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[光动力疗法治疗鲜红斑痣过程中基于漫反射光谱的氧含量监测初步研究]

[Preliminary study on oxygen content monitoring for port wine stains during PDT using diffuse reflection spectra].

作者信息

Wang Ying, Liao Xiao-Hua, Gu Ying, Chen Rong, Zeng Jing

机构信息

Department of Laser Medicine, Chinese People's Liberation Army General Hospital, Beijing 100853, China.

出版信息

Guang Pu Xue Yu Guang Pu Fen Xi. 2010 Dec;30(12):3363-6.

Abstract

To measure oxygen content in port wine stain (PWS) skin using diffuse reflectance spectroscopy and monitor the change in oxygen content during photodynamic therapy (PDT), the diffuse reflectance spectra of port wine stain skin were measured using the USB2000 miniature fiber optic spectrometer immediately 10, 20, 30 and 40 min after treatment began, then oxygen content at each time point was analyzed based on the difference of absorption spectra between Hb and HbO2, and the change trend can be observed. The diffuse reflectance spectra of 14 PWS patients were monitored during treatment, and the change trend of oxygen content were analyzed. Results showed that before treatment the oxygen content varies between patients with different type of PWS. During PDT, there was no obvious change in oxygen content for skin of most P4 and P5 PWS, while obvious decline was observed in oxygen content for P6 PWS. The current diffuse reflectance spectroscopy can be used to monitor oxygen content in PWS skin qualitatively and observe the change trend. To get more precise oxygen content in PWS skin, more work is needed to improve the sensitivity of diffuse reflectance spectroscopy and a spectra algorithm should be established.

摘要

为了使用漫反射光谱法测量葡萄酒色斑(PWS)皮肤中的氧含量,并监测光动力疗法(PDT)期间氧含量的变化,在治疗开始后10、20、30和40分钟立即使用USB2000微型光纤光谱仪测量葡萄酒色斑皮肤的漫反射光谱,然后根据Hb和HbO2吸收光谱的差异分析每个时间点的氧含量,并观察其变化趋势。在治疗期间对14例PWS患者的漫反射光谱进行监测,并分析氧含量的变化趋势。结果表明,治疗前不同类型PWS患者的氧含量有所不同。在PDT期间,大多数P4和P5型PWS皮肤的氧含量无明显变化,而P6型PWS皮肤的氧含量明显下降。当前的漫反射光谱法可用于定性监测PWS皮肤中的氧含量并观察其变化趋势。为了获得更精确的PWS皮肤氧含量,需要做更多工作来提高漫反射光谱法的灵敏度并建立光谱算法。

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