The technical field of the invention relates to the analysis of an object comprising two superposed layers, by optical reflectance measurements.
Diffuse reflectance spectroscopy, usually referred to by the acronym DRS, is a non-destructive analysis technique that makes it possible to estimate light propagation properties in an object being analysed. This technique is for example described in EP2762064 or EP3054282 or EP3054281 or EP3311138. It consists in illuminating the medium by an incident light beam, and in detecting photons backscattered by the object being analysed, at a distance from the incident beam. The detection is frequently performed at different wavelengths and/or at several distances from the incident beam, so as to obtain spectral properties of light propagation in the object being analysed.
The light propagation properties generally comprise light absorption properties and/or light diffusion properties. These are notably absorption or diffusion coefficients, these respectively representing probabilities of absorption and of diffusion of a photon per unit of length. The estimation of the light propagation properties, at certain wavelengths, allows for an estimation of a concentration of analytes in the object being analysed. Thus, DRS can be used to estimate the concentrations of oxyhaemoglobin and deoxyhaemoglobin for example—making it possible to calculate the rate of oxygenation of the tissue and to estimate the total quantity of haemoglobin (oxyhaemoglobin+deoxyhaemoglobin).
One difficulty can occur when the object being analysed is not homogeneous and includes a surface layer under which there extends a deep layer. In order to correctly characterize the deep layer, the contribution of the surface layer must be taken into account under pain of inducing errors in the estimation of the concentrations of analytes of the deep layer. This is all the more so when the surface layer changes over time: the changes of the surface layer can be attributed to the deep layer (or vice versa), which can induce bad diagnoses; when it involves the extra-cerebral and cerebral compartment for example, a false negative in the case of cerebral hypoxia can have dramatic clinical and management consequences.
In the case of practical examination on the head of an individual, it is necessary to characterize, independently, a surface layer, corresponding to an extra-cerebral compartment (skin, cranium, dura mater, cerebrospinal fluid), and a deep layer, corresponding to the cortex. Such an independent characterization makes it possible to distinguish the occurrence of a systemic variation of optical properties, simultaneously affecting both layers, from the occurrence of a cerebral variation, affecting only the cortex.
The invention described hereinbelow addresses this issue: it involves separating the contributions of the surface and deep layers so as to estimate the change of concentrations, as a function of time, of an analyte in the two layers, the analyte notably being able to be oxyhaemoglobin or deoxyhaemoglobin.
A first subject of the invention is a method for determining a variation of absorption properties of an object, between a first instant and a second instant, later than the first instant, the object being delimited by a surface, the object comprising a surface layer and a deep layer, the surface layer extending between the surface and the deep layer, the method comprising:
The step (i) can comprise:
The step (vii) can comprise:
The step (vii) can comprise:
According to one possibility,
According to one possibility,
A second subject of the invention is a device intended to be applied facing a surface of an object between at least one first instant and a second instant, the device comprising:
The first detection distance can be less than 2 cm. The second and third detection distances can be greater than 2 cm.
The invention will be better understood on reading the explanation of the examples of embodiments presented, hereinafter in the description, in association with the figures listed hereinbelow.
The device comprises a light source 10. The light source is configured to emit a light beam 11, being propagated towards the object 20 to be analysed. The sample 20 is delimited by a surface 21. The intersection of the illumination beam 11 and of the surface 21 of the sample forms an illumination zone 12 that is spatially delimited. The illumination zone is preferably a spot zone: it for example is inscribed in a circle of a diameter less than 1 mm, even less than a few hundreds of μm, for example 100 μm or 1 mm. The elementary illumination zone 12 is represented in
The light source can be disposed in contact with the object 20 or at a distance therefrom. The light source can be a laser, an LED or OLED (or any other source of photons). In the example represented, the light source is disposed at a distance from the sample. The light beam 11 is transported to the surface 21 of the sample by an illumination optical fibre 10′. The light source can be filtered in wavelength by a filter 10f.
The photons forming the illumination beam 11 are propagated in the biological tissue to be analysed. The biological tissue 20 is formed by a diffusing medium, susceptible to absorbing photons, the propagation properties of the photons in the medium depending notably on absorption or diffusion properties in the medium. Normally, the absorption properties can be quantified by a linear absorption coefficient μa(λ). As is known, the linear absorption coefficient quantifies a probability of absorption by the medium per unit of length, at the wavelength λ. It is usually expressed in cm−1. The diffusion properties can be quantified by a diffusion coefficient μs(λ) or a reduced diffusion coefficient μs′(λ), which quantify a probability of diffusion by the medium per unit of length, at the wavelength λ. It is usually expressed in cm−1.
