Assessing Inflammation in the Proximal Interphalangeal Joints of Systemic Lupus Erythematosus Patients with a Flexible Optical Imaging System

Moegammad A. Bardien, Alessandro Marone, Leila Khalili, Wei Tang, Stephen H.K. Kim, Anca D. Askanase, Andreas H. Hielscher

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

A common symptom of systemic lupus erythematosus (SLE) is inflammation and joint pain in the fingers. There is currently no technology to objectively quantify the level of inflammation and monitor its progression over time. We evaluated the proximal interphalangeal (PIP) joints of two SLE subjects and two healthy subjects with a flexible optical imaging system (FOIS). FOIS includes eight sets of three light-emitting-diodes (LEDs) (wavelength λ = 880 nm, 660 nm, and 530 nm) and a photodiode to measure transmitted light from the LEDs by the photodetector. During data acquisition, a partial arterial occlusion is induced using a blood pressure cuff inflated to the subject’s diastolic blood pressure. The cuff is then released, and the measurement is allowed to return to baseline. The measurements are used to tomographically reconstruct the distribution of total hemoglobin concentrations (HbT) inside the finger. The SLE subjects’ PIPs were confirmed as diseased using systematic multiplanar grey-scale (GS) and power Doppler (PD) ultrasound. We found that the SLE subjects had a noticeably higher HbT in and around the joint cavities than in the healthy subjects. This suggests that FOIS could be used to assess inflammation in joints of SLE patients.

Original languageEnglish (US)
Title of host publicationOptical Diagnostics and Sensing XXV
Subtitle of host publicationToward Point-of-Care Diagnostics
EditorsGerard L. Cote, Justin S. Justin S. Baba
PublisherSPIE
ISBN (Electronic)9781510683808
DOIs
StatePublished - 2025
EventOptical Diagnostics and Sensing XXV: Toward Point-of-Care Diagnostics 2025 - San Francisco, United States
Duration: Jan 27 2025Jan 28 2025

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume13316
ISSN (Print)1605-7422

Conference

ConferenceOptical Diagnostics and Sensing XXV: Toward Point-of-Care Diagnostics 2025
Country/TerritoryUnited States
CitySan Francisco
Period1/27/251/28/25

Keywords

  • hemoglobin reconstruction
  • SLE Arthritis
  • Systemic Lupus Erythematosus
  • wearables

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Atomic and Molecular Physics, and Optics
  • Biomaterials
  • Radiology Nuclear Medicine and imaging

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