Cerebral blood oxygen saturation detection system and method free from scalp blood flow interference
Technical Field
The invention relates to the technical field of biomedical engineering, in particular to a brain blood oxygen saturation detection system and method free from scalp blood flow interference.
Background
The oxygen consumption of the brain accounts for about one fourth of the total oxygen consumption of a human body, the brain is highly sensitive to hypoxia, irreversible nerve injury can be caused by short-time hypoxia, and the incidence rate of cerebral hypoxia in the process of operation anesthesia is always high, so that the timely monitoring of oxygen supply and oxygen consumption of brain tissues of a patient in operation is very important.
Near infrared Spectroscopy (NIRS) is a brain blood oxygen nondestructive testing technology which has been developed in the last 20 years, and a forehead is irradiated by a near infrared light source with specific wavelength, according to the difference of absorption of main chromophore substances (oxyhemoglobin, reduced hemoglobin and cytochrome oxidase) in brain tissues on the near infrared spectrum, the absorption information of the brain tissues on light is obtained by measuring the emergent light intensity diffused by the brain tissues, and then the brain blood oxygen saturation can be obtained by adopting a related algorithm, so that the brain oxygen metabolism information can be continuously obtained in real time, and objective basis can be provided for clinical timely treatment of adverse events.
However, when the near infrared light irradiates the forehead, the chromophore substances (oxyhemoglobin, reduced hemoglobin and cytochrome oxidase) in the scalp blood inevitably have absorption effect on the near infrared light, so that the measured data are brain blood oxygen saturation and oxygen saturation in the scalp blood flow, and the hemodynamics in the scalp are easily affected by the external environment (such as temperature, sensor wearing tightness, etc.), thereby interfering with the detection result. Stven et al research shows that when scalp blood flow dynamics are changed, the measured cerebral oxygen saturation is changed greatly by the commercial cerebral blood oxygen detection instruments such as FORE-SIGHT ELITE, INVOS TM 5100C and the like, and the stability and accuracy of the detection result are affected.
Publication number CN110613462a discloses a method and apparatus for detecting tissue oxygen saturation that is not affected by individual differences, which corrects the effect of different outer layer tissue thickness on tissue oxygen saturation measurement, but cannot eliminate scalp blood flow interference. Patent number CN208435654U discloses an infrared light emitting probe for cerebral blood oxygen detection, which can better fit the scalp but cannot resist scalp blood flow disturbance.
In view of the above-mentioned shortcomings, it is necessary to study a cerebral blood oxygen detection system and method that is not interfered by scalp blood flow, so as to realize stable and accurate measurement.
Disclosure of Invention
Therefore, the invention aims to develop a brain blood oxygen saturation detection system and a brain blood oxygen saturation detection method which are not interfered by scalp blood flow, so as to stably and accurately measure the brain oxygen saturation.
In one aspect, the present invention provides a brain blood oxygen saturation detection system that is not disturbed by scalp blood flow, the system includes a sensor 10 and a host 60, the sensor 10 includes a light source and a detector, the host includes a power module 603, a central processing and storage module 601, a light source driving module 604, a signal amplifying and a/D conversion module 605, a user information input module 602 and a data display module 606, and the sensor 10 is connected to the host 60 through a cable.
The light source on the sensor 10 includes a first light source 102 and a second light source 104, and the two light sources have the same light emitting component, and the light emitting component is a light emitting diode or a laser diode capable of emitting multiple wavelengths, and 700-900nm near infrared light with a wavelength lambda 1、λ2,……λn is alternately generated.
The detectors on the sensor 10 include a first detector 103 and a second detector 105, and both detectors are composed of the same photo-responsive sensor, which is a photodiode, a silicon photodiode, or a charge-coupled device, wherein the response peak wavelength of the photodiode or the silicon photodiode is between 700-800 nm.
