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Progress of Sublingual Microcirculation Microimage Monitoring and Application |
Jiang Sheng, Li Peilun, Ning Gangmin* |
(College of Biomedical Engineering & Instrument Science, Zhejiang University, Hangzhou 310058, China) |
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Abstract Microcirculatory lesions are the key link leading to tissue hypoperfusion. Monitoring of microcirculatory lesions is very important in severe diseases. The tongue body is rich in microvessels, in which the sublingual microcirculation presents a reticular structure, reflecting the state of microcirculation in living tissue, and is an ideal and important site for clinical microcirculation monitoring and microcirculation detection in living animals. The equipment, index system, application, clinical significance and future prospect of sublingual microcirculation microimage monitoring were reviewed in this article. Firstly, we introduced the monitoring equipment, including the composition of the equipment, the types of optical technology adopted by the probe, the image processing algorithm adopted by the host, and the fixed form of the probe. Secondly, the index system of sublingual microcirculation microimage monitoring was summarized, including the perfusion quality index, vascular density index and perfusion heterogeneity index. Next, an example was given to illustrate the clinical and experimental applications, including the study on the relationship between diseases and microcirculation in clinical practice, the study on the relationship between drugs and microcirculation, and the study on the relationship between visceras' microcirculation using sublingual microcirculation microimage monitoring technology. Finally, the significance of clinical diagnosis, treatment and research were discussed, and the technical improvement, development and application direction are prospected.
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Received: 24 December 2019
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Corresponding Authors:
*E-mail: gmning@zju.edu.cn
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