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Tissue viability imaging (TiVi) in the assessment of divergent beam UV-B provocation
Royal Surrey County Hospital, Guildford, United Kingdom.
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Health Sciences.
University of Limerick, Ireland.
Linköping University, Department of Biomedical Engineering, Biomedical Instrumentation. Linköping University, The Institute of Technology.
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2011 (English)In: Archives of Dermatological Research, ISSN 0340-3696, E-ISSN 1432-069X, Vol. 303, no 2, 79-87 p.Article in journal (Refereed) Published
Abstract [en]

In routine clinical phototesting and in basic research, naked eye dermatological assessment is the "gold standard" for determining the patient's minimal erythemal dose (MED). In UV-B testing with a divergent, radially attenuating beam of characterised dosimetry, laser Doppler perfusion imaging has been previously used to give quantitative description of reactivity to doses above the MED in addition to a "single-dose" objective determination of the MED itself. In the present paper, the recently developed tissue viability imaging (TiVi) technology is presented for the first time as a reliable, easily applicable, high-resolution alternative to LDPI in the divergent beam testing concept. Data obtained after provocation with a range of doses was analysed in order to determine the reaction diameter, which can be related to the MED using field dosimetry. The dose-response features of exposure above the MED and the relationship between naked eye readings and the diameter were determined from the image data. TiVi data were obtained faster than LDPI data and at a higher spatial resolution of 100 μm instead of 1 mm. A tool was developed to centre over the erythema area of the acquired image. Response data could be plotted continuously against dose. Thresholding of processed images compared to naked eye "gold standard" readings showed that the normal skin value +4 standard deviations produced a good fit between both methods. A linear fitting method for the dose-response data provided a further method of determination of the reaction diameter (MED). Erythemal "volume under the surface (VUS)" for the reaction provided a new concept for visualising information. TiVi offers advantages over LDPI in the acquisition and analysis of data collected during divergent beam testing. An increased amount of data compared to traditional phototesting is easily and more objectively obtained which increases applicability in the clinical and research environment.

Place, publisher, year, edition, pages
Springer, 2011. Vol. 303, no 2, 79-87 p.
Keyword [en]
Photo-testing – Tissue viability imaging – UV-B – Microcirculation – Polarization spectroscopy – Minimal erythemal dose
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-66519DOI: 10.1007/s00403-010-1055-2ISI: 000287500600002PubMedID: 20524004OAI: diva2:404899
Available from: 2011-03-18 Created: 2011-03-18 Last updated: 2012-10-26

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Henricson, JoakimNilsson, Gert EAnderson, Chris D
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Department of Clinical and Experimental MedicineFaculty of Health SciencesBiomedical InstrumentationThe Institute of TechnologyDermatology and VenerologyDepartment of Dermatology and Venerology in Östergötland
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