The first light source 102, the first detector 103, the second light source 104 and the second detector 105 are sequentially arranged in a straight line along the same direction, the distance between the first light source 102 and the first detector 103 is 2-5mm, the distance between the first detector 103 and the second light source 104 is 20-30mm, and the distance between the second light source 104 and the second detector 105 is 2-5mm.
In another aspect, the present invention also provides a method for detecting cerebral blood oxygen saturation without interference from scalp blood flow, using any one of the systems as described above, comprising the steps of:
The sensor 10 is fully attached to the forehead, the light source driving module 604 in the host 60 firstly lights the first light source 102 on the sensor, the first light source 102 sequentially emits near infrared light with the wavelength lambda 1,λ2,……λn, the near infrared light passes through the scalp and brain tissues to form corresponding emergent light, the first detector 103 and the second detector 105 on the sensor respectively receive corresponding emergent light signals, the optical signals are transmitted to the signal amplifying and A/D converting module 605 in the host 60 through the cable 40, and the optical signals are respectively obtained after amplifying and A/D converting AndThe light source driving module 604 in the host then lights the second light source 104 on the sensor, the second light source 104 sequentially emits near infrared light with wavelength lambda 1,λ2,……λn, the near infrared light passes through the scalp and brain tissue to form corresponding emergent light, the second detector 105 on the sensor receives corresponding emergent light signals, the optical signals are transmitted to the signal amplifying and A/D converting module 605 in the host 60 through the cable 40, and the optical signals are obtained after amplification and A/D conversion
The signal amplification and a/D conversion module 605 willAndThe brain blood oxygen saturation is transferred to the central processing and storage module 601, and the method of calculating the brain blood oxygen saturation in the central processing and storage module 601 is as follows.
First, the optical density value is calculated, and the calculation method is as shown in formula (1).
Where I Into (I) is the known incident optical power, I Out of is the outgoing optical power received by the detector after the incident light passes through the scalp and brain tissue, i=1, 2.
Due to optical densityComprises not only the absorption information of chromophore 301 (oxyhemoglobin, reduced hemoglobin and cytochrome oxidase) in brain tissue, but also the absorption information of chromophore substances (oxyhemoglobin, reduced hemoglobin and cytochrome oxidase) in scalp blood stream at the incidence position of light source and the absorption information of chromophore substances (oxyhemoglobin, reduced hemoglobin and cytochrome oxidase) in scalp blood stream at the emergence position of light source, so that the optical density value of brain tissueCalculated with formula (2):
Wherein the method comprises the steps of AndFor correction coefficients, the calculation method is as follows (3):
subsequently, brain tissue optical density values The concentration relationship with chromophore substances (oxyhemoglobin, reduced hemoglobin and cytochrome oxidase) in brain tissue can be explained by modified lambert-beer's law equation (4).
CHb、And C CiOx is obtained by a least square method, as in formula (5):
wherein i=1, 2, the term "n", The molar extinction coefficients of reduced hemoglobin, oxygenated hemoglobin and cytochrome oxidase under different wavelengths can be obtained by table look-up, C Hb,And C CtOx are respectively reduced hemoglobin, oxygenated hemoglobin, and cytochrome oxidase concentrations, DPF is a differential path factor, which can be obtained by table look-up or analog simulation, r 1 is the distance from the first light source to the first detector, r 2 is the distance from the first detector to the second light source, and r 3 is the distance from the second light source to the second detector.
Finally, cerebral blood oxygen saturation is calculated by formula (6):
The technical scheme of the invention has the following advantages:
A. The invention adopts a plurality of multi-wavelength light sources and photoelectric detectors, improves the detection sensitivity and the signal to noise ratio, adopts a light emitting diode or a laser diode as the light source, has stable luminous power and is easy to design.
