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Golmajer Zima N, Verdel N, Majaron B. Correlations of light scattering properties in human skin with the person's age assessed using a non-invasive technique. BIOMEDICAL OPTICS EXPRESS 2024; 15:3817-3830. [PMID: 38867783 PMCID: PMC11166447 DOI: 10.1364/boe.523183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Revised: 04/26/2024] [Accepted: 04/30/2024] [Indexed: 06/14/2024]
Abstract
We analyze the influence of a person's age on the thicknesses and reduced scattering coefficients of the epidermis and dermis in visible part of the spectrum. Their values were assessed using a non-invasive technique which combines pulsed photothermal radiometry and diffuse reflectance spectroscopy with Monte Carlo modeling of light transport in a four-layer model of skin. The analysis is affected by the strong influences of the melanin content on the reduced scattering coefficient of the epidermis, a epi, and blood content in the case of dermis (a der). Separating their contributions reveals a significant decrease of a der with the person's age at an average rate of -0.25 mm-1 per decade, while the contribution of blood in the papillary dermis amounts to 1.0 mm-1%-1. Meanwhile, no influence of the person's age was found on a epi and the thicknesses of the epidermis or dermis.
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Affiliation(s)
- Neža Golmajer Zima
- Department of Complex Matter, Jožef Stefan Institute, Jamova 39, 1000 Ljubljana, Slovenia
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19, 1000 Ljubljana, Slovenia
| | - Nina Verdel
- Department of Complex Matter, Jožef Stefan Institute, Jamova 39, 1000 Ljubljana, Slovenia
| | - Boris Majaron
- Department of Complex Matter, Jožef Stefan Institute, Jamova 39, 1000 Ljubljana, Slovenia
- Faculty of Mathematics and Physics, University of Ljubljana, Jadranska 19, 1000 Ljubljana, Slovenia
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2
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Burström G, Amini M, El-Hajj VG, Arfan A, Gharios M, Buwaider A, Losch MS, Manni F, Edström E, Elmi-Terander A. Optical Methods for Brain Tumor Detection: A Systematic Review. J Clin Med 2024; 13:2676. [PMID: 38731204 PMCID: PMC11084501 DOI: 10.3390/jcm13092676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 04/28/2024] [Accepted: 04/30/2024] [Indexed: 05/13/2024] Open
Abstract
Background: In brain tumor surgery, maximal tumor resection is typically desired. This is complicated by infiltrative tumor cells which cannot be visually distinguished from healthy brain tissue. Optical methods are an emerging field that can potentially revolutionize brain tumor surgery through intraoperative differentiation between healthy and tumor tissues. Methods: This study aimed to systematically explore and summarize the existing literature on the use of Raman Spectroscopy (RS), Hyperspectral Imaging (HSI), Optical Coherence Tomography (OCT), and Diffuse Reflectance Spectroscopy (DRS) for brain tumor detection. MEDLINE, Embase, and Web of Science were searched for studies evaluating the accuracy of these systems for brain tumor detection. Outcome measures included accuracy, sensitivity, and specificity. Results: In total, 44 studies were included, covering a range of tumor types and technologies. Accuracy metrics in the studies ranged between 54 and 100% for RS, 69 and 99% for HSI, 82 and 99% for OCT, and 42 and 100% for DRS. Conclusions: This review provides insightful evidence on the use of optical methods in distinguishing tumor from healthy brain tissue.
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Affiliation(s)
- Gustav Burström
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
| | - Misha Amini
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
| | - Victor Gabriel El-Hajj
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
| | - Arooj Arfan
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
| | - Maria Gharios
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
| | - Ali Buwaider
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
| | - Merle S. Losch
- Department of Biomechanical Engineering, Faculty of Mechanical Engineering, Delft University of Technology, 2627 Delft, The Netherlands
| | - Francesca Manni
- Department of Electrical Engineering, Eindhoven University of Technology (TU/e), 5612 Eindhoven, The Netherlands;
| | - Erik Edström
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
- Capio Spine Center Stockholm, Löwenströmska Hospital, 194 80 Upplands-Väsby, Sweden
- Department of Medical Sciences, Örebro University, 701 85 Örebro, Sweden
| | - Adrian Elmi-Terander
- Department of Clinical Neuroscience, Karolinska Institute, 171 77 Stockholm, Sweden; (G.B.); (M.A.); (A.A.); (M.G.); (A.B.); (E.E.)
- Capio Spine Center Stockholm, Löwenströmska Hospital, 194 80 Upplands-Väsby, Sweden
- Department of Medical Sciences, Örebro University, 701 85 Örebro, Sweden
- Department of Surgical Sciences, Uppsala University, 751 35 Uppsala, Sweden
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3
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Milanic M, Hren R, Stergar J, Simoncic U. Monitoring of Caffeine Consumption Effect on Skin Blood Properties by Diffuse Reflectance Spectroscopy. Physiol Res 2024; 73:47-56. [PMID: 38466004 PMCID: PMC11019616 DOI: 10.33549/physiolres.935138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 10/17/2023] [Indexed: 04/26/2024] Open
Abstract
Caffeine is the most widely consumed psychoactive substance worldwide, affecting numerous tissues and organs, with notable impacts on the central nervous system, heart, and blood vessels. The effect of caffeine on vascular smooth muscle cells is an initial transient contraction followed by significant vasodilatation. In this study we investigate the use of diffuse reflectance spectroscopy (DRS) for monitoring of vascular changes in human skin induced by caffeine consumption. DRS spectra were recorded on volar sides of the forearms of eight healthy volunteers at time intervals of 0, 30, 60, 120, and 180 min after consumption of caffeine, while one subject served as a negative control. Analytical diffusion approximation solutions for diffuse reflectance from three-layer structures were used to assess skin composition (e.g. dermal blood volume fraction and oxygen saturation) by fitting these solutions to experimental data. The results demonstrate that cutaneous vasodynamics induced by caffeine consumption can be monitored by DRS, while changes in the control subject not consuming caffeine were insignificant.
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Affiliation(s)
- M Milanic
- Faculty of Mathematics and Physics, University of Ljubljana, Ljubljana, Republic of Slovenia.
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4
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Bachir W. Diffuse transmittance visible spectroscopy using smartphone flashlight for photoplethysmography and vital signs measurements. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2023; 303:123181. [PMID: 37506454 DOI: 10.1016/j.saa.2023.123181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 07/06/2023] [Accepted: 07/20/2023] [Indexed: 07/30/2023]
Abstract
Photoplethysmography (PPG), with its wide range of applications, has become one of the most promising modalities for healthcare monitoring technology. In this work, we present a new PPG measurement technique based on diffuse transmittance spectroscopy (DTS) with the help of a smartphone built-in flashlight as an alternative broadband light source. The blood Volume Pulse (BVP) signal was extracted from recorded transmittance spectra at 620 nm. The results were compared with the ground truth and conventional contact finger PPG sensors. A very high correlation was found between the diffuse transmittance signal and the reference PPG signals (r = 0.997, p < 0.0001). The accuracy and root mean square error (RMSE) were 99.23% and 0.8 bpm, respectively. In addition, a Bland-Altman analysis showed a good agreement between both techniques, with a very small bias between mean paired differences of heart rate observations. A simple forward model for diffuse transmittance spectra for different levels of blood oxygen saturation is developed and supported by experimental measurements. It was also found that blood oxygen saturation (SpO2) can be estimated with the aid of DTS based smartphone flash by tracking the wavelength corresponding to the oxygenation level in the visible range between orange and red regions of the visible spectrum particularly in the range between 610 and 635 nm for 26 healthy subjects. 624 nm on average seems to be the wavelength that corresponds with the normal blood oxygenation level. These findings show the potential of DTS PPG to reliably extract cardiac frequency and estimate SpO2 with adequate accuracy. The results also demonstrate the capability of smartphone flash as a miniature visible light source for recording multispectral PPG signals and quantifying vital signs in the transmission mode at the fingertip with acceptable signal quality over a wide range of wavelengths from 550 nm to 650 nm.
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Affiliation(s)
- Wesam Bachir
- Institute of Metrology and Biomedical Engineering, Faculty of Mechatronics, Warsaw University of Technology, Św. A. Boboli 8 St., Warsaw 02-525, Poland; Biomedical Photonics Laboratory, Higher Institute for Laser Research and Applications, Damascus University, Damascus, Syria
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5
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Chen YY, Tzeng SY, Yen YY, Cheng NY, Tseng SH. Non-invasive assessment of skin hydration and sensation with diffuse reflectance spectroscopy. Sci Rep 2023; 13:20149. [PMID: 37978237 PMCID: PMC10656448 DOI: 10.1038/s41598-023-47349-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 11/12/2023] [Indexed: 11/19/2023] Open
Abstract
The skin is a vital organ in the human body, providing essential functions such as protection, sensation, and metabolism. Skin hydration is one of the crucial factors in maintaining normal skin function. Insufficient skin hydration can lead to dryness, shedding of the stratum corneum, a decrease in skin barrier function, and may cause skin inflammation. Therefore, maintaining or improving skin hydration is critical in promoting healthy skin. Currently, the commonly used method for measuring skin hydration is bioelectrical capacitance analysis, which is often affected by environmental humidity and can only provide limited information. To overcome these limitations, this study used diffuse reflectance spectroscopy (DRS) in the wavelength range of 400-1000 nm to quantify skin absorption and scattering modulation caused by changes in skin hydration states. The advantages of this technique include rapid measurements, non-invasiveness, a straightforward optical setup, and suitability for prolonged skin monitoring. We found that DRS-derived skin absorption coefficients had a correlation coefficient of 0.93 with the skin capacitance at various skin hydration states. In addition, our findings reveal that absorption and scattering coefficients may be useful in discerning skin hydration enhancement induced by applying soaked cotton pads or cosmeceutical facial masks, as well as evaluating skin sensation. This study verifies that the DRS method could be a convenient and effective tool for evaluating skin hydration related information.
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Affiliation(s)
- Ying-Yu Chen
- Department of Photonics, National Cheng-Kung University, Tainan, 701, Taiwan, ROC
| | - Shih-Yu Tzeng
- Research Development and Innovation Center, Show Chwan Health Care System, Changhua City, 500, Taiwan, ROC
| | - Yun-Yo Yen
- Department of Photonics, National Cheng-Kung University, Tainan, 701, Taiwan, ROC
| | - Nan-Yu Cheng
- Department of Health-Business Administration, Fooyin University, Kaohsiung, 831, Taiwan, ROC
| | - Sheng-Hao Tseng
- Department of Photonics, National Cheng-Kung University, Tainan, 701, Taiwan, ROC.
- School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, 807, Taiwan, ROC.
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Li K, Wu Q, Feng S, Zhao H, Jin W, Qiu H, Gu Y, Chen D. In situ detection of human glioma based on tissue optical properties using diffuse reflectance spectroscopy. JOURNAL OF BIOPHOTONICS 2023; 16:e202300195. [PMID: 37589177 DOI: 10.1002/jbio.202300195] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Revised: 07/18/2023] [Accepted: 08/15/2023] [Indexed: 08/18/2023]
Abstract
Safely maximizing brain cancer removal without injuring adjacent healthy tissue is crucial for optimal treatment outcomes. However, it is challenging to distinguish cancer from noncancer intraoperatively. This study aimed to explore the feasibility of diffuse reflectance spectroscopy (DRS) as a label-free and real-time detection technology for discrimination between brain cancer and noncancer tissues. Fifty-five fresh cancer and noncancer specimens from 19 brain surgeries were measured with DRS, and the results were compared with co-registered clinical standard histopathology. Tissue optical properties were quantitatively obtained from the diffuse reflectance spectra and compared among different types of brain tissues. A machine learning-based classifier was trained to differentiate cancerous versus noncancerous tissues. Our method could achieve a sensitivity of 93% and specificity of 95% for discriminating high-grade glioma from normal white matter. Our results showed that DRS has the potential to be used for label-free, real-time in vivo cancer detection during brain surgery.
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Affiliation(s)
- Kerui Li
- School of Medical Technology, Beijing Institute of Technology, Beijing, China
| | - Qijia Wu
- Department of Neurosurgery, First Medical Center of PLA General Hospital, Beijing, China
| | - Shiyu Feng
- Department of Neurosurgery, First Medical Center of PLA General Hospital, Beijing, China
| | - Hongyou Zhao
- School of Medical Technology, Beijing Institute of Technology, Beijing, China
| | - Wei Jin
- Department of Pathology, Chinese PLA General Hospital, Beijing, China
| | - Haixia Qiu
- Department of Laser Medicine, First Medical Center of PLA General Hospital, Beijing, China
| | - Ying Gu
- School of Medical Technology, Beijing Institute of Technology, Beijing, China
- Department of Laser Medicine, First Medical Center of PLA General Hospital, Beijing, China
- Precision Laser Medical Diagnosis and Treatment Innovation Unit, Chinese Academy of Medical Sciences, Beijing, China
| | - Defu Chen
- School of Medical Technology, Beijing Institute of Technology, Beijing, China
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7
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Liu D, Zheng J, Zhang Q, Zhang L, Gao F. A combined autofluorescence and diffuse reflectance spectroscopy for mucosa tissue diagnosis: Dual-distance system and data-driven decision. JOURNAL OF BIOPHOTONICS 2023; 16:e202300086. [PMID: 37368456 DOI: 10.1002/jbio.202300086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 05/10/2023] [Accepted: 06/23/2023] [Indexed: 06/28/2023]
Abstract
Combined autofluorescence (AF) and diffuse reflectance (DR) spectroscopies have been expected to offer enhanced diagnostic accuracies for noninvasive early detection of mucosa lesions, that is, oral cavity carcinoma and cervical carcinoma. This work reports on a hybrid AF and DR spectroscopic system that is developed for quantification and diagnosis of mucosa abnormalities. The system stability and reliability are firstly assessed by phantom experiments, showing a measurement variation lower than 1% within 20 min. In vitro and in vivo validations are then conducted for tissue identification and lesion differentiation. For enhanced decision, a data-driven diagnosis algorithm is explored in pilot under different experimental configurations. The results conclude a promising accuracy of >96% for the in vivo classification as well as an excellent sensitivity of >88% for the in vitro mucosa lesions detection, and demonstrate sound potential of the system in early detection of mucosa lesions.
