Impedance parameter values

• US 8,099,250 B2
• Filed: 07/27/2006
• Issued: 01/17/2012
• Est. Priority Date: 08/02/2005
• Status: Active Grant

• Current Assignee: ImpediMed Limited
• Original Assignee: ImpediMed Limited
• Inventors: Ward, Leigh Cordwin, Essex, Tim
• Primary Examiner(s): Charioui, Mohamed
• Assistant Examiner(s): Desta, Elias
• Application Number:
  US11/997,468
• Publication Number:
  US 20080270051A1
• Time in Patent Office: 2,000 Days
• Field of Search: 702/65, 702/75, 702/189, 324/649, 324/650, 315/5.27, 315/5.28, 315/5.39, 314/7, 733/350.3
• US Class Current: 702/65
• CPC Class Codes: A61B 5/0537 Measuring body composition by impedance, e.g. tissue hydration or fat content
• CPC Class Codes: A61B 5/4878 Evaluating oedema

Abstract

A method of determining parameter values used in impedance analysis of a subject. The method includes using a processing system to determine a number of impedance measurements at a corresponding number of frequencies. The impedance measurements are used to determine estimates of parameter values, with the estimates being used to determine theoretical impedance values based on the parameter value estimates. The theoretical impedance values are compared to the measured impedance values to allow a modification direction to be determined for at least one of the parameter value estimates. This is then used to modify at least one parameter value estimate, with the parameter values being determined at least in part from one or more modified parameter value estimates.

Claims

1. A method of determining parameter values used in impedance analysis of a subject, the method comprising:

a) determining a number of impedance measurements at a corresponding number of frequencies;

b) determining estimates of the parameter values;

c) determining theoretical impedance values based on the parameter value estimates;

d) comparing, in a processor of a processing system, the theoretical impedance values to the measured impedance values;

e) determining, in the processor, at least one modification direction for at least one of the parameter value estimates in accordance with the results of the comparison; and

,

f) modifying, in the processor, at least one parameter value estimate in accordance with the determined direction, the parameter values being determined at least in part from one or more modified parameter value estimates.

2. A method according to claim 1, wherein the method includes, in the processing system, iteratively modifying the parameter value estimates to thereby determine the parameter values.

3. A method according to claim 1, wherein the method includes, in the processing system, comparing the theoretical impedance values to the measured impedance values:

a) determining a theoretical impedance locus using the parameter value estimates;

b) determining a measured impedance locus associated with each measured impedance; and

,

c) determining an intersection between each measured impedance locus and the theoretical impedance locus.

4. A method according to claim 3, wherein the method includes, in the processing system:

a) determining a point associated with each intersection;

b) determining a linear regression based at least partially on the points; and

,

c) determining the modification direction based at least partially on at least one of;

i) the relative position of the regression line and at least one of the points; and

,

ii) the gradient of the regression line.

5. A method according to claim 4, wherein the method includes, in the processing system:

a) determining a pair of chords associated with each point of intersection, the chords representing the distance to locations at which the theoretical impedance locus represents predetermined impedance values; and

,

b) determining a point associated with each pair of chords; and

,

c) determining the linear regression in accordance with the value of the points.

6. A method according to claim 1, wherein the method includes, in the processing system:

a) determining four impedance measurements, each impedance measurement being made at a respective frequency;

b) comparing each measured impedance value to a corresponding theoretical impedance value;

c) determining the modification direction based at least in part on the results of the comparison.

7. A method according to claim 6, wherein the method includes, in the processing system:

a) determining a point based on the comparison of each measured impedance value with a corresponding theoretical impedance value;

b) determining a linear regression based at least partially on the points; and

,

c) determining the modification direction based at least partially on at least one of;

i) the relative position of the regression line and at least one of the points; and

,

ii) the gradient of the regression line.

8. A method according to claim 7, wherein the method includes, in the processing system:

a) determining the relative position of the regression line and a predetermined point; and

,

b) determining the modification direction for modifying a predetermined one of the parameter value estimates using the relative position.

9. A method according to claim 7, wherein the method based on the relative position of the regression line and at least one of the points.

a) comparing the gradient of the regression line and a line based on at least one of the parameter value estimates;

and,

b) determining the modification direction for the at least one of the parameter value estimate using the results of the comparison.

10. A method according to claim 7, wherein the method includes, in the processing system, at least one of:

a) modifying an estimated value of R₀ using a point based on the impedance measured at a first frequency;

b) modifying an estimated value of R_∞

using a point based on the impedance measured at a second frequency; and

,

c) modifying an estimated value of a using α

gradient of the regression line, where;

α

has a value between 0 and 1;

R₀ is the theoretical impedance at zero applied angular frequency; and

, R_∞

is the theoretical impedance at infinite applied angular frequency.

11. A method according to claim 1, wherein the method includes, in the processing system, estimating values for parameters R₀, R_∞

, and α

, where;

α

has a value between 0 and 1;

R₀ is the theoretical impedance at zero applied angular frequency; and

, R_∞

is the theoretical impedance at infinite applied angular frequency.

12. A method according to claim 1, wherein the method includes, in the processing system, determining the theoretical impedance using the equation:

13. A method according to claim 1, wherein the method includes, in the processing system, using the parameter values to determine at least one of:

a) a ratio of extra- to intra-cellular fluid; and

,

b) an indication of the at least one of the presence, absence or degree of tissue oedema in the subject.

