The present disclosure relates to pressure sensing systems and more particularly pressure sensing systems that include, but are not limited to, applications for robotic sensing.
Health care providers can use touch to determine the size, texture, and location of a tumor. As part of a clinical breast examination (CBE) to screen for breast cancer, a physician or other trained health practitioner performs a manual palpation. Typically, varying pressure is applied using the pads of three fingers in circular motions, in a systematic pattern to cover the entire breast. Palpation can detect malignant masses because they are generally harder than the surrounding tissue and are often fixed to surrounding skin and soft tissue.
Other types of cancer (e.g., of the throat and tongue) can be detected similarly.
However, in parts of the world without medical personnel who are properly trained, and without the benefit of conventional mammography, breast cancer often goes undetected.
The embodiments of the present disclosure provide significant and non-obvious advantages over the prior art by providing a pressure sensing system including: at least two pressure sensing layers, the first pressure sensing layer of the at least two pressure sensing layers including: a first sensing system configured in a layer; and a first layer of foam having a Young's Modulus and mounted between the first sensing system configured in a layer and a second sensing system configured in a layer; and at least a second pressure sensing layer of the at least two pressure sensing layers including: the second sensing system configured in a layer; and a second layer of foam having a Young's modulus that is greater than the Young's modulus of the first layer of foam and mounted between the second sensing system configured in a layer and a rigid substrate having a Young's modulus greater than the layer of the first sensing system, the first layer of foam, the layer of the second sensing system, and the second layer of foam, the at least two pressure sensing layers defining thereby a multi-layer pressure sensing system.
In an embodiment, the pressure sensing system may be configured as a tumor detection system. The tumor detection system includes an anatomical contact material configured to contact or apply pressure to at least one anatomical mass that extends from the body of a user of the system or to a body surface of a user of the system. The anatomical mass includes an outer surface with respect to the body of the user of the device. The anatomical contact material includes an interior surface and an exterior surface with respect to the outer surface of the at least one anatomical mass or to the body surface. The multi-layer pressure sensing system includes an interior surface and an exterior surface with respect to the outer surface of the at least one anatomical mass or to the body surface. The interior surface of the multi-layer pressure sensing system is configured to be positioned over the outer surface of the at least one anatomical mass, or body surface, between the at least one anatomical mass, or body surface, and the interior surface of the anatomical contact material. The rigid substrate of the multi-layer pressure sensing system may be configured as a flexible insufflation reservoir including an interior surface and an exterior surface with respect to the outer surface of the at least one anatomical mass or the body surface. The flexible insufflation reservoir may be configured wherein the interior surface of the flexible insufflation reservoir can be positioned over the exterior surface of the multi-layer pressure sensing system and wherein the interior surface of the anatomical contact material can be positioned over the exterior surface of the flexible insufflation reservoir, wherein inflation of the flexible insufflation reservoir causes pressure to be applied to the multi-layer pressure sensing system and to the at least one anatomical mass, or body surface, to enable detection of a tumor within the at least one anatomical mass, or body surface, by the multi-layer pressure sensing system.
The multi-layer pressure sensing system may include an electrical impedance tomography circuit. The electrical impedance tomography circuit may include a plurality of pairs of adjacent electrodes, wherein current is injected into an adjacent pair of electrodes such that voltage readings obtained from the remaining pairs of the plurality of pairs of adjacent electrodes enable reconstruction of an image from the measured voltage readings.
The electrical impedance tomography circuit may include circuitry enabling wireless transmission of data readings from the multi-layer pressure sensing system to a remote receiver location.
The multi-layer pressure sensing system may include an array of strip sensors disposed over a layer of foam padding.
The anatomical support or contact material configured to contact or apply pressure to at least one anatomical mass that extends from the body of a user, or a body surface of a user, may be configured as a brassiere to support the breasts of a user to detect tumors occurring within at least one breast of the user.
The anatomical support or contact material configured to contact or apply pressure to at least one anatomical mass that extends from the body of a user, or a body surface of the user, may be configured as a male athletic supporter to support the testicles of a male user to detect tumors occurring within at least one testicle of the male user.
