Pub Date : 2024-06-28DOI: 10.1109/ojemb.2024.3420247
Xiaoli Wu, Yu Suen Chan, Bingjie Xiang, Wenhui Zhang, Kwai-Man Luk, Shuk Han Cheng, Yuk Fai Leung, Rosa H. M. Chan
{"title":"Scalable Neuroanatomical and Behavioral Phenotyping of Radio Frequency Radiation on Young Zebrafish","authors":"Xiaoli Wu, Yu Suen Chan, Bingjie Xiang, Wenhui Zhang, Kwai-Man Luk, Shuk Han Cheng, Yuk Fai Leung, Rosa H. M. Chan","doi":"10.1109/ojemb.2024.3420247","DOIUrl":"https://doi.org/10.1109/ojemb.2024.3420247","url":null,"abstract":"","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":5.8,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141526715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-28DOI: 10.1109/OJEMB.2024.3420747
Foteini Savvidou;Sotiris A. Tegos;Panagiotis D. Diamantoulakis;George K. Karagiannidis
Continuous and unobtrusive monitoring of daily human activities in homes can potentially improve the quality of life and prolong independent living for the elderly and people with chronic diseases by recognizing normal daily activities and detecting gradual changes in their conditions. However, existing human activity recognition (HAR) solutions employ wearable and video-based sensors, which either require dedicated devices to be carried by the user or raise privacy concerns. Radar sensors enable non-intrusive long-term monitoring, while they can exploit existing communication systems, e.g., Wi-Fi, as illuminators of opportunity. This survey provides an overview of passive radar system architectures, signal processing techniques, feature extraction, and machine learning's role in HAR applications. Moreover, it points out challenges in wireless human activity sensing research like robustness, privacy, and multiple user activity sensing and suggests possible future directions, including the coexistence of sensing and communications and the construction of open datasets.
通过识别正常的日常活动并检测其状况的逐渐变化，对家庭中的日常人类活动进行持续、不显眼的监测，有可能提高老年人和慢性病患者的生活质量并延长其独立生活的时间。然而，现有的人类活动识别（HAR）解决方案采用的是可穿戴式和基于视频的传感器，这些传感器要么需要用户携带专用设备，要么会引发隐私问题。雷达传感器可以实现非侵入式的长期监测，同时还可以利用现有的通信系统（如 Wi-Fi ）作为机会照明器。本研究概述了无源雷达系统架构、信号处理技术、特征提取以及机器学习在 HAR 应用中的作用。此外，它还指出了无线人类活动传感研究面临的挑战，如鲁棒性、隐私和多用户活动传感，并提出了未来可能的发展方向，包括传感与通信的共存以及开放数据集的构建。
{"title":"Passive Radar Sensing for Human Activity Recognition: A Survey","authors":"Foteini Savvidou;Sotiris A. Tegos;Panagiotis D. Diamantoulakis;George K. Karagiannidis","doi":"10.1109/OJEMB.2024.3420747","DOIUrl":"10.1109/OJEMB.2024.3420747","url":null,"abstract":"Continuous and unobtrusive monitoring of daily human activities in homes can potentially improve the quality of life and prolong independent living for the elderly and people with chronic diseases by recognizing normal daily activities and detecting gradual changes in their conditions. However, existing human activity recognition (HAR) solutions employ wearable and video-based sensors, which either require dedicated devices to be carried by the user or raise privacy concerns. Radar sensors enable non-intrusive long-term monitoring, while they can exploit existing communication systems, e.g., Wi-Fi, as illuminators of opportunity. This survey provides an overview of passive radar system architectures, signal processing techniques, feature extraction, and machine learning's role in HAR applications. Moreover, it points out challenges in wireless human activity sensing research like robustness, privacy, and multiple user activity sensing and suggests possible future directions, including the coexistence of sensing and communications and the construction of open datasets.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10577229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141532211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-28DOI: 10.1109/OJEMB.2024.3420241
Nils C. Albrecht;Dominik Langer;Daniel Krauss;Robert Richer;Luca Abel;Bjoern M. Eskofier;Nicolas Rohleder;Alexander Koelpin
In biomedical monitoring, non-intrusive and continuous tracking of vital signs is a crucial yet challenging objective. Although accurate, traditional methods, such as electrocardiography (ECG) and photoplethysmography (PPG), necessitate direct contact with the patient, posing limitations for long-term and unobtrusive monitoring. To address this challenge, we introduce the EmRad system, an innovative solution harnessing the capabilities of continuous-wave (CW) radar technology for the contactless detection of vital signs, including heart rate and respiratory rate. EmRad discerns itself by emphasizing miniaturization, performance, scalability, and its ability to generate large-scale datasets in various environments. This article explains the system's design, focusing on signal processing strategies and motion artifact reduction to ensure precise vital sign extraction. The EmRad system's versatility is showcased through various case studies, highlighting its potential to transform vital sign monitoring in research and clinical contexts.
