The low concentration and weak Raman activity of synovial fluid (SF) make it difficult to be detected in the liquid-phase by conventional Raman spectroscopy. Therefore, liquid-core optical fiber enhanced Raman scattering (LCOF-ERS, LERS) was introduced to detect liquid-phase SF since its obvious scattering enhancement. This study reveals that when the LCOF material (refraction index, RI) and length are determined to collect LERS spectra of ethanol solution, the LERS performance increases with decreasing both the objective lens magnification and the LCOF inner diameter (ID). It reaches optimum at 4 × objective and 200μm ID, which was set for LERS measurement of SF. It’s found that the SNR of the LERS (4 ×/200-ID) spectra of the liquid-phase SF is 15.3 times of the conventional Raman spectra, simultaneously avoiding the spectral distortion and molecular configuration change caused by the phase change of SF. Moreover, the enhancement factor of LERS increases from 6.5 to 25.6 by diluting 10 times with water, confirming that LERS is highly feasible and worth expecting for the practical detection of micro-SF with low-RI. The significant enhancements for LERS in intensity and Signal to Noise Ratio (SNR) are very helpful to facilitate the micro clinical detection, disease diagnosis and scientific research of SF and other bodily fluids in liquid.
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