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

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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
Reducing effect of magnetic field noise on sensor position estimation in surgical EM tracking 降低手术电磁跟踪中磁场噪声对传感器位置估计的影响
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478723
M. Ragolia, F. Attivissimo, A. Nisio, A. Lanzolla, M. Scarpetta
Surgery navigation techniques aim to support surgeons during operations, resulting in improved accuracy and patient safety. In this context, electromagnetic tracking systems (EMTSs) are mainly used since they enable real-time tracking of small EM sensors included in surgical tools without line-of-sight restrictions. On the other hand, these systems are very sensible to magnetic field variations that can affect sensor position estimation performance. In this paper we analyze how magnetic field variations caused by the noise of transmitting coils’ excitation currents affect system performance, and we propose a technique to reduce its undesirable effect. This method includes, in the position estimation algorithm, the measurement of excitation currents, thus compensating errors in sensor signal caused by current noise.Different simulation tests were performed to assess the proposed method which is based on modeling the magnetic field produced by the field generator (FG). Finally, it is validated by using experimental data provided by a novel EMTS prototype, obtaining noise peaks reduction and an overall mean position error of 3 mm at a distance of 600 mm from the FG.
手术导航技术的目的是在手术过程中支持外科医生,从而提高准确性和患者安全性。在这种情况下,主要使用电磁跟踪系统(emts),因为它们可以实时跟踪手术工具中包含的小型电磁传感器,而不受视线限制。另一方面,这些系统对磁场变化非常敏感,磁场变化会影响传感器的位置估计性能。本文分析了由发射线圈励磁电流噪声引起的磁场变化对系统性能的影响,并提出了一种减小其不良影响的技术。该方法在位置估计算法中包括对励磁电流的测量,从而补偿电流噪声对传感器信号造成的误差。对磁场发生器产生的磁场进行了建模,并进行了不同的仿真试验来评估所提出的方法。最后,利用新型EMTS样机提供的实验数据进行验证,在距离FG 600 mm处,噪声峰值降低,总体平均位置误差为3 mm。
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引用次数: 4
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
Enhancing the Fluorescence and Cycle Threshold of qPCR Devices Through Excitation Time Point Adjustment 通过调节激发时间点提高qPCR装置的荧光和周期阈值
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478777
H. Tsai, L. Chao, Cheng-Ru Li, Kuo-Cheng Huang, Yu-Hsuan Lin, D. Shieh
Quantitative polymerase chain reaction (qPCR) has been widely employed for the positive or negative detection of bacteria or viruses, particularly SARS-CoV-2. Fluorescence signal and cycle threshold information is critical for the positive and negative detection of target test samples in qPCR systems. To determine viral concentration, the fluorescence intensity of each cycle must be recorded using a qPCR system. In general, the time points of fluorescence excitation and excitation light intensity affect fluorescence intensity. Thus, this study proposed an effective excitation method for enhancing fluorescence intensity. Several parameters, including excitation light intensity, the excitation time point, and the reaction time of the reagent at each temperature stage, were modified in assessing fluorescence performance and determining suitable parameters for fluorescence excitation in a qPCR system. Fluorescence intensity resulted in the most optimal fluorescence performance; specifically, excitation was triggered by using a 30 mA current, and the excitation light was activated when the temperature decreased to 60 °C. Total reaction time was 1 s, and the concentrated fluorescence value and suitable cycle threshold value were obtained. Overall, high efficiency, low fluorescence decay, and high light stability were observed. The present findings demonstrate that controlling the time point of excitation light can enhance the fluorescence efficiency and performance of qPCR systems, with relevant benefits in medical diagnostics and rapid viral detection, among other applications.
