Liver function testing apparatus

• US 5,054,915 A
• Filed: 11/14/1988
• Issued: 10/08/1991
• Est. Priority Date: 11/13/1987
• Status: Expired due to Fees

• Current Assignee: Sumitomo Electric Industries Limited (Sumitomo Corporation)
• Original Assignee: Sumitomo Electric Industries Limited (Sumitomo Corporation)
• Inventors: Kanda, Masahiko, Awazu, Kunio
• Primary Examiner(s): Willis, Davis L.
• Assistant Examiner(s): Pham, Hoa
• Application Number:
  US07/270,223
• Time in Patent Office: 1,058 Days
• Field of Search: 356/39-42, 356/51, 356/72, 356/410, 356/418, 356/320, 250/218, 250/328, 128/665-667, 128/633
• US Class Current: 356/39
• CPC Class Codes: A61B 5/0059 using light, e.g. diagnosis by transillumination, diascopy, fluorescence A61B5/0093, A61B5/1455, A61B5/02416 and A61B5/0261 take precedence
• CPC Class Codes: A61B 5/4244 liver

Abstract

A liver function testing apparatus, provides light signals (11, 12) exposing vital tissue (15) to a first light signal that is substantially absorbed by a specific dye dosed into the blood of the vital tissue. The dye is to be taken in and removed by the liver. A second light signal is substantially not absorbed by the specific dye. Optical pulses obtained from the vital tissue are received by a light receiving element (13), the output of which is sampled by an A-D converter (30) to provide digital output signals. On the basis of variable components in the blood, a CPU (34) determines a coefficient of a regression line expression between first and second photoelectric conversion signals, to perform a biocalibration. A value correlated with a specific dye concentration in the blood, is processed on the basis of sampling signals during a prescribed period after an injection of the specific dye and the determined coefficient of the regression line expression, so that a coefficient of a simulation function is obtained as a function of time using the method of least squares. Additionally, an index RMAX expressing the total amount of hepatic cell function is obtained on the basis of the coefficients.

Claims

1. A liver function testing apparatus for testing a liver function, comprising:

light source means (11,

     12) for exposing vital tissue (15) to a first light signal capable of being absorbed by a specific dye injected into the blood of said vital tissue, said dye to be taken in and removed by the liver, and to a second light signal capable of not being absorbed by said specific dye;

photoelectric conversion means (13) for outputting first and second photoelectric conversion signals based on light from said vital tissue and corresponding to said first light signal and to said second light signal applied to said vital tissue by said light source means;

sampling means (28) for sampling said photoelectric conversion outputs from said photoelectric conversion means;

decision means (34, PS28) for determining a coefficient of a regression line expression between said first and second photoelectric conversion signals on the basis of variable components in said vital tissue included in said first and second photoelectric conversion signals sampled by said sampling means;

arithmetic means (34, SP28) for processing a value correlated with a specific dye concentration in said blood on the basis of a sampling signal output from said sampling means during a prescribed period of time following said injection of said specific dye and said coefficient of said regression line expression determined by said decision means to obtain a coefficient of a simulation function as a function of time by using the method of least squares for processing said correlated value; and

wherein said arithmetic means comprise means for obtaining an index expressing the total amount of hepatic cell function on the basis of said coefficient of said simulation function obtained by said arithmetic means.

2. The liver function testing apparatus in accordance with claim 1, wherein said light source means includes:

a plurality of first light source means (111, 112, . . . , 11m) for exposing said vital tissue to first light signals having different wavelengths capable of being absorbed by said specific dye, and second light source means (20) for exposing said vital tissue to a second light signal having a wavelength not absorbed by said specific dye, said liver function testing apparatus further including;

input means for inputting respective dose quantities D (mg/kg) of different specific dyes, and light source selection means (50) for selecting one first light source from said plurality of first light source means in response to a dose quantity currently inputted by said input means to apply light from said one first light source to said vital tissue.

