Journal of Innovative Optical Health Sciences, 2020, 13 (6): 2050028, Published Online: Dec. 25, 2020  

Diffuse transmitted spectroscopy in conjunction with spectral peak averaging as a potential tool for noninvasive creatinine screening

Author Affiliations
1 Nephrology Department, Edith Wolfson Hospital, Holon 5822012, Israel
2 Sackler Faculty of Medicine, Tel Aviv University P. O. Box 39040, Tel Aviv 6997801, Israel
3 Department of Electrical and Electronics Engineering Ariel University, Ariel 4070000, Israel
Abstract
Creatinine (Cr) is a biochemical waste molecule generated from muscle metabolism and primarily cleared from the bloodstream by the kidneys. If kidney function declines, Cr levels in the blood tend to increase. Therefore, Cr serves as an indicator of kidney function. In this work, we present a simple method for the rapid screening for impaired renal function based on the subject's Cr concentration. In our setup, broadband white light is delivered to a finger clamp through a fiberoptic cable to illuminate the patient's finger. The light is transmitted through the finger and collected by a second optical fiber coupled to a visible–near-infrared (VisNIR) spectrometer which covers the spectral range from 400 nm to 1100 nm. During the calibration process, the transmitted spectra acquired from 60 patients were measured. An average was calculated using the peak level of the transmitted, diffused intensity at three different wavelengths to create a “Cr intensity index". Patients were divided into five groups according to their Cr concentration levels, ranging from 1 mg/dL to 13 mg/dL. Our observations indicated that each group featured a unique spectral fingerprint. Next, we tested the index on 20 patients not included in the calibration procedure (unknown samples). We were able to classify patients into groups according to their Cr level with moderate prediction accuracy (R2 = 0.55) and mean screening error of up to 16%. Future efforts will evaluate the accuracy of this approach with larger patient populations representing a broad range of Cr concentration. Still, this preliminary work is an essential step toward developing this useful noninvasive Cr screening platform using NIR light spectroscopy.

Zvi Hai Barnea (Burbea), Shmuel Zimlichman, David Abookasis. Diffuse transmitted spectroscopy in conjunction with spectral peak averaging as a potential tool for noninvasive creatinine screening[J]. Journal of Innovative Optical Health Sciences, 2020, 13(6): 2050028.

关于本站 Cookie 的使用提示

中国光学期刊网使用基于 cookie 的技术来更好地为您提供各项服务,点击此处了解我们的隐私策略。 如您需继续使用本网站,请您授权我们使用本地 cookie 来保存部分信息。
全站搜索
您最值得信赖的光电行业旗舰网络服务平台!