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2015 IEEE International Symposium on Medical Measurements and Applications (MeMeA) Proceedings最新文献

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Needle detection by electro-localization for a needle EMG exam robotic simulator 基于电定位的针肌电图检测机器人模拟器
Siyu He, J. Gómez-Tames, Wenwei Yu
Needle EMG (Electromyogram) Exam (NEE) is an important neurological exam, and neurology interns and novice medical need repetitive training to gain the necessary skill to perform the exam. However, until now it has been difficult to reproduce multiple pathological conditions for their training, since in most cases, trainees serve as human subjects for each other. A robotic simulator that could reproduce behavior with various pathological disorders can be of great help for NEE skill training. Needle tip localization is a key component of the robotic simulator, since position-dependent-EMG is the signal source for skilled neurologists to determine the pathological situation. The needle tip localization has been investigated for many medical tests and applications, such as prostate brachytherapy, etc. However, only few studies have been reported on the process of needle operation in muscle based on EMG signals dependent on needle tip position. Our idea is to apply a tissue-like conductive phantom so as to realize both physical sense of insertion, and needle localization for the NEE robotic simulator. A pair of electrodes was designed to generate a near-linear voltage distribution along the depth direction of the tissue-like phantom, by which the inserted needle could be localized. The influence of the shape of phantom and electrodes on detection accuracy were investigated by a set of measurement experiment and a computer simulation. The results showed that, the estimated depth values agreed with that of the computer simulation model, and the curved phantom had a much steeper distribution in the deeper region (better accuracy for needle tip detection).
针刺肌电图检查(NEE)是一项重要的神经学检查,神经内科实习生和医学新手需要反复训练以获得必要的技能来进行检查。然而,到目前为止,很难为他们的训练再现多种病理条件,因为在大多数情况下,受训者相互充当人类受试者。一个能够再现各种病理障碍行为的机器人模拟器对新电工技能训练有很大的帮助。针尖定位是机器人模拟器的关键组成部分,因为位置相关肌电图是熟练的神经科医生确定病理情况的信号源。针尖定位已被研究用于许多医学测试和应用,如前列腺近距离治疗等。然而,基于依赖针尖位置的肌电图信号对针刺在肌肉中的操作过程的研究报道较少。我们的想法是在NEE机器人模拟器中应用一种类似组织的导电体,实现物理插入感和针头定位。设计了一对电极,沿组织样体的深度方向产生近似线性的电压分布,从而可以定位插入的针。通过一组测量实验和计算机仿真,研究了模体形状和电极形状对检测精度的影响。结果表明,估计的深度值与计算机模拟模型的值一致,并且曲线幻影在更深区域的分布更加陡峭(针尖检测精度更高)。
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引用次数: 2
Evaluation of control modes for head motion-based control with motion sensors 基于头部运动的运动传感器控制模式评估
Nina Rudigkeit, Marion Gebhard, A. Gräser
Head-controlled Human-Machine Interfaces play an important role in restoration of the autonomy of severely disabled people, like tetraplegics. In the literature, different control modes to map head movement onto a single degree of freedom of an object to be controlled have been presented. However, the control modes have not been compared with each other under different conditions. With the work presented in this paper, we close this gap by evaluating two of the most promising control modes, namely position mode and velocity mode. These modes were tested under different conditions in order to highlight their advantages and disadvantages and to make suggestions which mode should be used for a particular application. Head movements were measured using a smart 9-axis motion sensor system. The mouse cursor control was considered as an example application for which control modes were compared subjectively as well as objectively. The objective comparison was carried out using a two-dimensional Fitts' Law Test at two different distances to the computer screen. Then, the modes were evaluated subjectively with an evaluation sheet. Position control mode turned out to be significantly faster than the velocity mode. On the other hand, the error rate for position mode increased significantly with the screen distance while velocity mode was insensitive to screen displacements. This was in line with the significantly higher ratings of accurate pointing for velocity mode. Because of this, the velocity mode is the preferred choice for safety-critical applications, such as robot control, while position mode should be used when speed is more important than accuracy, e.g. for cursor control. Therefore, the usefulness of the control modes depends on the application.
