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Method of and apparatus for measurement of blood flow using coherent light    
United States Patent4109647   
Link to this pagehttp://www.wikipatents.com/4109647.html
Inventor(s)Stern; Michael D. (Rockville, MD); Lappe; Donald L. (Baltimore, MD)
AbstractAn apparatus for measuring the flow parameter of blood flowing in an organ includes a laser and associated optics which effect the illumination of tissues. The laser light, scattered by the tissues, emerges with a spectrum broadened by Doppler effect due to motion of red blood cells in the micro-circulation vessels. The light from the tissues is fed to a photomultiplier tube or photodiode via a pinhole mask and interference filter. The photomultiplier tube or photodiode, as a result of beating of various components of the light it receives, produces as its output signals a homodyne or heterodyne spectrum or both. These output signals are fed, via a low pass filter, to a differentiator, which differentiates the output signals from the multiplier tube or photodiode, which are passed by the filter, with respect to time. The output of the differentiator is fed to a root-mean-square (RMS) detector. The low pass filter passes, for example, signals having a frequency up to about 20 KHz. The output (R) from the detector, which represents the blood flow (average percolation) in the tissues plus shot noise, a constant (S), is fed to a digital voltmeter. The voltmeter produces a visible read-out indicative of the output from the detector. The output from the detector is also fed to a calculating circuit which also receives a signal corresponding to the mean current (I) produced by the photomultiplier or photodiode, the calculating circuit effecting a solution to the equation ##EQU1## F.sub.norm is a normalized output signal representation of blood flow parameter.
   














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Drawing from US Patent 4109647
Method of and apparatus for measurement of blood flow using coherent

     light - US Patent 4109647 Drawing
Method of and apparatus for measurement of blood flow using coherent light
Inventor     Stern; Michael D. (Rockville, MD); Lappe; Donald L. (Baltimore, MD)
Owner/Assignee     The United States of America as represented by the Secretary of the (Washington, DC)
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Publication Date     August 29, 1978
Application Number     05/778,083
PAIR File History     Application Data   Transaction History
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Filing Date     March 16, 1977
US Classification     600/479 356/28
Int'l Classification     G01P 003/36
Examiner     Michell; Robert W.
Assistant Examiner     Jaworski; Francis J.
Attorney/Law Firm     Browdy and Neimark
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USPTO Field of Search     128/2 L 128/2.05 F 128/2 A 356/28 356/39 356/40 356/41 250/573
Patent Tags     measurement blood flow coherent light
   
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What is claimed is:

1. An apparatus for measuring blood flow in a vascular bed, the apparatus comprising:

means for illuminating a region of tissue having a vascular bed with coherent light;

means responsive to light backscattered from the region of tissue for producing a broadened spectrum signal output;

circuit means coupled to said means for producing a broadened spectrum signal output and responsive to its broadened spectrum signal output for producing a signal representative of the blood flow in the vascular bed;

means for collecting backscattered light from the region of tissue;

wherein said means responsive to backscattered light comprise photo-detector means responsive to the collected light for developing a broadened spectrum of low frequency signals, said photo-detector means producing a means current and having a substantially constant shot noise output S;

wherein said circuit means comprise means coupled to said photo-detector means and responsive to its output for developing an output signal I representative of the mean current thereof, weighted detector means coupled to said photo-detector and responsive to the broadened spectrum of low frequency signals for developing an output signal R; and calculating circuit means coupled to said weighted detector means and to said means for developing an output signal I and responsive to outputs thereof for producing an output signal F representative of the blood flow in the vascular bed.

2. An apparatus according to claim 1, wherein said calculating circuit comprises circuit means for producing an output signal F equal to .sqroot.R.sup.2 - SI as a representation of blood flow parameter in the vascular bed.

3. An apparatus according to claim 1, wherein said calculating circuit comprises circuit means for producing an output signal F.sub.norm equal to ##EQU18## as a representation of blood flow parameter in the vascular bed.

