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Gao M, Guo D, Wang J, Tan Y, Liu K, Gao L, Zhang Y, Ding Z, Gu Y, Li P. High-accuracy noninvasive continuous glucose monitoring using OCT angiography-purified blood scattering signals in human skin. BIOMEDICAL OPTICS EXPRESS 2024; 15:991-1003. [PMID: 38404306 PMCID: PMC10890863 DOI: 10.1364/boe.506092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 12/21/2023] [Accepted: 01/15/2024] [Indexed: 02/27/2024]
Abstract
The accuracy of noninvasive continuous glucose monitoring (CGM) through near-infrared scattering is challenged by mixed scattering signals from different compartments, where glucose has a positive correlation with a blood scattering coefficient but a negative correlation with a tissue scattering coefficient. In this study, we developed a high-accuracy noninvasive CGM based on OCT angiography (OCTA)-purified blood scattering signals. The blood optical scattering coefficient (BOC) was initially extracted from the depth attenuation of backscattered light in OCT and then purified by eliminating the scattering signals from the surrounding tissues under the guidance of a 3D OCTA vascular map in human skin. The purified BOC was used to estimate the optical blood glucose concentration (BGC) through a linear calibration. The optical and reference BGC measurements were highly correlated (R = 0.94) without apparent time delay. The mean absolute relative difference was 6.09%. All optical BGC measurements were within the clinically acceptable Zones A + B, with 96.69% falling in Zone A on Parke's error grids. The blood glucose response during OGTT was mapped with a high spatiotemporal resolution of the single vessel and 5 seconds. This noninvasive OCTA-based CGM shows promising accuracy for clinical use. Future research will involve larger sample sizes and diabetic participants to confirm these preliminary findings.
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Affiliation(s)
- Mengqin Gao
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Dayou Guo
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Jiahao Wang
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Yizhou Tan
- Department of Laser Medicine, First Medical Center of PLA General Hospital, Beijing 100853, China
| | - Kaiyuan Liu
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Lei Gao
- Jiaxing Key Laboratory of Photonic Sensing and Intelligent Imaging, Jiaxing 314000, China
- Intelligent Optics and Photonics Research Center, Jiaxing Research Institute, Zhejiang University, Jiaxing 314000, China
| | - Yulei Zhang
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Zhihua Ding
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Ying Gu
- Department of Laser Medicine, First Medical Center of PLA General Hospital, Beijing 100853, China
| | - Peng Li
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
- Jiaxing Key Laboratory of Photonic Sensing and Intelligent Imaging, Jiaxing 314000, China
- Intelligent Optics and Photonics Research Center, Jiaxing Research Institute, Zhejiang University, Jiaxing 314000, China
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Abstract
For diabetics, taking regular blood glucose measurements is crucial. However, traditional blood glucose monitoring methods are invasive and unfriendly to diabetics. Recent studies have proposed a biofluid-based glucose sensing technique that creatively combines wearable devices with noninvasive glucose monitoring technology to enhance diabetes management. This is a revolutionary advance in the diagnosis and management of diabetes, reflects the thoughtful modernization of medicine, and promotes the development of digital medicine. This paper reviews the research progress of noninvasive continuous blood glucose monitoring (CGM), with a focus on the biological liquids that replace blood in monitoring systems, the technical principles of continuous noninvasive glucose detection, and the output and calibration of sensor signals. In addition, the existing limits of noninvasive CGM systems and prospects for the future are discussed. This work serves as a resource for further promoting the development of noninvasive CGM systems.
