METHOD FOR OBTAINING NEAR-INFRARED SPECTROSCOPY CEREBRAL SIGNAL
20230026344 · 2023-01-26
Assignee
Inventors
- Joaquin IBAÑEZ BALLESTEROS (Alicante, ES)
- Sergio Molina Rodriguez (Torrevieja, ES)
- Carlos Belmonte Martinez (San Juan De Alicante, ES)
Cpc classification
A61B5/4088
HUMAN NECESSITIES
A61B5/0075
HUMAN NECESSITIES
International classification
Abstract
A method for obtaining a near-infrared spectroscopy (fNIRS) cerebral signal in a subject includes: placing a near-infrared emitter and respective proximal and distal near-infrared detectors on a skin of a head of a subject; during a baseline recording stage with the subject in resting-state, record near-infrared signals, the recorded signals including a baseline deep-signal and a baseline shallow-signal; calculate a scaling factor between amplitudes of the baseline deep-signal and the baseline shallow-signal at a given task-frequency; with the subject undergoing a cyclic cerebral stimulation at the task-frequency during a stimulation recording stage, record near-infrared signals, the recorded signals comprising a shallow-signal and a deep-signal; and applying the scaling factor to the shallow-signal, calculating the cerebral signal at the task-frequency as a difference between the deep-signal and the scaled shallow-signal, at the task-frequency.
Claims
1. A method to obtain a near-infrared spectroscopy (fNIRS) cerebral signal in a subject, the method comprising: placing a near-infrared emitter, a first near-infrared detector, and a second near-infrared detector on a skin of a head of a subject, the first near-infrared detector being placed closer to the near-infrared emitter than the second near-infrared detector; during a baseline recording stage with the subject in resting-state, recording, by a computer, near-infrared signals received from the near-infrared emitter in the first and second near-infrared detectors, the recorded signals comprising: a baseline deep-signal received by the second near-infrared detector, and a baseline shallow-signal received by the first near-infrared detector; calculating, by the computer, a scaling factor between amplitudes of the baseline deep-signal and the baseline shallow-signal at a given frequency; with the subject undergoing a cyclic cerebral stimulation according to an activity that occurs at the given frequency during a stimulation recording stage, recording, by the computer, near-infrared signals received from the near-infrared emitter in the first and second near-infrared detectors, the recorded signals comprising: a shallow-signal received by the first near-infrared detector, and a deep-signal received by the second near-infrared detector; obtaining, by the computer, a cerebral signal at the given frequency during stimulation by: applying the scaling factor to the shallow-signal; and calculating the cerebral signal at the given frequency as a difference between the deep-signal and the scaled shallow-signal, at the given frequency.
2. The method according to claim 1, wherein the cyclic cerebral stimulation is according to a mental or cognitive activity.
3. The method according to claim 1, wherein the cyclic cerebral stimulation is according to a visual, auditive, olfactory, gustative, somatosensorial or motor activity.
4. The method according to claim 1, wherein the obtaining the cerebral signal comprises obtaining, by the computer, a phase and an amplitude of the cerebral signal.
5. The method according to claim 4, wherein the obtaining the phase and the amplitude of the cerebral signal during stimulation comprises: determining, by the computer, a deep-signal phasor corresponding to the deep-signal during stimulation at the given frequency, having: a phase difference between the deep-signal and the shallow-signal at the given frequency, and an amplitude of the deep-signal at the given frequency; determining, by the computer, a shallow-signal phasor corresponding to the shallow-signal during stimulation at the given frequency, having: a reference phase, and an amplitude of the shallow-signal at the given frequency, multiplied by the scaling factor; determining, by the computer, a cerebral-signal phasor by subtracting the shallow-signal phasor from the deep-signal phasor; and calculating, by the computer, the phase and amplitude of the estimated cerebral signal at the given frequency.
6. The method according to claim 5, wherein the phase difference between the deep-signal and the shallow-signal at the given frequency is obtained by calculating, by the computer, an empirical transfer function in a frequency domain between the deep-signal and the shallow-signal and calculating, by the computer, an argument of the transfer function at the given frequency.
7. The method according to claim 1, wherein the calculating the scaling factor comprises calculating, by the computer, an approximation of a complex frequency dependent basal transfer function between the baseline deep-signal and the baseline shallow-signal and determining, by the computer, the scaling factor as a gain of the basal transfer function at the given frequency.