3. The liver function testing apparatus in accordance with claim 1, wherein said arithmetic means includes means (SP72) for obtaining a blood plasma disappearance rate k of said specific dye and a liver removal ration R=D×

k on the basis of said coefficient of said simulation function, where k is said disappearance rate;

R is indicated as mg/kg/min, and wherein D is a dye dosing value in mg/kg of dye in mg and patient weight in kg.

4. The liver function testing apparatus in accordance with claim 1, wherein said sampling means includes means for sampling said first and second photoelectric conversion signals a plurality of times, and said decision means includes means (SP28) for obtaining dimensionless constants A and B by performing a regression line analysis in accordance with the following operation expression:

space="preserve" listing-type="equation">logCL1=A·

logC12+B

wherein CL1 and CL2 represent average values of said first and second photoelectric conversion signals sampled a plurality of times by said sampling means for obtaining the maximum value of said first photoelectric conversion signal sampled a plurality of times.

5. The liver function testing apparatus in accordance with claim 1, wherein said means for obtaining said index includes means (SP51, 57-62) for injecting said specific dye, dividing a prescribed time interval following a uniform dye distribution of said specific dye in said blood, into a plurality of time blocks to obtain coefficients Ai and Bi on the basis of a simulation function Dg=Ai·

e^Bit in respective blocks, wherein i=1, 2, . . . , m;

m≦

2, where i=1 is a first time block, and t is time in minutes, and to obtain values of Cg at initial times of respective blocks as Ci whereby Ki=-Bi and performing a regression line analysis on the basis of obtained coefficients Ki and Ci by an operation expression of (1/Ki·

Ci)=a(1/Ci)+b to obtain coefficients a and b, thereby to obtain an index RMAX on the basis of an operation expression of RMAX=1/b.

6. The liver function testing apparatus in accordance with claim 1, wherein said means for obtaining said index includes means for injecting said specific dye, dividing a prescribed time interval following a uniform dye distribution of said specific dye in said blood, into a plurality of time blocks to obtain coefficients Ai and Bi on the basis of a simulation function of Cg=Ai·

e^Bit in respective blocks, wherein i=1, 2, . . . , m;

m≧

2, where i=1 is a first time block and wherein t is time in minutes, and to obtain, on the basis of obtained coefficients Ai and a dose quantity D1 of said specific dye, Di by an operation expression of Di=D1·

Ci/A1, wherein i≧

2, where Di is a first time block and Ci is a value of Cg at the first time of each block, and wherein Ki=-Bi, and performing a regression line analysis based on an operation expression of (1/Ki·

Di)=C(1/Di)+d on the basis of said Ki and Di to obtain coefficients C and d, thereby to obtain an index RMAX from RMAX=1/d.

7. The liver function testing apparatus in accordance with claim 1, wherein

said decision means includes means (34) for processing a correlation coefficient of said regression line expression.

8. The liver function testing apparatus in accordance with claim 7, further including informing means for giving an alarm when said correlation coefficient of said regression line expression is greater than a predetermined value.

9. The liver function testing apparatus in accordance with claim 1, wherein

said arithmetic means includes means for processing a correlation coefficient of said simulation function.

10. The liver function testing apparatus in accordance with claim 1, further including informing means for giving an alarm when said correlation coefficient of said simulation function is greater than a predetermined value.

11. The liver function testing apparatus in accordance with claim 1, further including mode selection means for selecting a biocalibration mode for determining said coefficient of said regression line expression by said decision means, and a measurement mode for performing processing said specific dye correlated value by said arithmetic means.

12. The liver function testing apparatus in accordance with claim 11, further including means for activating said decision means in response to a selection of said biocalibration mode by said mode selection means.

13. The liver function testing apparatus in accordance with claim 11, further including means for activating said arithmetic means in response to a selection of said measurement mode by said mode selection means.

14. The liver function testing apparatus in accordance with claim 1, further including set means for setting intensity levels of said first light signal and said second light signal emitted from said light source means so that levels of said first and second photoelectric conversion signals are within a predetermined range.

15. The liver function testing apparatus in accordance with claim 1, further including output means for outputting said operated index RMAX.