mHealth spectroscopy of blood hemoglobin with spectral super-resolution.

Although blood hemoglobin (Hgb) testing is a routine procedure in a variety of clinical situations, noninvasive, continuous, and real-time blood Hgb measurements are still challenging. Optical spectroscopy can offer noninvasive blood Hgb quantification, but requires bulky optical components that intrinsically limit the development of mobile health (mHealth) technologies. Here, we report spectral super-resolution (SSR) spectroscopy that virtually transforms the built-in camera (RGB sensor) of a smartphone into a hyperspectral imager for accurate and precise blood Hgb analyses. Statistical learning of SSR enables us to reconstruct detailed spectra from three color RGB data. Peripheral tissue imaging with a mobile application is further combined to compute exact blood Hgb content without a priori personalized calibration. Measurements over a wide range of blood Hgb values show reliable performance of SSR blood Hgb quantification. Given that SSR does not require additional hardware accessories, the mobility, simplicity, and affordability of conventional smartphones support the idea that SSR blood Hgb measurements can be used as an mHealth method.

[1]  M. Midwinter,et al.  Observational study of the effects of traumatic injury, haemorrhagic shock and resuscitation on the microcirculation: a protocol for the MICROSHOCK study , 2016, BMJ Open.

[2]  C. Schulman,et al.  Change in Hematocrit during Trauma Assessment Predicts Bleeding Even with Ongoing Fluid Resuscitation , 2013, The American surgeon.

[3]  Jeremias Leão,et al.  A new model selection criterion for partial least squares regression , 2017 .

[4]  U. Gurkan,et al.  Clinical Testing of Hemechip in Nigeria for Point-of-Care Screening of Sickle Cell Disease , 2018, Blood.

[5]  Sheng Chiong Hong,et al.  Safety of iPhone retinal photography , 2017, Journal of medical engineering & technology.

[6]  E. Abraham,et al.  Continuous monitoring of tissue pH with a fiberoptic conjunctival sensor. , 1985, Annals of emergency medicine.

[7]  T. Ndung’u,et al.  Diagnostic Accuracy of the HemoCue Hb 301, STAT-Site MHgb and URIT-12 Point-of-Care Hemoglobin Meters in a Central Laboratory and a Community Based Clinic in Durban, South Africa , 2016, PloS one.

[8]  Andrew Thomas,et al.  A method to correct for stray light in telecentric optical-CT imaging of radiochromic dosimeters , 2011, Physics in medicine and biology.

[9]  Sang-Hyun Kim,et al.  Accuracy of Continuous Noninvasive Hemoglobin Monitoring: A Systematic Review and Meta-Analysis , 2014, Anesthesia and analgesia.

[10]  Jeffrey Shuren,et al.  FDA Regulation of Mobile Medical Apps. , 2018, JAMA.

[11]  J. Windsor,et al.  Heights and haematology: the story of haemoglobin at altitude , 2007, Postgraduate Medical Journal.

[12]  A. Detsky,et al.  The relation of conjunctival pallor to the presence of anemia , 1997 .

[13]  Izumi Nishidate,et al.  Estimation of Melanin and Hemoglobin Using Spectral Reflectance Images Reconstructed from a Digital RGB Image by the Wiener Estimation Method , 2013, Sensors.

[14]  Jinxing Liang,et al.  Optimized method for spectral reflectance reconstruction from camera responses , 2017 .

[15]  A. Rai,et al.  Smartphone dongle for simultaneous measurement of hemoglobin concentration and detection of HIV antibodies. , 2015, Lab on a chip.

[16]  K. Marsh,et al.  Screening for severe anaemia in pregnancy in Kenya, using pallor examination and self-reported morbidity. , 2001, Transactions of the Royal Society of Tropical Medicine and Hygiene.

[17]  Alberto Signoroni,et al.  Deep Learning Meets Hyperspectral Image Analysis: A Multidisciplinary Review , 2019, J. Imaging.

[18]  Selim Suner,et al.  Photonics‐based In Vivo total hemoglobin monitoring and clinical relevance , 2009, Journal of biophotonics.

[19]  J. P. Peña-Rosas,et al.  Revisiting WHO haemoglobin thresholds to define anaemia in clinical medicine and public health. , 2018, The Lancet. Haematology.

[20]  Izumi Nishidate,et al.  Multispectral imaging of absorption and scattering properties of in vivo exposed rat brain using a digital red-green-blue camera , 2015, Journal of biomedical optics.

[21]  D. Giavarina Understanding Bland Altman analysis , 2015, Biochemia medica.

[22]  Terry K Koo,et al.  A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. , 2016, Journal Chiropractic Medicine.

[23]  Kurt C. Lawrence,et al.  Hyperspectral imaging using RGB color for foodborne pathogen detection , 2015, J. Electronic Imaging.

[24]  Danilo Caivano,et al.  Detecting Clinical Signs of Anaemia From Digital Images of the Palpebral Conjunctiva , 2019, IEEE Access.

[25]  John W. McMurdy,et al.  Non-invasive determination of hemoglobin by digital photography of palpebral conjunctiva. , 2007, The Journal of emergency medicine.

