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1.
Neuroimage ; 277: 120211, 2023 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-37385393

RESUMO

Multivariate autoregressive (MVAR) model estimation enables assessment of causal interactions in brain networks. However, accurately estimating MVAR models for high-dimensional electrophysiological recordings is challenging due to the extensive data requirements. Hence, the applicability of MVAR models for study of brain behavior over hundreds of recording sites has been very limited. Prior work has focused on different strategies for selecting a subset of important MVAR coefficients in the model to reduce the data requirements of conventional least-squares estimation algorithms. Here we propose incorporating prior information, such as resting state functional connectivity derived from functional magnetic resonance imaging, into MVAR model estimation using a weighted group least absolute shrinkage and selection operator (LASSO) regularization strategy. The proposed approach is shown to reduce data requirements by a factor of two relative to the recently proposed group LASSO method of Endemann et al (Neuroimage 254:119057, 2022) while resulting in models that are both more parsimonious and more accurate. The effectiveness of the method is demonstrated using simulation studies of physiologically realistic MVAR models derived from intracranial electroencephalography (iEEG) data. The robustness of the approach to deviations between the conditions under which the prior information and iEEG data is obtained is illustrated using models from data collected in different sleep stages. This approach allows accurate effective connectivity analyses over short time scales, facilitating investigations of causal interactions in the brain underlying perception and cognition during rapid transitions in behavioral state.


Assuntos
Eletrocorticografia , Imageamento por Ressonância Magnética , Humanos , Imageamento por Ressonância Magnética/métodos , Eletrocorticografia/métodos , Encéfalo/fisiologia , Mapeamento Encefálico/métodos , Simulação por Computador , Algoritmos , Eletroencefalografia/métodos
2.
Sensors (Basel) ; 20(19)2020 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-33036268

RESUMO

Percutaneous microwave ablation (MWA) is a promising technology for patients with breast cancer, as it may help treat individuals who have less aggressive cancers or do not respond to targeted therapies in the neoadjuvant or pre-surgical setting. In this study, we investigate changes to the microwave dielectric properties of breast tissue that are induced by MWA. While similar changes have been characterized for relatively homogeneous tissues, such as liver, those prior results are not directly translatable to breast tissue because of the extreme tissue heterogeneity present in the breast. This study was motivated, in part by the expectation that the changes in the dielectric properties of the microwave antenna's operation environment will be impacted by tissue composition of the ablation target, which includes not only the tumor, but also its margins. Accordingly, this target comprises a heterogeneous mix of malignant, healthy glandular, and adipose tissue. Therefore, knowledge of MWA impact on breast dielectric properties is essential for the successful development of MWA systems for breast cancer. We performed ablations in 14 human ex-vivo prophylactic mastectomy specimens from surgeries that were conducted at the UW Hospital and monitored the temperature in the vicinity of the MWA antenna during ablation. After ablation we measured the dielectric properties of the tissue and analyzed the tissue samples to determine both the tissue composition and the extent of damage due to the ablation. We observed that MWA induced cell damage across all tissue compositions, and found that the microwave frequency-dependent relative permittivity and conductivity of damaged tissue are lower than those of healthy tissue, especially for tissue with high fibroglandular content. The results provide information for future developments on breast MWA systems.


Assuntos
Técnicas de Ablação , Neoplasias da Mama/cirurgia , Micro-Ondas , Capacitância Elétrica , Condutividade Elétrica , Feminino , Humanos , Mastectomia , Projetos Piloto
3.
Neuroimage ; 163: 342-357, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-28951350

