Deep-Tissue Dynamic Monitoring of Decubitus Ulcers: Wound Care and Assessment

University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390, USA.
IEEE Engineering in Medicine and Biology Magazine (Impact Factor: 26.3). 05/2010; 29(2):71-7. DOI: 10.1109/MEMB.2009.935721
Source: PubMed


The use of deep-tissue multiwavelength imaging is of paramount importance in clinical settings as a noninvasive solution to identify and monitor the progression of decubitus ulcers. A point-of-care multiwavelength imager is being developed, whose utility results from the provision of important physiological characteristics and blood flow metrics via analysis of deep-tissue response to light. The noninvasive real-time monitoring and analysis of tissue focusing on wound imaging is integral, because it allows for quantitative in situ measurements that characterize tissue to assess the progress of either tissue healing or necrosis.

32 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Decubitus ulcers are a costly and widespread issue in healthcare today, that result from impaired blood flow in skin and underlying muscle and tissue. To address this need, a point of care multi-wavelength diagnostic imaging system has been developed to monitor hemodynamic processes via use of optical imaging of deep tissue. The resulting measurements demonstrate changes in light-tissue interaction to differentiate healthy and pathologic tissue without disturbing patients in a hospital setting. The identification of light source-detector illumination patterns uniquely map to spatial depths of tissue. The additional time dependent component, allows a novel four-dimensional analysis of tissue. The portable, noninvasive, and non-contact features provide quantitative in-situ measurements.
    No preview · Article · Feb 2011 · Proceedings of SPIE - The International Society for Optical Engineering
  • [Show abstract] [Hide abstract]
    ABSTRACT: Non-contact photoplethysmography (PPG) has been studied as a method to provide low-cost and non-invasive medical imaging for a variety of near-surface pathologies and two dimensional blood oxygenation measurements. Dynamic tissue phantoms were developed to evaluate this technology in a laboratory setting. The purpose of these phantoms was to generate a tissue model with tunable parameters including: blood vessel volume change; pulse wave frequency; and optical scattering and absorption parameters. A non-contact PPG imaging system was evaluated on this model and compared against laser Doppler imaging (LDI) and a traditional pulse oximeter. Results indicate non-contact PPG accurately identifies pulse frequency and appears to identify signals from optically dense phantoms with significantly higher detection thresholds than LDI.
    No preview · Conference Paper · May 2014
  • [Show abstract] [Hide abstract]
    ABSTRACT: We present a non-contact, reflective photoplethysmogram (PPG) imaging method and a prototype system for identifying the presence of dermal burn wounds during a burn debridement surgery. This system aims to provide assistance to clinicians and surgeons in the process of dermal wound management and wound triage decisions. We examined the system variables of illumination uniformity and intensity and present our findings. An LED array, a tungsten light source, and eventually high-power LED emitters were studied as illumination methods for our PPG imaging device. These three different illumination sources were tested in a controlled tissue phantom model and an animal burn model. We found that the low heat and even illumination pattern using high power LED emitters provided a substantial improvement to the collected PPG signal in our animal burn model. These improvements allow the PPG signal from different pixels to be comparable in both time-domain and frequency-domain, simplify the illumination subsystem complexity, and remove the necessity of using high dynamic range cameras. Through the burn model output comparison, such as the blood volume in animal burn data and controlled tissue phantom model, our optical improvements have led to more clinically applicable images to aid in burn assessment.
    No preview · Article · Feb 2015
Show more