Microangiopathy, Microvascular Complications
Conditions
Keywords
Laser speckle contrast imaging, Spatial frequency domain imaging, Laser doppler flowmetry, Iontophoresis, Local thermal hyperemia, Post occlusive reactive hyperemia
Brief summary
This clinical trial aims to evaluate the use of a contactless and non-invasive technique to measure the properties of the skin's microcirculation and its regulatory functions in both healthy individuals and patients with microvascular disease associated with type 1 diabetes. It is hoped that the study results will lead to the development of a useful method for detecting diabetic complications at an early stage, thereby enabling treatment and preventive measures before the onset of severe microangiopathy.
Detailed description
This study will employ investigational devices to evaluate microvascular function and correlate it to degree of microangiopathy in persons with diabetes type 1 and healthy controls. The investigational device, TCI P4, is a novel, contactless, non-invasive, non-CE marked, class IIa Spatial Frequency Domain Imaging (SFDI) system. The device utilizes an LED light projector to cast patterned, multi-wavelength light onto the skin while multiple cameras capture narrow-band reflections. This method yields two-dimensional data on skin structure and molecular composition (including hemoglobin, oxygen, and water). Established comparators such as laser speckle contrast imaging (LSCI) and the EPOS system are employed to benchmark device performance and validate measurements.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetes mellitus type 1. * Cohort specific inclusion criteria apply, please review 'groups' section.
Exclusion criteria
* Patients unable to understand patient information due to cognitive impairment. * Patients unable to understand patient information due to language barriers. * Ongoing acute infection disease or inflammatory condition. * Pregnant or breast-feeding women. * Patients with damaged and/or scarred tissue in the areas of interest for the investigational or comparator devices.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peak perfusion in response to local thermal hyperemia | Investigation will take within 1 day from enrollment. | As measured with investigational devices TCI P4, Pericam LSCI and EPOS devices. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perfusion heterogeneity in sole of feet | Investigation will take place within 1 day from enrollment. | Perfusion heterogeneity index as measured by investigational device TCI P4. It will be stated as a numerical ordinal scale. |
Countries
Sweden