Hemodynamics monitoring method, system and non-transitory computer-readable recording medium
11672438 · 2023-06-13
Assignee
Inventors
- Hyeon Min Bae (Daejeon, KR)
- Jong Kwan Choi (Daejeon, KR)
- Min Gyu Choi (Daejeon, KR)
- Gun Pil Hwang (Daejeon, KR)
- Min Su Ji (Daejeon, KR)
- Jae Myoung Kim (Daejeon, KR)
Cpc classification
A61B5/6803
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
A61B5/721
HUMAN NECESSITIES
A61B5/0075
HUMAN NECESSITIES
A61B5/1455
HUMAN NECESSITIES
International classification
A61B5/00
HUMAN NECESSITIES
A61B5/107
HUMAN NECESSITIES
A61B5/11
HUMAN NECESSITIES
A61B5/1455
HUMAN NECESSITIES
Abstract
According to one aspect of the invention, there is provided a method for monitoring hemodynamics, comprising the steps of: acquiring information on a posture of a first subject wearing a monitoring device; estimating a motion artifact predicted to be included in a spectroscopic measurement signal from the first subject which is measured by the monitoring device, with reference to the acquired information on the posture of the first subject, and a motion artifact estimation model for defining a correlation between a posture of at least one subject and a motion artifact occurring in a signal measured from the at least one subject; and removing the estimated motion artifact from the measurement signal from the first subject.
Claims
1. A method for monitoring hemodynamics, comprising the steps of: acquiring information on a posture of a subject wearing a monitoring device; estimating a motion artifact predicted to be included in a measurement signal from the subject which is measured by the monitoring device, with reference to the acquired information on the posture of the subject, and a motion artifact estimation model for defining a correlation between the posture of the subject and a motion artifact occurring in the measurement signal from the subject; and removing the estimated motion artifact from the measurement signal from the subject, wherein the information on the posture of the subject is acquired from a sensing module that is included in the monitoring device and capable of acquiring the information on the posture of the subject or a motion of the monitoring device or the subject, and wherein the motion artifact estimation model is constructed by calculating a time delay (T.sub.delay), which is specified as an interval between a point of time when a variation starts to occur in an angle (θ) by which the subject is tilted in a specific direction with respect to a direction of gravity and a point of time when a variation starts to occur in the measurement signal from the subject, and a duration of variation (τ), which is specified as an interval between the point of time when the variation starts to occur in the measurement signal from the subject and a point of time when a predetermined level of variation has occurred in the measurement signal from the subject; deriving a compensation filter personalized for the subject on a basis of the calculated time delay and the duration of variation; and calculating a gain (G), which is a relative ratio between an intensity of the measurement signal from the subject and an intensity of a virtual optical density signal, by comparing the measurement signal from the subject with the virtual optical density signal, the virtual optical density signal being derived from a degree of variation in pressure applied to venous blood when the subject is tilted in the specific direction with respect to the direction of gravity.
2. The method of claim 1, wherein the information on the posture of the subject includes information on a direction of a body part of the subject where the monitoring device is worn with respect to the direction of gravity, and an angle by which the body part of the subject where the monitoring device is worn is tilted with respect to the direction of gravity.
3. The method of claim 1, wherein the measurement signal from the subject is an optical density (OD) signal based on near-infrared spectroscopy (NIRS).
4. The method of claim 1, wherein the motion artifact estimation model is derived for each of a plurality of channels corresponding to a plurality of optodes included in the monitoring device.
5. The method of claim 1, wherein the motion artifact estimation model is derived for each wavelength band of near-infrared light irradiated or detected by the monitoring device.