4. An apparatus according to claim 1, wherein said means for illuminating a region of tissue comprises a laser.

5. An apparatus according to claim 4, wherein said laser is a He-Ne laser.

6. An apparatus according to claim 4, wherein said laser is a laser which produces coherent light having a wave length of substantially 632.8 nm.

7. An apparatus according to claim 4, wherein said laser is a laser which produces light having a wave length of substantially 805 nm.

8. An apparatus according to claim 1, wherein said photo-detector means comprises a photomultiplier tube.

9. An apparatus according to claim 1, wherein said means for developing an output signal I comprises amplifier means coupled to said photo-detector means.

10. An apparatus according to claim 9, wherein said amplifier means comprises a linear amplifier having an adjustable gain.

11. An apparatus according to claim 1, wherein said weighted detector means is a root-mean-square detector.

12. An apparatus for measuring blood flow in a vascular bed, the apparatus comprising:

means for illuminating a region of tissue having a vascular bed with coherent light;

means responsive to light backscattered from the region of tissue for producing a broadened spectrum signal output;

circuit means coupled to said means for producing a broadened spectrum signal output and responsive to its broadened spectrum signal output for producing a signal representative of the blood flow in the vascular bed; and

means for collecting backscattered light from the region of tissue;

wherein said means responsive to backscattered light comprise photo-detector means responsive to the collected light for developing a broadened spectrum of low frequency signals, said photo-detector means producing a mean current and having a substantially constant shot noise output S;

wherein said circuit means comprise means coupled to said photo-detector means and responsive to its output for developing an output signal I representative of the mean current thereof, weighted detector means coupled to said photodetector and responsive to the broadened spectrum of low frequency signals for developing an output signal R; including calculating circuit means coupled to said weighted detector means and to said means for developing an output signal I and responsive to outputs thereof for producing an output signal F representative of the blood flow in the vascular bed, and

a differentiator means and a low pass filter connected between said photo-detector means and said weighted detector means.

13. An apparatus according to claim 12, wherein said low pass filter is connected between said photo-detector means and said differentiator means, said differentiator means having its output coupled to said weighted detector means for differentiating signals received from said low pass filter means with respect to time and supplying these differentiated signals to said weighted detector means.

14. An apparatus according to claim 13, wherein said low pass filter is an adjustable filter for passing frequencies up to about 20 KHz.

15. A method of measuring the blood flow in a vascular bed, the method comprising:

illuminating a region of tissue having a vasuclar bed with coherent light;

collecting at least some of the scattered light from the region;

detecting the collected light to determine its broadened spectrum; and

determining the blood flow in the vascular bed from said broadened spectrum;

wherein said detecting step comprises non-linearly detecting the backscattered light in a photo-detector to produce a broadened spectrum of low frequency signals and a mean current signal I; and wherein the determining step comprises producing a weighted output signal R from the broadened spectrum of low frequency signals, determining the shot noise constant S of the photo-detector, and producing a signal representation F, from the shot noise constant, the weighted output signal R and the mean current signal I.

16. A method according to claim 15, wherein the illuminating step comprises illuminating a region tissue having a microvascular bed, the collecting step comprises collecting at least some of the scattered light from the microvascular bed, and the determining step comprises determining the flow of red blood cells in the microvascular bed from said broadened spectrum.

17. A method according to claim 15, wherein the producing step comprises producing an output F equal to .sqroot.R.sup.2 - SI as a representation of blood flow parameter in the vascular bed.

18. A method according to claim 15, wherein the producing step comprises producing a normalized output F.sub.norm equal to ##EQU19## as a representation of blood flow parameter in the vascular bed.

19. A method according to claim 15, wherein said illuminating step comprises illuminating a region of the tissue with coherent light having a wave length of substantially 632.8 nm.

20. A method according to claim 15, wherein said illuminating step comprises illuminating a region of the tissue with coherent light having a wave length of substantially 805 nm.

