Improved accuracy in time-resolved diffuse reflectance spectroscopy
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Updated: Jul 3, 2026

Diffuse Reflectance Spectroscopy: Getting the Capillary Refill Test Under One's Thumb
Published on: December 2, 2017
Erik Alerstam1, Stefan Andersson-Engels, Tomas Svensson
1Department of Physics, Lund University, Sweden. erik.alerstam@fysik.lth.se
Abstract:
Significant improvements in the accuracy of time-resolved diffuse reflectance spectroscopy are reached by using a Monte Carlo scheme for evaluation of measured photon time-of-flight distributions. The use of time-resolved diffusion theory of photon migration, being the current standard scheme for data evaluation, is shown defective. In particular, the familiar problem sometimes referred to as absorption-to-scattering coupling or crosstalk, is identified as an error related to the breakdown of the diffusion approximation. These systematic errors are investigated numerically using Monte Carlo simulations, and their influence on data evaluation of experimental recordings are accurately predicted. The proposed Monte Carlo-based data evaluation avoids these errors, and can be used for routine data evaluation. The accuracy and reproducibility of both MC and diffusion modeling are investigated experimentally using the MEDPHOT set of solid tissue-simulating phantoms, and provides convincing arguments that Monte Carlo-based evaluation is crucial in important ranges of optical properties. In contrast to diffusion-based evaluation, the Monte Carlo scheme results in optical properties consistent with phantom design. Since the MEDPHOT phantoms are used for international comparisons and performance assessment, the performed characterization is carefully reported.
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