#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Diffuse Reflectance Spectrophotometry II: Practical Applications – a Pilot Study


Authors: K. Soršáková-Trnovská;  V. Hegyi
Authors‘ workplace: Detská dermatovenerologická klinika LFUK a DFNsP v Bratislave prednosta: doc. MUDr. T. Danilla, CSc.
Published in: Čes-slov Derm, 85, 2010, No. 1, p. 21-28
Category: Clinical and laboratory Research

Overview

Diffuse reflectance spectrophotometry is a non-invasive method to investigate optical properties of the skin. This method has a wide clinical use in dermatology, especially, in evaluation of erythematous skin diseases, pigmented skin lesions, disorders of pigmentation and skin tests. We used this method to evaluate normal skin and skin with clinical features of vitiligo within a group of children in age from 3 to 18 years and haemangiomas within a group of neonates to 3. year-old infants. We measured reflected visible light from different areas of normal skin, depigmented skin and haemangioma and made a spectral analysis of data acquired.

Examinations with special probes are perfomed very quickly, in a non-invasive manner, and it is possible to repeat them more times without any discomfort or any negative impact on infants. This method helps to range patients into different phototype groups, gives unique opportunity to monitor morphological haemangiomas changes during growth of the infant, estimates amount of chromophores, mainly oxyhaemoglobine in erythematous lesions, melanin in normal skin, lack of this chromophore in hypopigmented and depigmented skin and determines blood perfusion in examined lesions. According to our data obtained by repeated non-invasive spectral analysis in visible light we can predict the future development of haemangiomas in childhood and manage phototherapy of vitiliginous skin.

Key words:
spectrophotometer – chromophores – hemangioma – vitiligo


Sources

1. ANDERSEN, PH., BJERRING, P. Noninvasive computerized analysis of skin chromophores in vivo by reflectance spectroscopy. Photodermatol Photoimmunol Photomed, 7, 1990, p. 249-257.

2. FIKRLE, T., CETKOVSKÁ, P., RESL, V.: Měření přirozené pigmentace kůže metodou remitenční spektrofotometrie. Čes.-Slov. Derm., 79, 2004, No. 3, p. 103-108.

3. HENNESSY, A., OH, C., REES, J., DIFFEY, B. The photoadaptive response to ultraviolet exposure in human skin using ultraviolet spectrophotometry. Photodermatol Photoimmunol Photomed, 21, 2005, p. 229-233.

4. KOLLIAS, N., BAQER, A. On the assessment of melanin in human skin in vivo. Photochem Photobiol, 43, 1986, p. 49-54.

5. KOLLIAS, N., BAQER, A. Spectroscopic characteristics of human melanin in vivo. J invest Dermatol, 85, 1985, p. 38-42.

6. KOLLIAS, N., BAQER, A. Quantitative assessement of UV-induced pigmentation and erythema. Photodermatol, 5, 1988, p. 53-60.

7. KOLLIAS, N., GILLIES, R., MUCCINI, JA. et al. A single parameter, Oxygenated hemoglobin, can be used to quantify experimental irritant-induced inflamation. J invest Dermatol, 3, 1995, p. 421-424.

8. KOLLIAS, N., STATAMAS, GN. Optical non-invasive approaches to diagnosis of skin diseases. The Society for Investigative Dermatology, 7, 2002, p. 64-75.

9. LYNGNES RANDEBERG, LL. Diagnostic applications of diffuse reflectance spectroscopy. Trondheim: Doctoral Theses at NTNU, 2005:100, p. 1-48, ISBN 82-471-7077-9.

10. LYNGNES RANDEBERG, L., BRUZELL ROLL, E., NORVANG NILSEN, LT. et al. In vivo spectroscopy of jaundiced newborn skin reveals more than a bilirubin index. Acta Paediatrica, 94, 2005, p. 65-71.

11. MOYAL, D., REFRÉGIER, JL., CHARDON, A. In vivo measurement of the photostability of sunscreen products using diffuse reflectance spectroscopy. Photodermatol Photoimmunol Photomed, 18, 2002, p. 14-22.

12. STATAMAS, GN., ZMUDZKA, BZ., KOLLIAS, N. et al. Non-invasive measurements of skin pigmentation in situ. Pigment Cell Res, 17, 2004, p. 618-625.

13. STATAMAS, GN., ZMUDZKA, BZ., KOLLIAS, N. et al. In vivo measurement of skin erythema and pigmentation: new means of implementation of diffuse reflectance spectroscopy with a commercial instrument. Br J Dermatol, 159, 2008, p. 683-690.

14. SORŠÁKOVÁ-TRNOVSKÁ, K., KEPPERT, M., HEGYI, V. Difúzna reflexná spektrofotometria I. Spektrofotmeter a technické prevedenie. Čes-slov Derm, 84, 2009, 2, s. 107-113.

15. RIORDAN, B., SPRONGLE, S., LINDEN, M. Testing the validity of erythema detection algorithms. J rehabil Res Develop, 38, 2001, p. 13-22.

16. WALLACE, VP., CRAWFORD, DC., MORTIMER, PS. et al. Spectrophotometric assessment of pigmented skin lesions: methods and feature selection for evaluation of diagnostic performance. Phys. Med. Biol, 45, 2000, p. 735-751.

Labels
Dermatology & STDs Paediatric dermatology & STDs
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#