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Affiliation(s)
- Yilin Li
- Department of Toxicology and Sanitary Chemistry, School of Public Health, Capital Medical University, Beijing, 100069, PR China
- Beijing Key Laboratory of Environmental Toxicology, Capital Medical University, Beijing, 100069, PR China
| | - Yueyue Chen
- Department of Toxicology and Sanitary Chemistry, School of Public Health, Capital Medical University, Beijing, 100069, PR China
- Beijing Key Laboratory of Environmental Toxicology, Capital Medical University, Beijing, 100069, PR China
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Al-Naib I. Terahertz Asymmetric S-Shaped Complementary Metasurface Biosensor for Glucose Concentration. BIOSENSORS 2022; 12:bios12080609. [PMID: 36005005 PMCID: PMC9406141 DOI: 10.3390/bios12080609] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 07/29/2022] [Accepted: 08/04/2022] [Indexed: 12/27/2022]
Abstract
In this article, we present a free-standing terahertz metasurface based on asymmetric S-shaped complementary resonators under normal incidence in transmission mode configuration. Each unit cell of the metasurface consists of two arms of mirrored S-shaped slots. We investigate the frequency response at different geometrical asymmetry via modifying the dimensions of one arm of the resonator. This configuration enables the excitation of asymmetric quasi-bound states in the continuum resonance and, hence, features very good field confinement that is very important for biosensing applications. Moreover, the performance of this configuration as a biosensor was examined for glucose concentration levels from 54 mg/dL to 342 mg/dL. This range covers hypoglycemia, normal, and hyperglycemia diabetes mellitus conditions. Two sample coating scenarios were considered, namely the top layer when the sample covers the metasurface and the top and bottom layers when the metasurface is sandwiched between the two layers. This strategy enabled very large resonance frequency redshifts of 236.1 and 286.6 GHz that were observed for the two scenarios for a 342 mg/dL concentration level and a layer thickness of 20 μm. Furthermore, for the second scenario and the same thickness, a wavelength sensitivity of 322,749 nm/RIU was found, which represents a factor of 2.3 enhancement compared to previous studies. The suggested terahertz metasurface biosensor in this paper could be used in the future for identifying hypoglycaemia and hyperglycemia conditions.
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Affiliation(s)
- Ibraheem Al-Naib
- Biomedical Engineering Department, College of Engineering, Imam Abdulrahman Bin Faisal University, Dammam 34212, Saudi Arabia
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Neubrand LB, van Leeuwen TG, Faber DJ. Precision of attenuation coefficient measurements by optical coherence tomography. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:085001. [PMID: 35945668 PMCID: PMC9360497 DOI: 10.1117/1.jbo.27.8.085001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 07/01/2022] [Indexed: 06/15/2023]
Abstract
SIGNIFICANCE Optical coherence tomography (OCT) is an interferometric imaging modality, which provides tomographic information on the microscopic scale. Furthermore, OCT signal analysis facilitates quantification of tissue optical properties (e.g., the attenuation coefficient), which provides information regarding the structure and organization of tissue. However, a rigorous and standardized measure of the precision of the OCT-derived optical properties, to date, is missing. AIM We present a robust theoretical framework, which provides the Cramér -Rao lower bound σμOCT for the precision of OCT-derived optical attenuation coefficients. APPROACH Using a maximum likelihood approach and Fisher information, we derive an analytical solution for σμOCT when the position and depth of focus are known. We validate this solution, using simulated OCT signals, for which attenuation coefficients are extracted using a least-squares fitting procedure. RESULTS Our analytical solution is in perfect agreement with simulated data without shot noise. When shot noise is present, we show that the analytical solution still holds for signal-to-noise ratios (SNRs) in the fitting window being above 20 dB. For other cases (SNR<20 dB, focus position not precisely known), we show that the numerical calculation of the precision agrees with the σμOCT derived from simulated signals. CONCLUSIONS Our analytical solution provides a fast, rigorous, and easy-to-use measure for OCT-derived attenuation coefficients for signals above 20 dB. The effect of uncertainties in the focal point position on the precision in the attenuation coefficient, the second assumption underlying our analytical solution, is also investigated by numerical calculation of the lower bounds. This method can be straightforwardly extended to uncertainty in other system parameters.
