Zhang Lai, Bounds Alistair, Girkin John
Centre for Advanced Instrumentation, Department of Physics, Durham University, Durham DH1 3LE, United Kingdom.
Occuity Ltd, The Blade, Abbey Square, Reading RG1 3BE, United Kingdom.
Biomed Opt Express. 2024 Sep 13;15(10):5872-5885. doi: 10.1364/BOE.536843. eCollection 2024 Oct 1.
Surgical wound infection is a global postoperative issue adding a significant clinical burden and increasing healthcare costs. Early detection and subsequent diagnosis of infection is vital for accurate, early, and effective treatments. In this paper, we report a pilot study exploring spatial frequency domain imaging (SFDI) to monitor, , a biopsy wound in human skin. The reduced scattering coefficient, , absorption coefficient, and the oxygen saturation, , were measured using a SFDI system at 617 and 850 nm. We found the was better capable of monitoring structural changes, possible pus within the wound, re-epithelialization, and collagen fiber remodeling, than with the eye alone. The map is capable of revealing the total hemoglobin distribution in the wound area but was limited in some regions due to the scab covering. This case study indicates SFDI's potential for monitoring and quantifying the process of surgical wound healing and infection.
手术伤口感染是一个全球性的术后问题,会增加显著的临床负担并提高医疗成本。感染的早期检测及后续诊断对于准确、早期且有效的治疗至关重要。在本文中,我们报告了一项探索空间频域成像(SFDI)用于监测人体皮肤活检伤口的初步研究。使用SFDI系统在617纳米和850纳米处测量了约化散射系数、吸收系数以及氧饱和度。我们发现,与仅靠肉眼相比,约化散射系数能更好地监测结构变化、伤口内可能存在的脓液、再上皮化以及胶原纤维重塑。血红蛋白图能够揭示伤口区域的总血红蛋白分布,但由于结痂覆盖,在某些区域受到限制。该案例研究表明SFDI在监测和量化手术伤口愈合及感染过程方面具有潜力。