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2021 IEEE International Symposium on Medical Measurements and Applications (MeMeA)最新文献

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mHealth application for remote health monitoring useful during the COVID 19 pandemic 用于远程健康监测的移动健康应用程序在COVID - 19大流行期间非常有用
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478717
V. Sandulescu, S. Puscoci, Monica Petre, Minodora Dumitrache, Viorel Bota, Alexandru Gîrlea
The paper presents an application of mHealth – a mobile app for remote health monitoring, that facilitates using a Bluetooth enabled health measuring device and synchronizing health data to a health care services provider’s web portal. The mobile app uses a public API that allows its integration in a complex platform for home care providers, allowing health monitoring of large groups of patients, monitoring vital functions, including body temperature, respiratory rate and arterial blood oxygen saturation, relevant in monitoring COVID-19 patients.
本文介绍了一个移动健康应用程序——一个用于远程健康监测的移动应用程序,它便于使用蓝牙健康测量设备并将健康数据同步到医疗保健服务提供商的门户网站。该移动应用程序使用公共API,可以将其集成到家庭护理提供者的复杂平台中,从而可以对大量患者进行健康监测,监测与监测COVID-19患者相关的重要功能,包括体温、呼吸频率和动脉血氧饱和度。
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引用次数: 2
Characterization of EMG time-frequency content during Parkinson walking: a pilot study 帕金森行走时肌电图时频内容的表征:一项初步研究
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478707
M. Romanato, A. Strazza, W. Piatkowska, F. Spolaor, S. Fioretti, D. Volpe, Z. Sawacha, F. Nardo
Surface electromyography (sEMG) is commonly adopted to characterize walking in patients affected by Parkinson’s disease (PD). Timing and morphology of sEMG signal are typically investigated, while poor information on frequency content is available. Thus, the present pilot study was designed to test the hypothesis that continuous wavelet transform (CWT) of sEMG signal is a suitable approach to assess muscle activity during PD-walking task, in both time and frequency domains. To this aim, sEMG signals from 4 leg muscles of 5 patients are acquired during walking and processed to assess CWT-scalogram function. Results show that CWT is able to provide time ranges of muscle-activation over the whole PD population, which matches with what reported in previous studies on PD. The novel contribution of this study consists in achieving a characterization of the frequency content of each one of regions detected in time domain. Although the frequency content does not exceed the typical frequency range between 5 Hz and 450 Hz, different mean frequency contents are observed among muscles and among different activations of the same muscle. In particular, a relevant variability of frequency content is observed for thigh muscles, showing differences up to 180 Hz between stance and swing values. In conclusion, present findings support the use of CWT scalogram for a reliable assessment of muscle activity in time-frequency domain, during walking of PD patients. Outcomes highlight a large inter and intra muscle variability of frequency range, opening a new field of investigation for future studies.