8. The method according to claim 1, wherein the given frequency is a frequency between 0.015 Hz and 0.07 Hz.
9. The method according to claim 1, wherein the given frequency is a frequency between 0.025 Hz and 0.05 Hz.
10. The method according to claim 1, wherein the given frequency is a frequency of 0.033 Hz.
11. The method according to claim 1, wherein a plurality of groups, each including a near-infrared emitter, a first near-infrared detector, and a second near-infrared detector, are provided, and the method further comprises averaging, by the computer, the shallow-signal and the deep-signal obtained for each group.
12. The method according to claim 1, wherein the recording during the stimulation recording stage comprises alternating: semi-periods of stimulating in the subject; and semi-periods of baseline resting.
13. The method according to claim 12, wherein the semi-periods of stimulating and the semi-periods of baseline resting have the same duration.
14. A system for obtaining a near-infrared spectroscopy (fNIRS) cerebral signal in a subject, the system comprising: a device comprising a near-infrared emitter, a first near-infrared detector, and a second near-infrared detector, adapted for placing the near-infrared emitter and the first and second near-infrared detectors on a skin of a head of a subject, the first near-infrared detector being placed closer to the near-infrared emitter than the second near-infrared detector; and a computer configured to perform: during a baseline recording stage with the subject in resting-state, record near-infrared signals received from the near-infrared emitter in the first and second near-infrared detectors, the recorded signals comprising: a baseline deep-signal received by the second near-infrared detector, and a baseline shallow-signal received by the first near-infrared detector; calculate a scaling factor between amplitudes of the baseline deep-signal and the baseline shallow-signal with respect to a task that occurs at a given frequency; with the subject undergoing a cyclic cerebral stimulation according to an activity that occurs at the given frequency during a stimulation recording stage, record near-infrared signals received from the near-infrared emitter in the first and second near-infrared detectors, the recorded signals comprising: a shallow-signal received by the first near-infrared detector, and a deep-signal received by the second near-infrared detector; obtaining a cerebral signal at the given frequency during stimulation by: applying the scaling factor to the shallow-signal; and calculating the cerebral signal at the given frequency as a difference between the deep-signal and the scaled shallow-signal, at the given frequency.
15. The method according to claim 1, further comprising: obtaining a relation of the cerebral signal and an extracerebral response; and using the cerebral signal and the relation for diagnosis and assessment of a clinical entity involving a brain functional change.
16. The method according to claim 15, wherein the clinical entity involving the brain functional change comprises at least one of dementia; a neurodevelopment disorder; an affective disorder and an autonomic dysfunction.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0023] As a complement to the description provided herein and for the purpose of helping to make the characteristics of the disclosure more readily understandable, this specification is accompanied by a set of drawings, which by the way of illustration and not limitation, represent the following:
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DETAILED DESCRIPTION
[0036]
[0037] The cerebral stimulation is a mental or cognitive activity, so the corresponding obtained cerebral signal SCS will be related to this mental or cognitive activity.
[0038] As illustrated in
[0039] In this case, the 30-second period of the mental arithmetic trials corresponds to a task-frequency ft of 0.033 Hz. This frequency was chosen so that it did not overlap with well know spontaneous fluctuations such as ABP (0.08-0.12 Hz), or very slow endothelial activity (0.01-0.02 Hz). Furthermore, the 15-second duration of mental effort accommodates that of a typical hemodynamic response, while the next 15-second pause allows a return to baseline levels, being an optimal inter-event interval to minimize overlaps between consecutive hemodynamic responses. However, other task-frequency ft are also envisaged, for example frequencies between 0.015 Hz and 0.07 Hz, and frequencies between 0.025 Hz and 0.05 Hz may also be used.
[0040] In this case the cyclic cerebral stimulation is a mental arithmetic task, it is, a mental or cognitive activity, so the cerebral signal SCS to be obtained will be a response of the subject 1 to such mental or cognitive activity. However, in other embodiments, it is envisaged that the cerebral stimulation may be a visual, or auditive, or olfactory, or gustative or somatosensorial or motor activity, or even other activities depending on the cerebral signal SCS to be obtained as a response of the subject 1.
[0041] As shown in
[0042] The proximal detector 3a is placed closer to the emitter 2 than the distal detector 3b, for example, the proximal detector 3a is placed 14 mm from the emitter 2 and the distal detector 3b is placed 32 mm from the emitter 2. Naturally, other arrangements of various emitters 2 and detectors 3 in the device 10 are also possible and they may be used for obtaining the near-infrared spectroscopy cerebral signal SCS in the subject 1 in a similar way as explained hereinafter.