The device comprises at least three elementary photodetectors 161, 162, 163 forming a photodetector 16. The photons detected by the photodetector 16 emanate from an elementary detection zone 14 on the surface 21 of the sample 20. The detection zone 14 is preferably a spot zone, by being, like the illumination zone 12, inscribed in a diameter less than 1 mm even 250 μm. The detection zone 14 is separated from the illumination zone 12. The distance between the illumination zone 12 and the detection zone 14 is a detection distance d. It can be a few centimetres or of the order of a centimetre, and can even be less than 1 cm.
Each photodetector can be one or more pixels of an image sensor, a photon counter, an organic photodetector, a photodiode (or any other component allowing the detection of photons).
The device is configured to form:
According to one possibility, the number of detection zones can be greater than 3, particularly when the number of layers to be characterized is greater than 2.
In the case of a study on the head of a foetus or of a child, the first distance d1 can be less than 1 cm. The second and third distances can be greater than 1 cm, for example d2=2.25 cm and d3=2.5 cm.
In the case of a head of an adult, the first distance d1 can be of the order of 1 cm. The second and third distances can be greater than or equal to 3 cm, for example d2=3 cm and d3=3.5 cm.
The choice of the distances d1, d2 and d3 depends on the thickness of the surface layer. The first distance d1 is defined such that the photons backscattered in the first detection zone have essentially passed through the surface layer. The distances d2 and d3 are chosen such that the majority of the detected photons have passed through the deep layer. It is understood that these distances are defined on a per-case basis, according to the geometry and the optical properties of the object to be characterized. These distances depend therefore on the optical properties and on the thickness of the surface layer.
In
In the embodiment of the invention, the light source emits according to an illumination wavelength that can correspond to a wavelength of absorption of deoxyhaemoglobin (λ=750 nm) and/or of oxyhaemoglobin (λ=850 nm). That makes it possible to estimate deoxyhaemoglobin and oxyhaemoglobin concentrations from the measured absorption coefficients, according to relationships known to the person skilled in the art.
The device comprises a processing unit 18. The processing unit comprises a microprocessor programmed to implement the steps described hereinbelow, in association with
The device is applied against the surface 21 of an object 20, the latter comprising a surface layer L1 and a deep layer L2. The surface layer is interposed between the surface of the object and the deep layer. A layer is understood to be a macroscopic part of the sample in which the optical properties are considered to be homogeneous.
The object 20 can for example be an organ, such as a head. In this case, the surface layer 21 corresponds to an extra-cerebral layer (skin+fat+cranium+dura mater+cerebrospinal fluid) and the deep layer corresponds to a cerebral layer (cortex).
It is known that, by using detection signals detected in different detection zones, it is possible to estimate the optical properties, in particular the absorption coefficient, of an object.
For example, the diffuse reflectance spectroscopy technique (SRS—Spatially Resolved Spectroscopy), is a “multi-distance” approach, which makes it possible to estimate an absorption coefficient, for example to determine an oxygen saturation level.
Generally, each reflectance measurement consists in measuring the signal backscattered by the medium, emanating from a detection zone situated at a detection distance from the illumination zone. A detection signal S(d,λ,t) is thus obtained, that is dependent on the number of photons backscattered at the detection distance. The detection signal is measured by the photodetector. It is however a raw detection signal, that should preferably be corrected.
A first correction consists in correcting the offset (dark current) of the instrument, according to the expression:
S
c(d,λ,t)=S(d,λ,t)−Soffset(λ) (1)
in which Soffset(λ) is a dark signal, detected while the source is off. That corresponds to the detection noise associated with the measurement chain.
A second correction consists in taking into account a potential drift of the light source 10, forming the illumination zone. This entails taking into account a variation of the quantity of photons forming the illumination beam. For that, an excitation return fibre directly links the light source to a photodetector 160. The photodetector is thus configured to measure the quantity of light forming the illumination beam Sc,0(λ,t).
The reflectance corresponds to a ratio between Sc(d,λ,t) and Sc,0(λ,t) explained according to the expression:
The absorbance of the object, at the detection distance d, is obtained according to the expression:
A(d,λ,t)=DO=−log10(R(d,λ,t)) (3)
According to the “multi-distance” approach, detection signals are available, measured according to different detection distances, for example d and d′. Thus, just as many estimations of the absorbance are obtained, at each detection distance. The coefficients μa and μ′s are linked to the absorbance by the relationship:
with
If one of the coefficients is known, for example μ′s, μa can be deduced from (4) and (5).
