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Non-invasive optical monitoring of lower limb ischemia model
Bukova V. I.1, Kovalchuk A. M.2, Makarova I. V.1, Guryleva A. V.1, Doroshenko Yu. S.2, Machikhin A. S.1, Baklaushev V. P.2,3
1Scientific and Technological Center of Unique Instrumentation of the Russian Academy of Sciences, Moscow, Russia
2Federal Center of Brain Research and Neurotechnologies of the Federal Medical and Biological Agency, Moscow, Russia
3Federal Scientific and Clinical Center for Specialized Medical Service and Medical Technologies, Moscow, Russia
Email: bukova.vi@ntcup.ru

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A method of lower limb ischemia monitoring via photoplethysmography and videocapillaroscopy is proposed. Critical lower limb ischemia was modeled on lab rats via embolization of arteria femoralis and verified using magnetic resonance angiography and perfusion analysis. Experimental setup and a pipeline for investigation are proposed. Quantitative parameters for ischemic limb's condition assessment are proposed; the parameters represent changes in skin blood perfusion and capillary network density. A decrease of these parameters' values in ischemic limb is presented. Data acquisition parameters, as well as parameters that present significant differences before embolization and one day after, high sensitivity and specificity, are described. Acquired results compliment conventional methods of ischemia assessment with data on skin microcirculation. The approach proposed provides robust data acquisition, non-invasive measurements and easy-to-implement hardware and software. In the future it can become a highly demanded supplement to conventional methods of ischemia diagnosis and quantitative assessment, also during prolonged experiments involving various therapeutic scenarios. Keywords: critical lower limb ischemia, non-invasive diagnostics, photoplethysmography, videocapillaroscopy, digital image processing, model animals.
  1. M.S. Conte, A.W. Bradbury, P. Kolh, J. V White, F. Dick, R. Fitridge, J.L. Mills, J.-B. Ricco, K.R. Suresh, M.H. Murad. J. Vasc. Surg., 69, 3S.e40 (2019). DOI: 10.1016/j.jvs.2019.02.016
  2. B. Natarajan, P. Patel, A. Mukherjee. Int. J. Angiol., 29, 168 (2020). DOI: 10.1055/S-0040-1713769/ID/JR200016-26/BIB
  3. Ministerstvo Zdravookhraneniya Rossiiskoi Federatsii, Rossiiskoe obshchestvo angiologov i sosudistykh khirurgov. Kriticheskaya ishemia nizhnikh konechnostei (KINK): klinicheskie rekomendatsii. [Electronic source].(in Russian) URL: https://angiolsurgery.org/library/recommendations/2023/ ischaemia/ischaemia.pdf
  4. X. Marti, A. Romera, R. Vila, M.A. Cairols. Ann. Vasc. Surg., 26, 1071 (2012). DOI: 10.1016/J.AVSG.2012.01.019
  5. S. Karacagil, A.M. Lofberg, A. Granbo, L.E. Lorelius, D. Bergqvist. Eur. J. Vasc. Endovasc. Surg., 12, 300 (1996). DOI: 10.1016/S1078-5884(96)80248-6
  6. J.Y. Hwang. Ultrasonography, 36, 111 (2017). DOI: 10.14366/USG.16054
