CN203000923U - Non-contact magnetic induction-type intracranial pressure monitor - Google Patents
Non-contact magnetic induction-type intracranial pressure monitor Download PDFInfo
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Abstract
本实用新型涉及一种非接触磁感应式颅内压监测仪,包括用于生成激励信号和参考信号的激励源;以及一个环绕在被测头颅周围的磁感应检测装置,该磁感应检测装置连接于所述激励源输出端,根据激励源提供的激励信号产生交变的激励磁场信号,激励磁场信号穿过整个被测头颅,激励磁场信号和二次磁场信号叠加在一起形成一个相对于参考信号发生相位改变的叠加磁场信号;以及鉴相器,鉴相器对所述参考信号和叠加磁场信号的相位差进行检测,该相位差用于反映颅内容物对颅腔壁产生的压力变化。本实用新型可克服脑早期病变引起ICP升高时,有脑脊液和脑血流动力学的调节作用,使ICP升高不大,导致直接ICP监测无法敏感地反映早期病变的改变的缺陷。
The utility model relates to a non-contact magnetic induction type intracranial pressure monitor, comprising an excitation source for generating excitation signals and reference signals; and a magnetic induction detection device surrounding the skull to be measured, which is connected to the At the output end of the excitation source, an alternating excitation magnetic field signal is generated according to the excitation signal provided by the excitation source. The excitation magnetic field signal passes through the entire skull under test, and the excitation magnetic field signal and the secondary magnetic field signal are superimposed together to form a phase change relative to the reference signal. The superimposed magnetic field signal; and a phase detector, the phase detector detects the phase difference between the reference signal and the superimposed magnetic field signal, and the phase difference is used to reflect the pressure change produced by the cranial content on the wall of the cranial cavity. The utility model can overcome the defect that when the ICP rises due to early brain lesions, the cerebrospinal fluid and cerebral hemodynamics can regulate, so that the ICP rises little, and the direct ICP monitoring cannot sensitively reflect the changes of early lesions.
Description
技术领域 technical field
本实用新型属于生物医学医疗设备技术领域,具体涉及神经内外科非接触磁感应颅内压监测仪。 The utility model belongs to the technical field of biomedical medical equipment, in particular to a non-contact magnetic induction intracranial pressure monitor for neurology and surgery.
背景技术 Background technique
各类颅脑外伤、脑肿瘤、脑卒中、脑梗死、脑缺血、脑炎症、癫痫、脑血肿以及高原脑水肿等神经内外科常见疾病,多数病例发病时来势凶猛、病情危重,死亡率高。这些疾病大多伴随颅内压(intracranial pressure, ICP)的增高,它是导致病人病情恶化、预后不良、二次脑损伤和死亡的最常见原因之一。准确、迅速、客观和便捷的ICP监护是观察患者病情变化、进行早期诊断、确定治疗方案、指导临床药物治疗、判断和改善预后的重要手段。 All kinds of craniocerebral trauma, brain tumor, stroke, cerebral infarction, cerebral ischemia, encephalitis, epilepsy, cerebral hematoma, high altitude cerebral edema and other common diseases in neurology and surgery, most of the cases are violent, critical condition and high mortality rate . Most of these diseases are accompanied by increased intracranial pressure (ICP), which is one of the most common causes of patient deterioration, poor prognosis, secondary brain injury, and death. Accurate, rapid, objective and convenient ICP monitoring is an important means to observe changes in patients' conditions, make early diagnosis, determine treatment plan, guide clinical drug treatment, judge and improve prognosis.
ICP是指颅内容物对颅腔壁产生的压力,以脑脊液(cerebrospinal fluid, CSF)压力为代表。现有各种ICP监测方法是以被测生理参数与ICP变化的相关性为基础,存在各种不同的局限性。有创ICP监测方法,例如脑室内、脑实质内、硬膜外或硬脑膜下、蛛网膜下腔、腰椎穿刺法、神经内镜、有创脑电阻抗监护等,存在对人体有损伤、病人痛苦大、容易引起感染等问题;CT和MRI影像学方法,存在检查价格较贵、无法实施床旁和急救现场监护等问题。无创ICP监测方法,包括基于超声的视神经鞘直径、视网膜静脉压或动脉压、闪光视觉诱发电位、鼓膜移位、前囟测压、无创脑电阻抗、微创应变电测法、近红外光谱监测、经颅多普勒等,由于脑早期病变引起ICP升高时,有脑脊液和脑血流动力学的调节作用,使ICP升高不大,导致直接ICP监测无法敏感地反映早期病变的改变。另外,ICP监测方法存在下列问题: ICP refers to the pressure generated by the contents of the cranium on the wall of the cranial cavity, represented by the pressure of cerebrospinal fluid (CSF). Various existing ICP monitoring methods are based on the correlation between measured physiological parameters and ICP changes, and have various limitations. Invasive ICP monitoring methods, such as intraventricular, intraparenchymal, epidural or subdural, subarachnoid space, lumbar puncture, neuroendoscopy, invasive brain electrical impedance monitoring, etc., are harmful to the human body and patients Painful, easy to cause infection and other problems; CT and MRI imaging methods, there are problems such as relatively expensive inspections, and inability to implement bedside and emergency on-site monitoring. Noninvasive ICP monitoring methods, including ultrasound-based optic nerve sheath diameter, retinal venous or arterial pressure, flash visual evoked potentials, tympanic membrane displacement, bregma manometry, noninvasive EEG impedance, minimally invasive strain electrometry, near-infrared spectroscopy Monitoring, transcranial Doppler, etc., because when the ICP rises due to early brain lesions, the cerebrospinal fluid and cerebral hemodynamics can regulate the ICP, so that the direct ICP monitoring cannot reflect the changes of early lesions sensitively . In addition, the ICP monitoring method has the following problems:
①重型颅脑伤、严重烧伤、传染病、皮肤病、皮肤过敏等患者,不便于使用接触式方法进行监护;②接触式方法不能满足个性化和老龄化人群在个性化治疗时对监护的需求;③接触式测量在病人头部安放电极多,临床使用不方便,限制病人的活动,增加不舒适感;④对于特种兵、空军飞行员、宇航员等特殊人群,需要在自然状态下进行监测时,接触式方法更不适合;⑤各种无创ICP监测存在不同程度的检测盲区。 ① For patients with severe craniocerebral injury, severe burns, infectious diseases, skin diseases, skin allergies, etc., it is not convenient to use the contact method for monitoring; ② The contact method cannot meet the needs of individualized and aging populations for individualized treatment; ③Contact measurement places many electrodes on the patient’s head, which is inconvenient for clinical use, restricts the patient’s activities, and increases discomfort; ④For special forces, air force pilots, astronauts and other special groups, when monitoring is required in a natural state, contact Traditional methods are not suitable; ⑤ There are different degrees of detection blind spots in various non-invasive ICP monitoring.
