Acute Kidney Injury/Chronic Kidney Disease diagnosis through Optoelectronic-based urine analysis

 

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https://storage.unitedwebnetwork.com/files/1099/0ae8a19a044b63fe2ae74c59505ff9b4.pdf
Acute Kidney Injury/Chronic Kidney Disease diagnosis through Optoelectronic-based urine analysis

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Karina
Soto
Ana Moreno A51126@alunos.isel.pt Center of Technology and Systems UNINOVA CTS Laboratory of Intelligent Systems Lisbon Portugal -
Alessandro Fantoni afantoni@deetc.isel.ipl.pt Instituto Superior de Engenharia de Lisboa Laboratory of Intelligent Systems Lisbon Portugal -
Francisca Fonseca francisca.fonseca@chs.min-saude.pt ULS Arrábida Nephrology Department Lisbon Portugal -
Beatriz Mendes beatriz.mendes@ulsa.min-saude.pt ULS Arrábida Nephrology Department Lisbon Portugal -
Karina Soto ksoto.nefro@gmail.com ULS Arrábida Nephrology Department Lisbon Portugal *
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Acute Kidney Injury (AKI) is characterized by a sudden loss of kidney function, significantly increasing the risk of mortality and progression to chronic kidney disease (CKD). Current diagnostic approaches, primarily based on serum creatinine (SCr) levels, are inadequate for early detection, as SCr can remain within normal ranges during the initial stages of injury. This study explores the potential of non-invasive optoelectronic techniques—specifically fluorescence and Raman spectroscopy—for identifying urinary biomarkers associated with AKI and CKD, aiming to enhance early diagnosis and clinical decision-making.

Urine samples were collected from anonymous volunteers participating in the LUMINA project and from patients in the Nephrology Unit, following informed consent. The study included samples from healthy individuals (n=7), CKD patients (n=6), and AKI patients (n=2). Standard creatinine solutions (1.25–100 mg/dL) were also prepared as spectral references.

Fluorescence measurements were performed using a Jasco FP-8300 spectrofluorometer and 1 cm path length quartz cuvettes. Three-dimensional (3D) fluorescence spectra were acquired by varying excitation and emission wavelengths at room temperature. Raman spectra were obtained using a 532 nm laser-equipped spectrometer at ISEL, under the LUMINA project framework. Data analysis focused on identifying distinct spectral features associated with pathological conditions.

Fluorescence spectroscopy effectively differentiated creatinine concentrations and revealed distinct spectral signatures between healthy and pathological samples. Urine from AKI and CKD patients exhibited increased fluorescence in emission regions corresponding to aromatic amino acids and protein metabolites (notably tryptophan), indicating biomarker accumulation.

Conversely, Raman spectroscopy demonstrated limited sensitivity to creatinine due to background noise and the poor scattering efficiency of polar molecules. Nevertheless, spectra from some CKD samples showed peaks potentially attributable to calcium oxalate within the 400–600 cm⁻¹ range. Increasing laser power from 5 mW to 80 mW significantly improved signal intensity, signal-to-noise ratio, and spectral clarity, revealing consistent patterns in this wavenumber range across different sample groups.

Fluorescence spectroscopy shows strong potential as a rapid, non-invasive technique for early AKI detection and differentiation between healthy and diseased individuals. While Raman spectroscopy currently faces technical limitations, its utility could be enhanced with further calibration and optimization. Together, these optoelectronic methods present a promising dual-modality approach to nephrological diagnostics, offering spectral validation that could facilitate earlier and more effective clinical intervention.

Kewords