Optical Tomography for Peripheral Artery Disease

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Solution Overview

Problem

Current diagnostic techniques for peripheral arterial disease (PAD) are invasive, costly, and limited in their ability to accurately assess blood flow in non-compressible arteries, particularly in diabetic patients, leading to inconsistent and subjective evaluations.

Innovation Solution

Optical tomography systems using visible and near-infrared light to detect oxygenated and deoxygenated hemoglobin concentrations and blood volume, providing non-invasive, objective imaging of vascular dynamics without the need for contrast agents or compressible arteries, enabling the creation of cross-sectional and volumetric images of blood flow in the lower extremities.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If Digital Subtraction Angiography (DSA) is used to diagnose LEAD, then imaging accuracy is improved, but patient exposure to ionizing radiation and nephrotoxic contrast media increases

Engineering Contradiction:
Improveimaging accuracyVSAvoidionizing radiation and nephrotoxic contrast media exposure
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent replaces the mechanical/invasive DSA system with an optical imaging system that uses light to detect blood flow and vascular structures. This substitution eliminates the need for ionizing radiation and nephrotoxic contrast media while providing non-invasive imaging capability for diagnosing LEAD.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent introduces light as an intermediary substance to visualize blood flow and vascular structures. By using light interaction with blood (absorption, scattering) as a mediator, the system achieves imaging without direct contrast agent injection or radiation exposure, resolving the harmful effects of traditional DSA.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Device complexity

If traditional non-imaging techniques (palpation, pressure cuffs) are used to assess LEAD, then device complexity is reduced, but measurement reliability and objectivity deteriorate

Engineering Contradiction:
Improvesimplicity of assessment toolVSAvoidconsistency of physician evaluation
Core Design Contradiction:
Device complexityVSReliability

Solution Approach 1:

The patent replaces subjective mechanical assessment methods (palpation, pressure cuffs) with an optical imaging system that provides objective visualization of blood flow. This substitution maintains relative simplicity while dramatically improving reliability by eliminating human subjectivity from the assessment process.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent utilizes optical properties including light absorption and scattering variations to detect blood flow dynamics. By measuring changes in light interaction with blood (which can manifest as intensity or spectral changes), the system provides objective, quantifiable data that replaces subjective tactile assessment.

Inventive Principle:
Principle #32Color changes

3Measurement precision

If invasive procedures (arterial catheters) are used for blood pressure monitoring, then measurement accuracy is improved, but patient risk of adverse effects increases

Engineering Contradiction:
Improveblood pressure measurement accuracyVSAvoidrisk of adverse effects
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent replaces invasive mechanical catheter-based measurement with non-invasive optical detection. By using light to detect blood flow and vascular dynamics, the system achieves accurate measurement of hemodynamic parameters without penetrating the skin or entering blood vessels, thereby eliminating the risks associated with invasive procedures.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

4Adaptability or versatility

If current techniques are used to diagnose LEAD in diabetic patients, then diagnostic capability is limited, but the ability to assess blood flow in non-compressible arteries remains insufficient

Engineering Contradiction:
Improvediagnostic capabilityVSAvoidblood flow assessment accuracy in non-compressible arteries
Core Design Contradiction:
Adaptability or versatilityVSMeasurement precision

Solution Approach 1:

The patent replaces compression-based diagnostic techniques with optical imaging that does not rely on arterial compressibility. By using light interaction with blood flow directly, the system can assess blood flow in non-compressible calcified arteries commonly found in diabetic patients, thereby improving both adaptability and measurement precision.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The patent changes the fundamental measurement parameter from mechanical compression response to optical properties (light absorption, scattering). This parameter change enables accurate blood flow assessment in non-compressible arteries by relying on optical interactions rather than mechanical deformability, expanding diagnostic capability for diabetic patients.

Inventive Principle:
Principle #35Parameter changes

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

Enables frequent, non-invasive assessment of PAD, providing objective and reliable imaging of blood flow and vascular changes, particularly in diabetic patients, with the potential for earlier detection and monitoring of vascular diseases.

Implementation Method 1

Optical tomographic imaging uses signals from the amplitude attenuation or phase modification of light scattered by a tissue or sample

Methodology Applied
Scientific EffectLight scattering: Scattering

Implementation Method 2

Amplitude attenuation and phase shift of the received light relative to the injected light can be used to resolve spatial information regarding the absorbing and scattering media in the target

Methodology Applied
Scientific EffectLight absorption: Absorption (EM radiation)

Data Source

PatentUS10178967B2Dynamic optical tomographic imaging devices methods and systems
Publication Date: 2019.01.15 THE TRUSTEES OF COLUMBIA UNIV IN THE CITY OF NEW YORK
  • US10178967B2 patent drawing
  • US10178967B2 patent drawing
  • US10178967B2 patent drawing

AI summary

The disclosed subject matter includes optical tomographic systems for acquiring and displaying dynamic data representing changes in a target tissue sample to external provocation. For example, the disclosed devices, methods and systems may be used for quantifying dynamic vascular changes caused by imposed blood pressure changes for diagnosing peripheral artery disease.