Biomedical Engineering Research Center, Asan Medical Center, Seoul 05505, Republic of Korea.
School of Electrical and Electronics Engineering, Chung-Ang University, Seoul 06974, Republic of Korea.
Biosensors (Basel). 2023 Aug 14;13(8):816. doi: 10.3390/bios13080816.
Modern smartphones have been employed as key elements in point-of-care (POC) devices due to remarkable advances in their form factor, computing, and display performances. Recently, we reported a combination of the smartphone with a handheld endoscope using laser speckle contrast imaging (LSCI), suggesting potential for functional POC endoscopy. Here, we extended our work to develop a smartphone-combined multifunctional handheld endoscope using dual-wavelength LSCI. Dual-wavelength LSCI is used to monitor the changes in dynamic blood flow as well as changes in the concentration of oxygenated (HbO), deoxygenated (Hbr), and total hemoglobin (HbT). The smartphone in the device performs fast acquisition and computation of the raw LSCI data to map the blood perfusion parameters. The flow imaging performance of the proposed device was tested with a tissue-like flow phantom, exhibiting a speckle flow index map representing the blood perfusion. Furthermore, the device was employed to assess the blood perfusion status from an exteriorized intestine model of rat in vivo during and after local ischemia, showing that blood flow and HbO gradually decreased in the ischemic region whereas hyperemia and excess increases in HbO were observed in the same region right after reperfusion. The results indicate that the combination of LSCI with smartphone endoscopy delivers a valuable platform for better understanding of the functional hemodynamic changes in the vasculatures of the internal organs, which may benefit POC testing for diagnosis and treatment of vascular diseases.
由于智能手机在外形尺寸、计算和显示性能方面取得了显著进步,它们已被用作即时护理 (POC) 设备中的关键元素。最近,我们报告了一种将智能手机与手持式内窥镜结合使用的方法,该方法利用激光散斑对比成像 (LSCI),这表明在功能即时护理内窥镜方面具有潜力。在这里,我们扩展了我们的工作,开发了一种使用双波长 LSCI 的智能手机组合多功能手持式内窥镜。双波长 LSCI 用于监测动态血流变化以及氧合血红蛋白 (HbO)、脱氧血红蛋白 (Hbr) 和总血红蛋白 (HbT) 浓度的变化。设备中的智能手机执行快速采集和原始 LSCI 数据的计算,以绘制血液灌注参数图。使用类似于组织的流动体模测试了所提出设备的流动成像性能,显示了表示血液灌注的散斑流动指数图。此外,该设备用于评估在体大鼠外置肠模型局部缺血期间和之后的血液灌注状态,结果表明在缺血区域中血流和 HbO 逐渐减少,而在再灌注后同一区域中观察到充血和 HbO 过度增加。结果表明,LSCI 与智能手机内窥镜的结合为更好地了解内脏血管的功能血流变化提供了有价值的平台,这可能有益于即时护理检测,以诊断和治疗血管疾病。