6. A non-transitory computer-readable recording medium having stored thereon a computer program, the computer program, when executed by a processor of a monitoring device, executing: acquiring information on a posture of a subject wearing the monitoring device; estimating a motion artifact predicted to be included in a measurement signal from the subject which is measured by the monitoring device, with reference to the acquired information on the posture of the subject, and a motion artifact estimation model for defining a correlation between the posture of the subject and a motion artifact occurring in the measurement signal from the subject; and removing the estimated motion artifact from the measurement signal from the subject, wherein the information on the posture of the subject is acquired from a sensing module that is included in the monitoring device and capable of acquiring the information on the posture of the subject or a motion of the monitoring device or the subject, and wherein the motion artifact estimation model is constructed by calculating a time delay (T.sub.delay), which is specified as an interval between a point of time when a variation starts to occur in an angle (θ) by which the subject is tilted in a specific direction with respect to a direction of gravity and a point of time when a variation starts to occur in the measurement signal from the subject, and a duration of variation (τ), which is specified as an interval between the point of time when the variation starts to occur in the measurement signal from the subject and a point of time when a predetermined level of variation has occurred in the measurement signal from the subject; deriving a compensation filter personalized for the subject on a basis of the calculated time delay and the duration of variation; and calculating a gain (G), which is a relative ratio between an intensity of the measurement signal from the subject and an intensity of a virtual optical density signal, by comparing the measurement signal from the subject with the virtual optical density signal, the virtual optical density signal being derived from a degree of variation in pressure applied to venous blood when the subject is tilted in the specific direction with respect to the direction of gravity.
7. A system for monitoring hemodynamics, comprising: a monitoring device programmed to: acquire information on a posture of a subject wearing the monitoring device; and estimate a motion artifact predicted to be included in a measurement signal from the subject which is measured by the monitoring device, with reference to the acquired information on the posture of the subject, and a motion artifact estimation model for defining a correlation between the posture of the subject and a motion artifact occurring in the measurement signal from the subject; and remove the estimated motion artifact from the measurement signal from the subject, wherein a sensing module included in the monitoring device acquires the information on the posture of the subject and acquires the information on the posture of the subject or a motion of the monitoring device or the subject, and wherein the monitoring device is programmed to: calculate a time delay (T.sub.delay), which is specified as an interval between a point of time when a variation starts to occur in an angle (θ) by which the subject is tilted in a specific direction with respect to a direction of gravity and a point of time when a variation starts to occur in the measurement signal from the subject, and a duration of variation (τ), which is specified as an interval between the point of time when the variation starts to occur in the measurement signal from the subject and a point of time when a predetermined level of variation has occurred in the measurement signal from the subject; derive a compensation filter personalized for the subject on a basis of the calculated time delay and the duration of variation; and calculate a gain (G), which is a relative ratio between an intensity of the measurement signal from the subject and an intensity of a virtual optical density signal, by comparing the measurement signal from the subject with the virtual optical density signal, the virtual optical density signal being derived from a degree of variation in pressure applied to venous blood when the subject is tilted in the specific direction with respect to the direction of gravity.
8. The system of claim 7, wherein the information on the posture of the subject includes information on a direction of a body part of the subject where the monitoring device is worn with respect to the direction of gravity, and an angle by which the body part of the subject where the monitoring device is worn is tilted with respect to the direction of gravity.
9. The system of claim 7, wherein the measurement signal from the subject is an optical density (OD) signal based on near-infrared spectroscopy (NIRS).
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
(19) In the following detailed description of the present invention, references are made to the accompanying drawings that show, by way of illustration, specific embodiments in which the invention may be practiced. These embodiments are described in sufficient detail to enable those skilled in the art to practice the invention. It is to be understood that the various embodiments of the invention, although different from each other, are not necessarily mutually exclusive. For example, specific shapes, structures and characteristics described herein may be implemented as modified from one embodiment to another without departing from the spirit and scope of the invention. Furthermore, it shall be understood that the positions or arrangements of individual elements within each of the disclosed embodiments may also be modified without departing from the spirit and scope of the invention. Therefore, the following detailed description is not to be taken in a limiting sense, and the scope of the invention, if properly described, is limited only by the appended claims together with all equivalents thereof. In the drawings, like reference numerals refer to the same or similar functions throughout the several views.