Such an approach is suitable when the object being analysed is considered as homogeneous. On a non-homogeneous object, comprising a surface layer and a deep layer, this approach can be applied to determine the μa of the deep layer, subject to the surface layer being sufficiently fine, typically less than 0.5 cm or 0.6 cm and the distances d2 and d3 being sufficiently great. In this case, the spatial variation of the absorbance ΔA makes it possible to dispense with the contribution of the surface layer, considered as identical in d2 and d3. In practice (example of the head of a child/adult), this correction does not make it possible to dispense totally with the contribution of the surface layer (see example described in association with
According to another approach, called MBL (Modified Beer Lambert), the absorption coefficient can be estimated, from an absorbance A(d) estimated according to a detection distance d, by
in which DPF is an average path travelled in the object, by the photons forming the detection signal.
G is a constant dependent on the diffusion of the medium and on the geometry of the device. The constant G can be eliminated by determining a temporal variation of the absorbance ΔA(t1,t2) between two instants t1 and t2.
In which Δμa(L1,t1,t2) corresponds to a variation of μa(L1) between the instants t1 and t2 in the surface layer L1.
The MBL method has already been implemented by combining a short detection distance and a long detection distance, so as to correct the contribution of the surface layer in the estimation of the absorption of a deep layer. However, it has been shown that this method has limitations, in particular when the temporal variations of the absorption coefficient are of the same type in the deep layer and in the surface layer. In such a situation, the deep layer can be “over-corrected” by the surface layer. This means that a variation of the absorption in the deep layer may be masked. Thus, in the case of occurrence of a hypoxia in the surface layer and the deep layer, the hypoxia of the deep layer can be under-estimated, even not detected.
The MBL approach associated with the short distance does however make it possible to characterize the surface layer of the object.
Step 100: initialization. This step is performed at a first instant t1.
During a step 100, a hypothesis is taken into account whereby the object is homogeneous: the surface layer and the deep layer are considered to exhibit the same optical diffusion and absorption properties.
A reduced diffusion coefficient μs′ determined a priori is taken into account. The document EP3054281 describes a method that makes it possible to determine the reduced diffusion coefficient of a medium. Analytical empirical models can be used.
During this step, a measurement of the reflectance is performed according to two high detection distances, that is to say the second distance d2 and the third distance d3.
From the detected signals S(d2,λ,t1) and S(d3,λ,t1), the expressions (1) to (3) are implemented to obtain absorbances A(d2,λ,t1) and A(d3,λ,t1).
with
derived from (5)
By hypothesis: μa(L1,t1)=μa(L2,t1)
μa(,t1) and μa(,t1) are deduced from the expression (10) given that μ′s is known.
μa(L1,t1) and μa(L2,t1) are deduced from μa(,t1) and μa(,t1) by taking into account a first absorption calibration function, established on the basis of modellings and/or of calibration phantoms by taking into account known coefficients μa and μ′s. The absorption calibration function makes it possible to take into account the instrument response, in particular when known phantoms are used, or if the instrument response is taken into account in the modelling.
μa=a0+b0 (12).
By applying this function to μa(,t1) (or to μa(,t1)), μa (L1,t1) and μa(L2,t1) are obtained.
In
Following the step 100, there is available an estimation of the coefficient μa of the surface layer L1 and of the deep layer L2 at the instant t1.
Step 110: evaluation of the average path of the photons in the surface layer, at the instant t1.
During this step, the average path travelled by the photons in the surface layer, between the illumination zone and the detection zone corresponding to a low detection distance, that is to say the first detection distance d1, is determined. The first detection distance d1 is chosen such that the photons detected at this distance are essentially representative of the surface layer. In
The average path, denoted DPF (acronym for Differential Pathlength Factor), travelled can be estimated, as a first approximation, according to the expression:
The expression (13) has been described in Scholkmann, F., & Wolf, M. General equation for the differential pathlength factor of the frontal human head depending on wavelength and age, 2013.
However, the analytical expression (13) is valid for great detection distances, typically greater than 1 cm or 2 cm. Now, the first detection distance is generally less than 1 cm. For lesser detection distances, it is possible to apply a correction factor k, such that
DPF(d1,t1)=k×(d1,t1) (14)
Step 120: determination of a variation of the absorption coefficient of the surface layer at an instant t2.
The step 120 is implemented at a second instant t2, later than the instant t1. The instant t2 can be later by a few minutes or a few tens of minutes or a few hours than the instant t1.
During this step, by using the DPF(d1,t1) resulting from the step 110, the absorption coefficient of the first layer, at the instant t2, is determined according to the expression:
As previously described, in association with (6), the constant G can be eliminated by determining a variation of the absorbance ΔA(t1,t2) between the instants t1 and t2.
In which Δμa(L1,t1,t2) corresponds to a variation of μa(L1) between the instants t1 and t2 in the surface layer L1.
The implementation of the expressions (15) and (16) assumes that the variation of the DPF is considered to be negligible between the instants t1 and t2.
Step 130: updating the absorption coefficient of the deep layer at the instant t2.