[26]  J. Bakker,et al.  Noninvasive monitoring of peripheral perfusion , 2005, Intensive Care Medicine.

[27]  Yibo Zhang,et al.  Deep learning‐based color holographic microscopy , 2019, Journal of biophotonics.

[28]  W. Lam,et al.  Simultaneous point-of-care detection of anemia and sickle cell disease in Tanzania: the RAPID study , 2018, Annals of Hematology.

[29]  John W. McMurdy,et al.  Combined reflectance spectroscopy and stochastic modeling approach for noninvasive hemoglobin determination via palpebral conjunctiva , 2014, Physiological reports.

[30]  C. Schulman,et al.  Initial hematocrit in trauma: A paradigm shift? , 2012, The journal of trauma and acute care surgery.

[31]  Adam B. Cohen,et al.  Digital health: a path to validation , 2019, npj Digital Medicine.

[32]  A R Kent,et al.  Conjunctival vasculature in the assessment of anemia. , 2000, Ophthalmology.

[33]  L. Celi,et al.  Machine learning can accurately predict pre-admission baseline hemoglobin and creatinine in intensive care patients , 2019, npj Digital Medicine.

[34]  H. Moriyama,et al.  Mechanisms of hemoglobin adaptation to high altitude hypoxia. , 2008, High altitude medicine & biology.

[35]  Seung Ho Choi,et al.  Toward laboratory blood test-comparable photometric assessments for anemia in veterinary hematology , 2016, Journal of biomedical optics.

[36]  Quan Liu,et al.  Modified Wiener estimation of diffuse reflectance spectra from RGB values by the synthesis of new colors for tissue measurements. , 2012, Journal of biomedical optics.

[37]  L. Green,et al.  Where are we at with point‐ of‐ care testing in haematology? , 2012, British journal of haematology.

[38]  Taehoon Kim,et al.  Data-driven imaging of tissue inflammation using RGB-based hyperspectral reconstruction toward personal monitoring of dermatologic health. , 2017, Biomedical optics express.

[39]  Jorge Garcia-Sucerquia,et al.  Accurate single-shot quantitative phase imaging of biological specimens with telecentric digital holographic microscopy , 2014, Journal of biomedical optics.

[40]  D. Fisher,et al.  Melanocyte biology and skin pigmentation , 2007, Nature.

[41]  K. Vishwanath,et al.  Diffuse optical monitoring of peripheral tissues during uncontrolled internal hemorrhage in a porcine model. , 2018, Biomedical optics express.

[42]  S. Collings,et al.  Non-Invasive Detection of Anaemia Using Digital Photographs of the Conjunctiva , 2016, PloS one.

[43]  Jun Li,et al.  Accurate Spectral Super-resolution from Single RGB Image Using Multi-scale CNN , 2018, PRCV.

[44]  David R. Myers,et al.  Smartphone app for non-invasive detection of anemia using only patient-sourced photos , 2018, Nature Communications.

[45]  Yaniv Oiknine,et al.  DeepCubeNet: reconstruction of spectrally compressive sensed hyperspectral images with deep neural networks. , 2019, Optics express.

[46]  C. Wade,et al.  Evaluation of noninvasive hemoglobin measurements in trauma patients. , 2013, American journal of surgery.

[47]  R. Hiscock,et al.  Systematic Review and Meta-Analysis of Method Comparison Studies of Masimo Pulse Co-Oximeters (Radical-7™ or Pronto-7™) and HemoCue® Absorption Spectrometers (B-Hemoglobin or 201+) with Laboratory Haemoglobin Estimation , 2015, Anaesthesia and intensive care.

[48]  G. Dhonneur,et al.  How useful are hemoglobin concentration and its variations to predict significant hemorrhage in the early phase of trauma? A multicentric cohort study , 2018, Annals of Intensive Care.

[49]  Michelle A. Visbal Onufrak,et al.  Telecentric suppression of diffuse light in imaging of highly anisotropic scattering media. , 2016, Optics letters.

[50]  Graham Finlayson,et al.  Rank-based camera spectral sensitivity estimation. , 2016, Journal of the Optical Society of America. A, Optics, image science, and vision.

[51]  Anthony Randal McIntosh,et al.  Partial Least Squares (PLS) methods for neuroimaging: A tutorial and review , 2011, NeuroImage.

[52]  C. Hsia,et al.  Respiratory function of hemoglobin. , 1998, The New England journal of medicine.

[53]  A. Kalantri,et al.  Accuracy and Reliability of Pallor for Detecting Anaemia: A Hospital-Based Diagnostic Accuracy Study , 2010, PloS one.

[54]  Mahnaz Shahidi,et al.  Inter-visit variability of conjunctival microvascular hemodynamic measurements in healthy and diabetic retinopathy subjects , 2018, Microvascular research.

[55]  R. Derman,et al.  Perinatal Iron Deficiency: Implications for Mothers and Infants , 2019, Neonatology.

[56]  J. Izatt,et al.  Complete 360° circumferential gonioscopic optical coherence tomography imaging of the iridocorneal angle. , 2015, Biomedical optics express.