PhD in Optoelectronics Engineering, Head of Optoelectronics and Automatic Control Systems Department, Military Technical College, Kobry El-Kobba, Cairo, Egypt.
Professor in Optoelectronics and Automatic Control Systems Department, Military Technical Collage, Kobry Elkoba, Cairo, Egypt.
Photodiagnosis Photodyn Ther. 2023 Jun;42:103307. doi: 10.1016/j.pdpdt.2023.103307. Epub 2023 Jan 25.
Medical workers commonly physically identify subcutaneous veins to locate a suitable vesselto implant a catheter for drug administration or blood sample. The general rule of thumb is to locate a big, clean vein that will allow the medication to readily pass within the intended blood vessel. Peripheral problematic venous access happens when a patient's veins are difficult to palpate because of factors like dark skin tone, edema or excess tissue. The ability to see how the vasculature changes to support the therapeutic methods without damaging the surrounding tissue is another challenge.
Hyperspectral imaging (HI) is a developing technique with several potential uses in medicine. Using its spectroscopic data, veins and arterioles could be noninvasively detected and discriminated. It is frequently important to use quantitative phase analysis for vein localization. To assess hyperspectral image data for the detection of both veins and peripheral arteries, we suggest using an advanced image processing and classification algorithm based on the phase information related to the index of refraction change and associated scattering. We show that this need may be satisfied using quantitative phase imaging of forearm skin tissue at different depths.
To demonstrate the variations in the diffuse reflectance characteristics between skin surface and veins, phase resolved pictures were successfully produced for twelve volunteers using our imaging methodology. We found that the skin surface details are completely apparent at the unique wavelength of 441 nm. The 500-nm wavelength was the most efficient for grouping peripheral arteries and illuminating the blood perfusion maps. Using our HI experimental setup and our phase imaging procedure on the 600 nm and 650 nm visible spectral pictures, we were able to properly describe the vein map. This spectral area may be utilized as a vein locator marker which could approximately reach till 3 mm depth under skin surface.
Initial findings suggested that our imaging technique would be able to assist medical examiners in safely assessing the veins and arteriole's locations automatically without exposing the skin to infrared radiation. Meanwhile, our pilot research in this work to determine the best spectral wavelengths for localizing veins and mapping blood perfusion using our phase analysis imaging strategy with the HI camera. By substituting the HI camera with a custom conventional RGB camera that only functions at specific wavelengths during the discovering of blood perfusion locations or prior to intravenous catheterization, a distinctive and efficient system for precise identification may be developed to serve in the field of the vascular therapeutic methods.
医护人员通常通过物理方式识别皮下静脉,以找到合适的血管来植入导管进行药物给药或采集血样。一般来说,要选择一条大而干净的静脉,以便药物能够顺利进入预期的血管。当患者的静脉由于肤色较深、水肿或组织过多等因素而难以触诊时,就会出现外周静脉问题。能够在不损伤周围组织的情况下,观察到脉管系统如何变化以支持治疗方法,这是另一个挑战。
高光谱成像(HI)是一种具有多种潜在医学用途的发展中的技术。利用其光谱数据,可以非侵入性地检测和区分静脉和小动脉。定量相位分析常用于静脉定位。为了评估用于检测静脉和外周动脉的高光谱图像数据,我们建议使用基于与折射率变化和相关散射相关的相位信息的先进图像处理和分类算法。我们表明,使用不同深度的前臂皮肤组织的定量相位成像可以满足这一需求。
为了证明皮肤表面和静脉之间漫反射特性的变化,我们使用我们的成像方法成功地为 12 名志愿者生成了相位分辨图片。我们发现,独特的 441nm 波长完全可以显示皮肤表面的细节。500nm 波长最有利于分组外周动脉并照亮血液灌注图。使用我们的 HI 实验设置和我们在 600nm 和 650nm 可见光谱图像上的相位成像过程,我们能够正确描述静脉图。该光谱区域可用作静脉定位标记,可在皮肤表面以下约 3mm 深处使用。
初步研究结果表明,我们的成像技术将能够帮助医务人员在不使皮肤暴露于红外辐射的情况下,自动安全地评估静脉和小动脉的位置。同时,我们在这项工作中的初步研究旨在确定使用 HI 相机的相位分析成像策略定位静脉和绘制血液灌注图的最佳光谱波长。通过用仅在发现血液灌注位置或静脉内导管插入之前的特定波长工作的定制传统 RGB 相机替代 HI 相机,可以开发出一种用于精确识别的独特且有效的系统,以服务于血管治疗方法领域。