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Evaluation of parametric methods for the spectral analysis of Carpentier-Edwards heart valve sounds 卡彭蒂尔-爱德华兹心脏瓣膜音频谱分析参数方法的评价
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378312
R. Bedi, J. Mcdonnell
The authors examine the performance of modern parametric (all-pole and pole-zero) methods in estimating the spectral characteristics of Carpentier-Edwards bioprosthetic heart valve closing sounds. The parametric methods used were autoregressive techniques based on the Burg algorithm and least-squares linear predictive methods, an autoregressive-moving average technique based on singular value decomposition, as well as Prony's method. Algorithms were tested on sounds obtained from patients with Carpentier-Edwards porcine xenografts implanted in the aortic and mitral positions. Using these techniques, the spectrum produced by Carpentier-Edwards bioprostheses has been characterised. This paper represents the first publication of this finding. The paper also considers factors such as the suitability of algorithms, implementation of these algorithms, as well as the selection of the optimal number of poles and zeros.<>
作者研究了现代参数(全极和极零)方法在估计卡彭迪埃-爱德华兹生物人工心脏瓣膜关闭声音的频谱特征方面的性能。使用的参数方法是基于Burg算法的自回归技术和最小二乘线性预测方法,基于奇异值分解的自回归移动平均技术,以及proony方法。算法对在主动脉和二尖瓣位置植入卡彭蒂尔-爱德华兹猪异种移植物的患者的声音进行了测试。利用这些技术,卡彭蒂尔-爱德华兹生物假体产生的光谱已经被表征。这篇论文是这一发现的首次发表。本文还考虑了算法的适用性、算法的实现以及极点和零的最优数的选择等因素。
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引用次数: 3
An automated temporal alignment technique for the translational and rotational correction of digital radiographic images of Bjork-Shiley heart valves 一种用于比约克-希利心脏瓣膜数字放射图像平移和旋转校正的自动时间对齐技术
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378326
E. Çesmeli, K. Powell, N. Greenberg, J. Cornhill
An accurate technique for the temporal registration of digital radiographic valve images is an integral process in the objective quantification of single leg separation (SLS) in Bjork-Shiley Convexo Concave heart valves. The authors have developed a fully automated technique for the translational and rotational correction of sequential valve images based on the principal axes of the valve. This technique was chosen for ease of implementation, speed, and accuracy. The first step of the alignment procedure is to correct for translational and rotational motion by aligning the centroids of segmented valve images according to their principal axes. The second step involves a rotational correction for each leg of the outlet strut using a linear cross-correlation of data sampled along a specified are about the centroid. This technique has been successfully applied to a preliminary set (10 patients) of digital radiographic data (8-16 sequential frames). This technique was determined accurate to within 2 pixels at a spatial resolution of 139 /spl mu/m/pixel.<>
数字放射线图像时间配准技术是Bjork-Shiley凸凹型心脏瓣膜单腿分离(SLS)客观量化的重要组成部分。作者开发了一种全自动技术,用于基于阀门主轴的顺序阀门图像的平移和旋转校正。选择这种技术是因为易于实现、速度快和准确。校准程序的第一步是通过根据阀的主轴对齐分段图像的质心来校正平移和旋转运动。第二步涉及使用沿指定质心方向采样的数据的线性互相关对出口支柱的每个分支进行旋转校正。该技术已成功应用于初步组(10例患者)的数字放射学数据(8-16序列帧)。该技术在139 /spl mu/m/pixel的空间分辨率下精确到2像素以内。
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引用次数: 0
An integrated system for simultaneous acquisition and processing of physiologic and ultrasound data 同时采集和处理生理和超声数据的集成系统
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378327
N. Greenberg, P. Vandervoort, W. Stewart, R. Savage, P. McCarthy, J.D. Thomas
