Feasibility of Electromagnetic Knee Imaging Verified on Ex-Vivo Pig Knees.

OBJECTIVE: The potential of electromagnetic knee imaging system verified on ex-vivo pig knee joint as an essential step before clinical trials is demonstrated. The system, which includes an antenna array of eight printed biconical elements operating at the band 0.7-2.2 GHz, is portable and cost-effective. Importantly, it can provide daily monitoring and onsite real-time examinations imaging tool for knee injuries. METHODS: Six healthy hind legs from three dead adult pigs were removed at the hip and suspended in the developed system. For each pig, the right- and left-knee were scanning sequentially. Then ligament tear was emulated by injecting distilled water into the left knee joint of each pig for early (5 mL water) and mid-stage (10 mL water) injuries. The injured left knees were re-scanned. A modified multi-static fast delay, multiply and sum algorithm (MS-FDMAS) is used to reconstruct imaging of the knee. All knee's connective tissues, such as anterior and posterior cruciate ligaments (ACL, PCL), lateral and medial collateral ligaments (LCL, MCL), tendons, and meniscus, are extracted from a healthy hind leg along with collected synovial fluid. The extracted tissues and fluid were characterized and modelled as their data are not available in the literature, then imported to build an equivalent model for pig knee of 1 mm3 resolution in a realistic simulation environment. RESULTS: The obtained results proved potential of the proposed system to detect ligament/tendon tears. CONCLUSION: The proposed system has the potential to detect early knee injuries in a realistic environment. SIGNIFICANCE: Contactless EM knee imaging system verified on ex-vivo pig joints confirms its potential to reconstruct knee images. This work lays the groundwork for clinical EM system for detecting and monitoring knee injuries. (EM).

Implantable Sensor for Detecting Changes in the Loss Tangent of Cerebrospinal Fluid.

The increasing utilization of cerebrospinal fluid (CSF) in early detection of Alzheimer's disease (AD) is attributed to the change of Amyloid- ß proteins. Since, the brain is suspended in CSF, changes of Amyloid- ß proteins in CSF reflect a pathophysiological variation of the brain due to AD. However, the correlation between Amyloid- ß proteins and the dielectric properties (DPs) of CSF is still an open question. This paper reports the characterized DPs of CSF collected from canines using lumbar punctures. The CSF samples from canines show a strong correlation with respect to human in terms of the loss tangent, which indicates suitability of using canines as translational primates. Amyloid- ß [ Aß(1-40) and Aß(1-42)] proteins associated with AD were added to CSF samples in order to emulate AD condition. The results of emulated AD condition suggest a decrease in the relative permittivity and increase in the loss tangent. To detect changes in the loss tangent of CSF, which combines both relative permittivity and conductivity, a developed sensor is proposed. The designed sensor consists of a voltage controlled oscillator (VCO) and implantable antenna, which exhibits a wideband and low quality factor to be stable with respect to changes in the loss tangent of CSF. The measurements of the received power levels from the sensor in different liquid-based phantoms having different loss tangent values were used to correlate changes in the loss tangent. The developed correlation model is able to predict the loss tangent based on the received power level, which can be used to detect changes in the loss tangent of CSF due to AD. Consequently, this approach could be used as an early diagnosis of AD.

Near-Field Inductive-Coupling Link to Power a Three-Dimensional Millimeter-Size Antenna for Brain Implantable Medical Devices.

OBJECTIVE: Near-field inductive-coupling link can establish a reliable power source to a batteryless implantable medical device based on Faraday's law of induction. METHODS: In this paper, the design, modeling, and experimental verification of an inductive-coupling link between an off-body loop antenna and a 0.9  three-dimensional (3-D) bowtie brain implantable antenna is presented. To ensure reliability of the design, the implantable antenna is embedded in the cerebral spinal fluid of a realistic human head model. Exposure, temperature, and propagation simulations of the near electromagnetic fields in a frequency-dispersive head model were carried out to comply with the IEEE safety standards. Concertedly, a fabrication process for the implantable antenna is proposed, which can be extended to devise and miniaturize different 3-D geometric shapes. RESULTS: The performance of the proposed inductive link was tested in a biological environment; in vitro measurements of the fabricated prototypes were carried in a pig's head and piglet. The measurements of the link gain demonstrated   in the pig's head and   in piglet. SIGNIFICANCE: The in vitro measurement results showed that the proposed 3-D implantable antenna is suitable for integration with a miniaturized batteryless brain implantable medical device (BIMD).