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Implementation of digital optical capillaroscopy for quantifying and estimating the microvascular abnormalities in diabetes mellitusстатья
- Авторы: Gurfinkel Yu I., Suchkova O.V., Sasonko M.L., Priezzhev A.V.
- Сборник: SFM, 2016, Proc. of SPIE
- Том: 9017
- Год издания: 2016
- Место издания: США
- DOI: 10.1117/12.2229062
- Аннотация: This study is aimed to define the extent of digital capillaroscopy possibilities for the quantification and estimation of microvascular abnormalities in type 2 diabetes mellitus (T2DM). A total of 196 adult persons were enrolled in the study including the group of compensated T2DM (n = 52),decompensated diabetics (n = 68), and healthy volunteers (n = 76) with normal blood glucose and without signs of cardiovascular pathology. All participants of the study were examined with the digital optical capillaroscope (“AET”, Russia). This instrument is equipped with an image-processing program allowing for quantifying the diameters of the arterial and venous segments of the capillaries and their ratio (coefficient of remodeling), perivascular zone size, capillary blood velocity, and the degree of arterial loops narrowing and the density of the capillary network. Also we estimated the relative amount of coil-shaped capillaries. The study revealed significant difference in the capillary density and the remodeling coefficient in comparison of T2DM patients with non-diabetic individuals. Significant changes arefound in the decompensated T2DM group compared to the compensated group of diabetic patients. Furthermore, the number of coil-shaped capillaries differed greatly in T2DM patients as compared to the healthy subjects. The study did not reveal any statistically significant differences in the capillary density between the patients with compensated and decompensated T2DM. The digital optical capillaroscope equipped with the advanced image-processing algorithm opens up new possibilities for obtaining clinically important information on microvascular abnormalities in patients suffering from diabetes mellitus. likely occur due to early progression of angiopathy and endothelial dysfunction3.Changes in the wall of microvessels and hemodynamic abnormalities may contribute to the deterioration of transcapillary exchange with inability of the vascular systems to adequately perfuse tissues and organs relative to their metabolic demand4, 5. Microvascular disease is highly correlated to the degree and duration of hyperglycemia in the patient’s history. Invited Paper Saratov Fall Meeting 2015: Third Annual Symposium Optics and Biophotonics; Seventh Finnish-Russian Photonics and Laser Symposium (PALS), edited by E. A. Genina, V. L. Derbov, D. E. Postnov, A. B. Pravdin, K. V. Larin, I. V. Meglinski, V. V. Tuchin, Proc. of SPIE Vol. 9917, 991703 · © 2016 SPIE · CCC code: 1605-7422/16/$18 · doi: 10.1117/12.2229062 Proc. of SPIE Vol. 9917 991703-1
- Добавил в систему: Гурфинкель Юрий Ильич