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The Science of Scent

The Science of Scent

Professor Konstantin Vodopyanov 麻豆精品 S檚 revolutionary technology
could make diagnosing disease as easy as exhaling.

Spring 2017 | By Dan Morrell

Let 麻豆精品 S檚 say you 麻豆精品 S檙e sick. It 麻豆精品 S檚 a fever you 麻豆精品 S檝e had for days. Maybe it 麻豆精品 S檚 a headache that is getting worse and worse. Or perhaps your vision is blurred. Some system in your body is offline, and it 麻豆精品 S檚 bad enough that you need professional advice.

You head to the doctor 麻豆精品 S檚 office, where a great hunt for the cause begins. Your temperature is taken; your blood is drawn. X-rays or maybe an MRI is ordered. So maybe more appointments, more waiting, all while whatever it was that brought you there in the first place continues unabated.

But what if there was a way to halt that hunt during the first visit to the doctor 麻豆精品 S檚 office? And what if the test took seconds to administer, involved no needles or claustrophobia-inducing medical equipment, gave results in milliseconds and wouldn 麻豆精品 S檛 tax your insurance or your wallet?

This is the 麻豆精品 S淛etsonian 麻豆精品 S promise of the technology being developed by Konstantin Vodopyanov, 21st Century World Class Scholars Endowed Chair in Optics and Photonics. More than a decade ago, this laser specialist saw a way to use laser technology to find instant, actionable medical clues hidden in the unseen: your breath.

UCF College of Optics and Photonics is developing technology that uses lasers to smell diseases

UCF Professor Konstantin Vodopyanov is developing a new laser that 麻豆精品 S檚 capable of scanning for diseases as quickly and easily as scanning a barcode.聽


Scent has a long history as a medical diagnostic tool. Before the advent of molecular evaluation or invasive techniques, ancient Chinese healers would diagnose tuberculosis via a tarlike scent it gives off. Hippocrates sniffed patients 麻豆精品 S breath for a fishy odor as a way to diagnose liver failure. In the late 1700s, John Rollo, surgeon general of the British Royal Artillery, noted that diabetes sufferers exhibited 麻豆精品 S渢he odor of decaying apples 麻豆精品 S on their breath.

But these ancient methods have been getting a new look in the past decade. Breath tests for tuberculosis, lactose intolerance, gum disease, pneumonia and even some forms of cancer have been the subject of academic studies or even released to the market. Canine disease detection 麻豆精品 S once anecdotal evidence 麻豆精品 S has picked up academic acolytes and seen real-world applications, with dogs now being trained to paw their diabetic owners before a meter reading even shows danger.

The idea first hit Vodopyanov 麻豆精品 S檚 radar in 2000, when he was hired by the California startup Picarro 麻豆精品 S a group of young Stanford Ph.D.s who were trying to develop a breath analysis test for ulcers. Vodopyanov 麻豆精品 S檚 charge was building a laser that would be specifically tuned to find the molecules indicative of the stomach sores.

He had studied physics as a student in Moscow, eventually finding a passion for lasers. 麻豆精品 S淚 started building my own laser on the first day of my master 麻豆精品 S檚 program, 麻豆精品 S Vodopyanov says 麻豆精品 S everything from the electrical engineering of the circuits to aligning the lenses and detectors. 麻豆精品 S淎t first, it was one day a week. Then two days a week. Then three days a week, 麻豆精品 S he says with a laugh. He was hooked.

For years, Vodopyanov 麻豆精品 S檚 career alternated between the academic world and the private sector. After 14 years in teaching posts in Russia, Germany and the U.K., in 1999 he took a job at a company that was developing crystal technology for use in remote-sensing operations. Picarro was his next job, and he 麻豆精品 S檇 stay there for three years before heading to Stanford to do research.

But his experience at Picarro 麻豆精品 S seeing the potential for biomedical applications of his laser work 麻豆精品 S stuck with him. Two years later, in 2005, the Nobel Prize in physics was awarded to researchers who found that short pulses of laser light would enable highly precise molecular measurements, and Vodopyanov had what he calls 麻豆精品 S渉is great inspiration. 麻豆精品 S It was a chance to expand beyond the startup 麻豆精品 S檚 limited focus. He began working on a new kind of laser 麻豆精品 S one that wouldn 麻豆精品 S檛 just try to find one molecule in someone 麻豆精品 S檚 breath but all of them.