21. A method according to claim 15, wherein the step of detecting the broadened spectrum of low frequency signals comprises detecting the broadened spectrum of low frequency signals to produce a root-mean-square output signal R.

22. A method according to claim 15, including filtering the broadened spectrum of low frequency signals to pass only signals below a given frequency prior to detecting the broadened spectrum of low frequency signals.

23. A method of measuring the blood flow in a vascular bed, the method comprising:

illuminating a region of tissue having a vascular bed with coherent light;

collecting at least some of the scattered light from the region;

detecting the collected light to determine its broadened spectrum;

determining the blood flow in the vascular bed from said broadened spectrum;

wherein said detecting step comprises non-linearly detecting the backscattered light in a photo-detector to produce a broadened spectrum of low frequency signals and a mean current signal I; and wherein the determining step comprises producing a weighted output signal R from the broadened spectrum of low frequency signals, determining the shot noise constant S of the photo-detector, and producing a signal representation F, from the shot noise constant, the weighted output signal R and the mean current signal I;

filtering the broadened spectrum of low frequency signals to pass only signals below a given frequency prior to detecting the broadened spectrum of low frequency signals; and

differentiating the filtered low frequency signals with respect to time prior to detecting the broadened spectrum of low frequency signals.

24. An apparatus for measuring the flow of flowing material, the apparatus comprising:

means for illuminating at least a portion of the flowing material with coherent light;

means for collecting backscattered light from the material;

photo-detector means responsive to the collected light for developing a broadened spectrum of low frequency signals, said photo-detector means producing a mean current and having a substantially constant shot noise output S;

means coupled to said photo-detector means and responsive to its output for developing an output signal I representative of the mean current thereof;

weighted detector means coupled to said photo-detector and responsive to the broadened spectrum of low frequency signals for developing an output signal R; and

calculating circuit means coupled to said weighted detector means and to said means for developing an output signal I and responsive to outputs thereof for producing an output signal F representative of the flow.

25. An apparatus according to claim 24, wherein said calculating circuit comprises circuit means for producing an output signal F equal to .sqroot.R.sup.2 - SI as a representation of flow parameter.

26. An apparatus according to claim 24, wherein said calculating circuit comprises circuit means for producing an output signal F.sub.norm equal to ##EQU20## as a representation of flow parameter.

27. An apparatus according to claim 24, wherein said photo-detector means comprises a photomultiplier tube.

28. An apparatus according to claim 24, wherein said means for developing an output signal I comprises amplifier means coupled to said photo-detector means.

29. An apparatus according to claim 28, wherein said amplifier means comprises a linear amplifier having an adjustable gain.

30. An apparatus according to claim 24, wherein said weighted detector means is a root-mean-square detector.

31. An apparatus for measuring the flow of flowing material, the apparatus comprising:

means for illuminating at least a portion of the flowing material with coherent light;

means for collecting backscattered light from the material;

photo-detector means responsive to the collected light for developing a broadened spectrum of low frequency signals, said photo-detector means producing a mean current and having a substantially constant shot noise output S;

means coupled to said photo-detector means and responsive to its output for developing an output signal I representative of the mean current thereof;

weighted detector means coupled to said photodetector and responsive to the broadened spectrum of low frequency signals for developing an output signal R;

calculating circuit means coupled to said weighted detector means and to said means for developing an output signal I and responsive to outputs thereof for producing an output signal F representative of the flow; and

a differentiator means and a low pass filter connected between said photo-detector means and said weighted detector means.

32. An apparatus according to claim 31, wherein said low pass filter is connected between said photo-detector means and said differentiator means, said differentiator means having its output coupled to said weighted detector means for differentiating signals received from said low pass filter means with respect to time and supplying these differentiated signals to said weighted detector means.

33. An apparatus according to claim 32, wherein said low pass filter is an adjustable filter for passing frequencies up to about 20 KHz.