表面肌电图(sEMG)通常用于帕金森病(PD)患者的行走特征。通常对表面肌电信号的时序和形态进行了研究,而关于频率内容的信息很少。因此,本初步研究旨在验证表面肌电信号的连续小波变换(CWT)在时域和频域上是一种评估PD-walking任务期间肌肉活动的合适方法。为此,我们采集了5例患者行走过程中4块腿部肌肉的肌电图信号,并对其进行处理以评估cwt -尺度图功能。结果表明,CWT能够提供整个PD人群的肌肉激活时间范围,这与先前关于PD的研究报告相匹配。本研究的新颖贡献在于实现了在时域中检测到的每个区域的频率内容的表征。虽然频率含量不超过5 Hz - 450 Hz的典型频率范围,但在不同肌肉之间以及同一肌肉的不同激活之间观察到不同的平均频率含量。特别是,在大腿肌肉中观察到频率内容的相关可变性,在站立和摆动值之间显示高达180 Hz的差异。总之,目前的研究结果支持使用CWT尺度图在PD患者行走时可靠地评估肌肉活动的时频域。结果强调了频率范围的巨大肌肉间和内部变异性,为未来的研究开辟了一个新的研究领域。
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引用次数: 2
An Optimal Procedure for Stride Length Estimation Using Foot-Mounted Magneto-Inertial Measurement Units 一种基于足载磁惯性测量单元的步长估计优化方法
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478604
Rachele Rossanigo, M. Caruso, F. Salis, S. Bertuletti, U. Croce, A. Cereatti
Stride length is often used to quantitatively evaluate human locomotion performance. Stride by stride estimation can be conveniently obtained from the signals recorded using miniaturized inertial sensors attached to the feet and appropriate algorithms for data fusion and integration. To reduce the detrimental drift effect, different algorithmic solutions can be implemented. However, the overall method accuracy is supposed to depend on the optimal selection of the parameters which are required to be set. This study aimed at evaluating the influence of the main parameters involved in well-established methods for stride length estimation. An optimization process was conducted to improve methods’ performance and preferable values for the considered parameters according to different walking speed ranges are suggested. A parametric solution is also proposed to target the methods on specific subjects’ gait characteristics. The stride length estimates were obtained from straight walking trials of five healthy volunteers and were compared with those obtained from a stereo-photogrammetric system. After parameters tuning, percentage errors for stride length were 1.9%, 2.5% and 2.6% for comfortable, slow, and fast walking conditions, respectively.
步长常用于定量评价人体运动表现。利用附着在脚上的小型惯性传感器记录的信号,通过适当的数据融合和集成算法,可以方便地获得步幅估计。为了减少有害的漂移效应,可以实现不同的算法解决方案。然而,总体方法的精度取决于所需要设置的参数的最佳选择。本研究旨在评估步幅估计方法中涉及的主要参数的影响。为了提高方法的性能,对所考虑的参数在不同步行速度范围内的取值进行了优化。针对特定受试者的步态特征,提出了一种参数化求解方法。步幅估算值来自5名健康志愿者的直线行走试验,并与立体摄影测量系统获得的结果进行了比较。在参数调整后,在舒适、缓慢和快速行走条件下,步长误差百分比分别为1.9%、2.5%和2.6%。
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引用次数: 6
[MeMeA 2021 Front cover] [MeMeA 2021封面]
Pub Date : 2021-06-23 DOI: 10.1109/memea52024.2021.9478759
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引用次数: 0
The use of cognitive training with tDCS for the reduction of impulsiveness and improvement of executive functions: a case study 使用tDCS进行认知训练以减少冲动和改善执行功能:一个案例研究
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478704
N. S. Bonfiglio, Roberta Renati, Ludovica Patrone, D. Rollo, M. P. Penna
Impulsiveness and inhibitory control deficits represent one of the major difficulties in Attention Deficit disorders. It has been seen that these difficulties seem to be related to specific areas of the nervous system, such as the Prefrontal Area and the Inferior Frontal Gyrus. Several studies have shown how it is possible to improve inhibitory control and reduce impulsivity through the use of neurostimulation, in particular by single-session or multi-session protocols. Some of these researches have combined neurostimulation with tDCS with cognitive training, such as card or memory games, to improve the performance of some executive functions related to the frontal and prefrontal areas. The present work presents a treatment carried out on a 21-year-old subject with Attentive Disorder. The treatment consisted of the use of tDCS associated with cognitive training for 12 sessions. Cognitive batteries before starting the treatment and at the end of the treatment, as well as the trials on executive functions before each training session and at the end of the session, were administered. The results show an improvement in cognitive battery assessments before and after treatment. As regards the evaluations of executive function trials carried out for each session, however, the improvements are partial and related to some sessions. The results obtained in this work prove how the use of training, associated with neurostimulation, can represent an effective treatment for individuals with Attention Deficit. The possibility of using the protocol here proposed even remotely and without the assistance of an in presence operator, increases its potential and usefulness in care settings.
