Significance: Spatial frequency domain imaging (SFDI) is a wide-field diffuse optical imaging technique for separately quantifying tissue reduced scattering (μs ′ ) and absorption (μa) coefficients at multiple wavelengths, providing wide potential utility for clinical applications such as burn wound characterization and cancer detection. However, measured μs ′ and μa can be confounded by absorption from melanin in patients with highly pigmented skin. This issue arises because epidermal melanin is highly absorbing for visible wavelengths and standard homogeneous light–tissue interaction models do not properly account for this complexity. Tristimulus colorimetry (which quantifies pigmentation using the L * “lightness” parameter) can provide a point of comparison between μa, μs ′ , and skin pigmentation.
Aim: We systematically compare SFDI and colorimetry parameters to quantify confounding effects of pigmentation on measured skin μs ′ and μa. We assess the correlation between SFDI and colorimetry parameters as a function of wavelength.
Approach: μs ′ and μa from the palm and ventral forearm were measured for 15 healthy subjects with a wide range of skin pigmentation levels (Fitzpatrick types I to VI) using a Reflect RS® (Modulim, Inc., Irvine, California) SFDI instrument (eight wavelengths, 471 to 851 nm). L * was measured using a Chroma Meter CR-400 (Konica Minolta Sensing, Inc., Tokyo). Linear correlation coefficients were calculated between L * and μs ′ and between L * and μa at all wavelengths.
Results: For the ventral forearm, strong linear correlations between measured L * and μs ′ values were observed at shorter wavelengths (R > 0.92 at ≤659 nm), where absorption from melanin confounded the measured μs ′ . These correlations were weaker for the palm (R < 0.59 at ≤659 nm), which has less melanin than the forearm. Similar relationships were observed between L * and μa.
Conclusions: We quantified the effects of epidermal melanin on skin μs ′ and μa measured with SFDI. This information may help characterize and correct pigmentation-related inaccuracies in SFDI skin measurements.
KEYWORDS: Skin, Optical properties, In vivo imaging, Tissue optics, Scattering, Remote sensing, Range imaging, Monte Carlo methods, Mie scattering, Light wave propagation
Spatial frequency domain imaging (SFDI) is a wide-field spectral imaging technique that can be used to characterize optical properties of in-vivo tissue. Typically, SFDI uses light transport modeling based on Monte Carlo simulations to analyze the detected diffuse reflectance. Here, we examined the effect of using a semi-infinite homogeneous tissue model to determine optical properties of in-vivo human skin across a full range of pigmentation levels. We analyzed µs’ curves and performed correlation analysis between µs’ and degree of pigmentation determined using a tristimulus colorimeter. Our results suggested that pigmentation’s effect on µs’ is minimal at near-infrared wavelengths.
Significance: Spatial frequency domain imaging (SFDI), a noncontact wide-field imaging technique using patterned illumination with multiple wavelengths, has been used to quantitatively measure structural and functional parameters of in vivo tissue. Using SFDI in a porcine model, we previously found that scattering changes in skin could potentially be used to noninvasively assess burn severity and monitor wound healing. Translating these findings to human subjects necessitates a better understanding of the variation in “baseline” human skin scattering properties across skin types and anatomical locations.
Aim: Using SFDI, we aim to characterize the variation in the reduced scattering coefficient (μs′) for skin across a range of pigmentation and anatomic sites (including common burn locations) for normal human subjects. These measurements are expected to characterize baseline human skin properties to inform our use of SFDI for clinical burn severity and wound healing assessments.
Approach: SFDI was used to measure μs′ in the visible- and near-infrared regime (471 to 851 nm) in 15 subjects at 10 anatomical locations. Subjects varied in age, gender, and Fitzpatrick skin type.
Results: For all anatomical locations, the coefficient of variation in measured μs′ decreased with increasing wavelength. High intersubject variation in μs′ at visible wavelengths coincided with large values of the melanin extinction coefficient at those wavelengths. At 851 nm, where intersubject variation in μs′ was smallest for all anatomical locations and absorption from melanin is minimal, significant intrasubject differences in μs′ were observed at the different anatomical locations.
Conclusions: Our study is the first report of wide-field mapping of human skin scattering properties across multiple skin types and anatomical locations using SFDI. Measured μs′ values varied notably between skin types at wavelengths where absorption from melanin was prominent. Additionally, μs′ varied considerably across different anatomical locations at 851 nm, where the confounding effects from melanin absorption are minimized.
Spatial frequency domain imaging (SFDI), a noncontact imaging technique using structured illumination with multiple wavelengths, has proved feasible for characterizing burns of different severities induced in porcine dorsum. However, translation to human clinical subjects may be subject to variation in tissue optical properties due to different skin types or body parts. To interrogate this potential difference in optical properties, SFDI was used to measure the reduced scattering coefficient (μs’ ) in patients of varying Fitzpatrick skin type groups at 10 anatomical locations on the body. These scattering values were compared against previously measured average μs’ values for burns in a porcine model. At 851nm, superficial partialthickness burns had a 12.6% higher μs’ than unburned porcine dorsum. Deep partial-thickness and had 12.9% higher average μs’ than unburned porcine dorsum, while full-thickness burns had 2.5% higher average μs’ than unburned porcine dorsum. The variation seen in scattering values at 851nm at one anatomical location (dorsal forearm) for the different skin type groups showed a 6.3% lower average μs’ in group 3 (skin types VVI) compared to group 2 (skin types III-IV). Average scattering values were 3.8% lower in group 1 (skin types I-II) compared to group 2 (skin types III-IV). The variation of μs’ at 851nm across multiple anatomical locations for the same skin type group (Group 1) was a 23% difference from the anatomical location with the highest average μs’ at 851nm (forehead) to the lowest (shin). These findings indicate that further consideration of skin type and location will be integral to the translation of classification techniques based μs’ measurements of porcine dorsum to human patients.
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