The present invention relates to an instrument and a method for measuring blood biochemical constituent including blood glucose concentration and, more particularly, to a non-invasive blood constituent measuring instrument and a method for measuring blood glucose concentration without sampling blood from a living body.
In the modern era of the expanding aged society as well as the change in life-style, there has been a considerable increase in the number of diabetes which is growing social concern as a representative of lifestyle-related diseases. It is so far a general practice to measure blood glucose concentration by sampling a small amount of blood. However, it is strongly desired to reduce pain and botheration associated with the blood sampling. In addition, there is no other method available than the blood examination for measuring blood biochemical constituent.
On the other hand, a non-invasive measurement using near infrared light is collecting attentions for extremely low risk to living bodies and the possibility for measurement of items so far impossible by existing measuring methods. For example, glucose has an inherent absorption band derived from its constituents in this wavelength band and various methods are reported (Reference Literature: Ozaki Yukihiro, Practical Spectroscopy Series No. 4 “Medical Application of Spectroscopy”, IPC (Industrial Publishing Consulting, Inc.)
For example, according to the reference literature, a method to obtain blood glucose concentration by irradiating an infrared light to a fingertip and through the computation of its transmitted light by a computer is proposed. For this method, however, it is very difficult to estimate glucose concentration in blood from the transmitted light obtained and thus a method to estimate glucose concentration using a multi-regression analysis is also proposed.
However, the absorption band inherent to glucose in the near infrared range overlaps on other constituent absorption ranges of protein materials, etc. and it is difficult to separate an absorption characteristic coming from glucose only and absorption characteristic of other material and therefore, there is a question in measuring accuracy and reproducibility of measurement and the proposed method is not yet put in practical use.
Further, a glucose measuring method using the above-mentioned multi-regression analysis is reported in the above-mentioned reference literature as shown below. That is, this method is to measure glucose in blood serum using the PLS method (partial least squares analysis) that is one of chemometrics by measuring infrared spectrum with lights in two wavelength ranges of 1325˜1800 nm and 2035˜2375 nm applied to glucose sample melted in blood serum.
However, as reported that a near infrared spectroscope made by NIR System Corp. according to the transmission penetration method using a quartz photocell in 0.5 mm light path length in the measurement, a quartz photocell was used in the measurement and is not a non-invasive measurement by irradiating light to living bodies.
In a non-invasive blood glucose concentration measuring method using a conventional absorption analysis method, the glucose absorption band overlaps the absorption ranges of other biological tissues in living bodies such as bones, veins, muscles and it is difficult to separate the ranges and the accurate measurement is not feasible and is therefore not put in practical use.
Accordingly, an objective of the present invention is to provide a non-invasive blood glucose measuring instrument and a measuring method by solving the above-mentioned problems to allow the blood glucose concentration measurement with a simple way as well as with high accuracy.
A non-invasive blood constituent measuring instrument according to an embodiment of the present invention includes a light source to irradiate a light having plural wavelengths to a living body; a light detector to detect the light transmitted through a living body or reflected therefrom; an instantaneous spectrum analyzer to analyze spectrum of light transmitted through or reflected on the living body at different times when the output signal of the light receiver is supplied; a spectrum subtraction generator to generate spectrum subtraction from light spectrum at the different times measured by the spectrum analyzer; and a blood constituent predictor into which output data of the spectrum subtraction is input and blood constituent is output.
Further, in the non-invasive blood constituent measuring instrument according to the embodiment of the present invention, a blood constituent predictor is provided with a multi-regression analyzing model using plural spectrum data of whole blood constituent of which is known as an explanatory variable and using the blood constituent as an objective variable, wherein being input the spectrum subtraction data obtained from the blood of which blood constituent is known as the explanatory variable, the multi-regression analyzing model computes the object variable and outputs this objective variable as a blood constituent.
Further, the non-invasive blood glucose concentration measuring instrument according to the embodiment of the present invention is composed of a light source to irradiate a light containing plural wavelengths; a light detector to detect the light transmitted through a living body or reflected therefrom; an instantaneous spectrum analyzer to which the output signal of the light receiver is supplied and which analyzes spectrum of the light transmitted through the living body or reflected therefrom at different times; a spectrum subtraction generator to generate spectrum subtraction from the spectrum of the light measured by the spectrum analyzer at the different times; and a blood glucose concentration predictor into which the output data of the spectrum subtraction generator is input and which outputs the blood glucose concentration.
Further, in the non-invasive blood glucose concentration measuring instrument according to the embodiment of the present invention, the blood glucose concentration predictor is constructed with a multi-regression analyzing model into which spectrum subtraction data of plural whole blood samples of known blood constituent is input as the explanatory variable and in which the blood glucose concentration is computed as an objective variable and output as blood glucose concentration.
