CN113925471A - Skin microcirculation function evaluation and visualization method - Google Patents

Skin microcirculation function evaluation and visualization method Download PDF

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CN113925471A
CN113925471A CN202111410230.1A CN202111410230A CN113925471A CN 113925471 A CN113925471 A CN 113925471A CN 202111410230 A CN202111410230 A CN 202111410230A CN 113925471 A CN113925471 A CN 113925471A
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microcirculation
skin
function
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刘明明
李媛
宋晓红
王琴
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Abstract

The invention provides a skin microcirculation function evaluation and visualization method, which comprises the steps of measuring skin microcirculation oxygen parameters and microcirculation hemodynamic parameters, cleaning skin microcirculation function data, performing visualization engineering on skin microcirculation function, constructing a three-dimensional visualization model, a skin microcirculation function uniaxial bubble diagram and performing wavelet transform spectrum analysis. The invention realizes accurate and comprehensive description of the skin microcirculation function characteristics through the capture and analysis of skin microcirculation hemodynamics (microcirculation blood perfusion and blood flow velocity) and microcirculation oxygen (microcirculation oxygen partial pressure). Meanwhile, the invention realizes the visual engineering of the skin microcirculation function through the universal microcirculation framework and improves the scientificity of the feature display of the skin microcirculation function.

Description

Skin microcirculation function evaluation and visualization method
Technical Field
The invention belongs to the technical field of microcirculation data analysis, and particularly relates to a skin microcirculation function evaluation and visualization method.
Background
The skin covers the whole body, is superficial in position, and is the largest organ in surface area in the human body. The reactive change of skin microvascular is often appeared in the early stage of certain diseases, can reflect the function of the whole body microvascular to a certain extent, and is an ideal site for evaluating the dysfunction of the microvascular. The observation of clinical living skin microcirculation can provide the change index of microvascular for systemic diseases and local lesions, and is helpful for clinical diagnosis and treatment guidance.
As shown in fig. 1, the commonly used skin microvascular evaluation parameters are mainly divided into two major categories, namely morphological indexes and functional indexes, and the morphological evaluation parameters include microvascular density, vessel diameter, vasomotor motion, blood flow velocity, erythrocyte and leukocyte migration, and the like; the functional evaluation parameters comprise microvascular pressure, elasticity, release of endothelial derived vaso-and vaso-factors, skin temperature, local skin blood flow perfusion and the like.
The existing methods and techniques for skin microcirculation function suffer from the following objective disadvantages:
(1) index stability. The capillary microscope commonly used in clinic can visually observe the state of the capillary vessels and the blood flow condition on the surface layer of the skin, but the observation result is easily influenced by local and external factors and is limited by the magnification of the microscope device;
(2) index singleness and scientificity. The prior art can only measure a single index of skin microcirculation function, and cannot realize the comprehensive attention to skin microcirculation blood perfusion and skin microcirculation oxygen indexes. Furthermore, there are mostly abnormal values in cutaneous microvascular perfusion and blood flow velocity measured by the prior art. The prior art does not have strategies such as abnormal value processing, boundary value adjustment and the like, and the objective defects further influence the scientificity and accuracy of the evaluation of the skin microcirculation function.
Therefore, how to realize scientific evaluation of skin microcirculation function is a problem to be solved.
Disclosure of Invention
Aiming at the problems in the prior art, the invention aims to provide a skin microcirculation function evaluation and visualization method, which realizes accurate and comprehensive description of skin microcirculation function characteristics through capture and analysis of skin microcirculation hemodynamics (microcirculation blood perfusion and blood flow velocity) and microcirculation oxygen (microcirculation oxygen partial pressure). Meanwhile, the invention realizes the visual engineering of the skin microcirculation function through the universal microcirculation framework and improves the scientificity of the feature display of the skin microcirculation function.