An integrated system has been developed to acquire and analyze simultaneous physiologic and ultrasound data. Physiologic signals can be monitored in real time on a video strip chart display to allow accurate placement of pressure catheters. Simultaneous echocardiographic images and Doppler spectra synchronized with pressure data, are stored to optical disk. Doppler and hemodynamic data can be manipulated in a graphical environment, making this a highly flexible system for the implementation of sophisticated analytical algorithms. Synchronization of these data sets allows fundamental physical aspects of intracardiac blood flow to be defined and permits a more complete exploration of cardiac physiology than the analysis of either pressure or velocity data alone.<>
一个集成的系统已经开发,以获取和分析同时的生理和超声数据。生理信号可以在视频条形图显示上实时监测,以便准确放置压力导管。同时超声心动图图像和多普勒频谱与压力数据同步,存储在光盘上。多普勒和血流动力学数据可以在图形环境中进行操作,使其成为实现复杂分析算法的高度灵活的系统。这些数据集的同步可以定义心内血流的基本物理方面,并且可以比单独分析压力或速度数据更完整地探索心脏生理学
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引用次数: 5
Complex dynamics assessment in 24-hour heart rate variability signals in normal and pathological subjects 正常和病理受试者24小时心率变异性信号的复杂动力学评估
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378419
M. Signorini, S. Guzzetti, R. Parola, S. Cerutti
Long term regulation of beat-to-beat variability involves a different kind of control. Parametric models provide quantitative indices which measure short time regulating action of the autonomic nervous system. In the long period instead, nonlinear contributions can be put into evidence by a chaotic deterministic approach. For heart rate variability (HRV) series collected in the 24 hours in 14 normal subjects and 28 subjects with cardiovascular pathologies (11 severe heart failure, 11 essential hypertensive and 6 heart transplant), we extract some parameters which are reputed to be invariant characteristic of system attractor: fractal dimension, Kolmogorov entropy and Lyapunov exponents. Geometric representations in the state space, such as delay maps and phase space plots, describe system trajectories through the singular value decomposition method. All these parameters confirm the existence of nonlinear dynamics in HRV signals and show different values for normal and pathological subjects: in particular we notice a reduction of the complexity of the discrete series when passing from normal to pathological subjects.<>
对心跳变异性的长期调节涉及一种不同的控制。参数化模型提供了定量的指标来衡量自主神经系统的短时调节作用。相反,在长周期内,非线性贡献可以通过混沌确定性方法证明。对14例正常受试者和28例心血管疾病患者(11例重度心力衰竭、11例原发性高血压和6例心脏移植)的24小时心率变异性(HRV)序列,提取了系统吸引子的不变特征参数:分形维数、Kolmogorov熵和Lyapunov指数。状态空间中的几何表示,如延迟映射和相空间图,通过奇异值分解方法描述系统轨迹。所有这些参数都证实了HRV信号中非线性动力学的存在,并且在正常受试者和病理受试者中显示出不同的值:特别是我们注意到从正常受试者到病理受试者传递时离散序列的复杂性降低。
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引用次数: 5
A miniature position and orientation locator for three dimensional echocardiography 一种用于三维超声心动图的微型位置和方向定位器
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378513
Roy W. Martin, Ernest Blood, Florence Sheehan, Gerry Bashein, Catherine Otto, Frances Derook, Eric P. Filer, Xiang Li, Paul Detmer
The accuracy of a new miniature prototype (6 mm/spl times/6 mm/spl times/9 mm) six dimensional (6D) locator sensor for three dimensional (3D) echocardiography was investigated. This new sensor identifies its 3D position and 3D orientation in space with respect to the position of a magnetic field generator. The sensor when attached to an ultrasound imaging transducer allows identifying and tracking the position and orientation in space of the ultrasonic imaging plane. The accuracy of this new miniature sensor was tested by rotating it on a lever arm apparatus which maintained a constant distance (R) from the sensor to the fixed point of