针对现有ICP监测方法的不足和临床神经内外科疾病诊疗的需要,提出一种具有早期病变和深部病变灵敏度高、非接触磁感应式、便于床旁监护的ICP监测方法,对提高神经内外科患者的救治水平具有重要意义。 In view of the deficiency of existing ICP monitoring methods and the needs of diagnosis and treatment of clinical neurological and surgical diseases, an ICP monitoring method with high sensitivity for early lesions and deep lesions, non-contact magnetic induction, and convenient bedside monitoring is proposed, which can improve the clinical value of neurological and surgical patients. The treatment level is of great significance.
发明内容 Contents of the invention
本实用新型所要解决的技术问题在于克服脑早期病变引起ICP升高时,有脑脊液和脑血流动力学的调节作用,使ICP升高不大,导致直接ICP监测无法敏感地反映早期病变的改变,而提出一种非接触磁感应颅内压监测仪。 The technical problem to be solved by the utility model is to overcome the ICP increase caused by early brain lesions, the regulation of cerebrospinal fluid and cerebral hemodynamics, so that the ICP increase is not large, so that direct ICP monitoring cannot sensitively reflect the changes of early lesions , and propose a non-contact magnetic induction intracranial pressure monitor.
解决上述技术问题的技术方案如下: The technical scheme that solves the above-mentioned technical problem is as follows:
一种非接触磁感应颅内压监测仪,包括用于生成激励信号和参考信号的激励源;以及 A non-contact magnetic induction intracranial pressure monitor comprising an excitation source for generating an excitation signal and a reference signal; and
一个环绕在被测头颅周围的磁感应检测装置,该磁感应检测装置连接于所述激励源输出端,磁感应检测装置根据激励源提供的激励信号产生交变的激励磁场信号,激励磁场信号穿过整个被测头颅,在被测头颅内产生涡流,该涡流又产生一个二次磁场信号,激励磁场信号和二次磁场信号叠加在一起形成一个相对于参考信号发生相位改变的叠加磁场信号;以及 A magnetic induction detection device surrounding the measured head, the magnetic induction detection device is connected to the output end of the excitation source, the magnetic induction detection device generates an alternating excitation magnetic field signal according to the excitation signal provided by the excitation source, and the excitation magnetic field signal passes through the whole measuring the head, generating an eddy current in the head under test, and the eddy current generates a secondary magnetic field signal, and the excitation magnetic field signal and the secondary magnetic field signal are superimposed together to form a superimposed magnetic field signal with a phase change relative to the reference signal; and
鉴相器,该鉴相器的输入端分别与所述激励源的输出端以及所述磁感应检测装置的输出端连接,鉴相器对所述参考信号和叠加磁场信号的相位差进行检测,该相位差用于反映颅内容物对颅腔壁产生的压力变化。 A phase detector, the input end of the phase detector is respectively connected to the output end of the excitation source and the output end of the magnetic induction detection device, the phase detector detects the phase difference between the reference signal and the superimposed magnetic field signal, the The phase difference is used to reflect the pressure change produced by the cranial contents on the cranial cavity wall.
采用了上述方案,本实用新型的非接触磁感应颅内压监测仪,通过一个激励源发出的激励信号,使磁感应检测装置产生交变的激励磁场信号,激励磁场信号穿过整个被测头颅,在被测头颅内产生涡流,涡流又产生另外一个磁场信号,称为二次磁场信号,原激励磁场和二次磁场信号叠加在一起一个叠加磁场信号,此叠加磁场信号相对于激励源发出的参考信号(这个参考信号的相位和激励信号的相位是相同的,所以可以代替激励信号)的相位发生改变,用一个多频鉴相器检测此相位差,这个相位差与被测头颅的整体脑组织电导率呈正比关系,而整体脑组织电导率与病变、脑脊液和血液的容积相关,颅内容积直接影响ICP(颅内容物对颅腔壁产生的压力)。因此,可以通过检测叠加磁场信号和参考信号之间的相位差反映ICP的变化。 Adopting the above scheme, the non-contact magnetic induction intracranial pressure monitor of the present invention, through the excitation signal sent by an excitation source, makes the magnetic induction detection device generate an alternating excitation magnetic field signal, and the excitation magnetic field signal passes through the entire skull to be measured. The eddy current is generated in the skull under test, and the eddy current generates another magnetic field signal, which is called the secondary magnetic field signal. The original excitation magnetic field and the secondary magnetic field signal are superimposed together to form a superimposed magnetic field signal. This superimposed magnetic field signal is relative to the reference signal sent by the excitation source. (The phase of the reference signal and the phase of the excitation signal are the same, so it can replace the phase of the excitation signal), and a multi-frequency phase detector is used to detect the phase difference, which is consistent with the overall brain tissue conductance of the measured head. The conductivity of the whole brain tissue is directly proportional to the volume of lesions, cerebrospinal fluid and blood, and the intracranial volume directly affects the ICP (the pressure of the cranial contents on the wall of the cranial cavity). Therefore, the change of ICP can be reflected by detecting the phase difference between the superimposed magnetic field signal and the reference signal.
