JP2018011736A - Tongue coat amount estimation system and tongue coat amount estimation method - Google Patents

Tongue coat amount estimation system and tongue coat amount estimation method Download PDF

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JP2018011736A
JP2018011736A JP2016142876A JP2016142876A JP2018011736A JP 2018011736 A JP2018011736 A JP 2018011736A JP 2016142876 A JP2016142876 A JP 2016142876A JP 2016142876 A JP2016142876 A JP 2016142876A JP 2018011736 A JP2018011736 A JP 2018011736A
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tongue
light
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fluorescence
tongue coating
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JP6783444B2 (en
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俊哉 中口
Toshiya Nakaguchi
俊哉 中口
修平 飯野
Shuhei Iino
修平 飯野
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Chiba University NUC
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Abstract

PROBLEM TO BE SOLVED: To provide a tongue coat amount estimation system and a tongue coat amount estimation method capable of estimating tongue coat in a non-contact manner.SOLUTION: According to one aspect of the present invention, a tongue coat amount estimation system includes a light emitting element for emitting a light having a peak in the range of 350-450 nm to the tongue of a person to be observed, a light receiving element for receiving fluorescence emitted from the tongue of the person to be observed, and an estimation device for estimating a tongue coat amount on the basis of the light amount of the fluorescence received by the light receiving element. In a tongue coat amount estimation method according to another aspect of the present invention, a light having a peak in the range of 350-450 nm is emitted to the tongue of the person to be observed, fluorescence emitted from the tongue of the person to be observed is received, and a tongue coat amount is estimated on the basis of the light amount of the fluorescence.SELECTED DRAWING: Figure 1

Description

本発明は、舌苔量推定システム及び舌苔量推定方法に関する。   The present invention relates to a tongue coating amount estimation system and a tongue coating amount estimation method.

舌の表面は構造上、細かい淡赤色の乳頭で覆われているが、人によってその上に様々な程度の舌苔が付着している。舌苔の形成を促進させる原因として、消化器疾患、糖尿病、発熱、脱水、ドライマウス、昏睡、ビタミン欠乏、アレルギー、口腔内疼痛性疾患、抗生物質使用、舌の運動麻痺、口呼吸などが考えられている。   The surface of the tongue is structurally covered with fine light red nipples, but various levels of tongue coating are attached by humans. Possible causes of the promotion of tongue coating include digestive disorders, diabetes, fever, dehydration, dry mouth, coma, vitamin deficiency, allergies, oral pain disorders, antibiotic use, tongue movement paralysis, mouth breathing, etc. ing.

このように舌苔が付着する原因は様々であるが、いずれも良い健康状態、良い生活習慣を示すものとは言い難い。特に消化器疾患や糖尿病との舌苔の過剰な付着には強い関連性があると報告されており、舌苔量を調べることで、広い視点から見た健康状態の悪化や悪生活習慣を推測できる可能性がある。   As described above, there are various causes of tongue coating, but it is difficult to say that all of them show good health and good lifestyle. In particular, excessive adhesion of tongue coating to gastrointestinal diseases and diabetes has been reported to be strongly related, and by examining the amount of tongue coating, it is possible to infer health deterioration and bad lifestyle habits from a wide perspective. There is sex.

また、舌苔の付着は、味覚感覚との関連や、口臭との関連が数多く報告されている。このことはQuality Of Lifeに関わる問題となりうるが、これらは自覚することは困難であるため、簡易的に推定できることが望ましい。   In addition, adhesion of tongue coating has been reported to be associated with taste sensation and bad breath. This can be a problem related to Quality Of Life, but it is difficult to be aware of these, so it is desirable that it can be easily estimated.

しかしながら、現在、舌苔を非接触的に推定する方法は確立されておらず、十分な研究がなされていないのが現状である。   However, at present, a method for non-contact estimation of tongue coating has not been established, and the present situation is that sufficient research has not been made.