rotation. At each rotational spatial position the sensor's readings were used to calculate the fixed point's position in space. The mean (MRE) and standard deviation (STDRE) of the radial error in this determination were calculated for N trials. The results with the apparatus: for R=10.6 cm were MRE=1.3 mm, STDRE=0.06 mm, N=500; and for R=18 cm they were MRE=1.8 mm, STDR=0.7 mm, N=500. It was then tested with a transcutaneous 5 MHz echo probe on 3D imaging a fixed position string target. The results in locating the position of the target was MRE=2.2 mm and STDRE=1.5 mm for N=45.<>
研究了一种用于三维超声心动图的新型微型原型(6mm /spl次/ 6mm /spl次/ 9mm)六维定位传感器的精度。这种新型传感器根据磁场发生器的位置识别其在空间中的3D位置和3D方向。当连接到超声成像换能器时,传感器允许识别和跟踪超声成像平面在空间中的位置和方向。这种新型微型传感器的精度是通过在杠杆臂装置上旋转来测试的,该装置从传感器到固定的旋转点保持恒定的距离(R)。在每个旋转空间位置,传感器的读数用于计算固定点在空间中的位置。计算了N次试验中径向误差的平均值(MRE)和标准差(STDRE)。结果:当R=10.6 cm时,MRE=1.3 mm, STDRE=0.06 mm, N=500;R=18 cm时,MRE=1.8 mm, STDR=0.7 mm, N=500。然后用经皮5 MHz回波探头对固定位置的字符串目标进行三维成像测试。N=45.>时,定位目标位置的MRE=2.2 mm, STDRE=1.5 mm
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引用次数: 16
Estimation of the correlation length of activation processes during atrial fibrillation 心房颤动时激活过程相关长度的估计
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378509
J.M. Smith, G. Botteron
Atrial tissue wavelength critically determines susceptibility to atrial fibrillation (AF), but this measurement is not obtainable in humans. The authors speculated that wavelength also determines the extent of spatial organization during AF and developed a quantitative measure of this organization (the spatial correlation length, L/sub c/) by determining the distance over which activation sequences measured at equally spaced sites within the human atria are well-correlated during AF. L/sub c/ varied among patients, was highly reproducible within single patients, and changed predictably with administration of anti-arrhythmic drugs (AAD). Quantitative assessment of the extent of spatial organization of activation sequences during AF may allow for estimation of electrophysiologic changes underlying the susceptibility to AF, and may provide an objective measure of AAD action in vivo.<>
心房组织波长决定心房颤动(AF)的易感性,但这种测量在人类中是不可获得的。作者推测,波长也决定了心房颤动期间空间组织的程度,并通过确定在心房内等间隔位置测量的激活序列在心房颤动期间良好相关的距离,开发了这种组织的定量测量(空间相关长度,L/sub c/)。L/sub c/在不同患者之间变化,在单个患者中具有高度可重复性。并且随着抗心律失常药物(AAD)的使用而发生可预测的变化。定量评估AF期间激活序列的空间组织程度,可以估计AF易感性背后的电生理变化,并可能提供AAD在体内作用的客观测量。
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引用次数: 7
Determination of ischemic episodes in a real-time system 实时系统中缺血性发作的测定
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378296
J. Presedo, J. Vila, S. Barro, R. Ruíz, F. Palacios
The authors describe a new algorithm for the detection of significant changes in the ST segment that are presumably related with ischemic episodes. Due to its simplicity the algorithm can be executed in real time. The authors also carry out study of the optimal values of the parameters that control its behavior. This algorithm has been implemented on a real time monitoring system the authors have developed called SUTIL. It is aimed at patients interned in intensive care units or coronary care units. This system monitors three electrocardiographic (ECG) and one cardiovascular pressure (usually central venous pressure) channels. Its main objective is clinical research.<>
作者描述了一种新的算法,用于检测ST段可能与缺血性发作相关的显著变化。由于其简单性,该算法可以实时执行。作者还对控制其行为的参数的最优值进行了研究。该算法已在作者开发的实时监控系统SUTIL上实现。它针对的是在重症监护室或冠心病监护室实习的病人。该系统监测三个心电图(ECG)和一个心血管压力(通常是中心静脉压力)通道。它的主要目的是临床研究
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引用次数: 7
