PHOTOACOUSTIC MONITORING TECHNIQUE WITH NOISE REDUCTION

• US 20150238091A1
• Filed: 01/28/2015
• Published: 08/27/2015
• Est. Priority Date: 02/24/2014
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Iyer, Darshan, Dean, William Kit, Li, Youzhi
• Application Number:
  US14/607,302
• Publication Number:
  US 20150238091A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 2576/023 for the heart
• CPC Class Codes: A61B 5/0044 for the heart
• CPC Class Codes: A61B 5/0095 by applying light and detecting acoustic waves, i.e. photoacoustic measurements
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/489 Blood vessels
• CPC Class Codes: A61B 5/7203 for noise prevention, reduction or removal
• CPC Class Codes: A61B 5/7228 Signal modulation applied to the input signal sent to patient or subject; demodulation to recover the physiological signal modulation H03C
• CPC Class Codes: A61B 5/725 using specific filters therefor, e.g. Kalman or adaptive filters A61B5/316 take precedence
• CPC Class Codes: A61B 5/726 using Wavelet transforms
• CPC Class Codes: A61B 5/7278 Artificial waveform generation or derivation, e.g. synthesising signals from measured signals A61B5/327 takes precedence
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing

Abstract

Various methods and systems for photoacoustic patient monitoring are provided. A photoacoustic system includes a light emitting component that emits one or more wavelengths of light into an interrogation region of a patient and an acoustic detector that detects acoustic energy generated by the interrogation region of the patient in response to the emitted light. The system also includes techniques to remove noise from the signal generated by the acoustic detector.

Claims

1. A monitor, comprising:

a memory storing instructions for;

receiving a signal from an acoustic detector configured to detect a photoacoustic effect from light emitted into a patient'"'"'s tissue, wherein the signal is representative of an indicator dilution;

dividing the signal into a plurality of blocks, wherein each block includes a same number of epochs;

arranging the respective epochs within each block of the plurality of blocks in an ensemble arrangement;

identifying a region of each respective epoch within each block that corresponds to a blood vessel response;

calculating an indicator dilution curve based on the identified regions of the epochs;

identifying a signal region of the indicator dilution curve;

extracting one or more features from the signal region of the indicator dilution curve; and

determining a physiological parameter based on the one or more features; and

a processor configured to execute the instructions.

2. The monitor of claim 1, wherein the instructions comprise calculating an average signal for each block prior to identifying the region corresponding to the blood vessel response, and identifying the region corresponding to the blood vessel response for each average signal.

3. The monitor of claim 2, wherein the instructions for calculating the average signal comprise utilizing k-means clustering to divide the respective epochs within each block into clusters, aligning the epochs within each cluster, calculating a partial average for each cluster, calculating a peak-to-peak amplitude for each partial average, and selecting the partial average with the largest peak-to-peak amplitude as the average signal.

4. The monitor of claim 2, wherein the instructions for calculating the average signal comprise utilizing Woody filtering to reiteratively align the respective epochs within each block based on a current average signal template based on the respective epochs, calculate a current average signal template based on the aligned epochs, and calculate the mean square value between the current average signal template and a previous average signal template, wherein the current average signal template is used as the average signal if the mean square value is less than a threshold.

5. The monitor of claim 2, wherein the instructions for calculating the average signal comprise setting a temporally first epoch of the respective epochs of a block as an anchor epoch, correlating lags for each of the remaining epochs of the block to the anchor epoch, selecting a respective lag for each of the remaining epochs based on a correlation with anchor epoch, aligning the selected lags for each of the remaining epochs based on their respective correlation to the anchor epoch relative to the anchor epoch, and calculating the average signal based on the aligned epochs.

6. The monitor of claim 1, wherein the instructions comprise removing noise from the signal prior to calculating the indicator dilution curve, wherein removing noise from the signal comprises calculating wavelet coefficients for each epoch within each block, and performing an inverse transform to remove noise from the respective epochs in each block.