[0043] The wavelength of the emitter 2 and detectors 3 will be adapted to detect the differences caused by the cerebral stimulation. For example, a near-infrared wavelength of 740 and 850 nm would be suitable for detecting relative changes in oxyhemoglobin (HbO) and deoxyhemoglobin (HbR) concentration, consequently the cerebral signal obtained would be proportional to the adsorption of the emitted and received wavelengths.
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[0047] The signals presented in
[0048] As it can be seen in
[0049] During the stimulation recording stage t.sub.2, with the subject undergoing a cyclic cerebral stimulation at the task-frequency f.sub.t according to the pattern of
[0050] Since fNIRS signals are dominated by confounding hemodynamics not originated in the cerebral cortex by functional activity, but with origin in blood flow changes in superficial tissues and by changes in systemic physiology that are present both in the superficial layers and in the brain tissue itself, even at different time scales. To address this issue, an effective strategy is the use of multi-distance measurements. Shallow components are removed from the deep-signals by assuming that short-separation recordings are sensitive only to extra-cerebral changes while long-separation recordings are sensitive to both extra-cerebral and cerebral activity.
[0051] Therefore, at the task-frequency f.sub.t removing shallow components present in the shallow-signal SSS from the deep-signal SDS for obtaining the cerebral signal S.sub.CS may be expressed by the following linear combination:
S.sub.CS=S.sub.DS−(KS.sub.SS)
[0052] Since these signals at the task-frequency f.sub.t are considered to be sinusoids, only their amplitude and phase would differ.
[0053] The scaling factor K may be calculated by the computer 20 as the ratio of amplitudes between the baseline deep-signal BDS and the baseline shallow-signal B.sub.SS at the task-frequency f.sub.t. Multiple other methods are known for calculating by a computer this scaling factor K as the ratio of amplitudes of the baseline deep-signal BDS and the baseline shallow-signal B.sub.SS, such as detecting the average peak to peak ratio between the baseline deep-signal BDS and the baseline shallow-signal B.sub.SS, or the ratio between the root mean square measurements of the baseline deep-signal BDS and the baseline shallow-signal B.sub.SS.
[0054] Also, a transfer function strategy may be used by the computer 20 for calculating the scaling factor K, as transfer function models have become a popular approach to investigate the dynamic of cerebrovascular autoregulation (Claassen et al., 2015; Van Beek, Claassen, Rikkert, & Jansen, 2008), and they have also been used to remove systemic physiological noise from fNIRS signals (Bauernfeind, Böck, Wriessnegger, & Müller-Putz, 2013; Florian & Pfurtscheller, 1997). Assuming that the shallow-signal S.sub.SS has energy in the frequency range of interest, around the task-frequency f.sub.t, and contain quasi-periodic oscillations, the transfer function H(f) may be approximated from the experimental fNIRS data as (Zhang et al., 1998):
[0055] For the time-series pair, shallow-signal S.sub.SS and deep-signal SDS are, respectively, the input and output signals used to obtain an approximation of the transfer function at the task-frequency f.sub.t. From the complex-valued result, we obtained the magnitude (gain), corresponding to the scaling factor K which represents the relative change in μM between input and output, and the phase that carries their temporal coupling (phase difference or time-lag). For reporting the gain, data were converted by the computer 20 into percentage values, which will be the scaling factor K. Then, the scaling factor K may be considered the gain value of the basal transfer function bTF at f.sub.t during “baseline”, it is, during the baseline recording stage t.sub.1, which represents the fraction of the magnitude of the shallow-signal S.sub.SS present in the deep-signal S.sub.DS when no significant cerebral signal S.sub.CS component contributes.
