1. Field of the Invention
The present invention relates to an optical measurement apparatus for performing spectrometry of returned light reflected or scattered by body tissue to obtain a characteristic value of the body tissue.
2. Description of the Related Art
In recent years, there is known a measurement method of measuring an optical property of body tissue while a probe leading end makes direct contact with the body tissue by inserting a probe into a forceps channel of an endoscope for observing internal organs such as digestive organs and projecting the probe leading end from the endoscope.
For example, there has been proposed an optical measurement apparatus in which properties of body tissue such as blood circulation in the body tissue, a hemodynamic status, and a hemoglobin amount variation are measured by irradiating near infrared light onto the body tissue and measuring the near infrared light passing through the body tissue or the near infrared light reflected at an internal side of the body tissue (for example, refer to Japanese Patent Application Laid-open No. 2010-104586).
In addition, there has been proposed an optical measurement apparatus using a low-coherence enhanced backscattering (LEBS) technique for detecting properties of body tissue by irradiating low-coherence white light having a short spatial coherence length from the probe leading end onto the body tissue and measuring a distribution of the scattering light intensity from a plurality of angles using a plurality of light receiving fibers (For example, refer to International Patent Publication No. WO2007/133684 and U.S. Patent Application Laid-open No. 2008/0037024)
An optical measurement apparatus according to an aspect of the present invention performs spectrometry of returned light reflected or scattered by body tissue to obtain a characteristic value of the body tissue. The optical measurement apparatus includes a probe having an irradiation fiber that propagates light supplied from a base end and irradiates the light from a leading end and a plurality of light receiving fibers that propagate light incident from leading ends and output the light from base ends; a light source unit that generates white light to be irradiated onto the body tissue and supplies the white light to the irradiation fiber; a measurement unit that performs spectrometry for the returned light from the body tissue output from each of the light receiving fibers at a predetermined measurement timing; a determining unit that determines whether or not a measurement value that is measured, when the light source unit does not perform light emission, by the measurement unit is equal to or smaller than a predetermined threshold value; and a control unit that causes the light source unit to perform a light emission process for obtaining a characteristic value of the body tissue for a predetermined time and causes the measurement unit to perform a spectrometry process for obtaining a characteristic value of the body tissue for the predetermined time if the determining unit determines that the measurement value measured by the measurement unit is equal to or smaller than the predetermined threshold value.
The above and other features, advantages and technical and industrial significance of this invention will be better understood by reading the following detailed description of presently preferred embodiments of the invention, when considered in connection with the accompanying drawings.
Hereinafter, an exemplary optical measurement apparatus using LEBS technique will be described in detail as preferable embodiments of an optical measurement apparatus according to the present invention with reference to the accompanied drawings. The invention is not limited to the embodiments described below. In the description of drawings, like reference numerals denote like elements. It is noted that the drawings are schematically provided, and thicknesses and widths of each element and ratios of each element may be different from those of the reality. Among the drawings, a portion having a different relationship or ratio from that of other drawings may be included.
The main unit 2 includes a power supply 21, a light source unit 22, a connector 23, a measurement unit 24, an input unit 25, an output unit 26, a control unit 27, and a storage unit 28.
The power supply 21 supplies electric power to each element of the main unit 2.
The light source unit 22 generates and outputs light to be irradiated onto the body tissue 6. The light source unit 22 includes white light-emitting diode (LED) that emits white light, a low-coherence light source such as a xenon lamp or a halogen lamp, and one or more lenses (not illustrated). The light source unit 22 supplies the low-coherence light irradiated onto an object to an irradiation fiber 5 of the probe 3 described below.
The connector 23 detachably connects the base end 32 of the probe 3 to the main unit 2. The connector 23 supplies the light emitted from the light source unit 22 to the probe 3 and outputs the returned light output from the probe 3 to the measurement unit 24.
The measurement unit 24 performs spectrometry for the returned light from the body tissue 6 as the light output from light receiving fibers 7 and 8 of the probe 3. The measurement unit 24 includes a plurality of spectrometers. The measurement unit 24 measures a spectral component, strength, and the like of the returned light output from the probe 3 and performs measurement on a wavelength basis. The measurement unit 24 outputs the measurement result to the control unit 27.
