This application claims priority under 35 U.S.C. § 119 to Japanese Patent Application No. 2004-141721 filed May 11, 2004, the entire content of which is hereby incorporated by reference.
The present invention relates to a system for simulating material concentrations in living tissue using a computer, and relates to a storage medium for recording a computer program for having a computer function as such a system.
Numerical models have been tried heretofore to determine material concentration in living tissue, particularly blood glucose and blood insulin levels from the perspective of medical use in the diagnosis of diabetes.
The models used include, for example, Bergman's minimal model (Bergman et al., American Journal of Physiology, vol. 236(6), p. E-667-77 (1979), and Bergman et al., Journal of Clinical Investigation, vol. 68(6), p. 1456-67 (1981)). This minimal model numerically represents plasma glucose concentration, plasma insulin concentration, and amount of acting insulin at the insulin action site of peripheral tissue, that is, remote insulin, as variables. In this case, when the plasma glucose concentration at time t is designated G(t), plasma insulin concentration is designated I(t), and remote insulin is designated X(t), then G(t), I(t), and X(t) the respective time differentials can be described on the left side of the differential equations below.
The parameters in the equations are listed below and can be set at different values depending on the individual.
Generally, in living bodies, blood glucose is regulated by four mutually inter-related blocks including the pancreas which secretes insulin in accordance with blood glucose stimulation, the liver which produces glucose into the blood or takes up glucose from the blood in accordance with insulin and blood glucose levels, circulation system kinetics which distribute insulin to peripheral tissues, and peripheral tissues which are acted upon by the insulin and metabolize the insulin. In the minimal model, the structural elements of the model are abstract elements which do not correspond to the four blocks of living bodies, which presents difficulties when applying the simulated results of living body blood glucose fluctuation and insulin level fluctuation to the four inter-related blocks of the living body.
Other blood glucose level reproduction methods include methods of predicting blood glucose level of a diabetic patient (for example, refer to Japanese Laid-Open Patent Publication No. 11-296598). Although it is possible to predict blood glucose levels according to this method, it is not possible to know the condition of organs participating in the regulation of blood glucose.
The scope of the present invention is defined solely by the appended claims, and is not affected to any degree by the statements within this summary.
In view of the information described above, an object of the present invention is to provide a system for computer simulation of function in a living body using a biological simulation model configured by a program readily corresponding to structural elements of a living body.
The first aspect of the present invention relates to a simulation system comprising a biological simulation model representing the functions of organs in a living body related to a object material, and having a plurality of blocks corresponding to the organs respectively, which are mutually linked so as to enable the transference of data among blocks, and a calculation means for successively calculating the object material concentration in the living body to simulate the activity of the organs, and simulating the activity of the organs by driving the biological simulation model.
The second aspect of the present invention relates to a computer-readable storage medium for recording a computer program for working a computer as a system for simulating a change over time in object material concentration in a living body, the computer program comprising a step of driving, in a computer, a biological simulation model representing the functions of organs in a living body related to the object material to successively calculate the object material concentration in the living body, and wherein the biological simulation model have a plurality of blocks corresponding to the organs respectively, which are mutually linked so as to enable the transference of data among blocks.
An embodiment of the present invention is described hereinafter based on the drawings.
The CPU 110a is capable of executing computer programs loaded in RAM 110c and computer programs stored in ROM 110b. Each of the function blocks, which are described later, are realized by the CPU 110a executing an application program 140a, also described later, such that the computer 100a functions as the simulation system 100.
The ROM 110b may be mask ROM, PROM, EPROM, EEPROM or the like, and stores computer programs executed by the CPU 110a and data used by the computer programs.
The RAM 110c may be SRAM, or DRAM or the like. The RAM 110c is used to read the computer programs recorded on the hard disk 110d and ROM 110. Furthermore, the RAM 110c is used as an operation area of the CPU 110a when these computer programs are executed.
The hard disk 110d is used for installing an operating system and applications programs and the like, various types of computer programs executed by the CPU 110a and data used in the execution of the computer programs. The application program 140a, which is described later, is also installed on the hard disk 110d.
