Medical applications of VIS/NIR spectroscopy of human tissue surfaces by a novel portable instrumentation

摘要

In medical diagnostics, non invasive optical techniques will become common at a variety of applications because they contribute to objectivity and precision. The spectral properties of human tissue are an important field of interest. They offer opportunities of detection of skin diseases and of evaluation of chronic wounds. In the visible range, the hemoglobin absorption corresponds to blood microcirculation and the melanin absorption to the skin-type. Two types of diode-array equipment will be described: a combined VIS-NIR spectrometer system from J&M Aalen/Germany (400 nm to 1600 nm) and a stand-alone spectrometer from COLOUR CONTROL Farbmesstechnik Chemnitz/Germany (400 nm to 1000 nm). Non-contacting sensing is essential for investigating chronic wounds (no disturbances of blood microcirculation by contact pressure). The spectroscopic VIS-NIR readings of chronic wounds mainly depend on the absorption of hemoglobin and water. Multivariate analysis was applied for an objective spectral classification of eight different wound scores. Some results regarding spectral measurements of wounds and skin will be discussed. The spectrometer of COLOUR CONTROL was tested in dental surgery. To select dentures, its color has to be determined exactly to meet beauty culture demands. Color determination by dentist is not sufficient enough because of possible metameric effects of illumination. Results of spectral evaluation of denture material and human teeth will be given. Medical examination requires portable and ease equipment suitable for precise measurements. This is solved by a modular measurement system comprising microcomputer, display, light source, fiber probe, and diode-array spectrometer. It is efficient to process primary spectral data to appropriate medical interpretations.