定量聚合酶链反应(qPCR)已广泛用于细菌或病毒的阳性或阴性检测,特别是SARS-CoV-2。在qPCR系统中,荧光信号和周期阈值信息对目标检测样品的阳性和阴性检测至关重要。为了确定病毒浓度,必须使用qPCR系统记录每个周期的荧光强度。一般来说,荧光激发的时间点和激发光强都会影响荧光强度。因此,本研究提出了一种有效的增强荧光强度的激发方法。在qPCR系统中,对激发光强度、激发时间点和试剂在每个温度阶段的反应时间等几个参数进行了修改,以评估荧光性能并确定合适的荧光激发参数。荧光强度导致荧光性能最优;具体来说,用30ma电流触发激发,当温度降至60℃时激活激发光。总反应时间为1 s,得到了浓缩荧光值和合适的循环阈值。总体而言,观察到高效率、低荧光衰减和高光稳定性。本研究结果表明,控制激发光的时间点可以提高qPCR系统的荧光效率和性能,在医学诊断和快速病毒检测等应用中具有相关益处。
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引用次数: 0
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
Using Zigbee Sensors for Ambient Measurement of Human Gait – Analytical Considerations 使用Zigbee传感器进行人体步态的环境测量-分析考虑
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478695
Ashi Agarwal, Bruce Wallace, L. Ault, J. Larivière-Chartier, F. Knoefel, R. Goubran, J. Kaye, Z. Beattie, N. Thomas
With the aging of the population in Canada and elsewhere, applications of Smart Homes for well-being sensing are increasingly being considered in health care. Many of these smart home networks rely on the Zigbee wireless protocol to connect sensors used to measure various health outcomes. This paper provides preliminary results of gait estimation performed on 3 different residences over 11 months using Zigbee connected motion sensors, with a focus on understanding accuracy limitations induced by the Zigbee communication protocol. The accuracy limitations were also observed in the results from a controlled experiment done with 2 different sets of Zigbee motion sensors. This paper provides an in-depth analysis on root cause of variance in gait estimation at the same time laying out conservative variance estimations caused by different scenarios. The accuracy considerations highlighted by the paper are also applicable for all other time sensitive measures. Results of this paper necessitate further analysis of the use of Zigbee operated sensor networks in the evaluation of time sensitive measures.
随着加拿大和其他地方的人口老龄化,越来越多的人在医疗保健中考虑使用智能家居来感知福祉。许多智能家庭网络依赖Zigbee无线协议连接用于测量各种健康结果的传感器。本文提供了使用Zigbee连接的运动传感器在11个月内对3个不同住宅进行步态估计的初步结果,重点是了解Zigbee通信协议引起的准确性限制。在使用两组不同的Zigbee运动传感器进行的对照实验结果中也观察到精度限制。本文深入分析了步态估计中方差的根本原因,同时给出了不同场景下的保守方差估计。本文强调的准确性考虑也适用于所有其他时间敏感的测量。本文的结果需要进一步分析Zigbee操作的传感器网络在时间敏感措施评估中的应用。
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引用次数: 4
Identifying High Risk of Atherosclerosis Using Deep Learning and Ensemble Learning 利用深度学习和集成学习识别动脉粥样硬化的高风险
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478741
Hedieh Hashem Olhosseiny, Mohammadsalar Mirzaloo, M. Bolic, H. Dajani, V. Groza, Masayoshi Yoshida
Atherosclerosis refers to the buildup of plaque on the artery walls. As the disease advances in its further stages, its burden could lead to stroke or heart attack. Atherosclerosis develops gradually, and mild stages of the condition are usually symptomless. Diagnosing patients in their early stages of the disease can facilitate timely clinical interventions enhancing patient’s quality of life by altering the course of the disease. The work presented in this paper is focused on classifying patients who are at high risk of Atherosclerosis using simple diagnosis tools available in every clinic. The final system is a prescreening tool providing the medical practitioners with recommendations regarding the disease. High risk patients can be referred to a cardiologist for further assessments. A dataset of 44 patients was collected including 17 low-risk and 27 high-risk patients. Two different approaches were taken, 1. using deep learning and time series data (ECG signals) 2. using traditional machine learning algorithms and tabular data. In the first approach, a Conv-GRU model was trained using ECG signals collected from patients. This method resulted in an average accuracy of 77% which was computed over 4 folds using cross validation. In the second approach, Stacking, an ensemble learning technique in which the final prediction is obtained by combining the prediction of different machine learning models trained on several attributes readily collected in the clinic, was used. An average accuracy of 81% was achieved using this method.
