Method and apparatus for spectroscopic tissue analyte measurement

• US 20080221412A1
• Filed: 03/09/2007
• Published: 09/11/2008
• Est. Priority Date: 03/09/2007
• Status: Active Grant

• Current Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Hoarau, Carine, Ostrowski, Rafael, Debreczeny, Martin P., Baker, Clark R., Mogri, Murtaza, Durr, Nicholas J.
• Granted Patent: US 8,175,665 B2
• Time in Patent Office: Days
• US Class Current: 600/310
• 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 5/4869 Determining body composition
• CPC Class Codes: A61B 5/4878 Evaluating oedema

Abstract

Methods and systems for calculating body fluid metrics are provided. In accordance with an exemplary embodiment of the present technique, there is provided a method for calculating body fluid metrics by acquiring an absorbance spectrum of a subject'"'"'s tissue over a range of near-infrared light, performing a multi-linear regression of the absorbance spectrum of the subject'"'"'s tissue in relation to absorbance spectra of tissue constituents, and calculating body fluid metrics based on the results of the multi-linear regression. A system is provided having a sensor for emitting the light into the subject'"'"'s tissue and detecting reflected, scattered, or transmitted light, a spectrometer for processing the detected light and generating the absorbance spectrum of the subject'"'"'s tissue, memory for storing absorbance spectra of the tissue constituents and a multi-linear regression model, and a processor for performing the multi-linear regression and calculating the body fluid metrics.

Claims

1. A method for calculating one or more body fluid metrics, comprising:

acquiring an absorbance spectrum of a subject'"'"'s tissue at a range of wavelengths of light;

determining concentrations of a plurality of constituents of the subject'"'"'s tissue by performing a multi-linear regression of the absorbance spectrum in relation to a plurality of absorbance spectra of the constituents; and

calculating one or more body fluid metrics based on the concentrations.

2. The method of claim 1, wherein the one or more body fluid metrics comprises a hydration index.

3. The method of claim 1, wherein the one or more body fluid metrics comprises a percentage of a constituent of the subject'"'"'s tissue relative to one or more other constituents.

4. The method of claim 1, wherein the range of wavelengths of light comprises a range of wavelengths of near-infrared light.

5. The method of claim 1, wherein the range of wavelengths of light comprises about 1000 nm to about 1350 nm.

6. The method of claim 1, wherein the range of wavelengths of light comprises about 1530 nm to about 1850 nm.

7. The method of claim 1, wherein the plurality of constituents of the subject'"'"'s tissue comprise water, proteins, lipids, oxygenated hemoglobin, deoxygenated hemoglobin, or a combination thereof.

8. The method of claim 1, comprising acquiring the plurality of absorbance spectra of the constituents.

9. The method of claim 8, wherein acquiring the absorbance spectrum of the constituent comprises:

transmitting the range of wavelengths of light through an analyte representing the constituent;

measuring intensities of the transmitted light for the range of wavelengths; and

converting the intensities to absorbance measurements for the range of wavelengths.

10. The method of claim 1, comprising processing the absorbance spectrum of the subject'"'"'s tissue, the absorbance spectra of the constituents, or a combination thereof to correct for instrument errors, sensor errors, or a combination thereof.

11. The method of claim 1, wherein performing the multi-linear regression comprises adjusting a constituent absorbance spectrum based on a subject'"'"'s body temperature.

12. The method of claim 1, wherein performing the multi-linear regression comprises adding a slope factor to account for a tissue scattering coefficient.

13. The method of claim 1, wherein performing the multi-linear regression comprises adding a pathlength factor to account for a change in mean photon pathlength that occurs with a change in absorption coefficients.

14. The method of claim 1, wherein performing the multi-linear regression comprises adding a calibration factor to account for a shift in an instrument calibration.

15. The method of claim 1, wherein acquiring the absorbance spectrum of the subject'"'"'s tissue comprises:

acquiring an intensity spectrum of the subject'"'"'s tissue;

adjusting the intensity spectrum of the subject'"'"'s tissue by comparison to a reference intensity spectrum; and

converting the adjusted intensity spectrum to the absorbance spectrum.

16. The method of claim 15, wherein the reference intensity spectrum comprises an intensity spectrum of a substance having minimal absorption and scattering similar to tissue, a total reflecting substance, or a combination thereof.

17. A method for calculating one or more body fluid metrics, comprising:

measuring an intensity spectrum of a subject'"'"'s tissue;

processing the intensity spectrum to determine an absorbance spectrum of the tissue;

performing a multi-linear regression of the absorbance spectrum in relation to a plurality of analyte absorbance spectra, wherein the analytes are representative of tissue constituents; and

determining concentrations of the tissue constituents based on the multi-linear regression.

18. The method of claim 17, comprising determining a relative percentage of at least one tissue constituent to the other tissue constituents.

19. The method of claim 17, wherein the tissue constituents comprise water, proteins, lipids, oxygenated hemoglobin, deoxygenated hemoglobin, or a combination thereof.

