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Liang Q, Chan YC, Toscano J, Bjorkman KK, Leinwand LA, Parker R, Nozik ES, Nesbitt DJ, Ye J. Breath analysis by ultra-sensitive broadband laser spectroscopy detects SARS-CoV-2 infection. J Breath Res 2023; 17:10.1088/1752-7163/acc6e4. [PMID: 37016829 PMCID: PMC10930087 DOI: 10.1088/1752-7163/acc6e4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 03/23/2023] [Indexed: 04/06/2023]
Abstract
Rapid testing is essential to fighting pandemics such as coronavirus disease 2019 (COVID-19), the disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Exhaled human breath contains multiple volatile molecules providing powerful potential for non-invasive diagnosis of diverse medical conditions. We investigated breath detection of SARS-CoV-2 infection using cavity-enhanced direct frequency comb spectroscopy (CE-DFCS), a state-of-the-art laser spectroscopic technique capable of a real-time massive collection of broadband molecular absorption features at ro-vibrational quantum state resolution and at parts-per-trillion volume detection sensitivity. Using a total of 170 individual breath samples (83 positive and 87 negative with SARS-CoV-2 based on reverse transcription polymerase chain reaction tests), we report excellent discrimination capability for SARS-CoV-2 infection with an area under the receiver-operating-characteristics curve of 0.849(4). Our results support the development of CE-DFCS as an alternative, rapid, non-invasive test for COVID-19 and highlight its remarkable potential for optical diagnoses of diverse biological conditions and disease states.
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Affiliation(s)
- Qizhong Liang
- JILA, National Institute of Standards and Technology and University of Colorado, Boulder, CO 80309, United States of America
- Department of Physics, University of Colorado, Boulder, CO 80309, United States of America
| | - Ya-Chu Chan
- JILA, National Institute of Standards and Technology and University of Colorado, Boulder, CO 80309, United States of America
- Department of Chemistry, University of Colorado, Boulder, CO 80309, United States of America
| | - Jutta Toscano
- JILA, National Institute of Standards and Technology and University of Colorado, Boulder, CO 80309, United States of America
- Department of Physics, University of Colorado, Boulder, CO 80309, United States of America
- Present address: Department of Chemistry, University of Basel, Klingelbergstrasse 80, 4056 Basel, Switzerland
| | - Kristen K Bjorkman
- BioFrontiers Institute, University of Colorado, Boulder, CO 80303, United States of America
| | - Leslie A Leinwand
- BioFrontiers Institute, University of Colorado, Boulder, CO 80303, United States of America
- Department of Molecular Cellular and Developmental Biology, University of Colorado, Boulder, CO 80303, United States of America
| | - Roy Parker
- BioFrontiers Institute, University of Colorado, Boulder, CO 80303, United States of America
- Department of Biochemistry and HHMI, University of Colorado, Boulder, CO 80303, United States of America
| | - Eva S Nozik
- Cardiovascular Pulmonary Research Laboratories, Departments of Pediatrics and Medicine, and Division of Pediatric Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, United States of America
| | - David J Nesbitt
- JILA, National Institute of Standards and Technology and University of Colorado, Boulder, CO 80309, United States of America
- Department of Physics, University of Colorado, Boulder, CO 80309, United States of America
- Department of Chemistry, University of Colorado, Boulder, CO 80309, United States of America
| | - Jun Ye
- JILA, National Institute of Standards and Technology and University of Colorado, Boulder, CO 80309, United States of America
- Department of Physics, University of Colorado, Boulder, CO 80309, United States of America
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Guan YJ, Bandutunga CP, Dong J, Lam TTY, Fleddermann R, Gray MB, Chow JH. Polarization impedance measurement cavity enhanced laser absorption spectroscopy. OPTICS EXPRESS 2021; 29:33836-33849. [PMID: 34809187 DOI: 10.1364/oe.435976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Accepted: 09/23/2021] [Indexed: 06/13/2023]
Abstract
We present a theoretical overview and experimental demonstration of a continuous-wave, cavity-enhanced optical absorption spectrometry method to detect molecular gas. This technique utilizes the two non-degenerate polarization modes of a birefringent cavity to obtain a zero background readout of the intra-cavity absorption. We use a double-pass equilateral triangle optical cavity design with additional feed-forward frequency noise correction to measure the R14e absorption line in the 30012←00001 band of CO2 at 1572.655 nm. We demonstrate a shot noise equivalent absorption of 3 × 10-13 cm-1 Hz-1/2.
