The recent developments in light generation and detection techniques h
ave opened new possibilities for optical medical imaging, tomography,
and diagnosis at tissue penetration depths of similar to 10 cm. Howeve
r, because light scattering and diffusion in biological tissue are rat
her strong, the reconstruction of object images from optical projectio
ns needs special attention. We describe a simple reconstruction method
for diffuse optical imaging, based on a modified backprojection appro
ach for medical tomography. Specifically, we have modified the standar
d backprojection method commonly used in x-ray tomographic imaging to
include the effects of both the diffusion and the scattering of light
and the associated nonlinearities in projection image formation. These
modifications are based primarily on the deconvolution of the broaden
ed image by a spatially variant point-spread function that is dependen
t on the scattering of light in tissue. The spatial dependence of the
deconvolution and nonlinearity corrections for the curved propagating
ray paths in heterogeneous tissue are handled semiempirically by coord
inate transformations. We have applied this method to both theoretical
and experimental projections taken by parallel- and fan-beam tomograp
hy geometries. The experimental objects were biomedical phantoms with
multiple objects, including in vitro animal tissue. The overall result
s presented demonstrate that image-resolution improvements by nearly a
n order of magnitude can be obtained. We believe that the tomographic
method presented here can provide a basis for rapid, real-time medical
monitoring by the use of optical projections. It is expected that suc
h optical tomography techniques can be combined with the optical tissu
e diagnosis methods based on spectroscopic molecular signatures to res
ult in a versatile optical diagnosis and imaging technology. (C) 1997
Optical Society of America