(20) Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings to enable those skilled in the art to easily implement the invention.
(21) Herein, hemodynamics to be monitored by the monitoring device and the monitoring system may include blood composition (e.g., oxyhemoglobin concentration, deoxyhemoglobin concentration, blood oxygen saturation, etc.), blood flow, and blood volume.
(22) Configuration of the Monitoring System
(23) Hereinafter, the internal configuration of a monitoring system 200 and a monitoring device 100 crucial for implementing the invention and the functions of the respective components thereof will be discussed.
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(25) Referring to
(26) Specifically, the monitoring device 100 according to one embodiment of the invention may include a plurality of optodes 110 for irradiating near-infrared light to a head part of a subject and detecting near-infrared light reflected or scattered from the head part of the subject (more specifically, from the cerebral venous blood of the subject) (see
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(28) Referring to
(29) Meanwhile, although the monitoring system 200 has been described as above, the above description is illustrative, and it will be apparent to those skilled in the art that at least a part of the components or functions of the monitoring system 200 may be implemented or included in the monitoring device 100 (which is a portable device worn on a body part of a subject), as necessary. Further, in some cases, all of the functions and components of the monitoring system 200 may be implemented or included in the monitoring device 100.
(30) First, according to one embodiment of the invention, the device management unit 210 may function to manage the monitoring device 100 such that the plurality of optodes 110 included in the monitoring device 100 may irradiate near-infrared light to a body part (e.g., a head part) of a subject and detect near-infrared light reflected or scattered from the body part of the subject. Further, the device management unit 210 according to one embodiment of the invention may manage other functions or components of the monitoring device 100 which are required to monitor hemodynamics of the subject.
(31) Next, according to one embodiment of the invention, the posture information management unit 220 may function to acquire information on a posture of a subject wearing the monitoring device 100. Specifically, the posture information management unit 220 according to one embodiment of the invention may acquire information on a direction and angle of tilt of a body part (e.g., a head part) where the monitoring device 100 is worn.
(32) To this end, the monitoring device 100 according to one embodiment of the invention may include at least one technical means for acquiring physical information on a posture or motion of the monitoring device 100 worn on a body part (e.g., a head part) of a subject. Examples of the technical means may include commonly known components like sensing modules such as a motion sensor, an acceleration sensor, a gyroscope, a magnetic sensor, a positioning module (e.g., a GPS module, a beacon-based positioning (position identification) module, etc.), a barometer, a distance sensor, and a camera. Further, the monitoring device 100 according to one embodiment of the invention may include a technical means for acquiring physical information on a posture or motion of a specific body part of a subject wearing the monitoring device 100 on the basis of biometric information acquired from the body of the subject. Examples of the technical means may include sensing modules such as an electromyogram signal measurement apparatus.
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(34) Referring to
(35) Referring further to
(36) Next, according to one embodiment of the invention, the motion artifact removal unit 230 may function to estimate a motion artifact predicted to be included in a spectroscopic measurement signal from a first subject (who is currently being monitored) measured by the monitoring device 100, with reference to information on a posture of the first subject, and a motion artifact estimation model for defining a correlation between a posture of at least one subject and a motion artifact occurring in a signal measured from the at least one subject. Specifically, according to one embodiment of the invention, the estimated motion artifact may be specified by an intensity variation and time delay occurring in the measurement signal from the first subject measured by the monitoring device 100.
(37) Further, according to one embodiment of the invention, the motion artifact removal unit 230 may function to remove the estimated motion artifact from the measurement signal from the first subject which is actually measured by the monitoring device 100. Specifically, according to one embodiment of the invention, the motion artifact removal unit 230 may perform real-time processing for removing the motion artifact in real time from the measurement signal from the first subject which is being measured by the monitoring device 100, as well as post-processing for removing the motion artifact from the measurement signal from the first subject after the measurement signal has been all measured by the monitoring device 100.