そこで、本発明は、上記課題に鑑み、舌苔を非接触的に推定することができる舌苔量推定システム及び舌苔量推定方法を提供することを目的とする。   In view of the above problems, an object of the present invention is to provide a tongue coating amount estimation system and a tongue coating amount estimation method that can estimate tongue coating in a non-contact manner.

すなわち、本発明の一観点に係る舌苔量推定システムは、観測対象者の舌に向けて350nm以上450nm以下の範囲にピークを有する光を発する発光素子と、観測対象者の舌から発せられる蛍光を受ける受光素子と、受光素子が受けた蛍光の光量に基づき舌苔量を推定する推定装置と、を備えるものである。   That is, the tongue coating amount estimation system according to one aspect of the present invention includes a light emitting element that emits light having a peak in a range of 350 nm to 450 nm toward the observation subject's tongue, and fluorescence emitted from the observation subject's tongue. A light receiving element that receives the light, and an estimation device that estimates the amount of tongue coating based on the amount of fluorescence received by the light receiving element.

また、本発明の他の一観点に係る舌苔量推定方法は、観測対象者の舌に向けて350nm以上450nm以下の範囲にピークを有する光を発し、観測対象者の舌から発せられる蛍光を受け、蛍光の光量に基づき舌苔量を推定するものである。   The tongue coating amount estimation method according to another aspect of the present invention emits light having a peak in a range of 350 nm to 450 nm toward the observation subject's tongue, and receives fluorescence emitted from the observation subject's tongue. The amount of tongue coating is estimated based on the amount of fluorescent light.

以上、本発明により、舌苔を非接触的に推定することができる舌苔量推定システム及び舌苔量推定方法を提供することができる。   As described above, the present invention can provide a tongue coating amount estimation system and a tongue coating amount estimation method that can estimate tongue coating in a non-contact manner.

実施形態に係る舌苔量推定システムの概略を示す図である。It is a figure which shows the outline of the amount of tongue coating estimation system which concerns on embodiment. 実施形態に係る舌苔量推定システムの発光素子2の構成の概略を示す図である。It is a figure which shows the outline of a structure of the light emitting element 2 of the tongue coating amount estimation system which concerns on embodiment. 舌苔に基づく蛍光の分光放射輝度の例を示す図である。It is a figure which shows the example of the spectral radiance of the fluorescence based on tongue coating. 実施例に係る舌苔量推定システムの写真図である。It is a photograph figure of the amount estimation system of tongue coating concerning an example. 実施例に係る舌の通常画像を示す写真図である。It is a photograph figure which shows the normal image of the tongue which concerns on an Example. 実施例に係る舌の蛍光画像を示す写真図である。It is a photograph figure which shows the fluorescence image of the tongue which concerns on an Example. 実施例に係る舌苔量推定システムの分光画像処理における舌苔領域推定手法と、歯科衛生士の目視評価の相関を示す図である。It is a figure which shows the correlation of the tongue coating area | region estimation method in the spectral image process of the tongue coating amount estimation system which concerns on an Example, and the visual evaluation of a dental hygienist.

以下、本発明の実施形態について図面を用いて詳細に説明する。ただし、本発明は多くの異なる形態による実施が可能であり、以下に示す実施形態、実施例にて具体的に示した例示にのみ限定されるわけではない。   Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. However, the present invention can be implemented in many different forms, and is not limited to the examples specifically shown in the following embodiments and examples.

図1は、本実施形態に係る舌苔量推定システム(以下「本システム」という。)1の概略を示す図である。本図で示すように、本システム1は、観測対象者の舌に向けて350nm以上450nm以下の範囲にピークを有する光を発する発光素子2と、観測対象者の舌から発せられる蛍光を受ける受光素子3と、受光素子3が受けた蛍光の光量に基づき舌苔量を推定する推定装置4と、を備える。   FIG. 1 is a diagram showing an outline of a tongue coating amount estimation system (hereinafter referred to as “the present system”) 1 according to the present embodiment. As shown in this figure, the present system 1 includes a light emitting element 2 that emits light having a peak in a range of 350 nm to 450 nm toward the observation subject's tongue, and a light reception that receives fluorescence emitted from the observation subject's tongue. An element 3 and an estimation device 4 that estimates the amount of tongue coating based on the amount of fluorescent light received by the light receiving element 3 are provided.

