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

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An Automatic Sensing Test procedure for Implantable Cardioverter Defibrillators 植入式心律转复除颤器的自动感应测试程序
I. Spano, S. Sulis, A. Serpi, I. Marongiu, G. Gatto, V. Nissardi
An Automatic Sensing Test procedure (AST) for evaluating the sensing performances of Implantable Cardioverter Defibrillators (ICDs) is presented in this paper. AST is based on the Sensitivity Test described by the Standard CEI EN 45502-2-1 for pacemakers and consists of determining the ICD sensing thresholds at different heartbeat frequencies. Consequently, an extensive evaluation of ICD sensing performances can be achieved. AST has been implemented by means of virtual instruments developed in the Labview environment and has been validated experimentally through several tests. These have been performed inside an anechoic RF chamber. Such an environment guarantees proper shielding against external electromagnetic interferences, thus ensuring reliability and repeatability of the tests. The discussion of the results highlights the usefulness of the proposed procedure.
本文提出了一种用于评估植入式心律转复除颤器(ICDs)感知性能的自动感知测试程序(AST)。AST是基于标准CEI EN 45502-2-1对起搏器描述的灵敏度测试,包括确定不同心跳频率下的ICD传感阈值。因此,可以实现对ICD传感性能的广泛评估。AST采用Labview环境下开发的虚拟仪器实现,并通过多次实验验证。这些都是在消声射频室中进行的。这样的环境保证了对外部电磁干扰的适当屏蔽,从而确保了测试的可靠性和可重复性。对结果的讨论突出了所建议程序的有效性。
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引用次数: 1
Effect of the calibration procedure of an optoelectronic system on the joint kinematics 光电系统标定过程对关节运动学的影响
R. Marco, S. Rossi, Benedetta Bachetti, C. Mazzà, P. Cappa
Optoelectronic systems are largely employed for human movement analysis, where marker trajectories are used to estimate the articular joint kinematics. From a literature analysis it emerged that the error associated to the joint kinematics can be reduced performing the data collection in the center of the system calibration volume. According to human movement analysis literature, the foot-ankle complex appears to be the anatomical joint most affected by instrument inaccuracy, as it moves in the lower bound of the calibration volume during the gait cycle. A multi-segment marker-based model of the lower limb - including the pelvis, thigh, tibia, hindfoot, forefoot and hallux - was investigated in this paper. One healthy subject was asked to walk on the central and on two boundary areas of the capture volume calibrated for the experiments. The calibration procedure was focused on the exploitation of the effects on the joint angles of: (i) calibration volumes (i.e. the global one and two of its sub-volumes) and (ii) number of frames acquired for the calibration procedure (refinement frames). In order to quantify the precision of estimating the joint kinematics when changing the calibration procedure, the RMSE among different refinement frames using both the global volume and the two sub-volumes was computed as an index of the joint angles variation estimated on the sagittal plane. Two two-way ANOVAs were performed to evaluate whether the calibration volumes or the walking areas affect the kinematics. The statistical analysis highlighted a good robustness of the reconstruction algorithm implemented by the optoelectronic system manufacturer. Few variables showed significant differences for the RMSEs, with p-values lower than 0.05. No clear dependence on the body segments here analyzed emerged from the analysis. The coefficient of Multiple Correlations was computed in order to enlighten the similarities among the joint angles time patterns. We conclude that reconstructed trajectories can be affected by the same magnitude errors, regardless to the calibrated volume or the considered walking area. This finding allows conducting the gait analysis without paying attention when calibrating the system and without having to impose excessive restrictions to the tested subjects, allowing to keep their movement as natural as possible.
