Faculty of Clinical Engineering, Hyogo Medical University Hospital, Nishinomiya 663-8501, Japan.
Department of Clinical Engineering, Faculty of Health Care, Jikei University of Health Care Sciences, Osaka 532-0003, Japan.
Sensors (Basel). 2022 Apr 2;22(7):2745. doi: 10.3390/s22072745.
The condition of arteriovenous fistula (AVF) blood flow is typically checked by using auscultation; however, auscultation should require a qualitative judgment dependent on the skills of doctors, and further attention to contact infection is required. For these reasons, this study developed a non-contact and non-invasive medical device to measure the pulse wave of AVFs by applying optical imaging technology. As a first step toward realization of the quantification judgment based on non-contact AVF measurement, we experimentally validated the developed system, whereby the hemodynamics of 168 subjects were visually and quantitatively evaluated based on clinical tests. Based on the evaluation results, the fundamental statistical characteristics of the non-contact measurement, including the average and median values, and distribution of measured signal-to-noise power ratio, were demonstrated. The clinical test results contributed to the future construction of quantified criteria for the AVF condition with the non-contact measurement.
动静脉瘘(AVF)血流状况通常通过听诊进行检查;然而,听诊需要依赖医生的技能进行定性判断,并且需要进一步注意接触感染。出于这些原因,本研究开发了一种非接触式和非侵入性的医疗设备,通过应用光学成像技术来测量 AVF 的脉搏波。作为基于非接触式 AVF 测量进行量化判断的第一步,我们通过临床测试对所开发的系统进行了实验验证,从而对 168 名受试者的血液动力学进行了可视化和定量评估。根据评估结果,展示了非接触式测量的基本统计特征,包括平均和中位数值,以及测量的信噪比功率比的分布。临床测试结果有助于未来构建非接触式测量的 AVF 状况量化标准。