Institut für Biophysik; Goethe-Universität, Max-von-Laue-Straße 1, D-60438 Frankfurt am Main, Germany.
DIEHL Stiftung & Co. KG, Stephanstraße 49, D-90478 Nürnberg, Germany.
Spectrochim Acta A Mol Biomol Spectrosc. 2017 Sep 5;184:220-227. doi: 10.1016/j.saa.2017.04.080. Epub 2017 May 1.
We have recently reported infrared spectroscopy of human skin in vivo using quantum cascade laser excitation and photoacoustic or photothermal detection for non-invasive glucose measurement . Here, we analyze the IR light diffusely reflected from skin layers for spectral contributions of glucose. Excitation of human skin by an external cavity tunable quantum cascade laser in the spectral region from 1000 to 1245cm, where glucose exhibits a fingerprint absorption, yields reflectance spectra with some contributions from glucose molecules. A simple three-layer model of skin was used to calculate the scattering intensities from the surface and from shallow and deeper layers using the Boltzmann radiation transfer equation. Backscattering of light at wavelengths around 10μm from the living skin occurs mostly from the Stratum corneum top layers and the shallow layers of the living epidermis. The analysis of the polarization of the backscattered light confirms this calculation. Polarization is essentially unchanged; only a very small fraction (<3%) is depolarized at 90° with respect to the laser polarization set at 0°. Based on these findings, we propose that the predominant part of the backscattered light is due to specular reflectance and to scattering from layers close to the surface. Diffusely reflected light from deeper layers undergoing one or more scattering processes would appear with significantly altered polarization. We thus conclude that a non-invasive glucose measurement based on backscattering of IR light from skin would have the drawback that only shallow layers containing some glucose at concentrations only weakly related to blood glucose are monitored.
我们最近报道了使用量子级联激光激发和光声或光热检测的人体皮肤体内红外光谱,用于非侵入性血糖测量。在这里,我们分析了从皮肤层漫反射的 IR 光,以研究葡萄糖的光谱贡献。外部腔可调谐量子级联激光器在 1000 到 1245cm 的光谱区域激发人体皮肤,其中葡萄糖表现出指纹吸收,产生的反射光谱具有一些葡萄糖分子的贡献。使用简单的三层皮肤模型,使用玻尔兹曼辐射传输方程计算来自表面以及浅层和深层的散射强度。从活皮肤周围 10μm 的波长的光背散射主要来自角质层顶层和活表皮的浅层。背散射光的偏振分析证实了这一计算。偏振基本不变;只有一小部分(<3%)相对于设置为 0°的激光偏振在 90°处去偏振。基于这些发现,我们提出背散射光的主要部分归因于镜面反射和接近表面的层的散射。经历一个或多个散射过程的深层漫反射光将表现出明显改变的偏振。因此,我们得出结论,基于皮肤 IR 光背散射的非侵入性血糖测量将有一个缺点,即仅监测含有与血糖仅弱相关的一些葡萄糖的浅层。