This step aims to take into account the variation of the absorption coefficient, in the surface layer, to estimate the absorption coefficient in the deep layer at the instant t2.
As in the step 100, a measurement of the reflectance is performed at the backscattering distances d2 and d3.
Thus,
with
The expression (17) makes it possible to obtain μa(,t2), which is a first-order estimation of the absorption coefficient μa(L2,t2) in the deep layer L2 at the instant t2.
According to the same approach as described in the step 110, the recourse to an absorption calibration function, called second absorption calibration function, taking into account the instrument response, is necessary in order to determine μa(L2,t2). An important aspect of the invention is to take into account the absorption in the surface layer which can be different from the absorption in the deep layer (two-layer model) to establish the second absorption calibration function.
At the instant t1, the calibration function is linear, of the following type μa(L2,t1)=fa0μa(,t1)+c0 (19) in which f and c0 are scalars.
The parameters fa0 and c0 are determined on the basis of modellings and/or measurements performed on two-layer phantoms, comprising a surface layer, the absorption coefficient of which is μa(L1,t1), and a deep layer of the same thickness as the object being analysed, and preferably the same diffusion properties.
Now, according to (12),
μa(L2,t1)=a0μa(,t1)+b0 (20)
By combining (19) and (20), the following is obtained:
μa(L2,t1)=fa0μa(,t1)+(1−f)μa(,t1)+b0 (21)
The expression (21) is an analytical expression, corresponding to an absorption calibration function, at the instant t1, that makes it possible to determine μa(L2,t1) from μa(,t1), according to a two-layer model. If it is established from experimental tests, it takes into account the instrument response. Otherwise, it is preferable to introduce the instrument response in the modelling.
At the instant t2, the expression (21) must be corrected, so as to take into account the trend of μa(L1) between the instants t1 and t2.
At the instant t2, the absorption calibration function becomes:
μa(L2,t2)=gfa0μa(,t2)+(1−f)μa(,t2)+b0 (21)
With
with
The term g reflects the fact that the trend of the absorption in the surface layer between the instants t1 and t2 has been taken into account.
Thus, from μa(,t2) resulting from (17), (21) is applied, so as to estimate μa(L2,t2), the variation of μa(L1), between the instants t1 and t2, in the surface layer L1 being taken into account in the multiplying term g.
According to another possibility, a correction function of the following type is determined:
μa(L2,t2)=a′0μa(,t2)+b′0 (24)
a′0 and b′0 being determined from modellings and experimental measurements on two-layer phantoms, the μa of the deep layer being variable, the surface layer having an absorption coefficient μa(L1,t2), such that:
μa(L1,t2)=μa(L1,t1)+Δμa(L1,t1,t2) (25)
An implementation of the invention was simulated in different configurations. In the test configurations, a biological tissue was taken into account, comprising a surface layer, 0.5 mm thick, together with a deep layer and the reduced diffusion coefficient of which was 9.35 cm−1 at λ=750 nm and 7.64 cm−1 at λ=850 nm. Different temporal profiles of the oxygenation rate (TOI) of the surface layer end of the deep layer were simulated. TOI is a tissue oxygenation index, such as:
The invention was implemented at a first instant, which corresponds to t=0, then at different successive instants, up to t=60. The instant t1 corresponds to the first instant. The instants t2 correspond to each measurement instant up to t=60. The simulated measurements were subjected to added noise: Poisson-type photonic noise and instrument noise of Gaussian type.
The invention was implemented to evaluate the absorption coefficient Pa, at λ=750 nm and at λ=850 nm, over time, in the surface layer and in the deep layer. From Pa, in the surface layer and in the deep layer, [HbO2] and [Hb] were estimated in each of these layers.
According to a first configuration, see
It can be seen that the curves D3 and O3 are closer to the real values D1 and O1.
It can be seen that the curves ΔD3 and ΔO3 are closer to the real values ΔD1 and ΔO1.
According to a second configuration, see
In
It can be seen that the curves D3 and O3 are closer to the real values D1 and O1. That is due to the fact that the invention allows for a better control of the concentration of Hb or HbO2 in the surface layer. More specifically, the invention makes it possible to take into account the stability of the absorption of the surface layer. In the method according to the prior art, the variation of the absorption in the deep layer is distributed both in the deep layer and in the surface layer.
In
It can be seen that the curves ΔD3 and ΔO3 are closer to the real values ΔD1 and ΔO1.
According to a third configuration, see
In
It can be seen that the curves D3 and O3 are closer to the real values D1 and O1.
In
It can be seen that the curves ΔD3 and ΔO3 are closer to the real values ΔD1 and ΔO1.
Number | Date | Country | Kind |
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22 14565 | Dec 2022 | FR | national |