Ultrasensitive multispecies spectroscopic breath analysis for real-time health monitoring and diagnostics

Breath analysis enables rapid, noninvasive diagnostics, as well as long-term monitoring of human health, through the identification and quantification of exhaled biomarkers. Here, we demonstrate the remarkable capabilities of mid-infrared (mid-IR) cavity-enhanced direct-frequency comb spectroscopy (CE-DFCS) applied to breath analysis. We simultaneously detect and monitor as a function of time four breath biomarkers-CH3OH, CH4, H2O, and HDO-as well as illustrate the feasibility of detecting at least six more (H2CO, C2H6, OCS, C2H4, CS2, and NH3) without modifications to the experimental apparatus. We achieve ultrahigh detection sensitivity at the parts-per-trillion level. This is made possible by the combination of the broadband spectral coverage of a frequency comb, the high spectral resolution afforded by the individual comb teeth, and the sensitivity enhancement resulting from a high-finesse cavity. Exploiting recent advances in frequency comb, optical coating, and photodetector technologies, we can access a large variety of biomarkers with strong carbon-hydrogen-bond spectral signatures in the mid-IR.

Automated summary

Breath analysis using mid-infrared cavity-enhanced direct-frequency comb spectroscopy offers rapid and accurate detection and monitoring of biomarkers in exhaled breath. The technology, combining frequency comb, high spectral resolution, and sensitivity enhancement, allows for the detection of various breath biomarkers with strong carbon-hydrogen-bond spectral signatures.