Artifacts in photoacoustic imaging: Origins and mitigations

Photoacoustic imaging (PAI) is rapidly moving from the laboratory to the clinic, increasing the need to understand confounders which might adversely affect patient care. Over the past five years, landmark studies have shown the clinical utility of PAI, leading to regulatory approval of several devices. In this article, we describe the various causes of artifacts in PAI, providing schematic overviews and practical examples, simulated as well as experimental. This work serves two purposes: (1) educating clinical users to identify artifacts, understand their causes, and assess their impact, and (2) providing a reference of the limitations of current systems for those working to improve them. We explain how two aspects of PAI systems lead to artifacts: their inability to measure complete data sets, and embedded assumptions during reconstruction. We describe the physics underlying PAI, and propose a classification of the artifacts. The paper concludes by discussing possible advanced mitigation strategies.