In vivo characterization of human pigmented lesions by degree of linear polarization image maps using incident linearly polarized light

Is skin autofluorescence (SAF) representative of dermal advanced glycation endproducts (AGEs) in dark skin? A pilot study

Aims

Non-invasively assessed skin autofluorescence (SAF) measures advanced glycation endproducts (AGEs) in the dermis. SAF correlates with dermal AGEs in Caucasians and Asians, but studies in dark-skinned subjects are lacking. In this pilot we aimed to assess whether SAF signal is representative of intrinsic fluorescence (IF) and AGE accumulation in dark skin.

Methods

Skin biopsies were obtained in 12 dark-skinned subjects (6 healthy subjects, median age 22 years; 6 diabetes mellitus (DM) subjects, 65 years). SAF was measured with the AGE Reader, IF using confocal microscopy, and AGE distribution with specific antibodies. CML and MG-H1 were quantified with UPLC-MS/MS and pentosidine with HPLC and fluorescent detection.

Results

SAF correlated with IF from the dermis (405nm, r = 0.58, p < 0.05), but not with CML (r = 0.54, p = 0.07). CML correlated with IF from the dermis (405nm, r = 0.90, p < 0.01). UV reflectance and the coefficient of variation of SAF were negatively correlated (r = -0.80, p < 0.01). CML and MG-H1 were predominantly present around blood vessels, in collagen and fibroblasts in the dermis.

Conclusion

This proof of concept study is the first to compare non-invasive SAF with AGE levels measured in skin biopsies in dark-skinned subjects. SAF did not correlate with individual AGEs from biopsies, but was associated with IF. However, the intra-individual variance was high, limiting its application in dark-skinned subjects on an individual basis.

Polarisation changes in guided infrared thermography using silver halide poly-crystalline mid-infrared fibre bundle

Broadband mid-infrared (B-MIR) thermography using fibre optic waveguides can be critical in real-time imaging in harsh environments such as additive manufacturing, personalised medical diagnosis and therapy. We investigate the polarisation effect on thermal measurements through poly-crystalline fibre bundle employing a simple broadband cross-polarisation configuration experimental set-up. Silver halide poly-crystalline fibres AgCl1-xBrx (0 ≤ x≤1) (AgClBr-PolyC) have very wide transmission bandwidth spanning over the spectral range from 1 µm up to 31 µm FWHM. Moreover, they are non-toxic, non-hygroscopic, with relatively good flexibility, which make them very adequate for spectroscopic and thermal measurements in medical and clinical fields. In this study, we used a fibre bundle composed of seven single AgClBr-PolyC fibres, each with a core diameter of about 300 µm, inserted between two broadband MIR polarisers. A silicon carbide filament source was placed at the entrance of the fibre bundle, while a FLIR thermal camera with a close-up lens was employed to measure the spatial temperature distribution over the fibre-bundle end. Indeed, polarisation dependence of temperature measurements has been clearly observed in which the orientation of temperature extrema (minima and maxima) vary from one fibre to another within the bundle. Moreover, these observations have enabled the classification of AgClBr-PolyC fibres following their polarisation sensitivities by which some fibres are relatively highly sensitive to polarisation with polarisation temperature difference (PTD) that can reach 22.1 ± 2.8 °C, whereas some others show very low PTD values down to 3.1 ± 2.8 °C. Many applications can readily be found based on the advantages of both extreme cases.

Polarised stereo endoscope and narrowband detection for minimal access surgery

Polarisation imaging has the potential to provide enhanced contrast based on variations in the optical properties, such as scattering or birefringence, of the tissue of interest. Examining the signal at different wavebands in the visible spectrum also allows interrogation of different depths and structures. A stereo endoscope has been adapted to allow snapshot acquisition of orthogonal linear polarisation images to generate difference of linear polarisation images. These images are acquired in three narrow bands using a triple-bandpass filter and pair of colour cameras. The first in vivo results, acquired during a surgical procedure on a porcine subject, are presented that show wavelength dependent variations in vessel visibility and an increase in contrast under polarised detection.