The reading device 110e may be a flexible disk drive, CD-ROM drive, DVD-ROM drive or the like, capable of reading data and computer programs recorded on a portable storage medium 140. Furthermore, the application program 140a which enables a computer to function as the simulation system of the present invention is stored on the portable storage medium 140, and the application program 140a of the present invention can be read from the portable storage medium 140 by the computer 100a and the application program 140a can be installed on the hard disk 110d.
The application program 140a need not be provided on the portable storage medium 140, inasmuch as the application program 140a also may be provided over an electric communication line from an external device connected to the computer 100a so as to enable communication by means of an electric communication line (wire line or wireless). For example, the application program 140a may be stored on the hard disk or a server computer connected to the internet, such that the computer 100a can access the server computer and download computer programs and the like which are then installed on the hard disk 110d.
An operating system providing a graphical user interface environment, such as, for example, Windows (registered trademark), a commercial product of Microsoft Corporation of the USA, or the like is installed on the hard disk 110d. In the following description, the application program 140a of the present embodiment operates in such an operating system.
The I/O interface 110f may be, for example, a serial interface such as a USB, IEEE1394, RS-232C or the like, a parallel interface such as SCSI, IDE, IEEE1284 or the like, or an analog interface such as a D/A converter, A/D converter or the like. The I/O interface 110f is connected to an input device 130 configured by a keyboard and mouse, such that a user may input data to the computer 100a using the input device 130.
The image output interface 110h is connected to a device 120 such as an LCD, CRT or the like, so as to output image signals corresponding to image data received from the CPU 110a on the display 120. The display 120 displays the images (screens) in accordance with the input image signals.
The pancreas block 1 has blood glucose level 6 as an input, and insulin secretion rate 7 as an output. The liver block 2 has blood glucose level 6 and insulin secretion rate 7 as inputs, and net glucose production 8 and liver-passed insulin 9 as outputs. The insulin kinetics block 3 has liver-passed insulin 9 as an input, and insulin level 10 in the peripheral tissue as an output. The peripheral tissue block 4 has net glucose production 8, external glucose absorption 5, and insulin level 10 in the peripheral tissue as inputs, and blood glucose level 6 as an output. Glucose absorption 5 is externally obtained data, and this function can be realized, for example, by a user inputting testing data and the like using the input device 130. The function blocks 1-4 may be realized by the CPU 100a executing the computer program 140a.
Details of each block in the present embodiment are shown below. The relationship between inputs and outputs in pancreas block 1 are described using the differential equation 1 shown below. Furthermore, the relationship can be realized using the block drawing shown in
Where the variables and the parameters in the differential equation 1 are defined as follows, and each parameter can represent different values for each patient.
Variables
In this case, the blood glucose level 6, which is input to the pancreas block 1 in
In the block drawing of
The relationship between inputs and outputs in liver block 2 are described using the differential equation 2 shown below. Furthermore, the relationship can be realized using the block drawing shown in
Where the variables and the parameters in the differential equation 2 are defined as follows, and each parameter can represent different values for each patient.
Variables
In this case, the blood glucose level 6, which is input to the liver block in
In the block drawing of
The relationship between inputs and outputs in insulin kinetic block 3 are described using the differential equation 3 shown below. Furthermore, the relationship can be realized using the block drawing shown in
dI1(t)/dt=−A3I1(t)+A5I2(t)+A4I3(t)+SRpost(t)
dI2(t)/dt=A6I1(t)−A5I2(t)
dI3(t)/dt=A2I1(t)−A1I3(t) Differential Equation 3
Where the variables and the parameters in the differential equation 3 are defined as follows, and each parameter can represent different values for each patient.
Variables
In this case, the liver-passed insulin 9, which is input to the insulin kinetic block in
In the block drawing of
The relationship between inputs and outputs in peripheral tissue block 4 are described using the differential equation 4 shown below. Furthermore, the relationship can be realized using the block drawing shown in
dBG(t)/dt=−K1·BG(t)−K2·I3(t)·BG(t)+RG(t)+RGout(t) Differential Equation 4
Where the variables and the parameters in the differential equation 4 are defined as follows, and each parameter can represent different values for each patient.