虽然对于脑早期病变,例如脑水肿、脑出血较小时,脑脊液和脑血流量可以通过代偿作用调节颅内压,使得颅内压升高不大;但由于颅腔是刚性的,当颅腔内容物体积增大到一临界点时,脑脊液和脑血流量无法再进行调节,此时颅内容积微量的增加,就可使颅内压剧增,加重脑移位与脑疝,发生中枢衰竭危象,这是非常危险的,此时往往来不及救治。因此颅内压力-容积关系近似一条指数曲线,成人的临界点范围通常为20~25 mmHg,儿童的临界点范围较低。可以看出,在颅内压未达到临界点时检测病情的变化对病情判断具有较高价值,当前的ICP检测方法检测不到临界点之前颅内病变的变化,而通过本实用新型却能较灵敏地反映早期病变。因此,本实用新型的非接触磁感应颅内压监测仪可以反映由于早期病变、脑脊液和脑血流动力学的调节作用引起的整体脑电导率的变化,从而实现早期病变的监测。 Although for early brain lesions, such as cerebral edema and cerebral hemorrhage, the cerebrospinal fluid and cerebral blood flow can adjust the intracranial pressure through compensatory effects, so that the increase in intracranial pressure is not large; but because the cranial cavity is rigid, when the contents of the cranial cavity When the volume increases to a critical point, the cerebrospinal fluid and cerebral blood flow can no longer be adjusted. At this time, a slight increase in the intracranial volume can cause a sharp increase in intracranial pressure, aggravate brain displacement and brain herniation, and lead to central failure crisis , which is very dangerous, and it is often too late for treatment at this time. Therefore, the intracranial pressure-volume relationship approximates an exponential curve, and the critical point range is usually 20–25 mmHg in adults and lower in children. It can be seen that when the intracranial pressure does not reach the critical point, detecting the change of the disease state has a high value for the judgment of the state of the disease. The current ICP detection method cannot detect the change of the intracranial lesion before the critical point, but the utility model can compare Sensitively reflect early lesions. Therefore, the non-contact magnetic induction intracranial pressure monitor of the present invention can reflect the change of the whole brain conductance caused by early lesion, regulation of cerebrospinal fluid and cerebral hemodynamics, so as to realize the monitoring of early lesion.
另外,由于脑深部病变时,脑脊液和脑血流量的调节是按深部病变近似立方的关系变化,并且与病变体积具有叠加效应,当前ICP检测方法对较小的脑深部病变不灵敏。通过本实用新型可以反映由较小深部病变引起的整体脑电导率的变化,提高对脑深部病变的敏感性。 In addition, due to deep brain lesions, the adjustment of cerebrospinal fluid and cerebral blood flow changes according to the approximate cubic relationship of deep lesions, and has an additive effect with the lesion volume. The current ICP detection method is not sensitive to small deep brain lesions. The utility model can reflect the change of the overall brain conductance caused by small deep lesions and improve the sensitivity to deep brain lesions.
进一步地,激励源为多频正弦激励源,该多频正弦激励源包括供用户设定频率和功率的输入设备,以及连接于所述输入设备输出端的单片机,根据输入设备提供的信号发出控制指令;以及连接于单片机输出端的现场可编程门阵列,接收单片机的控制指令后发生控制时序信号;以及产生时钟频率的晶振;以及与晶振连接的锁相环,将晶振输出的时钟频率信号进行倍频得到参考时钟;以及分别与现场可编程门阵列和锁相环输出端连接于直接数字式频率合成器,根据现场可编程门阵列提供的控制时序,以及根据锁相环提供的参考时钟,生成用户设定的频率和功率信号;以及连接于直接数字式频率合成器输出端的开关选频滤波器,将直接数字式频率合成器输出的频率和功率信号转换为参考信号输出;以及连接于开关选频滤波器输出端的功率放大和匹配器,将开关选频滤波器输出的参考信号进行放大和匹配作为激励信号输出。这种多频正弦激励源使用了高精度直接数字式频率合成器(DDS芯片)以及强大的现场可编程门阵列(FPGA芯片)的控制和同步功能,使得此激励源输出信号的频率稳定度可以达到10-8,明显高于国内其他单位使用的信号。 Further, the excitation source is a multi-frequency sinusoidal excitation source, the multi-frequency sinusoidal excitation source includes an input device for users to set the frequency and power, and a single-chip microcomputer connected to the output end of the input device, and sends out control instructions according to the signal provided by the input device ; and a field programmable gate array connected to the output terminal of the single-chip microcomputer, which generates a control timing signal after receiving the control command of the single-chip microcomputer; and a crystal oscillator which generates a clock frequency; and a phase-locked loop connected with the crystal oscillator, which multiplies the clock frequency signal output by the crystal oscillator Obtain the reference clock; and respectively connect the field programmable gate array and the phase-locked loop output to the direct digital frequency synthesizer, according to the control timing provided by the field programmable gate array and the reference clock provided by the phase-locked loop, generate user The set frequency and power signal; and the switch frequency selection filter connected to the output of the direct digital frequency synthesizer, which converts the frequency and power signal output by the direct digital frequency synthesizer into a reference signal output; and connected to the switch frequency selection filter The power amplifier and matcher at the output end of the filter amplifies and matches the reference signal output by the switch frequency selection filter as an excitation signal output. This multi-frequency sinusoidal excitation source uses a high-precision direct digital frequency synthesizer (DDS chip) and a powerful field-programmable gate array (FPGA chip) control and synchronization functions, so that the frequency stability of the output signal of this excitation source can be Reached 10 -8 , significantly higher than the signals used by other domestic units.
