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

机译:弥漫反射光谱和光热辐射测定的创伤瘀伤中的血流动力学

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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:由于涉及动态过程,对法医调查中的瘀伤年龄的评估是基于皮肤变色外渗血红蛋白和其生化分解的产品。但是,当前协议专门依赖于论医学专家的目视检验与主观评估。我们旨在发展目标和利用两种光学技术更准确地对瘀伤老化的方法:漫反射光谱(DRS)和脉冲的光热辐射测量(PPTR)。本报告涉及两个人类志愿者,瘀伤在已知的时间点偶然获得。可见的DRS Spectra使用积分球从横向均匀的病变位点获得光谱范围。 PPTR测量涉及用532nm的毫秒激光脉冲照射并记录导致中红外发射的瞬态变化带有快速红外线相机。通过拟合来自a的预测来同时分析来自两种测量的数据人体皮肤多层模型中光热传输的专用数值模拟。结果表明了一个突出的皮肤血红蛋白含量和相对于附近完整部位的氧气水平的降低(由血液外渗而导致),其次是胆红素含量的升高。简单动态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愈合瘀伤的模型损伤后。结果表明血红蛋白分解率的上升和随后降低,作为炎症回复首先踢进来然后逐渐消退。

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