Development and Clinical Validation of the LymphMonitor Technology to Quantitatively Assess Lymphatic Function

Current diagnostic methods for evaluating the functionality of the lymphatic vascular system usually do not provide quantitative data and suffer from many limitations including high costs, complexity, and the need to perform them in hospital settings. In this work, we present a quantitative, simple outpatient technology named LymphMonitor to quantitatively assess lymphatic function. This method is based on the painless injection of the lymphatic-specific near-infrared fluorescent tracer indocyanine green complexed with human serum albumin, using MicronJet600TM microneedles, and monitoring the disappearance of the fluorescence signal at the injection site over time using a portable detection device named LymphMeter. This technology was investigated in 10 patients with unilateral leg or arm lymphedema. After injection of a tracer solution into each limb, the signal was measured over 3 h and the area under the normalized clearance curve was calculated to quantify the lymphatic function. A statistically significant difference in lymphatic clearance in the healthy versus the lymphedema extremities was found, based on the obtained area under curves of the normalized clearance curves. This study provides the first evidence that the LymphMonitor technology has the potential to diagnose and monitor the lymphatic function in patients.

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Comparative Study of the Optical and Heat Generation Properties of IR820 and Indocyanine Green

Molecular Imaging ◽

10.2310/7290.2011.00031 ◽

2012 ◽

Vol 11 (2) ◽

pp. 7290.2011.00031 ◽

Cited By ~ 44

Author(s):

Alicia Fernandez-Fernandez ◽

Romila Manchanda ◽

Tingjun Lei ◽

Denny A. Carvajal ◽

Yuan Tang ◽

...

Keyword(s):

Indocyanine Green ◽

Near Infrared ◽

Experimental Models ◽

Cyanine Dye ◽

Laser Exposure ◽

Fluorescence Signal ◽

Thermal Generation ◽

Significant Difference

Near-infrared (NIR) fluorophores are the focus of extensive research for combined molecular imaging and hyperthermia. In this study, we showed that the cyanine dye IR820 has optical and thermal generation properties similar to those of indocyanine green (ICG) but with improved in vitro and in vivo stability. The fluorescent emission of IR820 has a lower quantum yield than ICG but less dependence of the emission peak location on concentration. IR820 demonstrated degradation half-times approximately double those of ICG under all temperature and light conditions in aqueous solution. In hyperthermia applications, IR820 generated lower peak temperatures than ICG (4–9%) after 3-minute laser exposure. However, there was no significant difference in hyperthermia cytotoxicity, with both dyes causing significant cell growth inhibition at concentrations ≥ 5 μM. Fluorescent images of cells with 10 μM IR820 were similar to ICG images. In rats, IR820 resulted in a significantly more intense fluorescence signal and significantly higher organ dye content than for ICG 24 hours after intravenous dye administration ( p < .05). Our study shows that IR820 is a feasible agent in experimental models of imaging and hyperthermia and could be an alternative to ICG when greater stability, longer image collection times, or more predictable peak locations are desirable.

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Intraoperative near-infrared imaging with receptor-specific versus passive delivery of fluorescent agents in pituitary adenomas

Journal of Neurosurgery ◽

10.3171/2018.7.jns181642 ◽

2019 ◽

Vol 131 (6) ◽

pp. 1974-1984 ◽

Cited By ~ 8

Author(s):

Steve S. Cho ◽

Jun Jeon ◽

Love Buch ◽

Shayoni Nag ◽

MacLean Nasrallah ◽

...

