Short‐wave infrared hyperspectral imaging is applied to diagnose and monitor a case of allergic contact dermatitis (ACD) due to poison ivy exposure in one subject. This approach directly demonstrates increased tissue fluid content in ACD lesional skin with a spectral signature that matches the spectral signature of intradermally injected normal saline. The best contrast between the affected and unaffected skin is achieved through a selection of specific wavelengths at 1070, 1340 and 1605 nm and combining them in a pseudo‐red‐green‐blue color space. An image derived from these wavelengths normalized to unaffected skin defines a “tissue fluid index” that may aid in the quantitative diagnosis and monitoring of ACD. Further clinical testing of this promising approach towards disease detection and monitoring with tissue fluid content quantification is warranted.
Multi- and hyperspectral imaging modalities encompass a growing number of spectral techniques that find many applications in geospatial, biomedical, machine vision and other fields. The rapidly increasing number of applications requires convenient easy-to-navigate software that can be used by new and experienced users to analyse data, and develop, apply and deploy novel algorithms. Herein, we present our platform, IDCube Lite, an Interactive Discovery Cube that performs essential operations in hyperspectral data analysis to realise the full potential of spectral imaging. The strength of the software lies in its interactive features that enable the users to optimise parameters and obtain visual input for the user in a way not previously accessible with other software packages. The entire software can be operated without any prior programming skills allowing interactive sessions of raw and processed data. IDCube Lite, a free version of the software described in the paper, has many benefits compared to existing packages and offers structural flexibility to discover new, hidden features that allow users to integrate novel computational methods.
Acute graft versus host disease (aGVHD), one of the most common and potentially deadly complications of hematopoietic cell transplantation (HCT), is often difficult to diagnose with traditional clinical and histopathologic examination. Through five quantitative parameters extracted from noninvasive reflectance confocal microscopy videos, we compared the differences in upper dermal microvasculature of patients post-HCT with skin aGVHD (N¼10) and with no organ aGVHD (post-HCT controls, N¼10). We used a clinical reflectance confocal microscope, the Vivascope 1500 (Caliber I.D., Rochester, NY), to image volar forearm and upper chest blood vessels. Patients were similarly distributed in terms of gender, age, days post-HCT, and underlying disease. We found an increased number of "paused" or temporarily stopping leukocytes (median of 2 vs. 1) in aGVHD patients compared to post-HCT controls. Although the size of paused leukocytes was similar (median of 8 mm), the time of leukocytes being paused (median of 4 vs. 2 seconds) was higher in aGVHD compared to post-HCT controls. Interestingly, we found no difference in the blood vessel size (median of 9 mm) or density (median of 3 blood vessels) among both groups. In a limited number of patients, we found increased leukocyte pausing in similar-sized upper dermal blood vessels of aGVHD patients, compared to post-HCT controls.
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