更进一步地,所述多频正弦激励源用于生成200KHz,1MHz,10.7MHz,21.4MHz,30.85MHz,40.05MHz,49.95MHz共7个频率的标准正弦信号,输出信号功率调节范围为:10mW—2W。该多频正弦激励源具有多频输出和大功率调节的特点,这也是其他单位激励源电路所不具有的特点。通过实验筛选出1MHz、10.7MHz、21.4MHz3个正弦激励频率,以适应临床神经内外科疾病监测的不同要求,例如,不同类型的脑出血、脑水肿、脑肿瘤区分。 Furthermore, the multi-frequency sinusoidal excitation source is used to generate 200KHz, 1MHz, 10.7MHz, 21.4MHz, 30.85MHz, 40.05MHz, 49.95MHz, a total of 7 standard sinusoidal signals, and the output signal power adjustment range is: 10mW— 2W. The multi-frequency sinusoidal excitation source has the characteristics of multi-frequency output and high power regulation, which are also characteristics that other unit excitation source circuits do not have. Three sinusoidal excitation frequencies of 1MHz, 10.7MHz, and 21.4MHz were selected through experiments to meet the different requirements of clinical neurological and surgical disease monitoring, such as different types of cerebral hemorrhage, cerebral edema, and brain tumors.
进一步地,所述激励源包括产生时钟频率的晶体振荡器;以及连接于晶体振荡器输出端的功率分配器,将晶体振荡器生成的时钟频率分成第一路时钟频率和第二路时钟频率;以及连接于功率分配器输出端的第一振幅调整器,调整功率分配器输出的第一路时钟频率成为参考信号;以及连接于功率分配器输出端的第二振幅调整器,调整功率分配器输出的第二路时钟频率;以及连接于第二振幅调整器输出端的功率放大器,将来自于第二振幅调整器的输出信号进行放大成为激励信号。 Further, the excitation source includes a crystal oscillator generating a clock frequency; and a power divider connected to the output of the crystal oscillator, which divides the clock frequency generated by the crystal oscillator into a first clock frequency and a second clock frequency; and The first amplitude adjuster connected to the output end of the power divider adjusts the first clock frequency output by the power divider to become a reference signal; and the second amplitude adjuster connected to the output end of the power divider adjusts the second clock frequency output by the power divider. clock frequency; and a power amplifier connected to the output end of the second amplitude adjuster to amplify the output signal from the second amplitude adjuster to become an excitation signal.
进一步地,所述磁感应检测装置由间隔布置的激励线圈和检测线圈组成,激励线圈和检测线圈以相互平行且在同轴固定在有机玻璃套筒的外表面。被测头颅中任何部位病变引起的感应磁场变化都可以被检测到,具有较高的监测灵敏度,可以检测到兔颅内由0.8ml出血引起的ICP变化。本实用新型的磁感应检测仪的优点在于:1、非接触,无创伤(当前ICP检测方法需要将传感器头插入颅脑内)。2、灵敏度高,可以检测很小出血量引起的ICP变化,并且检测的结果与ICP呈相关性。 Further, the magnetic induction detection device is composed of excitation coils and detection coils arranged at intervals, and the excitation coils and detection coils are fixed on the outer surface of the plexiglass sleeve so as to be parallel to each other and coaxial. Changes in the induced magnetic field caused by lesions in any part of the tested head can be detected, with high monitoring sensitivity, and ICP changes caused by 0.8ml hemorrhage in the rabbit's skull can be detected. The advantages of the magnetic induction detector of the present invention are: 1. Non-contact and non-invasive (the current ICP detection method needs to insert the sensor head into the brain). 2. High sensitivity, can detect ICP changes caused by a small amount of bleeding, and the detection results are correlated with ICP.
进一步地,所述鉴相器包括第一滤波器,对激励源输出的参考信号进行预滤波;以及连接于第一滤波器输出端的第一程控增益放大器,对预滤波后的参考信号根据用户设置的增益通过数字可编程增益放大器被调理到A/D转换器的输入范围内;以及第二滤波器,对磁感应检测装置输出的叠加磁场信号进行预滤波;以及连接于第二滤波器输出端的第二程控增益放大器,对预滤波后的叠加磁场信号根据用户设置的增益通过数字可编程增益放大器被调理到A/D转换器的输入范围内;以及分别与第一程控增益放大器和第二程控增益放大器连接的A/D转换器,将来自于第一程控增益放大器和第二程控增益放大器转换为数字信号;以及与A/D转换器连接的数据采集器,对A/D转换器输出的两路信号进行同步采集;以及与数据采集器连接的现场可编程门阵列,为各部分电路提供工作时序以及作为接口电路;以及与现场可编程门阵列连接的DSP,用于完成快速傅里叶变换,计算输入两路信号的相位差;以及与DSP连接的同步动态随机存储器,DSP处理数据时将数据从SDRAM中读出,进行快速傅里叶变换,得到相位差数据;以及与DSP连接的显示器,DSP再获得的相位差数据送往显示器实时显示,并绘制相位差曲线。本实用新型的鉴相器采用独立的DSP和现场可编程门阵列(FPGA芯片)完成数据采集和算法处理,达到了高精度和小型化的特点。本实用新型的鉴相器可以达到0.02°的鉴相精度,完全达到或超过国外仪器,更具有低成本和便携式的特点。 Further, the phase detector includes a first filter for pre-filtering the reference signal output by the excitation source; and a first programmable gain amplifier connected to the output end of the first filter for pre-filtering the reference signal according to user settings The gain of the digital programmable gain amplifier is adjusted to the input range of the A/D converter; and the second filter is used to pre-filter the superimposed magnetic field signal output by the magnetic induction detection device; and the first filter connected to the output end of the second filter Two programmable gain amplifiers, the pre-filtered superimposed magnetic field signal is adjusted to the input range of the A/D converter through the digital programmable gain amplifier according to the gain set by the user; and the first programmable gain amplifier and the second programmable gain amplifier respectively The A/D converter connected to the amplifier converts the first program-controlled gain amplifier and the second program-controlled gain amplifier into digital signals; synchronous acquisition of signals; and a field programmable gate array connected to the data collector to provide working timing for each part of the circuit and as an interface circuit; and a DSP connected to the field programmable gate array to complete the fast Fourier transform , to calculate the phase difference of the input two-way signal; and the synchronous dynamic random access memory connected to the DSP, when the DSP processes the data, the data is read from the SDRAM, and the fast Fourier transform is performed to obtain the phase difference data; and the display connected to the DSP , the phase difference data obtained by the DSP is sent to the monitor for real-time display, and the phase difference curve is drawn. The phase detector of the utility model adopts an independent DSP and a field programmable gate array (FPGA chip) to complete data collection and algorithm processing, and achieves the characteristics of high precision and miniaturization. The phase detector of the utility model can achieve a phase detection accuracy of 0.02°, completely reaching or exceeding foreign instruments, and has the characteristics of low cost and portability.
