Analyte system and method for determining hemoglobin parameters in whole blood
20170227521 · 2017-08-10
Inventors
Cpc classification
G01N21/31
PHYSICS
G01J3/0208
PHYSICS
G01J3/42
PHYSICS
G01J3/0205
PHYSICS
G01N21/255
PHYSICS
G01J3/0297
PHYSICS
G01J3/0291
PHYSICS
G01J3/0286
PHYSICS
G01N21/0303
PHYSICS
G01J3/10
PHYSICS
International classification
Abstract
A system of measuring hemoglobin and bilirubin parameters in a whole blood sample using optical absorbance. The system includes an optical-sample module, a spectrometer module, an optical fiber module optically connecting the optical-sample module to the spectrometer module, and a processor module. The optical-sample module has a light-emitting module having a LED light source, a cuvette and a calibrating-light module. The processor module receives and processes an electrical signal from the spectrometer module and transforms the electrical signal into an output signal useable for displaying and reporting hemoglobin parameter values and/or total bilirubin parameter values for the whole blood sample.
Claims
1. An optical absorbance measurement system for whole blood, the system comprising: an optical-sample module comprising: a light-emitting module having a LED light source capable of emitting light wherein the light is directed thereby defining an optical path; a replaceable cuvette module adjacent the light-emitting module wherein the replaceable cuvette module is adapted for receiving a whole-blood sample and has a sample receiving chamber with a first cuvette window and a second cuvette window aligned with the first cuvette window wherein the sample receiving chamber is disposed in the optical path for receiving light from the LED light source; a first optical diffuser positioned within the optical path between the LED light source and the replaceable cuvette module; and a second optical diffuser positioned within the optical path after the replaceable cuvette module; an optical fiber having a light-receiving end and a light-emitting end, the light-receiving end optically connected to the optical-sample module wherein the light-receiving end receives the light emitted along the optical path and conducts the light to the light-emitting end; a spectrometer module capable of receiving the light from the light-emitting end of the optical fiber, separating the light into a plurality of light beams wherein each light beam has a different wavelength, and converting the plurality of light beams into an electrical signal; and a processor module capable of receiving and processing the electrical signal from the spectrometer module generated for the whole-blood sample and transforming the electrical signal into an output signal useable for displaying and reporting hemoglobin parameter values and/or total bilirubin parameter values for the whole-blood sample.
2. The optical absorbance measurement system of claim 1 wherein the light-emitting module includes a plurality of optical components disposed in the optical path between the LED light source and the replaceable cuvette module, the plurality of optical components includes at least the first optical diffuser and one or more of a collimating lens, a circular polarizer, and a focusing lens.
3. The system of claim 1 wherein the calibrating-light module includes a beam splitter disposed in the optical path, the beam splitter capable of transversely receiving the one or more known wavelengths of light from the calibrating-light source and directing the one or more known wavelengths of light along the optical path.
4. The system of claim 3 wherein the second optical diffuser is disposed in the optical path downstream from the replaceable cuvette module but upstream from the beam splitter.
5. The system of claim 1 wherein the calibrating-light module includes a collimating lens disposed in the optical path between the replaceable cuvette module and the second optical diffuser.
6. The system of claim 1 wherein the spectrometer module comprising: an input slit positioned in the optical path to receive the light emitted from the light-emitting end of the optical fiber and to transmit the light therethrough; a prism disposed in the optical path wherein the prism is capable of receiving the light transmitted through the input slit, separating the light into a plurality of light beams wherein each light beam has a different wavelength, and re-directing the plurality of light beams back toward but offset from the input slit; and a light-array detector capable of receiving the plurality of light beams and converting the plurality of light beams into the electrical signal.
7. The system of claim 6 wherein the prism has a reflective back surface.
8. The system of claim 6 wherein the spectrometer module includes a thermal-compensating lens disposed in the optical path between the input slit and the prism and capable of substantially simultaneously transmitting the light from the input slit and the plurality of light beams from the prism.
9. The system of claim 8 wherein the thermal-compensating lens has a lens mount with a fixed mount end and an unfixed mount end, the fixed mount end being attached to a baseplate and wherein the lens mount has a coefficient of expansion greater than the coefficient of expansion of the baseplate.
10. The system of claim 6 wherein the light-array detector and the input slit are mounted on the same substrate adjacent each other.