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Affiliation(s)
- Dongyuan Liu
- College of Precision Instruments and Optoelectronics Engineering, Tianjin University, Tianjin, China
- Tianjin Key laboratory of Biomedical Detecting Techniques and Instruments, Tianjin, China
| | - Jie Zheng
- College of Precision Instruments and Optoelectronics Engineering, Tianjin University, Tianjin, China
| | - Qi Zhang
- College of Precision Instruments and Optoelectronics Engineering, Tianjin University, Tianjin, China
| | - Limin Zhang
- College of Precision Instruments and Optoelectronics Engineering, Tianjin University, Tianjin, China
| | - Feng Gao
- College of Precision Instruments and Optoelectronics Engineering, Tianjin University, Tianjin, China
- Tianjin Key laboratory of Biomedical Detecting Techniques and Instruments, Tianjin, China
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8
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Colas V, Amouroux M, Perrin-Mozet C, Daul C, Blondel W. Photometric and Monte-Carlo modeling unified approach for the calculation of spatially-resolved correction coefficients linking simulated and experimental diffuse reflectance spectra. OPTICS EXPRESS 2023; 31:25954-25969. [PMID: 37710468 DOI: 10.1364/oe.491921] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 06/10/2023] [Indexed: 09/16/2023]
Abstract
The estimation of skin optical properties by means of inverse problem solving from spatially resolved diffuse reflectance (SR-DR) spectra is one way to exploit the acquired clinical signals. This method requires the comparison between the experimental spectra collected with a medical device, and spectra generated by the photons transport numerical simulations. This comparison is usually limited to spectral shape due to the absence of intensity standardization of the experimental DR spectra. This study proposes to theoretically (using photometric calculation) and experimentally (from experimental spectra acquired on optical phantom) establish a corrective factor to obtain common intensity unit for experimental and simulated signals.
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Kolpakov AV, Moshkova AA, Melikhova EV, Sokolova DY, Muravskaya NP, Samorodov AV, Kopaneva NO, Lukina GI, Abramova MY, Mamatsashvili VG, Parshkov VV. Diffuse Reflectance Spectroscopy of the Oral Mucosa: In Vivo Experimental Validation of the Precancerous Lesions Early Detection Possibility. Diagnostics (Basel) 2023; 13:diagnostics13091633. [PMID: 37175023 PMCID: PMC10177876 DOI: 10.3390/diagnostics13091633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 04/28/2023] [Accepted: 05/03/2023] [Indexed: 05/15/2023] Open
Abstract
This article is devoted to the experimental validation of the possibility of early detection of precancerous lesions in the oral mucosa in vivo using diffuse reflectance spectroscopy in the wavelength range from 360 to 1000 nm. During the study, a sample of 119 patients with precancerous lesions has been collected and analyzed. As a result of the analysis, the most informative wavelength ranges were determined, in which the maximum differences in the backscattering spectra of lesions and intact tissues were observed, methods for automatic classification of backscattering spectra of the oral mucosa were studied, sensitivity and specificity values, achievable using diffuse reflectance spectroscopy for detecting hyperkeratosis on the tongue ventrolateral mucosa surface and buccal mucosa, were evaluated. As a result of preliminary experimental studies in vivo, the possibility of automatic detection of precancerous lesions of the oral mucosa surface using diffuse reflectance spectroscopy in the wavelength range from 500 to 900 nm with an accuracy of at least 75 percent has been shown.
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Affiliation(s)
- Alexander V Kolpakov
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow 105005, Russia
| | - Anastasia A Moshkova
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow 105005, Russia
| | - Ekaterina V Melikhova
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow 105005, Russia
| | - Diana Yu Sokolova
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow 105005, Russia
| | - Natalia P Muravskaya
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow 105005, Russia
| | - Andrey V Samorodov
- Faculty of Biomedical Engineering, Bauman Moscow State Technical University, Moscow 105005, Russia
| | - Nina O Kopaneva
- Department of Therapeutic Dentistry and Diseases of the Oral Mucosa, Moscow State University of Medicine and Dentistry, Moscow 127473, Russia
| | - Galina I Lukina
- Department of Therapeutic Dentistry and Diseases of the Oral Mucosa, Moscow State University of Medicine and Dentistry, Moscow 127473, Russia
| | - Marina Ya Abramova
- Department of Therapeutic Dentistry and Diseases of the Oral Mucosa, Moscow State University of Medicine and Dentistry, Moscow 127473, Russia
| | - Veta G Mamatsashvili
- Department of Therapeutic Dentistry and Diseases of the Oral Mucosa, Moscow State University of Medicine and Dentistry, Moscow 127473, Russia
| | - Vadim V Parshkov
- Department of Therapeutic Dentistry and Diseases of the Oral Mucosa, Moscow State University of Medicine and Dentistry, Moscow 127473, Russia
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10
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Padilla-Godínez FJ, Ramírez P, Cruz R, Sánchez I, de la Rosa JM, López-Goerne T. Cytotoxic effect of bionanocatalysts evaluated by diffuse reflectance spectroscopy in an in vivo model of hepatocellular carcinoma. RESULTS IN CHEMISTRY 2023. [DOI: 10.1016/j.rechem.2023.100894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/15/2023] Open
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11
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Jung G, Kim S, Lee J, Yoo S. Deep learning-based optical approach for skin analysis of melanin and hemoglobin distribution. JOURNAL OF BIOMEDICAL OPTICS 2023; 28:035001. [PMID: 36992693 PMCID: PMC10042298 DOI: 10.1117/1.jbo.28.3.035001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 03/06/2023] [Indexed: 06/19/2023]
Abstract
SIGNIFICANCE Melanin and hemoglobin have been measured as important diagnostic indicators of facial skin conditions for aesthetic and diagnostic purposes. Commercial clinical equipment provides reliable analysis results, but it has several drawbacks: exclusive to the acquisition system, expensive, and computationally intensive. AIM We propose an approach to alleviate those drawbacks using a deep learning model trained to solve the forward problem of light-tissue interactions. The model is structurally extensible for various light sources and cameras and maintains the input image resolution for medical applications. APPROACH A facial image is divided into multiple patches and decomposed into melanin, hemoglobin, shading, and specular maps. The outputs are reconstructed into a facial image by solving the forward problem over skin areas. As learning progresses, the difference between the reconstructed image and input image is reduced, resulting in the melanin and hemoglobin maps becoming closer to their distribution of the input image. RESULTS The proposed approach was evaluated on 30 subjects using the professional clinical system, VISIA VAESTRO. The correlation coefficients for melanin and hemoglobin were found to be 0.932 and 0.857, respectively. Additionally, this approach was applied to simulated images with varying amounts of melanin and hemoglobin. CONCLUSION The proposed approach showed high correlation with the clinical system for analyzing melanin and hemoglobin distribution, indicating its potential for accurate diagnosis. Further calibration studies using clinical equipment can enhance its diagnostic ability. The structurally extensible model makes it a promising tool for various image acquisition conditions.
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Affiliation(s)
- Geunho Jung
- Lulu-lab, AI R&D Center, Seoul, Republic of Korea
| | - Semin Kim
- Lulu-lab, AI R&D Center, Seoul, Republic of Korea
| | - Jongha Lee
- Lulu-lab, AI R&D Center, Seoul, Republic of Korea
| | - Sangwook Yoo
- Lulu-lab, AI R&D Center, Seoul, Republic of Korea
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12
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Marin A, Hren R, Milanič M. Pulsed Photothermal Radiometric Depth Profiling of Bruises by 532 nm and 1064 nm Lasers. SENSORS (BASEL, SWITZERLAND) 2023; 23:2196. [PMID: 36850795 PMCID: PMC9965129 DOI: 10.3390/s23042196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/07/2023] [Accepted: 02/13/2023] [Indexed: 06/18/2023]
Abstract
Optical techniques are often inadequate in estimating bruise age since they are not sensitive to the depth of chromophores at the location of the bruise. To address this shortcoming, we used pulsed photothermal radiometry (PPTR) for depth profiling of bruises with two wavelengths, 532 nm (KTP laser) and 1064 nm (Nd:YAG laser). Six volunteers with eight bruises of exactly known and documented times of injury were enrolled in the study. A homogeneous part of the bruise was irradiated first with a 5 ms pulse at 532 nm and then with a 5 ms pulse at 1064 nm. The resulting transient surface temperature change was collected with a fast IR camera. The initial temperature-depth profiles were reconstructed by solving the ill-posed inverse problem using a custom reconstruction algorithm. The PPTR signals and reconstructed initial temperature profiles showed that the 532 nm wavelength probed the shallow skin layers revealing moderate changes during bruise development, while the 1064 nm wavelength provided additional information for severe bruises, in which swelling was present. Our two-wavelength approach has the potential for an improved estimation of the bruise age, especially if combined with modeling of bruise dynamics.
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Affiliation(s)
- Ana Marin
- Faculty of Mathematics and Physics, University of Ljubljana, 1000 Ljubljana, Slovenia
| | - Rok Hren
- Faculty of Mathematics and Physics, University of Ljubljana, 1000 Ljubljana, Slovenia
- Institute of Mathematics, Physics, and Mechanics, 1000 Ljubljana, Slovenia
| | - Matija Milanič
- Faculty of Mathematics and Physics, University of Ljubljana, 1000 Ljubljana, Slovenia
- Jozef Stefan Institute, 1000 Ljubljana, Slovenia
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13
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Skyrman S, Burström G, Lai M, Manni F, Hendriks B, Frostell A, Edström E, Persson O, Elmi-Terander A. Diffuse reflectance spectroscopy sensor to differentiate between glial tumor and healthy brain tissue: a proof-of-concept study. BIOMEDICAL OPTICS EXPRESS 2022; 13:6470-6483. [PMID: 36589562 PMCID: PMC9774850 DOI: 10.1364/boe.474344] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 11/03/2022] [Accepted: 11/06/2022] [Indexed: 06/17/2023]
Abstract
Glial tumors grow diffusely in the brain. Survival is correlated to the extent of tumor removal, but tumor borders are often invisible. Resection beyond the borders as defined by conventional methods may further improve prognosis. In this proof-of-concept study, we evaluate diffuse reflectance spectroscopy (DRS) for discrimination between glial tumors and normal brain ex vivo. DRS spectra and histology were acquired from 22 tumor samples and nine brain tissue samples retrieved from 30 patients. The content of biological chromophores and scattering features were estimated by fitting a model derived from diffusion theory to the DRS spectra. DRS parameters differed significantly between tumor and normal brain tissue. Classification using random forest yielded a sensitivity and specificity for the detection of low-grade gliomas of 82.0% and 82.7%, respectively, and the area under curve (AUC) was 0.91. Applied in a hand-held probe or biopsy needle, DRS has the potential to provide intra-operative tissue analysis.
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Affiliation(s)
- Simon Skyrman
- Department of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden
| | - Gustav Burström
- Department of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden
| | - Marco Lai
- Philips Research, 5656 AE, Eindhoven, The Netherlands
- Eindhoven University of Technology (TU/e), Eindhoven, The Netherlands
| | - Francesca Manni
- Eindhoven University of Technology (TU/e), Eindhoven, The Netherlands
| | - Benno Hendriks
- Philips Research, 5656 AE, Eindhoven, The Netherlands
- Department of Biomechanical Engineering, Delft University of Technology, 2628 CD, Delft, The Netherlands
| | - Arvid Frostell
- Department of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden
| | - Erik Edström
- Department of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden
| | - Oscar Persson
- Department of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden
| | - Adrian Elmi-Terander
- Department of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden
- Stockholm Spine Center, 194 45 Upplands-Väsby, Sweden
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Insights into Biochemical Sources and Diffuse Reflectance Spectral Features for Colorectal Cancer Detection and Localization. Cancers (Basel) 2022; 14:cancers14225715. [PMID: 36428806 PMCID: PMC9688116 DOI: 10.3390/cancers14225715] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 11/07/2022] [Accepted: 11/09/2022] [Indexed: 11/23/2022] Open
Abstract
Colorectal cancer (CRC) is the third most common and second most deadly type of cancer worldwide. Early detection not only reduces mortality but also improves patient prognosis by allowing the use of minimally invasive techniques to remove cancer while avoiding major surgery. Expanding the use of microsurgical techniques requires accurate diagnosis and delineation of the tumor margins in order to allow complete excision of cancer. We have used diffuse reflectance spectroscopy (DRS) to identify the main optical CRC biomarkers and to optimize parameters for the integration of such technologies into medical devices. A total number of 2889 diffuse reflectance spectra were collected in ex vivo specimens from 47 patients. Short source-detector distance (SDD) and long-SDD fiber-optic probes were employed to measure tissue layers from 0.5 to 1 mm and from 0.5 to 1.9 mm deep, respectively. The most important biomolecules contributing to differentiating DRS between tissue types were oxy- and deoxy-hemoglobin (Hb and HbO2), followed by water and lipid. Accurate tissue classification and potential DRS device miniaturization using Hb, HbO2, lipid and water data were achieved particularly well within the wavelength ranges 350-590 nm and 600-1230 nm for the short-SDD probe, and 380-400 nm, 420-610 nm, and 650-950 nm for the long-SDD probe.
