Abstract

.Significance: Spatial frequency domain imaging (SFDI), a noncontact wide-field imaging technique using patterned illumination with multiple wavelengths, has been used to quantitatively measure structural and functional parameters of in vivo tissue. Using SFDI in a porcine model, we previously found that scattering changes in skin could potentially be used to noninvasively assess burn severity and monitor wound healing. Translating these findings to human subjects necessitates a better understanding of the variation in “baseline” human skin scattering properties across skin types and anatomical locations.Aim: Using SFDI, we aim to characterize the variation in the reduced scattering coefficient () for skin across a range of pigmentation and anatomic sites (including common burn locations) for normal human subjects. These measurements are expected to characterize baseline human skin properties to inform our use of SFDI for clinical burn severity and wound healing assessments.Approach: SFDI was used to measure in the visible- and near-infrared regime (471 to 851 nm) in 15 subjects at 10 anatomical locations. Subjects varied in age, gender, and Fitzpatrick skin type.Results: For all anatomical locations, the coefficient of variation in measured decreased with increasing wavelength. High intersubject variation in at visible wavelengths coincided with large values of the melanin extinction coefficient at those wavelengths. At 851 nm, where intersubject variation in was smallest for all anatomical locations and absorption from melanin is minimal, significant intrasubject differences in were observed at the different anatomical locations.Conclusions: Our study is the first report of wide-field mapping of human skin scattering properties across multiple skin types and anatomical locations using SFDI. Measured values varied notably between skin types at wavelengths where absorption from melanin was prominent. Additionally, varied considerably across different anatomical locations at 851 nm, where the confounding effects from melanin absorption are minimized.

Highlights

  • Diffuse optical spectroscopic (DOS) techniques have been widely used to obtain in vivo tissue optical properties.[1,2]

  • In a porcine burn model, we previously showed that μs[0] may accurately predict burn severity and skin wound healing capabilities.[9,10,11]

  • These results showed promise for a potential new approach to rapidly assess burn severity and prognosticate wound healing, translating this technique to human subjects necessitates an understanding of baseline μs[0] values in human skin

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Summary

Introduction

Diffuse optical spectroscopic (DOS) techniques have been widely used to obtain in vivo tissue optical properties.[1,2] Using light transport models in the temporal and spatial domains, these techniques can quantify tissue absorption and scattering.[3,4,5] DOS techniques quantify the wavelength-dependent tissue reduced scattering (μs0) and absorption (μa) coefficients, which can be used to deduce subsurface structural and functional information. Researchers have used μs[0] to noninvasively assess wound healing.[6,7,8] In a porcine burn model, we previously showed that μs[0] may accurately predict burn severity and skin wound healing capabilities.[9,10,11] these results showed promise for a potential new approach to rapidly assess burn severity and prognosticate wound healing, translating this technique to human subjects necessitates an understanding of baseline μs[0] values in human skin. It is important to document μs[0] values of normal skin at commonly used DOS wavelengths (visible- and nearinfrared) for various anatomical locations and levels of pigmentation

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