The input unit 25 is realized by a push-type switch and the like. The input unit 25 receives instruction information for instructing activation of the main unit 2 or various other types of instruction information by manipulating the switch and the like and inputs it to the control unit 27.
The output unit 26 outputs information regarding various processes in the optical measurement apparatus 1. The output unit 26 is realized by a display, a speaker, a motor, and the like so that information regarding various processes in the optical measurement apparatus 1 is output by outputting image information, audio information, or vibration.
The control unit 27 controls processing operations of each element of the main unit 2. The control unit 27 is realized by a CPU and semiconductor memory such as RAM. The control unit 27 controls operations of the main unit 2 by transmitting instruction information or data to each element of the main unit 2 and the like. The control unit 27 stores each measurement result from the measurement unit 24 having a plurality of measurement devices in the storage unit 28 described below. The control unit 27 includes a computation unit 27a and a determination unit 27b.
The computation unit 27a performs various types of computation processes based on the measurement result of the measurement unit 24 to compute the characteristic value associated with the property of the body tissue 6. The type of the characteristic value computed by the computation unit 27a and serving as a target to obtain is set depending on instruction information input from the input unit 25 through manipulation of an operator.
The determination unit 27b determines whether or not the received light amount measured by the measurement unit 24 is equal to or smaller than a predetermined threshold value. If the received light amount measured by the measurement unit 24 is equal to or smaller than a predetermined threshold value, the determination unit 27b causes the light source unit 22 to perform a light emission process for obtaining a characteristic value of body tissue 6 for a predetermined time and causes the measurement unit 24 to perform spectrometry for obtaining the characteristic value of the body tissue 6. If it is determined that the measurement value initially measured by the measurement unit 24 after the light source unit 22 completes the light emission process is equal to or smaller than the predetermined threshold value, the determination unit 27b causes the storage unit 28 to store the spectrometric result measured by the measurement unit 24 as data for the characteristic value of the body tissue 6 for the predetermined time.
The storage unit 28 stores optical measurement program for executing the optical measurement process in the main unit 2 and various types of information regarding the optical measurement process. The storage unit 28 stores various measurement results from the measurement unit 24. In addition, the storage unit 28 stores the characteristic value computed by the computation unit 27a.
The probe 3 has the base end 32 detachably connected to a predetermined connection unit of the main unit 2 and the leading end 33 making direct contact with the body tissue 6. The leading end 33 emits light supplied from the light source unit 22 and receives scattering light from a measurement target. If an LEBS technique is used, the probe 3 is provided with a plurality of light receiving fibers for receiving at least two scattering light beams having different scattering angles. Specifically, the probe 3 has a irradiation fiber 5 that propagates light from the light source unit 22 supplied from the base end 32 and irradiates the light from the leading end 33 onto the body tissue 6 and two light receiving fibers 7 and 8 that propagate scattering light and reflection light from the body tissue 6 incident from the leading end 33 and output the light to the base end 32. The leading ends of the irradiation fiber 5 and the light receiving fibers 7 and 8 are provided with a rod 34 having transparency. The rod 34 has a cylindrical shape such that distances between the surface of the body tissue 6 and the leading ends of the irradiation fiber 5 and the light receiving fibers 7 and 8 become constant. Although the probe 3 has two light receiving fibers 7 and 8 in the example of
The optical measurement apparatus 1 is usually combined with an endoscope system for observing internal organs such as digestive organs.
The probe 3 is inserted from a probe channel insertion hole 15 in the vicinity of the manipulation unit 13 of an out-body portion of the endoscope 10 inserted into a subject as indicated by the arrow. In addition, the leading end 33 of the probe 3 is projected from an aperture 17 of the leading end portion 16 passing through the internal side of an insertion portion 12 and connected to the probe channel as indicated by the arrow. As a result, the probe 3 is inserted into the internal side of the subject, and optical measurement is initiated.