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15
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Yu L, Noor MS, Kiss ZHT, Murari K. Monitoring stimulus-evoked hemodynamic response during deep brain stimulation with single fiber spectroscopy. JOURNAL OF BIOPHOTONICS 2022; 15:e202200076. [PMID: 36054592 DOI: 10.1002/jbio.202200076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 06/30/2022] [Accepted: 07/25/2022] [Indexed: 06/15/2023]
Abstract
Deep brain stimulation (DBS) is a revolutionary treatment for movement disorders. Measuring DBS-induced hemodynamic responses may be useful for surgical guidance of DBS electrode implantation as well as to study the mechanism and assess therapeutic effects of DBS. In this study, we evaluated the performance of a single fiber spectroscopic (SFS) system for measuring hemodynamic response in different cortical layers in a DBS animal model. We showed that SFS is capable of measuring minute relative changes in oxygen saturation and blood volume fraction in-vivo at a sampling rate of 22-33 Hz. During stimulation, blood volume fraction increased, while oxygen saturation showed both increases and decreases at different cortical depths across animals. In addition, we showed the potential of using SFS for measuring other physiological parameters, for example, heart rate, and respiratory rate.
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Affiliation(s)
- Linhui Yu
- Electrical and Software Engineering, University of Calgary, Calgary, Alberta, Canada
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
| | - M Sohail Noor
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
- Biomedical Engineering, University of Calgary, Calgary, Alberta, Canada
| | - Zelma H T Kiss
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
- Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
| | - Kartikeya Murari
- Electrical and Software Engineering, University of Calgary, Calgary, Alberta, Canada
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
- Biomedical Engineering, University of Calgary, Calgary, Alberta, Canada
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16
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Reistad N, Sturesson C. Distinguishing tumor from healthy tissue in human liver ex vivo using machine learning and multivariate analysis of diffuse reflectance spectra. JOURNAL OF BIOPHOTONICS 2022; 15:e202200140. [PMID: 35860880 DOI: 10.1002/jbio.202200140] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 06/27/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Abstract
The aim of this work was to evaluate the capability of diffuse reflectance spectroscopy to distinguish malignant liver tissues from surrounding tissues and to determine whether an extended wavelength range (450-1550 nm) offers any advantages over using the conventional wavelength range. Furthermore, multivariate analysis combined with a machine learning algorithm, either linear discriminant analysis or the more advanced support vector machine, was used to discriminate between and classify freshly excised human liver specimens from 18 patients. Tumors were distinguished from surrounding liver tissues with a sensitivity of 99%, specificity of 100%, classification rate of 100% and a Matthews correlation coefficient of 100% using the extended wavelength range and a combination of principal component analysis and support vector techniques. The results indicate that this technology may be useful in clinical applications for real-time tissue diagnostics of tumor margins where rapid classification is important.
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Affiliation(s)
- Nina Reistad
- Department of Physics, Lund University, Lund, Sweden
| | - Christian Sturesson
- Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
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17
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Sun Y, Dumont AP, Arefin MS, Patil CA. Model-based characterization platform of fiber optic extended-wavelength diffuse reflectance spectroscopy for identification of neurovascular bundles. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:095002. [PMID: 36088529 PMCID: PMC9463544 DOI: 10.1117/1.jbo.27.9.095002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
SIGNIFICANCE Fiber-optic extended-wavelength diffuse reflectance spectroscopy (EWDRS) using both visible/near-infrared and shortwave-infrared detectors enables improved detection of spectral absorbances arising from lipids, water, and collagen and has demonstrated promise in a variety of applications, including detection of nerves and neurovascular bundles (NVB). Development of future applications of EWDRS for nerve detection could benefit from the use of model-based analyses including Monte Carlo (MC) simulations and evaluation of agreement between model systems and empirical measurements. AIM The aim of this work is to characterize agreement between EWDRS measurements and simulations and inform future applications of model-based studies of nerve-detecting applications. APPROACH A model-based platform consisting of an ex vivo microsurgical nerve dissection model, unique two-layer optical phantoms, and MC model simulations of fiber-optic EWDRS spectroscopic measurements were used to characterize EWDRS and compare agreement across models. In addition, MC simulations of an EWDRS measurement scenario are performed to provide a representative example of future analyses. RESULTS EWDRS studies performed in the common chicken thigh femoral nerve microsurgical dissection model indicate similar spectral features for classification of NVB versus adjacent tissues as reported in porcine models and human subjects. A comparison of measurements from unique EWDRS issue mimicking optical phantoms and MC simulations indicates high agreement between the two in homogeneous and two-layer optical phantoms, as well as in dissected tissues. Finally, MC simulations of measurement over a simulated NVB indicate the potential of future applications for measurement of nerve plexus. CONCLUSIONS Characterization of agreement between fiber-optic EWDRS measurements and MC simulations demonstrates strong agreement across a variety of tissues and optical phantoms, offering promise for further use to guide the continued development of EWDRS for translational applications.
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Affiliation(s)
- Yu Sun
- Temple University, Department of Bioengineering, Philadelphia, Pennsylvania, United States
| | - Alexander P. Dumont
- Temple University, Department of Bioengineering, Philadelphia, Pennsylvania, United States
| | | | - Chetan A. Patil
- Temple University, Department of Bioengineering, Philadelphia, Pennsylvania, United States
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18
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Skyrman S, Burström G, Aspegren O, Babic D, Lucassen G, Edström E, Arnberg F, Ohlsson M, Mueller M, Elmi-Terander A, Andersson T. Clot composition characterization using diffuse reflectance spectroscopy in acute ischemic stroke. BIOMEDICAL OPTICS EXPRESS 2022; 13:3311-3323. [PMID: 35781943 PMCID: PMC9208598 DOI: 10.1364/boe.458445] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 06/15/2023]
Abstract
Acute ischemic stroke caused by large vessel occlusion is treated with endovascular thrombectomy, but treatment failure may occur when clot composition and thrombectomy technique mismatch. In this proof-of-concept study, diffuse reflectance spectroscopy (DRS) is evaluated for identification of clot composition ex vivo. DRS spectra and histology were acquired from 45 clot units retrieved from 29 stroke patients. DRS spectra correlated to clot RBC content, R= 81, p < .001, and could discriminate between RBC-rich and fibrin-rich clots, p < 0.001. Sensitivity and specificity for detection of RBC-rich clots were 0.722 and 0.846 respectively. Applied in an intravascular device, DRS could potentially provide intraprocedural information on clot composition that could increase endovascular thrombectomy efficiency.
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Affiliation(s)
- Simon Skyrman
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Gustav Burström
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Oskar Aspegren
- Department of Pathology, Karolinska University Hospital, Stockholm, Sweden
- Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden
| | - Drazenko Babic
- Philips Research, High Tech Campus 34, Eindhoven, The Netherlands
| | - Gerald Lucassen
- Philips Research, High Tech Campus 34, Eindhoven, The Netherlands
| | - Erik Edström
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Fabian Arnberg
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Marcus Ohlsson
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Manfred Mueller
- Philips Research, High Tech Campus 34, Eindhoven, The Netherlands
| | - Adrian Elmi-Terander
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Tommy Andersson
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
- Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
- Department of Medical Imaging, AZ Groeninge, Kortrijk, Belgium
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19
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Kondziołka J, Wilczyński S, Michalecki Ł. Potential Use of Novel Image and Signal Processing Methods to Develop a Quantitative Assessment of the Severity of Acute Radiation Dermatitis in Breast Cancer Radiotherapy. Clin Cosmet Investig Dermatol 2022; 15:725-733. [PMID: 35497689 PMCID: PMC9041143 DOI: 10.2147/ccid.s354320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 03/18/2022] [Indexed: 11/23/2022]
Abstract
More than 95% of patients who undergo radiotherapy report symptoms of radiation dermatitis, which is a side effect of this therapy. Erythema, edema, dry and moist desquamation intensify with each fraction of irradiation and can significantly reduce a patient's quality of life. Therefore, an effective skin care procedure is needed for skin that has been exposed to ionizing radiation in order to avoid unplanned treatment interruptions. The methods that are currently used to assess the severity of an acute radiation reaction are based on visual scales (RTOG, EORTC, NCI CTCAE, LENT-SOMA). Because the assessment is made subjectively, the results depend on the researchers, their experience and perceptiveness. Until now, several studies have been carried out to check the possibility of using an objective methods like hyperspectral imaging, thermal imaging, laser Doppler flowmetry, dielectric and electrochemical methods, reflection spectrophotometry and Courage-Khazaka Multi-skin instrument to radiation-induced dermatitis assessment. Unfortunately, due to various limitations that occurred in the research, none of these techniques was successfully implement as alternative for visual assessment. The continuous development of technology enables researchers to access new techniques that might constitute useful diagnostic and cognitive tools. Infrared thermal imaging, hyperspectral imaging and reflectance spectroscopy are examples of the visual techniques that have been used for many years in various fields of medicine, including dermatology and chronic wound or burn care. They provide information on the skin parameters, such as the temperature, concentration and distribution of chromophores (eg, hemoglobin and melanin), saturation or perfusion changes. The aim of this study is to review the available literature on the use of imaging methods in the clinical assessment of skin with lesions of various origins, evaluation of their suitability for the assessment of radiation reaction and consideration the possibility of creating a quantitative scale for assessing severity of acute radiation dermatitis.
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Affiliation(s)
- Joanna Kondziołka
- Department of Basic Biomedical Science, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Katowice, Poland
| | - Sławomir Wilczyński
- Department of Basic Biomedical Science, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Katowice, Poland
| | - Łukasz Michalecki
- University Clinical Center of the Medical University of Silesia, Katowice, Poland
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20
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Amiri SA, Berckel PV, Lai M, Dankelman J, Hendriks BHW. Tissue-mimicking phantom materials with tunable optical properties suitable for assessment of diffuse reflectance spectroscopy during electrosurgery. BIOMEDICAL OPTICS EXPRESS 2022; 13:2616-2643. [PMID: 35774339 PMCID: PMC9203083 DOI: 10.1364/boe.449637] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 02/08/2022] [Accepted: 02/09/2022] [Indexed: 06/15/2023]
Abstract
Emerging intraoperative tumor margin assessment techniques require the development of more complex and reliable organ phantoms to assess the performance of the technique before its translation into the clinic. In this work, electrically conductive tissue-mimicking materials (TMMs) based on fat, water and agar/gelatin were produced with tunable optical properties. The composition of the phantoms allowed for the assessment of tumor margins using diffuse reflectance spectroscopy, as the fat/water ratio served as a discriminating factor between the healthy and malignant tissue. Moreover, the possibility of using polyvinyl alcohol (PVA) or transglutaminase in combination with fat, water and gelatin for developing TMMs was studied. The diffuse spectral response of the developed phantom materials had a good match with the spectral response of porcine muscle and adipose tissue, as well as in vitro human breast tissue. Using the developed recipe, anatomically relevant heterogeneous breast phantoms representing the optical properties of different layers of the human breast were fabricated using 3D-printed molds. These TMMs can be used for further development of phantoms applicable for simulating the realistic breast conserving surgery workflow in order to evaluate the intraoperative optical-based tumor margin assessment techniques during electrosurgery.
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Affiliation(s)
- Sara Azizian Amiri
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, The Netherlands
| | - Pieter Van Berckel
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, The Netherlands
| | - Marco Lai
- Philips Research, IGT & US Devices and Systems Department, Eindhoven, The Netherlands
- Eindhoven University of Technology (TU/e), Eindhoven, The Netherlands
| | - Jenny Dankelman
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, The Netherlands
| | - Benno H. W. Hendriks
- Department of Biomechanical Engineering, Faculty of Mechanical, Maritime, and Materials Engineering, Delft University of Technology, The Netherlands
- Philips Research, IGT & US Devices and Systems Department, Eindhoven, The Netherlands
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21
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Ewerlöf M, Strömberg T, Larsson M, Salerud EG. Multispectral snapshot imaging of skin microcirculatory hemoglobin oxygen saturation using artificial neural networks trained on in vivo data. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:036004. [PMID: 35340134 PMCID: PMC8957373 DOI: 10.1117/1.jbo.27.3.036004] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 03/03/2022] [Indexed: 06/14/2023]
Abstract
SIGNIFICANCE Developing algorithms for estimating blood oxygenation from snapshot multispectral imaging (MSI) data is challenging due to the complexity of sensor characteristics and photon transport modeling in tissue. We circumvent this using a method where artificial neural networks (ANNs) are trained on in vivo MSI data with target values from a point-measuring reference method. AIM To develop and evaluate a methodology where a snapshot filter mosaic camera is utilized for imaging skin hemoglobin oxygen saturation (SO2), using ANNs. APPROACH MSI data were acquired during occlusion provocations. ANNs were trained to estimate SO2 with MSI data as input, targeting data from a validated probe-based reference system. Performance of ANNs with different properties and training data sets was compared. RESULTS The method enables spatially resolved estimation of skin tissue SO2. Results are comparable to those acquired using a Monte-Carlo-based approach when relevant training data are used. CONCLUSIONS Training an ANN on in vivo MSI data covering a wide range of target values acquired during an occlusion protocol enable real-time estimation of SO2 maps. Data from the probe-based reference system can be used as target despite differences in sampling depth and measurement position.