The above-mentioned advantages and other advantages will become more apparent from the following detailed description of the various exemplary embodiments of the present disclosure with reference to the drawings wherein:
FIG. 9A1 illustrates two loading points for a mechanical sensor diameter of 10 cm where the electrical reading images are shown as dark spots in FIG. 9A2;
FIG. 9B1 illustrates a thermal sensor having a square outline boundary and wherein thermal sensing readings are shown as a quadrilateral image in FIG. 9B2;
For the purposes of promoting an understanding of the principles of the present disclosure, reference will now be made to the exemplary embodiments illustrated in the drawings, and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the present disclosure is thereby intended. Any alterations and further modifications of the inventive features illustrated herein, and any additional applications of the principles of the present disclosure as illustrated herein, which would occur to one skilled in the relevant art and having possession of this disclosure, are to be considered within the scope of the present disclosure.
The word “exemplary” is used herein to mean “serving as an example, instance, or illustration.” Any embodiment described herein as “exemplary” is not necessarily to be construed as preferred or advantageous over other embodiments.
It is to be understood that the method steps described herein need not necessarily be performed in the order as described. Further, words such as “thereafter,” “then,” “next,” etc., are not intended to limit the order of the steps. Such words are simply used to guide the reader through the description of the method steps.
The implementations described herein may be implemented in, for example, a method or a process, an apparatus, a software program, a data stream, or a signal. Even if only discussed in the context of a single form of implementation (for example, discussed only as a method), the implementation of features discussed may also be implemented in other forms (for example, an apparatus or program). An apparatus may be implemented in, for example, appropriate hardware, software, and firmware. The methods may be implemented in, for example, an apparatus such as, for example, a processor, which refers to processing devices in general, including, for example, a computer, a microprocessor, an integrated circuit, or a programmable logic device. Processors also include communication devices, such as, for example, computers, cell phones, tablets, portable/personal digital assistants, and other devices that facilitate communication of information between end-users within a network.
The general features and aspects of the present disclosure remain generally consistent regardless of the particular purpose. Further, the features and aspects of the present disclosure may be implemented in system in any suitable fashion, e.g., via the hardware and software configuration of system or using any other suitable software, firmware, and/or hardware. For instance, when implemented via executable instructions, such as the set of instructions, various elements of the present disclosure are in essence the code defining the operations of such various elements. The executable instructions or code may be obtained from a computer-readable medium (e.g., a hard drive media, optical media, EPROM, EEPROM, tape media, cartridge media, flash memory, ROM, memory stick, and/or the like) or communicated via a data signal from a communication medium (e.g., the Internet). In fact, readable media may include any medium that may store or transfer information.
The present disclosure relates to a multi-layer tactile or pressure-sensing system as described in “Characterization of a compliant multi-layer system for tactile sensing with enhanced sensitivity and range” by Ying Chen et al., Smart Materials and Structures, published on May 3, 2018 [(Smart Mater. Struct. 27 (2018) 065005 (15 pp); https://doi.org/10.1088/1361-665X/aabc29], the entire contents of which are hereby incorporated by reference herein.
A multi-layer tactile sensing system, according to the present disclosure includes alternating layers of sensing “skin” and padding, with the padding increasing in stiffness further from the top surface. The sensing “skin” comprises a piezoresistive thin film on a stretchable substrate. Piezoresistors change electrical resistance when they are stretched. A composite of exfoliated graphite (EG) mixed into latex as the piezoresistive material is utilized because it is stretchable and can be painted onto a wide variety of surfaces as a thin film. Electrical leads are attached to the sensing skin to allow the resistance of the piezoresistor to be monitored. Latex sheet or fabric is utilized for the stretchable substrate. For the padding, foam is employed, but other materials, such as silicone elastomers, can also be used. The layers are supported on a backing that does not stretch.
As defined herein, a rigid substrate is a material having the largest Young's modulus E or stiffness value as compared to the other materials utilized in the multi-layer tactile or pressure sensing system.
Pressure is detected by a tactile sensing material that includes alternating layers of sensing skin and padding with electrodes attached to the periphery of the said sensing material. Sensing skin includes piezoresistive thin film on a stretchable substrate. Padding can be foam but other materials such as elastomers can also be used. Padding layers increase in stiffness further from the top surface. Piezoresistors change electrical resistance when they are stretched.
In an embodiment, the present disclosure relates to an automated device for breast palpation for the detection of breast tumors that are stiffer than the surrounding tissue. The device comprises both hardware and software and includes a continuous sensor to quantitatively image cancerous lumps, which are stiffer than healthy tissue. This automated palpation system mimics a clinical breast exam, without requiring a healthcare professional.
