Cardiometabolic diseases encompass a combination of conditions which lead to an increase in the risk of cardiovascular disease and diabetes. With the increasing percentage of the population becoming overweight, it is important to diagnose when the excess adipose tissue becomes malign.The development of a safe, mobile, non-invasive method that would be easy to perform, and low-cost, but also would offer an accurate assessment of subcutaneous adipose tissue (SAT) both in lean and in obese persons is required. A prototype device using an optical method for measurement of the SAT in vivo has been developed, it contains multiple LEDs with four wavelengths (660nm, 780nm, 870nm, 940nm) distributed at various distances from the photodetector which allow different light penetration depths into the subcutaneous tissue.Five young healthy female students participated in the study; the measurements were performed on three body sites: calf, upper and lower abdomen. The backscattered light acquired with the prototype was compared to SAT measured with high resolution ultrasound imaging.The coefficient of variation indicated high reliability of the measurements. Statistically significant (from r=0.81 to r=0.95; p<0.05) correlation between intensity of backscattered light and SAT thicknesses for all four wavelength was observed, especially at source-detector distance 25mm.The novel device prototype has a potential to be a good alternative for conventional SAT measurement and assessment of cardiometabolic risk. Amultispectral approach can potentially increase precision and spatial resolution of SAT determination.
There are a number of techniques for body composition assessment in clinics and in field-surveys, but in all cases the applied methods have advantages and disadvantages. High precision imaging methods are available, though expensive and non-portable, however, the methods devised for the mass population, often suffer from the lack of precision. Therefore, the development of a safe, mobile, non-invasive, optical method that would be easy to perform, precise and low-cost, but also would offer an accurate assessment of subcutaneous adipose tissue (SAT) both in lean and in obese persons is required. Thereof, the diffuse optical spectroscopy is advantageous over the aforementioned techniques. A prototype device using an optical method for measurement of the SAT thickness in vivo has been developed. The probe contained multiple LEDs (660nm) distributed at various distances from the photo-detector which allow different light penetration depths into the subcutaneous tissue. The differences of the reflected light intensities were used to create a non-linear model, and the computed values were compared with the corresponding thicknesses of SAT, assessed by B-mode ultrasonography. The results show that with the optical system used in this study, accurate results of different SAT thicknesses can be obtained, and imply a further potential for development of multispectral optical system to observe changes of SAT thickness as well as to determine the percentage of total body fat.
Three channel photoplethysmography (PPG) signal pulse wave studies of the leg's conduit arteries during rest conditions were performed. The obtained data of each channel showed similar values, proving arterial PPG as a reliable and repeatable method to assess arterial waveform parameters. A validation experiment was carried out by acquiring signals from three identical IR PPG sensors, which were placed on different sites over the leg's conduit arteries during rest conditions. Coefficients of variation (CV) were calculated at a 95% confidence interval by comparing results of each subject during multiple attempts. This data processing leads us to certain criteria of improvements in our methodology. Results show that the arterial PPG technique can give trusted and accurate information about the changes in hemo-dynamics, and therefore, makes it promising for early diagnostics of vascular disease.
important subject of clinical research, particularly measurement of arterial blood flow. Therefore correct determination of arterial diameter is crucial. We propose a novel, semi-automatic method for artery lumen detection. The method is based on Gaussian probability function. Usability of our proposed method was assessed by analyzing ultrasound B-mode CFA video sequences acquired from eleven healthy volunteers. The correlation coefficient between the manual and semi-automatic measurement of arterial diameter was 0.996. Our proposed method for detecting artery boundary is novel and accurate enough for the measurement of artery diameter.
A tungsten halogen lamp (AvaLight-HAL, Avantes BV, NL) was used as a light source. An optical fiber (FC-UV600-2-ME-1.5x80, Avantes BV, NL) delivered the light to the skin, while another fiber (FCRL-7UV200-2-ME-1.5, Avantes BV, NL) collected and transmitted reflected light to the spectrometer (AvaSpec-2048-USB2, Avantes BV, NL). The near-infrared region of the electromagnetic spectrum was used because of the low absorbance of other tissue chromophores, as well as an easy distinguishable absorption profile of fats in this range.