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Affiliation(s)
- Maria Ewerlöf
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
| | - Tomas Strömberg
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
| | - Marcus Larsson
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
| | - E. Göran Salerud
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
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22
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Bachir W, Abo Dargham F. Feasibility of 830 nm laser imaging for vein localization in dark skin tissue-mimicking phantoms. Phys Eng Sci Med 2022; 45:135-142. [PMID: 34982404 DOI: 10.1007/s13246-021-01096-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Accepted: 12/25/2021] [Indexed: 10/19/2022]
Abstract
Accessing blood vessels by medical professionals has been a challenge in healthcare centers worldwide. The main objective of this work is to investigate the localization of blood vessels in dark skin based on near infrared laser imaging. An 830 nm diode laser was used as a light source to irradiate dark skin mimicking optical phantoms. Phantoms were constructed to simulate dark skin with embedded polymer tubes filled with human blood to mimic subcutaneous veins. Appropriate image processing techniques were also used to enhance the detection and depth resolved differentiation of the vein phantoms. Results show that a linear regression model can represent the relation between the grey level in subcutaneous vein images and the depth of vessels down to 3 mm or deeper (n = 15, R2 = 0.88, P < 0.001). The effect of laser power on the system performance is also discussed. Analysis of the collected images demonstrates the feasibility of 830 nm laser imaging for differentiating vein depths under dark skin surface. The proposed method would enhance the localization of invisible subcutaneous veins. This, in turn, would further improve the success rate of related medical procedures such as blood sampling, drawing, in the dark skin population.
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Affiliation(s)
- Wesam Bachir
- Biomedical Photonics Laboratory, Higher Institute for Laser Research and Applications, Damascus University, Damascus, Syria. .,Faculty of Informatics Engineering, Al-Sham Private University, Damascus, Syria.
| | - Farah Abo Dargham
- Biomedical Photonics Laboratory, Higher Institute for Laser Research and Applications, Damascus University, Damascus, Syria.,Faculty of Informatics Engineering, Aljazeera Private University, Damascus, Syria
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23
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Proposal for a Skin Layer-Wise Decomposition Model of Spatially-Resolved Diffuse Reflectance Spectra Based on Maximum Depth Photon Distributions: A Numerical Study. PHOTONICS 2021. [DOI: 10.3390/photonics8100444] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
In the context of cutaneous carcinoma diagnosis based on in vivo optical biopsy, Diffuse Reflectance (DR) spectra, acquired using a Spatially Resolved (SR) sensor configuration, can be analyzed to distinguish healthy from pathological tissues. The present contribution aims at studying the depth distribution of SR-DR-detected photons in skin from the perspective of analyzing how these photons contribute to acquired spectra carrying local physiological and morphological information. Simulations based on modified Cuda Monte Carlo Modeling of Light transport were performed on a five-layer human skin optical model with epidermal thickness, phototype and dermal blood content as variable parameters using (i) wavelength-resolved scattering and absorption properties and (ii) the geometrical configuration of a multi-optical fiber probe implemented on an SR-DR spectroscopic device currently used in clinics. Through histograms of the maximum probed depth and their exploitation, we provide numerical evidence linking the characteristic penetration depth of the detected photons to their wavelengths and four source–sensor distances, which made it possible to propose a decomposition of the DR signals related to skin layer contributions.
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24
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Rogelj L, Simončič U, Tomanič T, Jezeršek M, Pavlovčič U, Stergar J, Milanič M. Effect of curvature correction on parameters extracted from hyperspectral images. JOURNAL OF BIOMEDICAL OPTICS 2021; 26:JBO-210189R. [PMID: 34490762 PMCID: PMC8420878 DOI: 10.1117/1.jbo.26.9.096003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 08/23/2021] [Indexed: 06/13/2023]
Abstract
SIGNIFICANCE Hyperspectral imaging (HSI) has emerged as a promising optical technique. Besides optical properties of a sample, other sample physical properties also affect the recorded images. They are significantly affected by the sample curvature and sample surface to camera distance. A correction method to reduce the artifacts is necessary to reliably extract sample properties. AIM Our aim is to correct hyperspectral images using the three-dimensional (3D) surface data and assess how the correction affects the extracted sample properties. APPROACH We propose the combination of HSI and 3D profilometry to correct the images using the Lambert cosine law. The feasibility of the correction method is presented first on hemispherical tissue phantoms and next on human hands before, during, and after the vascular occlusion test (VOT). RESULTS Seven different phantoms with known optical properties were created and imaged with a hyperspectral system. The correction method worked up to 60 deg inclination angle, whereas for uncorrected images the maximum angles were 20 deg. Imaging hands before, during, and after VOT shows good agreement between the expected and extracted skin physiological parameters. CONCLUSIONS The correction method was successfully applied on the images of tissue phantoms of known optical properties and geometry and VOT. The proposed method could be applied to any reflectance optical imaging technique and should be used whenever the sample parameters need to be extracted from a curved surface sample.
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Affiliation(s)
- Luka Rogelj
- University of Ljubljana, Faculty of Mathematics and Physics, Ljubljana, Slovenia
| | - Urban Simončič
- University of Ljubljana, Faculty of Mathematics and Physics, Ljubljana, Slovenia
- Jozef Stefan Institute, Ljubljana, Slovenia
| | - Tadej Tomanič
- University of Ljubljana, Faculty of Mathematics and Physics, Ljubljana, Slovenia
| | - Matija Jezeršek
- University of Ljubljana, Faculty of Mechanical Engineering, Ljubljana, Slovenia
| | - Urban Pavlovčič
- University of Ljubljana, Faculty of Mechanical Engineering, Ljubljana, Slovenia
| | | | - Matija Milanič
- University of Ljubljana, Faculty of Mathematics and Physics, Ljubljana, Slovenia
- Jozef Stefan Institute, Ljubljana, Slovenia
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25
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Takihata Y, Kawauchi S, Ogata S, Nishidate I, Sato S, Yamamoto J, Kishi Y. In vivo diffuse reflectance spectroscopic analysis of fatty liver with inflammation in mice. Surg Open Sci 2021; 6:21-28. [PMID: 34458710 PMCID: PMC8379345 DOI: 10.1016/j.sopen.2021.07.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 06/13/2021] [Accepted: 07/01/2021] [Indexed: 11/25/2022] Open
Abstract
Background Nonalcoholic steatohepatitis is a progressive liver disease that can lead to cirrhosis, hepatocellular carcinoma, and hepatic failure. Thus, the diagnosis of nonalcoholic steatohepatitis, especially discrimination from nonalcoholic fatty liver, is crucial, but reliable methods other than invasive biopsy have not been established yet. In this study, we investigated the usefulness of diffuse reflectance spectroscopy, which does not require tissue collection, to evaluate the pathological states of fatty liver with inflammation. Materials and Methods We performed in vivo optical fiber-based diffuse reflectance spectroscopy in both the near-infrared and visible spectral regions for livers in STAM mice, which typically show steatosis at 6 weeks, steatohepatitis at 8 weeks, and fibrosis at 12 weeks of age. After diffuse reflectance spectroscopy, all of the liver tissues were histologically analyzed and scored on the basis of the rodent nonalcoholic fatty liver disease scoring system. We examined correlations between the diffuse reflectance spectra and scores associated with steatosis and inflammation. Results and Conclusion The results showed that the second derivative values of reflectance at 1204 nm, the lipid absorption peak in the near-infrared region, were strongly correlated with steatosis scores (r = 0.9172, P < .0001, n = 20) and that the differences of the first derivative values of reflectance in the visible region (570 nm − 550 nm) that reflect hemoglobin deoxygenation were significantly correlated with inflammation scores (r = 0.5260, P = .0172, n = 20). These results suggest that our diffuse reflectance spectroscopy method is useful for diagnosis of the states of steatosis with inflammation in livers and hence nonalcoholic steatohepatitis. Optical reflectance signals are used to diagnose nonalcoholic steatohepatitis in mice. The near-infrared reflectance signals are strongly correlated with steatosis scores. The visible reflectance signals are significantly correlated with inflammation scores. Nonalcoholic steatohepatitis can be noninvasively detected by reflectance signals.
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Affiliation(s)
- Yasuhiro Takihata
- Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan.,Division of Bioinformation and Therapeutic Systems, National Defense Medical College Research Institute, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan
| | - Satoko Kawauchi
- Division of Bioinformation and Therapeutic Systems, National Defense Medical College Research Institute, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan
| | - Sho Ogata
- Department of Pathology and Laboratory Medicine, National Defense Medical College Hospital, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan
| | - Izumi Nishidate
- Graduate School of Bio-Applications & Systems Engineering, Tokyo University of Agriculture and Technology, 2-24-16 Naka-cho, Koganei, Tokyo 184-8588, Japan
| | - Shunichi Sato
- Division of Bioinformation and Therapeutic Systems, National Defense Medical College Research Institute, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan
| | - Junji Yamamoto
- Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan
| | - Yoji Kishi
- Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan
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26
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Subhash N, Anand S, Prasanna R, Managoli SP, Suvarnadas R, Shyamsundar V, Nagarajan K, Mishra SK, Johnson M, Dathurao Ramanand M, Jogigowda SC, Rao V, Gopinath KS. Bimodal multispectral imaging system with cloud-based machine learning algorithm for real-time screening and detection of oral potentially malignant lesions and biopsy guidance. JOURNAL OF BIOMEDICAL OPTICS 2021; 26:JBO-210148R. [PMID: 34402266 PMCID: PMC8367825 DOI: 10.1117/1.jbo.26.8.086003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 07/26/2021] [Indexed: 05/12/2023]
Abstract
SIGNIFICANCE Screening and early detection of oral potentially malignant lesions (OPMLs) are of great significance in reducing the mortality rates associated with head and neck malignancies. Intra-oral multispectral optical imaging of tissues in conjunction with cloud-based machine learning (CBML) can be used to detect oral precancers at the point-of-care (POC) and guide the clinician to the most malignant site for biopsy. AIM Develop a bimodal multispectral imaging system (BMIS) combining tissue autofluorescence and diffuse reflectance (DR) for mapping changes in oxygenated hemoglobin (HbO2) absorption in the oral mucosa, quantifying tissue abnormalities, and guiding biopsies. APPROACH The hand-held widefield BMIS consisting of LEDs emitting at 405, 545, 575, and 610 nm, 5MPx monochrome camera, and proprietary Windows-based software was developed for image capture, processing, and analytics. The DR image ratio (R610/R545) was compared with pathologic classification to develop a CBML algorithm for real-time assessment of tissue status at the POC. RESULTS Sensitivity of 97.5% and specificity of 92.5% were achieved for discrimination of OPML from patient normal in 40 sites, whereas 82% sensitivity and 96.6% specificity were obtained for discrimination of abnormal (OPML + SCC) in 89 sites. Site-specific algorithms derived for buccal mucosa (27 sites) showed improved sensitivity and specificity of 96.3% for discrimination of OPML from normal. CONCLUSIONS Assessment of oral cancer risk is possible by mapping of HbO2 absorption in tissues, and the BMIS system developed appears to be suitable for biopsy guidance and early detection of oral cancers.
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Affiliation(s)
- Narayanan Subhash
- Sascan Meditech Pvt Ltd, TIMed, Sree Chitra Tirunal Institute for Medical Science & Technology (SCTIMST), Thiruvananthapuram, Kerala, India
- Address all correspondence to Narayanan Subhash,
| | - Suresh Anand
- Sascan Meditech Pvt Ltd, TIMed, Sree Chitra Tirunal Institute for Medical Science & Technology (SCTIMST), Thiruvananthapuram, Kerala, India
| | - Ranimol Prasanna
- Sascan Meditech Pvt Ltd, TIMed, Sree Chitra Tirunal Institute for Medical Science & Technology (SCTIMST), Thiruvananthapuram, Kerala, India
| | - Sandeep P. Managoli
- Sascan Meditech Pvt Ltd, TIMed, Sree Chitra Tirunal Institute for Medical Science & Technology (SCTIMST), Thiruvananthapuram, Kerala, India
| | - Rinoy Suvarnadas
- Sascan Meditech Pvt Ltd, TIMed, Sree Chitra Tirunal Institute for Medical Science & Technology (SCTIMST), Thiruvananthapuram, Kerala, India
| | - Vidyarani Shyamsundar
- Sree Balaji Dental College & Hospital, Center for Oral Cancer Prevention Awareness and Research, Chennai, Tamil Nadu, India
| | - Karthika Nagarajan
- Sree Balaji Dental College & Hospital, Center for Oral Cancer Prevention Awareness and Research, Chennai, Tamil Nadu, India
| | - Sourav K. Mishra
- Institute of Medical Sciences and SUM Hospital, Department of Oncology, Bhubaneswar, Orissa, India
| | - Migi Johnson
- Government Dental College, Department of Oral Medicine and Radiology, Kottayam, Kerala, India
| | - Mahesh Dathurao Ramanand
- Dayananda Sagar College of Dental Sciences, Department of Oral Medicine, Bangalore, Karnataka, India
| | - Sanjay C. Jogigowda
- JSS Dental College & Hospital, Department of Oral Medicine, Mysore, Karnataka, India
| | - Vishal Rao
- HCG Cancer Center, HCG Towers, Bengaluru, Karnataka, India
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Skyrman S, Burström G, Aspegren O, Lucassen G, Elmi-Terander A, Edström E, Arnberg F, Ohlsson M, Mueller M, Andersson T. Identifying clot composition using intravascular diffuse reflectance spectroscopy in a porcine model of endovascular thrombectomy. J Neurointerv Surg 2021; 14:304-309. [PMID: 33858972 PMCID: PMC8862084 DOI: 10.1136/neurintsurg-2020-017273] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Revised: 03/28/2021] [Accepted: 03/29/2021] [Indexed: 12/19/2022]
Abstract
Background Endovascular thrombectomy has revolutionized the management of acute ischemic stroke and proven superior to stand-alone intravenous thrombolysis for large vessel occlusions. However, failed or delayed revascularization may occur as a result of a mismatch between removal technique and clot composition. Determination of clot composition before thrombectomy provides the possibility to adapt the technique to improve clot removal efficacy. We evaluated the application of diffuse reflectance spectroscopy (DRS) for intravascular determination of clot composition in vivo. Methods Three clot types, enriched in red blood cells or fibrin or with a mixed content, were prepared from porcine blood and injected into the external carotids of a domestic pig. A guidewire-like DRS probe was used to investigate the optical spectra of clots, blood and vessel wall. Measurement positions were confirmed with angiography. Spectra were analyzed by fitting an optical model to derive physiological parameters. To evaluate the method’s accuracy, photon scattering and blood and methemoglobin contents were included in a decision tree model and a random forest classification. Results DRS could differentiate between the three different clot types, blood and vessel wall in vivo (p<0.0001). The sensitivity and specificity for detection was 73.8% and 98.8% for red blood cell clots, 80.6% and 97.8% for fibrin clots, and 100% and 100% for mixed clots, respectively. Conclusion Intravascular DRS applied via a custom guidewire can be used for reliable determination of clot composition in vivo. This novel approach has the potential to increase efficacy of thrombectomy procedures in ischemic stroke.