RESUMO

Micro-electrocorticograph (µECoG) arrays offer the flexibility to record local field potentials (LFPs) from the surface of the cortex, using high density electrodes that are sub-mm in diameter. Research to date has not provided conclusive evidence for the underlying signal generation of µECoG recorded LFPs, or if µECoG arrays can capture network activity from the cortex. We studied the pervading view of the LFP signal by exploring the spatial scale at which the LFP can be considered elemental. We investigated the underlying signal generation and ability to capture functional networks by implanting, µECoG arrays to record sensory-evoked potentials in four rats. The organization of the sensory cortex was studied by analyzing the sensory-evoked potentials with two distinct modeling techniques: (1) The volume conduction model, that models the electrode LFPs with an electrostatic representation, generated by a single cortical generator, and (2) the dynamic causal model (DCM), that models the electrode LFPs with a network model, whose activity is generated by multiple interacting cortical sources. The volume conduction approach modeled activity from electrodes separated < 1000 µm, with reasonable accuracy but a network model like DCM was required to accurately capture activity > 1500 µm. The extrinsic network component in DCM was determined to be essential for accurate modeling of observed potentials. These results all point to the presence of a sensory network, and that µECoG arrays are able to capture network activity in the neocortex. The estimated DCM network models the functional organization of the cortex, as signal generators for the µECoG recorded LFPs, and provides hypothesis-testing tools to explore the brain.


Assuntos
Mapeamento Encefálico/métodos , Potenciais Somatossensoriais Evocados/fisiologia , Modelos Neurológicos , Córtex Somatossensorial/fisiologia , Animais , Eletrocorticografia , Ratos
4.
Nat Comput ; 16(1): 119-134, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28255293

RESUMO

The vehicle routing problem is a classical combinatorial optimization problem. This work is about a variant of the vehicle routing problem with dynamically changing orders and time windows. In real-world applications often the demands change during operation time. New orders occur and others are canceled. In this case new schedules need to be generated on-the-fly. Online optimization algorithms for dynamical vehicle routing address this problem but so far they do not consider time windows. Moreover, to match the scenarios found in real-world problems adaptations of benchmarks are required. In this paper, a practical problem is modeled based on the procedure of daily routing of a delivery company. New orders by customers are introduced dynamically during the working day and need to be integrated into the schedule. A multiple ant colony algorithm combined with powerful local search procedures is proposed to solve the dynamic vehicle routing problem with time windows. The performance is tested on a new benchmark based on simulations of a working day. The problems are taken from Solomon's benchmarks but a certain percentage of the orders are only revealed to the algorithm during operation time. Different versions of the MACS algorithm are tested and a high performing variant is identified. Finally, the algorithm is tested in situ: In a field study, the algorithm schedules a fleet of cars for a surveillance company. We compare the performance of the algorithm to that of the procedure used by the company and we summarize insights gained from the implementation of the real-world study. The results show that the multiple ant colony algorithm can get a much better solution on the academic benchmark problem and also can be integrated in a real-world environment.

5.
Neuroimage ; 114: 320-7, 2015 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-25863155

RESUMO

Although visual short-term memory (VSTM) performance has been hypothesized to rely on two distinct mechanisms, capacity and filtering, the two have not been dissociated using network-level causality measures. Here, we hypothesized that behavioral tasks challenging capacity or distraction filtering would both engage a common network of areas, namely dorsolateral prefrontal cortex (dlPFC), superior parietal lobule (SPL), and occipital cortex, but would do so according to dissociable patterns of effective connectivity. We tested this by estimating directed connectivity between areas using conditional Granger causality (cGC). Consistent with our prediction, the results indicated that increasing mnemonic load (capacity) increased the top-down drive from dlPFC to SPL, and cGC in the alpha (8-14Hz) frequency range was a predominant component of this effect. The presence of distraction during encoding (filtering), in contrast, was associated with increased top-down drive from dlPFC to occipital cortices directly and from SPL to occipital cortices directly, in both cases in the beta (15-25Hz) range. Thus, although a common anatomical network may serve VSTM in different contexts, it does so via specific functions that are carried out within distinct, dynamically configured frequency channels.