34. A method of measuring the flow parameter of flowing material, the method comprising:

illuminating at least a portion of the flowing material with coherent light;

collecting at least some of the light scattered from the material;

non-linearly detecting the collected light in a photo-detector to produce a broadened spectrum of low frequency signals and a mean current signal I;

detecting the broadened spectrum of low frequency signals to produce a weighted output signal R;

determining the shot noise constant S of the photodetector; and

producing a signal representation F, from the shot noise constant, the weighted output signal R and the mean current signal I.

35. A method according to claim 34, wherein the producing step comprises producing an output F equal to .sqroot.R.sup.2 - SI as a representation of flow parameter.

36. A method according to claim 34, wherein the producing step comprises producing a normalized output F.sub.norm equal to ##EQU21## as a representation of flow parameter.

37. A method according to claim 36, wherein the step of detecting the broadened spectrum of low frequency signals comprises detecting the broadened spectrum of low frequency signals to produce a root-mean-square output signal R.

38. A method according to claim 34, including filtering the broadened spectrum of low frequency signals to pass only signals below a given frequency prior to detecting the broadened spectrum of low frequency signals.

39. A method of measuring the flow parameter of flowing material, the method comprising:

illuminating at least a portion of the flowing material with coherent light;

collecting at least some of the light scattered from the material;

non-linearly detecting the collected light in a photo-detector to produce a broadened spectrum of low frequency signals and a mean current signal I;

detecting the broadened spectrum of low frequency signals to produce a weighted output signal R;

determining the shot noise constant S of the photo-detector;

producing a signal representation F, from the shot noise constant, the weighted output signal R and the mean current signal I;

wherein the step of detecting the broadened spectrum of low frequency signals comprises detecting the broadened spectrum of low frequency signals to produce a root-mean-square output signal R;

filtering the broadened spectrum of low frequency signals to pass only signals below a given frequency prior to detecting the broadened spectrum of low frequency singals, and

differentiating the filtered low frequency signals with respect to time prior to detecting the broadened spectrum of low frequency signals.
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BACKGROUND OF THE INVENTION

This invention relates to a method of an apparatus for measuring the flow of red blood cells flowing in a microvascular bed. The present invention relates, more particularly, to a method of an apparatus for measuring the flow of red blood cells flowing in a microvascular bed, using the Doppler scattering of coherent light. The invention can be practiced in connection with the measuring of the blood flow parameters of kidney tissues, brain tissues, liver tissues, tissues of other organs, and local cutaneous tissues, as well.

The study of pharmacologic agents and pathophysiologic states requires a technique of measuring the tissue blood flow in internal organs, in the microvascular bed of the skin and the like, its distribution in different regions of the tissues, and its variation with time. This is especially true in the kidney, where interarenal redistribution of flow is one of the major effects of drugs and hemodynamic changes.

Known techniques of measuring regional renal blood flow include radioactive indicator washout, implanted hydrogen electrode indicator dilution technique, autoradiography, angiography, implantation of .beta.-ray detectors and radioactive microsphere trapping. Each of these known techniques has serious drawbacks for the monitoring of tissue perfusion during physiologic experiments. The radioactive tracer washout can be used dynamically, but there is doubt as to the localization of the abstract compartments which it defines, and whether this localization is the same in all physiologic states. The hydrogen electrode method is invasive, and may cause alterations in local flow. The same applies to implantable radiation detectors. The radioactive microsphere method is precise and localized, but it is destructive, and only a small number of data points may be taken in a single subject. It cannot be used to study dynamic changes in real time. The same is true of autoradiography. Angiography is not quantitative and requires the injection of contrast media which may disturb renal function.

It has been proposed in U.S. Pat. No. 3,511,227 to C. C. Johnson entitled "Measurement of Blood Flow Using Coherent Light" issued May 12, 1970 that the rate of blood flow within a blood vessel can be determined by measuring the Doppler frequency shift of coherent radiation, which can be produced by a laser, by directing a coherent light beam into the blood stream of a patient, and comparing the frequency of the scattered light radiation with the frequency of the original beam, the difference being a measure of the blood flow rate. This technique may be suitable for measuring the flow rate within a relatively large vessel, using an optical catheter or needle, or in some cases, by selecting a given wavelength which will penetrate the vessel with a venipuncture. On the other hand, the technique cannot be used accurately to measure the velocity of motion of red blood cells in a microvascular bed of an organ, for example, to measure the local renal cortical blood flow parameter or the local cutaneous blood flow parameter.

