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An evaluation of methods for measuring cardiac output with volumetric heating 容积加热测量心输出量方法的评价
M. Curley, P. Hamilton, J. Walsh, C.M. Rappaport, W. Newman
Bolus thermodilution is presently the accepted method for measuring cardiac output, but bolus thermodilution suffers from various sources of measurement error and, due to fluid loading, can only supply periodic measurements. Cardiac output measurement using resistive heating overcomes some sources of measurement error and allows continuous monitoring of cardiac output. However, because the maximum safe power input is limited with surface heating, cardiac output measurements made using resistive heating are less accurate than those made using bolus thermodilution. The authors have investigated 3 methods for measuring cardiac output using volumetric heating: RF, microwave, and laser. Given the design constraints of a catheter device, volumetric heating allows a higher maximum safe power input than surface heating. The authors have demonstrated that, under realistic thermal noise conditions, all 3 volumetric heating methods are more accurate and reliable than resistive heating. The laser heating method seems to be the most practical to implement.
大剂量热溶是目前公认的测量心输出量的方法,但大剂量热溶受到各种测量误差的影响,而且由于液体负荷的原因,只能提供周期性测量。心输出量测量使用电阻加热克服了测量误差的一些来源,并允许连续监测心输出量。然而,由于最大安全功率输入受到表面加热的限制,使用电阻加热进行的心输出量测量不如使用大剂量热稀释进行的心输出量测量准确。作者研究了使用体积加热测量心输出量的3种方法:射频、微波和激光。考虑到导管装置的设计限制,体积加热比表面加热允许更高的最大安全功率输入。作者已经证明,在实际的热噪声条件下,所有3种体积加热方法都比电阻加热更准确和可靠。激光加热法似乎是最实用的方法。
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引用次数: 3
Elbow joint torque-angle-IEMG relation at constant muscle activities in voluntary contraction 随意收缩时恒定肌肉活动下肘关节扭矩-角度- iemg关系
T. Uchiyama, T. Bessho, Masaki Yoshida, K. Akazawa
The static relationship between elbow joint angle and torque at constant IEMGs was investigated with the aid of an artificial neural network technique. A normal volunteer was allowed to move his upper extremity freely on a horizontal plane, and was instructed to maintain his forearm posture at a target position against an external load applied to his wrist. Firstly, seven channel IEMGs, joint angles and torques around elbow and shoulder were measured. Secondly, the neural network model was constructed; inputs were IEMGs and joint angles, outputs were torques. Finally, elbow torque was estimated at various elbow angles with constant IEMGs by using the model. The torque of extensor muscles monotonically increased as flexion of the elbow joint. This characteristic was similar to that of monkey's triceps brachii. However the torque of flexor muscles increased and then decreased as extension of the elbow joint. This characteristic does not agree with the fundamental property of the equilibrium point hypothesis.
利用人工神经网络技术研究了恒定电动势下肘关节角与扭矩的静态关系。一个正常的志愿者被允许在水平面上自由移动他的上肢,并被指示保持他的前臂姿势在目标位置,以抵抗施加在他手腕上的外部负荷。首先,测量了7通道眼动图、肘部和肩部关节角和扭矩;其次,建立了神经网络模型;输入为动肌和关节角,输出为转矩。最后,利用该模型估算了恒定IEMGs下不同弯头角度下的弯头转矩。随着肘关节的屈曲,伸肌的扭矩单调增加。这一特征与猴子的肱三头肌相似。屈肌的扭矩随肘关节的伸展先增大后减小。这一特征与平衡点假说的基本性质不一致。
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引用次数: 0
Study of near infrared imaging of a model of brain edema 脑水肿模型的近红外成像研究
L. Johnson, N. Thyakor, D. Hanley
Currently, methods for the detection of brain edema in patients or laboratory experiments are not ideal. MRI does not permit time resolution of injury and intracranial pressure monitoring is invasive. The authors have performed experiments on a model of brain edema to examine near infrared imaging as a convenient, low cost and noninvasive method of monitoring brain edema. The authors prepared an in vitro model of edema consisting of serial dilutions of Intralipid/sup TM/, a fat emulsion, to simulate varying degrees of brain water content. NIR light at two wavelengths (920 nm and 980 nm) was used to assess the water content of Intralipid/sup TM/. The authors obtained a correlation coefficient of 0.98 between water content and NIR absorption difference. They used the CCD system to image a model with spatial variations in water content. Their preliminary results suggest NIR spectroscopy as a useful technique for monitoring brain edema in both clinical and laboratory settings.