动脉粥样硬化是指动脉壁上斑块的积聚。随着病情进一步发展,其负担可能导致中风或心脏病发作。动脉粥样硬化是逐渐发展的,病情的轻度阶段通常没有症状。在疾病的早期阶段诊断患者可以通过改变疾病的进程,促进及时的临床干预,提高患者的生活质量。本文提出的工作重点是使用每个诊所可用的简单诊断工具对动脉粥样硬化高风险患者进行分类。最后一个系统是一个预筛选工具,为医生提供有关疾病的建议。高危患者可转诊给心脏病专家作进一步评估。收集了44例患者的数据集,其中低危患者17例,高危患者27例。采取了两种不同的方法:1。使用深度学习和时间序列数据(心电信号)使用传统的机器学习算法和表格数据。在第一种方法中,使用从患者身上收集的心电信号训练卷积神经网络模型。该方法的平均准确度为77%,使用交叉验证计算了4倍以上。在第二种方法中,使用了堆叠(Stacking),这是一种集成学习技术,通过结合在临床中容易收集的几个属性上训练的不同机器学习模型的预测来获得最终预测。该方法的平均准确度为81%。
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引用次数: 1
Gait Analysis using Wearable E-Textile Sock: an Experimental Study of Test-Retest Reliability 穿戴式电子纺织袜步态分析:重测信度实验研究
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478702
F. Amitrano, A. Coccia, L. Donisi, G. Pagano, G. Cesarelli, G. D'Addio
Sock is a wearable e-textile sock for gait analysis. It is based on the acquisition and digital processing of the angular velocities of the lower limbs. In this paper we focus on the study of test-retest reliability of this system in measuring spatio-temporal gait parameters. The analysis was simultaneously conducted on data acquired by a multicamera system for gait analysis (SMART-DX 700 by BTS), in order to have reference values. A group of healthy subjects, equipped with both systems, performed four repeated walking tests along an 11 m walkway, consecutively and under constant conditions. The four tests were repeated at preferred, slow and fast self- selected walking speed. The Intraclass Correlation Coefficient (ICC) and Minimum Detectable Change (MDC) were evaluated to assess the repeatability of the measures. ICC values range from moderate to excellent for all gait parameters assessed by smart socks. The novel system presents test-retest reliability values comparable to, if not higher than, those shown by the gold standard. Finally, the results of gait reliability as a function of walking speed show excellent ICCs and very low MDCs for all parameters evaluated on trials at fast velocity, supporting the referenced hypothesis that faster movement is more consistent.
Sock是一种可穿戴的电子纺织品袜子,用于步态分析。它是基于下肢角速度的采集和数字处理。本文重点研究了该系统在测量时空步态参数时的重测信度。同时对多摄像头步态分析系统(BTS的SMART-DX 700)采集的数据进行分析,以便有参考价值。一组健康受试者配备了这两种系统,在恒定条件下连续沿着11米的人行道进行了四次重复行走测试。四项试验分别以自我选择的首选、慢速和快速进行。评估类内相关系数(ICC)和最小可检测变化(MDC)以评估测量的可重复性。智能袜子评估的所有步态参数的ICC值范围从中等到优异。新系统呈现的重测信度值与金标准显示的信度值相当,如果不高于的话。最后,步态可靠性作为步行速度函数的结果显示,在快速度试验中评估的所有参数的ICCs都很好,MDCs很低,支持了更快的运动更一致的参考假设。
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引用次数: 6
Electric field distribution analysis for the design of an electrode system in a 3D neuromuscular junction microfluidic device 三维神经肌肉连接处微流控装置电极系统设计的电场分布分析
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478775
Flavia Forconi, L. Apa, L. D’Alvia, Marianna Cosentino, E. Rizzuto, Z. Prete
Electrical stimulation (ES) highly influences the cellular microenvironment, affecting cell migration, proliferation and differentiation. It also plays a crucial role in tissue engineering to improve the biomechanical properties of the constructs and regenerate the damaged tissues. However, the effects of the ES on the neuromuscular junction (NMJ) are still not fully analyzed. In this context, the development of a specialized microfluidic device combined with an ad-hoc electrical stimulation can allow a better investigation of the NMJ functionality. To this aim, we performed an analysis of the electric field distribution in a 3D neuromuscular junction microfluidic device for the design of several electrode systems. At first, we designed and modeled the 3D microfluidic device in order to promote the formation of the NMJ between neuronal cells and the muscle engineered tissue. Subsequently, with the aim of identifying the optimal electrode configuration able to properly stimulate the neurites, thus enhancing the formation of the NMJ, we performed different simulation tests of the electric field distribution, by varying the electrode type, size, position and applied voltage. Our results revealed that all the tested configurations did not induce an electric field dangerous for the cell vitality. Among these configurations, the one with cylindrical pin of 0.3 mm of radius, placed in the internal position of the neuronal chambers, allowed to obtain the highest electrical field in the zone comprising the neurites.
