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  1. NTU Theses and Dissertations Repository
  2. 電機資訊學院
  3. 光電工程學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/43107
完整後設資料紀錄
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dc.contributor.advisor蔡睿哲(Jui-che Tsai),孫家偉(Chia-Wei Sun)
dc.contributor.authorYo-Wei Linen
dc.contributor.author林佑威zh_TW
dc.date.accessioned2021-06-15T01:37:16Z-
dc.date.available2011-07-17
dc.date.copyright2009-07-17
dc.date.issued2009
dc.date.submitted2009-07-16
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[10] R. Cubeddu, A. Pifferi, P. Taroni, A. Torricelli, and G. Valentini, “Noninvasive absorption and scattering spectroscopy of bulk diffusive media: an application to the optical characterization of human breast”, Applied Physics Letters, Vol. 74, p. 874-876, 1999
[11] David A. Boas, Tom Gaudette, Gary Strangman, Xuefeng Cheng, John J. A. Marota, and Joseph B. Mandeville, “The Accuracy of Near Infrared Spectroscopy and Imaging during Focal Changes in Cerebral Hemodynamics”, NeuroImage, Vol. 13, p. 76–90, 2001
[12] A.H. Hielscher, A.Y. Bluestone, G.S. Abdoulaev, A.D. Klose, J. Lasker, M.
Stewart,U. Netz and J. Beuthan, “Near-infrared diffuse optical tomography,
Disease Markers”, Vol. 18, p. 313–337, 2002
[13] Ronald X Xu and Stephen P Povoski, “Diffuse optical imaging and
spectroscopy for cancer”, Expert Rev. Med. Devices, Vol. 4(1), p. 83-95, 2007
[14] Takafumi H, Kevin K, Valentina Q et al,”Near-infrared Spectroscope/imaging
for monitoring muscle oxygenation and oxidative metabolism in healthy and diseased humans”. Journal of Biomedical Optics 062105:1-16, December, 2007
[15] Brown J.J.M, Arnott W.M, “ Intermittent venous occlusion in the treatment of obliterative vascular disease”, British Medical Journal 1106-1108, 1937
[16] Collens W.S, Wilensky N.D ,” Intermittent venous occlusion in treatment of peripheral vascular disease - An experience with one hundred and twenty -four cases”, Journal of the American Medical Association 109:2125-2130, 1937
[17] R. A. Meyer, “A linear model of muscle respiration explains monoexponential phosphocreatine changes,” Am. J. Physiol. 254, C548–553, 1988.
[18] Rolf P. Bochmann, Woldemar Seibel, Elke Haase etal,” External compression increases forearm perfusion”, J Appl Physiol 99: 2337–2344, 2005.
[19] http://en.wikipedia.org/wiki/Heart_failure
[20] T Nagai, K Okita, K Yonezawa et al,” Comparisons of the Skeletal Muscle
Metabolic Abnormalities in the Arm and Leg Muscles of Patients With
Chronic Heart Failure”. Circ J, 68: 573 –579, 2004
[21] S Watanabe, C Ishii, N Takeyasu et al,” Assessing Muscle Vasodilation Using
Near-Infrared Spectroscopy in Cardiac Patients”. Circ J , 69: 802 –814, 2005
[22] A Miyazaki, H Adachi, S Oshima et al,” Blood Flow Redistribution During
Exercise Contributes to Exercise Tolerance in Patients With Chronic Heart
Failure”. Circ J , 71: 465 –470, 2007
[23] Chati Z, Zannad F, Robin L. B et al,. “Contribution of specific skeletal muscle
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[24] Hanada A, Okita K, Yonezawa K et al., “Dissociation between muscle
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with chronic heart failure”. Heart , 83: 161 – 166, 2000
[25]R.C Bone, R.A Balk, F.B Cerra et al, “Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis”.CHEST Vol. 101 p.1644-1655, June , 1992
[26] http://en.wikipedia.org/wiki/Sepsis
[27] Levy MM, Fink MP, Marshall JC, et al. “2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference”. Crit. Care Med. 31 (4): 1250–6, April, 2003
[28] Goldstein B, Giroir B, Randolph A. “International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics”. Pediatr Crit Care Med 6 (1): 2–8, 2005
[29] Dagan R, Powell KR, Hall CB, Menegus MA. “Identification of infants unlikely to have serious bacterial infection although hospitalized for suspected sepsis”. J. Pediatr. 107 (6): 855–60. December, 1985
[30] P.E Spronk, D.F Zandstra, C Ince” Bench-to-bedside review: Sepsis is a disease
of the microcirculation”. Critical Care, 8:462-468, December, 2004
[31] R.A.D Blasi, S Palmisani, D Alampi et al, ”Microvascular dysfunction and
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flow and oxygen transport in patients with severe sepsis”. Am J Respir Crit
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[33] Ellis CG, Bateman RM, Sharpe MD et al,” Effect of a maldistribution of
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Heart Circ Physiol 282:H156– H164, 2002
[34] Pickkers P, J Rosendaal A, Smits P et al, “Activation of the ATP-dependent
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[35] Price S, Spain D, Wilson M et al, “Subacute sepsis impairs vascular smooth
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/43107-
dc.description.abstract加護病房中,急重症病患病情瞬息萬變,為了能及時診斷病人的病情,會監測病人的需多生理資訊,如心跳、血壓、呼吸、體溫、脈搏血氧飽和度…等,為了提供更多資訊給醫護人員,我們希望發展一套系統具有即時檢測、非侵入式、非輻射性、易攜帶、低成本等特性,提供加護病房一套合適的臨床監測儀器。
因此我們設計一套擴散光學光譜造影術系統,以黑色橡膠為基板,用連續波雷射當光源,再利用光檢測器接收訊號,傳回電作分析處理,來得到受測者血氧量的資訊。
文中對健康的受測者與一些加護病房中的心臟衰竭病患與敗血症病患做了一些生理量測實驗,主要是觀察靜脈束縛的血氧變化,可以看出病人與正常人的差異性。為了更瞭解擴散光學訊號對應的基礎生理意義,我們做了正常人的動脈束縛實驗,觀察血氧的變化,並以雷射光鉗技術測量紅血球的彈性,初步發現血氧與血球的相關性。
zh_TW
dc.description.abstractIn intensive care unit (ICU) the condition of patients were instable. The patients were observed with much physiological information about heart rate, blood pressure, body temperature, SpO2 to diagnosis the condition of patients in time. A system with fast, noninvasive, portable, low cost and without radiation was developed to be a bedside monitor system.
