| 研究生: |
林怡伶 Lin, Yi-Ling |
|---|---|
| 論文名稱: |
利用非侵入式光學量測配合新穎光譜演算法分析新生兒皮膚膽紅素濃度 Noninvasive optical measurement system with novel spectral analysis algorithm for neonatal skin bilirubin concentration determination |
| 指導教授: |
曾盛豪
Tseng, Sheng-Hao |
| 學位類別: |
碩士 Master |
| 系所名稱: |
理學院 - 光電科學與工程學系 Department of Photonics |
| 論文出版年: | 2018 |
| 畢業學年度: | 106 |
| 語文別: | 中文 |
| 論文頁數: | 50 |
| 中文關鍵詞: | 漫反射光譜法 、膽紅素濃度 、新生兒黃疸 、皮膚光學參數 |
| 外文關鍵詞: | Diffuse reflectance spectroscopy, bilirubin concentration, neonatal jaundice, skin optical properties |
| 相關次數: | 點閱:94 下載:0 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
漫反射光譜學(Diffuse Reflectance Spectroscopy, DRS) 基礎原理是利用光擴散理論(photon diffusion theory)將量測得到的漫反射光譜計算轉換為組織的吸收係數與散射係數,不過,由於光子擴散理論的限制,當光源與偵測器的距離小於五倍的平均自由路徑長(1/(μ_a+μ_s'))時,光子經過組織並沒有經過足夠的散射及被偵測器收到,如此實際狀況將不滿足理論模型的邊界條件,導致光子擴散理論不適用,因此本研究所使用的理論模型為使用蒙地卡羅法建立核心的理論模型數據庫,再訓練類神經網路(Artificial Neural Network ,ANN)建立演算法。
為了避免新生兒抽血造成的感染風險,以及經皮量測上易受膚色影響的問題,本研究利用空間解析DRS,建構出一套非侵入式地量測系統,我們利用涵蓋波長400-600nm的光源,量測並計算新生兒皮膚的光學參數,在我們所量測的吸收光譜範圍內,組織的主要色團為帶氧血紅蛋白、不帶氧血紅蛋白、膽紅素與黑色素,藉由考慮黑色素在光譜中的貢獻來排除經皮量測易受膚色所干擾的影響。
本研究將會做三個階段的分析,第一階段為利用仿人體假體來驗證系統量測的可行性,第二階段利用實際照相進行人體皮膚影像處理,並與DRS系統量測並計算人體黑色素濃度,藉此驗證本系統可以將黑色素干擾所排除,第三階段為將收取臨床上新生兒的漫反射光譜,共會量測12個新生兒,共會量測身體上的二個部位(胸骨和左腳底板),此二者為現今經皮量測或脈博血氧儀常見的量測位置,並與抽血檢驗做相關性的比較,藉此驗證本系統在臨床上能夠提供一診斷新生兒黃疸的依據。
In this study, we use spatially resolved diffuse reflectance spectroscopy (SRDRS) to construct a non-invasive measurement systems with the novel spectral analysis algorithm in order to measure and calculate the optical parameters of the neonatal skin. Within the range of the absorbance spectrum we measured, the main chromophores in human skin are hemoglobin, bilirubin and melanin. By taking melanin into consideration, the effects of skin color on transcutaneous measurement results are eliminated. This study will be conducted in three section of analysis. The first is to verify the feasibility of the system measurement using gelatin phantoms. Second, by processing human skin image and using DRS system to measure and calculate the human skin melanin concentration, we compared the results and verified that the DRS system could exclude melanin interference. Last, we measured 12 newborn neonates diffuse reflectance spectra including their sternum and the left sole, and are compared with total serum bilirubin (TSB) from blood tests. There was a high correlation between the bilirubin values we measured and TSB values in both positions: sternum (r = 0.93) and the left sole (r = 0.94).
[1] Nienke Bosschaart,Rosaline Mentink,Joke H. Kok,Ton G. van Leeuwen, “Optical properties of neonatal skin measured in vivo as a function of age and skin pigmentation,” Journal of Biomedical Optics 16(9), 097003 , September 2011.
[2] Doornbos RM, Lang R, Aalders MC, Cross FW, Sterenborg HJ, “The determination of in vivo human tissue optical properties and absolute chromophore concentrations using spatially resolved steady-state diffuse reflectance spectroscopy,” Phys Med Biol, Apr 1999.
[3] Tuan H. Pham,Olivier Coquoz,Joshua B. Fishkin, Eric Anderson,, “Broad bandwidth frequency domain instrument for quantitative tissue,” Review of Scientific Instruments 71, 7 February 2000.
