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Introduction
1.1. Background
Optical Methodologies are burgeoning for biomedical and environmental applications for
its non-invasive and high-resolution analysis of the object under investigation. Different
optical methods have been developed based on the application of optical laws. Such laws
include mechanisms of optical radiation, reflection, the interaction of light with a substance,
etc. The optical methods of analysis include Molecular-absorbing spectral analysis, Atomic
spectroscopy, Refractometric analysis, and Fluorometric analysis. The molecular-absorbing
spectral analysis deals with the measurement of the luminous flux decay due to selective
absorption of light by the analyzed substance whereas atomic absorption spectroscopy uses
the spectra of radiation or absorption of the substance after the substance is transformed into
an atomic state by the external high-energy impact. The refractometric analysis technique
has been analyzed on the light refraction index versus nature and concentration of the
substance. The fluorometric analysis has been formulated based on the emitted light intensity
of the substance versus its composition. The prominent examples of optical spectroscopy,
which include methods like Raman spectroscopy and photoemission spectroscopy.
Photosensitive measurement technologies have been widely accepted in industrial, medical,
and environmental fields because of their non-invasive and high-resolution characteristics.
In the spectroscopy-based methods, the spectral information has been accounted for the
parameters under test. For biomedical diagnosis, the use of optical spectroscopic methods is
primarily in vitro preclinical diagnosis. The other uses include non-invasive diagnosis from
the skin surface and minimally-invasive diagnosis. The upgrading of nano-materials
improves the sensitivity of the molecular probes and photonic systems, hence multiple
medical parameters have been rapidly diagnosed and analyzed. The modern-day challenges
include the design and realization of affordable techniques without compromising the
sensitivity as well as the overall performance of the device. The spectroscopic investigation
accomplishes an important role both in diagnosing different diseases including anemia,
jaundice, oxidative stress and cancer, and in the fields of environmental solutions like
1
detection of ions, soil analysis, etc. Interaction of light with matter always fascinates human
beings since ancient times. Despite the understanding of color generation upon the
interaction of light with the matter, the term 'spectroscopy' was originated in the 17th century
while the dispersion of the white light was observed according to its wavelength by the
prism. Spectroscopy in medical science has been popularised in the early 20th century.
However, its magnificent presence in the diagnosis of the disease is still evident since the
earliest times. In ancient times the medical diagnoses were based on audial and visual
interpretation. According to the ancient Greek and Roman physicians, all diseases are caused
by the imbalance among four humors [1,2] namely blood, yellow bile, black bile, and
phlegm. Uroscopy [3], a visual inspection of urine was practiced to the diagnosis of disease
or disorder. The invention of the microscope was a revolution to understand visually the
tissue structure and the activities of the organisms that cause diseases [4].
1.2. Introduction
The recent advancement of light sources, optical detectors [5], and fiber probes improve
the quantitative measurement of the interactions between the molecules and light, which
yield information about the biochemical, structural, and pathological conditions of the
tissues [6]. The basic changes are in the way or the technique of measuring parameters with
medical relevance [7]. The interaction of light with biological medium covers the general
field of biomedical optics which has its role in developing different modern clinical
diagnostic techniques. In the following section, relevant spectroscopic techniques with
2
potential applications in biomedical diagnosis and environmental monitoring have been
discussed.
3
in the spectral range of 200-850nm of glycated hemoglobin. The optical densities of the
glycated hemoglobin have been verified with the standard ion-exchange HPLC method and
found the aforementioned technique may be employed as a supplementary technique to other
techniques that already exist [9]. Instruments based on atomic absorption spectroscopy
(AAS), inductively coupled plasma-atomic emission spectroscopy (ICP-OES) and flame
atomic absorption spectroscopy (FAAS) are popular to determine the concentration of the
electrolytes in biological fluids like blood serum and urine [12], and pharmaceuticals [13-
15]. The atom is the smallest unit composed of one nucleus and one or more electrons. In
the incidence of external excitation, the electron jumps from a lower energy state to a higher
state and absorbs a photon of a characteristic wavelength. In AAS, the sample has been kept
in a graphite tube and then heated electrically, whereas in FAAS a burner has been used. The
purpose of using either the burner or the graphite tube is to atomize the sample under test.