本システム1において、発光素子2は、上記の通り、観測対象者の舌に向けて所定の範囲にピークのある光を発することができるものである。本システムでは、観測対象者の舌表面にこの光を照射する一方、舌苔から発せられる蛍光を観測することで舌苔量を推定することができる。   In the present system 1, the light emitting element 2 can emit light having a peak in a predetermined range toward the observation subject's tongue as described above. In this system, the amount of tongue coating can be estimated by irradiating the observation subject's tongue surface with this light and observing the fluorescence emitted from the tongue coating.

また、本システム1において、発光素子2が発する光は、上記の通り、350nm以上450nm以下の範囲にピークを有するものであって、より好ましくは360nm以上440nm以下の範囲にピークを有するものであり、さらに好ましくは405nm近傍にピークを有するものである。この範囲とすることで、舌苔から発せられる蛍光の強度を高めることができる。なおここで「近傍」とは、この値からプラスマイナス2nm程度の範囲にあることをいう。   In the present system 1, the light emitted from the light emitting element 2 has a peak in the range of 350 nm to 450 nm as described above, and more preferably has a peak in the range of 360 nm to 440 nm. More preferably, it has a peak in the vicinity of 405 nm. By setting it as this range, the intensity | strength of the fluorescence emitted from tongue coating can be raised. Here, “near” means that the value is in the range of about plus or minus 2 nm from this value.

本システム1における発光素子2の構造としては、上記の機能を有することができる限りにおいて限定されるわけではないが、例えばLEDであることは発光効率及び比較的狭い波長範囲の光を照射することができる観点から好ましい。   The structure of the light-emitting element 2 in the present system 1 is not limited as long as it can have the above-described function. For example, an LED emits light with a light emission efficiency and a relatively narrow wavelength range. It is preferable from the viewpoint that can be achieved.

また、本システム1では、発光素子2の発する光が効果的に観測対象者の舌に向かうことができるようよう、断面が曲面となっている、好ましくは断面が放物線形状となっている椀型の支持部材21を備えていることが好ましい。そして、これに発光素子2を固定し、光を放出させることで観測対象者の舌に光を効率的に向かわせることが可能となる。   Further, in the present system 1, the cross section is a curved surface, preferably a parabolic shape so that the light emitted from the light emitting element 2 can be effectively directed toward the observer's tongue. The support member 21 is preferably provided. And by fixing the light emitting element 2 to this and emitting light, it becomes possible to efficiently direct light to the observation subject's tongue.

またこの場合において、発光素子2は、複数設けられていることが好ましい。複数設けることで、多方向から光を観測対象者の舌に向かわせ、方向による推定の誤差が生じないようにすることができる。配置の例としては限定されるわけではないが、例えば4〜10個程度の発光素子2を円形に配置することが好ましい。このような場合の例について図2に示しておく。   In this case, a plurality of light emitting elements 2 are preferably provided. By providing a plurality, it is possible to direct light from multiple directions to the tongue of the person to be observed, and to prevent estimation errors due to directions. Although it is not necessarily limited as an example of arrangement | positioning, For example, it is preferable to arrange about 4-10 light emitting elements 2 in a circle. An example of such a case is shown in FIG.

