| 研究生: |
徐鳴嶽 Hsu, Ming-Yueh |
|---|---|
| 論文名稱: |
建立可攜式超音波骨密度量測系統 Implementation of a Portable Ultrasound Densitometry System |
| 指導教授: |
陳天送
Chen, Tain-Song |
| 學位類別: |
碩士 Master |
| 系所名稱: |
工學院 - 醫學工程研究所 Institute of Biomedical Engineering |
| 論文出版年: | 2006 |
| 畢業學年度: | 94 |
| 語文別: | 中文 |
| 論文頁數: | 66 |
| 中文關鍵詞: | 可攜式 、超音波 |
| 外文關鍵詞: | Portable, Ultrasound |
| 相關次數: | 點閱:63 下載:3 |
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骨質疏鬆症為老年人常見疾病之ㄧ,目前要暸解是否患有骨質疏鬆症,只能至醫院經由昂貴的量測儀器,如雙能量X射線吸收測量(DEXA)和超音波骨密度儀等設備來量測,才能確知骨質疏鬆程度,可謂耗時且不便,因此本研究的目的是發展一套攜帶方便、低價格和操作容易的超音波骨密度儀,其主要是量測波衰減(BUA)和波速(SOS)兩種參數,依此診斷骨質疏鬆程度。
本研究的設計,分為硬體和軟體兩方面,硬體方面主要有四個部份,分別為(1) 超音波發射器(Pulser) 以MOSFET為主要的發射開關,藉此產生脈波至探頭;(2) 超音波接收器(Receiver)利用TL071的低雜訊、低失真的運算放大器(Operational Amplifier)和AD811的高增益頻寬的運算放大器,來接收超音波訊號並作放大處理;(3) 控制器(Controller)使用單晶片(8051)來控制其他硬體動作並與電腦之間作資料傳輸;(4) 資料擷取(DAQ)部分將超音波訊號轉換成數位資料,並儲存在記憶體。軟體方面分為兩個部份,第一個部份為撰寫Controller(8051)所使用的組合語言程式來控制硬體動作;第二個部份為使用VB(Visual Basic)撰寫具有SOS和BUA功能的操作介面。
本研究結果,首先是已完成電壓300V的超音波Pulser/Receiver系統;在DAQ部分擷取速度最高15M Hz。在SOS參數方面,利用本系統對假體和腳跟骨所作的測試,誤差結果的都在2.1%以內。在BUA參數方面,利用本系統對假體量測,可區別正常骨和疏鬆骨假體;對腳跟骨的量測則無法確定,是否能有效判別骨質疏鬆。
Since osteoporosis is common disease for old people, it can only examine by expensive instrument in hospital, such as dual-energy X-ray absorptiometry (DEXA) and ultrasound densitometry system in hospital for evaluating the degree of osteoporosis. The purpose of this research is implementation of a portable ultrasound densitometry system. Two kinds of BUA parameter and SOS parameter by ultrasound measurement diagnose the osteoporosis degree.
The design of this research is divided into hardware and software. The hardware has four parts: (1) Pulser: using MOSFET as switch to generate the pulse. (2) Receiver: using the low noise, low distortion operational amplifier (TL071), and the high performance video operational amplifier (AD811) to receive ultrasound signal. (3) Controller: single chip (8051) control the hardware; (4) DAQ: acquire ultrasound signal and store data in RAM. The software has two parts: (1) writing the assemble language on Controller (8051) for controlling the hardware; (2) operation interface for with SOS and BUA function using for Visual Basic.
In this result, we have finished the system of ultrasonic Pulser/Receiver (300V) which can be sampled at 15MHz in DAQ part. In SOS measurement, errors are all less than 2.1% when utilize this system to test phantom and calcaneum. In BUA measurement, we can distinguish normal bone phantom and osteoporosis bone phantom; but the examination for calcaneum is not confirmed whether our system can differentiate the osteoporosis effectively.
[1] 林興中: 骨質疏鬆症之最近進展.台灣醫界 1994;37卷第三期:209-212
[2] http://fda.tmu.edu.tw/cosmics/zcosmics-47.htm
[3] 李志緯“利用超音波技術評估骨頭的機械特性”, 成功大學醫學工程研究所碩士論文, 民國九十年六月.
[4] 黃正煌“利用超音波SOS參數建立骨密度儀系統”, 成功大學醫學工程研究所碩士論文, 民國九十四年六月.
[5] 蔡伊婷, 利用超音波參數評估骨質疏鬆症”, 成功大學醫學工程研究所碩士論文, 民國九十一年六月.
[6] J. A. Evans and M. B. Tavakoli, "Ultrasonic attenuation and velocity in bone," Phys. Med. Biol, vol. 35, pp. 1387-1396, 1990.
[7] L. Serpe and J. Y. Rho, "The nonlinear transition period of broadband ultrasound attenuation as bone density veries," J. Biomechanics, vol. 29, pp. 963-966, 1996.