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Affiliation(s)
- Simon Skyrman
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden .,Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
| | - Gustav Burström
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
| | - Oskar Aspegren
- Department of Pathology, Karolinska University Hospital, Stockholm, Sweden.,Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden
| | - Gerald Lucassen
- High Tech Campus 34, Philips Research, Eindhoven, The Netherlands
| | - Adrian Elmi-Terander
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
| | - Erik Edström
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden
| | - Fabian Arnberg
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden
| | - Marcus Ohlsson
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden
| | - Manfred Mueller
- High Tech Campus 34, Philips Research, Eindhoven, The Netherlands
| | - Tommy Andersson
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.,Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden.,Departments of Radiology and Neurology, AZ Groeninge, Kortrijk, Belgium
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Marin A, Verdel N, Milanič M, Majaron B. Noninvasive Monitoring of Dynamical Processes in Bruised Human Skin Using Diffuse Reflectance Spectroscopy and Pulsed Photothermal Radiometry. SENSORS 2021; 21:s21010302. [PMID: 33466275 PMCID: PMC7796256 DOI: 10.3390/s21010302] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 12/30/2020] [Accepted: 12/30/2020] [Indexed: 11/16/2022]
Abstract
We have augmented a recently introduced method for noninvasive analysis of skin structure and composition and applied it to monitoring of dynamical processes in traumatic bruises. The approach combines diffuse reflectance spectroscopy in visible spectral range and pulsed photothermal radiometry. Data from both techniques are analyzed simultaneously using a numerical model of light and heat transport in a four-layer model of human skin. Compared to the earlier presented approach, the newly introduced elements include two additional chromophores (β-carotene and bilirubin), individually adjusted thickness of the papillary dermal layer, and analysis of the bruised site using baseline values assessed from intact skin in its vicinity. Analyses of traumatic bruises in three volunteers over a period of 16 days clearly indicate a gradual, yet substantial increase of the dermal blood content and reduction of its oxygenation level in the first days after injury. This is followed by the emergence of bilirubin and relaxation of all model parameters towards the values characteristic for healthy skin approximately two weeks after the injury. The assessed parameter values and time dependences are consistent with existing literature. Thus, the presented methodology offers a viable approach for objective characterization of the bruise healing process.
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Affiliation(s)
- Ana Marin
- Faculty of Mathematics and Physics, University of Ljubljana, 1000 Ljubljana, Slovenia; (A.M.); (M.M.)
| | - Nina Verdel
- Department of Complex Matter, Jožef Stefan Institute, 1000 Ljubljana, Slovenia;
| | - Matija Milanič
- Faculty of Mathematics and Physics, University of Ljubljana, 1000 Ljubljana, Slovenia; (A.M.); (M.M.)
- Department of Complex Matter, Jožef Stefan Institute, 1000 Ljubljana, Slovenia;
| | - Boris Majaron
- Faculty of Mathematics and Physics, University of Ljubljana, 1000 Ljubljana, Slovenia; (A.M.); (M.M.)
- Department of Complex Matter, Jožef Stefan Institute, 1000 Ljubljana, Slovenia;
- Correspondence:
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Bjorgan A, Pukstad BS, Randeberg LL. Hyperspectral characterization of re-epithelialization in an in vitro wound model. JOURNAL OF BIOPHOTONICS 2020; 13:e202000108. [PMID: 32558341 DOI: 10.1002/jbio.202000108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 05/27/2020] [Accepted: 06/11/2020] [Indexed: 06/11/2023]
Abstract
In vitro wound models are useful for research on wound re-epithelialization. Hyperspectral imaging represents a non-destructive alternative to histology analysis for detection of re-epithelialization. This study aims to characterize the main optical behavior of a wound model in order to enable development of detection algorithms. K-Means clustering and agglomerative analysis were used to group spatial regions based on the spectral behavior, and an inverse photon transport model was used to explain differences in optical properties. Six samples of the wound model were prepared from human tissue and followed over 22 days. Re-epithelialization occurred at a mean rate of 0.24 mm2 /day after day 8 to 10. Suppression of wound spectral features was the main feature characterizing re-epithelialized and intact tissue. Modeling the photon transport through a diffuse layer placed on top of wound tissue properties reproduced the spectral behavior. The missing top layer represented by wounds is thus optically detectable using hyperspectral imaging.
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Affiliation(s)
- Asgeir Bjorgan
- Department of Electronic Systems, NTNU Norwegian University of Science and Technology, Trondheim, Norway
| | - Brita S Pukstad
- Department of Clinical and Molecular Medicine, NTNU Norwegian University of Science and Technology, Trondheim, Norway
- Department of Dermatology, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Lise L Randeberg
- Department of Electronic Systems, NTNU Norwegian University of Science and Technology, Trondheim, Norway
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Diffuse reflectance spectroscopy for breach detection during pedicle screw placement: a first in vivo investigation in a porcine model. Biomed Eng Online 2020; 19:47. [PMID: 32532305 PMCID: PMC7291697 DOI: 10.1186/s12938-020-00791-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 06/04/2020] [Indexed: 11/10/2022] Open
Abstract
Background The safe and accurate placement of pedicle screws remains a critical step in open and minimally invasive spine surgery, emphasizing the need for intraoperative guidance techniques. Diffuse reflectance spectroscopy (DRS) is an optical sensing technology that may provide intraoperative guidance in pedicle screw placement. Purpose The study presents the first in vivo minimally invasive procedure using DRS sensing at the tip of a Jamshidi needle with an integrated optical K-wire. We investigate the effect of tissue perfusion and probe-handling conditions on the reliability of fat fraction measurements for breach detection in vivo. Methods A Jamshidi needle with an integrated fiber-optic K-wire was gradually inserted into the vertebrae under intraoperative image guidance. The fiber-optic K-wire consisted of two optical fibers with a fiber-to-fiber distance of 1.024 mm. DRS spectra in the wavelength range of 450 to 1600 nm were acquired at several positions along the path inside the vertebrae. Probe-handling conditions were varied by changing the amount of pressure exerted on the probe within the vertebrae. Continuous spectra were recorded as the probe was placed in the center of the vertebral body while the porcine specimen was sacrificed via a lethal injection. Results A typical insertion of the fiber-optic K-wire showed a drop in fat fraction during an anterior breach as the probe transitioned from cancellous to cortical bone. Fat fraction measurements were found to be similar irrespective of the amount of pressure exerted on the probe (p = 0.65). The 95% confidence interval of fat fraction determination was found in the narrow range of 1.5–3.6% under various probe-handling conditions. The fat fraction measurements remained stable during 70 min of decreased blood flow after the animal was sacrificed. Discussions These findings indicate that changes in tissue perfusion and probe-handling conditions have a relatively low measureable effect on the DRS signal quality and thereby on the determination of fat fraction as a breach detection signal. Conclusions Fat fraction quantification for intraoperative pedicle screw breach detection is reliable, irrespective of changes in tissue perfusion and probe-handling conditions.
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Amiri SA, Van Gent CM, Dankelman J, Hendriks BHW. Intraoperative tumor margin assessment using diffuse reflectance spectroscopy: the effect of electrosurgery on tissue discrimination using ex vivo animal tissue models. BIOMEDICAL OPTICS EXPRESS 2020; 11:2402-2415. [PMID: 32499933 PMCID: PMC7249845 DOI: 10.1364/boe.385621] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 03/11/2020] [Accepted: 04/01/2020] [Indexed: 06/11/2023]
Abstract
Using an intraoperative margin assessment technique during breast-conserving surgery (BCS) helps surgeons to decrease the risk of positive margin occurrence. Diffuse reflectance spectroscopy (DRS) has the potential to discriminate healthy breast tissue from cancerous tissue. We investigated the performance of an electrosurgical knife integrated with a DRS on porcine muscle and adipose tissue. Characterization of the formed debris on the optical fibers after electrosurgery revealed that the contamination is mostly burned tissue. Even with contaminated optical fibers, both tissues could still be discriminated with DRS based on fat/water ratio. Therefore, an electrosurgical knife integrated with DRS may be a promising technology to provide the surgeon with real-time guidance during BCS.
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Affiliation(s)
- Sara Azizian Amiri
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
| | - Carlijn M. Van Gent
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
| | - Jenny Dankelman
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
| | - Benno H. W. Hendriks
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
- Philips Research, In-Body Systems Department, Eindhoven, The Netherlands
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Grygoryev K, Komolibus K, Gunther J, Nunan G, Manley K, Andersson-Engels S, Burke R. Cranial Perforation Using an Optically-Enhanced Surgical Drill. IEEE Trans Biomed Eng 2020; 67:3474-3482. [PMID: 32310759 DOI: 10.1109/tbme.2020.2987952] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The design of mechanically clutched cranial perforators, used in craniotomy procedures, limits their performance under certain clinical conditions and can, in some cases, impose the risk of severe brain injury on patients undergoing the procedure. An additional safety mechanism could help in mitigating these risks. In this work, we examine the use of diffuse reflectance spectroscopy as a potential fallback mechanism for near real-time detection of the bone-brain boundary. Monte Carlo simulation of a two layer model with optical properties of bone and brain at 530 and 850 nm resulted in a detectable change in diffuse reflectance signal when approaching the boundary. The simulated results were used to guide the development of an experimental drill control system, which was tested on 10 sheep craniums and yielded 88.1 % success rate in the detection of the approaching bone-brain boundary.
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Mundo AI, Greening GJ, Fahr MJ, Hale LN, Bullard EA, Rajaram N, Muldoon TJ. Diffuse reflectance spectroscopy to monitor murine colorectal tumor progression and therapeutic response. JOURNAL OF BIOMEDICAL OPTICS 2020; 25:1-16. [PMID: 32141266 PMCID: PMC7058691 DOI: 10.1117/1.jbo.25.3.035002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 02/17/2020] [Indexed: 05/08/2023]
Abstract
SIGNIFICANCE Many studies in colorectal cancer (CRC) use murine ectopic tumor models to determine response to treatment. However, these models do not replicate the tumor microenvironment of CRC. Physiological information of treatment response derived via diffuse reflectance spectroscopy (DRS) from murine primary CRC tumors provide a better understanding for the development of new drugs and dosing strategies in CRC. AIM Tumor response to chemotherapy in a primary CRC model was quantified via DRS to extract total hemoglobin content (tHb), oxygen saturation (StO2), oxyhemoglobin, and deoxyhemoglobin in tissue. APPROACH A multimodal DRS and imaging probe (0.78 mm outside diameter) was designed and validated to acquire diffuse spectra longitudinally-via endoscopic guidance-in developing colon tumors under 5-fluoruracil (5-FU) maximum-tolerated (MTD) and metronomic regimens. A filtering algorithm was developed to compensate for positional uncertainty in DRS measurements Results: A maximum increase in StO2 was observed in both MTD and metronomic chemotherapy-treated murine primary CRC tumors at week 4 of neoadjuvant chemotherapy, with 21 ± 6 % and 17 ± 6 % fold changes, respectively. No significant changes were observed in tHb. CONCLUSION Our study demonstrates the feasibility of DRS to quantify response to treatment in primary CRC models.
