Method for detecting the onset and relative degree of atherosclerosis in humans

• US 5,241,963 A
• Filed: 01/26/1993
• Issued: 09/07/1993
• Est. Priority Date: 06/12/1991
• Status: Expired due to Term

• Current Assignee: Ravi Shankar
• Original Assignee: Florida Atlantic University Research Corporation (State University System of Florida)
• Inventors: Shankar, Ravi
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): NASSER, ROBERT L
• Application Number:
  US08/009,340
• Time in Patent Office: 224 Days
• Field of Search: 128/691-694, 128/734, 128/668, 128/672
• US Class Current: 600/481
• CPC Class Codes: A61B 5/02007 Evaluating blood vessel condition, e.g. elasticity, compliance
• CPC Class Codes: A61B 5/1073 Measuring volume, e.g. of limbs
• CPC Class Codes: A61B 5/7207 of noise induced by motion artifacts
• CPC Class Codes: A61B 5/7239 using differentiation including higher order derivatives
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00

Abstract

The present invention relates to a method for detecting the onset of atherosclerosis and for detecting the degree of atherosclerosis. Accordingly, one aspect of the present invention correlates data obtained from arteries having a measured amount of stenosis with actual arterial data (blood volume change vs. cuff pressure) obtained from a patient which is converted into data relating to the patient'"'"'s arterial peak compliance. Another aspect of the present invention detects the onset and the degree of atherosclerosis by classifying the shape of a curve obtained by relating arterial blood volume change with cuff pressure. Two devices can be used, an electrical impedance plethysmograph and a volume plethysmograph.

Claims

1. A method of detecting the onset of atherosclerosis comprising the steps of:

changing blood flow through an artery with the application of differing amounts of induced pressure thereat;

sensing an arterial blood volume differential while said artery is placed under said differing amounts of induced pressure;

determining whether a function of said volume differential and said differing amounts of induced pressure defines a waveform peak; and

,

generating an atherosclerosis indicator signal in the absence of said waveform peak.

2. The method as claimed in claim 1 wherein the step of sensing arterial blood volume differential includes the step of sensing arterial blood volume non-invasively while said artery is placed under differing amounts of induced pressure at discrete levels of induced pressure.

3. The method as claimed in claim 2 wherein the step of sensing said blood volume differential includes the step of determining the difference between a minimal blood volume and a maximal blood volume at a respective discrete level of induces pressure.

4. The method as claimed in claim 2 wherein the step of determining includes the step of determining whether a proportional relationship function between said volume differential and said induced pressure defines a waveform peak.

5. The method as claimed in claim 1 wherein the step of sensing said blood volume differential includes the step of determining the difference between a minimal blood volume and a maximal blood volume at a respective discrete level of induced pressure.

6. The method as claimed in claim 1 including the steps of:

sensing multiple arterial blood volume differentials at each discrete level of induced pressure; and

averaging said multiple differentials prior to the step of determining the absence of said waveform peak.

7. The method as claimed in claim 6 including the step of sensing a blood pulse remote from said artery under pressure and using the same as a representative timing signal to enable the step of averaging said multiple volume differentials.

8. The method as claimed in claim 6 wherein the step of determining includes the step of determining whether a proportional relationship function between said volume differential and said induced pressure defines a waveform peak.

9. The method as claimed in claim 1 wherein the step of changing blood flow includes the step of changing blood flow through a leg artery.

10. The method as claimed in claim 1 wherein the step of determining includes the step of determining whether a proportional relationship function between said volume differential and said induced pressure defines a waveform peak.

11. A method of detecting the degree of atherosclerosis in an artery comprising the steps of:

changing blood flow through an artery with the application of differing amounts of induced pressure thereat;

sensing an arterial blood volume differential while said artery is placed under said differing amounts of induced pressure;

relating said volume differential to said differing amounts of induced pressure;

correlating the volume differential-induced pressure relationship with one of a plurality of predetermined waveform shapes; and

,

generating one of a plurality of atherosclerosis indicator signals based upon the waveform correlation wherein each indicator signal indicates a different degree of atherosclerosis.

12. A method as claimed in claim 11 wherein said step of sensing includes the step of non-invasively sensing said arterial blood volume while said artery is placed under differing amount of induced pressure at discrete levels of induced pressure.

13. A method as claimed in claim 12 wherein the step of correlating includes the step of correlating said volume differential-pressure relationship with a plurality of predetermined waveform shapes including a plurality of waveform peak shapes and at least one substantially peak-less waveform shape.

14. A method as claimed in claim 13 wherein the step of correlating includes the step of correlating said volume differential-pressure relationship with a plurality of waveform shapes including a generally linear waveform shape wherein the volume differential is represented as being inversely proportional to said induced pressure.

