In vitro and in vivo efficacy of new blue light emitting diode phototherapy compared to conventional halogen quartz phototherapy for neonatal jaundice.
High intensity light emitting diodes (LEDs) are being studied as possible light sources for the phototherapy of neonatal jaundice, as they can emit high intensity light of narrow wavelength band in the blue region of the visible light spectrum corresponding to the spectrum of maximal bilirubin absorption. We developed a prototype blue gallium nitride LED phototherapy unit with high intensity, and compared its efficacy to commercially used halogen quartz phototherapy device by measuring both in vitro and in vivo bilirubin photodegradation. The prototype device with two focused arrays, each with 500 blue LEDs, generated greater irradiance than the conventional device tested. The LED device showed a significantly higher efficacy of bilirubin photodegradation than the conventional phototherapy in both in vitro experiment using microhematocrit tubes (44+/-7% vs. 35+/-2%) and in vivo experiment using Gunn rats (30+/-9% vs. 16+/-8%). We conclude that high intensity blue LED device was much more effective than conventional phototherapy of both in vitro and in vivo bilirubin photodegradation. Further studies will be necessary to prove its clinical efficacy.
Chang
Yun Sil
YS
Department of Pediatrics, Samsung Medical Center, Samsung Cheil Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hwang
Jong Hee
JH
Kwon
Hyuk Nam
HN
Choi
Chang Won
CW
Ko
Sun Young
SY
Park
Won Soon
WS
Shin
Son Moon
SM
Lee
Munhyang
M
D000818:Animals; D001663:Bilirubin / Q000378:metabolism*; D001671:Biochemistry / Q000379:methods*; D005708:Gallium / Q000494:pharmacology; D006400:Hematocrit; D066298:In Vitro Techniques; D008027:Light; D010789:Phototherapy / Q000379:methods*; D051381:Rats; D011911:Rats, Gunn
C473348:gallium nitride; D005708:Gallium; D001663:Bilirubin
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