Assuntos
Lobo Frontal/fisiologia , Memória de Curto Prazo/fisiologia , Lobo Occipital/fisiologia , Lobo Parietal/fisiologia , Adulto , Ondas Encefálicas , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Rede Nervosa/fisiologia , Vias Neurais/fisiologia , Processamento de Sinais Assistido por Computador , Percepção Visual/fisiologia , Adulto Jovem
6.
Neuroimage ; 100: 237-43, 2014 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-24910071

RESUMO

The role of bottom-up and top-down connections during visual perception and the formation of mental images was examined by analyzing high-density EEG recordings of brain activity using two state-of-the-art methods for assessing the directionality of cortical signal flow: state-space Granger causality and dynamic causal modeling. We quantified the directionality of signal flow in an occipito-parieto-frontal cortical network during perception of movie clips versus mental replay of the movies and free visual imagery. Both Granger causality and dynamic causal modeling analyses revealed an increased top-down signal flow in parieto-occipital cortices during mental imagery as compared to visual perception. These results are the first direct demonstration of a reversal of the predominant direction of cortical signal flow during mental imagery as compared to perception.


Assuntos
Mapeamento Encefálico/métodos , Córtex Cerebral/fisiologia , Eletroencefalografia/métodos , Imaginação/fisiologia , Percepção Visual/fisiologia , Adulto , Feminino , Humanos , Masculino , Modelos Estatísticos , Adulto Jovem
7.
IEEE Trans Antennas Propag ; 62(10): 5126-5132, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26663930

RESUMO

We present a focal-beamforming-enhanced formulation of the distorted Born iterative method (DBIM) for microwave breast imaging. Incorporating beamforming into the imaging algorithm has the potential to mitigate the effect of noise on the image reconstruction. We apply the focal-beamforming-enhanced DBIM algorithm to simulated array measurements from two MRI-derived, anatomically realistic numerical breast phantoms and compare its performance to that of the DBIM formulated with two non-focal schemes. The first scheme simply averages scattered field data from reciprocal antenna pairs while the second scheme discards reciprocal pairs. Images of the dielectric properties are reconstructed for signal-to-noise ratios (SNR) ranging from 35 dB down to 0 dB. We show that, for low SNR, the focal beamforming algorithm creates reconstructions that are of higher fidelity with respect to the exact dielectric profiles of the phantoms as compared to reconstructions created using the non-focal schemes. At high SNR, the focal and non-focal reconstructions are of comparable quality.

8.
Neuroimage ; 79: 213-22, 2013 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-23643925

RESUMO

The cingulate cortex is regarded as the backbone of structural and functional connectivity of the brain. While its functional connectivity has been intensively studied, little is known about its effective connectivity, its modulation by behavioral states, and its involvement in cognitive performance. Given the previously reported effects on cingulate functional connectivity, we investigated how eye-closure and sleep deprivation changed cingulate effective connectivity, estimated from resting-state high-density electroencephalography (EEG) using a novel method to calculate Granger Causality directly in source space. Effective connectivity along the cingulate cortex was dominant in the forward direction. Eyes-open connectivity in the forward direction was greater compared to eyes-closed, in well-rested participants. The difference between eyes-open and eyes-closed connectivity was attenuated and no longer significant after sleep deprivation. Individual variability in the forward connectivity after sleep deprivation predicted subsequent task performance, such that those subjects who showed a greater increase in forward connectivity between the eyes-open and the eyes-closed periods also performed better on a sustained attention task. Effective connectivity in the opposite, backward, direction was not affected by whether the eyes were open or closed or by sleep deprivation. These findings indicate that the effective connectivity from posterior to anterior cingulate regions is enhanced when a well-rested subject has his eyes open compared to when they are closed. Sleep deprivation impairs this directed information flow, proportional to its deleterious effect on vigilance. Therefore, sleep may play a role in the maintenance of waking effective connectivity.


Assuntos
Mapeamento Encefálico , Giro do Cíngulo/fisiopatologia , Rede Nervosa/fisiopatologia , Vias Neurais/fisiopatologia , Plasticidade Neuronal , Privação do Sono/fisiopatologia , Adulto , Nível de Alerta , Eletroencefalografia , Feminino , Humanos , Masculino
9.
IEEE Antennas Wirel Propag Lett ; 11: 1626-1629, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-25419189

RESUMO

We present a 3-D microwave breast imaging study in which we reconstruct the dielectric profiles of MRI-derived numerical breast phantoms from simulated array measurements using an enclosed array of multiband, miniaturized patch antennas. The array is designed to overcome challenges relating to the ill-posed nature of the inverse scattering system. We use a multifrequency formulation of the distorted Born iterative method to image four normal-tissue breast phantoms, each corresponding to a different density class. The reconstructed fibroglandular distributions are very faithful to the true distributions in location and basic shape. These results establish the feasibility of using an enclosed array of miniaturized, multiband patch antennas for quantitative microwave breast imaging.

