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National Technical University of Ukraine ‘Igor Sikorsky Kyiv Polytechnic Institute’, 37, Beresteiskyi Ave., UA-03056 Kyiv, Ukraine

Laser Speckle Analysis of Blood Coagulation: Overview and Prospects for Use in Military Medicine

301–316 (2026)

PACS numbers: 42.25.Dd, 42.30.Ms, 81.07.Bc, 83.80.Lz, 87.85.gf, 87.85.Pq, 87.85.Rs

The article discusses a promising technology for assessing the blood-coagulation system, namely, laser speckle analysis (LSA), with an emphasis on the use of optical nanostructured components to improve the quality of diagnostics. A review of the physical foundations of the method, modern scientific research and comparison with traditional viscoelastic haemostatic assays TEG, ROTEM, ClotPro is carried out. Particular attention is paid to the role of nanotechnological solutions (anti-reflective nanocoatings of the ‘moth-eye’ type, plasmon Ag, Si nanoparticles and silver nanofilms with a thickness of 40–80 nm) in the formation of a stable, high-contrast speckle pattern. The mechanisms of reducing parasitic reflections, increasing light transmission and amplification of the local light signal due to the effects of the local and surface plasmon resonances are described. As shown, the introduction of such nanostructures into the configuration of the LSA sensor can improve significantly the signal-to-noise ratio, increase the spatial resolution and accuracy of the assessment of the microdynamics of formed blood elements. The potential of portable implementation of LSA with nanoreinforced optical elements for the field and military medicine Role 2, Role 3 is highlighted, where the applicability of conventional coagulation devices is limited. The proposed approach combines optical diagnostics and nanotechnology methods, which open up new opportunities for the creation of a new generation of mobile biomedical sensors. This work emphasizes not only the technological novelty of LSA, but also its direct clinical value for increasing the effectiveness of treatment in conditions of emergency and military medicine.

KEY WORDS: laser speckle analysis, fibre-optic light guides, blood coagulation, nanocoatings, optical diagnostics, military medicine