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Affiliation(s)
- Ariel I. Mundo
- University of Arkansas, Department of Biomedical Engineering, Fayetteville, Arkansas, United States
| | - Gage. J. Greening
- University of Arkansas, Department of Biomedical Engineering, Fayetteville, Arkansas, United States
| | - Michael J. Fahr
- University of Arkansas, Department of Computer Science, Fayetteville, Arkansas, United States
| | - Lawrence N. Hale
- University of Arkansas, Department of Chemistry and Biochemistry, Fayetteville, Arkansas, United States
| | - Elizabeth A. Bullard
- University of Arkansas, Department of Biomedical Engineering, Fayetteville, Arkansas, United States
| | - Narasimhan Rajaram
- University of Arkansas, Department of Biomedical Engineering, Fayetteville, Arkansas, United States
| | - Timothy J. Muldoon
- University of Arkansas, Department of Biomedical Engineering, Fayetteville, Arkansas, United States
- Address all correspondence to Timothy J. Muldoon, E-mail:
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Baltussen EJ, Brouwer De Koning SG, Hendriks BH, Jóźwiak K, Sterenborg HJ, Ruers TJ. Comparing in vivo and ex vivo fiberoptic diffuse reflectance spectroscopy in colorectal cancer. TRANSLATIONAL BIOPHOTONICS 2019. [DOI: 10.1002/tbio.201900008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Affiliation(s)
| | | | - Benno H.W. Hendriks
- Philips Research Eindhoven The Netherlands
- Delft University of Technology Delft The Netherlands
| | - Katarzyna Jóźwiak
- The Netherlands Cancer Institute Amsterdam The Netherlands
- Institute of Biostatistics and Registry ResearchBrandenburg Medical School Theodor Fontane Neuruppin Germany
| | - Henricus J.C.M. Sterenborg
- The Netherlands Cancer Institute Amsterdam The Netherlands
- Amsterdam University Medical Centre Amsterdam The Netherlands
| | - Theo J.M. Ruers
- The Netherlands Cancer Institute Amsterdam The Netherlands
- University of Twente Enschede The Netherlands
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35
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Baltussen EJM, Sterenborg HJCM, Ruers TJM, Dashtbozorg B. Optimizing algorithm development for tissue classification in colorectal cancer based on diffuse reflectance spectra. BIOMEDICAL OPTICS EXPRESS 2019; 10:6096-6113. [PMID: 31853388 PMCID: PMC6913395 DOI: 10.1364/boe.10.006096] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 10/11/2019] [Accepted: 10/31/2019] [Indexed: 06/01/2023]
Abstract
Diffuse reflectance spectroscopy can be used in colorectal cancer surgery for tissue classification. The main challenge in the classification task is to separate healthy colorectal wall from tumor tissue. In this study, four normalization techniques, four feature extraction methods and five classifiers are applied to nine datasets, to obtain the optimal method to separate spectra measured on healthy colorectal wall from spectra measured on tumor tissue. All results are compared to the use of the entire non-normalized spectra. It is found that the most optimal classification approach is to apply a feature extraction method on non-normalized spectra combined with support vector machine or neural network classifier.
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Affiliation(s)
- Elisabeth J. M. Baltussen
- Department of Surgery, Antoni van Leeuwenhoek Hospital – The Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands
| | - Henricus J. C. M. Sterenborg
- Department of Surgery, Antoni van Leeuwenhoek Hospital – The Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands
- Department of Biomedical Engineering and Physics, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
| | - Theo J. M. Ruers
- Department of Surgery, Antoni van Leeuwenhoek Hospital – The Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands
- Faculty of Science and Technology, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands
| | - Behdad Dashtbozorg
- Department of Surgery, Antoni van Leeuwenhoek Hospital – The Netherlands Cancer Institute, Plesmanlaan 121, 1066CX Amsterdam, The Netherlands
- Department of Biomedical Engineering, Eindhoven University of Technology, 5600 MB Eindhoven, The Netherlands
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de Boer LL, Kho E, Jóźwiak K, Van de Vijver KK, Vrancken Peeters MJTFD, van Duijnhoven F, Hendriks BHW, Sterenborg HJCM, Ruers TJM. Influence of neoadjuvant chemotherapy on diffuse reflectance spectra of tissue in breast surgery specimens. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:115004. [PMCID: PMC7003145 DOI: 10.1117/1.jbo.24.11.115004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Accepted: 11/04/2019] [Indexed: 05/28/2023]
Abstract
Diffuse reflectance spectroscopy (DRS) can discriminate different tissue types based on optical characteristics. Since this technology has the ability to detect tumor tissue, several groups have proposed to use DRS for margin assessment during breast-conserving surgery for breast cancer. Nowadays, an increasing number of patients with breast cancer are being treated by neoadjuvant chemotherapy. Limited research has been published on the influence of neoadjuvant chemotherapy on the optical characteristics of the tissue. Hence, it is unclear whether margin assessment based on DRS is feasible in this specific group of patients. We investigate whether there is an effect of neoadjuvant chemotherapy on optical measurements of breast tissue. To this end, DRS measurements were performed on 92 ex-vivo breast specimens from 92 patients, treated with neoadjuvant chemotherapy and without neoadjuvant chemotherapy. Generalized estimating equation (GEE) models were generated, comparing the measurements of patients with and without neoadjuvant chemotherapy in datasets of different tissue types using a significance level of 5%. As input for the GEE models, either the intensity at a specific wavelength or a fit parameter, derived from the spectrum, was used. In the evaluation of the intensity, no influence of neoadjuvant chemotherapy was found, since none of the wavelengths were significantly different between the measurements with and the measurements without neoadjuvant chemotherapy in any of the datasets. These results were confirmed by the analysis of the fit parameters, which showed a significant difference for the amount of collagen in only one dataset. All other fit parameters were not significant for any of the datasets. These findings may indicate that assessment of the resection margin with DRS is also feasible in the growing population of breast cancer patients who receive neoadjuvant chemotherapy. However, it is possible that we did not detect neoadjuvant chemotherapy effect in the some of the datasets due to the small number of measurements in those datasets.
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Affiliation(s)
- Lisanne L. de Boer
- The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Esther Kho
- The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Katarzyna Jóźwiak
- The Netherlands Cancer Institute, Department of Epidemiology and Biostatistics, The Netherlands
- Institute of Biostatistics and Registry Research, Brandenburg Medical School Theodor Fontane, Neuruppin, Germany
| | - Koen K. Van de Vijver
- The Netherlands Cancer Institute, Department of Pathology, Amsterdam, The Netherlands
- Ghent University Hospital, Department of Pathology, Gent, Belgium
| | | | | | - Benno H. W. Hendriks
- Philips Research, Eindhoven, The Netherlands
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
| | - Henricus J. C. M. Sterenborg
- The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
- Amsterdam University Medical Center, Department of Biomedical Engineering and Physics, Amsterdam, The Netherlands
| | - Theo J. M. Ruers
- The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
- University of Twente, TNW, Technical Medical Centre, Enschede, The Netherlands
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Extended-wavelength diffuse reflectance spectroscopy with a machine-learning method for in vivo tissue classification. PLoS One 2019; 14:e0223682. [PMID: 31600296 PMCID: PMC6786558 DOI: 10.1371/journal.pone.0223682] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Accepted: 09/25/2019] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVES An extended-wavelength diffuse reflectance spectroscopy (EWDRS) technique was evaluated for its ability to differentiate between and classify different skin and tissue types in an in vivo pig model. MATERIALS AND METHODS EWDRS recordings (450-1550 nm) were made on skin with different degrees of pigmentation as well as on the pig snout and tongue. The recordings were used to train a support vector machine to identify and classify the different skin and tissue types. RESULTS The resulting EWDRS curves for each skin and tissue type had a unique profile. The support vector machine was able to classify each skin and tissue type with an overall accuracy of 98.2%. The sensitivity and specificity were between 96.4 and 100.0% for all skin and tissue types. CONCLUSION EWDRS can be used in vivo to differentiate between different skin and tissue types with good accuracy. Further development of the technique may potentially lead to a novel diagnostic tool for e.g. non-invasive tumor margin delineation.
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Swamy A, Burström G, Spliethoff JW, Babic D, Ruschke S, Racadio JM, Edström E, Terander AE, Dankelman J, Hendriks BHW. Validation of diffuse reflectance spectroscopy with magnetic resonance imaging for accurate vertebral bone fat fraction quantification. BIOMEDICAL OPTICS EXPRESS 2019; 10:4316-4328. [PMID: 31453013 PMCID: PMC6701522 DOI: 10.1364/boe.10.004316] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 06/09/2019] [Accepted: 06/11/2019] [Indexed: 05/12/2023]
Abstract
Safe and accurate placement of pedicle screws remains a critical step in open and minimally invasive spine surgery. The diffuse reflectance spectroscopy (DRS) technique may offer the possibility of intra-operative guidance for pedicle screw placement. Currently, Magnetic Resonance Imaging (MRI) is one of the most accurate techniques used to measure fat concentration in tissues. Therefore, the purpose of this study is to compare the accuracy of fat content measured invasively in vertebrae using DRS and validate it against the Proton density fat fraction (PDFF) derived via MRI. Chemical shift-encoding-based water-fat imaging of the spine was first performed on six cadavers. PDFF images were computed and manually segmented. 23 insertions using a custom-made screw probe with integrated optical fibers were then performed under cone beam computer tomography (CBCT). DR spectra were recorded at several positions along the trajectory as the optical screw probe was inserted turn by turn into the vertebral body. Fat fractions determined via DRS and MRI techniques were compared by spatially correlating the optical screw probe position within the vertebrae on CBCT images with respect to the PDFF images. The fat fraction determined by DRS was found to have a high correlation with those determined by MRI, with a Pearson coefficient of 0.950 (P< 0.001) as compared with PDFF measurements calculated from the MRI technique. Additionally, the two techniques were found to be comparable for fat fraction quantification within vertebral bodies (R2 = 0.905).
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Affiliation(s)
- Akash Swamy
- Department of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands
- Department of In-body Systems, Philips Research, Royal Philips NV, High Tech Campus 34, 5656 AE, Eindhoven, the Netherlands
| | - Gustav Burström
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden and Department of Neurosurgery, Karolinska University Hospital, 17176, Stockholm, Sweden
| | - Jarich W. Spliethoff
- Department of In-body Systems, Philips Research, Royal Philips NV, High Tech Campus 34, 5656 AE, Eindhoven, the Netherlands
| | - Drazenko Babic
- Department of In-body Systems, Philips Research, Royal Philips NV, High Tech Campus 34, 5656 AE, Eindhoven, the Netherlands
| | - Stefan Ruschke
- Department of Radiology, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Straße 22, 81675 München, Germany
| | - John M. Racadio
- Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio, USA
| | - Erik Edström
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden and Department of Neurosurgery, Karolinska University Hospital, 17176, Stockholm, Sweden
| | - Adrian Elmi Terander
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden and Department of Neurosurgery, Karolinska University Hospital, 17176, Stockholm, Sweden
| | - Jenny Dankelman
- Department of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands
| | - Benno H. W. Hendriks
- Department of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD, Delft, the Netherlands
- Department of In-body Systems, Philips Research, Royal Philips NV, High Tech Campus 34, 5656 AE, Eindhoven, the Netherlands
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Kim SJ, Bae J, Lee SE, Lee JB, Park CH, Lim DH, Park MS, Ha J. A novel in vivo test method for evaluating the infrared radiation protection provided by sunscreen products. Skin Res Technol 2019; 25:890-895. [PMID: 31338921 DOI: 10.1111/srt.12754] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Accepted: 06/27/2019] [Indexed: 01/28/2023]
Abstract
BACKGROUND Infrared radiation (IR) exposure generates reactive oxygen species and induces matrix metalloproteinase-1 expression in human skin. Moreover, while not as acute as ultraviolet radiation, repeated infrared irradiation can result in the photoaging of skin. Broad-spectrum sunscreens can protect skin from IR, but no human in vivo test methods for the evaluation of sunscreens' IR protection effect have been developed. We aimed to develop such a method. MATERIALS AND METHODS We included 155 Korean subjects in our three-part clinical study. The IR reflectance of subjects' skin was measured using a benchtop model of an IR light source and a reflectance measuring probe. We measured the IR reflectance in relation to skin color and hydration level to set up our experimental conditions. We then calculated the infrared protection factors (IPFs) of cosmetic emulsions as the IR reflectance ratio between cosmetic sunscreen-applied skin and non-sunscreen-applied skin and assessed the relationship between IPFs and the amount of sunscreen ingredients. Finally, this method was validated using several commercial sunscreen cosmetics. RESULTS Skin color and hydration level did not influence the IR reflectance of subjects' skin. The IPFs of cosmetic sunscreens showed a positive correlation with the amount of inorganic sunscreen ingredients. CONCLUSION In this study, we developed a simple, fast, and ethically acceptable human in vivo test method for evaluating the IPFs of cosmetic sunscreens.
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Affiliation(s)
- Su Ji Kim
- Cosmax Inc, Bundang-gu, Seongnam, Korea
| | - Jiyoun Bae
- I.E.C. Korea, Yeongtong-gu, Suwon, Korea
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Zherebtsov E, Dremin V, Popov A, Doronin A, Kurakina D, Kirillin M, Meglinski I, Bykov A. Hyperspectral imaging of human skin aided by artificial neural networks. BIOMEDICAL OPTICS EXPRESS 2019; 10:3545-3559. [PMID: 31467793 PMCID: PMC6706048 DOI: 10.1364/boe.10.003545] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 06/06/2019] [Accepted: 06/11/2019] [Indexed: 05/06/2023]
Abstract
We developed a compact, hand-held hyperspectral imaging system for 2D neural network-based visualization of skin chromophores and blood oxygenation. State-of-the-art micro-optic multichannel matrix sensor combined with the tunable Fabry-Perot micro interferometer enables a portable diagnostic device sensitive to the changes of the oxygen saturation as well as the variations of blood volume fraction of human skin. Generalized object-oriented Monte Carlo model is used extensively for the training of an artificial neural network utilized for the hyperspectral image processing. In addition, the results are verified and validated via actual experiments with tissue phantoms and human skin in vivo. The proposed approach enables a tool combining both the speed of an artificial neural network processing and the accuracy and flexibility of advanced Monte Carlo modeling. Finally, the results of the feasibility studies and the experimental tests on biotissue phantoms and healthy volunteers are presented.
