Method for measuring absolute saturation of time-varying and other hemoglobin compartments

• US 6,216,021 B1
• Filed: 06/04/1999
• Issued: 04/10/2001
• Est. Priority Date: 06/04/1999
• Status: Expired due to Fees

• Current Assignee: Board of Trustees of The University of Illinois
• Original Assignee: Board of Trustees of The University of Illinois
• Inventors: Fantini, Sergio, Gratton, Enrico, Franceschini, Maria Angela
• Primary Examiner(s): Winakur, Eric F.
• Assistant Examiner(s): Cadugan, Joseph A.
• Application Number:
  US09/326,779
• Time in Patent Office: 676 Days
• Field of Search: 600/310, 600/322, 600/323, 600/328, 600/330, 600/336, 600/473, 600/476
• US Class Current: 600/310
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/7257 using Fourier transforms

Abstract

The present invention involves a time-resolved measurement method for the real time, non-invasive, simultaneous measurement of time-varying and other hemoglobin compartment saturation. This capability achieves absolute pulse oximetry and oximetry for tissue, without calibration based on a population of healthy people. Calculations conducted by the invention use quantitative measurement of tissue absorption spectrum for tissue saturation, and an amplitude of absorption oscillations for the time-varying hemoglobin compartments at various wavelengths. The invention illuminates tissue and senses light at predetermined distances apart on the tissue to be measured. Intensity and phase data are acquired from source-detector pairs to calculate absolute tissue optical properties from time-resolved measurement data, namely, a reduced scattering coefficient and an absorption coefficient. To determine time-varying hemoglobin compartment saturation, an amplitude is quantitatively calculated of absorption oscillations correlating variations of an average intensity of the source and detector pair by using the time-resolved measurement data.

Claims

1. A method of measuring absolute saturation of hemoglobin compartments, the method comprising the steps of:

illuminating an area of tissue with intensity-modulated light at at least two wavelengths;

sensing diffusely reflected light caused by said illumination to acquire time-resolved measurement data; and

processing said time-resolved measurement data to determine the absolute saturation of a hemoglobin compartment, without calibration on a population of healthy subjects;

wherein the absolute saturation of hemoglobin determined by said processing step includes absolute arterial saturation; and

wherein an amplitude of pulsation-induced absorption oscillations are quantitatively determined in said processing step to perform absolute pulse oximetry.

2. The method according to claim 1, wherein said hemoglobin compartments include a time-varying hemoglobin compartment, and said time-resolved measurement data includes at least two readings per period of oscillation of the time-varying hemoglobin compartment.

3. The method according to claim 1, wherein said intensity-modulated light is modulated with components in a radio frequency range.

4. The method according to claim 1, wherein said wavelengths are in the visible and near-infrared spectral range.

5. The method according to claim 1, wherein said processing step includes a step of determining a reduced scattering coefficient to determine an oscillation of the absorption coefficient of tissue using said time-resolved measurement data, said oscillation absorption coefficient being used to determine the absolute saturation of the hemoglobin compartment.

6. The method according to claim 5, where said reduced scattering coefficient is averaged over multiple readings to increase a signal-to-noise ratio in the measurement of the absorption coefficient.

7. The method according to claim 5, wherein said processing step further includes a step of periodically updating said reduced scattering coefficient.

8. The method according to claim 1, wherein said hemoglobin compartments include time-varying hemoglobin compartments and tissue hemoglobin compartments, and said absolute saturation of said hemoglobin compartment and said tissue saturation are determined simultaneously.

9. The method according to claim 1, wherein said steps of illuminating and sensing are conducted on a common side of said area of tissue.

10. A method of measuring absolute saturation of hemoglobin compartments, the method comprising the steps of:

illuminating an area of tissue with intensity-modulated light at at least two wavelengths;

sensing diffusely reflected light caused by said illumination to acquire time-resolved measurement data; and

processing said time-resolved measurement data to determine the absolute saturation of a hemoglobin compartment, without calibration on a population of healthy subjects;

wherein said hemoglobin compartments include time-varying hemoglobin compartments, and said processing step includes a step of calculating the sum of amplitudes of a fast Fourier transformed absorption coefficient for a predetermined time period to determine an amplitude of absorption oscillations.

11. The method according to claim 10, wherein said predetermined time period is at least as long as, several periods of oscillation of said time-varying hemoglobin compartments.

12. The method according to claim 11, wherein the time-varying hemoglobin compartment saturation is determined by fitting a spectrum of said amplitude of absorption oscillations with a linear combination of extinction spectra of oxy-hemoglobin and deoxy-hemoglobin.

13. A method of measuring absolute saturation of hemoglobin compartments, the method comprising the steps of:

illuminating at least two areas of tissue with intensity-modulated light at at least two wavelengths;

sensing diffusely reflected light at at least two locations of said illuminated tissue to acquire time-resolved measurement data; and

processing said time-resolved measurement data to simultaneously determine the absolute saturation of at least one hemoglobin compartment;

wherein the absolute saturation of hemoglobin determined by said processing step includes absolute arterial saturation;

wherein an amplitude of pulsation-induced absorption oscillations are quantitatively determined in said processing step to perform absolute pulse oximetry.

14. The method according to claim 13, wherein said hemoglobin compartments include a time-varying hemoglobin compartment, and said time-resolved data includes phase and intensity data and said step of processing determines a reduced scattering coefficient of tissue to determine the absolute saturation of the time-varying hemoglobin compartment.

15. The method according to claim 13, wherein said sensing step and said illuminating step are conducted on a common side of said illuminated tissue.