光电系统主要用于人体运动分析,其中标记轨迹用于估计关节运动学。从文献分析中可以看出,在系统标定体积的中心进行数据收集可以减少与关节运动学相关的误差。根据人体运动分析文献,足踝复合体似乎是受仪器误差影响最大的解剖关节,因为它在步态周期中处于校准体积的下界。本文研究了一个基于多节段标记的下肢模型,包括骨盆、大腿、胫骨、后脚、前脚和拇趾。一名健康受试者被要求在为实验校准的捕获体积的中心和两个边界区域行走。校准过程的重点是利用对关节角的影响:(i)校准体积(即其子体积的全局一和二)和(ii)为校准过程获得的帧数(细化帧)。为了量化在改变标定程序时估计关节运动学的精度,计算了使用全局体积和两个子体积的不同细化框架之间的RMSE作为矢状面估计关节角度变化的指标。采用两个双向方差分析来评估校准体积或行走区域是否影响运动学。统计分析表明,光电系统制造商实现的重建算法具有良好的鲁棒性。少数变量的均方根误差有显著性差异,p值小于0.05。在分析中,没有明确的依赖于所分析的身体部分。为了揭示关节角度时间模式的相似性,计算了多重相关系数。我们得出的结论是,重建的轨迹可以受到相同大小的误差的影响,无论校准的体积或考虑的行走区域。这一发现允许在校准系统时进行步态分析,而无需注意,也不必对测试对象施加过多的限制,从而使他们的运动尽可能自然。
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引用次数: 2
Focused ultrasound temperature effect in tissue-mimicking material and sheep liver 聚焦超声在模拟组织材料和羊肝脏中的温度效应
B. Karaboce
The temperature distribution produced by a HIFU (High Intensity Focused Ultrasound) transducer has been investigated by a set up using T type thermocouple temperature sensors in the automated scanning system. The temperature change and the temperature distribution due to applied ultrasound power have been characterized. The temperature measurements were carried out in a tissue-mimicking material (TMM) that has characteristics very similar to human tissue and in ex vivo tissue. A temperature measurement set up in a tissue phantom has been constructed at TÜBİTAK UME (The Scientific and Technological Research Council of Turkey, the National Metrology Institute) Ultrasound laboratory. Burning and removing the tissue by high power ultrasound have been showed.
采用T型热电偶温度传感器,对高强度聚焦超声换能器产生的温度分布进行了研究。研究了超声功率对温度变化和温度分布的影响。温度测量是在组织模拟材料(TMM)中进行的,该材料具有与人体组织和离体组织非常相似的特征。在TÜBİTAK UME(土耳其科学技术研究委员会,国家计量研究所)超声实验室建立了一个组织模体中的温度测量装置。用高功率超声波焚烧和切除组织。
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引用次数: 12
Pharyngeal and esophageal pressure measurements to evaluate respiratory mechanics in infants on high flow nasal cannula: A feasibility study 咽部和食道压力测量评估婴儿高流量鼻插管呼吸力学的可行性研究
F. Montecchia, S. Luciani, R. Cicchetti, Rosanna Grossi, F. Midulla, C. Moretti, P. Papoff
High-flow humidified nasal cannula (HFNC) is often used to relieve respiratory distress in children with acute pulmonary disease, although its effects on respiratory mechanics have not been objectively studied. The purpose of this study was to test the feasibility of measuring pharyngeal (PP) and esophageal (Pes) pressures of young children on HFNC oxygen therapy through a specifically designed new monitoring, acquisition, and elaboration system (MAES). Through MAES we recorded and elaborated Pes and PP tracings obtained through esophageal and pharyngeal catheters in a group of young children hospitalized in a Pediatric Intensive Care Unit because of respiratory distress. All traces were recorded during spontaneous breathing and on HFNC 1 and 2 L/kg/min. To determine the onset and the end of inspiration, the Pes and PP signals were synchronized with the inspiratory flow obtained by a flow transducer placed in the HFNC circuit. Direct measurement of inspiratory flow by a face mask pneumotachograph also allowed for inspiratory tidal volume (TV) measurement which was used together with Pes curve to build Campbell's diagram as well as the static lung and chest wall recoil curves required for pressure time product (PTP) evaluation. Using MAES we were able to obtain: time interval between the beginning of inspiratory effort and inspiration (Tdelay), TV, intrinsic positive end expiratory pressure (PEEPi), total inspiratory Pes variation (ΔPes), transpulmonary pressure at end of inspiration (Ptpei), dynamic lung compliance (CLdyn), total lung resistance (RLtot) along with all the relevant components of the inspiratory work of breathing (WOB) and PTP. We believe that this new system will allow clinicians for a bedside monitoring of respiratory distress in infants treated with HFNC and to modify flow rates accordingly.
