Claims
- 1. A non-invasive method for determining the localized tissue PO2 of a sample tissue of a patient, comprising the steps of:
irradiating the sample tissue with optical radiation such that the radiation propagates into the tissue to illuminate the sample tissue; collecting light radiation emitted from the sample tissue, the light radiation having been reflected or transmitted from the tissue; forming an optical reflectance spectrum of the collected light radiation; and processing the optical reflectance spectrum formed with a predetermined mathematical model of tissue PO2 to determine the localized tissue PO2 of the sample tissue, wherein the mathematical model relates optical spectra to known tissue PO2 values in tissue.
- 2. The method of claim 1, wherein the predetermined mathematical model of tissue PO2 is constructed prior to the step of processing the optical reflectance spectrum.
- 3. The method of claim 2, wherein the predetermined mathematical model of tissue PO2 is constructed by the steps of:
collecting a plurality of optical spectra from at least one representative tissue sample; collecting a plurality of direct measurements of PO2 from the same representative tissue sample over an extended range; and processing the optical spectra and PO2 measurements with a mathematical multivariate calibration algorithm to determine the relationship between the optical spectra and the tissue PO2 measurements.
- 4. The method of claim 3, wherein the algorithm is a partial least-squares fitting algorithm.
- 5. The method of claim 3, wherein the relationship between the optical spectra and the tissue PO2 measurements is linear.
- 6. The method of claim 3, wherein the relationship between optical spectra and the tissue PO2 measurements is non-linear.
- 7. The method of claim 3, further including the step of collecting a tissue value over an extended range of at least one parameter selected from the group consisting of temperature and pH, prior to the step of processing the optical spectra and PO2 measurements.
- 8. The method of claim 3, wherein the plurality of optical spectra are collected from the at least one representative tissue sample in vitro.
- 9. The method of claim 1, further including the step of determining tissue pH simultaneously from the optical reflectance spectrum.
- 10. The method of claim 9, further including the step of detecting a dysoxic tissue state.
- 11. The method of claim 9, further including the step of determining a level of ischemia of the sample tissue using both the calculated pH and localized tissue PO2 data
- 12. The method of claim 9, further including the step of determining the success or failure of a resuscitation by comparing the calculated pH and localized tissue PO2 data to predetermined values for pH and tissue PO2.
- 13. The method of claim 1, wherein the sample tissue comprises muscle or organ.
- 14. The method of claim 1, wherein the sample tissue is disposed underneath a covering tissue of the patient.
- 15. The method of claim 14, wherein the step of irradiating includes irradiating the sample tissue with optical radiation not substantially absorbed by the covering tissue such that the radiation propagates through the covering tissue to irradiate the sample tissue; and
the step of collecting includes collecting radiation from the sample tissue which passes through the covering tissue to form the optical reflectance spectrum.
- 16. The method of claim 14, wherein the covering tissue is skin.
- 17. The method of claim 1, wherein the optical radiation is between about 400 nm and 2500 nm.
- 18. The method of claim 1, wherein the optical radiation is near infrared radiation.
- 19. The method of claim 18, wherein the infrared radiation is between about 450 nm and 1100 nm.
- 20. The method of claim 1, wherein the localized tissue PO2 is in a PO2 range of about 0.0 to about 150 mmHg.
- 21. The method of claim 1, wherein the sample tissue is accessed with an endoscope.
- 22. A device for determining the PO2 of an in vivo tissue sample, comprising:
a spectrometer for irradiating the tissue sample with optical radiation spanning a range of visible and near infrared (NIR) wavelengths, and for collecting a spectrum of light returned from the tissue sample, the spectrometer forming a spectral representation thereof; and a microprocessor operative on the spectral representation to calculate the tissue PO2 of the sample, the microprocessor being programmed to compare the spectral representation to a predetermined mathematical model of tissue PO2 to determine the PO2 of the sample.
- 23. The device of claim 22, wherein the spectrometer includes visible wavelengths above 400 nm.
- 24. The device of claim 22, wherein the predetermined mathematical model of tissue PO2 relates a spectral representation of a representative tissue to tissue PO2.
STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH
[0001] This invention was made with government support under National Space Biomedical Research Institute contract no. NCC9-58-226 under NASA Cooperative Agreement NCC9-58; the government of the United States of America may have certain rights in the invention.
Provisional Applications (1)
|
Number |
Date |
Country |
|
60329406 |
Oct 2001 |
US |