PMID- 34006867 OWN - NLM STAT- MEDLINE DCOM- 20211108 LR - 20211108 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 May 18 TI - Predicting anemia using NIR spectrum of spent dialysis fluid in hemodialysis patients. PG - 10549 LID - 10.1038/s41598-021-88821-4 [doi] LID - 10549 AB - Anemia is commonly present in hemodialysis (HD) patients and significantly affects their survival and quality of life. NIR spectroscopy and machine learning were used as a method to detect anemia in hemodialysis patients. The aim of this investigation has been to evaluate the near-infrared spectroscopy (NIRS) as a method for non-invasive on-line detection of anemia parameters from HD effluent by assessing the correlation between the spectrum of spent dialysate in the wavelength range of 700-1700 nm and the levels of hemoglobin (Hb), red blood cells (RBC), hematocrit (Hct), iron (Fe), total iron binding capacity (TIBC), ferritin (FER), mean corpuscular volume (MCV) and mean corpuscular hemoglobin concentration (MCHC) in patient blood. The obtained correlation coefficient (R) for RBC was 0.93, for Hb 0.92, for Fe 0.94, for TIBC 0.96, for FER 0.91, for Hct 0.94, for MCV 0.92, for MCHC 0.92 and for MCH 0.93. The observed high correlations between the NIR spectrum of the dialysate fluid and the levels of the studied variables support the use of NIRS as a promising method for on-line monitoring of anemia and iron saturation parameters in HD patients. FAU - Matovic, Valentina AU - Matovic V AD - Faculty of Mechanical Engineering, Belgrade University, Kraljice Marije 16, 11120, Belgrade, Serbia. vmatovic@mas.bg.ac.rs. FAU - Jeftic, Branislava AU - Jeftic B AD - Faculty of Mechanical Engineering, Belgrade University, Kraljice Marije 16, 11120, Belgrade, Serbia. FAU - Trbojevic-Stankovic, Jasna AU - Trbojevic-Stankovic J AD - Faculty of Medicine, Belgrade University, Dr Subotica 8, 11000, Belgrade, Serbia. AD - Clinic of Urology, University Hospital Center "Dr Dragisa Misovic-Dedinje", Heroja Milana Tepica 1, 11000, Belgrade, Serbia. FAU - Matija, Lidija AU - Matija L AD - Faculty of Mechanical Engineering, Belgrade University, Kraljice Marije 16, 11120, Belgrade, Serbia. LA - eng PT - Journal Article DEP - 20210518 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Hemoglobins) SB - IM MH - Anemia, Iron-Deficiency/blood/*therapy MH - Erythrocyte Indices MH - Hemoglobins/analysis MH - Humans MH - Monitoring, Physiologic/methods MH - Quality of Life MH - *Renal Dialysis MH - Spectroscopy, Near-Infrared/*methods PMC - PMC8131692 COIS- The authors declare no competing interests. EDAT- 2021/05/20 06:00 MHDA- 2021/11/09 06:00 PMCR- 2021/05/18 CRDT- 2021/05/19 06:15 PHST- 2020/10/12 00:00 [received] PHST- 2021/04/08 00:00 [accepted] PHST- 2021/05/19 06:15 [entrez] PHST- 2021/05/20 06:00 [pubmed] PHST- 2021/11/09 06:00 [medline] PHST- 2021/05/18 00:00 [pmc-release] AID - 10.1038/s41598-021-88821-4 [pii] AID - 88821 [pii] AID - 10.1038/s41598-021-88821-4 [doi] PST - epublish SO - Sci Rep. 2021 May 18;11(1):10549. doi: 10.1038/s41598-021-88821-4.