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Tiele A, Wicaksono A, Kansara J, Arasaradnam RP, Covington JA. Breath Analysis Using eNose and Ion Mobility Technology to Diagnose Inflammatory Bowel Disease-A Pilot Study. BIOSENSORS-BASEL 2019; 9:bios9020055. [PMID: 31013848 PMCID: PMC6627846 DOI: 10.3390/bios9020055] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 03/29/2019] [Accepted: 04/08/2019] [Indexed: 12/12/2022]
Abstract
Early diagnosis of inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), remains a clinical challenge with current tests being invasive and costly. The analysis of volatile organic compounds (VOCs) in exhaled breath and biomarkers in stool (faecal calprotectin (FCP)) show increasing potential as non-invasive diagnostic tools. The aim of this pilot study is to evaluate the efficacy of breath analysis and determine if FCP can be used as an additional non-invasive parameter to supplement breath results, for the diagnosis of IBD. Thirty-nine subjects were recruited (14 CD, 16 UC, 9 controls). Breath samples were analysed using an in-house built electronic nose (Wolf eNose) and commercial gas chromatograph-ion mobility spectrometer (G.A.S. BreathSpec GC-IMS). Both technologies could consistently separate IBD and controls [AUC ± 95%, sensitivity, specificity], eNose: [0.81, 0.67, 0.89]; GC-IMS: [0.93, 0.87, 0.89]. Furthermore, we could separate CD from UC, eNose: [0.88, 0.71, 0.88]; GC-IMS: [0.71, 0.86, 0.62]. Including FCP did not improve distinction between CD vs UC; eNose: [0.74, 1.00, 0.56], but rather, improved separation of CD vs controls and UC vs controls; eNose: [0.77, 0.55, 1.00] and [0.72, 0.89, 0.67] without FCP, [0.81, 0.73, 0.78] and [0.90, 1.00, 0.78] with FCP, respectively. These results confirm the utility of breath analysis to distinguish between IBD-related diagnostic groups. FCP does not add significant diagnostic value to breath analysis within this study.
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Affiliation(s)
- Akira Tiele
- School of Engineering, University of Warwick, Coventry CV4 7AL, UK.
| | - Alfian Wicaksono
- School of Engineering, University of Warwick, Coventry CV4 7AL, UK.
| | - Jiten Kansara
- Department of Gastroenterology, University Hospitals Coventry and Warwickshire, Coventry CV2 2DX, UK.
| | - Ramesh P Arasaradnam
- Department of Gastroenterology, University Hospitals Coventry and Warwickshire, Coventry CV2 2DX, UK.
- Applied Biological Sciences, Coventry University, Coventry CV1 5FB, UK.
- Health and Life Sciences, University of Leicester, Leicester LE1 7RH, UK.
- Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
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Wallace MAG, Pleil JD. Evolution of clinical and environmental health applications of exhaled breath research: Review of methods and instrumentation for gas-phase, condensate, and aerosols. Anal Chim Acta 2018; 1024:18-38. [PMID: 29776545 PMCID: PMC6082128 DOI: 10.1016/j.aca.2018.01.069] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2017] [Revised: 01/29/2018] [Accepted: 01/31/2018] [Indexed: 12/20/2022]
Abstract
Human breath, along with urine and blood, has long been one of the three major biological media for assessing human health and environmental exposure. In fact, the detection of odor on human breath, as described by Hippocrates in 400 BC, is considered the first analytical health assessment tool. Although less common in comparison to contemporary bio-fluids analyses, breath has become an attractive diagnostic medium as sampling is non-invasive, unlimited in timing and volume, and does not require clinical personnel. Exhaled breath, exhaled breath condensate (EBC), and exhaled breath aerosol (EBA) are different types of breath matrices used to assess human health and disease state. Over the past 20 years, breath research has made many advances in assessing health state, overcoming many of its initial challenges related to sampling and analysis. The wide variety of sampling techniques and collection devices that have been developed for these media are discussed herein. The different types of sensors and mass spectrometry instruments currently available for breath analysis are evaluated as well as emerging breath research topics, such as cytokines, security and airport surveillance, cellular respiration, and canine olfaction.
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Affiliation(s)
- M Ariel Geer Wallace
- U.S. Environmental Protection Agency, Office of Research and Development, National Exposure Research Laboratory, 109 T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
| | - Joachim D Pleil
- U.S. Environmental Protection Agency, Office of Research and Development, National Exposure Research Laboratory, 109 T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
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Henderson B, Khodabakhsh A, Metsälä M, Ventrillard I, Schmidt FM, Romanini D, Ritchie GAD, te Lintel Hekkert S, Briot R, Risby T, Marczin N, Harren FJM, Cristescu SM. Laser spectroscopy for breath analysis: towards clinical implementation. APPLIED PHYSICS. B, LASERS AND OPTICS 2018; 124:161. [PMID: 30956412 PMCID: PMC6428385 DOI: 10.1007/s00340-018-7030-x] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 07/19/2018] [Indexed: 05/08/2023]
Abstract
Detection and analysis of volatile compounds in exhaled breath represents an attractive tool for monitoring the metabolic status of a patient and disease diagnosis, since it is non-invasive and fast. Numerous studies have already demonstrated the benefit of breath analysis in clinical settings/applications and encouraged multidisciplinary research to reveal new insights regarding the origins, pathways, and pathophysiological roles of breath components. Many breath analysis methods are currently available to help explore these directions, ranging from mass spectrometry to laser-based spectroscopy and sensor arrays. This review presents an update of the current status of optical methods, using near and mid-infrared sources, for clinical breath gas analysis over the last decade and describes recent technological developments and their applications. The review includes: tunable diode laser absorption spectroscopy, cavity ring-down spectroscopy, integrated cavity output spectroscopy, cavity-enhanced absorption spectroscopy, photoacoustic spectroscopy, quartz-enhanced photoacoustic spectroscopy, and optical frequency comb spectroscopy. A SWOT analysis (strengths, weaknesses, opportunities, and threats) is presented that describes the laser-based techniques within the clinical framework of breath research and their appealing features for clinical use.