Diffuse optical image system with continuous wave laser diode and photodiode on flexible black rubber was designed to obtain information of oxy-hemoglobin, deoxy-hemoglobin, total hemoglobin and tissue oxygen saturation.
In this thesis, the difference of venous occlusion hemodynamics are observed in vivo measurements form normal subjects, patients with heart failure and sepsis in intensive care unit. On the other hand, for further understanding of basic physiological signification from diffuse photon measurements, the arterial occlusion hemodynamics are related to the elasticity of red blood cell in experiments.
en
dc.description.provenanceMade available in DSpace on 2021-06-15T01:37:16Z (GMT). No. of bitstreams: 1
ntu-98-R95941074-1.pdf: 3609242 bytes, checksum: 140f848b4cbe11228715ac483a9e936f (MD5)
Previous issue date: 2009
en
dc.description.tableofcontents目 錄
誌謝……………………………………………………………….i
摘要………………………………………………………………ii
Abstract………………………………………………………….iii
目錄……………………………………………………………...iv
圖目錄………………………………………………………….. vi
表目錄…………………………… ……………………………………iv
第一章 緒論……………………………………………………1
1.1 研究動機……………………………………………………..….. 1
1.2 醫學影像造應……………………………………………………1
1.2.1 侵入式造影………………………………………………...1
1.2.2 非侵入式造影……………………………………………...2
1.3 擴散光學光譜造影……………………………………………... 4
第二章 系統架構……………………………………………. ..9
2.1 儀器架構 ……………………………………………………….. 9
2.2 探測器…………………………………………………………... 9
2.2.1 雷射二極體……………………………………………….. 9
2.2.2 光檢測器………………………………………………….10
2.3 探測器與電腦間的連接………………………………………..12
2.3.1 資料擷取卡……………………………………………….12
2.3.2 雷射二極體驅動電路…………………………………….13
2.3.3 穩壓電路 ………………………………………………...14
2.3.4 放大電路 ………………………………………………...15
2.4 系統控制的設定與訊號分析處理 …………………………..15
2.4.1 訊號輸出與接收的設定 ……………………………….16
2.4.2 訊號的擷取與分析……………………………………...18
2.4.3 二維影像的重建………………………………………...21
2.4.4 總血紅素與血氧飽和度………………………………...23
2.5 系統可改進空間………………………………………………24
2.5.1 雷射二極體間的距離差………………………………...24
2.5.2 光檢測器接收訊號的受環境干擾……………………...25
2.5.3 探測器的設計………………………………………….. 25
2.5.4 下一代系統……………………………………………...26
第三章 實驗方法與結果討論………………………………………28
3.1 實驗方法………………………………………………………..28
3.2 實驗結果………………………………………………………..29
3.2.1 正常人…………………………………………………….29
3.2.2 心臟衰竭患者…………………………………………….40
3.3.3. 敗血症患者………………………………………………52
3.3 比較與討論……………………………………………………..64
3.4 紅血球的彈性與體表循環的關係……………………………..76
第四章 結論……………………………………………………………92
參考文獻………………………………………………………………. 94
dc.language.isozh-TW
dc.subject醫學造影zh_TW
dc.subject擴散光學光譜造影術zh_TW
dc.subject紅外光光譜學zh_TW
dc.subjectNear-infrared spectroscopyen
dc.subjectMedical imagingen
dc.subjectDiffuse optical imageen
dc.title利用擴散光學光譜造影技術於急重症醫學監測系統開發zh_TW
dc.titleDevelopment of a monitoring system for critical care medicine base on diffuse optical spectroscope imaging techniqueen
dc.typeThesis
dc.date.schoolyear97-2
dc.description.degree碩士
dc.contributor.advisor-orcid,孫家偉(chiaweisun@ym.edu.tw)
dc.contributor.oralexamcommittee莊銘隆(Ming-Lung Chuang),呂志偉(Chih-Wei Lu),李柏磊
dc.subject.keyword擴散光學光譜造影術,紅外光光譜學,醫學造影,zh_TW
dc.subject.keywordDiffuse optical image,Near-infrared spectroscopy,Medical imaging,en
dc.relation.page97
dc.rights.note有償授權
dc.date.accepted2009-07-16
dc.contributor.author-college電機資訊學院zh_TW
dc.contributor.author-dept光電工程學研究所zh_TW
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