Visualization of peripheral vasodilative indices in human skin by use of red, green, blue images

Abstract. We propose a method to visualize the arterial inflow, the vascular resistance, and the venous capacitance in the skin tissue from red, green, blue (RGB) digital color images. The arterial inflow and the venous capacitance in the skin tissue are visualized based on an increase in the rate of change in the total blood concentration and the change of the total blood concentration during upper limb occlusion at a pressure of 50 mmHg. The resultant arterial inflow with the measured mean arterial pressure also provides an image of the vascular resistance in human skin. The arterial inflow, the vascular resistance, and the venous capacitance acquired by the method are well correlated with those obtained from the conventional strain-gauge plethysmograph. The correlation coefficients R between the estimated values by the method and the measurements by the SPG are calculated to be 0.83 (P<0.001) for the arterial inflow, 0.77 (P<0.01) for the vascular resistance, and 0.77 (P<0.01) for the venous capacitance. The arterial inflow and the venous capacitance in the skin tissue are significantly higher in active subjects compared with the sedentary subjects, whereas the vascular resistance was significantly lower in the active subjects compared with the sedentary subjects. The results of the present study indicate the possibility of using the proposed method for evaluating the peripheral vascular functions in human skin.

[1]  A. Quyyumi,et al.  Abnormal endothelium-dependent vascular relaxation in patients with essential hypertension. , 1990, The New England journal of medicine.

[2]  Paul McNamara,et al.  Comparison of instruments for investigation of microcirculatory blood flow and red blood cell concentration. , 2009, Journal of biomedical optics.

[3]  A. W. Hewlett,et al.  METHOD FOR ESTIMATING THE BLOOD FLOW IN THE ARM: PRELIMINARY REPORT , 1909 .

[4]  Yang Tao,et al.  Using noninvasive multispectral imaging to quantitatively assess tissue vasculature. , 2007, Journal of biomedical optics.

[5]  T. Yuasa,et al.  Noninvasive imaging of human skin hemodynamics using a digital red-green-blue camera. , 2011, Journal of biomedical optics.

[6]  I. Nishidate,et al.  Visualizing of skin chromophore concentrations by use of RGB images. , 2008, Optics letters.

[7]  Georgios N Stamatas,et al.  Blood stasis contributions to the perception of skin pigmentation. , 2004, Journal of biomedical optics.

[8]  A Knüttel,et al.  Spatially confined and temporally resolved refractive index and scattering evaluation in human skin performed with optical coherence tomography. , 2000, Journal of biomedical optics.

[9]  A. Dale,et al.  Simultaneous imaging of total cerebral hemoglobin concentration, oxygenation, and blood flow during functional activation. , 2003, Optics letters.

[10]  R. J. Whitney,et al.  The measurement of volume changes in human limbs , 1953, The Journal of physiology.

[11]  Norimichi Tsumura,et al.  Independent Component Analysis of Skin Color Image , 1998, CIC.

[12]  D. J. Ellis,et al.  A theoretical and experimental study of light absorption and scattering by in vivo skin. , 1980, Physics in medicine and biology.

[13]  J S Beck,et al.  Spectrophotometric measurements of haemoglobin saturation and concentration in skin during the tuberculin reaction in normal human subjects. , 1992, Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft fur Medizinische Physik and the European Federation of Organisations for Medical Physics.

[14]  M. Leahy,et al.  Sub‐epidermal imaging using polarized light spectroscopy for assessment of skin microcirculation , 2007, Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging.

[15]  L Wang,et al.  MCML--Monte Carlo modeling of light transport in multi-layered tissues. , 1995, Computer methods and programs in biomedicine.

[16]  G. Zonios,et al.  Skin melanin, hemoglobin, and light scattering properties can be quantitatively assessed in vivo using diffuse reflectance spectroscopy. , 2001, The Journal of investigative dermatology.

[17]  K. Gerrits,et al.  Increased Vascular Resistance in Paralyzed Legs after Spinal Cord Injury Is Reversible By Training. , 2002, Journal of applied physiology.

[18]  J. Feather,et al.  A portable scanning reflectance spectrophotometer using visible wavelengths for the rapid measurement of skin pigments. , 1989, Physics in medicine and biology.

[19]  J. Weir,et al.  Effects of autonomic disruption and inactivity on venous vascular function. , 2000, American journal of physiology. Heart and circulatory physiology.

[20]  Anthony J. Durkin,et al.  Chromophore concentrations, absorption and scattering properties of human skin in-vivo. , 2009, Optics express.

[21]  F. Perticone,et al.  Prognostic Significance of Endothelial Dysfunction in Hypertensive Patients , 2001, Circulation.

[22]  H. Reid,et al.  Venodynamic and hemorheological variables in patients with diabetes mellitus. , 2005, Archives of medical research.

[23]  S L Jacques,et al.  In vivo determination of optical properties of normal and tumor tissue with white light reflectance and an empirical light transport model during endoscopy. , 2005, Journal of biomedical optics.

[24]  D. Eugene Hokanson,et al.  An Electrically Calibrated Plethysmograph for Direct Measurement of Limb Blood Flow , 1975, IEEE Transactions on Biomedical Engineering.

[25]  J. McMurray,et al.  Differences in arterial compliance, microvascular function and venous capacitance between patients with heart failure and either preserved or reduced left ventricular systolic function , 2007, European journal of heart failure.

[26]  D. Kereiakes,et al.  Endothelial dysfunction. , 2003, Circulation.

[27]  J S Beck,et al.  Comparison of macro- and micro-lightguide spectrophotometric measurements of microvascular haemoglobin oxygenation in the tuberculin reaction in normal human skin. , 1994, Physiological measurement.

[28]  L. Lind,et al.  Methodological aspects of the evaluation of endothelium-dependent vasodilatation in the human forearm. , 1998, Clinical physiology.

[29]  H. Mantsch,et al.  Visible-near infrared multispectral imaging of the rat dorsal skin flap. , 1999, Journal of biomedical optics.

[30]  J. Belch,et al.  Assessment of microvascular endothelial function in human skin. , 2001, Clinical science.

[31]  A. Fraser,et al.  Review: Clinical assessment of endothelial function — an update: , 2005 .

[32]  Steven L. Jacques,et al.  Internal absorption coefficient and threshold for pulsed laser disruption of melanosomes isolated from retinal pigment epithelium , 1996, Photonics West.

[33]  O G EDHOLM,et al.  The blood flow in skin and muscle of the human forearm , 1955, The Journal of physiology.

[34]  A. A. Stratonnikov,et al.  Evaluation of blood oxygen saturation in vivo from diffuse reflectance spectra. , 2001, Journal of biomedical optics.

[35]  P. Cisek,et al.  The Contributions of Arterial and Venous Volumes to Increased Cutaneous Blood Flow during Leg Compression , 1998, Annals of vascular surgery.

[36]  H.J.C.M. Sterenborg,et al.  Skin optics , 1989, IEEE Transactions on Biomedical Engineering.

[37]  I. Nishidate,et al.  Estimation of melanin and hemoglobin in skin tissue using multiple regression analysis aided by Monte Carlo simulation. , 2004, Journal of biomedical optics.