また本システム1の発光素子2が発する光は可視領域とはいえ紫外領域に近い光であり、あまり長時間に亘って観測対象者に照射することは好ましくない。そのため、発光素子2が発する波長範囲以外の光を放出することができる他の発光素子22、より具体的にはより長波長側の可視領域の光を放出することができる発光素子22を配置し、測定時以外は当該他の発光素子22を発光させておき、測定時において当該他の発光素子22の発光を止め、発光素子2を発光させる構成としておくことが好ましい。なお当該他の発光素子22の構成としては、上記発光素子2と同様LEDであることは好ましい。   In addition, the light emitted from the light emitting element 2 of the present system 1 is light close to the ultraviolet region although it is in the visible region, and it is not preferable to irradiate the observation subject for a long time. For this reason, another light emitting element 22 that can emit light outside the wavelength range emitted by the light emitting element 2, more specifically, a light emitting element 22 that can emit light in the visible region on the longer wavelength side is disposed. It is preferable that the other light emitting element 22 emit light except during measurement, and the light emitting element 2 emits light while stopping the light emission of the other light emitting element 22 during measurement. In addition, it is preferable that it is LED like the said light emitting element 2 as a structure of the said other light emitting element 22. FIG.

また本システム1において、発光素子2は、制御装置5に接続されており、この制御装置5によって上記の光の放出が制御される。なお、制御装置5は、推定装置4の一機能として備えさせても良い。   In the system 1, the light emitting element 2 is connected to a control device 5, and the emission of the light is controlled by the control device 5. The control device 5 may be provided as a function of the estimation device 4.

また、本システム1において、受光素子3は、上記の通り、観測対象者の舌から発せられる蛍光を受けるものである。上記発光素子2によって観測対象者の舌にある舌苔に光が照射されると、特定の波長領域にピークを有する蛍光が発生する。そしてこの蛍光の強さは舌苔量に強い相関を有しているため、この蛍光を観測することで舌の上に付着している舌苔量を推定することができる。   Moreover, in this system 1, the light receiving element 3 receives the fluorescence emitted from the observation subject's tongue as described above. When the tongue coating on the observation subject's tongue is irradiated with light by the light emitting element 2, fluorescence having a peak in a specific wavelength region is generated. Since the intensity of this fluorescence has a strong correlation with the amount of tongue coating, the amount of tongue coating attached to the tongue can be estimated by observing this fluorescence.

また本システム1において、蛍光は、上記発光素子2に基づく光を吸収して放出される蛍光であれば限定されるわけではないが、550nm以上750nm以下の範囲の光であることが好ましく、より好ましくは600nm以上700nm以下の範囲の光であり、さらに好ましくは650nm近傍である。この範囲とすることで、舌苔によって生ずる蛍光を効率的に判断することができる。なお、図3に、舌苔に基づく蛍光の分光放射輝度の例について示しておく。   Further, in the present system 1, the fluorescence is not limited as long as it is a fluorescence that absorbs and emits light based on the light emitting element 2, but is preferably light in a range of 550 nm to 750 nm. The light is preferably in the range of 600 nm to 700 nm, more preferably in the vicinity of 650 nm. By setting it as this range, the fluorescence produced by tongue coating can be determined efficiently. FIG. 3 shows an example of fluorescent spectral radiance based on tongue coating.

本システム1における受光素子3の例としては、上記機能を有する限りにおいて限定されるわけではないが、例えばCCD等の素子を備えたカメラ等の撮像装置を例示することができる。撮像装置は、二次元的に画像データを得ることができ、舌のどの位置に舌苔が付着しているのかを把握しやすくできる観点から好ましい。なお、この場合において、撮像装置が広い波長領域において受光が可能であるときは、受光素子の前に、所望の波長範囲の光を取り出すためのフィルタを設けておくことが好ましい。フィルタを設けることで所望の範囲以外の光を遮断することが可能となる。   An example of the light receiving element 3 in the system 1 is not limited as long as the light receiving element 3 has the above function. For example, an imaging apparatus such as a camera including an element such as a CCD can be exemplified. The imaging device is preferable from the viewpoint of being able to obtain image data two-dimensionally and easily grasping where tongue coating is attached to the tongue. In this case, when the imaging device can receive light in a wide wavelength region, it is preferable to provide a filter for extracting light in a desired wavelength range before the light receiving element. By providing a filter, it is possible to block light outside the desired range.