A display screen 26a for outputting a determination result of the determination unit 27b, a characteristic value computed by the computation unit 27a, and the like, a switch serving as a part of the input unit 25, and the like are provided on a predetermined surface of the main unit 2. As illustrated in
Here, in the optical measurement apparatus 1, if the leading end 33 of the probe 3 projected from the aperture 17 of the leading end of the insertion portion 12 of the endoscope 10 appropriately makes contact with the surface of the body tissue 6 in the hollow viscus as illustrated in
For this reason, in the optical measurement apparatus 1 according to the first embodiment, the light emission process and spectrometry for obtaining a characteristic value of the body tissue 6 are performed only when the measurement value measured in a state that only the endoscopic illumination light is irradiated is low as it can guarantee validity of the measurement value. As a result, it is possible to obtain a measurement value having little noise caused by the endoscopic illumination light.
Specifically, according to the first embodiment, as illustrated in
Subsequently, if the measurement value from the measurement unit 24 at the time T1 is equal to or smaller than the threshold value Lt, the determination unit 27b causes the light source unit 22 to perform the light emission process for obtaining a characteristic value of the body tissue 6 and causes the measurement unit 24 to perform a measurement process for obtaining a characteristic value of the body tissue 6. The light source unit 22 generates and outputs pulse light having a certain strength Le as indicated in a curve Pe for a predetermined time from Te1 to Te2 as the light emission process for obtaining a characteristic value. The output time of the pulse light using the light source unit 22 may be set to a range between 1 millisecond and 1 second, and preferably, between 1 to 500 milliseconds.
Therefore, in the optical measurement apparatus 1, spectrometry and the light emission process for obtaining a characteristic value of the body tissue 6 are performed only when the measurement value of the received light amount measured in a state that only the endoscopic illumination light is irradiated is low as it can guarantee validity of the measurement value.
Then, when the light amount of the endoscopic illumination light incident to the light receiving fibers 7 and 8 is maintained to a level that validity of the measurement value for the actual body tissue 6 can be guaranteed, the measurement value of the received light amount using the measurement unit 24 after output generation of pulse light using the light source unit 22 is terminated is returned to a value equal to or smaller than the threshold value Lt similar to a case before the pulse light is output as indicated by the curve Ca. In comparison, when the light amount of the endoscopic illumination light incident to the light receiving fibers 7 and 8 is large sufficiently to fail to guarantee validity of the measurement value for the actual body tissue 6 so that the endoscopic illumination light is overlapped with the measurement value as significant noise, as indicated by the curve Cb of
Thus, if the measurement value La at the time T2 after output of pulse light using the light source unit 22 is generated is equal to or smaller than the threshold value Lt as indicated by the curve Ca, the determination unit 27b determines that the light amount of the endoscopic illumination light incident to the light receiving fibers 7 and 8 is set to a level capable of guaranteeing validity of the measurement value for the actual body tissue 6 so that the spectrometric result measured by the measurement unit 24 for the time Te1 to Te2 is stored in the storage unit 28 as data for a characteristic value of the body tissue 6. In comparison, if the measurement value Lb at the time T2 is greater than the threshold value Lt as indicated by the curve Cb, the determination unit 27b determines that the light amount of the endoscopic illumination light incident to the light receiving fibers 7 and 8 is large sufficient to fail to guarantee validity of the measurement value for the actual body tissue 6, so that the spectrometric result measured by the measurement unit 24 for the time Te1 to Te2 is not employed as data for a characteristic value of the body tissue 6 and is not stored in the storage unit 28.
Next, a processing sequence of the optical measurement process of the optical measurement apparatus 1 will be described with reference to
As illustrated in
Subsequently, the determination unit 27b determines whether or not the measurement termination is instructed based on instruction information for instructing measurement termination from the input unit 25 (step S3). If it is determined that the measurement termination is instructed (YES in step S3), the determination unit 27b terminates the measurement process in the measurement unit 24 (step S10) to terminate the measurement process for the body tissue 6.
Otherwise, if it is determined that the measurement termination is not instructed (NO in step S3), the determination unit 27b determines whether or not the measurement value output from the measurement unit 24 is equal to or smaller than a predetermined threshold value (step S4). If the determination unit 27b determines that the measurement value output from the measurement unit 24 is not equal to or smaller than the predetermined threshold value (NO in step S4), the process returns to step S3.