  7. O.N. Bondarenko, N.L. Ayubova, G.K. Galstyan, I.I. Dedov. Sakh. diab., 16, 33 (2013). (in Russian) DOI: 10.14341/2072-0351-3594
  8. I.P.Mikhailov, N.V. Borovkova, B.V. Kozlovsky, I.N. Ponomarev, G.R. Ramazanov, N.E. Kudryashova, V.A. Arustamyan, E.V. Shevchenko, L.S. Kokov, L.T. Khamidova. Klin. prakt. 16, 7 (2025).(in Russian) DOI: 10.17816/clinpract677262
  9. N.E. Kudryashove, O.G. Sinyakova, I.P. Mikhailov, E.V. Migunova, O.V. Leshchinskaya. Zhurn. im N.V. Sklifosovskogo "Neotlozhnaya meditsinskaya pomoshch", 8, 257 (2019). (in Russian) DOI: 10.23934/2223-9022-2019-8-3-257-265
  10. O.V. Leshchinskaya, N.E. Kudryashova, I.P. Mikhailov, L.T. Khamidova, L.S. Kokov, I.A. Eroshkin, B.V. Kozlovsky, E.V. Kislukhina. Zhurn. im N.V.Sklifosovskogo "Neotlozhnaya meditsinskaya pomoshch", 11, 550 (2023). (in Russian) DOI: 10.23934/22239022-2022-11-4-550-560
  11. A. Wallace, Y. Pershad, A. Saini, S. Alzubaidi, S. Naidu, G. Knuttinen, R. Oklu. Vasa, 48, 57 (2018). DOI: 10.1024/0301-1526/A000759
  12. W.H. Sommer, F. Bamberg, T.R.C. Johnson, R. Weidenhagen, M. Notohamiprodjo, F. Schwarz, M.F. Reiser, K. Nikolaou. Invest. Radiol., 47, 325 (2012). DOI: 10.1097/RLI.0B013E3182479C77
  13. D.V. Shatalova. Khirurgitcheskoe lechenie patsientov s kriticheskoi ishemiei nizhnikh konechnostei posle stentirovaniys arterii nizhnikh konechnostei. Avtoref. kand. dis. (FGAOU VO pervy MGMU im I.M. Sechenova Minzrdava Rossii, M., 2020). (in Russian) URL: https://med.ru/upload/Disser_Shatalova_D.pdf
  14. M.Yu. Volodyukhin. Magnitno-resonansnaya angiografiya v diagnostike okklyuziruyushchikh zabolevanii arterii nizhnikh konechnostei. Avtoref. kand. dis. (GOU DPO Kazanskaya gosudarstvennaya meditsinskaya akademiya ministerstva zrdavookhraneniya i sotsialnogo razvitiaya Rossiiskoi Federatsii, Kazan, 2005).(in Russian) URL: https://medical-diss.com/medicina/magnitno-rezonansnaya- angiografiya-v-diagnostike-okklyuziruyuschih-zabolevaniy- arteriy-nizhnih-konechnostey
  15. G. Zaccagnini, A. Palmisano, T. Canu, B. Maimone, F.M.L. Russo, F. Ambrogi, C. Gaetano, F. De Cobelli, A. Del Maschio, A. Esposito, F. Martelli. PLoS One, 10, e0142111 (2015). DOI: 10.1371/JOURNAL.PONE.0142111
  16. J. Li, J.G. Zhao, M.H. Li. Acad. Radiol., 18, 755 (2011). DOI: 10.1016/J.ACRA.2011.01.013
  17. F. Pomposelli. J. Am. Podiatr. Med. Assoc., 100, 412 (2010). DOI: 10.7547/1000412
  18. M. McDermott. Circ. Res., 116, 1540 (2015). DOI: 10.1161/CIRCRESAHA.114.303517
  19. S.R. Levin, N. Arinze, J.J. Siracuse. Trends Cardiovasc. Med., 30, 125 (2020). DOI: 10.1016/J.TCM.2019.04.002
  20. O. Kawarada, Y. Yokoi, A. Higashimori, N. Waratani, M. Fujihara, T. Kume, K. Sakata, Y. Honda, P.J. Fitzgerald. Catheter. Cardiovasc. Intervent., 78, 1051 (2011). DOI: 10.1002/CCD.23086
  21. M.J.H.M. Jacobs, D.T. Ubbink, P.J.E.H.M. Kitslaar, J.H.M. Tordoir, D.W. Slaaf, R.S. Reneman. Eur. J. Vasc. Surg., 6, 135 (1992). DOI: 10.1016/S0950-821X(05)80230-0
  22. T. Ganesh, E. Zakher, M. Estrada, H.L.M. Cheng. J. Magn. Res. Im., 49, 1174 (2019). DOI: 10.1002/JMRI.26308