Keyword(s):

Pituitary Adenomas ◽

Near Infrared ◽

Fluorescent Dyes ◽

Folate Receptor ◽

Intraoperative Imaging ◽

Fluorescence Signal ◽

Nonfunctioning Pituitary Adenomas ◽

Nir Imaging ◽

Nir Fluorescence ◽

Significant Difference

OBJECTIVEIntraoperative molecular imaging with tumor-targeted fluorescent dyes can enhance resection rates. In contrast to visible-light fluorophores (e.g., 5-aminolevulinic-acid), near-infrared (NIR) fluorophores have increased photon tissue penetration and less contamination from tissue autofluorescence. The second-window ICG (SWIG) technique relies on passive accumulation of indocyanine green (ICG) in neoplastic tissues. OTL38, conversely, targets folate receptor overexpression in nonfunctioning pituitary adenomas. In this study, we compare the properties of these 2 modalities for NIR imaging of pituitary adenomas to better understand the potential for NIR imaging in neurosurgery.METHODSA total of 39 patients with pituitary adenomas were enrolled between June 2015 and January 2018 in 2, sequential, IRB-approved studies. Sixteen patients received systemic ICG infusions 24 hours prior to surgery, and another 23 patients received OTL38 infusions 2–3 hours prior to surgery. NIR fluorescence signal-to-background ratio (SBR) was recorded during and after resection. Immunohistochemistry was performed on the 23 adenomas resected from patients who received OTL38 to assess expression of folate receptor–alpha (FRα).RESULTSAll 16 adenomas operated on after ICG administration demonstrated strong NIR fluorescence (mean SBR 4.1 ± 0.69 [SD]). There was no statistically significant difference between the 9 functioning and 7 nonfunctioning adenomas (p = 0.9). After administration of OTL38, the mean SBR was 1.7 ± 0.47 for functioning adenomas, 2.6 ± 0.91 for all nonfunctioning adenomas, and 3.2 ± 0.53 for the subset of FRα-overexpressing adenomas. Tissue identification with white light alone for all adenomas demonstrated 88% sensitivity and 90% specificity. SWIG demonstrated 100% sensitivity but only 29% specificity for both functioning and nonfunctioning adenomas. OTL38 was 75% sensitive and 100% specific for all nonfunctioning adenomas, but when assessment was limited to the 9 FRα-overexpressing adenomas, the sensitivity and specificity of OTL38 were both 100%.CONCLUSIONSIntraoperative imaging with NIR fluorophores demonstrates highly sensitive detection of pituitary adenomas. OTL38, a folate-receptor–targeted fluorophore, is highly specific for nonfunctioning adenomas but has no utility in functioning adenomas. SWIG, which relies on passive diffusion into neoplastic tissue, is applicable to both functioning and nonfunctioning pituitary adenomas, but it is less specific than targeted fluorophores. Thus, targeted and nontargeted NIR fluorophores play important, yet distinct, roles in intraoperative imaging. Selectively and intelligently using either agent has the potential to greatly improve resection rates and outcomes for patients with intracranial tumors.

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Influence of environmental factors on the detection of blood in sheep faeces using visible–near-infrared spectroscopy as a measure of Haemonchus contortus infection

Parasites & Vectors ◽

10.1186/s13071-020-04468-6 ◽

2020 ◽

Vol 13 (1) ◽

Author(s):

Elise A. Kho ◽

Jill N. Fernandes ◽

Andrew C. Kotze ◽

Glen P. Fox ◽

Maggy T. Sikulu-Lord ◽

...

Keyword(s):