Molecules in breath can arrive there from anywhere in the body. They all use the same public transportation system: your blood. Alcohol is a good example. It travels from your mouth to your stomach, where it is absorbed into the bloodstream. When the blood circulates to the lungs, it is exchanged with air and exhaled. ( 麻豆精品 S淧eople think Breathalyzers are measuring the amount of alcohol in the stomach, 麻豆精品 S says Vodopyanov, so they 麻豆精品 S檒l try 麻豆精品 S in vain 麻豆精品 S to beat police Breathalyzers by 麻豆精品 S渆ating crazy foods. 麻豆精品 S) The process for cancers involves a different, often more circuitous route, but the exchange in the lungs is the same.


Detecting disease with scent - Diabetes smells like decaying apple

If your breath smells like:

Decaying apples
You may have diabetes
Raw fish
You may have liver disease

If you smell like:

Freshly baked brown bread
You may have typhoid
A butcher 麻豆精品 S檚 shop
You may have yellow fever

In previous methods of detection 麻豆精品 S like the one employed at Picarro 麻豆精品 S laser wavelengths were tuned to find a specific molecule. So it would help only if you knew you were looking for a specific type of disease. Vodopyanov uses the analogy of a checkout line at the grocery store: Every molecule has a bar code. The existing technology was using a scanner set to read just one of them. Vodopyanov spent the years after the Nobel announcement experimenting with how to develop a scanner that could read all of the bar codes at once.

By 2009, he had a breakthrough. After making a quick study of the biology involved 麻豆精品 S 麻豆精品 S渢hat 麻豆精品 S檚 the most fun, when you learn something new 麻豆精品 S 麻豆精品 S he gave his first presentation at a breath analysis conference in 2010 to a warm reception. When he was hired by UCF in 2013, it was to continue his biomedical research.

These ideas have moved beyond theory. He and his colleagues are working on a prototype for a point-of-care device: The patient exhales in a tube, the doctor pushes a button to start the laser identification, and the measurements are fed into a computer for instant analysis.

麻豆精品 S淸It takes] maybe a millisecond, 麻豆精品 S Vodopyanov says. (The tech seems far-fetched in context, but it 麻豆精品 S檚 actually pretty commonplace, he says. Your smartphone or social network already likely has some form of facial recognition, analyzing millions of pixels in less than a second. 麻豆精品 S淭his does the same thing, just in two dimensions. 麻豆精品 S)

Then, a bit of code will translate those readings into coherent medical notes 麻豆精品 S warnings, low counts, telltale signs. It 麻豆精品 S檚 the high-tech equivalent of the dog pawing its diabetic owner. 麻豆精品 S淏ut the dogs, they 麻豆精品 S檙e binary. It 麻豆精品 S檚 just a 麻豆精品 S榶es, something is wrong 麻豆精品 S or 麻豆精品 S榥o, it isn 麻豆精品 S檛, 麻豆精品 S 麻豆精品 S he says. 麻豆精品 S淲e 麻豆精品 S檙e just trying to outperform dogs. 麻豆精品 S

It 麻豆精品 S檚 a modest appraisal that he delivers with a laugh, but he readily offers the truth about the work: 麻豆精品 S淲e 麻豆精品 S檙e the only lab in the world that can do what we 麻豆精品 S檙e doing. 麻豆精品 S

And while biomedical research has been an important first application, the device has the potential for broader impact. 麻豆精品 S淭his will prove to be a very important discovery, 麻豆精品 S says Sergey Mirov, a physics professor at the University of Alabama at Birmingham and longtime Vodopyanov collaborator. Being able to rapidly detect chemical composition shows promise for everything from environmental monitoring to detecting oil pipe leaks. As a prototype, Mirov says, this can go anywhere 麻豆精品 S dentist offices, airplanes, the space station. 麻豆精品 S淚t can be really, really global. 麻豆精品 S


The prototype refinement is ongoing. Vodopyanov makes the comparison between his lab 麻豆精品 S檚 current work and that of a solar cell engineer. 麻豆精品 S淸Engineers] are focused on improving efficiency 麻豆精品 S on making a better solar cell, 麻豆精品 S he says. 麻豆精品 S淪ame with us. 麻豆精品 S He wants the prototype to be more sensitive, more efficient, maybe even shrunk to the size of an iPhone. There 麻豆精品 S檚 much to be done.

