A. C. M. Dassel

Condensed Monte Carlo simulations for the description of light transport

A novel method, condensed Monte Carlo simulation, is presented that applies the results of a single Monte Carlo simulation for a given albedo micro(s)/(micro(alpha) & micro(s)) to obtaining results for other albedos; micro(s) and micro(alpha), are the scattering and absorption coefficients, respectively. The method requires only the storage of the number of interactions of each photon with the medium. The reflectance and transmittance of turbid slabs can thus be found from a limited number of condensed Monte Carlo simulations. We can use an inversion procedure to obtain the absorption and scattering coefficients from the total reflectance and total transmittance of slabs. Remitted photon densities from a semi-infinite medium as a function of the distance between the light source and the detector for all albedos can be found even from the results of a single condensed Monte Carlo simulation. The application of similarity rules may reduce further the number of Monte Carlo simulations that are needed to describe the influence of the distribution of scattering angles on the results.

Optical properties of human dermis in vitro and in vivo

Condensed Monte Carlo simulation results have been used for calculating absorption and reduced scattering coefficients from the literature data on the measured total transmittance and total reflectance of samples of the human skin in vitro. The results of several measuring methods have been compared. We have also estimated the range for absorption coefficients and reduced scattering coefficients at 660 and 940 nm from measured intensities at the skin surface as a function of the distance from the location where the light enters the skin by using condensed Monte Carlo simulations for a homogeneous semi-infinite medium. The in vivo values for the absorption coefficients and the reduced scattering coefficients appear to be much smaller than the values from the in vitro measurements, that have been assumed until now. The discrepancies have been discussed in detail. Our in vivo results are in agreement with other in vivo measurements that are available in the literature.

Laser Doppler velocimeter based on the self-mixing effect in a fiber-coupled semiconductor laser : theory

A laser Doppler velocimeter that consists of a semiconductor laser coupled to a fiber and that uses the self-mixing effect is presented. The velocimeter can be used for solids and fluids. A theoretical model is developed to describe the self-mixing signals as a function of the amount of feedback into the laser and the distance from the laser to the moving object. Good agreement is found between this theory and measurements.

SELF-MIXING LASER-DOPPLER VELOCIMETRY OF LIQUID FLOW AND OF BLOOD PERFUSION IN TISSUE

The velocimetry method of self-mixing, i.e., the feedback of Doppler-scattered light into the laser cavity, is used for the measurement of liquid flow and of blood perfusion in human tissue. The method is elucidated by the registration of the blood perfusion of a finger under repeated occlusion of the veins in the upper arm and with the velocity measurement of a liquid flow containing scattering particles.

Laser Doppler blood flowmetry using two wavelengths: Monte Carlo simulations and measurements.

A new laser Doppler blood flowmeter for measuring skin perfusion is presented. The flowmeter consists of a probe that uses two different wavelengths and is able to measure at different depths. It may be used to distinguish the superficial microcirculation of the skin providing nutritional flow and the flow in deeper situated blood vessels (thermoregulatory flow). Measurements and Monte Carlo simulations of the Doppler signals for human skin are shown.

Fiber-coupled self-mixing diode-laser Doppler velocimeter: technical aspects and flow velocity profile disturbances in water and blood flows

The effects of disturbances of the flow pattern in front of the fiber facet of a fiber-coupled self-mixing diode-laser Doppler velocimeter system are investigated. This was done by comparing measurements and calculations of the Doppler frequency spectrum with the expected values. The calculated Doppler spectrum was obtained from the calculation of light scattered (with or without Doppler shift) by the moving particles in front of the fiber facet. The velocity profile of the particles was calculated with a finite-element method. Measurements were done with water (with polystyrene spheres) and whole blood as the samples. Good agreement between measurements and calculations were obtained. The velocimeter was modeled as a five-mirror setup. The reflectivity of the fiber facet closest to the laser turns out to have the most influence on the sensitivity and stability of the laser. Direct reflection of unwanted light back into the laser cavity was avoided by placing a glass plate in front of the fiber. Design consi ations are presented.

