IEEE Trans Biomed Eng. 2018 Apr;65(4):839-846. doi: 10.1109/TBME.2017.2722008. Epub 2017 Jun 30.
In this paper, we report the design and experimental validation of a novel optical sensor for radial artery pulse measurement based on fiber Bragg grating (FBG) and lever amplification mechanism. Pulse waveform analysis is a diagnostic tool for clinical examination and disease diagnosis. High fidelity radial artery pulse waveform has been investigated in clinical studies for estimating central aortic pressure, which is proved to be predictors of cardiovascular diseases. As a three-dimensional cylinder, the radial artery needs to be examined from different locations to achieve optimal pulse waveform for estimation and diagnosis. The proposed optical sensing system is featured as high sensitivity and immunity to electromagnetic interference for multilocation radial artery pulse waveform measurement. The FBG sensor can achieve the sensitivity of 8.236 nm/N, which is comparable to a commonly used electrical sensor. This FBG-based system can provide high accurate measurement, and the key characteristic parameters can be then extracted from the raw signals for clinical applications. The detecting performance is validated through experiments guided by physicians. In the experimental validation, we applied this sensor to measure the pulse waveforms at various positions and depths of the radial artery in the wrist according to the diagnostic requirements. The results demonstrate the high feasibility of using optical systems for physiological measurement and using this FBG sensor for radial artery pulse waveform in clinical applications.
在本文中,我们报告了一种基于光纤布拉格光栅(FBG)和杠杆放大机制的新型桡动脉脉搏测量的光学传感器的设计和实验验证。脉搏波形分析是临床检查和疾病诊断的一种诊断工具。在临床研究中,已经对高保真桡动脉脉搏波形进行了研究,以估计中心主动脉压,这被证明是心血管疾病的预测指标。由于桡动脉是一个三维圆柱体,因此需要从不同位置进行检查,以获得用于估计和诊断的最佳脉搏波形。所提出的光学传感系统具有高灵敏度和对电磁干扰的免疫力,可用于桡动脉多点脉搏波形测量。FBG 传感器可实现 8.236nm/N 的灵敏度,与常用的电传感器相当。该基于 FBG 的系统可提供高精度的测量,并且可以从原始信号中提取关键特征参数,用于临床应用。通过医生指导的实验验证了检测性能。在实验验证中,根据诊断要求,我们将该传感器应用于测量手腕桡动脉的各个位置和深度的脉搏波形。结果表明,使用光学系统进行生理测量以及在临床应用中使用这种 FBG 传感器测量桡动脉脉搏波形具有很高的可行性。