目前,对患者脑水肿的检测方法或实验室实验都不理想。MRI不允许损伤的时间分辨率和颅内压监测是侵入性的。作者在脑水肿模型上进行了实验,以检验近红外成像作为一种方便、低成本和无创的监测脑水肿的方法。作者制备了一个体外水肿模型,该模型由一系列稀释的脂质/脂质/脂质/脂质乳组成,以模拟不同程度的脑含水量。采用920 nm和980 nm两种波长的近红外光对Intralipid/sup TM/的含水量进行测定。结果表明,水含量与近红外吸收差的相关系数为0.98。他们使用CCD系统拍摄了一个具有含水量空间变化的模型。他们的初步结果表明,近红外光谱在临床和实验室环境中都是监测脑水肿的有用技术。
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引用次数: 1
Development of a cost-effective optical system for detection of cervical pre-cancer 开发一种具有成本效益的检测子宫颈癌前期的光学系统
E. V. Trujillo, D. Sandison, N. Ramanujam, M. Follen-mitchell, S. Cantor, R. Richards-Kortum
Cervical cancer is an important problem. The incidence of cervical pre-cancer is increasing, and unless current diagnostic techniques are improved, mortality and cost may increase substantially. The goal of our project is to find the most cost-effective optical system for the detection of cervical pre-cancer. Our hypothesis is that using fluorescence spectroscopy, a new technique for detection of cervical cancer and pre-cancer, will maintain the current technique's sensitivity, increase its specificity, and reduce its cost. In this paper we present a new method to calculate the fluorescence efficiency (FE) of human cervical tissue, based on in vivo measurements of 381 sites from 95 patients. This value is used in signal to noise ratio (SNR) calculations to evaluate the performance of different optical systems for detection of cervical pre-cancer. We verify that the predicted SNR values, obtained using FE, agree with the SNR of the patient's spectral data. We use the resulting data to generate a receiver-operator characteristic (ROC) curve that compares spectroscopy to the current standard of care. Finally, preliminary results of our economic analysis estimate that use of fluorescence spectroscopy could save $2.1 billion annually in the US.
子宫颈癌是一个重要的问题。宫颈癌前期的发病率正在增加,除非目前的诊断技术得到改进,否则死亡率和费用可能会大幅增加。我们项目的目标是找到最具成本效益的检测宫颈癌前期的光学系统。我们的假设是,使用荧光光谱这一检测宫颈癌和癌前病变的新技术,将保持现有技术的灵敏度,增加其特异性,并降低其成本。在本文中,我们提出了一种新的方法来计算荧光效率(FE)的人宫颈组织,基于体内测量381个部位的95例患者。该值用于信噪比(SNR)计算,以评估不同光学系统检测宫颈癌前病变的性能。我们验证了用FE得到的预测信噪比值与患者光谱数据的信噪比一致。我们使用所得数据生成接受者-操作者特征(ROC)曲线,将光谱学与当前的护理标准进行比较。最后,我们的初步经济分析结果估计,在美国使用荧光光谱每年可以节省21亿美元。
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引用次数: 5
Image analysis for magnetic resonance elastography 磁共振弹性成像的图像分析
A. Manduca, R. Muthupillai, P. Rossman, J. Greenleaf, R. Ehman
A newly developed magnetic resonance imaging technique can directly visualize propagating acoustic strain waves in tissue-like materials. By estimating the local wavelength of the acoustic wave pattern, quantitative values of shear modulus can be calculated and images generated that depict tissue elasticity or stiffness. Since tumors are significantly stiffer than normal tissue (the basis of their detection by palpation), this technique may have potential for "palpation by imaging", with possible application to the detection of tumors in breast, liver, kidney, and prostate. We describe the local wavelength estimation algorithm and show a variety of sample "elastograms"-images of elasticity-for both test phantoms and tissue samples.