{"title":"EmRad: Ubiquitous Vital Sign Sensing Using Compact Continuous-Wave Radars","authors":"Nils C. Albrecht;Dominik Langer;Daniel Krauss;Robert Richer;Luca Abel;Bjoern M. Eskofier;Nicolas Rohleder;Alexander Koelpin","doi":"10.1109/OJEMB.2024.3420241","DOIUrl":"10.1109/OJEMB.2024.3420241","url":null,"abstract":"In biomedical monitoring, non-intrusive and continuous tracking of vital signs is a crucial yet challenging objective. Although accurate, traditional methods, such as electrocardiography (ECG) and photoplethysmography (PPG), necessitate direct contact with the patient, posing limitations for long-term and unobtrusive monitoring. To address this challenge, we introduce the EmRad system, an innovative solution harnessing the capabilities of continuous-wave (CW) radar technology for the contactless detection of vital signs, including heart rate and respiratory rate. EmRad discerns itself by emphasizing miniaturization, performance, scalability, and its ability to generate large-scale datasets in various environments. This article explains the system's design, focusing on signal processing strategies and motion artifact reduction to ensure precise vital sign extraction. The EmRad system's versatility is showcased through various case studies, highlighting its potential to transform vital sign monitoring in research and clinical contexts.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10577086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141503318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-21DOI: 10.1109/OJEMB.2024.3417376
Ian Anderson;Christopher Cosma;Yingzhe Zhang;Vigyanshu Mishra;Asimina Kiourti
Goals: We have recently introduced a new class of wearable loop sensors for joint flexion monitoring that overcomes limitations in the state-of-the-art. Our previous studies reported a proof-of-concept on a cylindrical phantom limb, under static scenarios and with a rigid sensor. In this work, we evaluate our sensors, for the first time, on human subjects, under dynamic scenarios, using a flexible textile-based prototype tethered to a network analyzer. An untethered version is also presented and validated on phantoms, aiming towards a fully wearable design. Methods: Three dynamic activities (walking, brisk walking, and full flexion/extension, all performed in place) are used to validate the tethered sensor on ten (10) adults. The untethered sensor is validated upon a cylindrical phantom that is bent manually at random speed. A calibration mechanism is developed to derive the sensor-measured angles. These angles are then compared to gold-standard angles simultaneously captured by a light detection and ranging (LiDAR) depth camera using root mean square error (RMSE) and Pearson's correlation coefficient as metrics. Results: We find excellent correlation (≥ 0.981) to gold-standard angles. The sensor achieves an RMSE of 4.463° ± 1.266° for walking, 5.541° ± 2.082° for brisk walking, 3.657° ± 1.815° for full flexion/extension activities, and 0.670° ± 0.366° for the phantom bending test. Conclusion: The tethered sensor achieves similar to slightly higher RMSE as compared to other wearable flexion sensors on human subjects, while the untethered version achieves excellent RMSE on the phantom model. Concurrently, our sensors are reliable over time and injury-safe, and do not obstruct natural movement. Our results set the ground for future improvements in angular resolution and for realizing fully wearable designs, while maintaining the abovementioned advantages over the state-of-the-art.