10.
IEEE Antennas Wirel Propag Lett ; 11: 1610-1613, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-25132808

RESUMO

We propose a 3-D-printed breast phantom for use in preclinical experimental microwave imaging studies. The phantom is derived from an MRI of a human subject; thus, it is anthropomorphic, and its interior is very similar to an actual distribution of fibroglandular tissues. Adipose tissue in the breast is represented by the solid plastic (printed) regions of the phantom, while fibroglandular tissue is represented by liquid-filled voids in the plastic. The liquid is chosen to provide a biologically relevant dielectric contrast with the printed plastic. Such a phantom enables validation of microwave imaging techniques. We describe the procedure for generating the 3-D-printed breast phantom and present the measured dielectric properties of the 3-D-printed plastic over the frequency range 0.5-3.5 GHz. We also provide an example of a suitable liquid for filling the fibroglandular voids in the plastic.

11.
IEEE Trans Signal Process ; 59(6): 2628-2641, 2011 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-21918591

RESUMO

This paper addresses the problem of inferring sparse causal networks modeled by multivariate autoregressive (MAR) processes. Conditions are derived under which the Group Lasso (gLasso) procedure consistently estimates sparse network structure. The key condition involves a "false connection score" ψ. In particular, we show that consistent recovery is possible even when the number of observations of the network is far less than the number of parameters describing the network, provided that ψ < 1. The false connection score is also demonstrated to be a useful metric of recovery in nonasymptotic regimes. The conditions suggest a modified gLasso procedure which tends to improve the false connection score and reduce the chances of reversing the direction of causal influence. Computational experiments and a real network based electrocorticogram (ECoG) simulation study demonstrate the effectiveness of the approach.

12.
Med Phys ; 37(8): 4210-26, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20879582

RESUMO

PURPOSE: Breast density measurement has the potential to play an important role in individualized breast cancer risk assessment and prevention decisions. Routine evaluation of breast density will require the availability of a low-cost, nonionizing, three-dimensional (3-D) tomographic imaging modality that exploits a strong properties contrast between dense fibroglandular tissue and less dense adipose tissue. The purpose of this computational study is to investigate the performance of 3-D tomography using low-power microwaves to reconstruct the spatial distribution of breast tissue dielectric properties and to evaluate the modality for application to breast density characterization. METHODS: State-of-the-art 3-D numerical breast phantoms that are realistic in both structural and dielectric properties are employed. The test phantoms include one sample from each of four classes of mammographic breast density. Since the properties of these phantoms are known exactly, these testbeds serve as a rigorous benchmark for the imaging results. The distorted Born iterative imaging method is applied to simulated array measurements of the numerical phantoms. The forward solver in the imaging algorithm employs the finite-difference time-domain method of solving the time-domain Maxwell's equations, and the dielectric profiles are estimated using an integral equation form of the Helmholtz wave equation. A multiple-frequency, bound-constrained, vector field inverse scattering solution is implemented that enables practical inversion of the large-scale 3-D problem. Knowledge of the frequency-dependent characteristic of breast tissues at microwave frequencies is exploited to obtain a parametric reconstruction of the dispersive dielectric profile of the interior of the breast. Imaging is performed on a high-resolution voxel basis and the solution is bounded by a known range of dielectric properties of the constituent breast tissues. The imaging method is validated using a breast phantom with a single, high-contrast interior scattering target in an otherwise homogeneous interior. The method is then used to image a set of realistic numerical breast phantoms of varied fibroglandular tissue density. RESULTS: Imaging results are presented for each numerical phantom and show robustness of the method relative to tissue density. In each case, the distribution of fibroglandular tissues is well represented in the resulting images. The resolution of the images at the frequencies employed is wider than the feature dimensions of the normal tissue structures, resulting in a smearing of their reconstruction. CONCLUSIONS: The results of this study support the utility of 3-D microwave tomography for imaging the distribution of normal tissues in the breast, specifically, dense fibroglandular tissue versus less dense adipose tissue, and suggest that further investigation of its use for volumetric evaluation of breast density is warranted.