高流量湿化鼻插管(HFNC)常用于缓解急性肺部疾病患儿的呼吸窘迫,但其对呼吸力学的影响尚未得到客观研究。本研究的目的是通过专门设计的新型监测、获取和阐述系统(MAES),测试在HFNC氧疗中测量幼儿咽部(PP)和食管(Pes)压力的可行性。通过MAES,我们记录并详细阐述了一组因呼吸窘迫而在儿科重症监护病房住院的幼儿通过食管和咽导管获得的pe和PP示踪。在自主呼吸和HFNC 1和2 L/kg/min时记录所有痕迹。为了确定吸气的开始和结束,pe和PP信号与放置在HFNC电路中的流量传感器获得的吸气流量同步。通过面罩式肺检波器直接测量吸气流量也允许吸气潮汐量(TV)测量,该测量与Pes曲线一起用于构建坎贝尔图以及压力时间积(PTP)评估所需的静态肺和胸壁反冲曲线。使用MAES,我们能够获得:吸气力开始和吸气之间的时间间隔(Tdelay)、TV、固有呼气末正压(PEEPi)、吸气总Pes变化(ΔPes)、吸气末经肺压(Ptpei)、动态肺顺应性(CLdyn)、肺总阻力(RLtot)以及吸气功(WOB)和PTP的所有相关组成部分。我们相信这个新系统将允许临床医生对接受HFNC治疗的婴儿的呼吸窘迫进行床边监测,并相应地调整流速。
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引用次数: 4
Genomic based personalized chemotherapy analysis to support decision systems for breast cancer 基于基因组的个性化化疗分析支持乳腺癌决策系统
Aydin Saribudak, S. Gundry, Jianmin Zou, M. U. Uyar
Personalized approach to anti-cancer therapy necessitates the adaptation of standardized guidelines for chemotherapy schedules to individual cancer patients. We introduce a methodology, namely Personalized Relevance Parameterization (PReP-G), based on the genomic data of breast cancer patients to compute time course of drug efficacy on tumor progression. The pharmacodynamic (PD) parameters of transit compartmental systems are computed to quantify the drug efficacy and kinetics of cell death. We integrate the genetic information of 74 breast cancer related genes for 78 patients with clinical t-stage of 3 from the I-SPY 1 TRIAL with the tumor volume measurements from NBIA database into our PReP-G model to compute tumor growth and shrinkage parameters. The performance of the method is evaluated for the breast cancer cell lines of BT-474, MDA-MB-435 and MDA-MB-231 for a given chemotherapy, where the anti-cancer agents Doxorubicin and Cyclophosphamide are administered to animal models and the change of tumor size is measured in time. We compare our results from PReP-G model with the experimental measurements. The consistency between computed results and the volume measurements is encouraging to develop personalized tumor growth models and decision support systems based on genetic data.
个性化的抗癌治疗方法需要针对个别癌症患者制定标准化的化疗计划指南。我们介绍了一种基于乳腺癌患者基因组数据的方法,即个性化相关参数化(PReP-G),来计算药物对肿瘤进展的疗效时间过程。通过计算运输隔室系统的药效学(PD)参数来量化药物疗效和细胞死亡动力学。我们将来自I-SPY 1试验的78例临床t期为3的患者的74个乳腺癌相关基因的遗传信息与NBIA数据库的肿瘤体积测量数据整合到我们的PReP-G模型中,以计算肿瘤的生长和收缩参数。对给定化疗时间的BT-474、MDA-MB-435和MDA-MB-231乳腺癌细胞系进行性能评价,其中给药动物模型使用抗癌药物阿霉素和环磷酰胺,及时测量肿瘤大小的变化。我们将p - g模型计算结果与实验测量结果进行了比较。计算结果和体积测量之间的一致性鼓舞了基于遗传数据开发个性化肿瘤生长模型和决策支持系统。
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引用次数: 9
An efficient home-based risk of falling assessment test based on Smartphone and instrumented insole 基于智能手机和仪表鞋垫的家庭跌倒风险评估测试
Johannes C. Ayena, Landry Delphin Chapwouo Tchakouté, M. Otis, B. Ménélas
The aim of this study is to improve and facilitate the methods used to assess risk of falling among older people at home. We propose an automatic version of One-Leg Standing (OLS) test for risk of falling assessment by using a Smartphone and an instrumented insole. For better clinical assessment tests, this study focuses on exploring methods to combine the most important parameters of risk of falling into a single score. Twenty-three volunteers participated in this study for evaluating the effectiveness of the proposed system which includes eleven elderly participants: seven healthy elderly (67.16 ± 4.24 years), four Parkinson disease (PD) subjects (70 ± 12.73 years); and twelve healthy young adults (28.27 ± 3.74 years). Our work suggests that there is an inverse relationship between OLS score proposed and risk of falling. Proposed instrumented insole and application running on Android could be useful at home as a diagnostic aid tool for analyzing the performance of elderly people in OLS test.