DOI: https://doi.org/10.15407/nnn.24.01.0301

Citation:
Viktor Borovskyi and Mykola Bogomolov, Laser Speckle Analysis of Blood Coagulation: Overview and Prospects for Use in Military Medicine, Nanosistemi, Nanomateriali, Nanotehnologii, 24, No. 1: 301–316 (2026); https://doi.org/10.15407/nnn.24.01.0301
REFERENCES
  1. NATO Standardization Office, AMedP-8.5: Minimum Requirements for Medical Laboratory Support to Deployed Operations (STANAG 2571, Ed. A Ver. 2) (2020); https://www.coemed.org/files/stanags/03_AMEDP/AMedP-8.5_EDA_V2_E_2571.pdf
  2. W. Z. Martini, J. Trauma, 67, No. 1: 202 (2009); https://doi.org/10.1097/TA.0b013e3181a602a7
  3. D. R. Spahn, B. Bouillon, V. Cerny, T. J. Coats, J. Duranteau, E. Fernández-Mondéjar, D. Filipescu, B. J. Hunt, R. Komadina, G. Nardi, E. Neugebauer, Y. Ozier, L. Riddez, A. Schultz, J.-L. Vincent, and R. Rossaint, Crit. Care, 17, No. 2: R76 (2013); https://doi.org/10.1186/cc12685
  4. H. Schöchl, M. Maegele, C. Solomon, K. Görlinger, and W. Voelckel, Scand. J. Trauma Resusc. Emerg. Med., 20, No. 1: 15 (2012); https://doi.org/10.1186/1757-7241-20-15
  5. A. G. Burton and K. E. Jandrey, Vet. Clin. North Am. Small Anim. Pract., 50, No. 6: 1397 (2020); https://doi.org/10.1016/j.cvsm.2020.08.001
  6. R. Rossaint, B. Bouillon, V. Cerny, T. J. Coats, J. Duranteau, E. Fernández-Mondéjar, D. Filipescu, B. J. Hunt, R. Komadina, G. Nardi, E. A. M. Neugebauer, Y. Ozier, L. Riddez, A. Schultz, J.-L. Vincent, and D. R. Spahn, Crit. Care, 20: 100 (2016); https://doi.org/10.1186/s13054-016-1265-x
  7. L. Makyeyeva, O. Frolov, and O. Aliyeva, Innovative Biosystems and Bioengineering, 9, No. 1: 13 (2025); https://doi.org/10.20535/ibb.2025.9.1.310092
  8. A. Sokol, D. Grekov, G. Yemets, A. Galkin, N. Shchotkina, A. Dovghaliuk, O. Telehuzova, N. Rudenko, O. Romaniuk, and I. Yemets, Biopolym. Cell, 36: 392 (2020); http://dx.doi.org/10.7124/bc.000A3C
  9. S. O. Bychkov and O. O. Martyniv, The Journal of V. N. Karazin Kharkiv National University. Series Medicine, 33, No. 3 (54): 310 (2025); https://doi.org/10.26565/2313-6693-2025-54-01
  10. Klaus Görlinger, Antonio Pérez-Ferrer, Daniel Dirkmann, Fuat Saner, Marc Maegele, Ángel Augusto Pérez Calatayud, and Tae-Yop Kim, Korean J. Anesthesiol., 72, No. 4: 297 (2019); https://doi.org/10.4097/kja.19169
  11. P. Bodnar, A. Bedeniuk, T. Bodnar, L. Bodnar, and B. Verveha, Eastern Ukrainian Medical Journal, 13, No. 1: 14 (2025); https://doi.org/10.21272/eumj.2025;13(1):14-27
  12. O. Salekh, The Odessa Medical Journal, No. 2: 27 (2025); https://doi.org/10.32782/2226-2008-2025-2-4
  13. F. Hladkykh, The Odessa Medical Journal, 6: 45 (2024) (in Ukrainian); https://doi.org/10.32782/2226-2008-2024-6-8
  14. U. Haque, M. H. Bukhari, N. Fiedler, S. Wang, O. Korzh, J. Espinoza, M. Ahmad, I. Holovanova, T. Chumachenko, O. Marchak, D. Chumachenko, O. Ulvi, I. Sikder, H. Hubenko, and E. S. Barrett, JAMA Health Forum, 5, No. 5: e240901 (2024); https://doi.org/10.1001/jamahealthforum.2024.0901
  15. Z. Hajjarian and S. K. Nadkarni, J. Biomed. Opt., 25, No. 5: 1–19 (2020); https://doi.org/10.1117/1.JBO.25.5.050801
  16. M. F. Mahmood, Innov. Biosyst. Bioeng., 8, No. 2: 53 (2024); https://doi.org/10.20535/ibb.2024.8.2.298201
  17. G. N. Jackson, K. J. Ashpole, and S. M. Yentis, Anaesthesia, 64, No. 2: 212 (2009); https://doi.org/10.1111/j.1365-2044.2008.05752.x
  18. M. Maegele, R. Lefering, N. Yucel, T. Tjardes, D. Rixen, T. Paffrath, C. Simanski, E. Neugebauer, and B. Bouillon, Injury, 38, No. 3: 298 (2007); https://doi.org/10.1016/j.injury.2006.10.003
  19. K. Görlinger, D. Dirkmann, and A. A. Hanke, Curr. Opin. Anaesthesiol., 26, No. 2: 230 (2013); https://doi.org/10.1097/ACO.0b013e32835ddca6
  20. S. J. Wilson and M. C. Hutley, Optica Acta: International Journal of Optics, 29, No. 7: 993 (1982); https://doi.org/10.1080/713820946
  21. M. M. Tripathi, Z. Hajjarian, and S. K. Nadkarni, Biomed. Opt. Express, 5, No. 3: 817 (2014); https://doi.org/10.1364/BOE.5.000817