Assuntos
Algoritmos , Neoplasias da Mama/diagnóstico , Interpretação de Imagem Assistida por Computador/métodos , Imageamento Tridimensional/métodos , Micro-Ondas , Aumento da Imagem/métodos , Imageamento Tridimensional/instrumentação , Imagens de Fantasmas , Reprodutibilidade dos Testes , Espalhamento de Radiação , Sensibilidade e Especificidade
13.
IEEE Trans Antennas Propag ; 58(1): 145-154, 2010 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-20419046

RESUMO

We investigate solving the electromagnetic inverse scattering problem using the distorted Born iterative method (DBIM) in conjunction with a variable-selection approach known as the elastic net. The elastic net applies both ℓ1 and ℓ2 penalties to regularize the system of linear equations that result at each iteration of the DBIM. The elastic net thus incorporates both the stabilizing effect of the ℓ2 penalty with the sparsity encouraging effect of the ℓ1 penalty. The DBIM with the elastic net outperforms the commonly used ℓ2 regularizer when the unknown distribution of dielectric properties is sparse in a known set of basis functions. We consider two very different 3-D examples to demonstrate the efficacy and applicability of our approach. For both examples, we use a scalar approximation in the inverse solution. In the first example the actual distribution of dielectric properties is exactly sparse in a set of 3-D wavelets. The performances of the elastic net and ℓ2 approaches are compared to the ideal case where it is known a priori which wavelets are involved in the true solution. The second example comes from the area of microwave imaging for breast cancer detection. For a given set of 3-D Gaussian basis functions, we show that the elastic net approach can produce a more accurate estimate of the distribution of dielectric properties (in particular, the effective conductivity) within an anatomically realistic 3-D numerical breast phantom. In contrast, the DBIM with an ℓ2 penalty produces an estimate which suffers from multiple artifacts.

14.
Neuroimage ; 46(4): 1066-81, 2009 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-19457366

RESUMO

This article presents a new spatio-temporal method for M/EEG source reconstruction based on the assumption that only a small number of events, localized in space and/or time, are responsible for the measured signal. Each space-time event is represented using a basis function expansion which reflects the most relevant (or measurable) features of the signal. This model of neural activity leads naturally to a Bayesian likelihood function which balances the model fit to the data with the complexity of the model, where the complexity is related to the number of included events. A novel Expectation-Maximization algorithm which maximizes the likelihood function is presented. The new method is shown to be effective on several MEG simulations of neurological activity as well as data from a self-paced finger tapping experiment.


Assuntos
Mapeamento Encefálico/métodos , Processamento de Imagem Assistida por Computador/métodos , Modelos Neurológicos , Algoritmos , Simulação por Computador , Humanos , Magnetoencefalografia
15.
J Neurosci Methods ; 312: 93-104, 2019 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-30439389

RESUMO

BACKGROUND: The basic mechanisms underlying the electroencephalograpy (EEG) response to transcranial magnetic stimulation (TMS) of the human cortex are not well understood. NEW METHOD: A state-space modeling methodology is developed to gain insight into the network nature of the TMS/EEG response. Cortical activity is modeled using a multivariariate autoregressive model with exogenous stimulation parameters representing the effect of TMS. An observation equation models EEG measurement of cortical activity. An expectation-maximization algorithm is developed to estimate the model parameters. RESULTS: The methodology is used to assess two different hypotheses for the mechanisms underlying TMS/EEG in wakefulness and sleep. The integrated model hypothesizes that recurrent interactions between cortical regions are the source of TMS/EEG, while the segregated model hypothesizes that the TMS/EEG results from excitation of independent cortical oscillators. The results show that the relatively simple EEG response to TMS recorded during non-rapid-eye-movement sleep is described equally well by either the integrated or segregated model. However, the integrated model fits the more complex TMS/EEG of wakefulness much better than the segregated model. COMPARISON WITH EXISTING METHOD(S): Existing methods are limited to small numbers of cortical regions of interest or do not represent the effect of TMS. Our results are consistent with previous studies contrasting the complexity of TMS/EEG in wakefulness and sleep. CONCLUSION: The new method strongly suggests that effective feedback connections between cortical regions are required to produce the TMS/EEG in wakefulness.