11. The system of claim 1 wherein the processor module includes a micro-processor module, a memory module, and a function that maps hemoglobin parameter values and total bilirubin values to known blood levels in the memory module that is processed by the micro-processor module wherein the micro-processor module converts a digital signal received from a converter module into measured values wherein the measured values are proportional to the hemoglobin parameters and total bilirubin of a whole blood sample disposed in and being measured in the disposable cuvette placed in the optical path.
12. The system of claim 11 wherein the function that maps hemoglobin parameter values and total bilirubin values to known blood levels is generated from a plurality of hemoglobin parameter values and total bilirubin values of samples having known hemoglobin parameter and total bilirubin values for a predefined configuration of the sample receiving chamber.
13. The system of claim 11 wherein the function that maps hemoglobin parameter values and total bilirubin values to known blood levels is based on a kernel-based orthogonal projection to latent structures function.
14. The system of claim 6 wherein the prism is a Littrow prism.
15. The system of claim 14 wherein the Littrow prism has a reflective coating on a side opposite a ninety degree angle of the Littrow prism.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0077] Embodiments of the present invention are illustrated in
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[0080] Turning now to
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[0082] Turning now to
[0083] Turning now to
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[0085] Light beam receiving portion 64 houses a collimating lens 66 that collimates light beam 28a received along optical path 21 from cuvette module 43 and directs light beam 28a into first tubular conduit 62a. Disposed within calibrating module housing 62 is beam splitter holder assembly 67 that is disposed transversely across first tubular conduit 62a. Beam splitter holder assembly 67 has an upward slanting surface 67a facing calibrating light beam opening 62e and light beam exit opening 62c within optical path 21. Beam splitter holder assembly 67 supports a second diffuser 68 and a beam splitter 69 (shown in
[0086] Calibrating light portion 70 includes a calibrating light source 72 disposed adjacent but spaced from optical path 21 that is capable of directing a calibrating light beam 72a into calibrating module housing 62 through a calibrating light opening 62e transversely to optical path 21 toward beam splitter holder assembly 67. Within calibrating light portion 70, there is a collimating lens 74 that collimates calibrating light beam 72a before it is reflected by beam splitter assembly 67 toward light beam exit opening 62c.
[0087] Optic fiber portion 80 is located within optical path 21 at or in the vicinity of light beam exit opening 62c. Optic fiber portion 80 includes a focusing lens 82 and a optic fiber connector assembly 84 that includes a connector housing 86 adapted for receiving an optical fiber assembly 90. Optic fiber portion 80 is adapted to insure that light beam 28a is properly focused by focusing lens 82 into optical fiber assembly 90.
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[0089] Calibrating light beam 72a when activated is received by collimating lens 74, transmitted to beam splitter 69 and directed to focusing lens 82 where it is focused into optical fiber assembly 90. Calibrating light beam 72a has specific wavelengths of light used for calibrating the wavelength scale of spectrometer module 100. One example of an acceptable calibrating light source 72 is a krypton (Kr) gas discharge lamp, which provides seven Kr line wavelengths in nanometers covering the range of 422 to 695 nm. Prism 131 of light dispersion component 130 has a nonlinear dispersion versus wavelength that requires a polynomial or other function of a higher order. The present invention uses a 5.sup.th order polynomial to the pixel locations of the Kr line peaks to provide residual errors well below the absolute wavelength accuracy requirement of +/−0.03 nm.
[0090] Optical fiber assembly 90 includes an optical fiber 92, a first optical fiber connector 94 and a second optical fiber connector 96 (shown in
[0091] Turning now to
[0092] Achromatic lens assembly 121 includes a lens mount 122 and a spherical achromatic lens 124. Achromatic lens 124 receives light beams 28a, 72a, as the case may be, and directs the light beam to light dispersion element 130, which in this embodiment is prism 131. Prism 131 has a reflective coating 132 on an outside back surface. Prism 130 refracts light beam 28a and reflects the light back through achromatic lens 124.
