title: Small-volume frequency-domain oximetry: phantom experiments and first in vivo results.
abstract: We describe a new method to determine the oxygen saturation and the total hemoglobin content of tissue in vivo absolutely at small source-detector separations (<10 mm). Phase and mean intensity of modulated laser light of various wavelengths was measured at several predetermined source-detector separations in the frequency domain. From these measured quantities, the absorption coefficient was derived using the modified time-integrated microscopic Beer-Lambert law (MBL). In addition, the interaction volume of the photons was determined using a multi-layer Monte-Carlo model of human skin. To evaluate the method, we employed homogenous solid phantoms (consisting of TiO2 particles embedded in resin) with mean scattering and absorbing properties comparable to those of human skin. Furthermore, in vivo measurements were performed in a healthy volunteer to demonstrate that the technique is applicable for the determination of the oxygen saturation and the total hemoglobin content in the skin in vivo. The proposed technique is especially suited for the on-line determination of the oxygen saturation and total hemoglobin content in applications where small applicators are required (e.g., fetal oxygen monitoring sub partu).
authors.affiliation: Heinrich-Heine University, Department of Laser Medicine, D-40225 Düsseldorf, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Willmann
authors.forename: Albert
authors.initials: A
authors.lastname: Terenji
authors.forename: Jens
authors.initials: J
authors.lastname: Osterholz
authors.forename: Jörg
authors.initials: J
authors.lastname: Meister
authors.forename: Peter
authors.initials: P
authors.lastname: Hering
authors.forename: Hans-Joachim
authors.initials: HJ
authors.lastname: Schwarzmaier
mesh_terms: D000465:Algorithms; D001785:Blood Gas Monitoring, Transcutaneous / Q000379:methods*; D003936:Diagnosis, Computer-Assisted / Q000379:methods*; D005240:Feasibility Studies; D005542:Forearm / Q000098:blood supply / Q000502:physiology; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D019047:Phantoms, Imaging; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012867:Skin / Q000098:blood supply* / Q000378:metabolism*; D013057:Spectrum Analysis / Q000379:methods*
chemical_list: D006454:Hemoglobins