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Affiliation(s)
- Linda B. Neubrand
- Amsterdam UMC, Location AMC, University of Amsterdam, Department of Biomedical Engineering and Physics, Amsterdam, The Netherlands
- Amsterdam Cardiovascular Sciences, Atherosclerosis and Ischemic Syndromes, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| | - Ton G. van Leeuwen
- Amsterdam UMC, Location AMC, University of Amsterdam, Department of Biomedical Engineering and Physics, Amsterdam, The Netherlands
- Amsterdam Cardiovascular Sciences, Atherosclerosis and Ischemic Syndromes, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
| | - Dirk J. Faber
- Amsterdam UMC, Location AMC, University of Amsterdam, Department of Biomedical Engineering and Physics, Amsterdam, The Netherlands
- Amsterdam Cardiovascular Sciences, Atherosclerosis and Ischemic Syndromes, Amsterdam, The Netherlands
- Cancer Center Amsterdam, Imaging and Biomarkers, Amsterdam, The Netherlands
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Silva VB, Andrade De Jesus D, Klein S, van Walsum T, Cardoso J, Brea LS, Vaz PG. Signal-carrying speckle in optical coherence tomography: a methodological review on biomedical applications. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:030901. [PMID: 35289154 PMCID: PMC8919025 DOI: 10.1117/1.jbo.27.3.030901] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 02/22/2022] [Indexed: 06/14/2023]
Abstract
SIGNIFICANCE Speckle has historically been considered a source of noise in coherent light imaging. However, a number of works in optical coherence tomography (OCT) imaging have shown that speckle patterns may contain relevant information regarding subresolution and structural properties of the tissues from which it is originated. AIM The objective of this work is to provide a comprehensive overview of the methods developed for retrieving speckle information in biomedical OCT applications. APPROACH PubMed and Scopus databases were used to perform a systematic review on studies published until December 9, 2021. From 146 screened studies, 40 were eligible for this review. RESULTS The studies were clustered according to the nature of their analysis, namely static or dynamic, and all features were described and analyzed. The results show that features retrieved from speckle can be used successfully in different applications, such as classification and segmentation. However, the results also show that speckle analysis is highly application-dependant, and the best approach varies between applications. CONCLUSIONS Several of the reviewed analyses were only performed in a theoretical context or using phantoms, showing that signal-carrying speckle analysis in OCT imaging is still in its early stage, and further work is needed to validate its applicability and reproducibility in a clinical context.
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Affiliation(s)
- Vania B. Silva
- University of Coimbra, Laboratory for Instrumentation, Biomedical Engineering and Radiation Physics (LIBPhys-UC), Department of Physics, Coimbra, Portugal
- University Medical Center Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC, Biomedical Imaging Group Rotterdam, Rotterdam, The Netherlands
| | - Danilo Andrade De Jesus
- University Medical Center Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC, Biomedical Imaging Group Rotterdam, Rotterdam, The Netherlands
| | - Stefan Klein
- University Medical Center Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC, Biomedical Imaging Group Rotterdam, Rotterdam, The Netherlands
| | - Theo van Walsum
- University Medical Center Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC, Biomedical Imaging Group Rotterdam, Rotterdam, The Netherlands
| | - João Cardoso
- University of Coimbra, Laboratory for Instrumentation, Biomedical Engineering and Radiation Physics (LIBPhys-UC), Department of Physics, Coimbra, Portugal
| | - Luisa Sánchez Brea
- University Medical Center Rotterdam, Department of Radiology and Nuclear Medicine, Erasmus MC, Biomedical Imaging Group Rotterdam, Rotterdam, The Netherlands
| | - Pedro G. Vaz
- University of Coimbra, Laboratory for Instrumentation, Biomedical Engineering and Radiation Physics (LIBPhys-UC), Department of Physics, Coimbra, Portugal
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6
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Sensing Glucose Concentration Using Symmetric Metasurfaces under Oblique Incident Terahertz Waves. CRYSTALS 2021. [DOI: 10.3390/cryst11121578] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
In this article, a planar metamaterial sensor designed at terahertz (THz) frequencies is utilized to sense glucose concentration levels that cover hypoglycemia, normal, and hyperglycemia conditions that vary from 54 to 342 mg/dL. The sensor was developed using a symmetric complementary split rectangular resonator at an oblique incidence angle. The resonance frequency shift was used as a measure of the changes in the glucose level of the samples. The increase in the glucose concentration level exhibited clear and noticeable redshifts in the resonance frequency. For instance, a 67.5 GHz redshift has been observed for a concentration level of 54 mg/dL and increased up to 122 GHz for the 342 mg/dL concentration level. Moreover, a high sensitivity level of 75,700 nm/RIU was observed for this design. In the future, the proposed THz sensors may have potential applications in diagnosing hypocalcemia and hyperglycemia cases.