20. The method of claim 17, wherein the intensity spectrum of the subject'"'"'s tissue is measured over a range of near-infrared wavelengths of light.

21. The method of claim 17, wherein the intensity spectrum of the subject'"'"'s tissue is measured over a range of light from approximately 1000-1350 nm.

22. The method of claim 17, wherein the intensity spectrum of the subject'"'"'s tissue is measured over a range of light from approximately 1530-1850 nm.

23. The method of claim 17, wherein processing the intensity spectrum comprises adjusting the intensity spectrum to account for a residual instrument signal, a difference in scattering between the intensity spectrum of the subject'"'"'s tissue and a reference intensity spectrum, or a combination thereof.

24. The method of claim 23, wherein the reference intensity spectrum comprises an intensity spectrum of a substance having minimal absorption and scattering similar to tissue, a total reflecting substance, or a combination thereof.

25. The method of claim 17, wherein performing a multi-linear regression comprises adjusting a constituent absorbance spectrum based on a subject'"'"'s body temperature, adding a slope factor to account for a tissue scattering coefficient, adding a pathlength factor to account for a change in mean photon pathlength that occurs with a change in absorption coefficients, adding a calibration factor to account for a shift in an instrument calibration, or a combination thereof.

26. A system for calculating one or more body fluid metrics, comprising:

a sensor configured to emit a range of wavelengths of light into a subject'"'"'s tissue and to detect reflected, scattered, or transmitted light;

a spectrometer configured to process the reflected, scattered, or transmitted light and to generate an absorbance spectrum of the subject'"'"'s tissue across the range of wavelengths of light;

a memory configured to store a plurality of absorbance spectra of tissue constituents across the range of wavelengths of light and to store a multi-linear regression model; and

a processor configured to perform a multi-linear regression of the absorbance spectrum of the subject'"'"'s tissue with respect to the plurality of absorbance spectra of tissue constituents based on the multi-linear regression model and to calculate one or more body fluid metrics based on the multi-linear regression.

27. The system of claim 26, wherein the one or more body fluid metrics comprise a hydration index.

28. The system of claim 26, wherein the one or more body fluid metrics comprise a relative percentage of at least one tissue constituent to one or more other tissue constituents.

29. The system of claim 26, comprising a display configured to display the one or more body fluid metrics.

30. The system of claim 26, wherein the multi-linear regression comprises a constituent absorbance spectrum based on a subject'"'"'s body temperature, a slope factor to account for a tissue scattering coefficient, a pathlength factor to account for a change in mean photon pathlength that occurs with a change in absorption coefficients, a calibration factor to account for a shift in an instrument calibration, or a combination thereof.

31. One or more tangible, machine-readable media, comprising code executable to perform the acts of:

performing a multi-linear regression of an absorbance spectrum of a subject'"'"'s tissue in relation to a plurality of absorbance spectra of skin constituents; and

calculating one or more body fluid metrics based on the multi-linear regression.

32. The tangible, machine-readable media of claim 31, wherein calculating one or more body fluid metrics comprises calculating a hydration index.

33. The tangible, machine-readable media of claim 31, wherein calculating one or more body fluid metrics comprises calculating a percentage of at least one skin constituent relative to one or more other skin constituents.

34. The tangible, machine-readable media of claim 31, wherein performing a multi-linear regression comprises adjusting a constituent absorbance spectrum based on a subject'"'"'s body temperature, adding a slope factor to account for a tissue scattering coefficient, adding a pathlength factor to account for a change in mean photon pathlength that occurs with a change in absorption coefficients, adding a calibration factor to account for a shift in an instrument calibration, or a combination thereof.

35. A monitor for calculating one or more body fluid metrics, comprising:

a spectrometer configured to process light acquired from detection of reflected, scattered, or transmitted light emitted at a range of wavelengths into a subject'"'"'s tissue and to generate an absorbance spectrum of the subject'"'"'s tissue across the range of wavelengths of light;

a memory configured to store a plurality of absorbance spectra of tissue constituents across the range of wavelengths of light and to store a multi-linear regression model; and

a processor configured to perform a multi-linear regression of the absorbance spectrum of the subject'"'"'s tissue with respect to the plurality of absorbance spectra of tissue constituents based on the multi-linear regression model and to calculate one or more body fluid metrics based on the multi-linear regression.

36. The monitor of claim 35, wherein the one or more body fluid metrics comprise a hydration index.

37. The monitor of claim 35, wherein the one or more body fluid metrics comprise a relative percentage of at least one tissue constituent to one or more other tissue constituents.

38. The monitor of claim 35, comprising a display configured to display the one or more body fluid metrics.

39. The monitor of claim 35, wherein the multi-linear regression comprises a constituent absorbance spectrum based on a subject'"'"'s body temperature, a slope factor to account for a tissue scattering coefficient, a pathlength factor to account for a change in mean photon pathlength that occurs with a change in absorption coefficients, a calibration factor to account for a shift in an instrument calibration, or a combination thereof.