{"title":"Wearable Loop Sensors for Knee Flexion Monitoring: Dynamic Measurements on Human Subjects","authors":"Ian Anderson;Christopher Cosma;Yingzhe Zhang;Vigyanshu Mishra;Asimina Kiourti","doi":"10.1109/OJEMB.2024.3417376","DOIUrl":"10.1109/OJEMB.2024.3417376","url":null,"abstract":"<italic>Goals:</i>\u0000 We have recently introduced a new class of wearable loop sensors for joint flexion monitoring that overcomes limitations in the state-of-the-art. Our previous studies reported a proof-of-concept on a cylindrical phantom limb, under static scenarios and with a rigid sensor. In this work, we evaluate our sensors, for the first time, on human subjects, under dynamic scenarios, using a flexible textile-based prototype tethered to a network analyzer. An untethered version is also presented and validated on phantoms, aiming towards a fully wearable design. \u0000<italic>Methods:</i>\u0000 Three dynamic activities (walking, brisk walking, and full flexion/extension, all performed in place) are used to validate the tethered sensor on ten (10) adults. The untethered sensor is validated upon a cylindrical phantom that is bent manually at random speed. A calibration mechanism is developed to derive the sensor-measured angles. These angles are then compared to gold-standard angles simultaneously captured by a light detection and ranging (LiDAR) depth camera using root mean square error (RMSE) and Pearson's correlation coefficient as metrics. \u0000<italic>Results:</i>\u0000 We find excellent correlation (≥ 0.981) to gold-standard angles. The sensor achieves an RMSE of 4.463° ± 1.266° for walking, 5.541° ± 2.082° for brisk walking, 3.657° ± 1.815° for full flexion/extension activities, and 0.670° ± 0.366° for the phantom bending test. \u0000<italic>Conclusion:</i>\u0000 The tethered sensor achieves similar to slightly higher RMSE as compared to other wearable flexion sensors on human subjects, while the untethered version achieves excellent RMSE on the phantom model. Concurrently, our sensors are reliable over time and injury-safe, and do not obstruct natural movement. Our results set the ground for future improvements in angular resolution and for realizing fully wearable designs, while maintaining the abovementioned advantages over the state-of-the-art.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10568308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141503319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-18DOI: 10.1109/OJEMB.2024.3414974
Scott Schoen Jr;Alexis Prasov;Ion Candel;Saaid Arshad;Mark Ottensmeyer;Theodore T. Pierce;Laura J. Brattain;Brian A. Telfer;Anthony E. Samir
Assessment of trauma-induced hemorrhage with ultrasound is particularly challenging outside of the clinic, where its detection is crucial. The current clinical standard for hematoma detection – the focused assessment with sonography of trauma (FAST) exam – does not aim to detect ongoing blood loss, and thus is unable to detect injuries of increasing severity. To enhance detection of active bleeding, we propose the use of ultrasound contrast agents (UCAs), together with a novel flow phantom and contrast-sensitive processing techniques, to facilitate efficient, practical characterization of internal bleeding. Within a the custom phantom, UCAs and processing techniques enabled a significant enhancement of the hemorrhage visualization (mean increase in generalized contrast-to-noise ratio of 17%) compared to the contrast-free case over a range of flow rates up to 40 ml/min. Moreover, we have shown that the use of UCAs improves the probability of detection: the area under the receiver operating characteristic curve for a flow rate of 40 ml/min was 0.99, compared to 0.72 without contrast. We also demonstrate how additional processing of the spatial and temporal information further localizes the bleeding site. UCAs also enhanced Doppler signals over the non-contrast case. These results show that specialized nonlinear processing (NLP) pipelines together with UCAs may offer an efficient means to improve substantially the detection of slower hemorrhages and increase survival rates for trauma-induced injury in pre-hospital settings.
