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Optics Express

Optics Express

  • Editor: C. Martijn de Sterke
  • Vol. 17, Iss. 26 — Dec. 21, 2009
  • pp: 23396–23409

Noninvasive monitoring of tissue hemoglobin using UV-VIS diffuse reflectance spectroscopy: a pilot study

Janelle E. Bender, Allan B. Shang, Eugene W. Moretti, Bing Yu, Lisa M. Richards, and Nirmala Ramanujam  »View Author Affiliations


Optics Express, Vol. 17, Issue 26, pp. 23396-23409 (2009)
http://dx.doi.org/10.1364/OE.17.023396


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Abstract

We conducted a pilot study on 10 patients undergoing general surgery to test the feasibility of diffuse reflectance spectroscopy in the visible wavelength range as a noninvasive monitoring tool for blood loss during surgery. Ratios of raw diffuse reflectance at wavelength pairs were tested as a first-pass for estimating hemoglobin concentration. Ratios can be calculated easily and rapidly with limited post-processing, and so this can be considered a near real-time monitoring device. We found the best hemoglobin correlations were when ratios at isosbestic points of oxy- and deoxyhemoglobin were used, specifically 529/500 nm. Baseline subtraction improved correlations, specifically at 520/509 nm. These results demonstrate proof-of-concept for the ability of this noninvasive device to monitor hemoglobin concentration changes due to surgical blood loss. The 529/500 nm ratio also appears to account for variations in probe pressure, as determined from measurements on two volunteers.

© 2009 OSA

OCIS Codes
(170.1470) Medical optics and biotechnology : Blood or tissue constituent monitoring
(170.6510) Medical optics and biotechnology : Spectroscopy, tissue diagnostics

ToC Category:
Medical Optics and Biotechnology

History
Original Manuscript: September 16, 2009
Revised Manuscript: November 6, 2009
Manuscript Accepted: November 9, 2009
Published: December 7, 2009

Virtual Issues
Vol. 5, Iss. 1 Virtual Journal for Biomedical Optics

Citation
Janelle E. Bender, Allan B. Shang, Eugene W. Moretti, Bing Yu, Lisa M. Richards, and Nirmala Ramanujam, "Noninvasive monitoring of tissue hemoglobin using UV-VIS diffuse reflectance spectroscopy: a pilot study," Opt. Express 17, 23396-23409 (2009)
http://www.opticsinfobase.org/oe/abstract.cfm?URI=oe-17-26-23396


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