Noninvasive transcutaneous bilirubin assessment of neonates with hyperbilirubinemia using a photon diffusion theory-based method

采用基于光子扩散理论的方法对高胆红素血症新生儿进行无创经皮胆红素评估

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作者:Nan-Yu Cheng, Yi-Ling Lin, Ming-Chien Fang, Wen-Hsien Lu, Chin-Chieh Yang, Sheng-Hao Tseng

Abstract

Transcutaneous bilirubinometers are widely used to screen neonatal jaundice. However, it was reported that their accuracy is compromised at low and high bilirubin levels. We used a photon diffusion theory-based method valid in the 450-600 nm wavelength region to overcome this obstacle. Our clinical study results showed that our system could properly determine the transcutaneous bilirubin concentrations at total serum bilirubin levels higher than 14 mg/dL, where a commercial bilirubinometer failed to provide proper results in several cases. These findings suggested that photon diffusion theory could be employed to improve the core algorithm of modern bilirubinometers and enhance their applicability.

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