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基于多光谱成像的组织氧饱和度检测系统对开放性伤口愈合识别的验证。

Validation of multispectral imaging-based tissue oxygen saturation detecting system for wound healing recognition on open wounds.

机构信息

National Cheng Kung University, College of Medicine, National Cheng Kung University Hospital, Department of Surgery, Division of Plastic and Reconstructive Surgery, Tainan, Taiwan.

National Cheng Kung University, College of Medicine, Institute of Clinical Medicine, Tainan, Taiwan.

出版信息

J Biomed Opt. 2024 Aug;29(8):086004. doi: 10.1117/1.JBO.29.8.086004. Epub 2024 Aug 13.

Abstract

SIGNIFICANCE

The multispectral imaging-based tissue oxygen saturation detecting (TOSD) system offers deeper penetration ( to 3 mm) and comprehensive tissue oxygen saturation ( ) assessment and recognizes the wound healing phase at a low cost and computational requirement. The potential for miniaturization and integration of TOSD into telemedicine platforms could revolutionize wound care in the challenging pandemic era.

AIM

We aim to validate TOSD's application in detecting by comparing it with wound closure rates and laser speckle contrast imaging (LSCI), demonstrating TOSD's ability to recognize the wound healing process.

APPROACH

Utilizing a murine model, we compared TOSD with digital photography and LSCI for comprehensive wound observation in five mice with 6-mm back wounds. Sequential biochemical analysis of wound discharge was investigated for the translational relevance of TOSD.

RESULTS

TOSD demonstrated constant signals on unwounded skin with differential changes on open wounds. Compared with LSCI, TOSD provides indicative recognition of the proliferative phase during wound healing, with a higher correlation coefficient to wound closure rate (TOSD: 0.58; LSCI: 0.44). detected by TOSD was further correlated with proliferative phase angiogenesis markers.

CONCLUSIONS

Our findings suggest TOSD's enhanced utility in wound management protocols, evaluating clinical staging and therapeutic outcomes. By offering a noncontact, convenient monitoring tool, TOSD can be applied to telemedicine, aiming to advance wound care and regeneration, potentially improving patient outcomes and reducing healthcare costs associated with chronic wounds.

摘要

意义

基于多光谱成像的组织氧饱和度检测(TOSD)系统提供了更深的穿透深度(3 毫米)和全面的组织氧饱和度()评估,并以低成本和低计算要求识别伤口愈合阶段。TOSD 具有小型化和集成到远程医疗平台的潜力,可能会彻底改变挑战性大流行时代的伤口护理。

目的

我们旨在通过将 TOSD 与伤口闭合率和激光散斑对比成像(LSCI)进行比较来验证其在检测中的应用,证明 TOSD 能够识别伤口愈合过程。

方法

我们利用小鼠模型,将 TOSD 与数字摄影和 LSCI 进行比较,对五只背部有 6 毫米伤口的小鼠进行全面的伤口观察。为了研究 TOSD 的转化相关性,我们对伤口分泌物的顺序生化分析进行了研究。

结果

TOSD 在未受伤的皮肤上显示出恒定的信号,而在开放伤口上则显示出不同的变化。与 LSCI 相比,TOSD 提供了伤口愈合过程中增殖期的指示性识别,与伤口闭合率的相关性更高(TOSD:0.58;LSCI:0.44)。TOSD 检测到的进一步与增殖期血管生成标志物相关。

结论

我们的研究结果表明,TOSD 在伤口管理方案中的应用增强了,可用于评估临床分期和治疗效果。通过提供非接触式、方便的监测工具,TOSD 可应用于远程医疗,旨在推进伤口护理和再生,有可能改善患者的结局并降低与慢性伤口相关的医疗成本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb24/11321076/ffc718a484b4/JBO-029-086004-g001.jpg

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