Page 434 - Handbook of Biomechatronics
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428                                                    Graham Brooker


          3.5.5 Photoacoustic Spectroscopy
          This is a method based on pressure variations generated in tissue when
          heated by a laser pulse. Selective detection of blood glucose uses specific laser
          frequencies. It is not affected by water because of its poor photoacoustic
          response of the liquid and a wide range of frequencies from the IR through
          to the UV that can be used. It is used by the Aprise system for glucose mon-
          itoring (Vashist, 2012).

          3.5.6 Raman Spectroscopy
          This form of spectroscopy measures the characteristics of scattered light at a
          higher frequency and lower intensity than the incident source. Water has
          weak scattering indices so does not interfere with the measurements. It is
          generally used to measure for glucose in the aqueous humor of the eye
          (Vashist, 2012).

          3.5.7 Ocular Spectroscopy
          Another spectroscopy method that measures glucose concentration in tears
          using a boric acid derivative hydrogel wafer bound to a contact lens. The
          boric acid derivatives form reversible covalent bonds with the glucose in
          tears resulting in a change in frequency of light reflected from the lens that
          is identified using a spectrometer. Issues with this technique include signif-
          icant lag and poor correlation between glucose in tears and that in blood
          (Vashist, 2012).

          3.5.8 Fluorescence
          This uses UV excitation of primed tissues. Currently, polymerized crystal-
          line colloidal arrays that respond to glucose concentration by altering their
          refractive index are used. The latest research focuses on the development of
          contact lenses that change color in response to changes in glucose concen-
          tration (Vashist, 2012).

          3.5.9 Polarimetry
          This technique has been used in industry for decades and so is well
          researched as a method of measuring glucose concentration. The technique
          relies on the rotation of linearly polarized light as it passes through a glucose
          solution. The aqueous humor of the eye, being clear, is an ideal measure-
          ment site. A path length of 10mm gives 10mdeg of rotation for a glucose
          concentration 10mmol/L at a wavelength of 670nm. Unfortunately its
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