Assessment of ex vivo perfused liver health by Raman spectroscopy

Raman spectroscopy was applied in this research to monitor the overall health and degradation of porcine livers perfused ex vivo using the VasoWaveW® perfusion system. A novel Raman‐based diagnostic analysis was developed that enables near real‐time and label‐free monitoring of organ health during ex vivo perfusion designed to extend the useful life of the organ for transplantation. Multivariate statistical analysis of Raman spectra of organ perfusate fluid, using a combination of principal component analysis and linear discriminant analysis, proved to be an effective technique to assess the degradation properties of the livers. Three livers (with replicates) were perfused ex vivo under different pressures and temperatures and were compared with a 24‐h time‐course. Results indicated that perfusion pressure was a more significant factor in organ degradation than was temperature. In addition, a non‐linear degradation profile was identified for all three perfused livers, and this profile was different for individual livers, demonstrating the time‐dependent transition from its initial ‘healthy’ state towards a more ‘unhealthy’ degenerative state at 24 h. The Raman spectroscopy‐based approach described here has potential applications in perfusion and diagnostic instrumentation that can be used in near real‐time during organ transit and in operating rooms to help identify appropriately healthy organs for transplantation. Copyright © 2015 John Wiley & Sons, Ltd. Raman spectroscopy was used to monitor the health of livers being perfused ex vivo in order to extend their useful lives for transplantation. When combined with multivariate statistical analyses, the technique was able to show organ degradation over time and was capable of identifying altered degradation rates under different perfusion pressures and temperatures. Raman spectroscopy shows promise as a diagnostic tool for monitoring the health of transplantable organs in near real‐time.