Correction of arterial flow velocity Doppler color mapping in transverse cross-sectional imaging 动脉血流速度多普勒彩色成像在横断成像中的校正
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378449
D. Adam, K. M. Kempner, M. A. Vivino, E. Tucker, Michael L. Jones
The application of 2D color flow Doppler techniques to the detection and diagnosis of cardiac and vascular abnormalities is currently limited by two factors. First, the difficulty in extrapolating multiple 2D images into 3D space, and second, by the inaccurate color flow data provided. The authors are developing 3D reconstruction techniques to display color flow data which has been corrected for the angular error between the orientation of the Doppler beam and the central axis of the flow field. This methodology is currently being applied to the carotid artery, and is being developed for both experimental and clinical settings.<>
二维彩色血流多普勒技术在心脏和血管异常的检测和诊断中的应用目前受到两个因素的限制。首先,将多个2D图像外推到3D空间的困难,其次,所提供的颜色流数据不准确。作者正在开发三维重建技术来显示彩色流数据,这些数据已经校正了多普勒光束方向与流场中心轴之间的角度误差。该方法目前正在应用于颈动脉,并正在为实验和临床环境发展。
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引用次数: 1
In vitro evaluation of Doppler pressure gradient 体外评价多普勒压力梯度
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378447
P. Verdonck, R. Verhoeven, A. Kleven
Evaluation of prosthetic heart valves using Doppler echocardiography remains still controversial although Doppler technique has become standardized for assessing native heart valve function. One of the reasons is the discrepancy between Doppler and catheter gradient due to pressure recovery. This threshold can be overcome by in vitro standardization effects because both gradients are coupled by /spl Delta/p/sub doppler/=8g/K /spl Delta/p/sub catheter/ with K pressure loss coefficient dependent on prosthetic valve geometry and g gravitational acceleration. The authors try to give some clarification in this matter.<>
使用多普勒超声心动图评估人工心脏瓣膜仍然存在争议,尽管多普勒技术已经成为评估天然心脏瓣膜功能的标准化技术。其中一个原因是由于压力恢复引起的多普勒和导管梯度的差异。这一阈值可以通过体外标准化效应克服,因为这两个梯度由/spl δ /p/亚多普勒/=8g/K /spl δ /p/亚导管/耦合,K压力损失系数取决于人工瓣膜几何形状和g重力加速度。作者试图对这个问题作一些澄清。
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引用次数: 0
Spectral analysis of heart rate without resampling 无重采样的心率频谱分析
Pub Date : 1993-09-05 DOI: 10.1109/CIC.1993.378302
George Moody
Standard methods of estimating the power spectral density (PSD) of irregularly sampled signals such as instantaneous heart rate (HR) require resampling at uniform intervals and replacement of unusable samples. The Lomb periodogram is a means of obtaining PSD estimates directly from irregularly sampled time series, avoiding these requirements. The author compares Fourier, autoregressive, and Lomb PSD estimates from synthetic, real, and noise-corrupted real heart rate time series, and examines systematic differences among these estimates. An algorithm is presented for obtaining a heart rate time series suitable for Lomb PSD estimation from an RR interval time series with included ectopic beats and erroneous measurements. The author concludes with a brief survey of other applications of the technique, such as estimation of respiratory frequency from a time series of beat-by-beat measurements of the mean electrical axis.<>
估计不规则采样信号(如瞬时心率(HR))的功率谱密度(PSD)的标准方法需要以均匀的间隔重新采样并替换不可用的样本。Lomb周期图是一种直接从不规则采样时间序列中获得PSD估计的方法,避免了这些要求。作者比较了傅立叶、自回归和Lomb PSD估计合成、真实和噪声损坏的真实心率时间序列,并检查这些估计之间的系统差异。提出了一种从包含异位心跳和误差测量的RR区间时间序列中获得适合Lomb PSD估计的心率时间序列的算法。作者最后简要介绍了该技术的其他应用,例如根据平均电轴的逐拍测量时间序列估计呼吸频率
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引用次数: 137
期刊
Proceedings of Computers in Cardiology Conference
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