(38) Here, according to one embodiment of the invention, the signal from the subject measured by the monitoring device 100 may be an optical density signal representing the amount of blood flowing through the cerebral veins on the basis of near-infrared spectroscopy. Further, according to one embodiment of the invention, the motion artifact predicted to be included in the signal from the subject measured by the monitoring device 100 may be specified by an intensity variation and time delay of the optical density signal.
(39) Meanwhile, according to one embodiment of the invention, the motion artifact removal unit 230 may derive (or construct) a motion artifact estimation model in advance, by using empirical data on a posture of at least one subject and a motion artifact occurring in a signal measured from the at least one subject.
(40) Specifically, when the at least one subject (who may include the above first subject) takes postures of tilting his/her head by various angles in various directions (e.g., forward, backward, leftward, rightward, etc.) while wearing the monitoring device 100 on the head, the motion artifact removal unit 230 according to one embodiment of the invention may collect information on each of the various postures taken by the at least one subject, and information on an intensity variation and time delay occurring in an optical density signal from the at least one subject measured by the monitoring device 100 when the at least one subject takes each of the various postures. Further, on the basis of the collected information, the motion artifact removal unit 230 according to one embodiment of the invention may derive a correlation between a posture taken by the subject and an intensity variation and time delay occurring in the optical density signal from the subject in correspondence to the posture, thereby constructing a motion artifact estimation model.
(41) For example, the correlation between an angle θ by which the head of the subject is titled in a specific direction with respect to the direction of gravity and an intensity variation ΔOD of the optical density signal occurring in correspondence to the angle may be defined as a product of a factor (1−cos θ) that indirectly represents the degree of variation in the pressure applied to the cerebral venous blood, and a gain G that is derived as a relative ratio between an intensity of a virtual optical density signal to which the above factor is reflected and an intensity of an actually measured optical density signal (i.e., ΔOD=G (1−cos θ)).
(42) Further, for example, the correlation between an angle θ by which the head of the subject is titled with respect to the direction of gravity and a time delay of the optical density signal occurring in correspondence to the angle may be defined as an interval between a point of time when the subject takes a posture of tilting the head by θ in a specific direction with respect to the direction of gravity, and a point of time when a significant intensity variation occurs in an actually measured optical density signal.
(43) Furthermore, the motion artifact removal unit 230 according to one embodiment of the invention may derive a motion artifact estimation model for each wavelength band of near-infrared light irradiated to the head part (or cerebral cortex part) of the subject by the monitoring device 100 or detected from the head part (or cerebral cortex part) of the subject. Further, the motion artifact removal unit 230 according to one embodiment of the invention may derive a motion artifact estimation model for each of a plurality of channels corresponding to the plurality of optodes included in the monitoring device 100.
(44) For example, in a channel corresponding to an optode arranged at the frontal or occipital lobe part of the subject, there may be a correlation where an optical density signal from the subject varies in correspondence to the head of the subject being tilted forward or backward with respect to the direction of gravity (i.e., being rotated about the Z-axis in
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(46) Referring to
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(48) Meanwhile, according to one embodiment of the invention, the motion artifact removal unit 230 may not only refer to a motion artifact estimation model stored (or constructed) in advance, but also refresh an existing motion artifact estimation model on the basis of newly acquired information (i.e., information on a newly detected posture of the subject and information on a newly acquired measurement signal from the subject).
(49) Meanwhile, a subject usually has unique physical characteristics (e.g., blood vessel wall resistance, blood viscosity, etc.) that are distinguished from those of other subjects, and thus, even if each of a plurality of subjects takes a posture of tilting a head by the same angle, a time delay and a slope of variation occurring in a measurement signal due to that posture may be different for each subject.