Otherwise, if the determination unit 27b determines that the measurement value output from the measurement unit 24 is equal to or smaller than the predetermined threshold value (YES in step S4), the light source unit 22 performs a light emission process for obtaining a characteristic value of the body tissue 6 (step S5).
Then, the determination unit 27b determines whether or not it is the determination timing for determining whether or not the record of the measurement result measured during the light emission process in step S5 is appropriate (step S6). This determination timing is performed when a predetermined time elapses after the light emission process is terminated, and preferably, after an initial measurement process in the measurement unit 24 is terminated after the light emission process is terminated. If the determination unit 27b determines that it is not the determination timing (NO in step S6), the determination process in step S6 is repeated.
Otherwise, if the determination unit 27b determines that it is the determination timing (YES in step S6), it is determined whether or not the measurement value output from the measurement unit 24 during the determination timing is equal to or smaller than a predetermined threshold value (step S7).
If the determination unit 27b determines that the measurement value output from the measurement unit 24 during the determination timing is equal to or smaller than the predetermined threshold value (YES in step S7), it can be determined that the light amount of the endoscopic illumination light incident to the light receiving fibers 7 and 8 during the light emission process is maintained at a level capable of guaranteeing validity of the measurement value for the actual body tissue 6. For this reason, in this case, the determination unit 27b performs a data recording process for storing the spectrometric result measured by the measurement unit 24 during the light emission process in the storage unit 28 as data for a characteristic value of the body tissue 6 (step S8).
Otherwise, if the determination unit 27b determines that the measurement value output from the measurement unit 24 during the determination timing is not equal to or smaller than the predetermined threshold value (NO in step S7), that is, if it is determined that the measurement value exceeds the predetermined threshold value, it may be determined that the light amount of the endoscopic illumination light incident to the light receiving fibers 7 and 8 during the light emission process is overlapped with the measurement value so as to serve as significant noise as much as it fails to guarantee validity of the measurement value for the actual body tissue 6. For this reason, in this case, the determination unit 27b performs an error notification process for notifying the output unit 26 of an error message that the obtained measurement value is not valid (step S9). As the error notification process, the determination unit 27b may cause the output unit 26 to output a sound notifying a fact that the obtained measurement value is not valid, or a display screen notifying a fact that the obtained measurement value is not valid, or output both of the sound and the display screen. In addition, after step S8 or S9 is terminated, the process returns to step S3 so that the determination unit 27b determines whether or not the measurement termination is instructed.
In this manner, in the optical measurement apparatus 1 according to the first embodiment, if the measurement value is equal to or smaller than a predetermined threshold value, that is, only when the noise caused by the endoscopic illumination light included in the measurement result is insignificant, the light emission process for obtaining a characteristic value of the body tissue 6 and spectrometry for obtaining characteristic value of the body tissue 6 are performed. Therefore, it is possible to reliably obtain a measurement value having little noise.
In addition, in the optical measurement apparatus 1 according to the first embodiment, the spectrometric result measured during the light emission process is stored as data for the characteristic value of the body tissue 6 only when it is determined that the measurement value initially measured by the measurement unit 24 is equal to or smaller than a predetermined threshold value after the light emission process for obtaining a characteristic value is terminated. Therefore, it is possible to automatically obtain only the measurement value having the endoscopic illumination light influence sufficiently lowered to a level capable of guaranteeing validity.
Next, a second embodiment will be described.
As illustrated in
Next, a processing sequence of the optical measurement process of the optical measurement apparatus 201 will be described with reference to
Steps S21 and S22 of
If it is determined that the data obtainment instruction for obtaining a characteristic value is input (Yes in step S24), similar to step S4 of
If determination unit 227b determines that the measurement value output from the measurement unit 24 is equal to or smaller than the predetermined threshold value (Yes in step S25), similar to step S5 of
Then, similar to step S6 of
If the determination unit 227b determines that the measurement value output from the measurement unit 24 during the determination timing is equal to or smaller than the predetermined threshold value (Yes in step S29), similar to step S8 of
In this manner, according to the second embodiment, the measurement value having significant noise and being overlapped is not obtained or recorded even when data obtainment for obtaining a characteristic value is instructed through manipulation of the input unit 225 from an operator. Therefore, it is possible to reliably obtain only the measurement value having little noise.