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Affiliation(s)
- Evgeny Zherebtsov
- Opto-Electronics and Measurement Techniques Research Unit, Faculty of Information Technology and Electrical Engineering, University of Oulu, PO Box 4500, 90014 Oulu, Finland
| | - Viktor Dremin
- Opto-Electronics and Measurement Techniques Research Unit, Faculty of Information Technology and Electrical Engineering, University of Oulu, PO Box 4500, 90014 Oulu, Finland
| | - Alexey Popov
- Opto-Electronics and Measurement Techniques Research Unit, Faculty of Information Technology and Electrical Engineering, University of Oulu, PO Box 4500, 90014 Oulu, Finland
| | - Alexander Doronin
- School of Engineering and Computer Science, Victoria University of Wellington, PO Box 600, 6140 Wellington, New Zealand
| | - Daria Kurakina
- Institute of Applied Physics of the Russian Academy of Sciences, 46 Ul’yanov Street, 603950 Nizhny Novgorod, Russia
| | - Mikhail Kirillin
- Institute of Applied Physics of the Russian Academy of Sciences, 46 Ul’yanov Street, 603950 Nizhny Novgorod, Russia
- Lobachevsky State University of Nizhny Novgorod, 23 Gagarin Avenue, 603950 Nizhny Novgorod, Russia
| | - Igor Meglinski
- Opto-Electronics and Measurement Techniques Research Unit, Faculty of Information Technology and Electrical Engineering, University of Oulu, PO Box 4500, 90014 Oulu, Finland
- Institute of Engineering Physics for Biomedicine, National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), 115409 Moscow, Russia
| | - Alexander Bykov
- Opto-Electronics and Measurement Techniques Research Unit, Faculty of Information Technology and Electrical Engineering, University of Oulu, PO Box 4500, 90014 Oulu, Finland
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Verdel N, Marin A, Milanič M, Majaron B. Physiological and structural characterization of human skin in vivo using combined photothermal radiometry and diffuse reflectance spectroscopy. BIOMEDICAL OPTICS EXPRESS 2019; 10:944-960. [PMID: 30800525 PMCID: PMC6377901 DOI: 10.1364/boe.10.000944] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Revised: 12/10/2018] [Accepted: 01/18/2019] [Indexed: 05/25/2023]
Abstract
In this proof-of-concept study we combine two optical techniques to enable assessment of structure and composition of human skin in vivo: Pulsed photothermal radiometry (PPTR), which involves measurements of transient dynamics in mid-infrared emission from sample surface after exposure to a light pulse, and diffuse reflectance spectroscopy (DRS) in visible part of the spectrum. The analysis involves simultaneous fitting of measured PPTR signals and DRS with corresponding predictions of a Monte Carlo model of light-tissue interaction. By using a four-layer optical model of skin we obtain a good match between the experimental and model data when scattering properties of the epidermis and dermis are also optimized on an individual basis. The assessed parameter values correlate well with literature data and demonstrate the expected trends in controlled tests involving temporary obstruction of peripheral blood circulation using a pressure cuff, and acute as well as seasonal sun tanning.
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Affiliation(s)
- Nina Verdel
- Jožef Stefan Institute, Department of Complex Matter, Jamova 39, Ljubljana, 1000, Slovenia
| | - Ana Marin
- University of Ljubljana, Faculty of Mathematics and Physics, Jadranska 19, Ljubljana, 1000, Slovenia
| | - Matija Milanič
- Jožef Stefan Institute, Department of Complex Matter, Jamova 39, Ljubljana, 1000, Slovenia
- University of Ljubljana, Faculty of Mathematics and Physics, Jadranska 19, Ljubljana, 1000, Slovenia
| | - Boris Majaron
- Jožef Stefan Institute, Department of Complex Matter, Jamova 39, Ljubljana, 1000, Slovenia
- University of Ljubljana, Faculty of Mathematics and Physics, Jadranska 19, Ljubljana, 1000, Slovenia
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42
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Wares MA, Tobita N, Kawauchi S, Sato S, Nishidate I. Noninvasive evaluation of hemodynamics and light scattering property during two-stage mouse cutaneous carcinogenesis based on multispectral diffuse reflectance images at isosbestic wavelengths of hemoglobin. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-11. [PMID: 30635994 PMCID: PMC6975185 DOI: 10.1117/1.jbo.24.3.031020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 12/11/2018] [Indexed: 05/06/2023]
Abstract
We investigate a multispectral imaging method to evaluate spatiotemporal changes in both cutaneous hemoglobin concentration and light scattering parameter in mouse skin through diffuse reflectance spectroscopy using the reflectance images acquired at isosbestic wavelengths of hemoglobin (420, 450, 500, and 585 nm). In the proposed approach, Monte Carlo simulation-based empirical formulas are introduced to extract the scattering power b representing the wavelength dependence of light scattering spectrum of skin tissue, as well as the total hemoglobin concentration Cth in dermal vasculatures. The use of isosbestic wavelengths of hemoglobin enables the values of Cth and b to be estimated independently of the oxygenation of hemoglobin. Experiments using in vivo mice two-stage chemical carcinogenesis model are performed to confirm the feasibility of the proposed method for evaluating the changes in cutaneous vasculatures and tissue morphology during tumor initiation, promotion, and progression processes. The experimental results reveal that the changes in scattering power b of back skin are significantly reduced and followed by the increase in total hemoglobin concentration Cth in the carcinogenesis mice group, which indicates morphological changes in skin tissue such as edema and cell swelling caused by tumor promotion and successive angiogenesis along with tumor progression. The results suggest that the potential of the present method to detect cutaneous carcinogenesis in an early stage and monitor physiological changes during promotion and progression process of nonmelanoma tumors.
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Affiliation(s)
- Md. Abdul Wares
- Tokyo University of Agriculture and Technology, Graduate School of Bio-Applications and Systems Engineering, Tokyo, Japan
- Ministry of Fisheries and Livestock, Government of Bangladesh, Department of Livestock Services, Dhaka, Bangladesh
| | - Naoki Tobita
- Tokyo University of Agriculture and Technology, Graduate School of Bio-Applications and Systems Engineering, Tokyo, Japan
| | - Satoko Kawauchi
- National Defense Medical College Research Institute, Division of Bio-Information and Therapeutic Systems, Tokorozawa, Saitama
| | - Shunichi Sato
- National Defense Medical College Research Institute, Division of Bio-Information and Therapeutic Systems, Tokorozawa, Saitama
| | - Izumi Nishidate
- Tokyo University of Agriculture and Technology, Graduate School of Bio-Applications and Systems Engineering, Tokyo, Japan
- Address all correspondence to Izumi Nishidate, E-mail:
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Baltussen EJM, Kok END, Brouwer de Koning SG, Sanders J, Aalbers AGJ, Kok NFM, Beets GL, Flohil CC, Bruin SC, Kuhlmann KFD, Sterenborg HJCM, Ruers TJM. Hyperspectral imaging for tissue classification, a way toward smart laparoscopic colorectal surgery. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-9. [PMID: 30701726 PMCID: PMC6985687 DOI: 10.1117/1.jbo.24.1.016002] [Citation(s) in RCA: 54] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Accepted: 01/11/2019] [Indexed: 05/07/2023]
Abstract
In the last decades, laparoscopic surgery has become the gold standard in patients with colorectal cancer. To overcome the drawback of reduced tactile feedback, real-time tissue classification could be of great benefit. In this ex vivo study, hyperspectral imaging (HSI) was used to distinguish tumor tissue from healthy surrounding tissue. A sample of fat, healthy colorectal wall, and tumor tissue was collected per patient and imaged using two hyperspectral cameras, covering the wavelength range from 400 to 1700 nm. The data were randomly divided into a training (75%) and test (25%) set. After feature reduction, a quadratic classifier and support vector machine were used to distinguish the three tissue types. Tissue samples of 32 patients were imaged using both hyperspectral cameras. The accuracy to distinguish the three tissue types using both hyperspectral cameras was 0.88 (STD = 0.13) on the test dataset. When the accuracy was determined per patient, a mean accuracy of 0.93 (STD = 0.12) was obtained on the test dataset. This study shows the potential of using HSI in colorectal cancer surgery for fast tissue classification, which could improve clinical outcome. Future research should be focused on imaging entire colon/rectum specimen and the translation of the technique to an intraoperative setting.
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Affiliation(s)
- Elisabeth J. M. Baltussen
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
- Address all correspondence to Elisabeth J. M. Baltussen, E-mail:
| | - Esther N. D. Kok
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Susan G. Brouwer de Koning
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Joyce Sanders
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Pathology, Amsterdam, The Netherlands
| | - Arend G. J. Aalbers
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Niels F. M. Kok
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Geerard L. Beets
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Claudie C. Flohil
- Slotervaart Medical Centre, Department of Pathology, Amsterdam, The Netherlands
| | - Sjoerd C. Bruin
- Slotervaart Medical Centre, Department of Surgery, Amsterdam, The Netherlands
| | - Koert F. D. Kuhlmann
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
| | - Henricus J. C. M. Sterenborg
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
- Amsterdam University Medical Centre, University of Amsterdam, Department of Biomedical Engineering and Physics, Amsterdam, The Netherlands
| | - Theo J. M. Ruers
- Antoni van Leeuwenhoek Hospital, The Netherlands Cancer Institute, Department of Surgery, Amsterdam, The Netherlands
- Technical University Twente, MIRA Institute, Enschede, The Netherlands
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Swamy A, Burström G, Spliethoff JW, Babic D, Reich C, Groen J, Edström E, Elmi Terander A, Racadio JM, Dankelman J, Hendriks BHW. Diffuse reflectance spectroscopy, a potential optical sensing technology for the detection of cortical breaches during spinal screw placement. JOURNAL OF BIOMEDICAL OPTICS 2019; 24:1-11. [PMID: 30701722 PMCID: PMC6985697 DOI: 10.1117/1.jbo.24.1.017002] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Accepted: 01/07/2019] [Indexed: 05/08/2023]
Abstract
Safe and accurate placement of screws remains a critical issue in open and minimally invasive spine surgery. We propose to use diffuse reflectance (DR) spectroscopy as a sensing technology at the tip of a surgical instrument to ensure a safe path of the instrument through the cancellous bone of the vertebrae. This approach could potentially reduce the rate of cortical bone breaches, thereby resulting in fewer neural and vascular injuries during spinal fusion surgery. In our study, DR spectra in the wavelength ranges of 400 to 1600 nm were acquired from cancellous and cortical bone from three human cadavers. First, it was investigated whether these spectra can be used to distinguish between the two bone types based on fat, water, and blood content along with photon scattering. Subsequently, the penetration of the bone by an optical probe was simulated using the Monte-Carlo (MC) method, to study if the changes in fat content along the probe path would still enable distinction between the bone types. Finally, the simulation findings were validated via an experimental insertion of an optical screw probe into the vertebra aided by x-ray image guidance. The DR spectra indicate that the amount of fat, blood, and photon scattering is significantly higher in cancellous bone than in cortical bone (p < 0.01), which allows distinction between the bone types. The MC simulations showed a change in fat content more than 1 mm before the optical probe came in contact with the cortical bone. The experimental insertion of the optical screw probe gave similar results. This study shows that spectral tissue sensing, based on DR spectroscopy at the instrument tip, is a promising technology to identify the transition zone from cancellous to cortical vertebral bone. The technology therefore has the potential to improve the safety and accuracy of spinal screw placement procedures.
