The University of Southampton

fNIRs: The future of Cerebral Imaging

Following the Sensor Lectures given by David Simpson and Russel Torah, the idea of optical imaging really stood out to me. Additionally, my passion for neuroscience and the brain brought me to cerebral optical imaging. Upon initial research, I noticed the most documented imaging techniques included MRI, CT and PET scans. PET scans, or positron emission tomography involves the use of a radio tracer that emits positively charged particles. When these particles encounter an electron, they completely annihilate and generate two gamma rays that can be picked up by the PET scanner. I had known about annihilation from physics at school, but I never knew to could be used to image the body! Since the radiotracer gets absorbed into more active tissues. This makes PET unique as it’s a way to image the functionality of tissues.

Looking closer into functional imaging, I came across functional MRI (fMRI) and fNIRs. While fMRI builds on current MRI technology, it involves the patient to stay still while completing tasks. While I knew this was still useful, I found that fNIRs could be used while moving around, so that, in my opinion it was much more potential in comparison.

fNIRs: A Quick Rundown

Functional near infrared spectroscopy, is a functional cerebral imaging method. It involves the use of near infrared light, between 700-950nm wavelengths. This is because once you get to the near infrared, the body is nearly transparent! Using a source, like an LED you pass the light through the body where the light follows a banana shape towards a detector just next to the source. I found this particularly strange, it made me think how light of all wavelengths of light pass through the body.

This is a short video on the underlying principles of fNIRs.
Advantages of fNIRsDisadvantages of fNIRs
High Temporal ResolutionLower Spatial Resolution
Non-invasive & safeSurface level measurements
PortabilitySensitivity to surface (i.e. hair, skin pigment)
Resistance to motion artifacts
Cost effective

Where are the images?

An real image of fNIRs/DOT technology

You may have noticed there aren’t any images being generated by fNIRs. This is because in order to generate images you must use Diffuse Optical Tomography (DOT). Simply put, DOT involves using lots of fNIRs sources and detectors and overlapping them to generate an image. Using these images in conjunction with a functional experiment, you can see which areas of the brain ‘light up’ when conducting particular activities. Since fNIRs can be used while moving, the sky is the limit when coming up with experiments to conduct.

The Promising Future of fNIRs/ Reflection

After discovering this promising technology, I felt compelled to write about it. I found its resistance to motion artifacts particularly interesting, as a biomedical engineer, they are something I have to deal with in all of my projects. Additionally, this feature means fNIRs has the potential to investigate infant brains as MRI and fMRI require the patient to stay very still, which can be very difficult for infants and children.

A researcher at the University of Southampton; Dr Ernesto Elias Vidal Rosas, is currently working on an fNIRs system that will tackle the issue of the lower spatial resolution, one of the main drawbacks of the technology. He inspired me to investigate this technology after discovering one of his written papers on the topic.

Personally I see this technology rivalling that of fMRI in its researching capabilities in infants not only due to the motion resistance but also the ability to conduct naturalistic experiments, potentially using technology like VR in order to investigate the brain’s activity when interacting with the world outside the lab. Additionally, the sensor could be used in other areas of the body for example, when placed just below the ribcage, “[fNIRs] has shown promise in being a more accurate, and less bias sensor compared to the gold standard”, Dr Ernesto Elias Vidal Rosas.

The future of Dialysis: Artificial Kidneys?

Kidney disease is a global issue. It relates to the general damage of the kidneys. Chronic kidney disease (CKD) is the most prevalent type, affecting 10% of the global population. While there is no specific cause, diabetes and high blood pressure can increase your risk of developing CKD. Kidney disease is separated into 5 stages. Stage 1 and 2 represent a risk for future kidney disease. Stage 3 represents mild to moderate CKD. Stage 4 is severe CKD, and stage 5 is full kidney failure. Approximately 2% of CKD patients reach stage 5 and require a kidney transplant or dialysis. Besides a transplant, dialysis is the current gold standard of treatment for patients with late-stage kidney disease. 90% of late-stage CKD patients undergo haemodialysis treatment. There are 2 types of dialysis:

  • Haemodialysis (HD)
  • Peritoneal dialysis (PD).