头控人机界面在恢复四肢瘫痪等严重残疾人的自主性方面发挥着重要作用。在文献中,已经提出了将头部运动映射到待控制对象的单个自由度上的不同控制模式。然而,在不同的条件下,控制方式还没有相互比较。通过本文的工作,我们通过评估两种最有前途的控制模式,即位置模式和速度模式来缩小这一差距。在不同的条件下对这些模式进行了测试,以突出其优点和缺点,并对特定应用应使用哪种模式提出建议。使用智能9轴运动传感器系统测量头部运动。以鼠标光标控制为例,对控制方式进行了主观上和客观上的比较。使用二维菲茨定律测试在两个不同距离的计算机屏幕上进行客观比较。然后,用评价表对模型进行主观评价。结果表明,位置控制模式比速度控制模式要快得多。另一方面,位置模式的错误率随着屏幕距离的增加而显著增加,而速度模式对屏幕位移不敏感。这与速度模式中精确指向的更高评级是一致的。正因为如此,速度模式是安全关键应用的首选,比如机器人控制,而位置模式应该在速度比精度更重要的时候使用,比如光标控制。因此,控制模式的有用性取决于应用程序。
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引用次数: 15
Comparison of vision-based and sensor-based systems for joint angle gait analysis 基于视觉和传感器的关节角步态分析系统的比较
Maria Kyrarini, Xingchen Wang, A. Gräser
Gait analysis has become recently a popular research field and been widely applied to clinical diagnosis of neurodegenerative diseases. Various low-cost sensor-based and vision-based systems are developed for capturing the hip and knee joint angles. However, the performances of these systems have not been validated and compared between each other. The purpose of this study is to set up an experiment and compare the performances of a sensor-based system with multiple inertial measurement units (IMUs), a vision-based gait analysis system with marker detection, and a markerless vision-based system on capturing the hip and knee joint angles during normal walking. The obtained measurements were validated with the data acquired from goniometers as ground truth measurement. The results indicate that the IMUs-based sensor system gives excellent performance with small errors, while vision systems produce acceptable results with slightly larger errors.
步态分析是近年来研究的热点,已广泛应用于神经退行性疾病的临床诊断。各种低成本的基于传感器和基于视觉的系统被开发用于捕捉髋关节和膝关节的角度。然而,这些系统的性能还没有得到验证和相互比较。本研究的目的是建立一个实验,并比较基于传感器的多惯性测量单元(imu)系统、基于视觉的标记检测步态分析系统和基于无标记的视觉系统在正常行走时捕获髋关节和膝关节角度的性能。用测角仪获取的数据作为地面真值测量,对所得测量结果进行了验证。结果表明,基于ims的传感器系统在误差较小的情况下具有优异的性能,而视觉系统在误差略大的情况下也具有良好的效果。
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引用次数: 17
A 7T double-tuned (1H/31P) microstrip surface RF coil for the IMAGO7 MR scanner 用于IMAGO7磁共振扫描仪的7T双调谐(1H/31P)微带表面射频线圈
A. Retico, A. Vitacolonna, A. Galante, Tiziana M. Florio, A. Cimini, R. Stara, G. Tiberi, M. Tosetti, N. Fontana, G. Manara, A. Monorchio, M. Alecci
Ultra-High Field (UHF) (4-9.4T) Magnetic Resonance Imaging (MRI) and Spectroscopy (MRS) are valuable tools in the diagnosis and monitoring of many diseases thanks to the enhanced Signal-to-Noise Ratio (SNR) and spectral/spatial resolution. However, such UHF MR applications require the development and optimization of specially designed Radio Frequency (RF) coils. In this study we report the design, construction, workbench and MR testing of a novel 7T double-tuned (1H/31P) RF surface coil made with microstrip technology. The RF coil is suitable for MRI and MRS human studies of the lower limbs and also of the human head. The double-tuned RF coil was tested at the IMAGO7 Foundation in Pisa (Italy). Ex vivo MR 1H images and 31P spectra obtained with a large size fresh calf veal sample showed an excellent SNR within about 50 mm from the RF surface coil. It is believed that the combined 7T MR 1H/31P will provide benefits in performing clinical follow-up of muscular disorders in young and aging patients. The proposed design can be easily extended to the simultaneous detection of the 1H and other low-gamma nuclei, such as 7Li, 11B, 13C, 17O, 23Na.