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Affiliation(s)
- Akash Swamy
- Delft University of Technology, Department of Biomechanical Engineering, Delft, Netherlands
- Department of In-Body Systems, Philips Research, Royal Philips NV, Eindhoven, Netherlands
- Address all correspondence to Akash Swamy, E-mail:
| | - Gustav Burström
- Karolinska Institutet, Department of Clinical Neuroscience, Section for Neurosurgery, Stockholm, Sweden
- Karolinska University Hospital, Department of Neurosurgery, Stockholm, Sweden
| | - Jarich W. Spliethoff
- Department of In-Body Systems, Philips Research, Royal Philips NV, Eindhoven, Netherlands
| | - Drazenko Babic
- Department of In-Body Systems, Philips Research, Royal Philips NV, Eindhoven, Netherlands
| | - Christian Reich
- Department of In-Body Systems, Philips Research, Royal Philips NV, Eindhoven, Netherlands
| | - Joanneke Groen
- Department of In-Body Systems, Philips Research, Royal Philips NV, Eindhoven, Netherlands
| | - Erik Edström
- Karolinska Institutet, Department of Clinical Neuroscience, Section for Neurosurgery, Stockholm, Sweden
- Karolinska University Hospital, Department of Neurosurgery, Stockholm, Sweden
| | - Adrian Elmi Terander
- Karolinska Institutet, Department of Clinical Neuroscience, Section for Neurosurgery, Stockholm, Sweden
- Karolinska University Hospital, Department of Neurosurgery, Stockholm, Sweden
| | - John M. Racadio
- Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, United States
| | - Jenny Dankelman
- Delft University of Technology, Department of Biomechanical Engineering, Delft, Netherlands
| | - Benno H. W. Hendriks
- Delft University of Technology, Department of Biomechanical Engineering, Delft, Netherlands
- Department of In-Body Systems, Philips Research, Royal Philips NV, Eindhoven, Netherlands
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45
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Arista Romeu EJ, Escobedo G, Campos-Espinosa A, Romero-Bello II, Moreno-González J, Fabila-Bustos DA, Reed AV, Isakina SS, Vázquez JMDLR, Guzmán C. Diffuse reflectance spectroscopy accurately discriminates early and advanced grades of fatty liver in mice. JOURNAL OF BIOMEDICAL OPTICS 2018; 23:1-8. [PMID: 30499266 DOI: 10.1117/1.jbo.23.11.115005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 10/18/2018] [Indexed: 06/09/2023]
Abstract
Nonalcoholic fatty liver disease (NAFLD) ranges from steatosis to nonalcoholic steatohepatitis and cirrhosis. Liver biopsy, considered the gold standard to diagnose NAFLD, shows significantly high rates of interobserver variability. Thus there is a need to develop tools that accurately categorize mild and advanced grades of steatosis in order to identify patients at higher risk of developing chronic liver disease. Diffuse reflectance spectroscopy (DRS) has proved to be useful in grading liver fibrosis and cirrhosis, without having been implemented for steatosis. We aim to categorize early and advanced stages of liver steatosis in a methionine-choline deficient (MCD) mouse model. C57bl/6 mice are fed either methionine-choline control or MCD diet during 2 or 8 weeks to induce mild and advanced steatosis. Liver samples are obtained and steatosis is evaluated by oil red O staining. Diffuse reflectance spectra are directly measured on ex vivo liver specimens, in a wavelength range of 400 to 800 nm. DRS is able to discriminate between early or advanced steatosis and healthy hepatic tissue with negligible error while showing high average sensitivity and specificity (0.94 and 0.95, respectively). Our results suggest that liver steatosis can be accurately evaluated by DRS, highlighting the importance of applied spectroscopic methods in assessing NAFLD.
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Affiliation(s)
- Eduardo J Arista Romeu
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Unidad Zacatenc, Mexico
| | - Galileo Escobedo
- Hospital General de México "Dr. Eduardo Liceaga," Universidad Nacional Autónoma de México, Facultad, Mexico
| | - Adriana Campos-Espinosa
- Hospital General de México "Dr. Eduardo Liceaga," Universidad Nacional Autónoma de México, Facultad, Mexico
| | - Ivette Irais Romero-Bello
- Hospital General de México "Dr. Eduardo Liceaga," Universidad Nacional Autónoma de México, Facultad, Mexico
| | - Javier Moreno-González
- Hospital General de México "Dr. Eduardo Liceaga," Universidad Nacional Autónoma de México, Facultad, Mexico
| | - Diego A Fabila-Bustos
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Unidad Zacatenc, Mexico
- Unidad Profesional Interdisciplinaria de Ingeniería Campus Hidalgo, Instituto Politécnico Nacional,, Mexico
| | - Alma Valor Reed
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Unidad Zacatenc, Mexico
| | - Suren Stolik Isakina
- Instituto Politécnico Nacional, Escuela Superior de Ingeniería Mecánica y Eléctrica, Unidad Zacatenc, Mexico
| | | | - Carolina Guzmán
- Hospital General de México "Dr. Eduardo Liceaga," Universidad Nacional Autónoma de México, Facultad, Mexico
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Adank MW, Fleischer JC, Dankelman J, Hendriks BHW. Real-time oncological guidance using diffuse reflectance spectroscopy in electrosurgery: the effect of coagulation on tissue discrimination. JOURNAL OF BIOMEDICAL OPTICS 2018; 23:1-10. [PMID: 30447060 DOI: 10.1117/1.jbo.23.11.115004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2018] [Accepted: 10/15/2018] [Indexed: 05/15/2023]
Abstract
In breast surgery, a lack of knowledge about what is below the tissue surface may lead to positive tumor margins and iatrogenic damage. Diffuse reflectance spectroscopy (DRS) is a spectroscopic technique that can distinguish between healthy and tumor tissue making it a suitable technology for intraoperative guidance. However, because tumor surgeries are often performed with an electrosurgical knife, the effect of a coagulated tissue layer on DRS measurements must be taken into account. It is evaluated whether real-time DRS measurements obtained with a photonic electrosurgical knife could provide useful information of tissue properties also when tissue is coagulated and cut. The size of the coagulated area is determined and the effect of its presence on DR spectra is studied using ex vivo porcine adipose and muscle tissue. A coagulated tissue layer with a depth of 0.1 to 0.4 mm is observed after coagulating muscle with an electrosurgical knife. The results show that the effect of coagulating adipose tissue is negligible. Using the fat/water ratio's calculated from the measured spectra of the photonic electrosurgical knife, it was possible to determine the distance from the instrument tip to a tissue transition during cutting. In conclusion, the photonic electrosurgical knife can determine tissue properties of coagulated and cut tissue and has, therefore, the potential to provide real-time feedback about the presence of breast tumor margins during cutting, helping surgeons to establish negative margins and improve patient outcome.
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Affiliation(s)
- Maartje W Adank
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
| | - Julie C Fleischer
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
| | - Jenny Dankelman
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
| | - Benno H W Hendriks
- Delft University of Technology, Biomechanical Engineering Department, Delft, The Netherlands
- Philips Research, In-Body Systems Department, Eindhoven, The Netherlands
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47
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Dahlstrand U, Sheikh R, Nguyen CD, Hult J, Reistad N, Malmsjö M. Identification of tumor margins using diffuse reflectance spectroscopy with an extended-wavelength spectrum in a porcine model. Skin Res Technol 2018; 24:667-671. [PMID: 29774600 DOI: 10.1111/srt.12583] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVE A novel extended-wavelength diffuse reflectance spectroscopy (EWDRS) technique is being developed for future clinical non-invasive tumor margin delineation. In this study, the ability of EWDRS to identify the margins of pigmented skin lesions in an in vivo pig model was evaluated. MATERIALS AND METHODS Extended-wavelength diffuse reflectance spectroscopy recordings (350-1550 nm) were made on 13 pigmented skin lesions and non-pigmented skin, as a reference. The hand-held probe was swept toward the pigmented area until the signal changed, thus indicating that the margin had been identified. A needle was inserted as a marker, and tissue samples were sent for histological analysis. The distance between the EWDRS-defined border and the histological border was measured by 3 independent examiners. RESULTS The median difference between the EWDRS-defined border and the histological border was 70 μm toward the pigmented tissue (range: -579 to 538 μm). A Pearson correlation coefficient of .95 was obtained for the examiners. CONCLUSIONS Extended-wavelength diffuse reflectance spectroscopy can be used in vivo to delineate the border of pigmented skin lesions in a porcine model with high accuracy, indicating that it may be a useful tool for non-invasive tumor margin delineation in the future.
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Affiliation(s)
- U Dahlstrand
- Skåne University Hospital, Department of Clinical Sciences Lund, Ophthalmology, Lund University, Lund, Sweden
| | - R Sheikh
- Skåne University Hospital, Department of Clinical Sciences Lund, Ophthalmology, Lund University, Lund, Sweden
| | - C D Nguyen
- Skåne University Hospital, Department of Clinical Sciences Lund, Ophthalmology, Lund University, Lund, Sweden
| | - J Hult
- Skåne University Hospital, Department of Clinical Sciences Lund, Ophthalmology, Lund University, Lund, Sweden
| | - N Reistad
- Department of Physics, Lund University, Lund, Sweden
| | - M Malmsjö
- Skåne University Hospital, Department of Clinical Sciences Lund, Ophthalmology, Lund University, Lund, Sweden
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Balthasar AJR, Bydlon TM, Ippel H, van der Voort M, Hendriks BHW, Lucassen GW, van Geffen GJ, van Kleef M, van Dijk P, Lataster A. Optical signature of nerve tissue-Exploratory ex vivo study comparing optical, histological, and molecular characteristics of different adipose and nerve tissues. Lasers Surg Med 2018; 50:948-960. [PMID: 29756651 PMCID: PMC6220981 DOI: 10.1002/lsm.22938] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2018] [Indexed: 02/02/2023]
Abstract
Background During several anesthesiological procedures, needles are inserted through the skin of a patient to target nerves. In most cases, the needle traverses several tissues—skin, subcutaneous adipose tissue, muscles, nerves, and blood vessels—to reach the target nerve. A clear identification of the target nerve can improve the success of the nerve block and reduce the rate of complications. This may be accomplished with diffuse reflectance spectroscopy (DRS) which can provide a quantitative measure of the tissue composition. The goal of the current study was to further explore the morphological, biological, chemical, and optical characteristics of the tissues encountered during needle insertion to improve future DRS classification algorithms. Methods To compare characteristics of nerve tissue (sciatic nerve) and adipose tissues, the following techniques were used: histology, DRS, absorption spectrophotometry, high‐resolution magic‐angle spinning nuclear magnetic resonance (HR‐MAS NMR) spectroscopy, and solution 2D 13C‐1H heteronuclear single‐quantum coherence spectroscopy. Tissues from five human freshly frozen cadavers were examined. Results Histology clearly highlights a higher density of cellular nuclei, collagen, and cytoplasm in fascicular nerve tissue (IFAS). IFAS showed lower absorption of light around 1200 nm and 1750 nm, higher absorption around 1500 nm and 2000 nm, and a shift in the peak observed around 1000 nm. DRS measurements showed a higher water percentage and collagen concentration in IFAS and a lower fat percentage compared to all other tissues. The scattering parameter (b) was highest in IFAS. The HR‐MAS NMR data showed three extra chemical peak shifts in IFAS tissue. Conclusion Collagen, water, and cellular nuclei concentration are clearly different between nerve fascicular tissue and other adipose tissue and explain some of the differences observed in the optical absorption, DRS, and HR‐NMR spectra of these tissues. Some differences observed between fascicular nerve tissue and adipose tissues cannot yet be explained but may be helpful in improving the discriminatory capabilities of DRS in anesthesiology procedures. Lasers Surg. Med. 50:948–960, 2018. © 2018 The Authors. Lasers in Surgery and Medicine Published by Wiley Periodicals, Inc.
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Affiliation(s)
- Andrea J R Balthasar
- Department of Anesthesiology and Pain Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
| | | | - Hans Ippel
- Department of Biochemistry, Faculty of Health Medicine and Life Science, Maastricht University, Maastricht, The Netherlands
| | | | - Benno H W Hendriks
- Philips Research, Eindhoven, The Netherlands.,Delft University of Technology, Department of BioMechanical Engineering, Delft, The Netherlands
| | | | - Geert-Jan van Geffen
- Department of Anesthesiology, University Medical Center St. Radboud, Nijmegen, The Netherlands
| | - Maarten van Kleef
- Department of Anesthesiology and Pain Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Paul van Dijk
- Department of Anatomy and Embryology, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - Arno Lataster
- Department of Anatomy and Embryology, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
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Keller A, Bialecki P, Wilhelm TJ, Vetter MK. Diffuse reflectance spectroscopy of human liver tumor specimens - towards a tissue differentiating optical biopsy needle using light emitting diodes. BIOMEDICAL OPTICS EXPRESS 2018; 9:1069-1081. [PMID: 29541504 PMCID: PMC5846514 DOI: 10.1364/boe.9.001069] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2017] [Revised: 12/07/2017] [Accepted: 12/08/2017] [Indexed: 05/20/2023]
Abstract
Significant numbers of liver biopsies fail to yield representative tissue samples. This study was conducted to evaluate the ability of LED-based diffuse reflectance spectroscopy to discriminate tumors from liver parenchyma. Ex vivo spectra were acquired from malignant lesions and liver parenchyma of 32 patients who underwent liver resection using a white light source and several LEDs. Integrated spectra of two combined LEDs with emission peaks at 470 nm and 515 nm were classified with 98.4% sensitivity and 99.2% specificity. The promising results could yield to a simple handheld and cost-efficient tool for real-time tissue differentiation implemented in a biopsy needle.
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Affiliation(s)
- Alina Keller
- Department of Embedded Systems and Biomedical Engineering, Hs Mannheim, University of Applied Sciences, 68163 Mannheim, Germany
| | - Piotr Bialecki
- Department of Embedded Systems and Biomedical Engineering, Hs Mannheim, University of Applied Sciences, 68163 Mannheim, Germany
| | - Torsten Johannes Wilhelm
- Department of Surgery, University Medical Center Mannheim, University of Heidelberg, 68167 Mannheim, Germany
- These authors contributed equally to this work
| | - Marcus Klaus Vetter
- Department of Embedded Systems and Biomedical Engineering, Hs Mannheim, University of Applied Sciences, 68163 Mannheim, Germany
- These authors contributed equally to this work
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50
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Bernardo A. The Changing Face of Technologically Integrated Neurosurgery: Today's High-Tech Operating Room. World Neurosurg 2018; 106:1001-1014. [PMID: 28985655 DOI: 10.1016/j.wneu.2017.06.159] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Over the last decade, surgical technology in planning, mapping, optics, robotics, devices, and minimally invasive techniques has changed the face of modern neurosurgery. We explore the current advances in clinical technology across all neurosurgical subspecialties, examine how clinical practice is being shaped by this technology, and suggest what the operating room of tomorrow may look like.
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Affiliation(s)
- Antonio Bernardo
- Department of Neurological Surgery, Skull Base Laboratory, Weill Cornell Medical College, New York, New York, USA.
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