[4] Sheng-Hao Tseng,Paulo Bargo, Anthony Durkin, and Nikiforos Kollias, “Chromophore concentrations, absorption and scattering properties of human skin in-vivo,” Opt Express, Aug 2009.
[5] Sheng-Hao Tseng; Shih-Yu Tzeng; Yu-Kai Liaw; Chao-Kai Hsu; Julia Lee; Wan-Rung Chen;, “Noninvasive evaluation of collagen and hemoglobin contents and scattering property of in vivo keloid scars and normal skin using diffuse reflectance spectroscopy: pilot study,” J. of Biomedical Optics, 17(7), 18 July 2012.
[6] Pifferi A, Swartling J, Chikoidze E, Torricelli A, Taroni P, Bassi A, Andersson-Engels S, Cubeddu R., “Spectroscopic time-resolved diffuse reflectance and transmittance measurements of the female breast at different interfiber distances.,” J Biomed Opt., 2004.
[7] Ming-Wei Lee,Cheng-Hung Hung,Jung-Li Liao,Nan-Yu Cheng,Ming-Feng Hou,and Sheng-Hao Tseng, “A linear gradient line source facilitates the use of diffusion models with high order approximation for efficient, accurate turbid sample optical properties recovery,” Biomed Opt Express, p. 3628–3639, 1 Oct 2014 .
[8] SY Tzeng, TY Kuo, SB Hu, YW Chen, YL Lin, KY Chu, SH Tseng, “Skin collagen can be accurately quantified through noninvasive optical method: Validation on a swine study,” Skin Research and Technology, 3 8 2017.
[9] Chao-Kai Hsu, Shih-Yu Tzeng, Chao-Chun Yang, Julia Yu-Yun Lee, Lynn Ling-Huei Huang, Wan-Rung Chen, Michael Hughes, Yu-Wen Chen, Yu-Kai Liao, and Sheng-Hao Tseng, “Non-invasive evaluation of therapeutic response in keloid scar using diffuse reflectance spectroscopy.,” Biomed Opt Express, pp. 390-404, 8 Jan 2015.
[10] Nabarun Polley, Srimoyee Saha, Soumendra Singh, Aniruddha Adhikari, Sukhen Das, Bhaskar Roy Choudhury, and Samir Kumar Pal, “Development and optimization of a noncontact optical device for online monitoring of jaundice in human subjects,” Journal of Biomedical Optics 20(6), 067001, June 2015.
[11] M. Jeffrey Maisels, M.B., B.Ch., and Antony F. McDonagh, Ph.D., “Phototherapy for Neonatal Jaundice,” N Engl J Med, 28 February 2008.
[12] BK Cline, R Vilms, K. McGraw, HH Lou, KM Donaldson, VK Bhutani, “Global Burden and Unmet Need for Hyperbilirubinemia Treatment. Poster session presented at: Pediatric Academic Society,” Denver, CO, April 30-May 3 2011.
[13] Bhutani VK, Zipursky A, Blencowe H, et al., “Neonatal hyperbilirubinemia and rhesus disease of the newborn: incidence and impairment estimates for 2010 at regional and global levels.,” Pediatr Res, p. 86–100, 2013.
[14] Samar N. El-Beshbishi, Karen E. Shattuck, Amin A. Mohammad, John R. Petersen, “Hyperbilirubinemia and Transcutaneous Bilirubinometry,” Clin Chem., Jul 2009.
[15] Francesco Raimondi,Silvia Lama,Francesca Landolfo, Maria Sellitto,Angela Carla Borrelli,Rosalba Maffucci,Paola Milite,and Letizia Capasso, “Measuring transcutaneous bilirubin: a comparative analysis of three devices on a multiracial population,” BMC Pediatr, 2012.
[16] Grabenhenrich J, Grabenbenrich L, Buhrer C, et al, “Transcutaneous bilirubin after phototherapy in term and preterm infants,” Pediatrics 134(5), pp. 1324-1329, 2014.
[17] Alex Robertson MD, Steve Kazmierczak PhD & Paul Vos PhD, “Improved Transcutaneous Bilirubinometry: Comparison of SpectR X BiliCheck and Minolta Jaundice Meter JM-102 for Estimating Total Serum Bilirubin in a Normal Newborn Population,” Journal of Perinatology, p. 12–14, 2002.
[18] 翁新惠 ; 陳淑貞, “應用經皮黃疸測試儀於新生兒黃疸之臨床檢定,” 榮總護理13:1, pp. 70-77, 03 1996.
[19] Natalie Purcell and Philip J Beeby, “The influence of skin temperature and skin perfusion on the cephalocaudal progression of jaundice in newborns,” Journal of Paediatrics and Child Health, p. 582–586, 2009.