[0093] Light-receiving and converting assembly 110 is securely mounted adjacent an inside surface 108a of optical fiber housing end 108. Light-receiving and converting assembly 110 includes a circuit board substrate 112 upon which is mounted a light input slit 114 that is aligned with light-emitting end 92b (not shown) of optical fiber 92. Adjacent input slit 114 is a light-array detector 116 that receives the refracted light from prism 131. Light-array detector 116 converts the refracted light to an electrical signal, which is output through output connector 118 to processor module 150. Providing light input slit 114 and light-array detector 116 adjacent each other on circuit board 112 has several advantages. This feature greatly simplifies the construction and improves the precision of spectrometer module 100. Other spectrometers place these items on separate planes, where they have separate mounting structures, and have to be adjusted independently. This feature of mounting the input slit and light-array detector adjacent each other on circuit board 112 eliminates the need to mount and position each structure (i.e. slit and detector) separately.
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[0095] Turning now to
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[0097] A change in temperature has a greater effect on beam refraction angle when using a prism instead of a diffraction grating. In the present invention, a thermal-compensating means 160 is provided to compensate for a thermal shift in the incoming light beam caused by the light-dispersing element 130. A temperature change within spectrometer module 100 causes a thermally-induced movement of the slit image from input slit 114 on light-array detector 116 caused in turn by thermally-induced changes in refractive index of the dispersive prism 131.
[0098] In one embodiment shown in
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[0100] Learning Data:
[0101] A data set of about 180 blood samples from approximately 15 different individuals was developed. The blood samples were manipulated using sodium nitrite to raise MetHb values, and using CO gas to raise COHb values. Plasma was removed from or added to samples to change the tHb level. Bilirubin spiking solution was added to vary the tBil level. A tonometer was used to manipulate the oxygen level. The blood samples were manipulated to cover a large range of analyte values. The blood samples were then measured on a reference lysing pHOx Ultra analyzer equipped with COOx analyzer and analysis software. The whole blood spectra were gathered on a pHOx Ultra analyzer equipped with the high-angle collection optics and other modifications of the present invention, as described earlier, with the lyse supply line completely disconnected and the whole blood samples running directly into the cuvette assembly 40 without lyse or any other dilution. Both analyzers were equipped with Zeonex windows in the respective cuvettes. This data set has been turned into a Matlab cell array file for use with Matlab scripts.
[0102] Prediction Model:
[0103] The next step in the calculation is to create a prediction model. Three models were developed for the analysis: one for the COOx parameters tHb and COHb, a second for HHb and MetHb, and a third for tBil. The quantity for O2Hb was determined by subtracting COHb, HHb, and MetHb from 100%. The X-data array was constructed from terms created from the measured absorbance at the wavelengths between 462-650 nm, 1 nm spacing. The tBil model was developed using the same set of data as the COOx model, except that samples with MetHb values greater than or equal to 20% were left out of the model. For each model, five Y-predictive values were assigned (O2Hb, HHb, COHb, MetHb, tBil) with tHb determined by adding the results for O2Hb, HHb, COHb, and MetHb. The number of Y-orthogonal values needed was determined by manual optimization of the correlation residual of the mapping function blood predictions with the reference analyzer values.
[0104] Using an initial calibration data set, the calibration sequence of a machine learning algorithm establishes a relationship between a matrix of known sample characteristics (the Y matrix) and a matrix of measured absorbance values at several wavelengths and potentially other measured values based on absorbance versus wavelength (the X matrix). Once this relationship is established, it is used by the analyzer to predict the unknown Y values from new measurements of X on whole blood samples.
[0105] Table 1 summarizes the settings and inputs used for the optimized models. The X-data consists of the absorbance and other terms based on absorbance vs. wavelength. In the process of optimizing the model, absorbance derivatives vs. wavelength were added. Models for analytes more sensitive to nonlinear scatter effects were built up with square root terms of the absorbance and its derivative. The model for analytes more affected by scatter had a correction term proportional to the fourth power of the wavelength. The X-vector row has one value for each wavelength for each of the three absorbance-based terms f, g, and h shown in the table for each model.
TABLE-US-00001 TABLE 1 Parameters used to construct algorithm models (KOPLS method). Kernel Y-predictive Y-orthogonal X data structure polynomial Model components components (from absorbance vs. wavelength) exponent tHb, COHb 5 4
[0106] The calibration set Y matrix is built up as follows from the known values of the calibration sample set of n lysed blood samples:
[0107] where tHb is the total hemoglobin value of the lysed blood sample, [0108] COHb is the carboxyhemoblogin value of the lysed blood sample, [0109] HHb is the deoxyhemoglobin value of the lysed blood sample, [0110] MetHb is the methemoglobin value of the lysed blood sample, and [0111] tBil is the total bilirubin value of the lysed blood sample.