15. A method as claimed in claim 11 wherein the step of correlating includes the step of correlating said volume differential-pressure relationship with a plurality of predetermined waveform shapes including a plurality of waveform peak shapes and at least one substantially peak-less waveform shape.

16. A method as claimed in claim 11 wherein the step of correlating includes the step of correlating said volume differential-pressure relationship with a plurality of waveform shapes including a generally linear waveform shape wherein the volume differential is represented as being inversely proportional to said induced pressure.

17. A non-invasive method of detecting the relative degree of atherosclerosis in a patient comprising the steps of:

changing blood flow through an artery by placing relatively discrete levels of pressure on a portion of said artery;

non-invasively sensing blood volume as an impedance pulse in said artery at various induced pressure levels and generating an impedance pulse signal representative thereof, and obtaining a representative signal of a tissue impedance near said artery;

calculating an arterial blood volume differential from said impedance pulse signal and the tissue impedance signal;

sensing and calculating a blood pressure differential of the patient;

obtaining a peak compliance value by determining a maximal ratio of the blood volume differential and blood pressure differential by repeatedly obtaining the arterial blood volume differential at different induced levels of arterial pressures;

providing a target value related to at least one of a chronological age and an average systolic blood pressure for an age group about the age of said patient, said target value being based upon a quantitative analysis of arteries possessing different degrees of atherosclerosis;

determining and indicating the relative degree of atherosclerosis by comparing said target value with a patient specific value that is computed using a predetermined correlation incorporating said peak compliance value and at least one characteristic value from the group consisting of a detected systolic pressure, a detected diastolic pressure, an ascertained cholesterol level and the patient'"'"'s chronological age, all obtained from said patient.

18. A non-invasive method of detecting atherosclerosis of a patient comprising the steps of:

changing blood flow through an artery with the application of discrete levels of induced pressure thereat;

obtaining an arterial blood volume differential by non-invasively sensing pulsatile blood flow through said artery while said artery is placed under said discrete levels of induced pressure;

sensing and calculating a pressure differential of the pulsatile blood flow passing through an arterial system that includes said artery;

obtaining a peak compliance value by determining a maximal ratio of the blood volume differential and the pressure differential;

providing a target value for said patient, said target value calculated using a first predetermined correlation incorporating at least the patient'"'"'s chronological age factor and a tissue volume factor characteristic of said patient, said first predetermined correlation derived from a quantitative analysis of arteries possessing different degrees of atherosclerosis;

calculating and indicating the relative degree of atherosclerosis by comparing said target value with a patient specific value that is computed using a second predetermined correlation with said compliance value and at least one characteristic value from the group consisting of a detected systolic pressure, a detected diastolic pressure, an ascertained cholesterol level and the patient'"'"'s chronological age, all obtained from said patient.

19. A method of detecting the degree of atherosclerosis of a patient under study comprising the steps of:

changing blood flow through an artery with the application of discrete levels of induced pressure thereat;

obtaining an arterial blood volume differential from said artery while said artery is placed under said discrete levels of induced pressure;

obtaining the patient'"'"'s blood pressure differential;

calculating an peak arterial compliance value by selecting the maximal ratio of said volume differential and said pressure differential;

providing a target value for said patient using a first predetermined correlation incorporating the patient'"'"'s chronological age factor and the patient'"'"'s tissue volume factor, said first predetermined correlation derived from a quantitative analysis of arteries possessing different degrees of atherosclerosis;

determining and indicating the relative degree of atherosclerosis by comparing said target value with a patient specific value that is computed using a second predetermined correlation incorporating said peak compliance value and at least one characteristic value from the group consisting of a detected systolic pressure, a detected diastolic pressure, an ascertained cholesterol level and the patient'"'"'s chronological age, all obtained from said patient.

20. A method as claimed in claim 19 wherein the step of obtaining the arterial blood volume differential includes the step of non-invasively obtaining blood volume differential with respect to the patient'"'"'s artery.

21. A method as claimed in claim 20 wherein the step of providing a target value includes the step of obtaining a tissue volume factor about the patient'"'"'s artery and wherein the step of obtaining arterial blood volume differential includes the step of determining and incorporating a tissue impedance factor therein.

22. A method as claimed in claim 21 wherein the step of sensing said blood differential includes the step of sensing pulsatile blood flow through the artery.

23. A method as claimed in claim 21 wherein the step of providing a target value includes the step of incorporating the chronological age factor, the tissue volume factor and an average systolic blood pressure for an age group about the age of the patient into said first correlation.

24. A method as claimed in claim 23 wherein the step of providing a target value includes the step of incorporating the ascertained cholesterol level as one of an HDL and an LDL value into said first correlation.

25. A method as claimed in claim 21 wherein the step of providing a target value includes the step of providing a look-up table of target values.