本研究的目的是改进和促进用于评估家中老年人跌倒风险的方法。我们提出了一种自动版本的单腿站立(OLS)测试,通过使用智能手机和仪器鞋垫来评估跌倒风险。为了更好的临床评估测试,本研究的重点是探索将最重要的风险参数合并为单一评分的方法。本研究共有23名志愿者参与评估该系统的有效性,其中11名老年人:7名健康老年人(67.16±4.24岁),4名帕金森病(PD)受试者(70±12.73岁);健康青壮年12例(28.27±3.74岁)。我们的工作表明,OLS评分与跌倒风险之间存在反比关系。所提出的仪器鞋垫和Android上运行的应用程序可以作为诊断辅助工具用于分析老年人在OLS测试中的表现。
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引用次数: 25
A mobile approach for neurofeedback cognitive enhancement 神经反馈认知增强的移动方法
Ting-Ying Wei, C. Young
Past researches showed that neurofeedback training can enhance cognitive function. This study used alpha rhythm (8-12Hz) to conduct brain induced training. It proposed the use of Bluetooth Low Energy to connect the EEG signals to the smartphone. Then, the pattern of the interface will display the induced alpha energy. The result of the experiment indicates that the alpha power showed on the phone has a significant memory increase in the results of the memory of cognitive brain training.
过去的研究表明,神经反馈训练可以增强认知功能。本研究采用α节奏(8-12Hz)进行脑诱导训练。提出利用低功耗蓝牙技术将脑电图信号与智能手机连接。然后,界面图案将显示感应α能量。实验结果表明,在认知脑训练的记忆结果中,手机上显示的alpha功率有显著的记忆提升。
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引用次数: 1
Blood oxygen saturation measurement by smartphone camera 用智能手机摄像头测量血氧饱和度
F. Lamonaca, D. L. Carní, D. Grimaldi, A. Nastro, M. Riccio, V. Spagnuolo
This study investigates the usability of the smartphone camera for the evaluation of arterial blood oxygenation (SpO2%). The advantage of this solution derives from the pervasiveness of the smartphone that makes available the evaluation of the SpO2% everywhere. Differently from the pulse oximeter, which uses well-defined wavelength light, the smartphone uses Light Emitting Diodes as a light source to evaluate the SpO2%. The change of the light intensity in the Red and Green colour channels in the video frames of the patient fingertip are properly processed. Two PPG signals are obtained at the wavelengths 600nm and 940nm, respectively. These two PPGs are used to evaluate the SpO2% without calibration coefficients and independently of the smartphone hardware and skin characteristics. Experimental tests are performed to compare the proposed procedure with respect to a commercial pulse oximeter and gas chromatograph. The experimental tests assess the effectiveness of the proposal.