Principal Component Analysis ◽

Haemonchus Contortus ◽

Prediction Accuracy ◽

Near Infrared ◽

Nir Spectroscopy ◽

Principal Component ◽

Component Analysis ◽

Diagnostic Methods ◽

Calibration Models ◽

Good Prediction Accuracy

Abstract Background Existing diagnostic methods for the parasitic gastrointestinal nematode, Haemonchus contortus, are time consuming and require specialised expertise, limiting their utility in the field. A practical, on-farm diagnostic tool could facilitate timely treatment decisions, thereby preventing losses in production and flock welfare. We previously demonstrated the ability of visible–near-infrared (Vis–NIR) spectroscopy to detect and quantify blood in sheep faeces with high accuracy. Here we report our investigation of whether variation in sheep type and environment affect the prediction accuracy of Vis–NIR spectroscopy in quantifying blood in faeces. Methods Visible–NIR spectra were obtained from worm-free sheep faeces collected from different environments and sheep types in South Australia (SA) and New South Wales, Australia and spiked with various sheep blood concentrations. Spectra were analysed using principal component analysis (PCA), and calibration models were built around the haemoglobin (Hb) wavelength region (387–609 nm) using partial least squares regression. Models were used to predict Hb concentrations in spiked faeces from SA and naturally infected sheep faeces from Queensland (QLD). Samples from QLD were quantified using Hemastix® test strip and FAMACHA© diagnostic test scores. Results Principal component analysis showed that location, class of sheep and pooled versus individual samples were factors affecting the Hb predictions. The models successfully differentiated ‘healthy’ SA samples from those requiring anthelmintic treatment with moderate to good prediction accuracy (sensitivity 57–94%, specificity 44–79%). The models were not predictive for blood in the naturally infected QLD samples, which may be due in part to variability of faecal background and blood chemistry between samples, or the difference in validation methods used for blood quantification. PCA of the QLD samples, however, identified a difference between samples containing high and low quantities of blood. Conclusion This study demonstrates the potential of Vis–NIR spectroscopy for estimating blood concentration in faeces from various types of sheep and environmental backgrounds. However, the calibration models developed here did not capture sufficient environmental variation to accurately predict Hb in faeces collected from environments different to those used in the calibration model. Consequently, it will be necessary to establish models that incorporate samples that are more representative of areas where H. contortus is endemic.

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Evaluation of Different Near-Infrared Spectroscopy Devices for Assessing Tissue Oxygenation with a Vascular Occlusion Test in Healthy Volunteers

Journal of Vascular Research ◽

10.1159/000510072 ◽

2020 ◽

Vol 57 (6) ◽

pp. 341-347

Author(s):

Jaeyeon Chung ◽

Sang-Hwan Ji ◽

Young-Eun Jang ◽

Eun-Hee Kim ◽

Ji-Hyun Lee ◽

...

Keyword(s):

Infrared Spectroscopy ◽

Near Infrared Spectroscopy ◽

Near Infrared ◽

Pairwise Comparison ◽

Vascular Occlusion ◽

Tissue Oxygen Saturation ◽

Vascular Occlusion Test ◽

Occlusion Test ◽

Significant Difference ◽

Post Hoc

Near-infrared spectroscopy devices can measure peripheral tissue oxygen saturation (StO2). This study aims to compare StO2 using INVOS® and different O3™ settings (O325:75 and O330:70). Twenty adults were recruited. INVOS® and O3™ probes were placed simultaneously on 1 side of forearm. After baseline measurement, the vascular occlusion test was initiated. The baseline value, rate of deoxygenation and reoxygenation, minimum and peak StO2, and time from cuff release to peak value were measured. The parameters were compared using ANOVA and Kruskal-Wallis tests. Bonferroni’s correction and Mann-Whitney pairwise comparison were used for post hoc analysis. The agreement between StO2 of devices was evaluated using Bland-Altman plots. INVOS® baseline value was higher (79.7 ± 6.4%) than that of O325:75 and O330:70 (62.4 ± 6.0% and 63.7 ± 5.5%, respectively, p < 0.001). The deoxygenation rate was higher with INVOS® (10.6 ± 2.1%/min) than with O325:75 and O330:70 (8.4 ± 2.2%/min, p = 0.006 and 7.5 ± 2.1%/min, p < 0.001). The minimum and peak StO2 were higher with INVOS®. No significant difference in the reoxygenation rate was found between the devices and settings. The time to reach peak after cuff deflation was faster with INVOS® (both p < 0.001). Other parameters were similar. There were no differences between the different O3™ settings. There were differences in StO2 measurements between the devices, and these devices should not be interchanged. Differences were not observed between O3™ device settings.