It has been reported, on the basis of preliminary experiments, that if the coherent monochromatic light of a laser is used to illuminate tissues, the light scattered from the tissue has a broadened spectrum. The broadening is believed to be a result of the Doppler frequency shift sustained by light when it is scattered from red cells moving in the microvessels. See Stern, "In vivo evaluation of microcirculation by coherent light scattering", Nature, Vol. 254, pages 56-58, March 1975.

SUMMARY OF THE INVENTION

It is the principal object of the present invention to provide a method of and apparatus for measuring the flow of moving material which utilize the reported phenomenon of spectrum broadening of coherent monochromatic light scattered from the material.

It is an object of the present invention to provide a method of and apparatus for measuring blood flow in tissue having a vascular bed which do not require the use of radioactive materials.

It is another object of the present invention to provide a method of and an apparatus for measuring blood flow in tissue having a vascular bed which avoid invasive procedures of the site.

It is an additional object of the present invention to provide an apparatus for and a method of measuring blood flow in tissue having a vascular bed which can be continuous and effects a quantitative measure of the flow.

It is a further object of the present invention to provide an apparatus for and method of measuring blood flow in tissue having a vascular bed which involves the use of the coherent monochromatic light of a laser.

It is yet another object of the present invention to provide an apparatus for and a method of measuring blood flow in tissue having a microvascular bed which determine blood flow as a function of Doppler frequency shifts of coherent monochromatic light scattered from red blood cells moving in microvessels in the bed.

It is yet an additional object of the present invention to provide an apparatus for and a method of measuring the flow of blood flowing in tissue which utilize the reported phenomenon of spectrum broadening of coherent monochromatic light scattered from tissues.

The foregoing objects, as well as others which are to become apparent from the text below, are achieved in accordance with an exemplary embodiment of the present invention, in its apparatus aspect, by providing a continuous wave laser, optics for illuminating a region of tissue, optics for retrieving scattered light, a pinhole mask for selecting one coherence area of the scattering pattern, a filter to protect against room light, a photo-detector such as a photomultiplier tube or a photodiode and circuitry for processing and analyzing the output of the photo-detector. The circuitry includes, a differentiator, a low pass filter and a weighted averaging detector, preferably a root-mean-square (RMS) detector, connected in cascade between the photo-detector and a flow parameter calculating circuit. The flow parameter calculating circuit also receives a second output from a linear, averaging amplifier coupled between the calculating circuit and the photo-detector, this amplifier providing an output signal representative of the mean current from the photo-detector. The calculating circuit is designed to solve the equation F = .sqroot.R.sup.2 - SI, where R is the output from the RMS detector, and S is a constant representing shot noise and I is the mean photo-detector current of the photo-detector.

In a preferred variant the calculating circuit also effects an arithmetic division of F by I, providing F.sub.norm, the normalized flow parameter.

The method of the present invention can be carried out using the above-described apparatus. The method involves illuminating a region of tissue having a vascular bed with coherent light; retrieving light scattered by the tissue, this light having a broadened spectrum caused by moving blood cells in the tissue; producing a reduced frequency spectrum of signals by beating the received light signals in a nonlinear photo-detector; passing the reduced frequency spectrum of signals through a low-pass filter and a differentiator; obtaining a weighted average R of the frequency spectrum of signals passed through the differentiator, preferably obtaining the RMS valve thereof; determining the mean current I produced by the nonlinear photo-detector; and performing the following calculation: F = .sqroot.R.sup.2 -SI where F is the flow parameter and S is a constant determined by the gain of the photo-detector.