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A Review of Non-Invasive Optical Systems for Continuous Blood Glucose Monitoring. SENSORS 2021; 21:s21206820. [PMID: 34696033 PMCID: PMC8537963 DOI: 10.3390/s21206820] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 10/06/2021] [Accepted: 10/11/2021] [Indexed: 12/15/2022]
Abstract
The prevalence of diabetes is increasing globally. More than 690 million cases of diabetes are expected worldwide by 2045. Continuous blood glucose monitoring is essential to control the disease and avoid long-term complications. Diabetics suffer on a daily basis with the traditional glucose monitors currently in use, which are invasive, painful, and cost-intensive. Therefore, the demand for non-invasive, painless, economical, and reliable approaches to monitor glucose levels is increasing. Since the last decades, many glucose sensing technologies have been developed. Researchers and scientists have been working on the enhancement of these technologies to achieve better results. This paper provides an updated review of some of the pioneering non-invasive optical techniques for monitoring blood glucose levels that have been proposed in the last six years, including a summary of state-of-the-art error analysis and validation techniques.
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Liu K, Zhu T, Yao L, Zhang Z, Li H, Ye J, Li P. Noninvasive OCT angiography-based blood attenuation measurements correlate with blood glucose level in the mouse retina. BIOMEDICAL OPTICS EXPRESS 2021; 12:4680-4688. [PMID: 34513217 PMCID: PMC8407843 DOI: 10.1364/boe.430104] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/28/2021] [Accepted: 06/28/2021] [Indexed: 05/02/2023]
Abstract
In this study, we investigated the correlation of the blood optical attenuation coefficient (OAC) and the blood glucose concentration (BGC). The blood OAC was measured in mouse retina in vivo by analyzing the depth attenuation of backscattered light under the guidance of OCT angiography (OCTA) vascular mapping, and then its correlation to the BGC was further investigated. The optical attenuation of the blood components presented a more reliable correlation to BGC than that of the background tissues. The arteries and veins presented a blood OAC change of ∼0.05-0.07 mm-1 per 10 mg/dl and a significant (P < 0.001) elevation of blood OAC in diabetic mice was observed. Furthermore, different kinds of vessels also presented different performances. The veins had a higher correlation coefficient (R=0.86) between the measured blood OAC and BGC than that of the arteries (R=0.73). Besides, the blood OAC changes of the specific vessels occur without any obvious change in the vascular morphology in the retina. The blood OAC-BGC correlation suggests a concept of non-invasive OCTA-based glucometry, allowing a fast assessment of the blood glucose of specific vessels with superior motion immunity. A direct glucometry of the retina would be helpful for accurately monitoring the progression of diabetic retinopathy.
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Affiliation(s)
- Kaiyuan Liu
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Tiepei Zhu
- Eye Center of the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, China
| | - Lin Yao
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Ziyi Zhang
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Huakun Li
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
| | - Juan Ye
- Eye Center of the Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, China
| | - Peng Li
- State Key Lab of Modern Optical Instrumentation, College of Optical Science and Engineering, Zhejiang University, Hangzhou, Zhejiang 310027, China
- Hebei Key Laboratory of Micro-Nano Precision Optical Sensing and Measurement Technology, Qinhuangdao, Hebei 066004, China
- International Research Center for Advanced Photonics, Zhejiang University, Hangzhou, Zhejiang 310027, China
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Zhang R, Luo Y, Jin H, Gao F, Zheng Y. Time-domain photoacoustic waveform analysis for glucose measurement. Analyst 2021; 145:7964-7972. [PMID: 33034591 DOI: 10.1039/d0an01678k] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Photoacoustic (PA) effect is the product of light-ultrasound interactions and its time-domain waveform contains rich information. Besides optical absorption, the PA waveform inherently consists of other mechanical and thermal properties of the sample. They also have correlation with the target composition but have not been utilized in conventional PA spectroscopy. In this article, we propose a new concept named time-domain photoacoustic waveform spectroscopy (tPAWS) for chemical component quantification. It employs multiple variables inherently contained in the PA waveform excited by a single wavelength laser to extract informative features. The demonstration of glucose measurement in human blood serum (HBS) shows superior sensitivity and accuracy enhancement, compared to conventional amplitude-based PA measurement and NIR spectroscopy. Thanks to the sensitivity and accuracy of tPAWS, multiple wavelength sources and complex instrumentation used in conventional spectroscopic sensing methods can be avoided. TPAWS, as a novel physics-inspired sensing method, shows great potential for complementing or surpassing the current spectroscopic methods as a new sensing technique for chemical analysis.
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Affiliation(s)
- Ruochong Zhang
- School of Electrical and Electronic Engineering, Nanyang Technological University, 50 Nanyang Avenue, Singapore, 639798, Singapore.