The purpose of the invention is realized by the following technical scheme:
a skin microcirculation function evaluation and visualization method comprises the following steps:
step 1, measurement of skin microcirculation oxygen parameter and microcirculation hemodynamics parameter:
measuring skin microcirculation function parameter data including skin microcirculation oxygen parameters and hemodynamic parameters by using a skin microcirculation function evaluation device, wherein the skin microcirculation function evaluation device is composed of a microcirculation oxygen partial pressure monitor Microx TX3 and a dual-channel laser Doppler monitor VMS, guiding an optical probe to a position 1mm above the skin during measurement, and using two light sources of white light and laser;
step 2, cleaning skin microcirculation function data:
importing the skin microcirculation function parameter data measured in the step 1 into a data cleaning module, and processing the outlier skin microcirculation function parameter data through a boxplot algorithm;
step 3, visualization engineering of skin microcirculation function:
step 3.1, three-dimensional visualization model construction
Importing the skin microcirculation function parameter data after the cleaning treatment in the step 2 for dimensionless treatment: processing the skin microcirculation function parameter data by a dispersion standardization method, eliminating the dimension of the multi-parameter microcirculation function data, uniformly projecting the dimension in a [0, 1] interval, and realizing the visualization of the skin microcirculation function under the same coordinate system frame;
step 3.2, skin microcirculation function uniaxial bubble chart
Importing the skin microcirculation function parameter data after the cleaning treatment in the step 2, and generating a skin integral microcirculation function uniaxial bubble chart by using EChats to realize skin microcirculation function parameter distribution and weight correlation analysis;
step 3.3, wavelet transform spectrum analysis:
further analyzing and visualizing the skin microcirculation blood flow signal by using wavelet transform, importing the hemodynamic parameter data cleaned and processed in the step 2, dividing the hemodynamic parameter data into n frequency band source signal amplitudes according to the microcirculation blood flow perfusion signal frequency, and generating a two-dimensional distribution map of the skin microcirculation blood flow perfusion, blood flow velocity and erythrocyte density signals in a characteristic frequency band through the n frequency band source signal amplitudes; drawing a three-dimensional time-frequency diagram of the skin microcirculation blood flow perfusion signal through three dimensional indexes of time (sec), frequency (Hz) and microcirculation characteristic source Amplitude (AU); the distribution pattern of the amplitude related to the function of the skin microcirculation is shown by radar map.
Further, the skin microcirculation oxygen parameter includes skin microcirculation tissue oxygen partial Pressure (PO)2) The hemodynamic parameters include a level of cutaneous microcirculation Blood Perfusion (BP) and a speed of cutaneous microcirculation blood perfusion (V).
Further, when treating the outlier skin microcirculation function parameter in step 2, defining Q125% maximum, Q3Is 75% of maximum, Q3And Q1The difference between the values is the four-bit distance IQR, and (Q) is set1-1.5 XIQR) and (Q)3+1.5 × IQR) is the microcirculation function parameter boundary value, and the microcirculation function data beyond the boundary value is regarded as outlier and adjusted to the normal range boundary value.
Further, step 3.1 uses Python and ECharts to generate a skin microcirculation function three-dimensional visualization module, wherein time, skin microcirculation function parameter variables and microcirculation function parameter variable values are respectively defined as the module X axis, Y axis and Z axis.
Further, the amplitude values related to the skin microcirculation function in step 3.3 include cardiac source amplitude values, respiratory source amplitude values, muscle source amplitude values, nerve source amplitude values, nitric oxide dependent endothelial cell source amplitude values and nitric oxide independent endothelial cell source amplitude values.
Compared with the prior art, the invention has the beneficial effects that:
1. compared with the prior art that the capillary microscope is used for directly observing the state and the blood flow condition of the skin surface layer capillary, the skin microcirculation function in the scheme of the invention comprises multiple dimensions of skin microcirculation blood perfusion, blood flow speed and skin microcirculation oxygen partial pressure, and simultaneously breaks through the limitation of the magnification of a microscope; in addition, compared with the microcirculation function index in the prior art, the method can evaluate the skin microcirculation function more stably and comprehensively;
2. in the scheme of the invention, the skin microcirculation function eliminates abnormal data from instrument firmware and optical components through an algorithm, so that the scientificity of the skin microcirculation function data is improved; in addition, the scheme of the invention can visualize the skin microcirculation function data by combining a universal microcirculation framework and a single-axis bubble diagram, a two-bit frequency spectrum diagram and a three-dimensional time-frequency diagram, and is beneficial to deep analysis and excavation of the skin microcirculation function state; the invention provides a brand new method for comprehensively and scientifically evaluating the microcirculation function of the skin.