In a preferred variant of the method F is divided by I to provide F.sub.norm, the normalized flow parameter.

The present invention, in its apparatus aspect, is broadly characterized by means for sensing backscattered light from moving material, means for determining the spectrum broadening of the sensed backscattered light and circuitry which processes signals produced to develop a signal representative of flow parameter.

In its method aspect, the present invention is broadly characterized by sensing the backscattered light, determining the spectrum broadening and developing a signal representation of flow parameter.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a schematic diagram of an experimental set-up used in studying local blood flow in the outer cortex of a rat kidney using laser Doppler spectroscopy and incorporating an exemplary embodiment of an apparatus according to the present invention.

FIG. 2 is a graphical representation of a family of Doppler spectra obtained from the kidney of a rat using the apparatus of FIG. 1 while infusing the rat with norepinephrine.

FIG. 3 is a graphical representation of steady state dose responses obtaining from the kidneys of three rats using the apparatus of FIG. 1, the rats having been intravenously supplied with norepinephrine.

FIG. 4 is a graphical representation of physiologic data, including the transient response of the renal flow parameter, obtained from a rat using the apparatus of FIG. 1, over a period including a short span during which the rat was injected intravenously with norepinephrine.

FIG. 5A and 5B are respectively graphical representations of renal cortical flow parameters in six rats under control state conditions and when subjected to hydrolazine given intravenously followed by dextran 70 obtained using the apparatus of FIG. 1.

FIG. 6 is a graphical representation of renal cortical flow parameters, obtained from two rats, using the apparatus of FIG. 1, while subjecting the rats to intravenous angiotensin II, one of the rats being subjected simultaneously to infusion of the inhibitor saralasin (P113).

FIG. 7 is a graphical representation of an experimental spectrum like that of one of the curves shown in FIG. 2 and of an idealized theoretical spectrum obtained mathematically.

FIG. 8 is a schematic diagram of an analog calculation circuit suitable for use as the flow parameter calculation circuit shown in FIG. 1.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

Before turning to FIG. 1 and a consideration in detail of the experimental set-up shown therein, which set-up incorporates an embodiment of an apparatus for measuring the flow parameter of blood flowing in tissue, a brief consideration of the principles upon which the present invention is based is in order.

When coherent light, as a practical matter supplied by a suitable laser, is scattered by a moving blood cell, its frequency is altered by an amount .DELTA..omega. = K.multidot.v where K and v are respectively the scattering vector of the light and the velocity vector of the red cell. The superimposition of the light scattered by red cells of different velocities and at different angles gives rise to an overall broadening of the spectral line of the backscattered light. Because of the multiple scattering of light in tissues by the red cells, neither the angle of incidence at any given red cell nor the angle of scattering of the light can be controlled by the geometry of the apparatus. In addition, at least some of the light may be scattered by more than one red cell, thereby sustaining more than one Doppler shift. For these reasons the spectrum of light scattered from a complex structure, such as a perfused kidney or the like, in theory at least cannot at present be exactly predicted. However, if the overall flow pattern is speeded up or slowed down, the overall linewidth of the spectrum will scale in the same way as the velocity distribution of the red cells, because this amounts in essence to changing the time scale of the flow pattern. This has been demonstrated experimentally for blood in capillary tubes, and applied with great generality.

If the scattered light is allowed to fall on a photodetector such as a photodiode or photomultiplier tube, the various Doppler shifted components beat with one another to produce fluctuations in the photocurrent at audio frequencies. If there is a dominant component of light scattered from stationary stroma, as is clearly true for skin, and true at least under some conditions for a renal cortex, this scattered light can serve as a reference carrier, and the spectrum of the beat frequencies will have the same shape as the spectral line of the light; that is, a heterodyne spectrum results. If all the scattered light comes from the red blood cells, the different Doppler components beat with one another and a homodyne spectrum results. This spectrum is the self-convolution of the heterodyne spectrum, and wider by a factor of .sqroot.2. In either case, or any intermediate case in which both homodyne and heterodyne spectrums result and are superimposed as a composite spectrum, the composite photocurrent spectrum scales in width like the velocity distribution of red blood cells.