更进一步,所述鉴相器还包括一个与现场可编程门阵列连接的时钟模块,现场可编程门阵列通过时钟模块提供的同步时钟,为数据采集器提供采样时钟,以及为DSP提供数据传输时钟。通过这种方式可保证参考信号和叠加磁场信号的同步处理。 Furthermore, the phase detector also includes a clock module connected with the field programmable gate array, the synchronous clock provided by the field programmable gate array through the clock module provides the sampling clock for the data collector, and provides the data transmission clock for the DSP . In this way, a synchronous processing of the reference signal and the superimposed magnetic field signal is guaranteed.
更进一步,所述鉴相器还包括一个与DSP连接的外部闪存,12小时的相位差数据存储到DSP内部的RAM或外部闪存中。DSP可将采集到的实时数据通过DMA总线存储到外部闪存中,DSP处理数据时将数据从外部闪存中读出,进行快速傅里叶变换,从而得到相位差数据。 Furthermore, the phase detector also includes an external flash memory connected to the DSP, and the 12-hour phase difference data is stored in the internal RAM of the DSP or the external flash memory. The DSP can store the collected real-time data in the external flash memory through the DMA bus. When the DSP processes the data, it reads the data from the external flash memory and performs fast Fourier transform to obtain the phase difference data.
附图说明 Description of drawings
图1为本实用新型的非接触磁感应颅内压监测仪的电路方框图; Fig. 1 is the circuit block diagram of the non-contact magnetic induction intracranial pressure monitor of the present utility model;
图2为图1中激励源的优选实施例的电路方框图; Fig. 2 is the circuit block diagram of the preferred embodiment of excitation source among Fig. 1;
图3为图1中激励源的另一实施例的电路方框图; Fig. 3 is the circuit block diagram of another embodiment of excitation source among Fig. 1;
图4为图1中激励源的又一实施例的电路方框图; Fig. 4 is the circuit block diagram of another embodiment of excitation source among Fig. 1;
图5为磁感应检测装置的优选实施例的结构示意图; Fig. 5 is a schematic structural view of a preferred embodiment of a magnetic induction detection device;
图6为图1中鉴相器激的优选实施例的电路方框图; Fig. 6 is the circuit block diagram of the preferred embodiment of phase detector excitation among Fig. 1;
图7为动物实验获得的颅内压和磁感应相位移关系曲线的对应关系; Fig. 7 is the corresponding relationship between the intracranial pressure and the magnetic induction phase displacement relationship curve obtained in animal experiments;
10为激励源,100为多频正弦激励源,101为输入设备,102为单片机,103为现场可编程门阵列,104为晶振,105为锁相环,106为直接数字式频率合成器,107为开关选频滤波器,108为功率放大和匹配器,109为显示器;110为晶体振荡器,111为功率分配器,112为第一振幅调整器,113为第二振幅调整器,114为功率放大器; 10 is an excitation source, 100 is a multi-frequency sinusoidal excitation source, 101 is an input device, 102 is a single-chip microcomputer, 103 is a field programmable gate array, 104 is a crystal oscillator, 105 is a phase-locked loop, 106 is a direct digital frequency synthesizer, 107 108 is a power amplifier and matching device, 109 is a display; 110 is a crystal oscillator, 111 is a power divider, 112 is a first amplitude regulator, 113 is a second amplitude regulator, and 114 is a power amplifier;
20为磁感应检测装置,200为激励线圈,201为检测线圈; 20 is a magnetic induction detection device, 200 is an excitation coil, and 201 is a detection coil;
300为第一滤波器,301为第一程控增益放大器,302为第二滤波器,303为第二程控增益放大器,304为A/D转换器,305为数据采集器,306为现场可编程门阵列,307为DSP,308为同步动态随机存储器,309为显示器,310为时钟模块,311为外部闪存。 300 is a first filter, 301 is a first programmable gain amplifier, 302 is a second filter, 303 is a second programmable gain amplifier, 304 is an A/D converter, 305 is a data collector, and 306 is a field programmable gate Array, 307 is a DSP, 308 is a synchronous dynamic random access memory, 309 is a display, 310 is a clock module, and 311 is an external flash memory.
