Abstract
Introduction
The work described here involved the use of a modified fundus camera to obtain sequential hyperspectral images of the retina in 14 normal volunteers and in 1 illustrative patient with a retinal vascular occlusion.
Methods
The paper describes analysis techniques, which allow oximetry within retinal vessels; these results are presented as retinal oximetry maps.
Results
Using spectral images, with wavelengths between 556 and 650 nm, the mean oxygen saturation (OS) value in temporal retinal arterioles in normal volunteers was 104.3 (±16.7), and in normal temporal retinal venules was 34.8 (±17.8). These values are comparable to those quoted in the literature, although, the venular saturations are slightly lower than those values found by other authors; explanations are offered for these differences.
Discussion
The described imaging and analysis techniques produce a clinically useful map of retinal oximetric values. The results from normal volunteers and from one illustrative patient are presented. Further developments, including the recent development of a ‘snapshot’ spectral camera, promises enhanced non-invasive retinal vessel oximetry mapping.
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References
Nuffer LL, Medvick PA, Foote HP, Solinsky JC . Multispectral/hyperspectral image enhancement for biological cell analysis. Cytometry A 2006; 69 (8): 897–903.
Timlin JA, Haaland DM, Sinclair MB, Aragon AD, Martinez MJ, Werner-Washburne M . Hyperspectral microarray scanning: impact on the accuracy and reliability of gene expression data. BMC Genomics 2005; 6 (1): 72.
Huebschman ML, Schultz RA, Garner HR . Characteristics and capabilities of the hyperspectral imaging microscope. IEEE Eng Med Biol Mag 2002; 21 (4): 104–117.
Schultz RA, Nielsen T, Zavaleta JR, Ruch R, Wyatt R, Garner HR . Hyperspectral imaging: a novel approach for microscopic analysis. Cytometry 2001; 43 (4): 239–247.
Rooney PJ . Rapid identification of urinary tract infection bacteria using hyperspectral whole-organism fingerprinting and artificial neural networks. Microbiology 1998; 144 (5): 1157–1170.
Martin ME, Wabuyele MB, Chen K, Kasili P, Panjehpour M, Phan M et al. Development of an advanced hyperspectral imaging (HSI) system with applications for cancer detection. Ann Biomed Eng 2006; 34 (6): 1061–1068.
Sorg BS, Moeller BJ, Donovan O, Cao Y, Dewhirst MW . Hyperspectral imaging of hemoglobin saturation in tumor microvasculature and tumor hypoxia development. J Biomed Opt 2005; 10 (4): 44004.
Cancio LC, Batchinsky AI, Mansfield JR, Panasyuk S, Hetz K, Martini D et al. Hyperspectral imaging: a new approach to the diagnosis of hemorrhagic shock. J Trauma 2006; 60 (5): 1087–1095.
Zuzak KJ, Schaeberle MD, Lewis EN, Levin IW . Visible reflectance hyperspectral imaging: characterization of a noninvasive, in vivo system for determining tissue perfusion. Anal Chem 2002; 74 (9): 2021–2028.
Zuzak KJ, Schaeberle MD, Gladwin MT, Cannon III RO, Levin IW . Noninvasive determination of spatially resolved and time-resolved tissue perfusion in humans during nitric oxide inhibition and inhalation by use of a visible-reflectance hyperspectral imaging technique. Circulation 2001; 104 (24): 2905–2910.
Greenman RL, Panasyuk S, Wang X, Lyons TE, Dinh T, Longoria L et al. Early changes in the skin microcirculation and muscle metabolism of the diabetic foot. Lancet 2005; 366 (9498): 1711–1717.
Zuzak KJ, Gladwin MT, Cannon III RO, Levin IW . Imaging hemoglobin oxygen saturation in sickle cell disease patients using noninvasive visible reflectance hyperspectral techniques: effects of nitric oxide. Am J Physiol Heart Circ Physiol 2003; 285 (3): H1183–H1189.
Drabkin DL, Austin JH . Spectrophotometric studies. V. Technique for analysis of undiluted blood and concentrated hemoglobin solutions. J Biol Chem 1935; 112: 105–115.
Drabkin DL, Schmidt CF . Observations of circulating blood in vivo, and the direct determination of the saturation of hemoglobin in arterial blood. J Biol Chem 1945; 157: 69–83.
Kramer K, Elam JO, Saxton GA, Elam Jr WN . Influence of oxygen saturation, erythrocyte concentration and optical depth upon the red and near-infrared light transmittance of whole blood. Am J Physiol 1951; 165: 229–246.
Matthes K, Gross F . Untersuchungen fiber die absorption yon rotem und ultraotem Licht durch kohlenoxydgesittigtes und reduziertes Blut. Arch Exp Pathol Pharmacol 1939; 191: 369–380.
Matthes K, Gross F . Fortlaufende Registrierung der Lichtabsorption des Blutes in zwei verschiedenen pektralbezirken. Arch Exp Pathol Pharmacol 1939; 191: 381–390.
Aoyagi T, Kishi M, Yamaguchi K, Watanabe S . Improvement of the earpiece oximeter. Abstracts of the 13th annual meeting of the Japanese Society of Medical Electronics and Biological Engineering 1974; 90–91.
Broadfoot KD, Gloster J, Greaves DP . Photoelectric method of investigating the amount and oxygenation of blood in the fundus oculi. Br J Ophthalmol 1961; 45 (3): 161–182.
