Evidence map›Paper›PMID 42428948›Full record

ArticleJournal of biomedical optics2026

Broad-linewidth sources result in a skin-tone bias in noninvasive optical measurement of oxygen saturation.

Giles Blaney, Sergio Fantini

Abstract read
In one paragraph

Article in Journal of biomedical optics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Giles BlaneyTufts University, Department of Biomedical Engineering, Medford, Massachusetts, United States.ORCID https://orcid.org/0000-0003-3419-4547
Sergio FantiniTufts University, Department of Biomedical Engineering, Medford, Massachusetts, United States.

Funding

Pulse-oximetry method for un-biased assessment of arterial saturationK99HL181290 · NHLBI · TUFTS UNIVERSITY MEDFORD · PI Giles Blaney · 2025 to 2026
$269k
NHLBI NIH HHS K99 HL181290
6 · The paper itself

Abstract

Significance: Pulse oximeters overestimate arterial oxygen saturation in patients with darker skin tones, potentially increasing rates of occult hypoxemia. The emission of broad-linewidth light-emitting diodes (LEDs) has been proposed as a possible cause for this melanin-dependent bias. Aim: This letter utilizes a physics-based model to investigate if the spectral bandwidth of light sources contributes to melanin-dependent measurement biases. Approach: Pulse oximetry measurements were simulated across varying melanin concentrations and source bandwidths using a hybrid diffusion theory and Monte Carlo model. Epidermal melanin absorption was modeled with transmissive filters on the surfaces of an infinite slab representing bulk tissue. Results: Simulations demonstrate that pulse oximeter calibration curves depend on melanin concentration when broad-linewidth LEDs are utilized. Conversely, calibration curves remain independent of melanin when employing monochromatic laser diodes (LDs). Conclusion: Spectral coloring from broad-linewidth LEDs contributes to the skin-tone bias observed in pulse oximetry. Although updating calibration methods for different skin tones is a potential approach, adopting monochromatic LDs could alternatively eliminate this spectral-coloring contribution to the bias.

Indexed as

OximetryOxygenOxygen SaturationSkinSkin PigmentationCalibrationComputer SimulationHumansMelaninsMonte Carlo MethodMelaninsOxygenmelaninmonochromatic sourceoxygen saturationpolychromatic sourcepulse oximetryskin tone

Identifiers

PMID42428948
PMCPMC13349327

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.