  22. A. Baykova, M. Bohomolov, S. Vovyanko, and V. Borovskyi, Biomed. Eng. Technol., 16: 31 (2024) (in Ukrainian); https://doi.org/10.20535/.2024.16.317945
  23. A. V. Saúde, F. S. De Menezes, P. L. S. Freitas, G. F. Rabelo, and R. A. Braga, J. Opt. Soc. Am. A, 29, No. 8: 1648 (2012); https://doi.org/10.1364/josaa.29.001648
  24. M. F. Bogomolov, V. V. Shlikov, and S. I. Vovyanko, Biomed. Eng. Technol., 6: 99 (2021) (in Ukrainian); https://doi.org/10.20535/2617-8974.2021.6.244563
  25. J. Liu, H. He, D. Xiao, S. Yin, W. Ji, S. Jiang, D. Luo, B. Wang, and Y. Liu, Materials, 11, No. 10: 1833 (2018); https://doi.org/10.3390/ma11101833
  26. J. Gong, Y. Zhang, H. Zhang, Qi Li, G. Ren, W. Lu, and Jing Wang, Micromachines, 22, No. 13: 4793 (2022); https://doi.org/10.3390/s22134793
  27. J. Hartmann, D. Hermelin, and J. H. Levy, Res. Pract. Thromb. Haemost., 7, No. 1: 100031 (2023); https://doi.org/10.1016/j.rpth.2022.100031
  28. S. Song, S. Choi, S. Ryu, S. Kim, T. Kim, J. Shin, H.-I. Jung, and C. Joo, Biosens. Bioelectron., 117: 385 (2018); https://doi.org/10.1016/j.bios.2018.06.024
  29. D. S. Kauvar and C. E. Wade, Crit. Care, 9, No. S5: S1 (2005); https://doi.org/10.1186/cc3779
  30. M. Draijer, E. Hondebrink, T. Leeuwen, and W. Steenbergen, Lasers Med. Sci., 24, No. 4: 639 (2008); https://doi.org/10.1007/s10103-008-0626-3
  31. G. Han, J. Lu, X. Dong, D. Li, J. Yuan, Q. Yang, H. Wang, R. Chen, Y. Wu, J. Wang, and X. Min, Infrared Phys. Technol., 142: 105512 (2024); https://doi.org/10.1016/j.infrared.2024.105512
  32. R. Gaiser, Best Pract. Res. Clin. Anaesthesiol., 26, No. 1: 69 (2012); https://doi.org/10.1016/j.bpa.2012.01.001
  33. A. Yu. Popov, N. A. Popova, A. V. Tyurin, and V. Grimblatov, Proceedings of SPIE (Conference on Mechanisms for Low-Light Therapy VIII), 8569: 85690C (2013); https://doi.org/10.1117/12.2002128
  34. A. Nadort, K. Kalkman, T. G. Van Leeuwen, and D. J. Faber, Sci. Rep., 6, No. 1: 25258 (2016); https://doi.org/10.1038/srep25258
  35. M. A. Toderi, B. D. Riquelme, and G. E. Galizzi, Opt. Eng., 61, No. 12: 124101 (2022); https://doi.org/10.1117/1.oe.61.12.124101
  36. L. Markwalder, R. Gush, F. Khan, C. E. Murdoch, and N. Krstajić, iScience, 27, No. 3: 109077 (2024); https://doi.org/10.1016/j.isci.2024.109077
  37. J. Liu, H. He, D. Xiao, S. Yin, W. Ji, S. Jiang, D. Luo, B. Wang, and Y. Liu, Materials, 11, No. 10: 1833 (2018); https://doi.org/10.3390/ma11101833
  38. J. Dybas, F. C. Alcicek, A. Wajda, M. Kaczmarska, A. Zimna, K. Bulat, A. Blat, T. Stepanenko, T. Mohaissen, E. Szczesny-Malysiak, D. Perez-Guaita, B. R. Wood, and K. M. Marzec, TrAC Trends Anal. Chem., 146: 116481 (2021); https://doi.org/10.1016/j.trac.2021.116481
  39. H. Ye, Y. Liu, L. Zhan, Y. Liu, and Z. Qin, Theranostics, 10: 4359 (2020); https://doi.org/10.7150/thno.44298
  40. J. W. Goodman, Speckle Phenomena in Optics: Theory and Applications (Bellingham, WA: SPIE Press: 2020); https://doi.org/10.1117/3.2548484
  41. K. V. Baryshnikova, M. I. Petrov, V. E. Babicheva, and P. A. Belov, arXiv:1508.06578 (2015); https://doi.org/10.48550/arXiv.1508.06578
  42. P. S. S. dos Santos, J. M. M. M. de Almeida, I. Pastoriza-Santos, and L. C. C. Coelho, Sensors, 21, No. 6: 2111 (2021); https://doi.org/10.3390/s21062111
  43. E. A. Savchenko and E. N. Velichko, Opt. Spectrosc., 128: 998 (2020); https://doi.org/10.1134/s0030400x2007019x
  44. D. Li, Y. Zhang, and B. Chen, J. Innov. Opt. Health Sci., 13, No. 2: 20500042 (2020); https://doi.org/10.1142/s1793545820500042
  45. S. J. Wilson and M. C. Hutley, Opt. Acta, 29: 993 (1982); https://doi.org/10.1080/713820946
  46. B. Lee, B. Park, D. Kim, C. Jung, J. H. Park, J.-H. Park, Y. E. Lee, M. G. Shin, M.-G. Kim, N. E. Yu, J. H. Kim, and K. Kim, Nat. Commun., 16: 3377 (2025); https://doi.org/10.1038/s41467-025-58663-z
  47. S. K. Gahlaut, A. Pathak, and B. D. Gupta, Biosensors, 12, No. 9: 713 (2022); https://doi.org/10.3390/bios12090713