7. The monitor of claim 1, wherein the instructions for calculating the indicator dilution curve comprise utilizing complex demodulation to calculate an analytic signal for each epoch of each block, calculating an envelope based on the respective analytic signal, determining an area of each envelope within the identified region of each epoch, and utilizing each area as a sample on the indicator dilution curve.

8. The monitor of claim 1, wherein the instructions for calculating the indicator dilution curve comprise analyzing a power of each epoch to generate a sample on the indicator dilution curve.

9. The monitor of claim 1, wherein the instructions comprise removing noise from the indicator dilution curve prior to extracting the one or more features from the signal region of the indicator dilution curve by applying a selected filter to the indicator dilution curve, wherein the selected filter is selected via adaptive filter selection to determine a filter that generates the highest signal-to-noise ratio relative to other filters when applied to the indicator dilution curve.

10. The monitor of claim 1, wherein the instructions comprise removing noise from the indicator dilution curve prior to extracting the one or more features from the signal region of the indicator dilution curve by utilizing total variation minimization to filter the indicator dilution curve.

11. The monitor of claim 1, wherein the instructions comprise normalizing the signal region of the indicator dilution curve relative to a maximum or minimum value of the signal region to extracting the one or more features from the signal region.

12. The monitor of claim 1, wherein the instructions for identifying the signal region of the indicator dilution curve comprise low-pass filtering the indicator dilution curve, finding a minimum peak of the indicator dilution curve, and determining a beginning and an end of the signal region based on samples values of the indicator curve relative to a percentage of a minimum value before and after of the minimum peak, respectively.

13. The monitor of claim 1, wherein the one or more features comprise an area, an amplitude, or a duration of the signal region.

14. The monitor of claim 1, wherein the physiological parameter comprises cardiac output.

15. The monitor of claim 1, wherein the instructions for identifying a region of each respective epoch that corresponds to a blood vessel response comprise utilizing an ensemble-averaged envelope calculated for each block of the plurality of blocks based on the respective epochs within each block.

16. The monitor of claim 1, wherein the instructions for determining a physiological parameter based on the one or more features comprise utilizing ridge regression.

17. A method for determining a physiological parameter of a patient, comprising:

using a processor for;

receiving a signal from an acoustic detector configured to detect a photoacoustic effect from light emitted into a patient'"'"'s tissue, wherein the signal is representative of an indicator dilution;

dividing the signal into a plurality of blocks, wherein each block includes a same number of epochs;

arranging the respective epochs within each block of the plurality of blocks in an ensemble arrangement;

identifying a region of each respective epoch that corresponds to a blood vessel response utilizing an ensemble-averaged envelope calculated for each block of the plurality of blocks based on the respective epochs within each block;

calculating an indicator dilution curve based on the identified regions of the epochs;

identifying a signal region of the indicator dilution curve;

extracting one or more features from the signal region of the indicator dilution curve; and

determining a physiological parameter based on the one or more features utilizing ridge regression.

18. The method of claim 17, comprising using the processor for calculating an average signal for each block prior to identifying the regions corresponding to the blood vessel response, and identifying the region corresponding to the blood vessel response for each average signal.

19. A non-transitory computer-readable medium having computer executable code stored thereon, the code comprising instructions for:

receiving a signal from an acoustic detector configured to detect a photoacoustic effect from light emitted into a patient'"'"'s tissue, wherein the signal is representative of an indicator dilution;

dividing the signal into a plurality of blocks, wherein each block includes a same number of epochs;

identifying a region of each respective epoch within each block that corresponds to a blood vessel response;

calculating an indicator dilution curve based on the identified regions of the epochs;

identifying a signal region of the indicator dilution curve;

extracting one or more features from the signal region of the indicator dilution curve; and

determining a physiological parameter based on the one or more features utilizing ridge regression.

20. The non-transitory computer-readable medium of claim 19, wherein the code comprises instructions for arranging the respective epochs within each block of the plurality of blocks in an ensemble arrangement prior to identifying a region of each respective epoch within each block that corresponds to a blood vessel response.