The HOTS method utilizes a head-mounted optically transparent skull (HOTS) window that combines a cap containing clearing reagents with a two-step skull-clearing procedure to enhance skull transparency in adult mice while preserving skull integrity. Under the standard protocol (6 h in S1 and 1 h in S2 for 6-week-old mice), the resulting window reliably supported deep transcranial two-photon imaging and allowed structures to be visualized to ~800 µm below the pia.
Several procedural steps are critical for obtaining a stable, transparent window. The skull must be clean and dry, with the scalp and periosteum carefully removed to ensure that the dental cement adheres firmly to the bone and anchors the head-plate securely during subsequent imaging. The cement layer should cover the exposed bone and surrounding tissue to provide a rigid base. A thin layer of self-curing dental soft liner material is then applied over the dental cement and around the window region to prevent later leakage of clearing reagents. The HOTS window should be positioned away from cranial sutures whenever possible, as clearing directly over sutures can induce capillary bleeding and often results in window failure. If the window must approach a suture, sealing the suture line with soft liner material can reduce this risk. During imaging, S2 is used as the immersion and index-matching medium, and the objective’s correction collar should be adjusted if available to compensate for refractive index mismatch.
The clearing parameters used here are optimized for 6-week-old mice with moderate skull thickness, but can be adjusted for other ages. For thicker skulls (e.g., older animals), the S1 incubation can be extended in small increments to improve transparency, whereas for very young mice, the S1 exposure can be shortened to avoid over-softening and fragility of the bone. After imaging, thoroughly rinse the skull surface with PBS to remove residual reagents and support the gradual recovery of the skull. Leakage from the head-mounted cap should be addressed immediately. If leakage is detected during the clearing phase, pause the clearing session, gently aspirate the leaked solution with a syringe, and apply additional soft liner material to seal any gaps before resuming clearing.
Compared with open-skull windows, the HOTS preparation retains the skull, thereby minimizing dural exposure and reducing the risk of meningeal injury or chronic inflammation while still granting optical access to deeper cortical layers. The head-mounted cap also allows the clearing reagents to act over several hours in awake, freely-behaving mice, rather than restricting skull clearing to short periods under anesthesia with rigid head fixation, as in previously reported in vivo skull optical clearing methods12,13,14,15. In 6-week-old mice, the HOTS window supports transcranial two-photon imaging of cortical structures, including spines and dendrites in superficial cortical layers and neuronal somata at greater depths. This approach also permits detection of functional signals, including spontaneous and whisker-evoked calcium transients, as well as cAMP dynamics16. Taken together, these features make the HOTS window a versatile, minimally invasive platform for deep cortical imaging. This minimally invasive transcranial access may be particularly useful for studying neuronal and non-neuronal interactions during neuroimmune responses, where reducing surgery-induced neuroinflammation is important. In addition, HOTS may also be useful for optical access to brain regions that are difficult to access surgically, such as the cerebellum. Photoacoustic imaging has recently gained increasing attention in brain imaging17,18,19, but the skull still causes optical attenuation and acoustic aberration, limiting high-resolution imaging at greater depths. Combining photoacoustic imaging with skull optical clearing may further enhance imaging depth and multimodal contrast in transcranial brain imaging. Optogenetic, photopharmacological, and other light-based manipulation techniques enable precise spatiotemporal control of neural activity and signaling20,21. Combining these approaches with skull optical clearing may further facilitate the study of brain function.
The HOTS window also has several practical limitations. The field of view with HOTS is constrained by both the diameter of the head-mounted cap and the need to avoid cranial sutures, limiting simultaneous coverage of widely separated cortical regions and making whole-skull clearing impractical. Although HOTS substantially improves skull transparency and enables deep transcranial imaging, the optical path still traverses a cleared skull with residual scattering. Therefore, spatial resolution and contrast in deep cortical layers remain lower than those achieved with open-skull windows. In addition, performing repeated clearing cycles at the same cranial site is technically challenging because the residual soft liner material hardens after use and becomes difficult to remove completely without disturbing the underlying cement and head-plate. Residual liner interferes with reapplying the soft liner and reconstructing a stable, leak-free HOTS setup. In practice, the current implementation is therefore optimized for one or two carefully planned imaging sessions at each window location.