超高场(UHF) (4-9.4T)磁共振成像(MRI)和光谱学(MRS)是诊断和监测许多疾病的宝贵工具,这要感谢增强的信噪比(SNR)和光谱/空间分辨率。然而,这种超高频MR应用需要开发和优化专门设计的射频(RF)线圈。在这项研究中,我们报告了一种新型的7T双调谐(1H/31P)射频表面线圈的设计,结构,工作平台和MR测试。射频线圈适用于下肢和头部的MRI和MRS人体研究。双调谐射频线圈在意大利比萨的IMAGO7基金会进行了测试。用大尺寸新鲜小牛肉样品获得的离体MR 1H图像和31P光谱显示,在距离射频表面线圈约50 mm的范围内具有优异的信噪比。相信7T MR 1H/31P联合用药将有利于对年轻和老年患者进行肌肉疾病的临床随访。所提出的设计可以很容易地扩展到同时检测1H和其他低伽马核,如7Li, 11B, 13C, 17O, 23Na。
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引用次数: 1
New FEM 3D model for arm-cuff interface simulation 臂袖界面三维有限元模拟新模型
R. Vallascas, M. Usai
The aim of the work is focused on the generation of a FEM 3D model, by using Ansys code, able to arm-cuff interface simulation during deflation. For this purpose it was measured the circumferential distribution of the pressure produced by the cuff on the arm during the inflation and the deflation. The parameters of the arm have been identified by searching vessel-occluded conditions at the systolic blood pressure of the subject for the bladder/arm ratio equal to 80%. The model was validated preliminarily checking its ability to correctly simulate the phenomenon of miscuffing by comparison with the data derived from the consolidated bibliography of the sector. The code has been then applied using as external load an experimental circumferential distribution of the pressure. The model has allowed to simulate the shape of the lumen of the arterial vessel during the deflation, properly highlighting the moments in which the pressure of deflation equals the systolic and diastolic pressures of the patient.
本文的工作重点是生成一个三维有限元模型,通过Ansys代码,能够模拟臂袖在放气过程中的界面。为此,测量了在充气和放气过程中袖带在手臂上产生的压力的周向分布。通过在受试者收缩压下的血管闭塞情况下搜索膀胱/手臂比值等于80%,确定了手臂的参数。通过与该部门综合书目数据的比较,初步验证了该模型正确模拟误误现象的能力。然后,使用压力的实验周向分布作为外部负载,应用代码。该模型可以模拟动脉血管在通货紧缩期间的管腔形状,适当地突出了通货紧缩压力等于患者的收缩压和舒张压的时刻。
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引用次数: 0
Reproducible measurements of human mesenchymal stem cells counting and proliferation in 3D scaffolds for regenerative medicine 再生医学用3D支架中人间充质干细胞计数和增殖的可重复性测量
C. Divieto, M. Sassi
Human mesenchymal stem cells are a good candidate to repair and to regenerate tissues for regenerative medicine applications. Their use in combination with 3D scaffolds has been largely studied in vitro to characterize their properties and differentiation potential prior to apply them in vivo. One of the most important clues in vitro is given by their proliferation trend, leading to information about their viability, their wellness, their interaction with scaffolds, etc. In order to measure the proliferation of hMSCs on scaffolds for regenerative medicine, it is important to adopt accurate counting methods in both research and diagnostic studies. This work aims to develop a reproducible method for hMSCs proliferation measurement in 3D cell cultures on coralline scaffolds (Biocoral®). Results demonstrated that: proliferation curves obtained in this work are reproducible at different initial cell densities on several scaffolds cultured with hMSC in long term experiments (3 weeks).
