Fluid status determination using bioimpedance
US-2024374158-A1 · Nov 14, 2024 · US
US10716489B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10716489-B2 |
| Application number | US-201515518034-A |
| Country | US |
| Kind code | B2 |
| Filing date | Oct 12, 2015 |
| Priority date | Oct 10, 2014 |
| Publication date | Jul 21, 2020 |
| Grant date | Jul 21, 2020 |
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A method is described for determining biological tissue type based on a complex impedance spectra obtained from a probe with a conducting part adjacent a tissue region of interest, wherein the impedance spectra includes data from a number of frequencies. The method may include: obtaining, from the complex impedance spectra, a first data set representative of impedance modulus values, or equivalent admittance values, at one or more frequencies, obtaining, from the complex impedance spectra, a second data set representative of impedance phase angle values, or equivalent admittance values, at one or more different frequencies, applying a first discrimination criterion to the first data set, applying a second discrimination criterion to the second data set, and thereby determining if the tissue region of interest is a tissue type characterised by the discrimination criteria.
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We claim: 1. A method of determining if a biological tissue region of interest includes intraneural tissue based on a complex impedance spectra that has been obtained from a probe with a conducting part adjacent the tissue region of interest, wherein the impedance spectra includes data from a plurality of frequencies, the method comprising: obtaining, from the complex impedance spectra, a first data set representative of impedance modulus values, or equivalent admittance values, at one or more frequencies; obtaining, from the complex impedance spectra, a second data set representative of impedance phase angle values, or equivalent admittance values, at one or more different frequencies; applying a first discrimination criterion to the first data set to determine whether or not the impedance modulus is below a value known to exclude subcutaneous fat tissue; applying a second discrimination criterion to the second data set to determine if the phase angle at a set frequency is above a threshold level that is known to exclude at least one of muscle tissue and perineural tissue; applying a third discrimination criterion to the second data set to determine if a gradient of the phase angle at a set frequency is larger than 3/126 degrees per kHz at a set frequency that is above 10 kHz and below 400 kHz; and thereby determining if the tissue region of interest includes intraneural tissue. 2. A method as claimed in claim 1 , comprising obtaining and comparing impedance spectra for known tissue types in order to identify frequencies at which data parameters including two or more of impedance modulus, phase angle, and phase angle gradient have the greatest difference for different tissue types, and selecting discrimination criteria at these frequencies to thereby provide the impedance modulus value for the first discrimination criterion, the threshold phase angle for the second discrimination criterion, and the threshold gradient for the third discrimination criterion. 3. A method as claimed in claim 2 , comprising using a compound variable based on the three discrimination criteria to determine if the tissue region of interest includes intraneural tissue. 4. A method as claimed in claim 1 , wherein the first discrimination criterion requires an impedance of less than 2500 Ohms at a frequency in the range of 10 kHz to 50 kHz. 5. A method as claimed in claim 1 , wherein the first discrimination criterion requires an impedance of less than 2200 Ohms at a frequency of about 39 kHz. 6. A method as claimed in claim 1 , wherein the second discrimination criterion requires a phase angle of less than 25 degrees at a frequency selected from the range 10 kHz to 50 KHz. 7. A method as claimed in claim 6 , wherein the second discrimination criterion requires a phase angle of less than 25 degrees at about 39 kHz. 8. A method as claimed in claim 1 , wherein the third discrimination criterion requires an increase in phase angle of larger than 3 degrees for the phase angle at 251 kHz compared to the phase angle at 125 kHz. 9. A method as claimed in claim 1 , wherein the third discrimination criterion excludes phase angle gradients above 0.06 degrees per kHz. 10. A computer programme product comprising instructions that, when executed, will configure a data processing apparatus to carry out the method of claim 1 . 11. A method as claimed in claim 1 , wherein the third discrimination criterion requires a gradient of larger than 3/126 degrees per kHz for the phase angle at frequencies above 100 kHz and at frequencies below 300 kHz. 12. A method as claimed in claim 1 , further comprising using the impedance modulus, the phase angle and the gradient of the phase angle in order to determine if the tissue region of interest includes vascular tissue or intravascular tissue. 13. An apparatus for determining if a biological tissue region of interest includes intraneural tissue based on a complex impedance spectra that has been obtained from a probe with a conducting part adjacent a tissue region of interest, wherein the impedance spectra includes data from a plurality of frequencies, the apparatus comprising a processor arranged to: obtain, from the complex impedance spectra, a first data set representative of impedance modulus values, or equivalent admittance values, at one or more frequencies; obtain, from the complex impedance spectra, a second data set representative of impedance phase angle values, or equivalent admittance values, at one or more different frequencies; apply a first discrimination criterion to the first data set to determine whether or not the impedance modulus is below a value known to exclude subcutaneous fat tissue; apply a second discrimination criterion to the second data set to determine if the phase angle at a set frequency is above a threshold level that is known to exclude at least one of muscle and perineural tissue; apply a third discrimination criterion to the second data set to determine if a gradient of the phase angle is larger than 3/126 degrees per kHz at a set frequency that is above 10 kHz and below 400 kHz; and to thereby determine if the tissue region of interest includes intraneural tissue. 14. An apparatus as claimed in claim 13 , wherein the processor is arranged to use a compound variable based on the three discrimination criteria to determine if the tissue region of interest includes intraneural tissue. 15. An apparatus as claimed in claim 13 , wherein the first discrimination criterion requires an impedance of less than 2500 Ohms at a frequency in the range of 10 kHz to 50 kHz. 16. An apparatus as claimed in claim 13 , wherein the second discrimination criterion requires a phase angle of less than 25 degrees at a frequency selected from the range 10 kHz to 50 KHz.
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