用超声波评估创伤引起的出血在临床外尤其具有挑战性，因为在临床外，检测出血至关重要。目前血肿检测的临床标准--创伤超声聚焦评估（FAST）检查--并不以检测正在进行的失血为目的，因此无法检测严重程度不断增加的损伤。为了加强对活动性出血的检测，我们建议使用超声造影剂（UCA）、新型流动模型和造影剂敏感处理技术，以促进高效、实用的内出血特征描述。在定制的模型中，与无对比剂的情况相比，UCAs 和处理技术能在高达 40 毫升/分钟的流速范围内显著增强出血的可视性（广义对比度-噪声比平均增加 17%）。此外，我们还证明了 UCA 的使用提高了检测概率：流速为 40 毫升/分钟时的接收者操作特征曲线下面积为 0.99，而无对比剂时为 0.72。我们还展示了对空间和时间信息的额外处理如何进一步定位出血部位。与无对比度的情况相比，UCA 还增强了多普勒信号。这些结果表明，专门的非线性处理（NLP）管道与 UCA 相结合，可以提供一种有效的方法，大幅提高对较缓慢出血的检测，并提高院前环境中创伤所致损伤的存活率。
{"title":"Microbubble Contrast Agents Improve Detection of Active Hemorrhage","authors":"Scott Schoen Jr;Alexis Prasov;Ion Candel;Saaid Arshad;Mark Ottensmeyer;Theodore T. Pierce;Laura J. Brattain;Brian A. Telfer;Anthony E. Samir","doi":"10.1109/OJEMB.2024.3414974","DOIUrl":"10.1109/OJEMB.2024.3414974","url":null,"abstract":"Assessment of trauma-induced hemorrhage with ultrasound is particularly challenging outside of the clinic, where its detection is crucial. The current clinical standard for hematoma detection – the focused assessment with sonography of trauma (FAST) exam – does not aim to detect ongoing blood loss, and thus is unable to detect injuries of increasing severity. To enhance detection of active bleeding, we propose the use of ultrasound contrast agents (UCAs), together with a novel flow phantom and contrast-sensitive processing techniques, to facilitate efficient, practical characterization of internal bleeding. Within a the custom phantom, UCAs and processing techniques enabled a significant enhancement of the hemorrhage visualization (mean increase in generalized contrast-to-noise ratio of 17%) compared to the contrast-free case over a range of flow rates up to 40 ml/min. Moreover, we have shown that the use of UCAs improves the probability of detection: the area under the receiver operating characteristic curve for a flow rate of 40 ml/min was 0.99, compared to 0.72 without contrast. We also demonstrate how additional processing of the spatial and temporal information further localizes the bleeding site. UCAs also enhanced Doppler signals over the non-contrast case. These results show that specialized nonlinear processing (NLP) pipelines together with UCAs may offer an efficient means to improve substantially the detection of slower hemorrhages and increase survival rates for trauma-induced injury in pre-hospital settings.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10561886","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141948750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Goal: To develop and validatea novel neonatal non-invasive respiratory support device prototype designed to operate in low-resource settings. Methods: The device integrates a blower-based ventilator and a portable oxygen concentrator. A novel control algorithm was designed to achieve the desired fraction of inspired oxygen (FiO 2 ) while minimizing power consumption. The accuracy of the delivered FiO 2 and the device power consumption were evaluated in vitro, and a formative usability test was conducted in a rural hospital in Uganda. Results: The agreement between the set and delivered FiO2 was high (limit of agreement:−5.6 ÷ 3.8%). For FiO2 below 60%, the control algorithm reduced the power drain by 50%. The device was also appreciated by intended users. Conclusion: The prototype proved effective in delivering oxygen-enriched continuous positive airway pressure in the absence of compressed air and oxygen, holding promise for a sustainable and effective implementation of neonatal respiratory support in low-resource settings.