It 麻豆精品 S檚 hard not to daydream about the potential impact though. Think of the cost savings to patients spared expensive but irrelevant tests. And think of how useful, Vodopyanov says, this could be in developing countries, where hospitals and diagnostic tools are inaccessible to millions. 麻豆精品 S淲e are just on the cutting edge, 麻豆精品 S he says. 麻豆精品 S淏ut if we 麻豆精品 S檙e successful, it is clear that this would be very widely used. 麻豆精品 S

Asked how long it will be until the prototype is unveiled, Vodopyanov estimates a year or so. 麻豆精品 S淚t is like approaching the Wright brothers after their first flight and asking, 麻豆精品 S極K, how soon until we can load that with 300 people and fly it around the world? 麻豆精品 S We just can 麻豆精品 S檛 be sure. But we 麻豆精品 S檙e ahead of the crowd. 麻豆精品 S

Triggering the Past

Scent can serve not only as an indicator of danger but also as a reminder of it.聽

For veterans suffering from post- traumatic stress disorder, everyday sensory experiences can trigger traumatic memories. Fireworks may be a reminder of gunshots. The rumble of a car might recall a fateful trip interrupted by an IED. Even the smell of gas might bring back the harrowing scene after an attack.

麻豆精品 S淪mells make for more emotional and stronger memories, 麻豆精品 S says Deborah Beidel, Pegasus Professor of psychology and medical education. It 麻豆精品 S檚 a biological byproduct: 麻豆精品 S淸Memories] head right from your olfactory bulb to your hippocampus and amygdala, 麻豆精品 S Beidel says. In other words, it 麻豆精品 S檚 a straight run from your smell center to your emotional center.

Beidel has incorporated scents into her clinical treatment at UCF RESTORES, which is focused on exposure therapy for patients with PTSD. The setup includes virtual reality headsets to provide audio and visual in addition to smells like cordite and diesel fuel, all working together to create an immersive experience for patients so they can accurately relive their trauma. The more patients relive these experiences in a safe environment, Beidel says, the weaker the link between the sound, smell or scene and the emotional response. She compares it to reversing the training of Pavlov 麻豆精品 S檚 dog 麻豆精品 S making it so the food bell that instantly inspired salivation is just a noise. 麻豆精品 S淲e are making new neuronal connections in your brain, 麻豆精品 S Beidel says.

dr beidel using exposure therapy to treat veterans and other patients with PTSD

Deborah Beidel is the founding director of UCF RESTORES, which uses exposure therapy to help treat veterans and other patients with聽PTSD.

But those lessons don 麻豆精品 S檛 come easy. In the first few exposure sessions 麻豆精品 S which last between 90 minutes and two hours 麻豆精品 S Beidel notes that most patients experience a high level of distress. But after 10 to 14 sessions, patients report thinking about the event less. They 麻豆精品 S檒l never forget, but their response starts to lessen 麻豆精品 S there 麻豆精品 S檚 less heart racing, less sweating, no more lump in the throat. 麻豆精品 S淭he clearest analogy might be when someone close to you dies, 麻豆精品 S says Beidel. 麻豆精品 S淲e may cry, we may feel very sad. But after a period of time, it doesn 麻豆精品 S檛 have that same intense effect. Exposure therapy does the same thing for people who have PTSD. 麻豆精品 S

Beidel has seen dramatic results: At the end of three weeks, 67 percent of patients she has treated with exposure therapy no longer meet the criteria for PTSD. But funding from the Department of Defense 麻豆精品 S which supported her work with a grant 麻豆精品 S runs out in May 2017. For Beidel, it means pivoting from being a research trial to a clinical program 麻豆精品 S and that means fundraising. There is a target goal of $10 million to fund the work, which Beidel notes provides services to PTSD sufferers free of charge. 麻豆精品 S淧atients get housing for three weeks, 麻豆精品 S she says. 麻豆精品 S淲e treat them and provide them with a safe space to live. 麻豆精品 S

Still though, keeping the clinic open might require expanding services to groups beyond veterans. First responders at June 麻豆精品 S檚 Pulse nightclub shooting in Orlando 麻豆精品 S where a gunman killed 49 and wounded 53 more 麻豆精品 S have also requested services. With so many phone calls going unanswered in victims 麻豆精品 S pockets in the aftermath, emergency workers report that the sound of a cellphone ring has been traumatic for them. Now, Beidel says, they 麻豆精品 S檒l have to figure out what scents may be haunting them too.