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The invention is further illustrated by the following examples in conjunction with the accompanying drawings:
FIG. 1 is a schematic diagram of the evaluation parameters of skin microcirculation in the prior art;
FIG. 2 is a schematic flow chart of a method for evaluating and visualizing the microcirculation function of skin according to the present invention;
FIG. 3 is a schematic diagram of the skin microcirculation function evaluation and visualization method according to the present invention;
FIG. 4 is a functional three-dimensional visualization view of skin microcirculation in example 1; in the figure, (a) a three-dimensional visualization histogram of skin microcirculation, (b) a three-dimensional visualization scatter diagram of skin microcirculation;PO2: microcirculation tissue oxygen partial pressure, BP: microcirculation blood perfusion level, V: perfusion rate of microcirculation blood flow;
FIG. 5 is a graph of uniaxial bubbles produced using test data;
FIG. 6 is a diagram of the skin microcirculation function uniaxial air bubbles of example 1; in the figure, PO2: microcirculation tissue oxygen partial pressure, BP: microcirculation blood perfusion level, V: perfusion rate of microcirculation blood flow;
FIG. 7 is a two-dimensional distribution diagram of the skin microvascular perfusion, blood flow velocity and red blood cell density signals at a characteristic frequency band; the black curve is the blood perfusion of skin microvascular blood flow, the green curve is the microcirculation blood flow velocity, the red curve is erythrocyte density signals, and the spectrum distribution diagram of the microcirculation blood flow signals represents the frequency interval of the amplitude and the characteristic peak of each frequency band;
FIG. 8 is a three-dimensional time-frequency diagram of a skin microcirculation blood perfusion signal; in the figure, the scale of blue (low) to orange (high) represents the continuous wavelet coefficients;
FIG. 9 is a radar plot of amplitude related to skin microcirculation function.
Detailed Description
Example 1
As shown in fig. 2 and fig. 3, the embodiment provides a method for evaluating and visualizing a skin microcirculation function, the method relies on a computer algorithm to evaluate the skin microcirculation function, and relies on a general microcirculation framework to establish a method for visualizing the skin microcirculation function, compared with other tissues:
1) the skin tissue is positioned on the superficial surface of the organism, compared with the microcirculation observation of thoracic cavity organs and abdominal cavity organs and tissues, the microcirculation function of the living skin is easier to observe, so the skin tissue is an ideal site for clinically evaluating the functional state of the microvasculature of the organism;
2) the reactivity and the functional change of skin microvascular are often shown in the early stage of the disease, so the microcirculation-level index can be provided for the systemic disease and the local lesion, and the clinical diagnosis and the guidance treatment are facilitated;
3) because the skin tissue is shallow in position, the microcirculation function data capture access and the light source path are different from thoracic organs and tissues (such as lungs) and abdominal organs and tissues (such as small intestines, kidneys and the like);
4) because of the uniqueness of the anatomical structure, the interference of skin tissue microcirculation function data and the source of the interference are different from those of organs and tissues of the abdominal cavity and the thoracic cavity.
Specifically, the method for visualizing the microcirculation function of the skin comprises the following steps:
step 1, measurement of skin microcirculation oxygen parameter and microcirculation hemodynamics parameter:
measuring skin microcirculation function parameter data including skin microcirculation tissue oxygen partial Pressure (PO) by using skin microcirculation function evaluation device2) The skin microcirculation function evaluation device comprises a microcirculation oxygen partial pressure monitor Microx TX3 (Presens company in Germany) and a two-channel laser Doppler monitor VMS (Moor company in UK), an optical probe is guided to a position 1mm above the skin during measurement, and two light sources of white light and laser are used.
Step 2, cleaning skin microcirculation function data:
and (3) importing the skin microcirculation function parameter data captured in the step (1) into a data cleaning module, and processing the outlier microcirculation function parameter data through a boxplot algorithm. Definition of Q125% maximum, Q3Is 75% of maximum, Q3And Q1The difference between is the interquartile range (IQR) and is set to (Q)1-1.5 XIQR) and (Q)3+1.5 × IQR) is the microcirculation function parameter boundary value, and the microcirculation function data exceeding the boundary value is defined as outlier and adjusted to the normal range boundary value.