また本システム1における推定装置4は、上記の通り、受光素子3が受けた蛍光の光量に基づき舌苔量を推定することができるものである。推定装置4の構成としては上記の機能を有する限りにおいて限定されるわけではないが、いわゆるパーソナルコンピュータ等の情報処理装置を用いることが好ましい。情報処理装置の構成としても特に限定されるわけではないが、例えばCPU(中央演算装置)、ハードディスクなどの記録装置、メモリなどの一時的記録装置、これらを接続するバスライン等を有していることが好ましい。いわゆるパーソナルコンピュータを用いることで、受光素子3が受けた蛍光の光量に関する情報を画像データとして取得することが可能となり、この画像データを処理することで、舌苔量を推定することが可能となる。   Moreover, the estimation apparatus 4 in this system 1 can estimate the amount of tongue coating based on the light quantity of the fluorescence which the light receiving element 3 received as above-mentioned. The configuration of the estimation device 4 is not limited as long as it has the above function, but it is preferable to use an information processing device such as a so-called personal computer. The configuration of the information processing apparatus is not particularly limited. For example, the information processing apparatus includes a CPU (Central Processing Unit), a recording device such as a hard disk, a temporary recording device such as a memory, and a bus line that connects them. It is preferable. By using a so-called personal computer, it is possible to acquire information on the amount of fluorescence received by the light receiving element 3 as image data, and it is possible to estimate the amount of tongue coating by processing this image data.

また本システム1では、上記のように、発光素子2から特定の波長の光を観測対象者の舌に向けて出射し、観測対象者の舌に付着した舌苔から発せられる蛍光を受光素子3によって観測し、この蛍光の強度を測定することにより、この強度に応じて舌苔量及びその分布を推測することができる。   In the present system 1, as described above, light having a specific wavelength is emitted from the light emitting element 2 toward the observation subject's tongue, and the fluorescence emitted from the tongue coating attached to the observation subject's tongue is received by the light receiving element 3. By observing and measuring the intensity of this fluorescence, the amount of tongue coating and its distribution can be estimated according to this intensity.

ここで、念のため、本システムを用いた舌苔量推定方法(以下「本方法」という。)について説明する。上記の記載から明らかなように、本方法は、(1)観測対象者の舌に向けて350nm以上450nm以下の範囲にピークを有する光を発し、(2)観測対象者の舌から発せられる蛍光を受け、(3)蛍光の光量に基づき舌苔量を推定する。   Here, as a precaution, a tongue coating amount estimation method (hereinafter referred to as “the present method”) using the present system will be described. As is clear from the above description, the present method (1) emits light having a peak in the range of 350 nm or more and 450 nm or less toward the observation subject's tongue, and (2) fluorescence emitted from the observation subject's tongue. (3) The amount of tongue coating is estimated based on the amount of fluorescence.

以上、本発明により、舌苔を非接触的に推定することができる舌苔量推定システム及び舌苔量推定方法を提供することができる。   As described above, the present invention can provide a tongue coating amount estimation system and a tongue coating amount estimation method that can estimate tongue coating in a non-contact manner.

ここで、上記システムについて実際に作成を行いその効果を確認した。   Here, the above system was actually created and the effect was confirmed.

図4で示すように、支持部材と、この支持部材に発光素子として8個のLEDを円形に配置し、さらに、この支持部材中央近傍に受光素子として一眼レフカメラを固定し、システムを作製した。また、他の発光素子として、白色LEDを3個、上記8個のLEDの間に配置した。また、蛍光を明瞭に撮影するため、カットオフ周波数が470nmと610nmの光学フィルタを使用した。   As shown in FIG. 4, a supporting member and eight LEDs as light emitting elements are arranged in a circle on the supporting member, and a single lens reflex camera is fixed as a light receiving element near the center of the supporting member, thereby producing a system. . Further, as other light emitting elements, three white LEDs were arranged between the eight LEDs. Moreover, in order to photograph fluorescence clearly, optical filters having cutoff frequencies of 470 nm and 610 nm were used.

