Research Papers: General

Pressure injury prediction using diffusely scattered light

[+] Author Affiliations
David Diaz, Alec Lafontant, Michael Neidrauer, Leonid Zubkov

Drexel University, School of Biomedical Engineering, Philadelphia, Pennsylvania, United States

Michael S. Weingarten

Drexel University, College of Medicine, Department of Surgery, Philadelphia, Pennsylvania, United States

Rose Ann DiMaria-Ghalili

Drexel University, College of Nursing and Health Professions, Philadelphia, Pennsylvania, United States

Ericka Scruggs, Julianne Rece, Guy W. Fried

Magee Rehabilitation Hospital, Philadelphia, Pennsylvania, United States

Vladimir L. Kuzmin

St. Petersburg Polytechnic University, Saint Petersburg, Russia

J. Biomed. Opt. 22(2), 025003 (Feb 11, 2017). doi:10.1117/1.JBO.22.2.025003
History: Received August 8, 2016; Accepted January 23, 2017
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Abstract.  Pressure injuries (PIs) originate beneath the surface of the skin at the interface between bone and soft tissue. We used diffuse correlation spectroscopy (DCS) and diffuse near-infrared spectroscopy (DNIRS) to predict the development of PIs by measuring dermal and subcutaneous red cell motion and optical absorption and scattering properties in 11 spinal cord injury subjects with only nonbleachable redness in the sacrococcygeal area in a rehabilitation hospital and 20 healthy volunteers. A custom optical probe was developed to obtain continuous DCS and DNIRS data from sacrococcygeal tissue while the subjects were placed in supine and lateral positions to apply pressure from body weight and to release pressure, respectively. Rehabilitation patients were measured up to four times over a two-week period. Three rehabilitation patients developed open PIs (POs) within four weeks and eight patients did not (PNOs). Temporal correlation functions in the area of redness were significantly different (p<0.01) during both baseline and applied pressure stages for POs and PNOs. The results show that our optical method may be used for the early prediction of ulcer progression.

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© 2017 Society of Photo-Optical Instrumentation Engineers

Citation

David Diaz ; Alec Lafontant ; Michael Neidrauer ; Michael S. Weingarten ; Rose Ann DiMaria-Ghalili, et al.
"Pressure injury prediction using diffusely scattered light", J. Biomed. Opt. 22(2), 025003 (Feb 11, 2017). ; http://dx.doi.org/10.1117/1.JBO.22.2.025003


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