Laser method can also be used for endothelial function assessment in clinical practice

International audienc

Linguistic analysis of laser speckle contrast images recorded at rest and during biological zero: comparison with laser Doppler flowmetry data

Laser speckle contrast imaging (LSCI) is a newly commercialized imaging modality to monitor microvascular blood flow. Contrary to the well-known laser Doppler flowmetry (LDF), LSCI has the advantage of giving a full-field image of surface blood flow using simple instrumentation. However, laser speckle contrast images are not fully understood yet and their link with LDF signals still has to be studied. To quantify the similarity between LSCI and LDF symbolic sequences, we propose to use, for the first time, the index adapted from linguistic analysis and information theory proposed by Yang For this purpose, LSCI and LDF data were recorded simultaneously on the forearm of healthy subjects, at rest and during a vascular occlusion (biological zero). We show that there are different dynamical patterns for LSCI and LDF data, and the distances between these patterns differ through the space scales explored. Moreover, our results suggest that these different dynamical patterns could be linked to blood flow. The quantitative metric used herein therefore provides new information on LSCI and brings knowledge on links between LSCI and LDF

Excellent inter- and intra-observer reproducibility of microvascular tests using laser speckle contrast imaging.

Post-occlusive reactive hyperaemia (PORH) and vasodilation induced by acetylcholine (ACh) iontophoresis are tests of endothelial function that can be studied with laser speckle contrast imaging (LSCI). LSCI has the advantage of having good temporal and spatial resolutions but can lead to a high amount of data when several minutes of recordings are needed. Parameters of PORH and ACh iontophoresis vasodilation are therefore often determined by several observers or by the same observer on different days. Nevertheless, inter- and intra-observer reproducibility for the determination of such parameters has not been studied yet. We analyzed inter-observer and intra-observer reproducibility of baseline, peak and plateau determination for the two microvascular tests. Ten recordings of both PORH and ACh iontophoresis have been analyzed by two blinded trained observers. For peak determination, inter-observer coefficient of variation (CV) was 4.7% and 3.0% for PORH and ACh respectively. Intra-observer reproducibility expressed in CV ranges from 2.4% to 5.4% for PORH-peak and ACh-peak. CVs for peak determination are better than for baseline or plateau determination for both microvascular tests. This suggests that when microvascular vasodilations are reported, the data segments measured have to be noted. Finally microvascular tests using LSCI have an excellent intra- and inter-observer reproducibility

Multiscale Entropy Study of Medical Laser Speckle Contrast Images

Laser speckle contrast imaging (LSCI) is a noninvasive full-field optical imaging technique that gives a 2-D microcirculatory blood flow map of tissue. Due to novelty of commercial laser speckle contrast imagers, image processing of LSCI data is new. By opposition, the numerous signal processing works of laser Doppler flowmetry (LDF) data-that give a 1-D view of microvascular blood flow-have led to interesting physiological information. Recently, analysis of multiscale entropy (MSE) of LDF signals has been proposed. A nonmonotonic evolution of MSE with two distinctive scales-probably dominated by the cardiac activity-has been reported. We herein analyze MSE of LSCI data. We compare LSCI results with the ones of LDF signals obtained during the same experiment. We show that when time evolution of LSCI single pixels is studied, MSE presents a monotonic decreasing pattern, similar to the one of Gaussian white noises. By opposition, when the mean of LSCI pixel values is computed in a region of interest (ROI) and followed with time, MSE pattern becomes close to the one of LDF data, for ROI large enough. LSCI is gaining increased interest for blood flow monitoring. The physiological implications of our results require future study

Heart rate recovery after constant-load exercise tests is decreased in proportion to the importance (severity and diffusion) of exercise-induced lower-limb ischaemia

BACKGROUND: Conditions that may influence heart rate recovery at 1 min of recovery from exercise (HRR1: end-exercise heart rate minus heart rate 1 min after exercise) are not fully understood. We hypothesized that the \u27importance\u27 (both local severity and regional diffusion) of peripheral skeletal muscle ischaemia is associated with low HRR1. DESIGN AND METHODS: In 529 patients with suspected or confirmed peripheral vascular disease not receiving beta-blockers (61.4 +/- 11.3 years old), we retrospectively studied the relationship of HRR1 to exercise-induced changes in transcutaneous oxygen DROP index (limb changes minus chest changes from rest). The sum of DROP indices observed on both calves and both buttocks (DROPtot) provides the unique opportunity to estimate both the severity and the diffusion of exercise-induced ischaemia on the right and left side simultaneously. It was used during a constant-load treadmill test (3.2 km h(-1) ; 10% grade) to classify patients in quartiles, the fourth quartile representing the more \u27important\u27 ischaemias.RESULTS: There was an inverse relationship between quartiles of DROPtot and HRR1, even after adjustment for heart rate reserve (Delta HR: end-exercise minus resting heart rate), age (60 years), gender, body mass index, treadmill maximal walking distance and ankle brachial index: adjusted R = 0.629; P<0.0001. CONCLUSIONS: During constant-load treadmill testing, DROPtot, an index of the \u27importance\u27 of exercise-induced lower-limb ischaemia, correlates with HRR1. Whether HRR1 is improved in proportion of DROPtot improvement in patients undergoing surgery or rehabilitation for peripheral artery disease is a fascinating issue for future studies