A non-invasive blood constituent measuring method according to an embodiment of the present invention includes the steps of irradiating a light containing plural wavelengths to a living body; detecting light transmitted through or reflected from the living body and converting it into an electric signal; analyzing spectrum of the light transmitted through the living body or reflected therefrom at different times using the converted electric signal; generating spectrum subtraction from the spectrum of the light at the different times; and predicting corresponding blood constituents from the spectrum subtraction.
Further, in the steps of the non-invasive blood constituent measuring method according to the embodiment of the present invention, the blood constituent predicting step further includes the steps of preparing a multi-regression analyzing model, into which spectrum data of plural whole blood samples having known blood constituent is input as an explanatory variable and blood constituent is output as an objective variable, inputting the spectrum subtraction data obtained from blood of which blood constituent is not known as an explanatory variable, and outputting the blood constituent as an objective variable.
An embodiment of the present invention will be described below in detail referring to the attached drawings. In the embodiment shown below, the concentration measurement of blood glucose as one of blood constituents will be explained. However, the present invention is also applicable to the concentration measurement of such other materials as glycol-albumin, hemoglobin A1C(HbA1C), cholesterol and so on, which are blood constituents other than blood glucose existing in the arterial blood having light absorption characteristics and scattering as well as reflecting characteristics.
As shown in
An output signal of the light detector 14 is supplied to an instantaneous spectrum analyzer 15, wherein an absorption spectrum obtained as an output of the light detector 14 for each wavelength of the light source 11 is produced. That is, the output from a sensor 16 that detects an intensity of the light incident to the living body 13 from the light source 11, that is, an intensity of the incident light Iλo with each wavelength (λ) is supplied with the output signal of the light detector 14 to the spectrum analyzer 15. As described later, the intensity of light (Iλ) with each wavelength (λ) passed through the living body 13, that is, an absorbance (ODλ) which is a ratio of the logarithmic intensity of passed light Iλ to that of the incident light I80 o (ODλ=log Iλo/Iλ) is computed here and an absorption spectrum is produced. Twenty (20) number of the absorption spectrums are produced per second by twenty (20) times of scanning per second of the active spectroscope 12 as described above.
The absorption spectrum data obtained by the spectrum analyzer 15 is stored in a spectrum data memory 17. The spectrum data memory 17 stores and maintains output data for several seconds of the spectrum analyzer 15 sequentially on the first-in first-out basis.
Spectrum data read from the spectrum data memory 17 is supplied to a subtraction processor 18 and a spectrum subtraction (ODλti′−ODλti=ΔODλti), which is composed of a difference in absorbance in corresponding wavelengths (λ) between the absorption spectrums (ODλti) at different times (ti) is produced as described later. From this subtraction technique, the subtraction data (ΔODλti) include only information of arterial blood without the other biological tissue components such as skin, bones, muscles etc, as also described later.
The spectrum analyzer 15, the spectrum data memory 17 and the subtraction processor 18 are operated in sync with the 20 times scanning per second of the active analyzer 12. The synchronization between these units is made by a timing device 19 to supply a synchronizing signal to them.
The spectrum subtraction data (ΔODλti) produced by the subtraction processor 18 is stored in a spectrum subtraction memory 20. The spectrum subtraction memory 20 also stores the output data of the subtraction processor 18 for several seconds sequentially on the first-in first-out basis. It is noted, as described later, that the subtraction data ΔODλti is mathematically derived to be equal to the change in the intensity of the transmitted light (Iλti′−Iλti=ΔIλti) divided by the intensity of the light at the time ti (Iλti), provided that ΔIλti is very small, that is, ΔODλti=ΔIλti/Iλti. This means that the light intensity and its change are needed in practical use without detection of the intensity of the incident light (Iλo).
The spectrum subtraction data read out of this spectrum subtraction memory 20 is input into a blood glucose predictor 21. The blood glucose predictor 21 is a device to predict blood glucose concentration through the multi-regression analysis using the PLS (Partial Least Squares Regression) method that is one of multi-regression analyses from input spectrum subtraction data. That is, the blood glucose predictor 21 is constructed as a software model to compute the blood glucose concentration according to the PLS method using whole blood samples that have many known blood glucose concentrations.
A coefficient of this determinant is determined using the PLS method by substituting the absorption spectrum data using the above-mentioned sample solution into the determinant. A blood glucose prediction model formula is thus obtained. Here, the PLS method is a technique to consider the correlation of potential variables TPLS as explanatory variables and to utilize data contained in X as many as possible.
where, T: Potential variable
q: Potential variable regression coefficient
E, f: Residual of X, y
P: Loading matrix
S: Covariance of y and T
P of the determinant 2 and regression coefficient q of potential variable T are determined by inputting blood glucose y1, y2, . . . yn of n known blood glucose samples into a regression analytical computer application software (for example, Trade Name: MATLAB) according to the PLS method available in the market. Thus, the regression analysis prediction model (blood glucose computing model) according to the PLS method is obtained. Then, a new T is computed based on P that is determined when a model is prepared, when new absorbance of respective spectroscopic wavelengths x1, x2, . . . , xm obtained from blood of which blood glucose concentration is unknown are input as data. These new absorbance of respective spectroscopic wavelengths x1, x2, . . . , xm are input as spectrum subtraction data read from the above-mentioned spectrum subtraction memory 20. Using this new T and q determined when a model was prepared, a blood glucose prediction value yi is obtained.