Step 3, visualization engineering of skin microcirculation function:
step 3.1, three-dimensional visualization model construction
Importing the skin microcirculation function parameter data after the cleaning treatment in the step 2 for dimensionless treatment: processing the skin microcirculation function parameter data by a dispersion standardization method, eliminating the multi-parameter microcirculation function data dimension and uniformly projecting the multi-parameter microcirculation function data dimension on [0, 1]]Within the interval, realize the same coordinate system frameVisualization of subclavian skin microcirculation function. Specifically, the skin microcirculation functional parameter data after dimensionless treatment, namely the oxygen partial Pressure (PO) of skin microcirculation tissue is imported2) Python and ECharts are used for generating a skin microcirculation function three-dimensional visualization module, wherein time, microcirculation function parameter variables and microcirculation function parameter variable values are respectively defined as an X axis, a Y axis and a Z axis of the module, and a skin microcirculation function three-dimensional visualization view shown in figure 4 is obtained.
Step 3.2, skin microcirculation function uniaxial bubble chart
And (3) importing the skin microcirculation function parameter data after the cleaning treatment in the step (2), and generating a skin integral microcirculation function uniaxial bubble chart by using EChats to realize skin microcirculation function parameter distribution and weight correlation analysis.
In the embodiment, a uniaxial bubble chart as shown in fig. 5 is generated by using part of test data, wherein the horizontal axis in the bubble chart represents the value range of the data distribution of the skin microcirculation function parameter, the value range is divided into 7 intervals (interval 0-2, interval 2-4, interval 4-6, interval 6-8, interval 8-10, interval 10-12 and interval 12-14), and the distribution weight correlation of the data of the skin microcirculation function parameter is reflected; the data distribution quantity of the microcirculation function parameter is in direct proportion to the area of the 'air bubble': the larger the circular area, the more the microcirculation function data fall in the corresponding section of the circle. Therefore, the distribution and weight association condition of the skin microcirculation function data in each value interval can be visually shown in the uniaxial bubble chart.
The skin microcirculation tissue oxygen partial Pressure (PO) as shown in FIG. 62) In the distribution weight correlation bubble chart, the circular area corresponding to the interval scale 50 hPa is larger, and the circular area corresponding to the interval 0-40 hPa is smaller, which indicates that more skin microcirculation tissue oxygen partial pressure data are intensively distributed on the interval scale 50 hPa, and less data are distributed on the interval scale 0-40 hPa, namely the skin microcirculation tissue oxygen partial pressure is mainly at the level of 50 hPa, and the microcirculation blood flow perfusion speed at the level of 50 hPa is the dominant weight of the microcirculation function.
Step 3.3, wavelet transform spectrum analysis:
the present embodiment uses wavelet transformation for further analysis and visualization of skin microcirculation blood flow signals. The hemodynamic parameter data (skin microcirculation blood perfusion level (BP) and skin microcirculation blood perfusion velocity (V)) processed in step 2 are imported, and as shown in table 1, the hemodynamic parameter data can be divided into six frequency band source signal amplitudes according to the microcirculation blood perfusion signal frequency.
Figure DEST_PATH_IMAGE001
Through the six frequency band source signal amplitudes, a two-dimensional distribution diagram of the skin microvascular blood perfusion, blood flow velocity and red blood cell density signals in the characteristic frequency band is generated as shown in fig. 7.
A three-dimensional time-frequency graph of the skin microcirculation blood perfusion signal shown in figure 8 is drawn through three-dimensional indexes of time (sec), frequency (Hz) and microcirculation characteristic source Amplitude (AU), and represents distribution characteristics and change rules of 6 source amplitudes related to skin microcirculation functions along with time progress.
By means of a radar map as shown in fig. 9, six patterns of distribution of amplitude related to the function of the skin microcirculation are shown, including cardiac source amplitude, respiratory source amplitude, muscle source amplitude, nerve source amplitude, nitric oxide dependent and independent endothelial cell source amplitude.