[20] Wayne Wingfield, Marc Raffe, “FLUID AND ELECTROLYTEThe Veterinary ICU Book,” pp. 166-188, 2002.
[21] Elisa M. Mazzaferro , Elke Rudloff , Rebecca Kirby , “The role of albumin replacement in the critically ill veterinary patient,” J VET EMERG CRIT CARE 12(2), pp. 113-124, 2002.
[22] Shu-Chiung Chou, R. Heather Palmer, Sudhakar Ezhuthachan, Christine Newman, Brenna Pradell-Boyd, M. Jeffrey Maisels, Marcia A. Testa, “Management of Hyperbilirubinemia in Newborns: Measuring Performance by Using a Benchmarking Model,” Pediatrics,VOLUME 112 / ISSUE 6, December 2003.
[23] Mary Catherine Harris, Judy C. Bernbaum, Jessica R. Polin, Robert Zimmerman, Richard A. Polin, “Developmental Follow-Up of Breastfed Term and Near-Term Infants With Marked Hyperbilirubinemia,” Pediatrics,VOLUME 107 / ISSUE 5, May 2001.
[24] 莊舜雯, 羅佩嘉,黃照伶,李延慧,彭雪芳,沈青青, “運用黃疸辨識卡提升主要照顧者對新生兒黃疸膚色辨識之知能,” 榮總護理, 第32 冊, pp. 343 - 350, 1 12 2015.
[25] Lihong V. Wang Hsin‐I Wu, “Monte Carlo Modeling of Photon Transport in Biological Tissue,” Biomedical Optics:Princuples and Imaging,, pp. 37-65, 2007.
[26] Lihong Wang,Steven L. Jacques,Liqiong Zheng, “MCML—Monte Carlo modeling of light transport in multi-layered tissues.,” Computer Methods and Programs in Biomedicine, pp. 131-146, 1995.
[27] G. Blauer,Tsoo E. King, “Interactions of Bilirubin with Bovine Serum Albumin in Aqueous Solution,” The Journal of Biological Chemistry, pp. 372-381, 25 January 1970.
[28] S. Prahl, “Optical absorption of Hemoglobin,” Oregon Medical Laser Center, World Wide Web, 1999.
[29] Jacques Steven, “Optical Absorption of Melanin,” Oregon Medical Laser Center,World Wide Web, July 1998.
[30] Yong Zhou,Chi Zhang, Da-Kang Yao, and Lihong V. Wang, “Photoacoustic microscopy of bilirubin in tissue phantoms,” Journal of Biomedical Optics 17(12), 126019, December 2012.
[31] Rolf B. Saager, Clement Kondru, Kendrew Au, Kelly Sry, Frederick Ayers, Anthony J Durkin, "Multi-layer silicone phantoms for the evaluation of quantitative optical techniques in skin imaging," Proc. of SPIE Vol. 7567, 2010.
[32] Nishidate I, Aizu Y, Mishina H., “Estimation of melanin and hemoglobin in skin tissue using multiple regression analysis aided by Monte Carlo simulation,” J Biomed Opt, 2004.
[33] Chardon A, Cretois I, Hourseau C., “Skin colour typology and suntanning pathways,” International Journal of Cosmetic Science, August 1991.
[34] George Zonios, Julie Bykowski, Nikiforos Kollias, “Skin Melanin, Hemoglobin, and Light Scattering Properties can be Quantitatively Assessed In Vivo Using Diffuse Reflectance Spectroscopy,” Journal of Investigative Dermatology, pp. 1452-1457, December 2001.
[35] Angelo A. Lamola, and Marie Russo, “Fluorescence Excitation Spectrum of Bilirubin in Blood: A Model for the Action Spectrum for Phototherapy of Neonatal Jaundice,” Photochem Photobiol, 10 Dec 2013 .
[36] Yu-Wen Chen and Sheng-Hao Tseng, “Efficient construction of robust artificial neural networks for accurate determination of superficial sample optical properties,” BIOMEDICAL OPTICS EXPRESS, 10 Feb 2015.
[37] Chao-Kai Hsu, Shih-Yu Tzeng, Chao-Chun Yang, Julia Yu-Yun Lee, Lynn Ling-Huei Huang, Wan-Rung Chen, Michael Hughes, Yu-Wen Chen,Yu-Kai Liao, and Sheng-Hao Tseng, “Non-invasive evaluation of therapeutic response in keloid scar using diffuse reflectance spectroscopy,” BIOMEDICAL OPTICS EXPRESS, 2015.
[38] Sabeena Setia, MPH; Andrés Villaveces, MD, PhD; Preet Dhillon, MPH, “Neonatal Jaundice in Asian, White, and Mixed-Race Infants,” Arch Pediatr Adolesc Med, March 2002.
校內:2023-05-09公開