decision

Use three-dimensional segmentation and closest-point distance analysis to define the feasible operating envelope.

Why it mattered

This connected the abstract sensing concept to realistic probe dimensions and placement constraints.

Challenge 3

Amplitude can reflect multiple biological and experimental factors

Decision

Compare hemoglobin-only samples with fibrinogen-containing samples using the same processing pipeline.

Why it mattered

The flattened fibrinogen results showed that future saturation estimation will require calibration beyond simple amplitude comparisons.

Reflection

What we learned and what comes next

What we demonstrated

  • A computational pipeline for simulated photoacoustic oximetry
  • A realistic anatomical sensing-depth envelope
  • A repeatable laser–transducer benchtop setup
  • Detectable signal differences in hemoglobin-containing samples
  • A reusable waveform-processing and statistical-analysis pipeline

What remains

  • Use wavelength-dependent excitation to isolate oxygenation effects
  • Validate saturation estimates against known oxygenation states
  • Demonstrate the ±5% accuracy target experimentally
  • Improve compensation for depth, fluence, tissue, and sample composition
  • Integrate the optical, acoustic, mechanical, and processing subsystems
  • Validate neonatal-safe optical and thermal operating limits
  • Test in a more anatomically realistic esophageal–vascular phantom

Taken together, this capstone was a successful de-risking effort: it established technical feasibility questions across simulation, anatomy, and hardware, and defined the specific validation work still required before oxygen saturation itself can be measured experimentally.

Tech & topics

  • Medical Devices
  • Biosensors
  • Photoacoustics
  • Hardware
  • Signal Processing
  • Neonatal Care