そして、上記LEDを舌に照射して、この分光放射輝度を測定したところ、上記図3で示すような650nm付近にピークのある蛍光を観察した。またこの場合における舌の通常画像及び蛍光を撮影した画像についてそれぞれ図5、図6に示しておく。   And when the said LED was irradiated to the tongue and this spectral radiance was measured, the fluorescence with a peak around 650 nm as shown in the said FIG. 3 was observed. Further, the normal image of the tongue and the image obtained by photographing the fluorescence in this case are shown in FIGS. 5 and 6, respectively.

またここで、本システムの効果確認として、本システムの分光画像処理における舌苔領域推定手法と、歯科衛生士の目視評価を行った。この結果を図7に示しておく。   Here, as a confirmation of the effect of this system, a tongue coating region estimation method in spectral image processing of this system and a visual evaluation of a dental hygienist were performed. The result is shown in FIG.

本図で示すように、ピアソンの積率相関係数を求めるとR=0.64(p<0.001)となり、本システムで撮影した蛍光画像は舌苔量と有意に相関があることが示された。なお、通常の画像の通常処理による舌苔領域推定手法と歯科衛生士の目視評価では相関がみられなかった。   As shown in the figure, when the Pearson product moment correlation coefficient is obtained, R = 0.64 (p <0.001), and the fluorescence image photographed by this system is significantly correlated with the amount of tongue coating. It was done. It should be noted that there was no correlation between the tongue coating region estimation method by normal processing of normal images and the visual evaluation of a dental hygienist.

以上、本実施例によって、本システムの有効性が確認できた。   As mentioned above, the effectiveness of this system has been confirmed by the present Example.

本発明は、舌苔量推測システム及び舌苔量推測方法として産業上の利用可能性がある。


The present invention has industrial applicability as a tongue coating amount estimation system and tongue coating amount estimation method.


Claims (6)

観測対象者の舌に向けて350nm以上450nm以下の範囲にピークを有する光を発する発光素子と、
前記観測対象者の舌から発せられる蛍光を受ける受光素子と、
前記受光素子が受けた前記蛍光の光量に基づき舌苔量を推定する推定装置と、を備える舌苔量推定システム。
A light emitting element that emits light having a peak in a range of 350 nm or more and 450 nm or less toward an observation subject's tongue;
A light receiving element that receives fluorescence emitted from the tongue of the observation subject;
An estimation device for estimating the amount of tongue coating based on the amount of fluorescence received by the light receiving element.
前記紫外領域の光は、405nm近傍にピークを有する請求項1記載の舌苔量推定システム。   The tongue coating amount estimation system according to claim 1, wherein the light in the ultraviolet region has a peak in the vicinity of 405 nm. 前記蛍光は、600nm以上700nm以下の範囲にそのピークを有する請求項1記載の舌苔量推定システム。   The tongue coating amount estimation system according to claim 1, wherein the fluorescence has a peak in a range of 600 nm to 700 nm. 観測対象者の舌に向けて350nm以上450nm以下の範囲にピークを有する光を発し、
前記観測対象者の舌から発せられる蛍光を受け、
前記蛍光の光量に基づき舌苔量を推定する舌苔量推定方法。
Emits light having a peak in the range of 350 nm to 450 nm toward the observer's tongue,
Receiving fluorescence emitted from the tongue of the subject,
A method for estimating the amount of tongue coating based on the amount of fluorescent light.
前記紫外領域の光は、405nm近傍にピークを有する請求項4記載の舌苔量推定方法。   The method for estimating the amount of tongue coating according to claim 4, wherein the light in the ultraviolet region has a peak in the vicinity of 405 nm. 前記蛍光は、600nm以上700nm以下の範囲にそのピークを有する請求項4記載の舌苔量推定方法。

The method for estimating the amount of tongue coating according to claim 4, wherein the fluorescence has a peak in a range of 600 nm to 700 nm.

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