(50) Therefore, according to one embodiment of the invention, the motion artifact removal unit 230 may derive a motion artifact estimation model that is personalized for each subject, with reference to a time delay and a slope of variation differently occurring in a measurement signal for each subject.
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(52) In the embodiment of
(53) Further, in the embodiment of
(54) First, referring to
(55) Next, referring to
(56) Next, referring to
(57) Referring further to
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(60) Further, according to one embodiment of the invention, the estimated motion artifact signal may correspond to a signal resulting from a product of the gain in
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(62) In the embodiment of
(63) In the graphs of
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(66) However, it is noted that the detailed configurations related to the motion artifact estimation model according to the invention are not necessarily limited to the above-described embodiments, and may be changed without limitation as long as the objects of the invention may be achieved.
(67) Meanwhile, according to one embodiment of the invention, the database 240 may store information on a motion artifact estimation model (i.e., information on various postures that may be taken by subjects, measurement signals from the subjects corresponding to the various postures of the subjects, and correlations between the postures of the subjects and motion artifacts occurring in the measurement signals from the subjects). Further, according to one embodiment of the invention, the database 240 may also store a variety of information on monitoring performed on the basis of measurement signals from which motion artifacts are removed according to the invention. Although
(68) Meanwhile, the communication unit 250 according to one embodiment of the invention may function to enable the monitoring system 200 to communicate with an external device.
(69) Lastly, the control unit 260 according to one embodiment of the invention may function to control data flow among the device management unit 210, the posture information management unit 220, the motion artifact removal unit 230, the database 240, and the communication unit 250. That is, the control unit 260 may control inbound data flow or data flow among the respective components of the monitoring system 200, such that the device management unit 210, the posture information management unit 220, the motion artifact removal unit 230, the database 240, and the communication unit 250 may carry out their particular functions, respectively.
(70) Although the cases where a measurement signal from which a motion artifact is to be removed is an optical density signal based on near-infrared spectroscopy have been mainly described above, the measurement signal is not necessarily limited thereto, and it is noted that any other type of measurement signal may be assumed as long as the objects or effects of the methods, systems, and non-transitory computer-readable recording media described herein may be achieved.
(71) Further, although the cases where a body part to be monitored is a head part (i.e., a brain) have been mainly described above, the body part to be monitored according to the invention is not necessarily limited thereto, and it is noted that any other body part that can be monitored on the basis of hemodynamics may be assumed to be the body part to be monitored according to the invention.
(72) The embodiments according to the invention as described above may be implemented in the form of program instructions that can be executed by various computer components, and may be stored on a non-transitory computer-readable recording medium. The non-transitory computer-readable recording medium may include program instructions, data files, data structures and the like, separately or in combination. The program instructions stored on the non-transitory computer-readable recording medium may be specially designed and configured for the present invention, or may also be known and available to those skilled in the computer software field. Examples of the non-transitory computer-readable recording medium include the following: magnetic media such as hard disks, floppy disks and magnetic tapes; optical media such as compact disk-read only memory (CD-ROM) and digital versatile disks (DVDs); magneto-optical media such as floptical disks; and hardware devices such as read-only memory (ROM), random access memory (RAM) and flash memory, which are specially configured to store and execute program instructions. Examples of the program instructions include not only machine language codes created by a compiler or the like, but also high-level language codes that can be executed by a computer using an interpreter or the like. The above hardware devices may be configured to operate as one or more software modules to perform the processes of the present invention, and vice versa.
(73) Although the present invention has been described above in terms of specific items such as detailed elements as well as the limited embodiments and the drawings, they are only provided to help more general understanding of the invention, and the present invention is not limited to the above embodiments. It will be appreciated by those skilled in the art to which the present invention pertains that various modifications and changes may be made from the above description.
(74) Therefore, the spirit of the present invention shall not be limited to the above-described embodiments, and the entire scope of the appended claims and their equivalents will fall within the scope and spirit of the invention.