[0112] The X matrix is structured as follows:
[0113] where: f, g, h are the absorbance-based functions listed in Table 1 versus wavelength, respectively.
[0114] The matrix X includes contributions from absorbance at the various wavelengths. The scope of the invention includes optionally adding other measurements to the calculation to reduce interferent effects.
[0115] Once these matrices are formed, they are used as the calibration set and the mapping function is computed according to the procedures particular to the machine learning algorithm chosen.
[0116] As described previously, conventional partial least squares, linear regression, linear algebra, neural networks, multivariate adaptive regression splines, projection to latent structures, kernel-based orthogonal projection to latent structures, or other machine learning mathematics is used with results obtained from the calibration set of data to determine the empirical relationship (or mapping function) between the absorbance values and the hemoglobin parameters. Typically, a mathematics package is used to generate the results where the package generally has options to select one of the machine learning mathematics known to those skilled in the art. Various mathematics packages exist and include, but are not limited to, Matlab by MatWorks of Natick, Mass., “R” by R Project for Statistical Computing available over the Internet at www.r-project.org, Python from Python Software Foundation and available over the Internet at www.python.org in combination with Orange data mining software from Orange Bioinformatics available over the Internet at orange.biolab.si, to name a few.
[0117] It will be shown that the method of Kernel-Based Orthogonal Projection to Latent Structures (KOPLS) may be used as one type of machine learning algorithm to generate the mapping function. An explanation and description of KOPLS is best exemplified by the following references: Johan Trygg and Svante Wold. “Orthogonal projections to latent structures (O-PLS).” J. Chemometrics 2002; 16: 119-128; Mattias Rantalainen et al. “Kernel-based orthogonal projections to latent structures (K-OPLS).” J. Chemometrics 2007; 21: 376-385; and Max Bylesjö et al. “K-OPLS package: Kernel-based orthogonal projections to latent structures for prediction and interpretation in feature space.” BMC Bioinformatics 2008, 9:106, which references are incorporated herein by reference. The kernel-based mathematics is useful in handling non-linear behavior in systems by using a kernel function to map the original data to a higher order space. Although any of the previously described machine learning mathematics may be used to enable one of ordinary skill in the art to practice the present invention, KOPLS has an additional advantage over other calculations such as, for example, conventional partial least squares because it can not only establish a relationship between quantified variations and analyte values to be determined, but can also remove unquantitated yet consistently present variation in the original data. These unquantitated variations might be due to analyzer and/or blood effects such as scatter losses and other interfering phenomena that are not explicitly measured. By extracting these unquantitated variations from the data, the method leaves behind in the data the information used to predict the measured values.
[0118] Using an initial training data set, the KOPLS model establishes a relationship (mapping function) between the matrix of known sample characteristics (the H matrix), and a matrix of measured absorbance values at several wavelengths and potentially other measured values based on absorbance versus wavelength (the X matrix) as processed through a kernel function as specified by the KOPLS method. Once the KOPLS coefficients of this relationship are established, they are used with the kernel function by the analyzer to predict the unknown hemoglobin parameter values from new measurements of absorbance on samples.
[0119] The kernel function used in this example is a simple linear kernel function described in the Mattias Rantalainen et al. reference listed above and represented by the following equation:
κ(X,X)=<X,X>
where the matrix of measured values X is put into the kernel function and subjected to further processing as specified in the cited KOPLS references above (incorporated by reference) for creating the KOPLS training coefficients.
[0120] Once the set of training coefficients, or mapping function, is established, it is used to predict the hemoglobin parameter values and/or total bilirubin parameter values of a blood sample from future measurements. A single-row X matrix is created from the new measurements, then the value from this single-row X matrix is put through the kernel and mapping functions to produce the hemoglobin parameter values and/or total bilirubin parameter values according to the procedures necessary for the mapping function used according to the KOPLS procedures described in detail in the KOPLS references disclosed previously.