B. The sensor is provided with a first light source, a first detector, a second light source and a second detector, the light sources and the detectors are sequentially arranged in a straight line along the same direction, the detectors can pick up the absorption information of chromophore substances (reduced hemoglobin, oxygenated hemoglobin and cytochrome oxidase) in scalp blood flow at the incidence position of the light sources, can pick up the absorption information of chromophore substances (reduced hemoglobin, oxygenated hemoglobin and cytochrome oxidase) in scalp blood flow at the emergence position of the light sources, and can effectively eliminate the influence of scalp blood flow interference at the incidence position and the emergence position of the light sources through a central processing and storage module calculation method.
C. When the system provided by the invention is used for detection, not only can the concentration information of oxyhemoglobin and reduced hemoglobin in brain tissues be obtained, but also the concentration information of cytochrome oxidase in brain tissues can be obtained, and the accuracy of calculating the cerebral blood oxygen saturation is further improved.
Drawings
FIG. 1 is a schematic diagram of a brain blood oxygen saturation detection system free from scalp blood flow interference according to an embodiment of the present invention;
FIG. 2 is a schematic diagram of a sensor of a brain blood oxygen saturation detection system without scalp blood flow interference according to an embodiment of the present invention;
FIG. 3 is a schematic diagram of a host structure of a brain blood oxygen saturation detection system without scalp blood flow interference according to an embodiment of the present invention;
Fig. 4 is a schematic diagram of a brain blood oxygen saturation calculation process without scalp blood flow interference according to an embodiment of the present invention.
In the figure, 10 sensors, 101 flexible supporting base materials, 102 first light sources, 104 second light sources, 103 first detectors, 105 second detectors, 201 forehead skin at the head, 202 chromophore substances in scalp blood flow at the first light sources 102, 203 chromophore substances in scalp blood flow near emergent light, 301 chromophore substances in brain tissues, 40 cables, 501 main light paths of the first detectors, 502 main light paths of the second detectors, 503 main light paths of the second detectors, 60 main computers, 601 central processing and storage modules, 602 user information input modules, 603 power supply modules, 604 light source driving modules, 605 signal amplifying and A/D conversion modules and 606 data display modules.
Detailed Description
The following description of the embodiments of the present invention will be made apparent and fully understood from the accompanying drawings, in which some, but not all embodiments of the invention are shown. Based on the embodiments of the present invention, other embodiments that may be obtained by those of ordinary skill in the art without making any inventive effort are within the scope of the present invention.
As shown in fig. 1, the present invention provides a brain blood oxygen saturation detection system that is not disturbed by scalp blood flow, and specifically includes a sensor 10, a host 60, and a cable 40 connecting the sensor and the host.
As shown in fig. 1 and 2, the sensor 10 of the present invention mainly includes three layers of flexible support substrates 101, a first light source 102, a second light source 104, a first detector 103, and a second detector 105.
The first light source 102 and the second light source 104 are light emitting diodes that can emit 3 kinds of near infrared light (λ 1=735nm,λ2=805nm,λ3 =850 nm). The first detector 103 and the second detector 105 are photodiodes, and the response peak wavelength of the photodiodes is between 700nm and 800 nm.
The first light source 102, the first detector 103, the second light source 104 and the second detector 105 are sequentially arranged in a straight line in the same direction. The distance r 1 between the first light source 102 and the first detector 103 is 5mm, the distance r 2 between the first detector 103 and the second light source 104 is 20mm, and the distance r 3 between the second light source 104 and the second detector 105 is 5mm.
As shown in fig. 1 and 3, the host 60 of the present invention is composed of a central processing and storage module 601, a user information input module 602, a power supply module 603, a light source driving module 604, a signal amplifying and a/D converting module 605, and a data display module 606. The central processing and storage module 601 is connected with the user information input module 602, the power module 603, the light source driving module 604, the signal amplifying and a/D converting module 605 and the data display module 606. The light source driving module 604 and the signal amplifying and a/D converting module 605 are connected with the sensor 10 through the cable 40, the light source driving module 604 controls the first light source 102 and the second light source 104 to emit light, the first detector 103 and the second detector 105 receive photoelectric signals and transmit the photoelectric signals to the signal amplifying and a/D converting module 605, and the processed signals are transmitted to the central processing and storage module 601 for data analysis processing to obtain brain blood oxygen saturation values and are displayed on the data display module 606.