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Tang L, Chang SJ, Chen CJ, Liu JT. Non-Invasive Blood Glucose Monitoring Technology: A Review. SENSORS (BASEL, SWITZERLAND) 2020; 20:E6925. [PMID: 33291519 PMCID: PMC7731259 DOI: 10.3390/s20236925] [Citation(s) in RCA: 119] [Impact Index Per Article: 29.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 11/19/2020] [Accepted: 11/27/2020] [Indexed: 12/22/2022]
Abstract
In recent years, with the rise of global diabetes, a growing number of subjects are suffering from pain and infections caused by the invasive nature of mainstream commercial glucose meters. Non-invasive blood glucose monitoring technology has become an international research topic and a new method which could bring relief to a vast number of patients. This paper reviews the research progress and major challenges of non-invasive blood glucose detection technology in recent years, and divides it into three categories: optics, microwave and electrochemistry, based on the detection principle. The technology covers medical, materials, optics, electromagnetic wave, chemistry, biology, computational science and other related fields. The advantages and limitations of non-invasive and invasive technologies as well as electrochemistry and optics in non-invasives are compared horizontally in this paper. In addition, the current research achievements and limitations of non-invasive electrochemical glucose sensing systems in continuous monitoring, point-of-care and clinical settings are highlighted, so as to discuss the development tendency in future research. With the rapid development of wearable technology and transdermal biosensors, non-invasive blood glucose monitoring will become more efficient, affordable, robust, and more competitive on the market.
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Affiliation(s)
- Liu Tang
- Research Center for Materials Science and Opti-Electronic Technology, College of Materials Science and Opti-Electronic Technology, University of Chinese Academy of Sciences, Beijing 100049, China;
| | - Shwu Jen Chang
- Department of Biomedical Engineering, I-Shou University, Kaohsiung City 82445, Taiwan;
| | - Ching-Jung Chen
- Research Center for Materials Science and Opti-Electronic Technology, School of Opto-Electronic Technology, University of Chinese Academy of Sciences, Beijing 100049, China
| | - Jen-Tsai Liu
- Research Center for Materials Science and Opti-Electronic Technology, College of Materials Science and Opti-Electronic Technology, University of Chinese Academy of Sciences, Beijing 100049, China;
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Shokrekhodaei M, Quinones S. Review of Non-invasive Glucose Sensing Techniques: Optical, Electrical and Breath Acetone. SENSORS (BASEL, SWITZERLAND) 2020; 20:E1251. [PMID: 32106464 PMCID: PMC7085605 DOI: 10.3390/s20051251] [Citation(s) in RCA: 65] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 02/22/2020] [Accepted: 02/23/2020] [Indexed: 12/12/2022]
Abstract
Annual deaths in the U.S. attributed to diabetes are expected to increase from 280,210 in 2015 to 385,840 in 2030. The increase in the number of people affected by diabetes has made it one of the major public health challenges around the world. Better management of diabetes has the potential to decrease yearly medical costs and deaths associated with the disease. Non-invasive methods are in high demand to take the place of the traditional finger prick method as they can facilitate continuous glucose monitoring. Research groups have been trying for decades to develop functional commercial non-invasive glucose measurement devices. The challenges associated with non-invasive glucose monitoring are the many factors that contribute to inaccurate readings. We identify and address the experimental and physiological challenges and provide recommendations to pave the way for a systematic pathway to a solution. We have reviewed and categorized non-invasive glucose measurement methods based on: (1) the intrinsic properties of glucose, (2) blood/tissue properties and (3) breath acetone analysis. This approach highlights potential critical commonalities among the challenges that act as barriers to future progress. The focus here is on the pertinent physiological aspects, remaining challenges, recent advancements and the sensors that have reached acceptable clinical accuracy.