一种新发展的磁共振成像技术可以直接显示在类组织材料中传播的声应变波。通过估计声波模式的局部波长,可以计算剪切模量的定量值,并生成描述组织弹性或刚度的图像。由于肿瘤明显比正常组织硬(触诊检测的基础),该技术可能具有“成像触诊”的潜力,可能应用于乳腺、肝脏、肾脏和前列腺肿瘤的检测。我们描述了局部波长估计算法,并展示了各种样品“弹性图”-弹性图像-用于测试幻影和组织样品。
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引用次数: 6
The effect of argon gas flow during electrosurgery 电手术中氩气流动的影响
R. J. van Vliet, R. Verdaasdonk, C. V. van Swol
Electrosurgery has been used for over fifty years. Recently a new modality has been introduced: gas-enhanced electrosurgery. A flow of argon gas is blown along the active electrode. For clinical application the temperature distribution in the tissue is of interest. The effect of argon was investigated using two methods. (1) Visualizing the temperature distribution in phantom tissue using Schlieren techniques. (2) Tissue experiments with macroscopic evaluation of the lesions. The electrodes were moved over the tissue surface with different parameter settings for speed (1-4 mm/s), gas now (0, 5 or 9 l/min.), gas-outlet positioning (6, 13 and 21 mm above the tissue) and depth of the electrode in the tissue (0-4 mm). The extent of the coagulation zone seemed to be depend most on gas flow rate in combination with power and the distance of the gas-outlet. Argon gas-enhanced electrodes showed to be especially effective just touching the tissue to obtain a superficial coagulation of the surrounding tissue.
电外科手术已经使用了50多年。最近出现了一种新的方式:气体增强电手术。一股氩气沿着活性电极吹入。对于临床应用,组织中的温度分布是有意义的。用两种方法考察了氩气的影响。(1)利用纹影技术可视化幻膜组织的温度分布。(2)组织实验,对病变进行宏观评价。电极在组织表面上移动,以不同的参数设置速度(1-4毫米/秒),气体流量(0,5或9升/分钟),气体出口位置(组织上方6,13和21毫米)和电极在组织中的深度(0-4毫米)。混凝区的范围似乎主要取决于气体流量、功率和气体出口距离。氩气增强电极被证明是特别有效的,只是接触组织,以获得周围组织的表面凝固。
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引用次数: 0
PVC waveguide sensor for determination of ion concentration 离子浓度测定用PVC波导传感器
Kyung-Il Kim, H. Minamitani, H. Hisamoto, K. Suzuki, S. Kang
A PVC optical thin-film waveguide sensor is proposed which can select a specific ion and measure its concentration depending on materials added into the waveguide membrane. In order to investigate the applicability of this sensor to Ca/sup ++/ and Na/sup +/ measurement, the waveguide was fabricated with poly vinyl chloride (PVC), bis ethyl hexyl phthalate (BEHP), lipophilic anionic dye (LAD-3), and ionophores (K23E1 for Ca/sup ++/ or C14DD16C5 for Na/sup +/). For this purpose, the authors applied the sensor to a sample solution whose CaCl/sub 2/ concentration was gradually altered. Also, the authors applied it to an NaCl solution. In this experiment, they found that this PVC thin film waveguide possessed good ray propagation for 488 nm argon laser radiation. In addition, it showed the chemical reaction to ion enough to select it and measure its concentration. These findings suggested that the proposed PVC waveguide ion sensor is applicable to various ions.