[0056] Therefore, during the step of calculating the scaling factor K between the amplitude of the basal deep-signal B.sub.DS and the basal shallow-signal B.sub.SS at the task-frequency f.sub.t an approximation of a complex frequency dependent basal transfer function bTF between the basal deep-signal BDS and the basal shallow-signal B.sub.SS may be computed by the computer 20 to determine the scaling factor K as the gain of the basal transfer function bTF at the task-frequency f.sub.t, as shown in
[0057] The phase difference between the deep-signal S.sub.DS and the shallow-signal S.sub.SS at the task-frequency f.sub.t may be obtained by determining by the computer 20 the delay between the deep-signal S.sub.DS and the shallow-signal S.sub.SS filtered at task-frequency f.sub.t as known by the skilled person, However, this phase difference may also be obtained by calculating an empirical transfer function TF in the frequency domain between the deep-signal S.sub.DS and the shallow-signal S.sub.SS during the stimulation recording stage t.sub.2 and calculating by the computer 20 the argument of the transfer function TF at the task-frequency f.sub.t, which is illustrated in
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[0059] Then, given the linear combination between the deep-signal S.sub.DS and the shallow-signal S.sub.SS for obtaining the cerebral signal S.sub.CS previously explained, the cerebral signal S.sub.CS at the task-frequency f.sub.t may be calculated by the computer 20 as the difference, in phase and amplitude, between the deep-signal S.sub.DS and the scaled shallow-signal KS.sub.SS, at the task-frequency f.sub.t, thus obtaining the cerebral signal S.sub.CS depicted in
[0060] Advantageously, since the deep-signal S.sub.DS and the shallow-signal S.sub.SS are sinusoidal signals with frequency the task-frequency f.sub.t, the deep-signal S.sub.DS and the shallow-signal S.sub.SS may be expressed as a respective phasor vectors corresponding to a deep-signal phasor X.sub.DS and shallow-signal phasor X.sub.SS, having the amplitudes and phases of their corresponding sinusoidal signals, so the linear combination previously indicated may also be expressed as a linear combination of phasors as indicated below:
S.sub.CS=S.sub.DS−(KS.sub.SS)
A.sub.CS cos(2πf.sub.tt+ϕ.sub.CS)=A.sub.DS cos(2πf.sub.tt+ϕ.sub.DS)−KA.sub.SS cos(2πf.sub.tt+ϕ.sub.SS)
A.sub.CSe.sup.jϕ.sup.
X.sub.CS=X.sub.SD−KX.sub.SS
[0061] It is expected for one of the phases between the phase of the shallow-signal ϕ.sub.SS and the phase of the deep-signal ϕ.sub.DS to be a reference phase, typically a 0 degrees reference phase. In this case, the reference phase of 0 degrees is assigned to the phase of the shallow-signal ϕ.sub.SS.
[0062] This way, the difference, in phase and amplitude, between the deep-signal S.sub.DS and the scaled shallow-signal KS.sub.SS may directly be calculated by the computer 20 as a phasor subtraction of the deep-signal phasor X.sub.DS minus the shallow-signal phasor X.sub.SS as graphically represented in
[0063] Therefore, the step of obtaining the phase and amplitude of the cerebral signal S.sub.CS during stimulation comprises determining by the computer 20 a deep-signal phasor X.sub.DS corresponding to the deep-signal S.sub.DS during stimulation at the task-frequency f.sub.t, having as phase the phase difference between the deep-signal S.sub.DS and the shallow-signal S.sub.SS at the task-frequency f.sub.t, and amplitude the amplitude of the deep-signal S.sub.DS at the task-frequency f.sub.t; and determining a shallow-signal phasor X.sub.SS corresponding to the shallow-signal S.sub.SS during stimulation at the task-frequency f.sub.t, having a reference phase of 0 degrees, and as amplitude the amplitude of the shallow-signal S.sub.SS at the task-frequency f.sub.t, multiplied by the scaling factor K. Naturally, alternatively the reference phase of 0 degrees may be the phase of the deep-signal phasor X.sub.DS, or the reference phase may be any known phase, as only the phase difference is relevant.
[0064] Then, the phase and amplitude of the estimated cerebral signal S.sub.CS at the task-frequency f.sub.t may be calculated by the computer 20 by determining a cerebral-signal phasor X.sub.CS by directly subtracting the shallow-signal phasor X.sub.DS from the deep-signal phasor X.sub.DS, as graphically represented in
[0065] Although previously only one emitter 2 and a proximal detector 3a and distal detector 3b group was used, also other multichannel, wireless, continuous-wave NIRS device 10 may be used, such as the Brainspy28, from Newmanbrain, S. L., which employs four emitters 2 and ten detectors 3 forming a rectangular grid of 80×20 mm. In this case, each emitter 2 housed two light-emitting-diodes (LED) at wavelengths 740 nm and 850 nm. Through a precise switching cycle, the device 10 combines pairs of optodes at different separation distances, providing 16 short-channels or shalllow channels SS and 12 long-channels or deep channels DS that corresponds to a source-detector distance of 14 and 32 mm respectively, as shown in
[0066] As shown in
[0067] Advantageously, by having a plurality of groups of near-infrared emitter and respective proximal and distal near-infrared detectors grouped by regions of interest, the shallow-signal and the deep-signal obtained for each region may be averaged, so the signal-noise ratio for each region of interest is improved, and a better cerebral signal S.sub.CS may be obtained per each region of interest.
[0068] While the present disclosure has been described with reference to example embodiments thereof, it will be apparent to those of ordinary skill in the art that various changes and modifications may be made thereto without departing from the spirit and scope of the present disclosure as set forth in the following claims and their equivalents.