Assuntos
Córtex Cerebral/fisiologia , Eletroencefalografia/métodos , Modelos Neurológicos , Estimulação Magnética Transcraniana/métodos , Interpretação Estatística de Dados , Humanos , Análise Multivariada , Vias Neurais/fisiologia , Análise de Regressão , Processamento de Sinais Assistido por Computador
16.
IEEE Trans Biomed Eng ; 55(1): 237-46, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18232367

RESUMO

Characterization of architectural tissue features such as the shape, margin, and size of a suspicious lesion is commonly performed in conjunction with medical imaging to provide clues about the nature of an abnormality. In this paper, we numerically investigate the feasibility of using multichannel microwave backscatter in the 1-11 GHz band to classify the salient features of a dielectric target. We consider targets with three shape characteristics: smooth, microlobulated, and spiculated; and four size categories ranging from 0.5 to 2 cm in diameter. The numerical target constructs are based on Gaussian random spheres allowing for moderate shape irregularities. We perform shape and size classification for a range of signal-to-noise ratios (SNRs) to demonstrate the potential for tumor characterization based on ultrawideband (UWB) microwave backscatter. We approach classification with two basis selection methods from the literature: local discriminant bases and principal component analysis. Using these methods, we construct linear classifiers where a subset of the bases expansion vectors are the input features and we evaluate the average rate of correct classification as a performance measure. We demonstrate that for 10 dB SNR, the target size is very reliably classified with over 97% accuracy averaged over 360 targets; target shape is classified with over 70% accuracy. The relationship between the SNR of the test data and classifier performance is also explored. The results of this study are very encouraging and suggest that both shape and size characteristics of a dielectric target can be classified directly from its UWB backscatter. Hence, characterization can easily be performed in conjunction with UWB radar-based breast cancer detection without requiring any special hardware or additional data collection.


Assuntos
Neoplasias da Mama/diagnóstico , Neoplasias da Mama/fisiopatologia , Diagnóstico por Computador/métodos , Micro-Ondas , Modelos Biológicos , Radiometria/métodos , Simulação por Computador , Humanos , Doses de Radiação , Espalhamento de Radiação
17.
IEEE Trans Biomed Eng ; 55(1): 247-56, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18232368

RESUMO

This paper presents an algorithm for estimating the location of the breast surface from scattered ultrawideband (UWB) microwave signals recorded across an antenna array. Knowing the location of the breast surface can improve imaging performance if incorporated as a priori information into recently proposed microwave imaging algorithms. These techniques transmit low-power microwaves into the breast using an antenna array, which in turn measures the scattered microwave signals for the purpose of detecting anomalies or changes in the dielectric properties of breast tissue. Our proposed surface identification algorithm consists of three procedures, the first of which estimates M points on the breast surface given M channels of measured microwave backscatter data. The second procedure applies interpolation and extrapolation to these M points to generate N > M points that are approximately uniformly distributed over the breast surface, while the third procedure uses these N points to generate a 3-D estimated breast surface. Numerical as well as experimental tests indicate that the maximum absolute error in the estimated surface generated by the algorithm is on the order of several millimeters. An error analysis conducted for a basic microwave radar imaging algorithm (least-squares narrowband beamforming) indicates that this level of error is acceptable. A key advantage of the algorithm is that it uses the same measured signals that are used for UWB microwave imaging, thereby minimizing patient scan time and avoiding the need for additional hardware.