具体实施方式 Detailed ways
参照图1,本实用新型的非接触磁感应颅内压监测仪,由激励源10、一个环绕在被测头颅周围的磁感应检测装置20以及鉴相器30组成,下面对每部分进行详细说明:
Referring to Fig. 1, the non-contact magnetic induction intracranial pressure monitor of the present invention is composed of an
参照图1和图2,激励源10用于生成激励信号和参考信号。本实用新型的激励源优选为多频正弦激励源100,该多频正弦激励源用于生成200KHz,1MHz,10.7MHz,21.4MHz,30.85MHz,40.05MHz,49.95MHz共7个频率的标准正弦信号,输出信号功率调节范围为:10mW—2W,信号的频率稳定度达到10-8。多频正弦激励源100包括供用户设定频率和功率的输入设备101,输入设备101为键盘或者触摸屏,本实施例中的输入设备为键盘。以及连接于所述输入设备输出端的单片机102,单片机102根据输入设备提供的信号发出控制指令,单片机102用物控制整个多频正弦激励源的工作。以及连接于单片机输出端的现场可编程门阵列(图2中的FPGA芯片)103,现场可编程门阵列103接收单片机的控制指令后发生控制时序信号。以及产生时钟频率的晶振104。以及与晶振连接的锁相环(图2中的PLL芯片)105,锁相环105将晶振输出的时钟频率信号进行倍频得到参考时钟;锁相环105将晶振输出的100MHz时钟频率进行倍频,得到800MHz的时钟频率信号作为直接数字式频率合成器(图2中的DDS芯片)的参考时钟。以及分别与现场可编程门阵103列和锁相环105输出端连接于直接数字式频率合成器106,根据现场可编程门阵列提供的控制时序,以及根据锁相环提供的参考时钟,生成用户设定的频率和功率信号。以及连接于直接数字式频率合成器输出端的开关选频滤波器107,将直接数字式频率合成器输出的频率和功率信号转换为参考信号输出;以及连接于开关选频滤波器输出端的功率放大和匹配器108,将开关选频滤波器输出的参考信号进行放大和匹配作为激励信号输出。所述多频正弦激励源还包括一个连接于单片机输出端的显示器(图2中的LCD)109,用于显示用于当前设置的频率和功率参数。
1 and 2, an
上述多频正弦激励源电路工作过程为:当单片机102接收到来自为输入设备101的命令以后,一方面控制现场可编程门阵列103为直接数字式频率合成器106提供各种控制时序。一方面将当前设置的频率和功率参数输出到显示器109显示。直接数字式频率合成器106在锁相环105提供的800MHz参考时钟和现场可编程门阵列103控制时序作用下,生成用户设定的频率和功率输出。直接数字式频率合成器106输出的信号又经过开关选频滤波器进行滤波生成一路参考信号。参考信号经过三级功率放大电路和功率匹配电路作为一路激励信号输出。此激励源最终可以输出200KHz,1MHz,10.7MHz,21.4MHz,30.85MHz,40.05MHz,49.95MHz共7个频率的标准正弦信号。信号的频率稳定度达到10-8。输出的激励信号功率调节范围为:10mW—2W。每种频率的参考信号幅度固定,参考信号和激励信号之间的相位差固定不变。
The working process of the above-mentioned multi-frequency sinusoidal excitation source circuit is: when the single-
参照图1和图3,本实用新型的激励源还可以为晶体振荡器器组成的激励源,具体结构为:所述激励源包括产生时钟频率的晶体振荡器110;以及连接于晶体振荡器输出端的功率分配器111,将晶体振荡器生成的时钟频率分成第一路时钟频率和第二路时钟频率;以及连接于功率分配器输出端的第一振幅调整器112,调整功率分配器输出的第一路时钟频率成为参考信号;以及连接于功率分配器输出端的第二振幅调整器113,调整功率分配器输出的第二路时钟频率;以及连接于第二振幅调整器输出端的功率放大器114,将来自于第二振幅调整器的输出信号进行放大成为激励信号。
With reference to Fig. 1 and Fig. 3, the excitation source of the present utility model can also be the excitation source that crystal oscillator forms, and concrete structure is: described excitation source comprises the
参照图1和图4,本实用新型的激励源不限于上述实施例,还可以采用如图4所示的结构,晶振生成的时钟频率信号分两路输出,一路采用直接数字频率合成器口作为信号产生的基础,输出的信号经过滤波器滤波,再经缓冲放大器进行阻抗变换后,输参考信号。另一路采用直接数字频率合成器口作为信号产生的基础,输出的信号经过滤波器滤波,再经缓冲放大器进行阻抗变换后经功放进行放大得到激励信号。 With reference to Fig. 1 and Fig. 4, the excitation source of the present utility model is not limited to above-mentioned embodiment, can also adopt the structure as shown in Fig. 4, the clock frequency signal that the crystal oscillator generates divides two-way output, one way adopts direct digital frequency synthesizer port as The basis of signal generation, the output signal is filtered by a filter, and then the reference signal is input after impedance transformation by the buffer amplifier. The other channel uses the direct digital frequency synthesizer port as the basis for signal generation, and the output signal is filtered by a filter, then impedance transformed by a buffer amplifier, and then amplified by a power amplifier to obtain an excitation signal.
参照图1和图5,本实用新型中的磁感应检测装置20,磁感应检测装置用于环绕在被测头颅周围。该磁感应检测装置20连接于所述激励源10的输出端,磁感应检测装置根据激励源提供的激励信号产生交变的激励磁场信号,激励磁场信号穿过整个被测头颅,在被测头颅内产生涡流,该涡流又产生一个二次磁场信号,激励磁场信号和二次磁场信号叠加在一起形成一个相对于参考信号发生相位改变的叠加磁场信号。所述磁感应检测装置由间隔布置的激励线圈200和检测线圈201组成,激励线圈200和检测线圈201以相互平行且在同轴固定在有机玻璃套筒(机玻璃套筒在图中未示出)的外表面。激励线圈和检测线圈均由铜漆包线绕制而成,激励线圈和检测线圈的直径均为10—30cm,两线圈的直径优选均为25cm,激励线圈和检测线圈间隔距离为6—9cm,激励线圈和检测线圈间隔距离优选为8.5 cm,且上下各有5cm可调空间。本实用新型的磁感应检测装置20具有较高的监测灵敏度,以兔作实验,可以检测到兔颅内由0.8ml出血引起的ICP变化。
Referring to FIG. 1 and FIG. 5 , the magnetic
参照图1和图6,鉴相器30为多频鉴相器,鉴相器30的输入端分别与所述激励源10的输出端以及所述磁感应检测装置20的输出端连接,鉴相器对所述参考信号和叠加磁场信号的相位差进行检测,该相位差用于反映颅内容物对颅腔壁产生的压力变化。本实用新型的鉴相器优选包括第一滤波器300,对激励源输出的参考信号进行预滤波,第一滤波器300由低通滤波器和带通滤波器组成。以及连接于第一滤波器输出端的第一程控增益放大器301,对预滤波后的参考信号根据用户设置的增益通过数字可编程增益放大器被调理到A/D转换器的输入范围内。以及第二滤波器302,对磁感应检测装置输出的叠加磁场信号进行预滤波,第二滤波器302也由低通滤波器和带通滤波器组成。以及连接于第二滤波器输出端的第二程控增益放大器303,对预滤波后的叠加磁场信号根据用户设置的增益通过数字可编程增益放大器被调理到A/D转换器的输入范围内。以及分别与第一程控增益放大器301和第二程控增益放大器303连接的A/D转换器304,将来自于第一程控增益放大器和第二程控增益放大器转换为数字信号。以及与A/D转换器连接的数据采集器305,对A/D转换器输出的两路信号进行同步采集;以及与数据采集器连接的现场可编程门阵列306,为各部分电路提供工作时序以及作为接口电路;以及与现场可编程门阵列(图6中的FPGA芯片)连接的DSP307,用于完成快速傅里叶变换,计算输入两路信号的相位差。以及与DSP连接的同步动态随机存储器308,DSP处理数据时将数据从同步动态随机存储器(图6中的SDRAM芯片)308中读出,进行快速傅里叶变换,得到相位差数据。以及与DSP连接的显示器309,DSP再获得的相位差数据送往显示器(图6中的LCD)实时显示,并绘制相位差曲线。所述鉴相器还包括一个与现场可编程门阵列306连接的时钟模块310,现场可编程门阵列通过时钟模块提供的同步时钟,为数据采集器提供采样时钟,以及为DSP提供数据传输时钟。所述鉴相器还包括一个与DSP连接的外部闪存(图6中的Flash芯片)311,12小时的相位差数据存储到DSP内部的RAM或外部闪存中。另外,DSP还可以通过RS232接口输出到个人计算机。键盘312用于对整个鉴相器的控制。
