Abstract
Venous leg ulcers (VLUs) comprise 80% of leg ulcers. One of the key parameters that can promote healing of VLUs is tissue oxygenation. To date, clinicians have employed visual inspection of the wound site to determine the healing progression of a wound. Clinicians measure the wound size and check for epithelialization. Imaging for tissue oxygenation changes surrounding the wounds can objectively complement the subjective visual inspection approach. Herein, a handheld noncontact near-infrared optical scanner (NIROS) was developed to measure tissue oxygenation of VLUs during weeks of treatment. Approach: Continuous-wave-based diffuse reflectance measurements were processed using Modified Beer-Lambert's law to obtain changes in tissue oxygenation (in terms of oxy-, deoxy-, total hemoglobin, and oxygen saturation). The tissue oxygenation contrast obtained between the wound and surrounding tissue was longitudinally mapped across weeks of treatment of four VLUs (healing and nonhealing cases). Results: It was observed that wound to background tissue oxygenation contrasts in healing wounds diminished and/or stabilized, whereas in the nonhealing wounds it did not. In addition, in a very slow-healing wound, wound to background tissue oxygenation contrasts fluctuated and did not converge. Innovation: Near-infrared imaging of wounds to assess healing or nonhealing of VLUs from tissue oxygenation changes using a noncontact, handheld, and low-cost imager has been demonstrated for the first time. Conclusion: The tissue oxygenation changes in wound with respect to the surrounding tissue can provide an objective subclinical physiological assessment of VLUs during their treatment, along with the gold-standard visual clinical assessment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 565-579 |
| Number of pages | 15 |
| Journal | Advances in Wound Care |
| Volume | 8 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2019 |
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Keywords
- handheld
- near-infrared imaging
- optical scanner
- tissue oxygenation
- venous leg ulcers
- wound healing
ASJC Scopus subject areas
- Emergency Medicine
- Critical Care and Intensive Care Medicine
Cite this
Tissue Oxygenation Changes to Assess Healing in Venous Leg Ulcers Using Near-Infrared Optical Imaging. / Kwasinski, Rebecca; Fernandez, Cristianne; Leiva, Kevin; Schutzman, Richard; Robledo, Edwin; Kallis, Penelope; Borda, Luis J.; Kirsner, Robert; Perez-Clavijo, Francisco; Godavarty, Anuradha.
In: Advances in Wound Care, Vol. 8, No. 11, 01.11.2019, p. 565-579.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Tissue Oxygenation Changes to Assess Healing in Venous Leg Ulcers Using Near-Infrared Optical Imaging
AU - Kwasinski, Rebecca
AU - Fernandez, Cristianne
AU - Leiva, Kevin
AU - Schutzman, Richard
AU - Robledo, Edwin
AU - Kallis, Penelope
AU - Borda, Luis J.
AU - Kirsner, Robert
AU - Perez-Clavijo, Francisco
AU - Godavarty, Anuradha
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Venous leg ulcers (VLUs) comprise 80% of leg ulcers. One of the key parameters that can promote healing of VLUs is tissue oxygenation. To date, clinicians have employed visual inspection of the wound site to determine the healing progression of a wound. Clinicians measure the wound size and check for epithelialization. Imaging for tissue oxygenation changes surrounding the wounds can objectively complement the subjective visual inspection approach. Herein, a handheld noncontact near-infrared optical scanner (NIROS) was developed to measure tissue oxygenation of VLUs during weeks of treatment. Approach: Continuous-wave-based diffuse reflectance measurements were processed using Modified Beer-Lambert's law to obtain changes in tissue oxygenation (in terms of oxy-, deoxy-, total hemoglobin, and oxygen saturation). The tissue oxygenation contrast obtained between the wound and surrounding tissue was longitudinally mapped across weeks of treatment of four VLUs (healing and nonhealing cases). Results: It was observed that wound to background tissue oxygenation contrasts in healing wounds diminished and/or stabilized, whereas in the nonhealing wounds it did not. In addition, in a very slow-healing wound, wound to background tissue oxygenation contrasts fluctuated and did not converge. Innovation: Near-infrared imaging of wounds to assess healing or nonhealing of VLUs from tissue oxygenation changes using a noncontact, handheld, and low-cost imager has been demonstrated for the first time. Conclusion: The tissue oxygenation changes in wound with respect to the surrounding tissue can provide an objective subclinical physiological assessment of VLUs during their treatment, along with the gold-standard visual clinical assessment.
AB - Venous leg ulcers (VLUs) comprise 80% of leg ulcers. One of the key parameters that can promote healing of VLUs is tissue oxygenation. To date, clinicians have employed visual inspection of the wound site to determine the healing progression of a wound. Clinicians measure the wound size and check for epithelialization. Imaging for tissue oxygenation changes surrounding the wounds can objectively complement the subjective visual inspection approach. Herein, a handheld noncontact near-infrared optical scanner (NIROS) was developed to measure tissue oxygenation of VLUs during weeks of treatment. Approach: Continuous-wave-based diffuse reflectance measurements were processed using Modified Beer-Lambert's law to obtain changes in tissue oxygenation (in terms of oxy-, deoxy-, total hemoglobin, and oxygen saturation). The tissue oxygenation contrast obtained between the wound and surrounding tissue was longitudinally mapped across weeks of treatment of four VLUs (healing and nonhealing cases). Results: It was observed that wound to background tissue oxygenation contrasts in healing wounds diminished and/or stabilized, whereas in the nonhealing wounds it did not. In addition, in a very slow-healing wound, wound to background tissue oxygenation contrasts fluctuated and did not converge. Innovation: Near-infrared imaging of wounds to assess healing or nonhealing of VLUs from tissue oxygenation changes using a noncontact, handheld, and low-cost imager has been demonstrated for the first time. Conclusion: The tissue oxygenation changes in wound with respect to the surrounding tissue can provide an objective subclinical physiological assessment of VLUs during their treatment, along with the gold-standard visual clinical assessment.
KW - handheld
KW - near-infrared imaging
KW - optical scanner
KW - tissue oxygenation
KW - venous leg ulcers
KW - wound healing
UR - http://www.scopus.com/inward/record.url?scp=85073879230&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85073879230&partnerID=8YFLogxK
U2 - 10.1089/wound.2018.0880
DO - 10.1089/wound.2018.0880
M3 - Article
AN - SCOPUS:85073879230
VL - 8
SP - 565
EP - 579
JO - Advances in Wound Care
JF - Advances in Wound Care
SN - 2162-1918
IS - 11
ER -