冲动和抑制控制缺陷是注意缺陷障碍的主要困难之一。已经发现,这些困难似乎与神经系统的特定区域有关,如前额叶区和额下回。几项研究表明,通过使用神经刺激,特别是单次或多次治疗方案,如何可能改善抑制控制并减少冲动。其中一些研究将神经刺激与tDCS与认知训练(如纸牌或记忆游戏)相结合,以改善与额叶和前额叶区域相关的某些执行功能的表现。目前的工作是对一名21岁的注意力障碍患者进行治疗。治疗包括使用tDCS与认知训练相结合的12个疗程。在开始治疗前和治疗结束时进行认知电池测试,以及在每次训练前和训练结束时进行执行功能测试。结果显示治疗前后认知电池评估有改善。然而,关于为每届会议进行的执行功能试验的评价,改进是局部的,并且与某些会议有关。在这项工作中获得的结果证明了如何使用与神经刺激相关的训练,可以代表一个有效的治疗个体的注意力缺陷。这里提出的使用协议的可能性,即使是远程的,没有在场操作员的帮助,也增加了它在护理环境中的潜力和有用性。
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引用次数: 4
Equivalent Circuit Analysis of CMUTs-based Device for Measurement in Liquid Samples 基于cmuts的液体样品测量装置的等效电路分析
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478722
Yihe Zhao, Libo Zhao, Gian Luca Barbruni, Zhikang Li, Zhuangde Jiang, S. Carrara
Capacitive micromachined ultrasonic transducers (CMUTs) operating at the series and parallel resonant frequencies, have shown a great potential in ultrasonic application and in biodetection. However, previous equivalent circuits rarely consider the fitting performance and measurement. This study proposes the establishment of the simplified equivalent circuits for the CMUTs-based device to analyze the electrical properties and the measurement sensitivity in liquid environment. We simulate a circular CMUT cell both in air and water through finite element method via COMSOL software, exploiting the multi-domain coupling method. We analyze the impedance behaviors of the CMUTs array with 100 cells under different direct current bias voltages (2 - 10V). Simultaneously, we successfully investigate the damping effects on the electrical characteristics such as impedance, phase, and quality factor. With the 4-element Butterworth-vanDyke model, two simplified equivalent lumped element models (LEMs) are demonstrated to fit the impedance curves of the CMUTs array around the series and parallel frequencies, respectively. Additionally, the sensitivity is evaluated using the simplified equivalent LEMs to explore the CMUTs array has a high normalized measurement sensitivity of 6.024 ppb/Hz at the parallel frequency.
电容式微机械超声换能器(CMUTs)工作在串联和并联谐振频率下,在超声和生物检测方面显示出巨大的应用潜力。然而,以往的等效电路很少考虑拟合性能和测量。本研究提出建立基于cmuts器件的简化等效电路,分析其在液体环境下的电学特性和测量灵敏度。利用COMSOL软件,利用多域耦合方法,对空气和水中的圆形CMUT单元进行了有限元模拟。在直流偏置电压(2 ~ 10V)不同的情况下,分析了100单元CMUTs阵列的阻抗行为。同时,我们成功地研究了阻尼对阻抗、相位和品质因子等电特性的影响。利用4元Butterworth-vanDyke模型,给出了两种简化的等效集总单元模型(lem),分别在串联和并联频率处拟合cmut阵列的阻抗曲线。此外,使用简化等效lem对灵敏度进行了评估,发现cmut阵列在并联频率下具有较高的归一化测量灵敏度,为6.024 ppb/Hz。
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引用次数: 1
Characterization of Muscle Phantom Used in Calibration of Physiotherapy Ultrasound: Measurement of Acoustic Parameters of Phantom (2020) 用于物理治疗超声校准的肌肉模体表征:模体声学参数的测量(2020)
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478685
Neslisah Gün, B. Karaböce, S. Yurdalan
Physiotherapy ultrasound is one of the most used electrophysical agents in the clinic for its widely therapeutic effects. To guarantee safe and effective treatment, physiotherapy devices must be capable of applying correct ultrasound radiation to the body (or part of the body) under the procedure. The effectiveness of the therapy depends on the ultrasound device's performance and calibration. For performance testing and calibration, tissue-mimicking phantoms are used. This study's objective is to characterize the acoustic parameters of muscle phantom used in the calibration of physiotherapy