Variables
In this case, the insulin level 10 in the peripheral tissue, which is input to the peripheral tissue block in
In the block drawing of
Then, the operation of the simulation system of the embodiment of the present invention is explained.
At first, a user performs predetermined operation to the input device 130, such as double-clicking to the corresponding icon, instructs the computer 100a to execute the application program 140a. By this, Application program 140a is read-outed from hard disk 110d, and is loaded into RAM 110c. After starting the application program 140a, the time-series data of glucose absorption 5 (i.e. intake of glucose) from digestive organs, glucose concentration (i.e. blood glucose level), and insulin concentration, which provided by OGTT (Oral Glucose-Tolerance Test), are inputted into computer 100a by the user.
The CPU 110a accepts the input of these data (step S1), and implements the parameter values generation process (step S2). In the parameter values generation process S2, the appropriate parameter values for the model are computed. When those appropriate parameter values are set to the model, the time-series data of glucose concentration and insulin concentration approximated to the inputted data is obtained as a simulation result. The genetic algorithm is used for the parameter values generation process S2 of this embodiment, and this process S2 is able to compute the group of the parameter values which obtain the simulation result data most approximated to input data. In addition, besides the genetic algorithm, a well-known other algorithm such as the least-squares method, the steepest descent method or the simulated annealing method may be used as a calculation method of parameter values.
Subsequently, the CPU 110a sets a group of parameter values produced by parameter values generation process S2 to the living body simulation model (step S3), and implements the simulation process (step S4). In the simulation process S4, the glucose absorption 5 is inputted into the living body simulation model, and the insulin concentration 10 and blood glucose concentration 6 which correspond to the glucose absorption 5 is calculated. In this process, the glucose absorption 5 in step S1 may be used, and the time-series data of glucose absorption inputted separately from step S1 may be used. In addition, time-series data of glucose absorption produced by CPU 110a automatically may be used. As shown in
Subsequently, CPU 110a makes display 120 display the time-series data of insulin concentration 10 and blood glucose level 6 which are provided by the simulation process S4 (step S5), and finishes the application program 140a. Then, in the step S5, the graph of which the vertical axis is assigned to the blood glucose level or the insulin concentration and the cross axis is assigned to time, as shown in
In addition, for example, numerical value of the blood glucose level in each time and numerical value of the insulin concentration in each time may be displayed, and besides the time-series data of insulin concentration 10 and blood glucose level 6, other data treated by living body simulation model such as blood insulin concentration 35 may be displayed.
As mentioned above, the successively calculated blood glucose and insulin levels can be displayed on the display 120. In this way a user can easily confirm the results which simulate the organs of a living body. Furthermore, the present system also may be used as a subsystem for simulating body functions in medical systems, such as a diabetic diagnostic support system. In this case, the change over time in the calculated blood glucose and insulin levels may be transferred to other structural elements of the medical system to prepare, for example, diabetic diagnosis support information and the like, so as to provide highly reliable medical treatment information based on the blood glucose and insulin levels calculated by this system.
Calculations using the differential equations in the simulation process S4 can be accomplished using, for example, E-Cell (Public domain software created by Keio University), and MatLab (MathWorks, Inc.). Other calculation systems may also be used.
Shown below is an example of a change over time in blood glucose and insulin levels simulated using this system. This time the values in Table 1 were used as examples of the parameters of each block.
Furthermore, the values of table 2 were used as examples of the initial values of the variables in calculations using the differential equations.
Furthermore, the glucose absorption rate from the alimentary canal used the values shown in
Among the simulation results under the above conditions, the change over time in blood glucose is shown n
As described above, the change over time in blood glucose and insulin levels accompanying glucose absorption can be reproduced in a form which closely matches physiological changes by using the present system. The models used in the present system are easily understandable from a medical perspective since they include blocks respectively corresponding to the pancreas, liver, insulin kinetics, and peripheral tissue as structural elements.
The foregoing detailed description and accompanying drawings have been provided by way of explanation and illustration, and are not intended to limit the scope of the appended claims. Many variations in the presently preferred embodiments illustrated herein will be obvious to one of ordinary skill in the art, and remain within the scope of the appended claims and their equivalents.
Number | Date | Country | Kind |
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2004-141721 | May 2004 | JP | national |