REFLECTANCE PULSE OXIMETRY AT THE FOREHEAD IMPROVES BY PRESSURE ON THE PROBE

In this study, we investigated the possibility of improving reflectance (back-scatter) pulse oximetry measurements by pressure applied to the probe. Optimal signal detection, with the probe applied to an easily accessible location, is important to prevent erroneous oxygen saturation readouts. At the foreheads of 10 healthy adult volunteers, the effects of pressure applied onto the reflectance pulse oximeter probe were studied. Distances between the LEDs (660 nm and 940 nm) and the three photodiodes in the sensor were 4 mm, 7 mm, and 10 mm. For each detector, recordings were evaluated regarding red-to-infrared (R/IR) ratios and pulse sizes in relation to the stepwise increased pressure applied to the probe. R/IR variability decreased with applied pressures between 60 and 120 mm Hg. These findings are partly attributed to a corresponding increase in red and infrared pulse sizes at the detectors, which results in an improved signal-to-noise ratio. It is thought that pressure onto the oximeter sensor forces venous blood out of the tissues underneath the sensor. Consequently, the disturbing influence of pulsating and non-pulsating venous blood is reduced. Moreover, the increased difference in vessel diameter between diastole and systole and the corresponding difference in light absorption and an increase in flow velocities, causes an increase in pulse size with increasing pressure on the probe. Pressure applied to the probe may be useful in increasing the accuracy of reflectance pulse oximetry.

Effect of location of the sensor on reflectance pulse oximetry

Objective The influence of the location of the sensor on reflectance pulse oximetry during fetal monitoring in labour was investigated using the newborn infant as a model.

Reflectance pulse oximetry at the forehead of newborns : The influence of varying pressure on the probe

Objective: Transmission pulse oximetry (TPO) is not a practical method of intrapartum fetal monitoring of arterial oxygen saturation. Reflectance pulse oximetry (RPO) requires a sensor applied to the skin of the fetal head and may be a useful technique. During labor, various degrees of pressure will be exerted on the RPO sensor. Previous studies have shown that moderate pressure on the sensor can improve the RPO signal. At increasing pressure, however, blood flow underneath the sensor will be occluded. This study examines the influence of pressure applied to the RPO sensor on the signal from the forehead of healthy newborns as a model for the fetal situation.Methods: After institutional approval, 12 healthy newborns were studied. The RPO probe was placed at the forehead. Pressure on the probe was increased stepwise from 0 to 80 mmHg, and the effect on the ratio between the relative changes of the red and infrared light intensities (R/IR, inversely related to oxygen saturation) and pulse sizes was evaluated. Additionally, the effect of firm pressure (>150 mmHg) on the probe was evaluated.Results: R/IR values remained virtually unchanged when pressure onto the probe was increased from 0 to 80 mmHg, although the standard deviation slightly decreased. The pulse size increased as pressure on the probe increased. During firm pressure on the probe (> 150 mmHg), plethysmographic signals remained detectable, but R/IR values markedly increased.Conclusions: In newborns, mild to moderate pressure on the probe has little influence on the RPO signal at the forehead. Even during firm pressure, RPO can be used to obtain pulsatile signals, that presumably derive from tissue underneath the skull, such as the cerebral circulation.

Signal processing for a laser-Doppler blood perfusion meter

Two signal processing methods for laser-Dopper perfusion velocimetry are presented. The methods are based on the calculation of the moments of the frequency power spectrum. The first uses Vω-filtering (ω is the frequency) with analogous electronics, the second uses signal autocorrelation with digital electronics. Comparison is made with a third instrument: a spectrum analyzer coupled to a computer, using Fourier transform tecniques. The performance of these setups (sensitivity, limit sensitivity and accuracy) are investigated. We propose a calibration standard for signal processors to be used for blood perfusion measurements. The analogous instrument proved to be the cheapest but the digital instrument had the best performance.