Finally, it should be noted that the above only illustrates the technical solution of the present invention, but not limited thereto, and although the present invention has been described in detail with reference to the preferred arrangement, it will be understood by those skilled in the art that modifications or equivalent substitutions may be made thereto without departing from the spirit and scope of the technical solution of the present invention.

Claims (5)

1. A method for assessing and visualizing the microcirculation function of the skin, said method comprising the following steps:
step 1, measurement of skin microcirculation oxygen parameter and microcirculation hemodynamics parameter:
measuring skin microcirculation function parameter data including skin microcirculation oxygen parameters and hemodynamic parameters by using a skin microcirculation function evaluation device, wherein the skin microcirculation function evaluation device is composed of a microcirculation oxygen partial pressure monitor Microx TX3 and a dual-channel laser Doppler monitor VMS, guiding an optical probe to a position 1mm above the skin during measurement, and using two light sources of white light and laser;
step 2, cleaning skin microcirculation function data:
importing the skin microcirculation function parameter data measured in the step 1 into a data cleaning module, and processing the outlier skin microcirculation function parameter data through a boxplot algorithm;
step 3, visualization engineering of skin microcirculation function:
step 3.1, three-dimensional visualization model construction
Importing the skin microcirculation function parameter data after the cleaning treatment in the step 2 for dimensionless treatment: processing the skin microcirculation function parameter data by a dispersion standardization method, eliminating the dimension of the multi-parameter microcirculation function data, uniformly projecting the dimension in a [0, 1] interval, and realizing the visualization of the skin microcirculation function under the same coordinate system frame;
step 3.2, skin microcirculation function uniaxial bubble chart
Importing the skin microcirculation function parameter data after the cleaning treatment in the step 2, and generating a skin integral microcirculation function uniaxial bubble chart by using EChats to realize skin microcirculation function parameter distribution and weight correlation analysis;
step 3.3, wavelet transform spectrum analysis:
further analyzing and visualizing the skin microcirculation blood flow signal by using wavelet transform, importing the hemodynamic parameter data cleaned and processed in the step 2, dividing the hemodynamic parameter data into n frequency band source signal amplitudes according to the microcirculation blood flow perfusion signal frequency, and generating a two-dimensional distribution map of the skin microcirculation blood flow perfusion, blood flow velocity and erythrocyte density signals in a characteristic frequency band through the n frequency band source signal amplitudes; drawing a three-dimensional time-frequency graph of the skin microcirculation blood flow perfusion signal through three dimensional indexes of time, frequency and microcirculation characteristic source amplitude; the distribution pattern of the amplitude related to the function of the skin microcirculation is shown by radar map.
2. The method of assessing and visualizing skin microcirculation function of claim 1, wherein said skin microcirculation oxygen parameter of step 1 includes skin microcirculation tissue oxygen partial Pressure (PO)2) The hemodynamic parameters include a level of cutaneous microcirculation Blood Perfusion (BP) and a speed of cutaneous microcirculation blood perfusion (V).
3. The method for assessing and visualizing microcirculation function of skin according to claim 1, wherein Q is defined when treating the parameter of skin microcirculation function of outliers in step 2125% maximum, Q3Is 75% of maximum, Q3And Q1The difference between the values is the four-bit distance IQR, and (Q) is set1-1.5 XIQR) and (Q)3+1.5 × IQR) is the microcirculation function parameter boundary value, and the microcirculation function data beyond the boundary value is regarded as outlier and adjusted to the normal range boundary value.
4. The method of claim 1, wherein step 3.1 is performed by using Python and ECharts to generate a three-dimensional visualization module of skin microcirculation function, wherein time, variables of skin microcirculation function parameters and variables of microcirculation function parameters are respectively defined as X-axis, Y-axis and Z-axis of the module.
5. The method of claim 1, wherein the skin microcirculation function related amplitudes in step 3.3 include cardiac source amplitude, respiratory source amplitude, muscle source amplitude, nerve source amplitude, nitric oxide dependent endothelial cell source amplitude and nitric oxide independent endothelial cell source amplitude.
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