The beam of electromagnetic radiation emitted from a hollow cathode lamp has been passed
through the atomized sample. The radiation has been absorbed by the atoms in the sample
has been found linearly proportional to the atom numbers.
4
diagnosis NIRF imaging has been identified as a promising tool because of its imaging
modality [25,26]. Dansyl, fluorescein, and rho-damine are the few examples of exogenous
fluorophores. The malignant tumors have been identified using steady-state UV fluorescence
spectroscopy of benign and normal tissues [23] and the technique thus recognized widely as
the disease detection tool. Stimulating the tissue samples under test at 300nm, the emission
has been observed in the range of 320nm to 550nm and found to be dissimilar for cancerous
tissues from that of normal and benign tissues. Frequent use of such fluorophores has been
limited as UV light is toxic for the living systems. Additionally, it is hard to discriminate the
fluorescence signals obtained from these tags and cell autofluorescence. The concept of
synthetic fluorophore [27] has been introduced in 1942 and DAPI (4’,6-diamidino-2-
phenylindole) was the first fabricated fluorophore. In this context, time-resolved
fluorescence is a strong technique to check the heterogeneous nature of chromophores that
are responsible for the tissue fluorescence. In the device, the fluorescence relaxation decay
obtained from photo-excited tissues has been considered to be the measuring parameter.
Different exponential decay profiles with slow and fast components obtained from the
fluorescence kinetics confirm the malignant and non-malignant condition of the tissues
respectively and therefore has been considered a novel methodology to acquire the
fundamental evidence of cancer.
5
diagnosis [31] includes invasive detection of cancer [32] (brain, breast, lung, skin, prostate,
colorectal); minimally invasive bio-fluid analysis for the detection of asthma, inflammatory
response, coagulant and anticoagulant factors in human blood, malaria, etc.
Though nanoparticles are indirectly related to spectroscopic studies, thus the working of
the nanoparticles can be confirmed utilizing spectroscopic methods only. Hence, applying
the spectroscopic methods, the ions present in environmental and biological samples can be
screened in the presence of specific nanosensors. However, in some cases, the effective
application of the nanoparticles could be enhanced through the application of external light
or magnetic field [33]. The colloidal particles with small size in the order of a nanometer
and large surface area have been used as sensors to estimate essential ions present in the
environment.
Thus, the optical methodology might be a useful tool to investigate the relevant structure
and functionality of the biological as well as environmental systems. The ambition of the
thesis is to improvise different optical methodologies to develop devices with extended
sensitivity, specificity, and spatial resolution for the betterment of human life.
6
determination. HemoCue [39,40] is an example that implements the gravimetric copper
sulfate method that comes in a portable format and associated recurring cost. In addition,
many non-invasive methods have been developed for the measurement of hemoglobin count
[41-43] including Pulse CO-Oximeter, Pronto-7TM monitor (version 2.1.9, Masimo
Corporation, Irvine, USA), NBM-200MP monitor (Orsense, Ness Ziona, Israel) and
spectrophotometer [44]. However, the characteristics of these instruments depend on
different physiological factors like arterial pulse, body movements, skin tones, etc. A survey
reveals that aforesaid instruments are an accurate, economical, and portable device for
anemia diagnosis and suitable in low resource territories. In recent times some algorithms
have been deployed in smartphones with the associated add-on for blood analyses and
determination of hemoglobin concentration [45]. One such example is the use of disposable
plastic cuvette-based add-on developed by Prof. Ozcan and his group from the University of
California, Los Angeles [46] for the hemoglobin detection using processed whole blood. In
absorption spectroscopy a sample with a very high extinction coefficient needs significant
dilution, to avoid a systematic error in the measurement. In the experimental set-up used by
the referred group does not use any reference wavelength for the differential or ratio-metric
calculation for hemoglobin concentration. The application of differential or ratio-metric
calculation offers better accuracy compared to that of the absolute result in optical
measurement. In the present context, a reliable, minimally invasive portable device strategy
on untreated whole blood has been addressed in the project for hemoglobin concentration
estimation at point-of-care.
