Karagöl Coşar, Aydin Ahmet Turan, Gür Semih, Denkçeken Tuba, Canpolat Murat
Department of Orthopedics and Traumatology, Akdeniz University, Antalya, Turkey.
Eklem Hastalik Cerrahisi. 2010 Aug;21(2):104-9.
The aim of this study was to develop an optical system to measure damaged cartilage thickness in-vivo and real time using an optical fiber probe and conducting ex-vivo elastic light-scattering spectroscopy experiments on different thicknesses of damaged calf's patella cartilage.
An elastic light-scattering spectroscopy system was assembled with a miniature UV-VIS spectrometer, halogen-tungsten light source, laptop and optical fiber probe. Elastic light-scattering spectra were taken on the control and damaged calf's patella cartilages of 40 samples. The samples were grouped into four; in the first group cartilages were not damaged, in the 2nd, 3rd and 4th groups cartilage thickness was reduced approximately 25%, 50% and 100% respectively. The probe consisted of six fibers; one for light delivery and the other five to detect diffuse back-reflected light from the cartilage. Diameter of the fibers was 400 microm, and distance of the detector fibers from the source fibers were 0.8, 1.6, 2.4, 3.2, 4.0 mm.
Our results showed a correlation between cartilage thickness and hemoglobin absorption in the wavelength range of 500-600 nm. We defined an absorption index using the spectral data of the diffuse back-reflected light to make a correlation between the thickness of the cartilage and absorption of hemoglobin. The index is inversely proportional to the thickness of the cartilage and can be used to estimate the cartilage thickness.
This study showed that measuring elastic light-scattering spectra utilizing the designed optical fiber probe can be used to estimate cartilage thickness. The effect of variation of hemoglobin content of subchondral bone on the estimated cartilage thickness was not clearly known. More ex-vivo experiments should be conducted to test the system efficiency in defining cartilage thickness. The system has the potential to be used in practice as a new product for non-invasively measuring cartilage thickness in-vivo.
本研究的目的是开发一种光学系统,使用光纤探头在体内实时测量受损软骨厚度,并对不同厚度的小牛髌骨受损软骨进行离体弹性光散射光谱实验。
组装了一个弹性光散射光谱系统,包括微型紫外可见光谱仪、卤钨光源、笔记本电脑和光纤探头。对40个样本的对照和受损小牛髌骨软骨进行弹性光散射光谱测量。样本分为四组;第一组软骨未受损,第二、三、四组软骨厚度分别减少约25%、50%和100%。探头由六根光纤组成;一根用于传输光,另外五根用于检测来自软骨的漫反射背向光。光纤直径为400微米,探测器光纤与源光纤的距离为0.8、1.6、2.4、3.2、4.0毫米。
我们的结果表明,在500-600纳米波长范围内,软骨厚度与血红蛋白吸收之间存在相关性。我们利用漫反射背向光的光谱数据定义了一个吸收指数,以建立软骨厚度与血红蛋白吸收之间的相关性。该指数与软骨厚度成反比,可用于估计软骨厚度。
本研究表明,利用设计的光纤探头测量弹性光散射光谱可用于估计软骨厚度。关于软骨下骨血红蛋白含量变化对估计软骨厚度的影响尚不清楚。应进行更多的离体实验来测试该系统在定义软骨厚度方面的效率。该系统有潜力在实践中作为一种用于体内无创测量软骨厚度的新产品。