人间充质干细胞是修复和再生组织的良好候选者。它们与3D支架的联合使用已经在体外进行了大量研究,以在体内应用之前表征它们的特性和分化潜力。体外最重要的线索之一是它们的增殖趋势,从而获得有关它们的生存能力、健康状况、与支架的相互作用等信息。为了测量hMSCs在再生医学支架上的增殖情况,在研究和诊断研究中采用准确的计数方法是很重要的。这项工作旨在开发一种可重复的方法,用于在珊瑚支架(Biocoral®)上的3D细胞培养中测量hMSCs的增殖。结果表明:本研究获得的增殖曲线在不同初始细胞密度的hMSC培养的多个支架上长期实验(3周)均可重现。
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引用次数: 0
Development of intraoperative noninvasive force measuring system during femoral fracture reduction 股骨骨折复位术中无创力测量系统的研制
Qing Zhu, Xiaogang Sun, Xingsong Wang, Qingcong Wu, B. Liang
Fracture reduction is a critical step in minimally invasive surgery of displaced femoral fracture treatment. Skeletal traction and alignment for fracture reduction can be performed individually in the operation, which is a standard procedure for the surgeons in practice. The intraoperative counteracting soft tissue forces during the fracture reduction should be measured precisely for improvement of the operation. In this paper, a set of measurement system was developed to obtain the value of the forces. Forces of skeletal traction and alignment were measured by three individual sensors, and the corresponding results can be recorded instantaneously during the fracture reduction process. According to an experimental test, the maximum alignment force in X-axis and Y-axis direction were 48.4N and 240.1N, respectively. The maximum traction force was 379.7N, occurred because of the slight valgus positioning of the leg to be convenient to insert the intramedullary nail. The highest forces were mostly observed along the shaft axis for skeletal traction. The experimental results show the effectiveness of the proposed measurement system, and indicate the potential application in developing new instruments for the fracture reduction operation.
骨折复位是微创手术治疗移位性股骨骨折的关键步骤。骨折复位的骨骼牵引和对准可以在手术中单独进行,这是外科医生在实践中的标准程序。术中应精确测量骨折复位过程中对软组织的作用力,以改善手术效果。本文开发了一套测量系统,用于测量力的大小。通过三个单独的传感器测量骨骼牵引和对齐力,并在骨折复位过程中即时记录相应的结果。根据实验测试,x轴和y轴方向的最大对中力分别为48.4N和240.1N。最大牵引力为379.7N,为方便髓内钉的插入,下肢有轻微外翻定位。最大的力主要观察沿轴轴骨骼牵引。实验结果表明了该测量系统的有效性,并指出了在开发新型骨折复位仪器方面的潜在应用前景。
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引用次数: 7
A non-invasive method for a quantitative evaluation of muscle involvement in MRI of Neuromuscular Diseases 神经肌肉疾病MRI中定量评估肌肉受累的非侵入性方法
M. Fantacci, C. Sottocornola, A. Retico, G. Astrea, R. Battini, M. Tosetti
This work reports a study of Neuromuscular Diseases (NMD) by Magnetic Resonance Imaging as reliable and non invasive instrument for NMD diagnosis and follow up. The evaluation of the images is now only visual, while standardization procedures and quantitative methods could be very useful instruments to optimize the diagnostic performances. We propose a new method to evaluate the fat infiltration in tissues developed and retrospectively applied to images of the human leg. Through a muscle segmentation algorithm on structural T1-weighted magnetic resonance images (MRIs), the estimated non-muscle percentage (eNMP) in the segmented muscle area has been evaluated in healthy subjects as a reference value. A semi-automated procedure allows extending the algorithm to MRIs of NMD patients. A strong correlation has been demonstrated between this index and the disease severity. The final aim is to obtain a quantitative evaluation of fat infiltration percentage and to relate it to the grade of muscle impairment in subjects affected by Neuromuscular Diseases.