Laing RA, Danisch LA, Young LR . The choroidal eye oximeter: an instrument for measuring oxygen saturation of choroidal blood in vivo. IEEE Trans Biomed Eng 1975; 22 (3): 183–195.
Hickam JB, Frayser R, Ross JC . A study of retinal venous blood oxygen saturation in human subjects by photographic means. Circulation 1963; 27: 375–385.
Delori FC . Noninvasive technique for oximetry of blood in retinal vessels. Applied Optics 1988; 27 (6): 1113–1125.
Sebag J, Delori FC, Feke GT, Weiter JJ . Effects of optic atrophy on retinal blood flow and oxygen saturation in humans. Arch Ophthalmol 1989; 107 (2): 222–226.
Tiedeman JS, Kirk SE, Srinivas S, Beach JM . Retinal oxygen consumption during hyperglycemia in patients with diabetes without retinopathy. Ophthalmology 1998; 105 (1): 31–36.
Schweitzer D, Hammer M, Kraft J, Thamm E, Königsdörffer E, Strobel J . In vivo measurement of the oxygen saturation of retinal vessels in healthy volunteers. IEEE Trans Biomed Eng 1999; 46 (12): 1454–1465.
Michelson G, Scibor M . Intravascular oxygen saturation in retinal vessels in normal subjects and open-angle glaucoma subjects. Acta Ophthalmol Scand 2006; 84: 89–295.
Hardarson SH, Harris A, Karlsson RA, Halldorsson GH, Kagemann L, Rechtman E et al. Automatic retinal oximetry. Invest Ophthalmol Vis Sci 2006; 47 (11): 5011–5016.
Hammer M, Thamm E, Schweitzer D . A simple algorithm for in-vivo ocular fundus oximetry compensating for non-haemoglobin absorption and scattering. Phys Med Biol 2002; 47 (17): N233–N238.
Yoneya S, Saito T, Nishiyama Y, Deguchi T, Takasu M, Gil T et al. Retinal oxygen saturation levels in patients with central retinal vein occlusion. Ophthalmology 2002; 109 (8): 1521–1526.
Ito M, Murayama K, Deguchi T, Takasu M, Gil T, Araie M et al. Oxygen saturation levels in the juxta-papillary retina in eyes with glaucoma. Exp Eye Res 2008; 86 (3): 512–518.
Sethian JA . Level Set Methods and Fast Marching Methods. Cambridge University Press: Cambridge, Massachusetts, 1999.
Shimada Y, Yoshiya I, Oka N, Hamaguri K . Effects of multiple scattering and peripheral circulation on arterial oxygen saturation measured with a pulse-type oximeter. Med Biol Eng Comput 1984; 22: 475–478.
Alm A, Bill A . Ocular and optic nerve blood flow at normal and increased intraocular pressures in monkeys (Macaca irus): a study with radioactively labelled microspheres including flow determinations in brain and some other tissues. Exp Eye Res 1973; 15 (1): 15–29.
Feke GT, Tagawa H, Deupree DM, Goger DG, Sebag J, Weiter JJ . Blood flow in the normal human retina. Invest Ophthalmol Vis Sci 1989; 30 (1): 58–65.
Törnquist P, Alm A . Retinal and choroidal contribution to retinal metabolism in vivo. A study in pigs. Acta Physiol Scand 1979; 106 (3): 351–357.
Birol G, Wang S, Budzynski E, Wangsa-Wirawan ND, Linsenmeier RA . Oxygen distribution and consumption in the macaque retina. Am J Physiol Heart Circ Physiol 2007; 293 (3): H1696–H1704.
Sakauke H, Negi A, Honda Y . Comparative study of vitreous oxygen tension in human and rabbit eyes. Invest Ophthalmol Vis Sci 1989; 30: 1933–1937.
Stefansson E, Machemer R, de Juan E, McCuen II BW . Retinal oxygenation and laser treatment in patients with diabetic retinopathy. Am J Ophthalmol 1992; 113: 36–38.
Williamson TH, Grewal J, Gupta B, Mokete B, Lim M, Fry CH . Measurement of PO2 during vitrectomy for central retinal vein occlusion, a pilot study. Graefes Arch Clin Exp Ophthalmol 2009; 247 (8): 1019–1023.
Mordant DJ, Al-Abboud I, Muyo G, Gorman A, Sallam A, Rodmell S et al. Validation of human whole blood oximetry using a hyperspectral camera with a model eye. Invest Ophthalmol Vis Sci 2011; e-pub ahead of print 10 January 2011.
Gorman A, Fletcher-Holmes DW, Harvey AR . Harvey, generalisation of the Lyot filter and its application to snapshot spectral imaging. Opt Express 2010; 18 (6): 5602–5608.
Acknowledgements
This study was supported by Eye Therapy Trust; Technology Strategy Board (CHBT/007/00028). This paper presents independent research awarded under New and Emerging Applications of Technology (NEAT), part of the i4i Invention for Innovation programme (NEAT K034) of the National Institute for Health Research (NIHR). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the NIHR, or the Department of Health. This study was approved by the Gloucestershire Research Ethics Committee (COREC reference: 06/Q2005/131) and all procedures were carried out in accordance with the tenets of the Declaration of Helsinki.
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AR Harvey owns a patent to a related spectral imaging device, and rest of the authors declare no conflict of interest.
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Mordant, D., Al-Abboud, I., Muyo, G. et al. Spectral imaging of the retina. Eye 25, 309–320 (2011). https://doi.org/10.1038/eye.2010.222
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DOI: https://doi.org/10.1038/eye.2010.222
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