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Fast Non-Destructive Detection of Wool Content in Blended Fabrics Based on Near-Infrared Spectroscopy Technology

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.671.356 ◽

2015 ◽

Vol 671 ◽

pp. 356-362 ◽

Cited By ~ 1

Author(s):

Zhi Feng Chen ◽

Yuan Quan Hong ◽

Chang Jiang Wan ◽

Lian Ying Zhao

Keyword(s):

Infrared Spectroscopy ◽

Near Infrared Spectroscopy ◽

Near Infrared ◽

Detection Method ◽

Quantitative Model ◽

National Standard ◽

Fast Detection ◽

Significant Difference ◽

Validation Set ◽

Non Destructive

A fast non-destructive method of detection of wool content in blended fabrics was studied based on Near Infrared spectroscopy technology in order to avoid the time-consuming, tedious work and the destruction of samples in the traditional inspection. 621 wool/nylon, wool/polyester and wool/nylon/polyester blended fabrics were taken as research objects. To get the wool content, we established the wool near-infrared quantitative model by partial least squares (PLS) method after analyzing the color and composition of the samples. For verifying the validity and practicability of the model, 100 samples were chosen as an independent validation set. The variance analysis shows that there is no significant difference between Near Infrared fast detection method and national standard method (GB/T2910-2009),which indicates that this method is expected to be a means of fast non-destructive detection and will have extensive application future in the field of wool content detection.

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Calibration Transfer between Miniature Photodiode Array-Based Spectrometers in the near Infrared Assessment of Mandarin Soluble Solids Content

Journal of Near Infrared Spectroscopy ◽

10.1255/jnirs.318 ◽

2002 ◽

Vol 10 (1) ◽

pp. 27-35 ◽

Cited By ~ 28

Author(s):

C.V. Greensill ◽

K.B. Walsh

Keyword(s):

Near Infrared ◽

Model Updating ◽

Soluble Solids ◽

Soluble Solid Content ◽

Calibration Model ◽

Calibration Transfer ◽

Orthogonal Signal Correction ◽

Significant Difference ◽

Photodiode Array ◽

Direct Standardisation

The transfer of predictive models among photodiode array based, short wave near infrared spectrometers using the same illumination/detection optical geometry has been attempted using various chemometric techniques, including slope and bias correction (SBC), direct standardisation (DS), piecewise direct standardisation (PDS), double window PDS (DWPDS), orthogonal signal correction (OSC), finite impulse transform (FIR) and wavelet transform (WT). Additionally, an interpolation and photometric response correction method, a wavelength selection method and a model updating method were assessed. Calibration transfer was attempted across two populations of mandarin fruit. Model performance was compared in terms of root mean squared error of prediction ( RMSEP), using Fearn's significance testing, for calibration transfer (standardisation) between pairs of spectrometers from a group of four spectrometers. For example, when a calibration model (Root Mean Square Error of Cross-Validation [ RMSECV = 0.26% soluble solid content (SSC)], developed on one spectrometer, was used with spectral data collected on another spectrometer, a poor prediction resulted ( RMSEP = 2.5% SSC). A modified WT method performed significantly better (e.g. RMSEP = 0.25% SSC) than all other standardisation methods (10 of 12 cases), and almost on a par with model updating (MU) (nine cases with no significant difference, one case and two cases significantly better for WT and MU, respectively).

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Near-infrared fluorescence imaging with indocyanine green for quantification of changes in tissue perfusion following revascularization

Vascular ◽

10.1177/17085381211032826 ◽

2021 ◽

pp. 170853812110328

Author(s):

Pim Van den Hoven ◽

Floris S Weller ◽

Merel Van De Bent ◽

Lauren N Goncalves ◽

Melissa Ruig ◽

...