The sensor is compliant and conforms to the breast, enabling imaging of stiff inclusions.
The system includes a piezoresistive sensing sheet and an inflatable balloon or insufflation reservoir built into a fabric brassiere, along with a portable electronic system.
As is known in the art, Piezoresistivity is a change in electrical resistance under strain or external force.
The sensor according to the present disclosure includes conductive carbon nanoparticles embedded in latex, which is painted onto a rubber sheet. When this material is stretched, the carbon particles become separated, losing electrical connection with each other and causing the resistance to increase.
Electrical impedance tomography (EIT) is an imaging technology used in the medical field with optical signals.
For electrical resistance mapping, EIT is performed by injecting current into pairs of equidistantly-placed electrodes on the periphery of a continuous resistive area and recording the voltages at all the other electrodes.
The resistance over the entire area is reconstructed from these voltages.
Pressure is detected by tactile sensing material consisting of alternating layers of sensing skin and padding with electrodes attached to the periphery of the said sensing material. Sensing skin comprises of piezoresistive thin film on a stretchable substrate. Padding can be foam but other materials such as elastomers can also be used. Padding layers increase in stiffness further from the top surface. Piezoresistors change electrical resistance when they are stretched.
To detect pressure difference on the soft tissue of, for example, a breast, an inflation membrane and pressurization system are required to press the sensing material against the breast to detect pressure differences caused by the presence of the malignant tissue.
Two embodiments of the cancer tissue or two detection method include: 1) one continuous piece of sensing material and 2) array of of sensing material strips “weaved” through.
Multi-layer tactile sensing is illustrated here for two layers. The sensing “skin” consists of a piezoresistive thin film on a stretchable material, such as a latex membrane or a fabric. The Young's modulus (stiffness), E, of the padding foam is lower closer to the surface.
More particularly, the pressure sensing system 100 includes at least two pressure sensing layers 121 and 122. The first pressure sensing layer 121 includes a first sensing system 101 configured in a layer; and a layer of foam 111 having a Young's Modulus and mounted between first sensing system 101 configured in a layer and a second sensing system 102 configured in a layer.
At least a second pressure sensing layer 122 includes the second sensing system 102 configured in a layer; and a second layer of foam 122 having a Young's modulus that is greater than the Young's modulus of the first layer of foam 121 and mounted between the second sensing system 102 configured in a layer and a rigid substrate 120 such that the at least two pressure sensing layers 121 and 122 define thereby a multi-layer pressure sensing system (the pressure sensing system 100).
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The sensing ‘skin’ is composed of a piezoresistive thin film on a stretchable material, such as a latex membrane or a fabric.
The multi-layer sensing system is composed of two layer piezoresistive sensing skins padded with two-layer material with distinct stiffness.
The layers are supported on a backing that does not stretch.
The rigid substrate is a final layer that does not significantly stretch wherein the Young's modulus of the rigid substrate is greater than that of the other layers.
The multi-layer pressure sensing systems as configured produces a novel working system for breast cancer detection.
The multilayered pressure sensing material is thus comprised of alternating layers of piezoresistive sensing skin and padding foam or elastomers of varying stiffness packed by unstretchable backing.
The multi-layer pressure sensing system thus provides a simple compliant sensing structure over a large area with a larger dynamic range as compared to the prior art.
As described in more detail below, the multi-layer pressure sensing system may include an electrical impedance tomography circuit.
The electrical impedance tomography circuit includes a plurality of pairs of adjacent electrodes wherein current is injected into an adjacent pair of electrodes such that voltage readings obtained from the remaining pairs of the plurality of pairs of adjacent electrodes enable reconstruction of an image from the measured voltage readings.
The electrical impedance tomography circuit may include circuitry enabling wireless transmission of data readings from the multi-layer pressure sensing system to a remote receiver location, or may include hard-wired or other types of data transmission methods.
As described further below, the multi-layer pressure sensing system may include as an alternative an array of strip sensors disposed over a layer of foam padding.
The system may be applied to non-anatomical masses and at least to anatomical masses in general, i.e. not just those which extend from the body, for example, measuring for lumps in the abdomen or on a limb.
The system 100 is thus also capable of detecting masses containing other biological or elemental materials beyond the definition of “tumor”.