{"title":"A Novel CPAP Device With an Integrated Oxygen Concentrator for Low Resource Countries: In Vitro Validation and Usability Test in Field","authors":"Poletto Sofia;Zannin Emanuela;Ghilotti Emanuele;Putoto Giovanni;Ichto Jerry;Lochoro Peter;Obizu Moses;Okori Samuel;Corno Matteo;Dellacà Raffaele","doi":"10.1109/OJEMB.2024.3413574","DOIUrl":"https://doi.org/10.1109/OJEMB.2024.3413574","url":null,"abstract":"<italic>Goal:</i>\u0000 To develop and validatea novel neonatal non-invasive respiratory support device prototype designed to operate in low-resource settings. \u0000<italic>Methods:</i>\u0000 The device integrates a blower-based ventilator and a portable oxygen concentrator. A novel control algorithm was designed to achieve the desired fraction of inspired oxygen (FiO\u0000<sub>2</sub>\u0000) while minimizing power consumption. The accuracy of the delivered FiO\u0000<sub>2</sub>\u0000 and the device power consumption were evaluated in vitro, and a formative usability test was conducted in a rural hospital in Uganda. \u0000<italic>Results:</i>\u0000 The agreement between the set and delivered FiO2 was high (limit of agreement:−5.6 ÷ 3.8%). For FiO2 below 60%, the control algorithm reduced the power drain by 50%. The device was also appreciated by intended users. \u0000<italic>Conclusion:</i>\u0000 The prototype proved effective in delivering oxygen-enriched continuous positive airway pressure in the absence of compressed air and oxygen, holding promise for a sustainable and effective implementation of neonatal respiratory support in low-resource settings.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10555147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141435290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-05DOI: 10.1109/OJEMB.2024.3410118
Yacine M'Rad;Caecilia Charbonnier;Marcelo Elias de Oliveira;Pauline Coralie Guillemin;Lindsey Alexandra Crowe;Thibaud Kössler;Pierre-Alexandre Poletti;Sana Boudabbous;Alexis Ricoeur;Rares Salomir;Orane Lorton
Purpose: Transducer positioning for liver ablation by magnetic resonance-guided high-intensity focused ultrasound (MRgHIFU) is challenging due to the presence of air-filled organs or bones on the beam path. This paper presents a software tool developed to optimize the positioning of a HIFU transducer dedicated to abdominal thermal therapy, to maximize the treatment's efficiency while minimizing the near-field risk. Methods: A software tool was developed to determine the theoretical optimal position (TOP) of the transducer based on the minimization of a cost function using the particle swarm optimization (PSO). After an initialization phase and a manual segmentation of the abdomen of 5 pigs, the program randomly generates particles with 2 degrees of freedom and iteratively minimizes the cost function of the particles considering 3 parameters weighted according to their criticality. New particles are generated around the best position obtained at the previous step and the process is repeated until the optimal position of the transducer is reached. MR imaging data from in vivo HIFU ablation in pig livers was used for ground truth comparison between the TOP and the experimental position (EP). Results: As compared to the manual EP, the rotation difference with the TOP was on average −3.1 ± 7.1° and the distance difference was on average −7.1 ± 5.4 mm. The computational time to suggest the TOP was 20s. The software tool is modulable and demonstrated consistency and robustness when repeating the calculation and changing the initial position of the transducer.
目的：磁共振引导下高强度聚焦超声（MRgHIFU）肝脏消融的换能器定位具有挑战性，因为在射束路径上存在充满空气的器官或骨骼。本文介绍了一种软件工具，用于优化腹部热疗专用 HIFU 传感器的定位，以最大限度地提高治疗效率，同时最大限度地降低近场风险。方法：利用粒子群优化（PSO）技术，在最小化成本函数的基础上，开发了一种软件工具来确定换能器的理论最佳位置（TOP）。在初始化阶段和手动分割 5 头猪的腹部后，程序随机生成具有 2 个自由度的粒子，并根据粒子的临界值加权考虑 3 个参数，反复最小化粒子的成本函数。新粒子围绕上一步获得的最佳位置生成，该过程重复进行，直到达到换能器的最佳位置。猪肝脏活体 HIFU 消融的磁共振成像数据被用来比较 TOP 位置和实验位置 (EP) 之间的基本真实情况。结果：与手动 EP 相比，TOP 的旋转差平均为 -3.1 ± 7.1°，距离差平均为 -7.1 ± 5.4 mm。建议 TOP 的计算时间为 20 秒。该软件工具是可修改的，在重复计算和改变传感器初始位置时表现出一致性和稳健性。