One measure of the linewidth is the root-mean-square (RMS) bandwidth

F = .sqroot..intg.P(.omega.).omega..sup.2 d.omega. (1)

where P (.omega.) is the power spectrum of the photocurrent from a photodiode or photomultiplier tube. For laminar flow in fixed geometry, F is directly proportional to flow rate. In more general cases, it can be considered the product of G .multidot. F.sub.t true blood flow, the calibration "constant" G in each general case depending on the geometry of the flow and the optical properties of the tissue which is illuminated. Since the number F defined by equation (1) already varies directly with the amount of light scattered by red blood cells, and therefore with the amount of blood in the tissue, it scales like flow in this respect also, and it is reasonable to expect that the factor G will not vary greatly in any one tissue in the course of ordinary changes of physiologic state. This will certainly be the case for changes due to vasomotion occurring outside the region of observation and at localized sphincters which contain only a small faction of the red cells in the observation region.

These considerations make it plausible that the parameter F should vary, in a more or less linear fashion, with tissue blood flow in a given tissue; moreover, F can be measured continuously by simple analog circuitry not requiring a spectrum analyzer. As a practical matter, the flow parameter can be determined as an RMS flow parameter.

Referring to FIG. 1, the experimental set-up for studying local blood flow in the outer cortex of a kidney of a rat 10 includes a 15mW helium-neon laser 11 (Jodan Engineering model HN-15) which produces monochromatic, coherent light having a wave length of 632.8 nm and a beam width of approximately one mm. The light from the laser 11, as shown, impinges on a half-silvered mirror 12, which reflects the beam towards the exposed kidney of the rat 10, to illuminate a spot on the exposed renal cortex. The kidney is supported by a glass half-ring kidney support 13, which includes at least one rod member in contact with the surface which supports the rat 10. The support 13 prevents the kidney from moving to any appreciable degree during the procedure. The backscattered light passes firstly through a two mm aperture in a mask 14 at the surface of the kidney, thence through the half-silver mirror 12 to a second mirror 9 which directs the light which passes through the mirror 12 towards and through a 0.5 mm pinhole 15 located in a disc 16 positioned approximately one mm away from the mask 14. It is to be understood that a single, tilted, fully silvered mirror could be used in place of the two mirrors 9 and 12 and the members 16-18 somewhat differently positioned. The two mm aperture and the 0.5 mm pinhole restrict the scattered laser light so that approximately one coherent area of the renal cortex is sampled. It is to be understood that as a practical matter, light from the laser which impinges on the surface of the renal cortex at some distances from a single coherent area, does not have a coherent relationship to the light from the area sought to be sampled. The backscattered light which passes through the aperture 15 in the disc 16 is passed through an interference filter 17 which has a band width approximately 3 nm centered about 632.8 nm, the interference filter 17 centered about the wavelength serves the purpose of blocking ambient light so as to make the experimental set-up insensitive to ordinary room lights. The beam of coherent light which passes through the interference filter 17 is directed through lens 18 onto the photocathode of a photomultiplier tube 20 having a high quantum efficiency in the red (EMI 7658-R). While the photomultiplier tube 20 is utilized in the exemplary embodiment, it is to be appreciated that other types of photo-detectors, such as a photodiode could be used as well. The photomultiplier tube 20 like photodiodes, is a non-linear device. The various Doppler shifted components of the light which impinge of the cathode of the photomultiplier tube 20 beat with one another to produce fluctuations in the photocurrent output from the tube 20. The frequency relationships are such that audio frequency signals are produced as beat notes so as to provide either a homodyne spectrum, a heterodyne spectrum or mixed spectrum of audio frequencies, as indicated above. The beat frequency photocurrent output from the photomultiplier tube 20 is supplied to a preamplifier 21. The output from the preamplifier 21, in the experimental set-up is fed to an analog tape recorder 22, which records the output for possible further study. An output from the preamplifier 21 is also fed to an oscilloscope 23 and to an X-Y recorder 24 via a spectrum analyzer 25. The X-Y recorder serves the purpose of recording the output of the amplifier 25 for further study, while the oscilloscope 23 permits direct viewing of the spectrum during experiments.

