Intravascular Optical Diffuse Spectroscopy for Direct Blood Flow Assessment
Find Innovative SolutionsGenerate Solutions
Solution Overview
Problem
Current methods for assessing coronary artery stenosis severity, such as fractional flow reserve (FFR) and wall sheer stress, rely on indirect mechanical pressure measurements, which are less accurate and do not provide direct insights into blood flow characteristics.
Innovation Solution
A method and system using intravascular optical diffuse blood flow correlation spectroscopy to directly measure blood flow rate, velocity, and wall sheer stress by delivering and capturing light at multiple wavelengths with a catheter, analyzing the reflected light to determine FFR and wall sheer stress through time series analysis.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If mechanical pressure wire is used to measure FFR, then the measurement can be obtained, but the measurement precision is insufficient due to indirect measurement of blood flow
Solution Approach 1:
The patent replaces the mechanical pressure wire system with an optical measurement system. Light sources (lasers or LEDs) emit light through optical fibers into the blood vessel, and photodetectors capture the scattered light from moving red blood cells. This optical system directly measures blood flow velocity and characteristics, eliminating the need for mechanical pressure measurements and providing superior measurement precision without requiring complex mechanical components.
Solution Approach 2:
The patent uses red blood cells as natural tracers or intermediaries in the blood flow. Instead of introducing external mechanical sensors into the blood stream, the system utilizes the inherent optical properties and movement of red blood cells to infer blood flow characteristics. The light scattering from these natural particles provides direct information about flow velocity and patterns, achieving high precision measurement without mechanical intervention.
2Measurement precision
If mechanical pressure measurements are used to assess wall sheer stress, then the assessment can be performed, but the accuracy is reduced due to indirect measurement
Solution Approach 1:
The patent replaces indirect mechanical pressure-based wall sheer stress assessment with direct optical measurement. By measuring the velocity and distribution of red blood cells using light scattering, the system directly calculates wall sheer stress from observed flow patterns near the vessel wall. This eliminates the need for complex mechanical sensor arrays and provides more accurate local wall sheer stress measurements.
Solution Approach 2:
The patent creates an optical copy or representation of the blood flow field by capturing light scattering patterns from red blood cells. This optical information serves as a proxy that directly reflects the physical state of blood flow, including velocity gradients near the wall that determine wall sheer stress. The optical measurement copy provides more faithful representation of the actual flow conditions than mechanical pressure sensors.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Provides accurate and direct measurements of blood flow characteristics, enabling precise assessment of stenosis severity and blood vessel health, guiding clinical decisions with improved accuracy.
Implementation Method 1
delivering light at one or more wavelengths into the blood vessel using a light delivery portion of a catheter. The method includes capturing reflected light at each of the one or more wavelengths and generating a signal corresponding to light captured
Implementation Method 2
performing a time series analysis for the signal generated in step (b) by the light capturing portion of the catheter, wherein the time series analysis comprises an autocorrelation and/or autocovariance
Data Source
AI summary
A method for evaluating characteristics of a blood vessel and/or of blood flowing within the blood vessel comprises (a) delivering light at one or more wavelengths into the blood vessel using a light delivery portion of a catheter, (b) capturing reflected light at each wavelengths and generating a signal corresponding to light captured at each wavelength using a light capturing portion of the catheter, and (c) determining blood flow rate and/or blood flow velocity within the blood vessel from the signal generated in step (b) by the light capturing portion of the catheter. The method may also include the step of (d) determining a wall sheer stress level and/or fractional flow reserve ratio for the blood vessel from the blood flow rate and/or blood flow velocity determined in step (c).