{"title":"Computer-Aided Intra-Operatory Positioning of an MRgHIFU Applicator Dedicated to Abdominal Thermal Therapy Using Particle Swarm Optimization","authors":"Yacine M'Rad;Caecilia Charbonnier;Marcelo Elias de Oliveira;Pauline Coralie Guillemin;Lindsey Alexandra Crowe;Thibaud Kössler;Pierre-Alexandre Poletti;Sana Boudabbous;Alexis Ricoeur;Rares Salomir;Orane Lorton","doi":"10.1109/OJEMB.2024.3410118","DOIUrl":"https://doi.org/10.1109/OJEMB.2024.3410118","url":null,"abstract":"Purpose: Transducer positioning for liver ablation by magnetic resonance-guided high-intensity focused ultrasound (MRgHIFU) is challenging due to the presence of air-filled organs or bones on the beam path. This paper presents a software tool developed to optimize the positioning of a HIFU transducer dedicated to abdominal thermal therapy, to maximize the treatment's efficiency while minimizing the near-field risk. Methods: A software tool was developed to determine the theoretical optimal position (TOP) of the transducer based on the minimization of a cost function using the particle swarm optimization (PSO). After an initialization phase and a manual segmentation of the abdomen of 5 pigs, the program randomly generates particles with 2 degrees of freedom and iteratively minimizes the cost function of the particles considering 3 parameters weighted according to their criticality. New particles are generated around the best position obtained at the previous step and the process is repeated until the optimal position of the transducer is reached. MR imaging data from \u0000<italic>in vivo</i>\u0000 HIFU ablation in pig livers was used for ground truth comparison between the TOP and the experimental position (EP). Results: As compared to the manual EP, the rotation difference with the TOP was on average −3.1 ± 7.1° and the distance difference was on average −7.1 ± 5.4 mm. The computational time to suggest the TOP was 20s. The software tool is modulable and demonstrated consistency and robustness when repeating the calculation and changing the initial position of the transducer.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10549770","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141732490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-04DOI: 10.1109/OJEMB.2024.3408092
Robert D. Butterfield;Nathaniel M. Sims
Goal: An insulin pump's failure to deliver insulin in the right amount at the right time is a preventable cause of hospitalization. We evaluated key performance metrics of a novel insulin pump that prevents “silent insulin non-delivery” caused by blockage, delivery of air and site leakage. This is accomplished via an acoustic sensor that measures the volume of insulin delivered with each pulse in real-time. Methods: We tested long and short-term flow accuracy, occlusion-detection time and pressure, and air management of the new device (ND) versus 3 U.S. commercial insulin pumps (CIPs) using standardized methods. Results: The ND outperformed CIPs on long-term basal flow rate error. Occlusion detection was 5 to 22.5 times faster depending on the basal rate and resulted in significantly lower (2 to 5x) pressures at time of occlusion. With air included in the drug reservoir, the tested CIPs can infuse air without detection, while the ND prevented air delivery without interruption. Conclusions: Bench tests of the ND versus 3 commercially available pumps showed improved occlusion detection and air management without flow performance tradeoffs. Additionally, the lower delivery pressure measured at time of occlusion suggests a substantially lower potential for site leakage at both basal and bolus rates. These enhancements combine to decrease the likelihood of silent insulin non-delivery.
{"title":"Performance of a Continuous Subcutaneous Insulin Infusion (CSII) Pump With Acoustic Volume and Flow Sensing in Simulated High-Consequence Situations","authors":"Robert D. Butterfield;Nathaniel M. Sims","doi":"10.1109/OJEMB.2024.3408092","DOIUrl":"https://doi.org/10.1109/OJEMB.2024.3408092","url":null,"abstract":"<italic>Goal:</i>\u0000 An insulin pump's failure to deliver insulin in the right amount at the right time is a preventable cause of hospitalization. We evaluated key performance metrics of a novel insulin pump that prevents “silent insulin non-delivery” caused by blockage, delivery of air and site leakage. This is accomplished via an acoustic sensor that measures the volume of insulin delivered with each pulse in real-time. \u0000<italic>Methods:</i>\u0000 We tested long and short-term flow accuracy, occlusion-detection time and pressure, and air management of the new device (ND) versus 3 U.S. commercial insulin pumps (CIPs) using standardized methods. \u0000<italic>Results:</i>\u0000 The ND outperformed CIPs on long-term basal flow rate error. Occlusion detection was 5 to 22.5 times faster depending on the basal rate and resulted in significantly lower (2 to 5x) pressures at time of occlusion. With air included in the drug reservoir, the tested CIPs can infuse air without detection, while the ND prevented air delivery without interruption. \u0000<italic>Conclusions:</i>\u0000 Bench tests of the ND versus 3 commercially available pumps showed improved occlusion detection and air management without flow performance tradeoffs. Additionally, the lower delivery pressure measured at time of occlusion suggests a substantially lower potential for site leakage at both basal and bolus rates. These enhancements combine to decrease the likelihood of silent insulin non-delivery.