14. A method according to claim 1, wherein the includes, in the processing system:

a) determining parameter values associated with first and second body segments;

b) for each body segment, determining an index indicative of a ratio of the extra- to intra-cellular fluid;

c) determining an index ratio based on the index for the first and second body segments;

d) comparing the index ratio to at least one reference; and

,

e) determining the presence, absence or degree of tissue oedema based on the results of the comparison.

15. A method according to claim 13, wherein the method includes, in the processing system, displaying an indication of at least one of:

a) the parameter values;

b) a ratio of extra- to intra-cellular fluid; and

,

c) an indication of the at least one of the presence, absence or degree of tissue oedema in the subject.

16. A method according to claim 1, wherein the method includes, in the processing system, receiving the impedance measurements from a measuring device.

17. A method according to claim 1, wherein the method includes, in the processing system:

a) causing one or more electrical signals to be applied to the subject using a first set of electrodes, the one or more electrical signals having a plurality of frequencies;

b) determining an indication of electrical signals measured across a second set of electrodes applied to the subject in response to the applied one or more signals;

c) determining from the indication and the one or more applied signals, an instantaneous impedance value at each of the plurality of frequencies; and

,

d) determining the index using the instantaneous impedance values.

18. A method according to claim 1, wherein the method includes, in the processing system:

a) generating control signals, the control signals being used to apply one or more signals to the subject;

b) receiving an indication of the one or more signals applied to the subject;

c) receiving an indication of one or more signals measured across the subject; and

,

d) determining the impedance measurements using the received indications.

24. The method of claim 1, wherein determining a number of impedance measurements at a corresponding number of frequencies comprises:

obtaining a number of electrical signals measured across a set of electrodes applied to a subject; and

determining a number of impedance measurements at a corresponding number of frequencies using said electrical signals.

25. The method of claim 24, wherein the processing system is situated remote to said subject.

19. Apparatus for determining parameter values used in impedance analysis of a subject, the apparatus including a processing system for:

a) determining a number of impedance measurements at a corresponding number of frequencies;

b) determining estimates of the parameter values;

c) determining theoretical impedance values based on the parameter value estimates;

d) comparing, with a processor of the processing system, the theoretical impedance values to the measured impedance values;

e) determining, with the processor, at least one modification direction for at least one of the parameter value estimates in accordance with the results of the comparison; and

,

f) modifying, with the processor, the at least one parameter value estimate in accordance with the determined direction.

20. Apparatus according to claim 19, wherein the apparatus includes:

a) a current supply for generating an alternating current at each of the number of frequencies;

b) at least two supply electrodes for applying the generated alternating current to a subject;

c) at least two measurement electrodes for detecting a voltage across the subject; and

,

d) a sensor coupled to the measurement electrodes for determining the voltage, the sensor being coupled to the processing system to thereby allow the processing system to determine the measured impedance.

21. Apparatus according to claim 20, wherein the current supply generates the alternating current at each frequency by at least one of:

a) superposing a number of signals to thereby generate an alternating current at each frequency simultaneously; and

,

b) generating a number of alternating currents, each alternating current being at a respective frequency, in turn.

22. A method of diagnosing the presence, absence or degree of one or more conditions in a subject, the method comprising:

a) determining a number of impedance measurements at a corresponding number of frequencies;

b) determining estimates of the parameter values;

c) determining theoretical impedance values based on the parameter value estimates;

d) comparing, in a processor of a processing system, the theoretical impedance values to the measured impedance values;

e) determining, in said processor, at least one modification direction for at least one of the parameter value estimates in accordance with the results of the comparison;

f) modifying, using said processor, at least one parameter value estimate in accordance with the determined direction, the parameter values being determined at least in part from one or more modified parameter value estimates; and

,

g) using the determined parameter values in diagnosing the presence, absence or degree of one or more conditions in the subject.

23. An apparatus for determining parameter values used in impedance analysis of a subject, the apparatus comprising:

a) means for determining a number of impedance measurements at a corresponding number of frequencies;

b) means for determining estimates of the parameter values;

c) means for determining theoretical impedance values based on the parameter value estimates;

d) means for comparing the theoretical impedance values to the measured impedance values;

e) means for determining at least one modification direction for at least one of the parameter value estimates in accordance with the results of the comparison; and

,

f) means for modifying at least one parameter value estimate in accordance with the determined direction, the parameter values being determined at least in part from one or more modified parameter value estimates.

26. A method of determining parameter values used in impedance analysis of a subject, the method including, in a processing system:

determining an indication of electrical signals measured across a set of electrodes applied to the subject;

determining, using said indication, a number of impedance measurements at a corresponding number of frequencies;

determining estimates of the parameter values;

determining theoretical impedance values based on the parameter value estimates;

comparing the theoretical impedance values to the measured impedance values;

determining at least one modification direction for at least one of the parameter value estimates in accordance with the results of the comparison; and

,

modifying at least one parameter value estimate in accordance with the determined direction, the parameter values being determined at least in part from one or more modified parameter value estimates.

27. The method of claim 26, wherein the processing system is situated remote to the subject.