Determination of Glucose Concentration in Whole Blood using FTIR Spectroscopy Y.C. Shen, A.G. Davies, E.H. Linfield Cavendish Laboratory, University of Cambridge, Cambridge CB3 0HE, UK P.F. Taday, D.D. Arnone TeraView Ltd, 302/304 Cambridge Science Park, Cambridge CB4 0WG, UK T.S. Elsey Clinical Biochemistry, Addenbrooke’s NHS Trust, Cambridge CB2 2QR, UK 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Background Determination of glucose in blood diabetes Infrared spectroscopy no reagents multi-analyses from a single spectrum no damage to the samples automation 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Whole blood: *45% cellular components *55% water and dissolved solids *Clinical level of glucose: 2-30mM (5mM, 90mg/dL) FTIR spectroscopy ? high water absorption ? complex blood matrix 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Glucose absorption Transimmision spectra of water from John E. Bertie (Appl. Spectr. 1996) Transmission Water absorptionspectrum of water 1 FTIR 700-7500cm-1 transmission 0.8 0.6 0.4 0.2 25um 50um 200um 0 0 1000 2000 3000 4000 wavenumber (cm-1) 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy 5000 6000 ** Samples 25mm liquid cell ** FTIR measurement 700-7500cm-1, 2cm-1 resolution ** Glucose concentration prediction Partial Least Square (PLS) model 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Results I: Glucose solution samples 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Absorption spectrum of glucose solution (60mM) FTIR spectrum 0 0.1 spectrum 0.2 950 best-fit 1000 1050 1100 wavenumber (cm-1) 1150 2002-9-30 Determination of glucose in whole blood using FTIR The spectrum can be well simulated using eight Lorentz oscillators spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Glucose solution samples (1-8mM) 0.3 transission 0.25 0.2 0.15 0.1 0.05 0 850 1050 1250 wavelength (cm-1) 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy 1450 1650 Glucose determination: PLS model Measured (mM) 6 calibration set test set 5 4 3 2 y = 0.999x R2 = 0.995 1 0 0 1 2 3 4 prepared (mM) 5 6 SEC=0.073mM; SEP=0.086mM 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Sensitivity: better than 0.1mM Specificity? Complex blood matrix 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Results II: Glucose solution mixtures D-glucose 2002-9-30 D-Fructose Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Glucose in solution mixture: PLS prediction Prepared Measured Fructose Glucose Glucose 0.0 0.0 -0.02 8.3 7.0 6.5 11.1 7.0 6.8 13.9 7.0 6.8 16.7 7.0 6.7 19.4 7.0 6.7 22.2 7.0 6.8 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Sensitivity and specificity Results III: Whole blood samples 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Whole blood samples (2-30mM) 0.3 transmission 0.25 0.2 0.15 0.1 Glucose absorption 0.05 0 850 2002-9-30 1050 1250 1450 wavenumber (cm-1) Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy 1650 Glucose in whole blood FTIR data (mM) 30 Calibration set Test set 20 R2 = 0.996 10 0 0 10 20 Clinical data (mM) SEC=0.46mM; SEP=0.58mM 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy 30 Compare with previous results: Sample and Spectral range SEP method (cm-1) (mM) ATR (liquid) 750-1500 0.9, 1.1 950-1250 0.8 Dried film on PE card 950-1185 1.3 Liquid cell Liquid cell 2002-9-30 964-1182 950-1200 0.81 0.59 notes adsorption of protein on ATR crystal KSCN was added to blood as a reference (doping procedure) learning set: 7 patients test set: 1 patient learning set: 14 patients test set: 14 patient Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Summary: we have shown that FTIR transmission measurements, together with a PLS model, are a convenient and precise tool for the quantitative determination of glucose concentrations in blood. Results IV: The second derivative spectrum 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Glucose solution samples: (2-8mM) 10 8 6 4 2 0 2nd derivative predicted the second derivative spectrum 0.3 0.1 -0.1 0 y = 1.000x R2 = 0.992 2 4 6 prepared (mM) -0.3 950 2002-9-30 8 10 1000 1050 1100 wavenumber (cm-1) Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy 1150 Blood sample from a single patient (5-50mM) 4 3 2nd derivative 6 2 2R = 0.996 4 1 2 0 0 -1 5 20 35 50 -2 -3 950 2002-9-30 1000 1050 1100 1150 wavenumber (cm-1) Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy 1200 Blood sample from different patients 30 R2 = 0.979 3 2 1 20 10 0 0 0 10 20 30 glucose conc (mM) Calibration set 2002-9-30 R2 = 0.976 FTIR (mM) p-p value 4 0 10 20 Clinical (mM) Test set Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy 30 Conclusions (1) The IR transmission measurements are a convenient and precise tool for the quantitative determination of glucose concentrations in blood (2) The second derivative spectrum is useful for glucose determination 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Acknowledgement EPSRC (UK) The Royal Society Toshiba Research Europe Ltd. Ms. R. Woodward Mr. P. C. Upadhya Mr. R. Driver 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy Thank you! 2002-9-30 Determination of glucose in whole blood using FTIR spectroscopy, YC Shen et al., THz-bridge Conference, 2002, Capri, Italy