In accordance with the apparatus of the present invention, the output from the preamplifier 21 is fed to an adjustable low pass filter 26, which passes, for example, frequencies of up to about 20 KHz. The output from the filter 26 is fed to a conventional differentiator 27 which differentiates the received audio frequency signals with respect to time. The differentiated output from the differentiator 27 is fed to a root-mean-square (RMS) detector 28. As shown, the output from the root-mean-square detector 28 is fed to a digital voltmeter 29, the output from the root-mean-square detector 28 being fed additionally to a first input of a flow parameter calculating circuit 30. The flow parameter calculating circuit 30 has a second input which is coupled to an output from a linear, averaging amplifier 31 which has its input coupled to the output of the preamplifier 21. The linear, averaging amplifier 31 is preferably adjustable and includes an RC feedback loop, and produces an output signal indicative of the mean photomultiplier tube current produced in the tube 20; this output is displayed on digital voltmeter 39.

The flow parameter calculating circuit 30 is an arithmetic, analog circuit which produces an output representative of the flow parameter, preferably normalized. The details of construction and operation of the flow parameter calculating circuit 30 are to be considered further hereinbelow and are illustrated in FIG. 8.

The output from the root-mean-square detector 28 is fed as one input to a strip-chart recorder 32, which is provided with four additional inputs. The output signal from the linear averaging amplifier 31, which represents the mean photomultiplier tube current is fed to a second input to the strip-chart recorder 32.

The experimental setup includes additionally an EKG input to the strip-chart recorder 32 from conventional needle electrodes (not shown) operatively associated with the rat 10. A conventional rate monitor 33 (Hewlett-Packard 780 7A) is also connected to these electrodes to develop an output analog signal representing the heart beat rate. A pressure transducer in the form of a strain gauge monometer 34 (Statham P23 db) is coupled by a 0.023 inch ID polyetheylene tubing 35 to the carotid artery of the rat 10 so as to produce an output signal representative of the arterial blood pressure, this signal being coupled to a further input of the strip-chart recorder 32. The trachea of the rat 10 is cannulated with a 3 cm No. 12 thin walled polyethylene tubing 36. During experimental procedure using the setup illustrated in FIG. 1, the arterial blood pressure, EKG, analog heart rate, mean photomultiplier tube current and the root-mean-square detector output signals are continuously and simultaneously recorded for further study on the strip-chart recorder 32.

The infusion pumps 37 and 38 are connected respectively to the internal jugular vein and to the femoral vein of the rat 10 via a 0.11 inch ID polyethylene tubing 40 and appropriately sized polyethylene tubing 41 so that the rat may be infused or injected with various material during experimental procedures.

The actual photocurrent from the photomultiplier tube 20 contains, in addition to the flow signal, a certain irreducible amount of shot noise--noise which is due to the quantum nature of light, has a perfectly white spectrum, and is uncorrelated with the signal, to which it therefore adds in quadrature. Also, the total signal amplitude is proportional to the amount of light returned from the kidney of the rat 10, which may vary somewhat due to drift in power of the laser 11 and variations in the color of kidneys. To compensate for these effects, the actual, normalized flow parameter is computed by the calculating circuit 30 from the output of the root-mean-square detector 28 and from the linear amplifier 31 by the equation ##EQU2## where R is the RMS detector output, I is the mean photocurrent and S is the shot noise constant. This assures, among other things, that the variations in F are not due to changes in the color of the tissue. It is to be understood that if a normalized output is not desired, the computation need not include the final arithmetic division by I. The shot noise constant S depends on the gain of the photomult