With reference to Fig. 1 and Fig. 6,
两路输入同频率的参考信号和叠加磁场信号分别通过各自对应的滤波器进行预滤波。预滤波后的信号根据用户设置的增益通过数字可编程增益放大器被调理到A/D转换器的输入范围内。通过数据采集器对两路信号进行同步采集,送往现场可编程门阵列。现场可编程门阵列通过与DSP的SPORT接口逻辑将采样数字信号送给DSP,DSP进行快速傅里叶变换,得到相位差数据。DSP再将相位差数据送往显示器实时显示,并绘制相位差曲线。 The reference signals and the superimposed magnetic field signals of the two input channels with the same frequency are pre-filtered through their respective filters. The pre-filtered signal is conditioned to be within the input range of the A/D converter via a digitally programmable gain amplifier according to a user-set gain. The two-way signals are collected synchronously by the data collector and sent to the field programmable gate array. The field programmable gate array sends the sampling digital signal to the DSP through the SPORT interface logic of the DSP, and the DSP performs fast Fourier transform to obtain the phase difference data. The DSP then sends the phase difference data to the monitor for real-time display, and draws a phase difference curve.
另外,鉴相器30不限于图6所示的实施例,还可以采用如降频锁相放大器法、集成鉴相芯片以及基于虚拟仪器的软件鉴相。下面对这几种鉴相法进行介绍:
In addition, the
降频锁相放大器是常用的方法,将检测线圈的信号经差动放大器放大,与接近激励频率的信号进行混频,通过混频将高频频率降到一定的低频频率,经低通滤波和缓冲放大输入到锁定放大器;从激励线圈端获得的参考信号,也通过降频、低通滤波和缓冲放大后,输入到锁定放大器的参考端;降频后的检测信号和参考信号经过锁定放大器,输出检测信号的实部和虚部分量,或者经A/D转换器转换存入计算机,可计算出代表幅度和相位的信息。锁相放大器工作在较高频率的时候相位漂移往往较大,其内部频繁的锁定和同步过程限制了系统的测量速度,锁相放大器内部合成的参考信号与外部参考信号之间也不是完全同步。此外,锁相法结构复杂,系统庞大,测量不灵活,不利于小型化。当前国内主要采用国外进口的锁相放大器仪器进行鉴相,代表产品有美国斯坦福研究室研制的SR830,SR844锁相放大器。 The down-frequency lock-in amplifier is a commonly used method. The signal of the detection coil is amplified by the differential amplifier, mixed with the signal close to the excitation frequency, and the high-frequency frequency is reduced to a certain low-frequency frequency through the frequency mixing. Buffer and amplify the input to the lock-in amplifier; the reference signal obtained from the excitation coil end is also input to the reference terminal of the lock-in amplifier after frequency reduction, low-pass filtering and buffer amplification; the detection signal and reference signal after frequency reduction pass through the lock-in amplifier, The real part and imaginary part of the detection signal are output, or converted and stored in the computer through the A/D converter, and the information representing the amplitude and phase can be calculated. When the lock-in amplifier works at a higher frequency, the phase drift tends to be large, and its internal frequent locking and synchronization processes limit the measurement speed of the system, and the internally synthesized reference signal of the lock-in amplifier is not completely synchronized with the external reference signal. In addition, the phase-locking method has a complex structure, a huge system, and inflexible measurement, which is not conducive to miniaturization. At present, lock-in amplifiers imported from abroad are mainly used for phase identification in China. Representative products include SR830 and SR844 lock-in amplifiers developed by Stanford Research Laboratory in the United States.
当前集成鉴相芯片有AD8302和SYPD-1等,AD8302相位差分辨率只有0.5°,SYPD-1分辨率在0.05°左右,当输入信号的幅度变化时,输出信号漂移非常大,所以鉴相芯片最大的问题是输出信号不稳定。 The current integrated phase detection chips include AD8302 and SYPD-1, etc. The phase difference resolution of AD8302 is only 0.5°, and the resolution of SYPD-1 is about 0.05°. When the amplitude of the input signal changes, the output signal drifts very large, so the phase difference chip The biggest problem is that the output signal is unstable.
