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Hemodynamics in traumatic bruises assessed by diffuse reflectance spectroscopy and photothermal radiometry

机译:通过漫反射光谱法和光热辐射法评估创伤性瘀伤的血流动力学

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Assessment of bruise age in forensic investigations is based on skin discoloration due to dynamic processes involvingextravasated hemoglobin and products of its biochemical decomposition. However, the current protocol relies exclusivelyon visual inspection and subjective assessment by a medical expert. We are aiming at development of an objective andmore accurate approach to aging of bruises by utilizing two optical techniques: Diffuse reflectance spectroscopy (DRS)and pulsed photothermal radiometry (PPTR).This report involves two human volunteers with bruises acquired incidentally at a known time point. DRS spectra in visiblespectral range are obtained from laterally uniform lesion sites using an integrating sphere. PPTR measurements involveirradiation with a millisecond laser pulse at 532 nm and recording the resulting transient change of mid-infrared emissionwith a fast infrared camera. Data from both measurements are analyzed simultaneously by fitting with predictions from adedicated numerical simulation of light and heat transport in a multi-layer model of human skin. The results show aprominent increase of the dermal hemoglobin content and reduction of its oxygenation level relative to a nearby intact site(resulting from blood extravasation), followed by a rise of the bilirubin content. The parameters of a simple dynamicalmodel of a self-healing bruise are then assessed by fitting together a set of experimental data acquired at different timespost injury. The results indicate a rise and subsequent decrease of the hemoglobin decomposition rate, as the inflammatoryresponse first kicks in and then gradually subsides.
机译:法医调查中的瘀伤年龄评估是基于涉及动态过程的皮肤变色 渗出的血红蛋白及其产物的生化分解。但是,当前协议完全依赖 由医学专家进行目视检查和主观评估。我们的目标是发展目标和 通过使用两种光学技术,更准确地解决青肿的方法:漫反射光谱(DRS) 和脉冲光热辐射法(PPTR)。 该报告涉及两名人类志愿者,他们在已知时间点偶然碰伤。可见光中的DRS光谱 使用积分球从横向均匀的病变部位获得光谱范围。 PPTR测量涉及 用532 nm的毫秒激光脉冲辐照并记录中红外发射的最终瞬态变化 用快速的红外热像仪来自两个测量的数据通过与来自 在人体皮肤的多层模型中进行光和热传输的专用数值模拟。结果显示 相对于附近完整部位,皮肤血红蛋白含量显着增加,其氧合水平降低 (由于血液外渗导致),随后胆红素含量上升。简单动力学的参数 然后通过拟合在不同时间获取的一组实验数据来评估自我修复挫伤的模型 受伤后。结果表明,血红蛋白分解率上升和下降,这是由于炎症 响应首先开始,然后逐渐消退。

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