电刺激对细胞微环境的影响很大,影响细胞的迁移、增殖和分化。它在组织工程中也起着至关重要的作用,以提高生物力学性能的构建和再生受损组织。然而,ES对神经肌肉接点(NMJ)的影响尚未得到充分的分析。在这种情况下,开发一种专门的微流体装置,结合特殊的电刺激,可以更好地研究NMJ的功能。为此,我们对三维神经肌肉连接微流控装置中的电场分布进行了分析,用于设计几种电极系统。首先,为了促进神经细胞与肌肉工程组织之间NMJ的形成,我们设计了三维微流控装置并进行了建模。随后,为了确定能够适当刺激神经突的最佳电极配置,从而促进NMJ的形成,我们通过改变电极类型、尺寸、位置和施加电压对电场分布进行了不同的模拟测试。我们的结果显示,所有测试的配置都不会产生对细胞活力有害的电场。在这些配置中,半径为0.3 mm的圆柱形针放置在神经元室的内部位置,可以在包含神经突的区域获得最高的电场。
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引用次数: 0
Wirelessly Powered Device for Optical Measurement of Respiration Rate 呼吸速率光学测量无线供电装置
Pub Date : 2021-06-23 DOI: 10.1109/MeMeA52024.2021.9478773
Yu-Chieh Chen, J. Tsan, Wen-Yen Lin
The accurate measurement of respiration rate in sleeping patients requires the patients to be in a comfortable state. Current measurement systems usually require patients to wear tights because the sensors must be close to the body to enable the acquisition of high-quality measurements. However, tights are uncomfortable when worn for a long period, especially during sleep. Moreover, current systems are marred by poor battery life, which is a major problem for overnight monitoring processes; existing battery designs cannot be integrated into smart clothing, which must be waterproof to protect electronic components during laundry.To solve these problems, this study developed a wireless power– supplied optical respiratory measurement module (wireless-ORM), which can be integrated with cotton clothing for the optical, noncontact measurement of respiratory rate. This module is powered wirelessly, which eliminates the need for a battery and allows for an indefinite power supply. The wireless-ORM can also be easily covered with a waterproof membrane for waterproofing. We fabricated and tested a prototype of the wireless-ORM measuring 197 × 20 × 3 mm3 in volume and 2.8 g in weight. The sensor was determined to function at distances up to 40 mm from the body, meaning that respiration rate could be measured even with thick winter clothes. The wireless-ORM could also receive power wirelessly up to 70 cm from a base station. Due to its small size, the wireless-ORM can be wrapped in plastic for waterproofing to enable its use in smart clothing.
睡眠患者呼吸频率的准确测量需要患者处于舒适的状态。目前的测量系统通常需要患者穿紧身衣,因为传感器必须靠近身体才能获得高质量的测量结果。然而,长时间穿紧身衣很不舒服,尤其是在睡觉的时候。此外,目前的系统受到电池寿命短的影响,这是夜间监测过程的主要问题;现有的电池设计不能集成到智能服装中,智能服装必须是防水的,以便在洗衣时保护电子元件。为了解决这些问题,本研究开发了一种无线供电光学呼吸测量模块(wireless- orm),该模块可与棉质服装集成,实现呼吸速率的光学非接触式测量。该模块是无线供电的,因此不需要电池,并允许无限供电。无线orm也可以很容易地覆盖一层防水膜。我们制作并测试了一个无线orm的原型,体积为197 × 20 × 3毫米,重量为2.8克。该传感器被确定在距离身体40毫米的距离内工作,这意味着即使穿着厚厚的冬衣也可以测量呼吸速率。这种无线orm还可以在距离基站70厘米的地方无线接收电力。由于其体积小,无线orm可以用塑料包裹防水,使其能够用于智能服装。
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引用次数: 0
期刊
2021 IEEE International Symposium on Medical Measurements and Applications (MeMeA)
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