Recent fact sheets have been updated by the World Health Organization (WHO) on global
statistics of different types of hepatitis. According to the report, 400 million and above
people were detected of deadly liver infection and every year more than 1.3 million people
decease due to either critical or chronic consequences of liver malfunction. The child death
due to liver breakdown is highly alarming according to the global statistics. It has been stated
in the report from UNICEF (2012) that in most underdeveloped/developing countries 21
children per minute die of neonatal jaundice which is preventive in nature. Jaundice is a
condition of high bilirubin levels in the blood which is seen as the yellowish appearance of
the skin and conjunctiva [35,47]. The presence of excess bilirubin indicates liver disease like
hepatitis or liver cancer [48]. Jaundice due to hepatitis E in neonatal and maternal subject
7
can be prevented and cured if diagnosed earlier. The raising of bilirubin concentration and
its oxidative products in adults cause several serious diseases [49,50]. As consequences of
elevated bilirubin levels in the neonates, Kernicterus [51,52] damage the white matter of the
brain [53] which causes athetoid cerebral palsy and hearing loss. Making the diagnosis to be
non-contact and non-invasive for neonates is one of the biggest challenges as contamination
is very feasible. A non-invasive and non-contact device has been addressed in the projects
to screen neonatal hyperbilirubinemia.
Among all the available electrolytes, sodium and potassium are found to be the most
common analytes because of their substantial presence in the human body as well as in
nature. Despite the significant clinical demands to measure the concentration of both the
electrolytes, fewer analytical principals are available to meet the need. The ion-selective
electrodes is a widely accepted method for the measurement of electrolyte concentrations
using serum or other biological fluids as a sample for the test. Beside ISE, some other
techniques like flame photometry and AAS are also used for the detection of the electrolyte
concentrations [56-59]. Earlier, flame photometry has been adopted for the simultaneous
detection of Na+, Li+, and K+ in laboratory samples [60]. Even though the data accuracy of
existing standard instruments based on the aforesaid methodologies, several factors like high
cost, immobility, and associated recurring cost of reagents and appropriate electrode [61,62],
limit their accessibility for rapid detection of the electrolyte and availability for patient care
at any place any time, which is an essential need of today. Biological fluids like urine, serum,
plasma, and whole blood are used for the determination of electrolyte concentration. The
8
selection of the sample type relies upon the design of the measuring instrument itself.
Besides the conventional methodologies, spark emission spectroscopy is another method to
sense the electrolyte concentration as reported in the literature [63]. A strategy for the
detection of the essential electrolytes like Na+, K+, and Li+ at the same time with no rigorous
sample preparation has also been demonstrated in the project.
The invention of the ISE by Frant and Ross [64], was a revolution and the technique has
been widely accepted as one of the conventional methods [65,66] for the detection of
different ion [67] concentration that present in groundwater. In this context, it has been well
reported in several studies that the fluoride forms an Al(III)-fluoride complex [68,69] in the
presence of Al(III). Thus, the determination of the fluoride ions, in the presence of Al(III)
ion in drinking water severely compromises the detection efficiency in the ISE technique.
The use of potassium alum (Al(III)-based compound) to the water has been widely accepted
for the drinking water treatment and the possibility of Al(III) ion leaching is obvious. Some
other fluoride detection strategies based on NIR method [70], chemo-sensor [71],
colorimetric methods [72,73], molecular recognition linked transduction mechanism and
organic receptors having amide, urea, thiourea, guanidinium or pyrrole functionalities
capable of hydrogen bonding with the fluoride anion in their binding sites are in use
[69,74,75]. However, interference from other anions and cations essentially complicates the
detection of fluoride in drinking water, demands the improvement of developing an
economic detection method with comparable sensitivity. In this context, a nano-sensor has
been fabricated in the project and using the sensor an affordable device has been developed
for determining the fluoride concentration in the drinking water.
