A new look at the essence of the imaging photoplethysmography.

Autor: Kamshilin AA; 1] Department of Applied Physics, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland [2] Scientific-Technical Centre for Computational Optics, Photonics and Imaging, ITMO University, 197101 St. Petersburg, Russia., Nippolainen E; Department of Applied Physics, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland., Sidorov IS; Delfin Technologies Ltd., FI- 70210 Kuopio, Finland., Vasilev PV; Faculty of Medicine, St. Petersburg State University, 199034 St. Petersburg, Russia., Erofeev NP; Faculty of Medicine, St. Petersburg State University, 199034 St. Petersburg, Russia., Podolian NP; 1] School of Natural Sciences, Far-Eastern Federal University, 690950 Vladivostok, Russia [2] Lab. of Precision Optical Measurement Techniques, Institute of Automation and Control Processes FEB RAS, 690041 Vladivostok, Russia., Romashko RV; 1] School of Natural Sciences, Far-Eastern Federal University, 690950 Vladivostok, Russia [2] Lab. of Precision Optical Measurement Techniques, Institute of Automation and Control Processes FEB RAS, 690041 Vladivostok, Russia.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2015 May 21; Vol. 5, pp. 10494. Date of Electronic Publication: 2015 May 21.
DOI: 10.1038/srep10494
Abstrakt: Photoplethysmography (PPG) is a noninvasive optical method accepted in the clinical use for measurements of arterial oxygen saturation. It is widely believed that the light intensity after interaction with the biological tissue in vivo is modulated at the heartbeat frequency mainly due to pulsatile variations of the light absorption caused by arterial blood-volume pulsations. Here we report experimental observations, which are not consistent with this model and demonstrate the importance of elastic deformations of the capillary bed in the formation of the PPG waveform. These results provide new insight on light interaction with live tissue. To explain the observations we propose a new model of PPG in which pulse oscillations of the arterial transmural pressure deform the connective-tissue components of the dermis resulting in periodical changes of both the light scattering and absorption. These local changes of the light-interaction parameters are detected as variations of the light intensity returned to a photosensitive camera. Therefore, arterial pulsations can be indirectly monitored even by using the light, which slightly penetrates into the biological tissue.
Databáze: MEDLINE