Keyword(s):

Indocyanine Green ◽

Fluorescence Imaging ◽

Fluorescence Intensity ◽

Near Infrared ◽

Tissue Perfusion ◽

Control Group ◽

Maximum Slope ◽

Nir Fluorescence ◽

Significant Difference ◽

Revascularization Procedures

Objectives Current diagnostic modalities for patients with peripheral artery disease (PAD) mainly focus on the macrovascular level. For assessment of tissue perfusion, near-infrared (NIR) fluorescence imaging using indocyanine green (ICG) seems promising. In this prospective cohort study, ICG NIR fluorescence imaging was performed pre- and post-revascularization to assess changes in foot perfusion. Methods ICG NIR fluorescence imaging was performed in 36 patients with PAD pre- and post-intervention. After intravenous bolus injection of 0.1 mg/kg ICG, the camera registered the NIR fluorescence intensity over time on the dorsum of the feet for 15 min using the Quest Spectrum Platform®. Time-intensity curves were plotted for three regions of interest (ROI): (1) the dorsum of the foot, (2) the forefoot, and (3) the hallux. Time-intensity curves were normalized for maximum fluorescence intensity. Extracted parameters were the maximum slope, area under the curve (AUC) for the ingress, and the AUC for the egress. The non-treated contralateral leg was used as a control group. Results Successful revascularization was performed in 32 patients. There was a significant increase for the maximum slope and AUC egress in all three ROIs. The most significant difference was seen for the maximum slope in ROI 3 (3.7%/s to 6.6%/s, p < 0.001). In the control group, no significant differences were seen for the maximum slope and AUC egress in all ROIs. Conclusions This study shows the potential of ICG NIR fluorescence imaging in assessing the effect of revascularization procedures on foot perfusion. Future studies should focus on the use of this technique in predicting favorable outcome of revascularization procedures.

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Qualitative Alpha-defensin Versus The Main Available Tests For The Diagnosis Of Periprosthetic Joint Infection: Best Predictor Test?

Journal of Bone and Joint Infection ◽

10.7150/jbji.26401 ◽

2018 ◽

Vol 3 (3) ◽

pp. 156-164 ◽

Cited By ~ 11

Author(s):

Giovanni Riccio ◽

Luca Cavagnaro ◽

Wassim Akkouche ◽

Giuliana Carrega ◽

Lamberto Felli ◽

...

Keyword(s):

Likelihood Ratio ◽

Periprosthetic Joint Infection ◽

Joint Infection ◽

Positive Likelihood Ratio ◽

Negative Likelihood Ratio ◽

Diagnostic Methods ◽

Minimal Amount ◽

Musculoskeletal Infection ◽

Infection Diagnosis ◽

Significant Difference

Abstract. Introduction: Biomarkers such as α-defensin demonstrated to be a potentially useful option in periprosthetic joint infection (PJI) diagnosis. Recently, a new point-of-care test for α-defensin level detection in synovial fluid has been commercialized in Europe. The aim of this study is to compare the α-defensin test (SynovasureTM) diagnostic ability with the main available clinical tests for periprosthetic joint infection diagnosis in a practical clinical setting of a Bone Infection Unit.Methods: Between 2015 and 2017, 146 patients with suspected chronic PJI were screened with SynovasureTM. Seventy-three of these met the Musculoskeletal Infection Society (MSIS) criteria and were included in the analysis. According to MSIS criteria, 40 patients (54.7%) were classified as infected and 33 (45.3%) as not infected. The results obtained with SynovasureTM were recorded and compared with standard diagnostic methods for PJI diagnosis.Results: SynovasureTM showed a sensitivity of 85.0 % (95% CI 70.2 to 94.3) and a specificity of 96.9 % (95% CI 83.8 to 99.9) for PJI detection. The positive likelihood ratio of SynovasureTM was 27.2 (95% CI 3.9 to 188.1) and the negative likelihood ratio was 0.2 (95% CI 0.1 to 0.3). The diagnostic odds ratio was 181.3 (95% CI 20.7 to 1590.4). SynovasureTM demonstrated a statistical significant difference when compared to Erythrocyte Sedimentation Rate (ESR) and C-reactive Protein (CRP) specificity (at least one positive test) and preoperative culture sensitivity (1 positive culture).Conclusion: Our findings show that SynovasureTM sensitivity is lower than quantitative α-D test, but when compared to the main available tests shows a good specificity and the highest DOR. On the SF it is the easier test to do, due to the fact that it needs a minimal amount of SF and it is not limited by blood contamination or antibiotic use. Whereas there is no single standalone test, SynovasureTM should be considered a reliable additional test for periprosthetic joint infection diagnosis in everyday clinical practice.