ultrasound, by following per under the metrology principles. Muscle phantom was prepared. Then, the phantom's sound speed, attenuation coefficient was measured with the pulse-echo method, density, and acoustic impedance calculations were performed. A detailed uncertainty study in measurements was also presented in the paper. The acoustic parameters of muscle phantom were measured as given; the speed of sound 1549.8 ± 3.89 m/s (expanded uncertainty, U=6.7), attenuation coefficient 1.14 ± 0.8 dB/cm MHz (expanded uncertainty, U=0.55). Its acoustic impedance was calculated as 1.632 MRayl; it's density as 1053.5 kg/ m³. Muscle phantom's acoustic properties were found similar to the muscle tissue. It can be used in testing the physiotherapy ultrasound device's performance and calibration as it is cheap, easy to make, and
物理治疗超声是临床上应用最多的电物理试剂之一,具有广泛的治疗效果。为了保证安全有效的治疗,物理治疗设备必须能够在手术过程中对身体(或身体的一部分)施加正确的超声波辐射。治疗的有效性取决于超声设备的性能和校准。为了进行性能测试和校准,使用了组织模拟模型。本研究的目的是描述用于物理治疗超声校准的肌肉模体的声学参数,根据计量原理。制备肌肉模体。然后,用脉冲回波法测量了模体的声速、衰减系数,计算了密度和声阻抗。本文还对测量中的不确定度进行了详细的研究。肌模的声学参数测量如所示;声速1549.8±3.89 m/s(扩展不确定度,U=6.7),衰减系数1.14±0.8 dB/cm MHz(扩展不确定度,U=0.55)。计算其声阻抗为1.632 MRayl;密度为1053.5 kg/ m³。肌肉幻像的声学特性与肌肉组织相似。它可以用于物理治疗超声设备的性能测试和校准,因为它便宜,容易制作,而且
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引用次数: 0
Stability Analysis for Howland Current Source for Bioimpedance Measurement 生物阻抗测量用Howland电流源的稳定性分析
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478601
Hanen Nouri, D. Bouchaala, R. Gargouri, O. Kanoun
Howland current source is a promising circuit for bioimpedance measurement systems used in many medical applications. Although its simplicity and performance, it requires stability analysis due to its dependence on operational amplifier characteristics and resistor configuration. The trade-off between high output impedance and low output current, oscillations at high frequencies up to 1 MHz remains a challenge to ensure a stable Howland current source. Several cases studies of compensation capacitors in different positions in the circuit are analysed in order to guarantee at the same time a high output impedance and low output current oscillations at low and high frequencies.
Howland电流源是一种很有前途的生物阻抗测量电路,在许多医学应用中都有应用。虽然它的简单性和性能,但由于它依赖于运算放大器特性和电阻配置,需要进行稳定性分析。高输出阻抗和低输出电流之间的权衡,高达1 MHz的高频振荡仍然是确保稳定的Howland电流源的挑战。为了保证高输出阻抗和低、高频低输出电流振荡的同时,对电路中不同位置的补偿电容进行了实例分析。
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引用次数: 1
Measuring Coronary Artery Capillary Resistance with Variable Inflow Conditions 在可变血流条件下测量冠状动脉毛细血管阻力
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478595
D. Goubran, S. Lichtenstein, R. Goubran, J. Larivière-Chartier, J. Abel
A better understanding of the effects of variable inflow velocities on coronary capillary resistance is essential to creating a predictive model for personalized coronary flow. This paper proposes an experimental setup and presents measurement results for coronary artery capillary resistance with variable inflow conditions. A peristaltic pump with a programmable controller is used to pump fluid into distal coronary artery branches of cadaveric porcine hearts. The resulting pressures are recorded using transduced continuous pressure monitoring. The paper analyses the transient resistive pressure in coronary arteries and shows the capillary resistive pressures as a function of variable inflow conditions.