本研究探讨了智能手机相机在动脉血氧饱和度(SpO2%)评估中的可用性。这种解决方案的优势来自于智能手机的普及,这使得SpO2%的评估无处不在。不同于脉搏血氧仪,它使用明确波长的光,智能手机使用发光二极管作为光源来评估SpO2%。对患者指尖视频帧中红色和绿色通道的光强变化进行了适当的处理。分别在600nm和940nm波长处获得两个PPG信号。这两个ppg被用来评估SpO2%,没有校准系数,独立于智能手机硬件和皮肤特征。实验测试进行了比较所提出的程序相对于商业脉搏血氧仪和气相色谱仪。实验验证了该方案的有效性。
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引用次数: 31
Mechanical characterisation and modelling of electrospun materials for biomedical applications 生物医学用静电纺丝材料的力学特性和建模
Katarzyna Polak-Kraśna, A. Georgiadis, P. Heikkila
Electrospun nonwovens, due to their intrinsic beneficial properties, have found many applications in biomedical areas such as tissue engineering, drug delivery, or active wound management. Exploiting its porous structure, electrospun is often used as scaffolds for tissue growth which can be stimulated by mechanical properties of the structure. Cells proliferation can be controlled by stress distribution in the scaffold, thus improving its efficiency. Anticipation of this parameter is possible by using Finite Elements Model of electrospun structure presented in this study. Fully parametric model of nonwoven material with random fibrous distribution was developed enabling the calculation of mechanical properties of material on the basis of input parameters such as mechanical characteristics and geometry of single component fibres. Relatively low production ratio of electrospinning process and time consuming characterisation methods were motivation to develop the tool that would shorten the design and optimisation of electrospun materials. The model was validated experimentally by mechanical testing of electrospun material; modelling and experimental results were in a good agreement.
静电纺非织造布由于其固有的有益特性,在生物医学领域,如组织工程、药物输送或主动伤口管理等领域得到了许多应用。利用其多孔结构,静电纺丝经常被用作组织生长的支架,可以通过结构的机械性能来刺激组织生长。细胞增殖可以通过支架内的应力分布来控制,从而提高支架的效率。利用本文提出的静电纺丝结构有限元模型,可以对该参数进行预测。建立了纤维随机分布的非织造材料全参数化模型,实现了基于单组分纤维的力学特性和几何形状等输入参数对材料力学性能的计算。由于静电纺丝工艺的成品率相对较低,表征方法耗时较长,因此开发该工具可以缩短静电纺丝材料的设计和优化时间。通过静电纺丝材料的力学试验验证了模型的有效性;模型与实验结果吻合较好。
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引用次数: 3
Automated hippocampus segmentation with the Channeler Ant Model: Results on different datasets channel Ant模型的自动海马分割:不同数据集上的结果
E. Fiorina, F. Pennazio, C. Peroni, E. L. Torres, M. Fantacci, A. Retico, L. Rei, A. Chincarini, P. Bosco, M. Boccardi, M. Bocchetta, P. Cerello
The hippocampus segmentation in Magnetic Resonance (MRI) scans is a relevant issue for the diagnosis of many pathologies. The present work describes a fully automated method for the hippocampal segmentation and discusses the results obtained on three datasets provided by different institutions and referring to different pathologies that involve hippocampus anatomy. The algorithm is based on an extension of the Channeler Ant Model, a powerful non linear segmentation tool belonging to the family of ant colony-based models, whose application to medical image processing already provided some promising results in the analysis of CT and PET scans. In this application, thanks to a modified pheromone deposition rule, both the grey matter intensity and the expected average hippocampus shape are taken into account. In this paper, the results on the three available datasets, obtained from the comparison to manual segmentations by different subjects and protocols, are shown: an average Dice Index in the 0.72- 0.79 range, depending on the analysed dataset, is reached.
在磁共振扫描海马分割是一个相关的问题,许多病理诊断。本文描述了一种全自动的海马体分割方法,并讨论了在不同机构提供的三个数据集上获得的结果,并参考了涉及海马体解剖的不同病理。该算法基于通道蚂蚁模型的扩展,通道蚂蚁模型是一种强大的非线性分割工具,属于蚁群模型家族,其在医学图像处理中的应用已经在CT和PET扫描分析中取得了一些有希望的结果。在这个应用中,由于修改了信息素沉积规则,灰质强度和预期的平均海马形状都被考虑在内。在本文中,通过对不同主题和协议的手动分割进行比较,得出了三个可用数据集的结果:根据所分析的数据集,Dice Index的平均值在0.72- 0.79之间。
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引用次数: 1
期刊
2015 IEEE International Symposium on Medical Measurements and Applications (MeMeA) Proceedings
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