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10547403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141965146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-04DOI: 10.1109/OJEMB.2024.3409086
Bjoern M. Eskofier;Martin Vossiek
{"title":"Guest Editorial Introduction to the Special Section on Invisible Sensing: Radar-Based Biomonitoring","authors":"Bjoern M. Eskofier;Martin Vossiek","doi":"10.1109/OJEMB.2024.3409086","DOIUrl":"10.1109/OJEMB.2024.3409086","url":null,"abstract":"","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10547285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141948751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-03DOI: 10.1109/OJEMB.2024.3408454
F. S. Rahman;Z. Yousuf;F. Castelán;M. Martínez-Gómez;Y. M. Akay;P. Zimmern;M. Akay;M. I. Romero-Ortega
Objective: Stress urinary incontinence (SUI) affects a third of the female population and is characterized by involuntary urine leakage during abdominal efforts such as sneezing, laughing, or coughing. Acute neuromodulation of the bulbospongiosus nerve (BsN) was shown to increase bladder efficiency in aged and multiparous rabbits. This study investigates the efficacy of sub-chronic BsN neuromodulation in alleviating SUI-like deficits in mature multiparous rabbits, characterized by increased urine leakage and reduced leak point pressure . Results: Using the voiding spot assay, we observed a 40% reduction in urine leakage events after 30 days of BsN stimulation, which correlated with a 60% increase in daily micturition volume, a 10-fold increase in voided volume, and improvements in voiding efficiency and leak point pressure compared to negative control animals. Conclusion: In multiparous rabbits, BsN neuromodulation improves important SUI-like metrics including bladder capacity and urethral closure, supporting the use of this bioelectronic modality as treatment for SUI.
目的：压力性尿失禁（SUI）影响着三分之一的女性人口，其特征是在打喷嚏、大笑或咳嗽等腹部用力时不自主漏尿。研究表明，对球海绵体神经（BsN）进行急性神经调节可提高老年和多胎兔子的膀胱效率。本研究调查了亚慢性 BsN 神经调节对缓解成熟多胎兔 SUI 类缺陷的疗效，这些缺陷的特点是漏尿增加和漏点压力降低。研究结果与阴性对照组相比，使用排尿点测定法，我们观察到 BsN 刺激 30 天后，漏尿事件减少了 40%，这与每日排尿量增加 60%、排尿量增加 10 倍以及排尿效率和漏尿点压力提高有关。结论在多胎兔中，BsN 神经调节改善了类似 SUI 的重要指标，包括膀胱容量和尿道闭合，支持使用这种生物电子方式治疗 SUI。
{"title":"Neuromodulation Improves Stress Urinary Incontinence-Like Deficits in Female Rabbits","authors":"F. S. Rahman;Z. Yousuf;F. Castelán;M. Martínez-Gómez;Y. M. Akay;P. Zimmern;M. Akay;M. I. Romero-Ortega","doi":"10.1109/OJEMB.2024.3408454","DOIUrl":"10.1109/OJEMB.2024.3408454","url":null,"abstract":"<italic>Objective:</i>\u0000 Stress urinary incontinence (SUI) affects a third of the female population and is characterized by involuntary urine leakage during abdominal efforts such as sneezing, laughing, or coughing. Acute neuromodulation of the bulbospongiosus nerve (BsN) was shown to increase bladder efficiency in aged and multiparous rabbits. This study investigates the efficacy of sub-chronic BsN neuromodulation in alleviating SUI-like deficits in mature multiparous rabbits, characterized by increased urine leakage and reduced leak point pressure\u0000<italic>. Results:</i>\u0000 Using the voiding spot assay, we observed a 40% reduction in urine leakage events after 30 days of BsN stimulation, which correlated with a 60% increase in daily micturition volume, a 10-fold increase in voided volume, and improvements in voiding efficiency and leak point pressure compared to negative control animals. \u0000<italic>Conclusion:</i>\u0000 In multiparous rabbits, BsN neuromodulation improves important SUI-like metrics including bladder capacity and urethral closure, supporting the use of this bioelectronic modality as treatment for SUI.","PeriodicalId":33825,"journal":{"name":"IEEE Open Journal of Engineering in Medicine and Biology","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=10545601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141969750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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