[8] G. Brandenburger, L. Avioii, C. C. III, R. Heaney, R. Poss, G. Pratt and R. Recker, “In-vivo Measurement of Osteoporostic Bone Fragility with Apparent velocity of Ultrasound,” IEEE Ultrasonic Symposium, pp.1023-1027, 1989.
[9] J. A. Zagzebski, P. J. Rossman, C. M. Richard, B. Mazess, and E. L. Madsen, "Ultrasound transmission measurements through the os calcis," Calcif Tissue Int, vol. 1991, pp. 107-111, 1991.
[10] M. J. Grimm and J. L. Williams, "Assessment of bone quantity and 'quality' by ultrasound attenuation and velocity in the heel," Clinical Biomechanics, vol. 12, pp. 281-285, 1997.
[11] D. Hans, T. Fuerst, and F. Duboeul, "Quantitative ultrasound bone meanurement," Eur.Radiol., vol. 7, pp. 43-50, 1997.
[12] C. F. Njeh, I. Saeed, M. Grigorian, D. L. Kendler, B. Fan, J. Shepherd, M. Mcclung, W. M.Drake, and H. K. Genant, "Assessment of bone status using speed of sound at multiple anatomical sites," Ultrasound in Med. & Biol., vol. 27, pp. 1337-1345, 2001.
[13] J. Toyras, M. T. Nieminen, H. Kroger, and J. S. Jurvelin, "Bone mineral density, ultrasound velocity, and broadband attenuation predict mechanical predict mechanical properties of trabecular bone differently," Bone, vol. 31, pp. 503-507, 2002.
[14] C. M. Langton and R. W. Porter, “The measurement of broadband ultrasonic attenuation in cancellous bone, “End Med., Vol.13, pp. 89-91, 1984.
[15] C. M. Langton and R. W. Porter, “The measurement of broadband ultrasonic attenuation in cancellous bone, “End Med., Vol.13, pp. 89-91, 1984.
[16] P.N.T. Wells, Biomedical Ultrasonics (Acsdemic Press, London), 1977.
[17] S. Han, J. Medige, and I. Ziv, "Combined models of ultrasound velocity and attenuation for predicting trabecular bone strength and mineral density," Clinical Biomechanics, vol. 11, pp. 348-353, 1996.
[18] P. Hadji, O. Hars, C. Wuster, K. Bock, U. S. Alberts, H. G. Bohnet, G. Emons and K. D. Schulz, “Stiffness index identifies patients with osteoporotic fractures better than ultrasound velocity or attenuation alone,” Maturitas 31, pp.221-226, 1999.
[19] P. Laugier, B. Fournier, and G. Berger, "Ultrasound parametric imaging og calcaneus: In vivo results with a new device," Calcif Tissue Int., vol. 58, pp. 326-331, 1996.
[20] A. M. Parfitt and H. Duncan, “Metabolic bone disease affecting the spine. In Rothman RH, Simeone FA, des ”, The spine, vol. 2, Philadelphia: WB Saunders, pp.895-905, 1982.
[21] 呂明璋 “骨組織中波速與波衰減參數的量測”, 成功大學醫學工程研究所碩士論文, 民國九十二年六月.
[22] P. He, “Measurement of acoustic dispersion using transmitted and reflected pulses,” J. Acoust. Soc. Amer., Vol. 107(2), pp. 801-807, 1999.
[23] P. He, “Direct measurement of ultrasonic dispersion using broadband transmission technique,” Ultrasonics., Vol. 37, pp. 67-70, 1999.
[24] K. Wear, “ Measurements of phase velocity and group velocity in human calcaneus,” Ultrasound in Med. & Biol., vol. 26, no. 4, pp641-646, 2000.
[25] S. Han, J. Medige, and I. Ziv, "Combined models of ultrasound velocity and attenuation for predicting trabecular bone strength and mineral density," Clinical Biomechanics, vol. 11, pp. 348-353, 1996.
[26] Biomedical ultrasonics. New York: Academic Press, 1977.
[27] R. Williams, “Determining skin thickness with pulsed ultrasound,” J. Int. Dermatology., Vol 72,pp.17-19,1978.
[28] P. Fish. Diagnostic Medical Ultrasound. England: John Wiley, 1990.
[29] 蔡朝洋,“單晶片微電腦8051/8951原理與應用,”全華科技圖書股份有限公司印行, 2005.
[30] 范逸之, 陳立元, “ Visual Basic 與 RS-232 串列通訊控制最新版,”文魁資訊股份有限公司, 2003.
[31] 蔡樸生, 謝金木, 陳珍源,“MCS-51原理設計與產品應用,”文京圖書股份有限公司, 2001.
[32] 湯貴土,“I/O 介面實習,”全華科技圖書股份有限公司印行, 1991.
[33] http://www.microlink.co.uk/a-d.html
[34] http://www.omega.com/literature/transactions/volume2/analogio2.html