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Affiliation(s)
- Maryamsadat Shokrekhodaei
- Department of Electrical and Computer Engineering, The University of Texas at El Paso, El Paso, TX 79968, USA
| | - Stella Quinones
- Department of Metallurgical, Materials and Biomedical Engineering, The University of Texas at El Paso, El Paso, TX 79968, USA;
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12
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Zhang R, Liu S, Jin H, Luo Y, Zheng Z, Gao F, Zheng Y. Noninvasive Electromagnetic Wave Sensing of Glucose. SENSORS (BASEL, SWITZERLAND) 2019; 19:E1151. [PMID: 30866459 PMCID: PMC6427587 DOI: 10.3390/s19051151] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Revised: 02/01/2019] [Accepted: 02/10/2019] [Indexed: 01/10/2023]
Abstract
Diabetic patients need long-term and frequent glucose monitoring to assist in insulin intake. The current finger-prick devices are painful and costly, which places noninvasive glucose sensors in high demand. In this review paper, we list several advanced electromagnetic (EM)-wave-based technologies for noninvasive glucose measurement, including infrared (IR) spectroscopy, photoacoustic (PA) spectroscopy, Raman spectroscopy, fluorescence, optical coherence tomography (OCT), Terahertz (THz) spectroscopy, and microwave sensing. The development of each method is discussed regarding the fundamental principle, system setup, and experimental results. Despite the promising achievements that have been previously reported, no established product has obtained FDA approval or survived a marketing test. The limitations of, and prospects for, these techniques are presented at the end of this review.
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Affiliation(s)
- Ruochong Zhang
- School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
| | - Siyu Liu
- School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
| | - Haoran Jin
- School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
| | - Yunqi Luo
- School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
| | - Zesheng Zheng
- School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
| | - Fei Gao
- School of Information Science and Technology, ShanghaiTech University, Shanghai 201210, China.
| | - Yuanjin Zheng
- School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore 639798, Singapore.
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13
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John P, Vasa NJ, Unni SN, Rao SR. Glucose sensing in oral mucosa simulating phantom using differential absorption based frequency domain low-coherence interferometry. APPLIED OPTICS 2017; 56:8257-8265. [PMID: 29047692 DOI: 10.1364/ao.56.008257] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Accepted: 09/19/2017] [Indexed: 05/18/2023]
Abstract
The superluminescent diode based differential absorption frequency domain low-coherence interferometry (FD-DALCI) technique is proposed and demonstrated for sensing physiological concentrations of glucose (0-250 mg/dl) in oral mucosa simulating phantoms (intralipid of concentrations 0.25-0.50%) with wavelengths at 1589 and 1310 nm. The proposed technique allows simultaneous measurements of refractive index based spectral shift and estimation of physiological concentration of glucose in intralipid with scattering characteristics using the differential absorption approach. The sensitivity of the glucose concentration obtained by spectral shift measurement was ≈0.016 nm/(mg/dl), irrespective of the intralipid concentration. The resolution of the glucose level was estimated to be ≈15 mg/dl in 0.25% intralipid and ≈19 mg/dl in 0.5% intralipid using the FD-DALCI technique.
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14
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Weatherbee A, Popov I, Vitkin A. Accurate viscosity measurements of flowing aqueous glucose solutions with suspended scatterers using a dynamic light scattering approach with optical coherence tomography. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:1-10. [PMID: 28861954 DOI: 10.1117/1.jbo.22.8.087003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2017] [Accepted: 07/18/2017] [Indexed: 06/07/2023]
Abstract
The viscosity of turbid colloidal glucose solutions has been accurately determined from spectral domain optical coherence tomography (OCT) M-mode measurements and our recently developed OCT dynamic light scattering model. Results for various glucose concentrations, flow speeds, and flow angles are reported. The relative "combined standard uncertainty" uc(η) on the viscosity measurements was ±1% for the no-flow case and ±5% for the flow cases, a significant improvement in measurement robustness over previously published reports. The available literature data for the viscosity of pure water and our measurements differ by 1% (stagnant case) and 1.5% (flow cases), demonstrating good accuracy; similar agreement is seen across the measured glucose concentration range when compared to interpolated literature values. The developed technique may contribute toward eventual noninvasive glucose measurements in medicine.
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Affiliation(s)
- Andrew Weatherbee
- University of Toronto, Department of Medical Biophysics, Toronto, Ontario, Canada
| | - Ivan Popov
- University of Toronto, Department of Medical Biophysics, Toronto, Ontario, Canada
| | - Alex Vitkin
- University of Toronto, Department of Medical Biophysics, Toronto, Ontario, Canada
- University of Toronto, Department of Radiation Oncology, Toronto, Ontario, Canada
- University Health Network, Ontario Cancer Institute, Division of Biophysics and Bioimaging, Toronto,, Canada
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