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Affiliation(s)
- Ben Henderson
- Trace Gas Research Group, Molecular and Laser Physics, IMM, Radboud University, 6525 AJ Nijmegen, The Netherlands
| | - Amir Khodabakhsh
- Trace Gas Research Group, Molecular and Laser Physics, IMM, Radboud University, 6525 AJ Nijmegen, The Netherlands
| | - Markus Metsälä
- Department of Chemistry, University of Helsinki, PO Box 55, 00014 Helsinki, Finland
| | | | - Florian M. Schmidt
- Department of Applied Physics and Electronics, Umeå University, 90187 Umeå, Sweden
| | - Daniele Romanini
- University of Grenoble Alpes, CNRS, LIPhy, 38000 Grenoble, France
| | - Grant A. D. Ritchie
- Department of Chemistry, Physical and Theoretical Chemistry Laboratory, University of Oxford, South Parks Road, Oxford, OX1 3QZ UK
| | | | - Raphaël Briot
- University of Grenoble Alpes, CNRS, TIMC-IMAG, 38000 Grenoble, France
- Emergency Department and Mobile Intensive Care Unit, Grenoble University Hospital, Grenoble, France
| | - Terence Risby
- Department of Environmental Health and Engineering, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, USA
| | - Nandor Marczin
- Section of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK
- Centre of Anaesthesia and Intensive Care, Semmelweis University, Budapest, Hungary
| | - Frans J. M. Harren
- Trace Gas Research Group, Molecular and Laser Physics, IMM, Radboud University, 6525 AJ Nijmegen, The Netherlands
| | - Simona M. Cristescu
- Trace Gas Research Group, Molecular and Laser Physics, IMM, Radboud University, 6525 AJ Nijmegen, The Netherlands
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Lang N, Macherius U, Zimmermann H, Glitsch S, Wiese M, Röpcke J, van Helden JPH. RES-Q-Trace: A Mobile CEAS-Based Demonstrator for Multi-Component Trace Gas Detection in the MIR. SENSORS (BASEL, SWITZERLAND) 2018; 18:E2058. [PMID: 29954146 PMCID: PMC6069445 DOI: 10.3390/s18072058] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 06/22/2018] [Accepted: 06/25/2018] [Indexed: 11/16/2022]
Abstract
Sensitive trace gas detection plays an important role in current challenges occurring in areas such as industrial process control and environmental monitoring. In particular, for medical breath analysis and for the detection of illegal substances, e.g., drugs and explosives, a selective and sensitive detection of trace gases in real-time is required. We report on a compact and transportable multi-component system (RES-Q-Trace) for molecular trace gas detection based on cavity-enhanced techniques in the mid-infrared (MIR). The RES-Q-Trace system can operate four independent continuous wave quantum or interband cascade lasers each combined with an optical cavity. Twice the method of off-axis cavity-enhanced absorption spectroscopy (OA-CEAS) was used, twice the method of optical feedback cavity-enhanced absorption spectroscopy (OF-CEAS), respectively. Multi-functional software has been implemented (i) for the general system control; (ii) to drive the four different laser sources and (iii) to analyze the detector signals for concentration determination of several molecular species. For the validation of the versatility and the performance of the RES-Q-Trace instrument the species NO, N₂O, CH₄, C₂H₄ and C₃H₆O, with relevance in the fields of breath gas analysis and the detection of explosives have been monitored in the MIR with detection limits at atmospheric pressure in the ppb and ppt range.
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Affiliation(s)
- Norbert Lang
- Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
| | - Uwe Macherius
- Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
| | - Henrik Zimmermann
- Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
| | - Sven Glitsch
- Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
| | - Mathias Wiese
- Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
| | - Jürgen Röpcke
- Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
| | - Jean-Pierre H van Helden
- Leibniz Institute for Plasma Science and Technology (INP), Felix-Hausdorff-Str. 2, 17489 Greifswald, Germany.
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Maczka M, Pawlowski S. Efficient method for transport simulations in quantum cascade lasers. EPJ WEB OF CONFERENCES 2017. [DOI: 10.1051/epjconf/201713304003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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9
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Ahn S, Schwarzer C, Zederbauer T, Detz H, Andrews AM, Schrenk W, Strasser G. Enhanced light output power of quantum cascade lasers from a tilted front facet. OPTICS EXPRESS 2013; 21:15869-15877. [PMID: 23842373 DOI: 10.1364/oe.21.015869] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
We present a technique for enhancing the light output power of quantum cascade lasers (QCLs) by tilting of the front facet, which leads to a change of the modal reflectivity, resulting in an asymmetric light intensity distribution along the laser cavity. This asymmetry provides most of the light being emitted through one facet of the laser. An experimental study of threshold current, slope efficiency and light output power as a function of the front facet angles were performed and compared to conventional QCLs. The lasers with a front facet angle of 8° shows a 20% improved power output from the front facet.
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Affiliation(s)
- Sangil Ahn
- Center for Micro- and Nanostructures, Vienna University of Technology, Floragasse 7, 1040 Vienna, Austria.
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