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The speed of reinfusion affects the vascular system during ozone major autohemotherapy

Ozone Therapy ◽

10.4081/ozone.2016.6477 ◽

2017 ◽

Vol 1 (3) ◽

pp. 56 ◽

Cited By ~ 1

Author(s):

Daniele Rimini ◽

Filippo Molinari ◽

William Liboni ◽

Vincenzo Simonetti ◽

Marianno Franzini

Keyword(s):

Infrared Spectroscopy ◽

Side Effects ◽

Near Infrared Spectroscopy ◽

Transcranial Doppler ◽

Near Infrared ◽

Vascular System ◽

Venous Blood ◽

Blood Drawing

Ozone major autohemotherapy (O-MAHT) is a way of ozonetherapy administration consisting of drawing patient’s venous blood, mixing with oxygen/ozone, and reinfusing it into the vein. Some ozone therapists reported side effects during the O-MAHT, but the origin has not been described yet. We investigated the effect of blood drawing velocity during O-MAHT to see its effects on the vascular system and symptomatology. We administered O-MAHT to 11 subjects, and we interleaved fast and slow reinfusions. We monitored cerebral macrocirculation with transcranial Doppler (TCD) and tissue microcirculation with near-infrared spectroscopy (NIRS). Annoying symptoms appeared just during the fast reinfusion periods. NIRS and TCD parameters revealed vasoconstriction during fast reinfusion and improved metabolism during slow reinfusion. Overall, our investigation well discriminated fast from slow reinfusion velocity.

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The The Role Of Von Willenbrand Factors As The Early Detection Of Endotel Cell Damage In Youth Ages With Obesity In The Usu Medan Campus Environment

ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat ◽

10.32734/abdimastalenta.v6i1.5865 ◽

2021 ◽

Vol 6 (1) ◽

pp. 179-181

Author(s):

Rusdiana ◽

Muhammad Syahputra ◽

Sry Suryani

Keyword(s):

Oxidative Stress ◽

Endothelial Cells ◽

Vascular System ◽

Cell Damage ◽

Single Layer ◽

Control Group ◽

Research Subjects ◽

Cross Sectional ◽

Significant Difference ◽

Obese Subjects

Preliminary : Endothelial cells are a single layer that lines the entire vascular system. Endothelial dysfunction can be triggered by several main things, namely physical stress, oxidative stress and irritant substances. Obesity triggers an inflammatory process and metabolic disorders that will lead to increased oxidative stress. Long-term oxidative stress will cause damage to cells and tissues and trigger degenerative diseases. Damage to endothelial cells is expected to be detected by examining Von Willenbrand levels so that it can prevent complications of vascular disorders early. Method: This research is descriptive with cross sectional design. Carried out from March to October 2018 on the USU Campus. The first examination was done to measure body weight and height to determine body mass index, then performed lipid profile and blood sugar levels (KGD) in the sample, then examined von Willenbrand factor levels carried out in the integrated laboratory of USU FK using the method ELISA in both the sample group and the control group. The research subjects were adolescents aged 17-25 years with BMI> 25 kg / m2Data analysis was carried out using the T-Test statistical program, comparing two groups. Result: Of the 40 obese subjects found Von Wilenbrand level values The lowest factor was 1.78 IU / ml and the highest was 35.60 IU / ml. Whereas in 40 non-obese subjects Von Wilenbrand grade values were the lowest factor of 2.01 IU / ml and the highest was 45.10 IU / ml. This difference was not statistically significant (p = 0.661).Conclusion: There was no significant difference between the levels of Von Wilenbrand Factors in obese subjects with non-obese subjectsKey Words: Obesity, endothelial cells, Von Wilenbrand Factors

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