SignificanceThe magnitude and temporal dynamics of changes in blood nutrient and lipid levels following a high-fat meal have been previously shown to be an important indicator of current and future cardiovascular health and disease. Measurement of circulating nutrients and lipids currently requires invasive blood draws. The development of a non-invasive method for continuous monitoring of postprandial (i.e., after-meal) changes may assist in enhancing cardiovascular health management, dietary monitoring, and identification of disease-promoting factors. Spatial frequency domain imaging (SFDI) is a non-contact, label-free optical technique that can quantify tissue optical properties and hemodynamics in vivo. We hypothesized that SFDI may track the postprandial state in peripheral tissue.AimWe aim to investigate the relationship between postprandial factors, namely triglycerides and glucose, and the optical properties and oxygenation of peripheral tissue measured with SFDI.ApproachFifteen healthy volunteers consumed both a low- (2 g) and high- (60 g) fat meal on different days. A custom SFDI device was used to measure the dorsal hand surface of volunteers before the meal and each hour for 5 h after the meal. Measurements were taken at 730, 880, and 1100 nm. Longitudinal postprandial changes in tissue optical properties were correlated with changes in blood triglycerides and glucose levels as well as blood pressure, heart rate, and room temperature. A machine-learning model was trained to estimate triglyceride levels from SFDI metrics.ResultsSeveral SFDI metrics increased and peaked 3 to 4 h following the high-fat meal, including tissue oxygen saturation (StO2) and oxyhemoglobin (HbO2) concentration, and were substantially different from the low-fat cohort (p<0.05 at 3 h). The increases were large, >5% for StO2 and >10% for HbO2 concentration on average. The temporal changes in these metrics broadly tracked triglyceride levels, which peaked at 3 h post-meal. The predictive model accurately estimated blood triglyceride levels (RMSE 40 mg/dL).ConclusionThese findings suggest that SFDI could serve as a powerful non-invasive tool to monitor postprandial hemodynamics. In the future, SFDI measurements may help enhance cardiovascular disease prediction and management.
SignificanceBlood lipid levels (i.e., triglycerides (TGs) and cholesterol) are a strong predictor of cardiovascular disease (CVD) risk. Current methods for measuring blood lipids require invasive blood draws and traditional lab testing, limiting their practicality for frequent monitoring. Optical measurements of lipoproteins, which carry TG and cholesterol in blood, may lead to simpler invasive or non-invasive methods for more frequent and rapid blood lipid measurements.AimTo investigate the effect of lipoproteins on optical properties of blood before and after a high-fat meal (i.e., the pre- and post-prandial state).ApproachSimulations were performed using Mie theory to estimate lipoprotein scattering properties. A literature review was conducted to identify key simulation parameters including lipoprotein size distributions and number density. Experimental validation of ex-vivo blood samples was conducted using spatial frequency domain imaging.ResultsOur results indicated that lipoproteins in blood, particularly very low-density lipoproteins and chylomicrons, are highly scattering in the visible and near-infrared wavelength region. Estimates of the increase in the reduced scattering coefficient (μs′) of blood at 730 nm after a high-fat meal ranged from 4% for a healthy individual, to 15% for those with type 2 diabetes, to up to 64% for those suffering from hypertriglyceridemia. A reduction in blood scattering anisotropy (g) also occurred as a function of TG concentration increase.ConclusionThese findings lay the foundation for future research in the development of optical methods for invasive and non-invasive optical measure of blood lipoproteins, which could improve early detection and management of CVD risk.
We present on blood optical property alterations induced by lipids. Mie simulations were conducted to estimate the magnitude of μ_s^' changes due to changes in lipoprotein particles in blood after a meal. Longitudinal SFDI measurements were performed on the dorsal surface of volunteers’ hands pre and post high fat meal for 5 hours to monitor optical property changes within superficial vessels. The results show an increase in μ_s^' and a decrease in μ_a with higher changes observed in SFDI measurements compared to Mie simulations, potentially due to hemodynamic alterations that occur after a meal.
Significance: The shortwave infrared (SWIR) optical window (∼900 to 2000 nm) has attracted interest for deep tissue imaging due to the lower scattering of light. SWIR spatial frequency domain imaging (SWIR SFDI) provides wide-field tissue optical property measurements in this wavelength band. Key design and performance characteristics, such as portability, wavelength selection, measurement resolution, and the effect of skin have not yet been addressed for SWIR SFDI.
Aim: To fabricate and characterize a SWIR SFDI system for clinical use.
Approach: The optimal choice of wavelengths was identified based on optical property uncertainty estimates and imaging depth. A compact light-emitting diode-based dual wavelength SWIR SFDI system was fabricated. A two-layer inverse model was developed to account for the layered structure of skin. Performance was validated using tissue-simulating phantoms and in-vivo measurements from three healthy subjects.
Results: The SWIR SFDI system had a μs′ resolution of at least 0.03 mm − 1 at 880 nm and 0.02 mm − 1 at 1100 nm. The two-layer inverse model reduced the error in deeper layer μs′ extractions by at least 24% in the phantom study. The two-layer model also increased the contrast between superficial vessels and the surrounding tissue for in-vivo measurements.
Conclusion: The clinic-ready SWIR SFDI device is sensitive to small optical property alterations in diffuse media, provides enhanced accuracy in quantifying optical properties in the deeper layers in phantoms, and provided enhanced contrast of subcutaneous blood vessels.
Regular blood lipid screening is recommended for early diagnosis of cardiovascular diseases. We present a portable LED based SFDI system as a new clinical tool for non-invasive blood lipid monitoring. The new SFDI system was used to measure changes in optical properties within subcutaneous blood vessels on subjects’ dorsal hands after consumption of a meal. Superficial blood vessels were segmented and a two-layer inverse model was used to incorporate the effects of overlying skin. The results show an increase in μ_s^' and a decrease in μ_a at around 3h after the meal, followed by a gradual return to baseline values.
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