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Contactless System and Method For Assessing Tissue Viability and Other Hemodynamic Parameters

机译:非接触式评估组织活力和其他血液动力学参数的系统和方法

摘要

A contactless system for assessing tissue viability and other hemodynamic parameters includes one or more light sources configured to emit lights at a predetermined wavelength sensitive to hemoglobin concentration associated with spontaneous hemodynamic oscillations at tissue in a predetermined area of a human subject. One or more polarizers are each coupled to one or more of the one or more light sources and are configured to polarize the light to a polarized state such that the polarized light in the polarized state diffuses into the tissue in the predetermined area at a predetermined depth and the polarized light is maintained in the polarized state at the predetermined depth. One or more detectors each including a detector polarizer coupled thereto are configured to discriminate the light maintained in the polarized state and at the predetermined depth and are configured to generate a plurality of frames of the tissue in the predetermined area at the predetermined depth. A controller is coupled to the one or more light sources and the one or more detectors. The controller is configured to: acquire the plurality of frames, select a region of interest having the same coordinates for each of the plurality of frames, average the number of pixels within each region of interest to create a raw reference signal, detrend the raw reference signal to create a detrended raw reference signal, perform frequency domain analysis of the detrended raw reference signal, identify a frequency band of interest associated with the spontaneous hemodynamic oscillations, and perform an inverse fast Fourier transform within the frequency band of interest to generate a reference signal indicative of blood volume oscillations at a selected spontaneous hemodynamic oscillation. For each sample of the reference signal at a predetermined point in time, the controller multiplies the sample by each pixel of a frame at the same predetermined point in time to generate a three-dimensional coordinate matrix including a plurality of correlation matrix frames at each predetermined point in time. The controller adds the plurality of correlation matrix frames at each predetermined point in time to generate a two-dimensional hemodynamic map indicative of the strength of the spontaneous hemodynamic oscillation to assess the viability of the tissue in the predetermined area.
机译:用于评估组织生存力和其他血液动力学参数的非接触式系统包括一个或多个光源,该一个或多个光源被配置为以预定的波长发射光,该波长对与人类受试者的预定区域中的组织的自发性血液动力学振荡相关的血红蛋白浓度敏感。一个或多个偏振器各自耦合至一个或多个光源中的一个或多个,并且被配置为将光偏振至偏振态,使得处于偏振态的偏振光以预定深度扩散到预定区域中的组织中。偏振光在预定深度保持偏振状态。一个或多个检测器,每个检测器包括耦合到其上的检测器偏振器,其被配置为区分保持在偏振状态且处于预定深度的光,并且被配置为在预定区域中以预定深度生成组织的多个帧。控制器耦合到一个或多个光源和一个或多个检测器。所述控制器被配置为:获取所述多个帧,为所述多个帧中的每一个选择具有相同坐标的关注区域,对每个关注区域内的像素的数量进行平均以创建原始参考信号,对所述原始参考进行去趋势化。信号以创建去趋势的原始参考信号,对去趋势的原始参考信号进行频域分析,识别与自发性血液动力学振荡相关的目标频带,并在目标频带内执行快速傅里叶逆变换以生成参考表示在选定的自发血液动力学振荡时血容量振荡的信号。对于预定时间点的参考信号的每个样本,控制器将样本乘以相同预定时间点的帧的每个像素,以生成三维坐标矩阵,该三维坐标矩阵包括每个预定时间的多个相关矩阵帧时间点。控制器在每个预定时间点添加多个相关矩阵帧,以生成二维血液动力学图,该二维血液动力学图指示自发的血液动力学振荡的强度,以评估在预定区域中组织的生存力。

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