Dialysis is a ex vivo treatment, meaning it takes place outside the body. Haemodialysis works by taking the blood outside the body and passing it through a machine to clean it. This process typically takes 3-5 hours to complete and requires 3-4 visits to the hospital a week. This can be very mentally strenuous on the patient, taking between 9-20 hours out of the week. Peritoneal dialysis is a newer option that involves pumping solvent into the abdominal cavity and allowing the body to diffuse waste out before removing the solvent. The below video explains these principles.

This video covers the different types of dialysis

Artificial Kidneys

What is an artificial kidney?

Some may consider dialysis to a be an artificial kidney. The Kidney Project’s artificial kidney is an implantable biomedical device that will work like a natural kidney and provide 24/7 treatment. While the team’s aim is to fully replicate kidney function. Promising strides have been made with current prototypes replicating kidney function on the same level as stage 3-4 CKD.

How does it work?

Artificial kidney technology has made lots of progress through the years. First attempts included the work of Willem Kolff where they design a device that weighed 3.5kg but needed to be periodically connected to 20L of fluid. More recently many devices using peritoneal dialysis as its main starting point. The Kidney Project’s artificial kidney has introduced a new element, a bioreactor. In addition to the haemofilter these two components work together to clean and process the blood. Dr Shuvo Roy, one of the collaborators in the Kidney Project said, “The hemofilter processes incoming blood. It creates “ultrafiltrate”, a solution containing dissolved toxins, sugars, and salts. The bioreactor contains kidney cells. It processes the ultrafiltrate and directs wastes and excess fluid to the bladder for removal.” The device requires no external power source or connections, it uses the blood pressure of the body to power the device and run the blood through it. “The pores are big enough to allow waste and excess fluids into the bioreactor but small enough to keep out immune cells,” Dr Roy said. “This allows the artificial to work while remaining isolated from the immune system.” A video below explains the principle of the artificial kidney.

This video outlines the principles and strengths of The Kidney Project’s artificial kidney

Conclusion

Dialysis has been the gold standard for many years now but the downsides still remain. It takes away so much time from the patient such that a fulfilling life is often not a possibility. With the additional use of biotechnology, could implantable technology be the way forward?

References

  • Oladimeji Ewumi (2025). Kidney Disease Burden Is Bigger Than You Think, and Growing. [online] MedCentral. Available at: https://www.medcentral.com/nephrology/kidney/kidney-disease-burden-is-bigger-than-you-think-and-growing
  • Suriyong, P., Ruengorn, C., Shayakul, C., Anantachoti, P. and Kanjanarat, P. (2022). Prevalence of chronic kidney disease stages 3–5 in low- and middle-income countries in Asia: A systematic review and meta-analysis. PLOS ONE, 17(2), p.e0264393. doi:https://doi.org/10.1371/journal.pone.0264393.
  • Kidney Care UK. (n.d.). Stages of chronic kidney disease (CKD). [online] Available at: https://kidneycareuk.org/kidney-disease-information/stages-of-kidney-disease/stages-of-chronic-kidney-disease-ckd/.
  • Cherney, K. (2025). What Is the Mortality Rate of Renal (Kidney) Failure? [online] Healthline. Available at: https://www.healthline.com/health/kidney-disease/renal-failure-death-rate#mortality-rate
  • lauren.hoskin@nihr.ac.uk (2024). Dialysis for kidney failure: evidence to improve care. [online] NIHR Evidence. Available at: https://evidence.nihr.ac.uk/collection/dialysis-for-kidney-failure-evidence-to-improve-care/.
  • Karageorgos, F.F., Stavros Neiros, Konstantina-Eleni Karakasi, Vasileiadou, S., Katsanos, G., Antoniadis, N. and Georgios Tsoulfas (2024). Artificial kidney: Challenges and opportunities. World journal of transplantation, [online] 14(1). doi:https://doi.org/10.5500/wjt.v14.i1.89025.
  • National Kidney Foundation (2024). The Future of Artificial Kidneys. [online] Kidney.org. Available at: https://www.kidney.org/news-stories/future-artificial-kidneys.
  • Ucsf.edu. (2019). Home | The Kidney Project | UCSF. [online] Available at: https://pharm.ucsf.edu/kidney.