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- Nilsson, Henrik, et al.
(author)
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Monte Carlo simulations of the light interaction with blood vessels in human skin in the red wavelength region
- 1998
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In: Proceedings of SPIE, 3252(06),44-53. - San José : SPIE. - 9780819426918 ; , s. 44-53
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Conference paper (peer-reviewed)abstract
- An attempt was made at determining if the elastically backscattered Doppler shifted light from cutaneous blood vessels merely emanates from the peripheral parts, or also from the more central core of these vessels, after illumination by red laser light (632 nm). A multilayered, semi-infinite Monte Carlo model of human skin was constructed accordingly, with separate layers or epidermis, dermis including blood, inferior vascular plexus and subcutaneous fat. Two concentric cylinders of infinite length and with varying diameters, representing core and peripheral parts of a blood vessel, were located at various depths in the skin model, either in the superior or inferior vascular plexus. In order to test the stability of the model predictions, widely varying values of the optical properties were employed in the calculations, trying to encompass most of the extreme values found in the literature. The number of photons Doppler shifted by a fixed size central core of a small blood vessel, is independent of the volume of blood surrounding this core in the rest of the blood vessel, provided the total number of detected photons is maintained constant, and the vessel dimensions are within human physiological limits. For the source/detector system simulated (one optical fiber 700 micrometer diameter), backscattered light Doppler shifted in superficial blood vessels constituted almost all the photons detected, with only very few photons having interacted with the inferior plexus.
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- Nilsson, Henrik, et al.
(author)
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Photon pathlength determination based on spatially resolved diffuse reflectance
- 2002
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In: Journal of Biomedical Optics. - : SPIE-Intl Soc Optical Eng. - 1083-3668 .- 1560-2281. ; 7:3, s. 478-485
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Journal article (peer-reviewed)abstract
- A method for the prediction of the average photon pathlength in turbid media has been developed. The method is based on spatially resolved diffuse reflectance with discrete source detector distances up to 2 mm. Light reflectance was simulated using a Monte Carlo technique with a one-layer model utilizing a wide range of optical properties, relevant to human skin. At a source detector separation of 2 mm, the pathlength can vary sixfold due to differences in optical properties. By applying various preprocessing and prediction techniques, the pathlength can be predicted with a root-mean-square error of approximately 5%. Estimation of the photon pathlength can be used, e.g., to remove the influence of optical properties on laser Doppler flowmetry perfusion readings, which are almost linearly related to the average photon pathlength.
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- Arildsson, Mikael, 1967-, et al.
(author)
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Critical design parameters in laser Doppler perfusion imaging
- 1996
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In: <em>Proc. SPIE</em> 2678. - : SPIE Proceedings Series. - 9780819420527 ; , s. 401-408
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Conference paper (peer-reviewed)abstract
- Laser Doppler Perfusion Imaging (LDPI) is a method for visualization of tissue blood perfusion. A low power laser beam is used to step-wise scan a tissue area of interest and a perfusion estimate based on the backscattered, partially Doppler broadened, light is generated. Although the basic operating principle of LDPI is the same as that of conventional Laser Doppler Perfusion Monitoring (LDPM), significant differences exist between the implementation of the methods which must be taken into account in order to generate high quality perfusion images. The purpose of this study is to investigate the relevance of a number of LDPI design parameters, such as:(1) The influence of artifact noise when using a continuously moving laser beam instead of a step-wise moving beam to scan the image.(2) The signal processor output's dependency on the distance between the measurement object and the scanner head when using collimated laser light.(3) The speed and mode of the scanning.The results show a substantial rise in the noise level when using a continuously moving beam as opposed to a step-wise. Skin measurements using a collimated laser beam demonstrated an amplification factor dependency on the distance between the skin surface and the scanner head not present when using a divergent laser beam. The scanning speed is limited by the trade-off between the Doppler signal lower cut-off frequency and the image quality.
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- Arildsson, Mikael, 1967-, et al.
(author)
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Effects on skin blood flow by provocation during local analgesia
- 2000
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In: Microvascular Research. - : Elsevier BV. - 0026-2862 .- 1095-9319. ; 59:1, s. 122-130
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Journal article (peer-reviewed)abstract
- Although topical analgesia cream has been used for several years, little is known about its effects on the microcirculation. Previous studies have shown a vasoconstrictive effect after short application times and a vasodilatation after longer application. It has also been shown that vasomotion does not occur in the analgesized skin. The present study was undertaken to investigate the alterations in skin blood perfusion following local cooling, local heating and pin-pricking after the establishment of analgesia. In 11 healthy volunteers, skin analgesia was attained by use of a eutectic mixture of lidocaine and prilocaine (EMLA, Astra Pain Control AB, Sweden) applied to the skin three hours prior to provocation. The changes in skin blood perfusion, after applying three different provocation methods, were studied using the laser Doppler technique. Local cooling and heating to temperatures of +10 and +45°C, respectively, were applied for 9 s by use of a copper probe (Ø12 mm). In the pin-prick provocation method, a combined effect of deflection and penetration of the skin to in total 3 mm was attained. Identical provocation methods were applied to placebo treated and untreated skin areas. After heat provocation, significant differences in the perfusion response between the treatments were seen (P < 0.0001). Skin areas treated with analgesia cream responded with a slow increase in perfusion that persisted beyond the four minute measurement period. Placebo and untreated areas decreased their perfusion over time. After cooling a significant reduction in skin perfusion was seen, irrespective of the treatment. Similarly, after pin-pricking a perfusion increase was seen for all treatments. The findings indicate that topical analgesia influences the myogenic control of the blood flow in those vascular plexa measured by laser Doppler following heat provocation. No differences could be seen in the response to pin-pricking and cooling for the different treatments.
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