As shown in fig. 1, the sensor is attached to the forehead skin 201 of the head by double-sided adhesive on the back of the flexible support substrate 101. The primary light path 501 from the first light source 102 to the first detector passes through the chromophore substance 202 in the scalp blood stream at the first light source 102, and the primary light path 503 from the first light source 102 to the second detector passes through the chromophore substance 202 in the scalp blood stream near the incident light, the chromophore substance 301 in the brain tissue, and the chromophore substance 203 in the scalp blood stream near the emergent light in this order. The primary light path 502 from the second light source 104 to the second detector passes through chromophore substances 203 in the scalp blood stream near the outgoing light.
Fig. 4 is a flow chart of calculating cerebral blood oxygen saturation without interference of scalp blood flow.
In the first step, the light source driving module 604 controls the 3 wavelengths of the first light source 102 to emit light alternately, and the light source passes through the scalp and brain tissue to form corresponding emergent light, the first detector 103 and the second detector 105 on the sensor respectively receive corresponding emergent light signals, and amplify the signals transmitted from the optical signals to the host 60 via the cable 40, and the a/D module 605 receives and processes 6 light intensity signalsAndThe light intensity signal is transmitted to the central processing and storage module 601, and the central processing module 601 performs the following formulaSequentially calculateAndAnd stored in the memory module.
In the second step, the light source driving module 604 controls the 3 wavelengths of the second light source 104 to emit light alternately, and the light source passes through the scalp and brain tissue to form corresponding emergent light, the second detector 105 on the sensor receives corresponding emergent light signals, and the signal amplifying and a/D converting module 605 which transmits the light signals to the host via the wires receives and processes the 3 light intensity signalsAndThe light intensity signal is transmitted to the central processing and storage module 601, and the central processing module is used for calculating the formulaSequentially calculate AndAnd stored in the memory module.
Third step, firstly, calling the memory moduleAndThe central processing module is used for processing the data according to the formulaRespectively calculateAndAnd stored in the memory module. Second, call in the memory moduleAndThe central processing module is used for processing the data according to the formulaRespectively calculateAndAnd is stored in the storage module. Finally, call the memory moduleAndThe central processing module is used for processing the data according to the formulaRespectively calculateAndAnd is stored in the storage module.
Fourth, calling the memory module AndThe central processing module is used for processing the data according to the formulaRespectively calculate AndAnd stored in the memory module.
Fifth step, calling the memory moduleAndThe central processing module is used for processing the data according to the formulaCan calculate C Hb,And C CtOx and stored in the storage module. Wherein the method comprises the steps ofAnd the DPF can be determined by looking up a table (whereinAndCan be referred to pages 66-67 in the article Performance Comparison of Several Published Tissue Near-Infrared Spectroscopy Algorithms in ANALYTICAL BIOCHEMISTRY, 1995, macher et al,AndSee, 1962, gelder et al, pages 593 of the article The extinction coefficient of cytochrome c, biochimica et Biophysica Acta, upper paper, and DPF is obtained, r 1=5mm,r2=20mm,r3 = 5mm, see, 2013, scholkmann, et al, page 2 of the article Journal of Biomedical Optics, upper paper "General equation for the differential pathlength factor of the frontal human head depending on wavelength and age").
Sixth, C Hb in the storage module is called,And C CtOx, the central processing module according to the formulaAnd calculating the cerebral blood oxygen saturation and storing in the storage module, and simultaneously transmitting to the display module for display.
The above examples are merely illustrative of preferred embodiments of the invention, which are not exhaustive of all details, nor are they intended to limit the invention to the particular embodiments disclosed. Various modifications and improvements of the technical scheme of the present invention will fall within the protection scope of the present invention as defined in the claims without departing from the design spirit of the present invention.