[0121] The data collected from the blood samples described above were put through the KOPLS method in a cross-validation process. Cross-validation is a process for using a data set to test a method. Several data rows are set aside and the rest are used to create a mapping function. The set-aside values are then used as “new” measurements and their Y matrix values calculated. This process is repeated by setting aside other measured values and computing another mapping function. By plotting the known values of the blood data vs. the calculated, the effectiveness of the method may be ascertained by inspecting the plot.
[0122] Turning now to
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[0129] A method of making a whole blood measurement using the COOx analyzer subsystem 10 of the present invention will now be described. An absorbance scan is measured by first recording a transmitted light intensity scan with cuvette module 43 filled with a transparent fluid such as water or analyzer flush solution otherwise known as the ‘blank’ scan. Then a transmitted light intensity scan with cuvette module 43 filled with the whole blood sample is recorded. After corrections for spectrometer dark response and detector linearity, the spectral absorbance is the negative of the logarithm to the base ten of the ratio of the whole blood scan to the transparent fluid scan computed at each wavelength in the measurement range.
[0130] More specifically, a depiction of the components of a COOx analyzer subsystem is shown in
[0131] After passing through cuvette module 43, the light is collected by lens 66, collimated and sent through second diffuser 68 and beam splitter 69. The purpose of beam splitter 69 is to allow light from calibrating light source 72 (for example, a krypton gas-discharge lamp), collimated by lens 74, to enter optical path 21. Calibrating light source 72 provides light at a few known wavelengths, which are used to periodically recalibrate the wavelength scale of spectrometer module 100. After passing through the beam splitter 69, the light is focused by lens 82 onto an optical fiber 92. The optical fiber 92 guides the light to input slit 114 of spectrometer module 100. The light passes through an achromatic lens 124, goes through light dispersion element 130 with a reflective back 132. The light is wavelength-dispersed by passing through light dispersion element 130 such as, for example, prism 130 then makes a return pass through the lens 124, which re-focuses the light onto the pixels of light-array detector 116. Light-array detector 116 converts the light energy into an electrical signal which represents the spectral intensity of the light. The electrical signal is sent to data processor module 150 for further processing and display of the final results to the user. Light-receiving and converting assembly 110 is a single board that holds input slit 114 and light-array detector 116 in close proximity as an integrated unit.
[0132] Input slit 114 is applied directly onto the same circuit board substrate 112 as and in close proximity to light-array detector 116. Other prior art spectrometers place these components on separate planes where they have separate mounting structures needing independent adjustment and alignment. The mounting scheme of the present invention has several advantages that lower the cost and size of spectrometer module 100: 1) cost of separate mounting structures is avoided, 2) input slit 114 can be laser etched in a precise position relative to light-array detector 116 making alignment less labor intensive, 3) inexpensive spherical surface optics can be used in the optical system since the image of the slit on the detector is only slightly off-axis from the center axis of the optical system, minimizing aberration, and 4) a single alignment procedure for a unified slit and detector assembly replaces alignment procedures for two separate assemblies.
[0133] It is important to note that first diffuser 32 and second diffuser 68 are positioned before and after cuvette module 43, respectively. Optical absorbance measurement of a diffuse sample presents a unique problem. The diffuse transmittance of the sample scrambles the initial spatial light distribution of the measurement system caused by the nonuniformity typical of light sources. Thus, the spatial light distribution of the ‘blank’ scan can be quite different from the whole blood sample scan. Since optical detectors have response that varies spatially, the response can vary due to spatial distribution changes of the incident light, even if the overall intensity has not changed. An absorbance scan which is based on the ratio of the sample scan to the blank scan will have a significant absorbance component due to this effect in addition to the absorbance due to the sample alone. This results in a significant measurement error of the sample absorbance that is intolerable for cooximetry.
[0134] The advantage of placing cuvette module 43 between first and second diffusers 32, 68 is that the spatial light distribution will appear the same for the blank and sample scans, removing this error effect. Diffusers 32, 68 are specially chosen so that they diffuse a ray of incident light into the full acceptance cone of the optical system, but not more so, so that as much light throughput as possible may be preserved while scrambling the light ray completely across the field.
[0135] Although the preferred embodiments of the present invention have been described herein, the above description is merely illustrative. Further modification of the invention herein disclosed will occur to those skilled in the respective arts and all such modifications are deemed to be within the scope of the invention as defined by the appended claims.