Next, the operations of the non-invasive blood glucose concentration measuring instrument thus constructed according to the embodiment of the present invention and the blood glucose measuring procedures will be explained referring to
As shown in
Next, the spectrum subtraction processor 18 shown in
Graphes (S1), (S2), . . . , (Sm) in
Spectrum subtraction data shown in
Thus, it is revealed that a blood glucose concentration can be predicted at a high level of accuracy when spectrum subtraction is used as input data to the blood glucose concentration predictor 21. The reason will be explained referring to
By the way, in producing the spectrum subtraction (ΔODλ) by the measurement of living body 13 described above, when a difference in arterial spectrum waveforms that become the maximum and minimum volume changes in one heart beat, the blood glucose concentration is computed at one time per one heart beat and the blood glucose concentration is output at one time per one heart beat. However, as spectrum data is measured repetitively nearly 20 times in one heart beat, it is possible to take out spectrum subtraction at two adjacent times as continuous spectrum subtractions while shifting times sequentially and compute blood glucose concentrations using these continuous spectrum subtractions. In this case, it is expected that a change in spectrums at adjacent times is very little, signal noise ratio of spectrum subtraction drops and a fluctuation (a residual error) of the result of blood glucose concentration computation may become large. Accordingly, it is also possible to display the measured result easy to look by inputting the result into the blood glucose concentration predictor 21 by executing the time series average of these spectrum subtractions or by smoothing successively computed blood glucose concentrations through the statistical procedure such as the time average or moving average by the blood glucose concentration predictor 21.
Further, in the embodiment described above, the transmitted light spectrum from the living body 13 is measured but the reflected light from the living body 13 may be measured other than the transmitted light.
Further, in the embodiments shown in
Further, in the embodiments described above, a model applied with the PLS method is used as the blood glucose concentration predictor 21. However, a model according to the principal constituents regression shown in Formula 3, which is one of multi-regression analyses may be used. The regression analysis blood glucose concentration computing model that is constructed using the PCR method is expressed by the following Formula 3.
where, T: Principal constituents score
That is, a multi-regression analysis blood glucose concentration computing model is constructed by corresponding a known blood glucose concentration of the whole blood sample 31 to an objective variable y, applying spectrum data of the whole blood sample 31 to an explanatory variable x and deciding a multi-regression analysis blood glucose concentration computing model. When spectrum subtraction data of an unknown blood glucose concentration is input into the blood glucose concentration predictor 21 in which this principal constituents score regression coefficient b is set, a blood glucose concentration predict value ya is computed and output.
Further, when developing a regression analysis prediction model (a blood glucose concentration computing model) in the above-mentioned embodiment, the sample 31 having a known blood glucose concentration is filled in plural quartz cells and absorption spectrum data X1, X2, . . . Xm are developed with a spectroscopic analyzer comprising the light source 11, the spectroscope 12, the light receiver 14 and the spectrum analyzer 15. However, for these absorption spectrum data X1, X2, . . . , Xm, spectrum subtraction data obtained with units ranging from the light source 11 to the spectrum subtraction memory shown in
Further, in the embodiment mentioned above, the measurement of blood glucose concentration is shown. However, regarding the measurement of concentration of another material having absorption characteristics and scatter reflection characteristics existing in the arterial blood, it is possible to predict and compute the concentration of that material existing in the arterial blood similarly. That is, it is possible to predict and compute the concentration by measuring spectrum of wavelength band corresponding to the absorption characteristics or the reflecting characteristics of the material and deciding the regression coefficient of the multi-regression analyzing model using the PLS method or the PCR method referring to a concentration of a sample of that is the standard of that material using the same system and procedures shown in the above embodiment.
As described above, with the non-invasive blood constituent measuring instrument and the method according to the embodiment of the present invention, it is possible to measure blood constituents in a living body by irradiating near infrared light to a finger tip, etc. quickly and highly precisely without feeling pain and burden involved in the blood drawing.
Further, according to the embodiment of the present invention, spectrum subtraction using the arterial blood beat is used as described above. However, the spectrum subtraction analysis may be made by generating the venous blood volume change in the biological tissues using such a method as the venous occlusion method, for example. Thus, the adverse effect of other biological tissue constituents is eliminated and blood constituent can be measured at a highly precise and sensitive level.
Number | Date | Country | Kind |
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2002-083587 | Mar 2002 | JP | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/JP03/03587 | 3/25/2003 | WO | 4/14/2005 |