Next, a third embodiment will be described. If a projection length of the probe from the leading end of the insertion portion of the endoscope is small, the endoscope illumination is still close even when the probe leading end appropriately makes contact with body tissue. Therefore, the light amount of the endoscopic illumination light incident to the probe leading end increases so that the endoscope illumination is overlapped with the measurement value as noise. Meanwhile, if the projection length of the probe from the leading end of the insertion portion of the endoscope is too large, the endoscope illumination becomes distant so that execution of the measurement process and the light emission process for obtaining a characteristic value is determined in a dark condition. Therefore, the measurement process and the light emission process for obtaining a characteristic value are progressed even when the probe leading end does not appropriately make contact with body tissue. Therefore, an appropriate measurement value may not be obtained. In this regard, according to the third embodiment, the measurement process and the light emission process for obtaining a characteristic value are performed only when the projection length of the probe from the leading end of the insertion portion of the endoscope is set to a level capable of determining that the measurement value can be appropriately obtained. Therefore, it is possible to more reliably obtain only an appropriate measurement value.
The imaging unit 340 can be inserted into an inner side of a subject and captures an image at the leading end 33 of the probe 303 projected from the leading end of the insertion portion 12 of the endoscope 10. The position of the imaging unit 340 is fixed relative to the aperture 17 of the leading end of the endoscope 10. Since the optical measurement apparatus 301 is connected to the endoscope system, for example, the imaging unit of the leading end of the insertion portion of the endoscope of the endoscope system may serve as the imaging unit 340 of the optical measurement apparatus 301.
The image processing unit 329 serves as a projection length computation unit that computes the projection length 33 of the probe 303 from the leading end of the insertion portion of the endoscope using the photographic image at the leading end of the probe 303 captured by the imaging unit 340.
In this case, the leading end of the probe 303 is provided with a plurality of patterns 336 having predetermined regularity as illustrated in
Since the position of the channel aperture on the image captured by the endoscope 10 is constant for each endoscope 10, the projection initiating position of the probe 303 on the image is already known. In addition, an interval of the pattern 336 is previously stored in the storage unit 28. Therefore, the image processing unit 329 can compute the projection length of the probe 303 by measuring the pattern G336 nearly straightly in a movement direction of the probe 303 on a photographic image G1 (refer to
If the measurement value measured by the measurement unit 24 is equal to or smaller than the predetermined threshold value, and if the projection length of the probe 303 computed by the image processing unit 329 is within a predetermined allowable range at which it can be determined that a constant value can be appropriately obtained, the determination unit 327b causes the light source unit 22 to perform the light emission process for obtaining a characteristic value of the body tissue 6 and causes the measurement unit 24 to perform spectrometry for obtaining a characteristic value of the body tissue 6.
Next, a processing sequence of the optical measurement process of the optical measurement apparatus 301 will be described with reference to
Steps S41 and S42 of
If the determination unit 327b determines that the measurement value output from the measurement unit 24 is equal to or smaller than the predetermined threshold value (Yes in step S44), the image processing unit 329 obtains an image at the leading end 33 of the probe 303 projected from the leading end of the insertion portion of the endoscope 10 by transmitting the most recently captured photographic image out of the images captured by the endoscope 10 from the connected endoscope system and computes the projection length of the probe 303 from the leading end of the insertion portion of the endoscope 10 (step S45). Subsequently, the determination unit 327b determines whether or not the projection length of the leading end 33 of the probe 303 computed by the image processing unit 329 is within a predetermined allowable range (step S46).
If the determination unit 327b determines that the projection length of the leading end 33 of the probe 303 computed by the image processing unit 329 is not within a predetermined allowable range (No in step S46), the determination unit 327b determines whether or not the projection length is smaller than a lower limit of the allowable range (step S47). If the determination unit 327b determines that the projection length is smaller than the lower limit of the allowable range (Yes in step S47), the projection length of the probe 303 is short. Therefore, the output unit 26 outputs the projection instruction information for instructing projection of the probe 303 from the leading end of the endoscope (step S48), and the process returns to step S43. In addition, if the determination unit 327b determines that the projection length of the probe 303 is not smaller than the lower limit of the allowable range (No in step S47), that is, if the projection length of the probe 303 exceeds the upper limit of the allowable range, the probe 303 is excessively projected. Therefore, the output unit 26 outputs extraction instruction information for instructing to extract the probe 303 into the inner side of the leading end of the endoscope (step S49), and the process returns to step S43. In steps S48 and S49, either an audio output process or a display output process may be performed, or an image may be output and displayed on the display 20 of the connected endoscope system.