提出了一种PVC光学薄膜波导传感器,它可以根据加入到波导膜中的材料来选择特定的离子并测量其浓度。为了研究该传感器对Ca/sup +/和Na/sup +/测量的适用性,采用聚氯乙烯(PVC)、邻苯二甲酸二乙酯(BEHP)、亲脂阴离子染料(lad3)和离子载体(Ca/sup ++/为K23E1或Na/sup +/为C14DD16C5)制备了该波导。为此,作者将传感器应用于CaCl/sub - 2/浓度逐渐改变的样品溶液。并将其应用于NaCl溶液中。在实验中,他们发现这种PVC薄膜波导对488nm氩激光辐射具有良好的射线传播能力。此外,它显示了对离子的化学反应,足以选择它并测量它的浓度。这些结果表明所提出的PVC波导离子传感器适用于各种离子。
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引用次数: 2
Automatic detection of microcalcifications in digital mammograms by entropy thresholding 熵阈值法在数字乳房x线照片中自动检测微钙化
Ping-Sung Liao, B. Hsu, C. Lo, P. Chung, Tse-Sheng Chen, San Kan Lee, L. Cheng, C.-I. Chang
A system for automatically detecting microcalcifications in digital mammograms is presented. The proposed system, based on a sequence of preprocessing steps (gradient enhancement, mean contrast enhancement and Gaussian blurring-deblurring process) followed by segmentation using entropy thresholding, can effectively and efficiently detect the suspicious microcalcifications. The performance of the designed system is evaluated by skilled radiologists and shows encouraging results.
介绍了一种自动检测数字乳房x光片微钙化的系统。该系统基于一系列预处理步骤(梯度增强、平均对比度增强和高斯模糊-去模糊处理),然后使用熵阈值分割,可以有效地检测出可疑的微钙化。所设计的系统的性能由熟练的放射科医生进行评估,并显示出令人鼓舞的结果。
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引用次数: 9
Is the human arm made of tunable springs? 人的手臂是由可调弹簧制成的吗?
F. Popescu, Z. Rymer
A study was conducted to determine in what physiological conditions, if any, the human arm deviated from 'spring-like' behavior during movement. Simple, short force pulses applied in mid-motion were found to consistently shift the desired endpoint of a movement across all four subjects. Far from being spring-like, the human arm during simple point-to-point movement did not behave in a conservative manner and could not even be described as a stable passive dynamic system around a desired trajectory. In fact, muscle properties and automatic reflex response can result in significant deviations from the desired trajectory, with over-compensation in the form of an active response, without changes in 'central command'.
研究人员进行了一项研究,以确定在什么生理条件下,如果有的话,人类的手臂在运动过程中偏离了“弹簧”的行为。研究发现,在运动中施加简单、短的力脉冲,可以在所有四名受试者中始终如一地改变运动的预期终点。在简单的点对点运动中,人的手臂远不是弹簧一样的,它的行为不是保守的,甚至不能被描述为一个稳定的被动动力系统。事实上,肌肉特性和自动反射反应会导致与预期轨迹的显著偏差,以主动反应的形式进行过度补偿,而不会改变“中央指令”。
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引用次数: 2
Blood flow measurement system for microcirculation by image correlation method 基于图像相关法的微循环血流测量系统
K. Tsukada, H. Minamitani, E. Sekizuka, C. Oshio
In order to elucidate the function of microcirculation system, which is essential for material transport in tissues and organs, it is very important to know blood flow velocity and its distribution in the microvessels. An image correlation method has been developed for the measurement of red blood cell (RBC) velocity in the microcirculation. Dynamic images of the blood flow are obtained in situ under microscopic observation using a high-speed video system and are processed to measure RBC velocity with a PC system. The results indicate that this system enable to analyze RBC velocity with a high-temporal resolution. This system is applied to RBC velocity measurements in liver and kidney as well as in mesentery. An anti-hypertensive agent is administered to spontaneously hypertensive rats (SHR), and blood flow change is observed. The authors are able to show that this system is effective for pharmacological evaluation.
微循环系统是组织和器官中物质运输的重要组成部分,为了阐明微循环系统的功能,了解微血管中的血流速度及其分布是非常重要的。建立了一种测量微循环中红细胞速度的图像相关方法。使用高速视频系统在显微镜下原位获得血流的动态图像,并使用PC系统处理以测量红细胞速度。结果表明,该系统能够以高时间分辨率分析红细胞速度。该系统适用于肝、肾及肠系膜红细胞流速的测量。给自发性高血压大鼠(SHR)服用抗高血压药,观察血流变化。作者能够证明该系统是有效的药理学评价。
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引用次数: 1
期刊
Proceedings of 18th Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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