The anatomical support material includes an interior surface and an exterior surface with respect to the outer surface of the at least one anatomical mass. The multi-layer pressure sensing system includes an interior surface and an exterior surface with respect to the outer surface of the at least one anatomical mass. The interior surface of the multi-layer pressure sensing system is configured to be positioned over the outer surface of the at least one anatomical mass between the at least one anatomical mass and the interior surface of the anatomical support material.
The rigid substrate of the multi-layer pressure sensing system is configured as the flexible insufflation reservoir 210 that includes an interior surface and an exterior surface with respect to the outer surface of the at least one anatomical mass,
The flexible insufflation reservoir is configured wherein the interior surface of the flexible insufflation reservoir can be positioned over the exterior surface of the multi-layer pressure sensing system and wherein the interior surface of the anatomical support material can be positioned over the exterior surface of the flexible insufflation reservoir,
Inflation of the flexible insufflation reservoir causes pressure to be applied to the multi-layer pressure sensing system and to the at least one anatomical mass to enable detection of a tumor or other anatomical structure within the at least one anatomical mass or body surface by the multi-layer pressure sensing system.
The increasing pressure as the bladder inflates provides a time-dependent signal whose slope and origin contain information about the tissue composition. Applying EIT or a sensor array furnishes additional spatial information.
The sensor is compliant and conforms to the breast, enabling imaging of stiff inclusions.
The system is envisioned to consist of a piezoresistive sensing sheet and an inflatable balloon built into a fabric bra, along with a portable electronic system.
More particularly,
The anatomical support material configured to support at least one anatomical mass that extends from the body of a user of the device is configured as a brassiere to contact the breasts of a female user to detect tumors occurring within at least one breast of the female user or as a piece of material to detect tumors in male breasts as well.
The tumor detection system may include wherein the anatomical support or contact material is configured to contact or apply pressure to at least one anatomical mass that extends from the body of a user of the device is configured as a male athletic supporter to support the testicles of a male user to detect tumors occurring within at least one testicle of the male user.
As indicated above, additional body surfaces and conditions besides tumors may be measured such as the limbs or torso, whether in males or females.
The system may be configured as a brassiere/athletic supporter wherein the device contacts the breasts/testicles to detect internal masses.
The boundary voltage BV is an inverse problem wherein the conductivity distribution of the electrical material is analogous to tactile sensing of force and strain.
FIG. 9A1 illustrates two loading points M1 and M2 for a mechanical sensor diameter of 10 cm where the electrical reading images are shown as dark spots M1 and M2 in FIG. 9A2.
FIG. 9B1 illustrates a thermal sensor 135 having a square outline boundary and wherein thermal sensing readings are shown as a quadrilateral image M′ in FIG. 9B2.
This illustrates the advantages of the mechanical sensor readings utilizing the distributed system 140 as compared to the thermal sensor readings.
Step 1020 includes sonicating the piezoelectric exfoliated graphite (EG)/latex sensing layer that has been prepared in step 1010 by microwave exfoliation of acid-intercalated graphite.
Step 1030 includes mixing the piezoelectric exfoliated graphite (EG)/latex sensing layer with latex and water to form a sprayable solution.
Step 1040 includes spraying the sprayable solution to a rubber membrane. The rubber membrane may be formed in a large area and generally unrestricted in surface or shape.
Step 1050 is shown as part of the manufacturing process but relates to application of the EG to the pressure sensing, i.e., conduction through the piezoelectric exfoliated graphite (EG)/latex sensing layer occurs by percolation through EG nanocarbon. Particle separation is changed by strain.
While several embodiments and methodologies of the present disclosure have been described and shown in the drawings, it is not intended that the present disclosure be limited thereto, as it is intended that the present disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments and methodologies. Those skilled in the art will envision other modifications within the scope of the claims appended hereto.
This application claims the benefit of, and priority to, U.S. Provisional Patent Application No. 62/549,672 filed on Aug. 24, 2017, entitled “Tactile Sensing Palpation Bra for Breast Cancer Diagnosis” by Elisabeth Smela et al., the entire contents of which are incorporated herein by reference.
This invention was made with U.S. government support under IIS1317913 awarded by NSF. The U.S. government has certain rights in the invention.
Number | Date | Country | |
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62549672 | Aug 2017 | US |