Otherwise, if the determination unit 327b determines that the projection length of the leading end 33 of the probe 303 computed by the image processing unit 329 is within a predetermined allowable range (Yes in step S46), it can be determined that an appropriate measurement value can be obtained. Therefore, similar to step S5 of
Then, similar to step S6 of
If the determination unit 327b determines that the measurement value output from the measurement unit 24 during the determination timing is equal to or smaller than the predetermined threshold value (Yes in step S52), similar to step S8 of
In this manner, according to the third embodiment, the measurement process and the light emission process for obtaining a characteristic value are performed only when the projection length of the probe from the leading end of the insertion portion of the endoscope is set to a level capable of determining that a measurement value can be appropriately obtained. Therefore, it is possible to more reliably obtain only an appropriate measurement value.
In the third embodiment, the pattern 336 may not be limited to the stripe pattern of
Since the diameter of the probe leading end is constant in each probe, it is already known. In this regard, the diameter of the probe leading end may be stored in the storage unit 28, and the image processing unit 329 may detect a probe area G3 in a photographic image G2 (refer to
Next, the fourth embodiment will be described. In the fourth embodiment, the third embodiment is applied to the second embodiment.
As illustrated in
Next, a processing sequence of the optical measurement process of the optical measurement apparatus 401 will be described with reference to
Steps S61 and S62 of
If the determination unit 427b determines that the data obtainment instruction for obtaining characteristic value is input (Yes in step S64), similar to step S4 of
If the determination unit 427b determines that the measurement value output from the measurement unit 24 is equal to or smaller than the predetermined threshold value (Yes in step S65), similar to step S45 of
If the determination unit 427b determines that the projection length of the leading end of the probe 303 computed by the image processing unit 329 is not within the predetermined allowable range (NO in step S68), the determination unit 427b determines whether or not the projection length is smaller than a lower limit of the allowable range (step S69). If the determination unit 427b determines that the projection length is smaller than the lower limit of the allowable range (Yes in step S69), similar to step S48 of
Otherwise, if the determination unit 427b determines that the projection length of the leading end of the probe 303 computed by the image processing unit 329 is within the predetermined allowable range (Yes in step S68), the light source unit 22 performs a light emission process for obtaining a characteristic value of the body tissue 6 (step S72), and the determination unit 427b determines whether or not it is a determination timing for determining whether or not the record of the measurement result measured during the light emission process is appropriate (step S73). If the determination unit 427b determines that it is not the determination timing (No in step S73), the determination process of step S73 is repeated. If the determination unit 427b determines that it is the determination timing (Yes in step S73), similar to step S7 of
If the determination unit 427b determines that the measurement value output from the measurement unit 24 during the determination timing is equal to or smaller than a predetermined threshold value (Yes in step S74), similar to step S8 of
In this manner, according to the fourth embodiment, even when data obtainment for obtaining a characteristic value is instructed through manipulation of the input unit 225 from an operator, the measurement process and the light emission process for obtaining a characteristic value are performed only when the projection length of the probe 303 from the leading end of the insertion portion 12 of the endoscope 10 is set to a level capable of determining that the measurement value can be appropriately obtained. Therefore, it is possible to more reliably obtain an appropriate measurement value.
Additional advantages and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details and representative embodiments shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined by the appended claims and their equivalents.
This application is a continuation of PCT international application Ser. No. PCT/JP2012/065164 filed on Jun. 13, 2012 which designates the United States, incorporated herein by reference, and which claims the benefit of priority from U.S. provisional application No. 61/505,396, filed on Jul. 7, 2011, incorporated herein by reference.
Number | Date | Country | |
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61505396 | Jul 2011 | US |
Number | Date | Country | |
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Parent | PCT/JP2012/065164 | Jun 2012 | US |
Child | 13736289 | US |