本文报道了磁共振成像作为神经肌肉疾病(NMD)诊断和随访的可靠、无创仪器的研究。目前对图像的评价仅是视觉上的,而标准化程序和定量方法可能是优化诊断性能的非常有用的工具。我们提出了一种新的方法来评估脂肪浸润组织开发和回顾性应用于图像的人腿。通过对结构t1加权磁共振图像(mri)的肌肉分割算法,评估健康受试者在分割后的肌肉区域估计的非肌肉百分比(eNMP)作为参考值。半自动程序允许将算法扩展到NMD患者的核磁共振成像。该指数与疾病严重程度之间存在很强的相关性。最终目的是获得脂肪浸润率的定量评估,并将其与神经肌肉疾病患者肌肉损伤的等级联系起来。
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引用次数: 1
Non-invasive assessment of Neuromuscular Disorders by 7 tesla Magnetic Resonance Imaging and Spectroscopy: Dedicated radio-frequency coil development 7特斯拉磁共振成像和光谱学对神经肌肉疾病的无创评估:专用射频线圈的开发
A. Retico, R. Stara, M. Fantacci, A. Toncelli, A. Galante, Tiziana M. Florio, M. Alecci, M. Cosottini, G. Astrea, R. Battini, G. Tiberi, M. Costagli, M. Tosetti
Magnetic Resonance (MR) Imaging and Spectroscopy of the muscle is a valuable tool in the diagnosis and monitoring of Neuromuscular Disorders (NMD). New Ultra-High Field (UHF) 7 T MRI systems, with their enhanced Signal-to-Noise Ratio, may offer increased image quality in terms of spatial resolution and/or shorter scanning time compared to lower field systems. In the study of NMD the new features provided by UHF MR may allow the use of functional techniques to improve biochemical and physiological information of skeletal muscle correlated to the pathogenesis and progression of the muscle involvement. This study reports the recent achievements in muscle imaging and spectroscopy obtained at the first Italian 7 T MR scanner available at the IMAGO7 Foundation (Pisa, Italy). Dedicated radio-frequency coils for proton imaging and phosphorous spectroscopy have been designed, developed and validated in vivo, and are now ready for clinical research studies.
肌肉的磁共振成像和光谱是诊断和监测神经肌肉疾病(NMD)的宝贵工具。新型超高场(UHF) 7 T MRI系统具有增强的信噪比,与低场系统相比,可以在空间分辨率和/或更短的扫描时间方面提供更高的图像质量。在NMD的研究中,UHF MR提供的新特征可能允许使用功能技术来改善骨骼肌的生化和生理信息,这些信息与肌肉受损伤的发病和进展有关。本研究报告了在IMAGO7基金会(比萨,意大利)获得的第一台意大利7t磁共振扫描仪在肌肉成像和光谱方面取得的最新成就。用于质子成像和磷光谱的专用射频线圈已经设计、开发和体内验证,现已准备用于临床研究。
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引用次数: 3
AvanTomography: A compact module for positron emission mammography AvanTomography:一个紧凑的模块,用于正电子发射乳房x线摄影
Defne Us, Amalia Moreno-Galera, S. Nazari-Farsani, K. Palovuori, Heikki Kosola, Tiziana Zedda, U. Ruotsalainen
In AvanTomography project, a compact, high performance module was developed for axial positron emission mammography, which can be integrated with X-ray mammography. With its axial crystal orientation, AvanTomography can achieve a uniform spatial resolution and eliminate the parallax error by unambiguously detecting the location of the positron annihilation. Compact design of the module enables a cost and space efficient system for breast screening. Various configurations, plate or full ring, can be obtained by using multiple modules, allowing the screening of axillary and mammary regions with a single scanner position. In this project, a 6-module system was constructed and tested with a 22Na point source. Energy calibration was performed and initial measurements for energy resolution were conducted.
在AvanTomography项目中,开发了一种紧凑、高性能的轴向正电子发射乳房x线摄影模块,可与x射线乳房x线摄影集成。AvanTomography利用其轴向晶体取向,通过清晰地探测正电子湮灭的位置,实现了均匀的空间分辨率,消除了视差误差。紧凑的设计模块使成本和空间有效的乳房筛查系统。通过使用多个模块,可以获得各种配置,板式或全环形,允许使用单个扫描仪位置对腋窝和乳房区域进行筛查。在本项目中,构建了一个6模块系统,并使用22Na点源进行了测试。进行了能量校准,并进行了能量分辨率的初步测量。
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引用次数: 0
期刊
2015 IEEE International Symposium on Medical Measurements and Applications (MeMeA) Proceedings
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