更好地了解可变流入速度对冠状动脉毛细血管阻力的影响对于建立个性化冠状动脉血流的预测模型至关重要。本文提出了一种实验装置,并给出了可变流入条件下冠状动脉毛细血管阻力的测量结果。采用具有可编程控制器的蠕动泵将液体泵入猪尸体心脏的远端冠状动脉分支。使用传感器连续压力监测记录得到的压力。本文分析了冠状动脉的瞬时阻力压力,并给出了毛细管阻力压力随流入条件变化的函数。
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引用次数: 0
Multi-Segments Kinematic Model of the Human Spine during Gait 人体步态中脊柱的多节段运动学模型
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478594
E. Panero, E. Digo, Virginia Ferrarese, U. Dimanico, L. Gastaldi
The complex biomechanical structure of the human spine requires a deep investigation to properly describe its physiological function and its kinematic contribution during motion. The computational approach allows the segmentation of the human spine into several rigid bodies connected by 3D joints. Despite the numerous solutions proposed by previous literature studies based on both inertial and stereophotogrammetric systems, the modelling of the human spine is characterized by some limitations such as the lack of standardization. Accordingly, the present preliminary study focused on the development of a multi-segments kinematic model of the human spine and its validation during gait trials. Three-dimensional spinal angular patterns and ranges of motion of one healthy young subject were considered as outcomes of interest. They were obtained by applying the YXZ Euler angles convention to the custom model. First, results were compared with those of the standard Plug-in-Gait full-body model, which segments the human spine into pelvis and trunk segments. Then, outcomes of the multi-segments model were compared with those obtained using the Tilt-Twist method. Overall, results stressed the importance of the spine segmentation, the major angular contributions of spinal regions during gait (Medium-Lumbar segments for lateral bending and flexion-extension, Thoracic-Medium segments for axial rotation), and the reliability of the proposed custom model (differences between Euler angles method and Tilt-Twist method lower than 0.5° in most cases). Future analysis on a larger healthy population and in the clinical context might be implemented to optimize, standardize and validate the proposed human spine model.
人体脊柱复杂的生物力学结构需要深入研究,以正确描述其生理功能及其在运动过程中的运动学贡献。计算方法允许将人体脊柱分割成由3D关节连接的几个刚体。尽管以前的文献研究提出了许多基于惯性和立体摄影测量系统的解决方案,但人类脊柱的建模存在一些局限性,例如缺乏标准化。因此,目前的初步研究侧重于人类脊柱的多段运动学模型的开发及其在步态试验中的验证。一个健康的年轻受试者的三维脊柱角模式和运动范围被认为是感兴趣的结果。它们是通过将YXZ欧拉角惯例应用于自定义模型而获得的。首先,将结果与标准的插入式步态全身模型进行比较,该模型将人体脊柱分割为骨盆和躯干段。然后,将多段模型的结果与倾斜-扭转方法的结果进行比较。总体而言,结果强调了脊柱分割的重要性,脊柱区域在步态中的主要角度贡献(中腰椎节段用于侧弯和屈伸,胸中节段用于轴向旋转),以及所提出的自定义模型的可靠性(欧拉角度方法与倾斜-扭转方法之间的差异在大多数情况下小于0.5°)。未来可能会对更大的健康人群和临床环境进行分析,以优化、标准化和验证所提出的人体脊柱模型。
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引用次数: 3
期刊
2021 IEEE International Symposium on Medical Measurements and Applications (MeMeA)
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