软件鉴相也叫数字鉴相,是当前鉴相的一种新的发展趋势。检测信号经过低噪声窄带放大器放大、晶体滤波器选频和高增益窄带放大器后,通过AD转换成数字信号后,再使用各种处理器对数字信号进行相关解调,获得检测信号的实部和虚部,获得相位和幅度信息。软件鉴相法具有较高的精度和较大的灵活性,但是利用计算机和虚拟仪器进行软件鉴相成本增加,同样不利于小型化。 Software phase identification is also called digital phase identification, which is a new development trend of current phase identification. After the detection signal is amplified by a low-noise narrow-band amplifier, frequency-selected by a crystal filter, and a high-gain narrow-band amplifier, it is converted into a digital signal by AD, and then the digital signal is demodulated by various processors to obtain the real part of the detection signal and The imaginary part, to obtain phase and magnitude information. The software phase identification method has higher precision and greater flexibility, but the cost of software phase identification using computers and virtual instruments increases, which is also not conducive to miniaturization.
本实用新型优选的鉴相器(图6所示的实施例)考虑到上述鉴相方法的优缺点,采用独立的DSP和FPGA芯片完成数据采集和算法处理,达到了高精度和小型化的特点。本鉴相器可以达到0.02°的鉴相精度,完全达到或超过国外仪器,更具有低成本和便携式的特点。 The preferred phase detector of the utility model (the embodiment shown in Figure 6) takes into account the advantages and disadvantages of the above-mentioned phase detection method, and adopts independent DSP and FPGA chips to complete data acquisition and algorithm processing, achieving the characteristics of high precision and miniaturization . The phase detector can achieve a phase detection accuracy of 0.02°, completely reaching or exceeding foreign instruments, and has the characteristics of low cost and portability.
本实用新型通过测量6只家兔脑出血情况下的磁感应相位差(Magnetic Induction Phase Shift,MIPS)的变化,并与脑室内ICP监测进行对比研究。主要包括:多频正弦激励源、磁感应检测装置、多频鉴相器、兔台、生理信号采集仪和注射泵等;采集的主要参数有MIPS、心电信号(ECG)、脑室内ICP和动脉压(APP)等。通过家兔内囊出血模型,获得脑室内ICP监测和非接触磁感应相位差测量的对应关系,如图7所示。本实用新型的非接触磁感应式ICP监测方法主要优点是:实现ICP的非接触无创伤监测;早期病变的灵敏度高于传统脑室内ICP监测;解决了严重脑创伤、皮肤病和皮肤过敏、传染病病人无法粘贴接触电极的问题。 The utility model measures the changes of Magnetic Induction Phase Shift (MIPS) in the case of cerebral hemorrhage in 6 rabbits, and conducts a comparative study with intraventricular ICP monitoring. It mainly includes: multi-frequency sinusoidal excitation source, magnetic induction detection device, multi-frequency phase detector, rabbit station, physiological signal acquisition instrument and injection pump, etc.; the main parameters collected include MIPS, electrocardiographic signal (ECG), intraventricular ICP and arterial Pressure (APP), etc. Through the internal capsule hemorrhage model in rabbits, the corresponding relationship between intraventricular ICP monitoring and non-contact magnetic induction phase difference measurement was obtained, as shown in Figure 7. The main advantages of the non-contact magnetic induction ICP monitoring method of the utility model are: realize the non-contact and non-invasive monitoring of ICP; the sensitivity of early pathological changes is higher than that of traditional intraventricular ICP monitoring; solve severe brain trauma, skin diseases, skin allergies, and infectious diseases Patient's inability to stick contact electrodes.
最后,将本实用新型的非接触磁感应颅内压监测仪与第四军医大学专利( 专利号为:ZL200510042937.6)进行对比,在监测参数、激励检测方式、激励方式、监测对象、适用范围等方面不同,具体表现为:①第四军医大学专利通过局部监测获得被测头颅电导率的分布,本实用新型监测被测头颅整体脑组织电导率;②第四军医大学专利采用多激励检测线圈结构,本实用新型采用单个激励检测线圈结构,且激励检测线圈直径大于被测头颅直径;③第四军医大学专利采用单频激励方式,本实用新型采用多频激励方式;④第四军医大学专利监测脑水肿引起的电导率分布变化,本实用新型监测整体脑脊液与脑血流量的变化;⑤第四军医大学专利限于脑水肿监测,本实用新型适用于各种常见神经内外科疾病的ICP监测。 Finally, compare the non-contact magnetic induction intracranial pressure monitor of the present invention with the patent of the Fourth Military Medical University (Patent No.: ZL200510042937.6), in terms of monitoring parameters, excitation detection methods, excitation methods, monitoring objects, scope of application, etc. Different aspects, specifically as follows: ① The patent of the Fourth Military Medical University obtains the distribution of the conductivity of the measured skull through local monitoring, and the utility model monitors the conductivity of the whole brain tissue of the measured skull; ② The patent of the Fourth Military Medical University adopts a multi-excitation detection coil structure , the utility model adopts a single excitation detection coil structure, and the diameter of the excitation detection coil is larger than the measured head diameter; ③ The Fourth Military Medical University patent adopts a single-frequency excitation method, and the utility model adopts a multi-frequency excitation method; ④ The Fourth Military Medical University patent monitoring The change of electrical conductivity distribution caused by cerebral edema, the utility model monitors the change of the overall cerebrospinal fluid and cerebral blood flow; ⑤ The patent of the Fourth Military Medical University is limited to the monitoring of cerebral edema, and the utility model is suitable for ICP monitoring of various common neurological and surgical diseases.
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| CN102973260A (en) * | 2012-11-30 | 2013-03-20 | 中国人民解放军第三军医大学生物医学工程与医学影像学院 | Noncontact magnetic sensing-type intracranial pressure monitoring device |
| CN103610452A (en) * | 2013-12-03 | 2014-03-05 | 中国人民解放军第三军医大学 | Non-contact magnetic induction type pulse detection method |
| CN103919542A (en) * | 2014-04-29 | 2014-07-16 | 中国人民解放军第三军医大学 | Non-contact cerebrospinal fluid pulse pressure wave monitoring device based on magnetic induction |
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