  23. U. Rother, W. Lang. Gefasschirurgie, 23, 8 (2018). DOI: 10.1007/S00772-018-0368-X
  24. K.F. Ma, S.F. Kleiss, R.C.L. Schuurmann, R.P.H. Bokkers, C. Unlu, J.P.P.M. De Vries. Exp. Rev. Med. Devices., 16, 697 (2019). DOI: 10.1080/17434440.2019.1644166
  25. N.A. Arkoudis, K. Katsanos, R. Inchingolo, I. Paraskevopoulos, M. Mariappan, S. Spiliopoulos. World J. Cardiol., 13, 381 (2021). DOI: 10.4330/WJC.V13.I9.381
  26. L.S. Fiedler, H. Daaloul. J. Biophotonics, 17, e202400002 (2024). DOI: 10.1002/JBIO.202400002
  27. J. Allen, K. Howell. Physiol. Meas., 35, R91 (2014). DOI: 10.1088/0967-3334/35/7/R91
  28. A.J. Deegan, R.K. Wang. Phys. Med. Biol., 64, 07TR01 (2019). DOI: 10.1088/1361-6560/AB03F1
  29. A.A. Kamshilin, O.V. Mamontov. Imaging photoplethysmography and its applications. Photoplethysmography: Technology, Signal Analysis and Applications (Academic Press, London, 2022). DOI: 10.1016/B978-0-12-823374-0.00014-1
  30. A.A. Kamshilin, V.V. Zaytsev, A.V. Belaventseva, N.P. Podolyan, M.A. Volynsky, A.V. Sakovskaia, R.V. Romashko, O.V. Mamontov. Sensors, 22, 5727 (2022). DOI: 10.3390/S22155727
  31. C. Blazek, V. Blazek. Studies in Skin Perfusion Dynamics (Springer, Berlin, 2021). DOI: 10.1007/978-981-15-5449-0_12
  32. T. Niizawa, K. Yokemura, T. Kusaka, T. Sugashi, I. Miura, K. Kawagoe, K. Masamoto. Microcirculation, 29, e12753 (2022). DOI: 10.1111/MICC.12753
  33. V. Taormina, G. Raso, V. Gentile, L. Abbene, A. Buttacavoli, G. Bonsignore, C. Valenti, P. Messina, G.A. Scardina, D. Cascio. Sensors, 23, 7674 (2023). DOI: 10.3390/S23187674
  34. B. Taimoto, K. Bito, S. Hari, H. Taguchi, H. Haneishi. J. Biomed. Opt., 28, 106003 (2023). DOI:10.1117/1.JBO.28.10.106003
  35. A.V. Guryleva, T.G. Grishacheva, A.S. Machikhin, D.A. Ziganurova, A.S. Belyaeva, A.A. Zolotukhina, S.G. Tchefu, P.V. Luzhnov, N.N. Petrishchev. Opt. i spektr., 133 (5), 524 (2025).(in Russian) DOI: 10.61011/OS.2025.05.60792.29-25
  36. A. Guryleva, A. Machikhin, E. Orlova, E. Kulikova, M. Volkov, G. Gabrielian, L. Smirnova, M. Sekacheva, O. Olisova, E. Rudenko, O. Lobanova, V. Smolyannikova, T. Demura. J. Biophot., e202400242 (2024). DOI: 10.1002/jbio.202400242
  37. A. Guryleva, A. Machikhin, D. Khokhlov, M. Volkov, V. Bukova, M. Sharikova, E. Orlova, L. Smirnova. In: Proc. of the 2nd SPIE Int. Conf. on Tissue Optics and Photonics (SPIE, 2022), 1214702. DOI: 10.1117/12.2621479
  38. A. Guryleva, A. Machikhin, V. Bukova. In: Proc. of the XXV Int. Conf. on Wave electronics and its Application in Information and Telecommunication (IEEE, 2022). P. 1. DOI: 10.1109/WECONF55058.2022.9803647
  39. A. Plyer, E. Colin-Koeniguer, F. Weissberger. Geosci. Rem. Sens. Let., 12 (11), 2198 (2015). DOI: 10.1109/LGRS.2015.2455071
  40. A.A. Kamshilin, E. Nippolainen, I.S. Sidorov, P.V. Vasilev, N.P. Erofeev, N.P. Podolian, R.V. Romashko. Sci. Rep., 5, 10494 (2015). DOI: 10.1038/srep10494
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