Volume 17, Issue 10 e202400188
RESEARCH ARTICLE

Dual-Modal Optical Imaging of Tissue Perfusion in Response to Cooling Stimulation Facilitates Early Detection of Pressure Ulcer

Qingdong Zhang

Qingdong Zhang

Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei, China

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Peng Liu

Corresponding Author

Peng Liu

University of Science and Technology of China, Hefei, China

Suzhou Institute for Advanced Research, University of Science and Technology of China, Suzhou, China

Correspondence:

Peng Liu ([email protected])

Ronald X. Xu ([email protected])

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Pengfei Shao

Pengfei Shao

Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei, China

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Mingzhai Sun

Mingzhai Sun

University of Science and Technology of China, Hefei, China

Suzhou Institute for Advanced Research, University of Science and Technology of China, Suzhou, China

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Peng Yao

Peng Yao

Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei, China

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Shuwei Shen

Shuwei Shen

University of Science and Technology of China, Hefei, China

Suzhou Institute for Advanced Research, University of Science and Technology of China, Suzhou, China

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Yang Zhang

Yang Zhang

Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei, China

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Ming Wu

Ming Wu

Department of Rehabilitation, the First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China

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Ronald X. Xu

Corresponding Author

Ronald X. Xu

Department of Precision Machinery and Precision Instrumentation, University of Science and Technology of China, Hefei, China

University of Science and Technology of China, Hefei, China

Suzhou Institute for Advanced Research, University of Science and Technology of China, Suzhou, China

Correspondence:

Peng Liu ([email protected])

Ronald X. Xu ([email protected])

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First published: 27 August 2024

Funding: This research was supported by the National Key R&D Program of China (Grant Nos. 2021YFC2401402 and 2022YFA1104800) and the Natural Science Foundation of Jiangsu Province (Grant No. BK20231213).

ABSTRACT

Pressure ulcers present a significant human and economic challenge, lacking a reliable method for early detection. To address this, we developed a system capable of early detection by using cooling stimulation and dynamic data acquisition techniques to monitor blood perfusion and skin temperature. The system consists of laser speckle perfusion imaging and thermal imaging. And we performed simulations to demonstrate that the system is capable of detect tissue damage across multiple layers, from superficial to deep. Testing on a rabbit ear model demonstrated that this approach, which combines dynamic perfusion and temperature parameters, effectively distinguishes early pressure ulcer areas from normal skin with a significant p value of 0.0015. This distinction was more precise compared to methods relying solely on static parameters or one parameter. Our study thereby offers a promising advancement in the proactive management and prevention of pressure ulcers.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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