9
samples are heterogeneous in nature. Thus photometer and color comparator both are not a
good choice for the iron concentration determination in the biological samples. In the
project, a nanosensor has been fabricated on Triton X-100, a neutral micelle duly sensitized
by porphyrin [80]. The nanosensor has been devised to determine the iron concentration in
water, in protein and also in different parts of the growing plant.
10
of this study is to develop a non-invasive spectrometry-based technique for measurement of
neonatal bilirubin level as an alternative of total serum bilirubin (TSB) test without
limitations of other available bilirubin meters. The instrument comprises a light source and
a spectroscopic detector. A light beam from source incident on the neonatal nail plate
through optical fibers. The retroreflected light is acquired using the detector. An
indigenously developed software is used to acquire and analyze the optical signal and to
calculate the bilirubin value. The instrument was calibrated and validated about TSB on 1033
subjects. The result (r = 0.95 and P < 0.001) indicates a strong correlation between the
bilirubin value obtained from our method and TSB. Time variant analysis of the subjects
undergoing phototherapy provided a good correlation (r = 0.98). The repeatability test result
shows the mean coefficient of variation is less than 5.0%. The indigenously developed non-
invasive technique successfully detects the bilirubin level in a newborn under various
physiological conditions with high accuracy and precision.
11
1.4.3. Development of Optical Spectroscopy-based Methodology for Minimally-
invasive Diagnosis Essential Salt in Human Body.
1.4.4.1. Selective and Fast Responsive Sensitized Micelle for Detection of Fluoride Level
in Drinking Water [85]: In the present work we have developed a novel FeFlu sensor and
device for fluoride detection. Consumption of excess fluorides through drinking water and
12
its adverse effects on human health is a global concern. Given that people from at least 25
countries are suffering from fluorosis, global management of its issue is of immense
importance. Here we have developed a sensor called FeFlu, based on an anionic micelle
(SDS)-hematoporphyrin (Hp) complex, sensitized by Fe(III) chloride, for the detection of
fluoride in water. The SDS-Hp complex with iron is almost non-fluorescent, but, the
prototype (FeFlu device) based on it displays a strong turn-on fluorescence upon recognition
of fluoride in water. Besides, the detection of fluorides using FeFlu is found to suffer
insignificant interference from environmentally relevant anions and cations. In the present
study, we have also fabricated a fluorescence-based prototype FeFlu device based on a
photophysical investigation of several sensitized micelle-Hp complexes and validated the
results with fluoride ion-selective electrode, which is widely utilized for the detection of
fluorides in drinking water easily and affordably.
13
1.5. Plan of the Thesis
Chapter 1: The chapter briefly introduces different types of optical methodologies used in
various biomedical and environmental applications. The summary and future scope of the
work done has also been included in this chapter.
Chapter 4: The chapter demonstrates the working of a digital camera as the optical detector
for the development of an anemia screening device with excessive-low volume untreated
blood samples for point-of-care use.
Chapter 5: The chapter gives out the idea about a non-contact transcutaneous screening
device for neonatal hyperbilirubinemia using the absorption spectrum of blood. The
performance of AJO-Neo in an Asian population of preterm, near-term, and term neonates
under prescribed conditions with risk factors and phototherapy are also validated with the
reference of the conventional biochemical method (TSB).
Chapter 6: The chapter deals with the application of optical emission spectroscopy as a tool
for the rapid detection of essential electrolytes like sodium, lithium, and potassium at the
same time from very low volume blood serum of human subjects.
Chapter 7: The chapter offers the synthesis and characterization procedures of an iron-based
fluoride sensor (FeFlu) and the development of a digital camera-based device to monitor
fluoride ions in drinking water.
Chapter 8: The chapter deals with the synthesis of a micelle based nanosensor (FeNSOR)
and the implementation of the nanosensor to form a device. The sensor efficacy for the
14
estimation of iron ions from groundwater, human serum albumin (HSA), and the plant
environment have also been discussed.
15
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