Baranoski Gladimir V G, Dey Ankita, Chen Tenn F
J Biomed Opt. 2015 Sep;20(9):095002. doi: 10.1117/1.JBO.20.9.095002.
Anemia is a prevalent medical condition that seriously affects millions of people all over the world. In many regions, not only its initial detection but also its monitoring are hindered by limited access to laboratory facilities. This situation has motivated the development of a wide range of optical devices and procedures to assist physicians in these tasks. Although noticeable progress has been achieved in this area, the search for reliable, low-cost, and risk-free solutions still continues, and the strengthening of the knowledge base about this disorder and its effects is essential for the success of these initiatives. We contribute to these efforts by closely examining the sensitivity of human skin hyperspectral responses (within and outside the visible region of the light spectrum) to reduced hemoglobin concentrations associated with increasing anemia severity levels. This investigation, which involves skin specimens with distinct biophysical and morphological characteristics, is supported by controlled in silico experiments performed using a predictive light transport model and measured data reported in the biomedical literature. We also propose a noninvasive procedure to be employed in the monitoring of this condition at the point-of-care.
贫血是一种普遍存在的医学病症,严重影响着全球数百万人。在许多地区,不仅贫血的初步检测受到限制,而且由于实验室设施获取有限,其监测也受到阻碍。这种情况促使人们开发了各种各样的光学设备和程序,以协助医生完成这些任务。尽管在这一领域已经取得了显著进展,但对可靠、低成本且无风险解决方案的探索仍在继续,加强关于这种疾病及其影响的知识库对于这些举措的成功至关重要。我们通过仔细研究人类皮肤高光谱响应(在光谱的可见区域内外)对与贫血严重程度增加相关的血红蛋白浓度降低的敏感性,为这些努力做出贡献。这项研究涉及具有不同生物物理和形态特征的皮肤标本,并得到了使用预测光传输模型进行的受控计算机模拟实验以及生物医学文献中报告的测量数据的支持。我们还提出了一种在即时护理点用于监测这种病症的非侵入性程序。