Assuntos
Mama/anatomia & histologia , Mama/fisiologia , Interpretação de Imagem Assistida por Computador/métodos , Micro-Ondas , Modelos Biológicos , Radiometria/métodos , Simulação por Computador , Humanos , Doses de Radiação , Espalhamento de Radiação
18.
IEEE Trans Biomed Eng ; 65(7): 1585-1594, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-28489529

RESUMO

OBJECTIVE: The human haptic system uses a set of reproducible and subconscious hand maneuvers to identify objects. Similar subconscious maneuvers are used during medical palpation for screening and diagnosis. The goal of this work was to develop a mathematical model that can be used to describe medical palpation techniques. METHODS: Palpation data were measured using a two-dimensional array of force sensors. A novel algorithm for estimating the hand position from force data was developed. The hand position data were then modeled using multivariate autoregressive models. Analysis of these models provided palpation direction and frequency as well as palpation type. The models were tested and validated using three different data sets: simulated data, a simplified experiment in which participant followed a known pattern, and breast simulator palpation data. RESULTS: Simulated data showed that the minimal error in estimating palpation direction and frequency is achieved when the sampling frequency is five to ten times the palpation frequency. The classification accuracy was for the simplified experiment and for the breast simulator data. CONCLUSION: Proper palpation is one of the vital components of many hands-on clinical examinations. In this study, an algorithm for characterizing medical palpation was developed. The algorithm measured palpation frequency and direction for the first time and provided classification of palpation type. SIGNIFICANCE: These newly developed models can be used for quantifying and assessing clinical technique, and consequently, lead to improved performance in palpation-based exams. Furthermore, they provide a general tool for the study of human haptics.


Assuntos
Modelos Biológicos , Palpação , Processamento de Sinais Assistido por Computador , Tato/fisiologia , Adulto , Algoritmos , Mama/fisiologia , Educação Médica Continuada , Feminino , Mãos/fisiologia , Humanos , Masculino , Modelos Estatísticos , Pressão
19.
IEEE Trans Biomed Eng ; 54(6 Pt 2): 1167-71, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17549910

RESUMO

The difficulty of utilizing multimodality diagnostic imaging techniques for fetal surveillance remains one of the greatest challenges in providing enhanced prenatal care. In this Letter we demonstrate the feasibility of performing fetal magnetocardiography (fMCG) and ultrasound/Doppler imaging simultaneously, using a multichannel SQUID magnetometer and a portable ultrasound scanner. Despite large magnetic interference from the scanner, the implementation of simple noise reduction procedures and appropriate signal processing techniques yielded fMCG recordings of sufficient quality for assessment of fetal heart rate and rhythm. A variation of reference channel filtering, referred to here as synthetic reference channel filtering, was used to reduce nonstationary low-frequency interference. The combination of fMCG and/or fMEG with ultrasound/Doppler offers new possibilities for assessment of fetal well-being and fetal cardiac function.


Assuntos
Algoritmos , Artefatos , Diagnóstico por Computador/métodos , Ecocardiografia Doppler/métodos , Monitorização Fetal/métodos , Magnetocardiografia/métodos , Ultrassonografia Pré-Natal/métodos , Estudos de Viabilidade , Humanos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
20.
IEEE Trans Biomed Eng ; 64(11): 2704-2710, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28182551

RESUMO

Objective: Recent studies utilizing fetal magnetocardiography have demonstrated the efficacy of corrected QT interval (QTc) measurement for in utero diagnosis and prognosis of long QT syndrome, a leading cause of sudden death in early life. The objective of the study was to formulate and test a novel statistical estimation method to detect the end of the fetal T-wave and thereby improve the accuracy of fetal QT interval measurement. Methods: To detect the end of the T-wave, we apply a sequential composite hypothesis test to decide when the T-wave has returned to baseline. The method uses the generalized likelihood ratio test in conjunction with a low-rank spatiotemporal model that exploits the repetitive nature of cardiac signals. The unknown model parameters are determined using maximum likelihood estimation. Results: In realistic simulations, the detector was shown to be accurate to within 10 ms (95% prediction interval), even at noise-to-signal ratios as high as 6. When applied to real data from normal fetuses, the detector agreed well with measurements made by cardiologists ( 1.4 6.9 ms). Conclusions: The method was effective and practical. Detector performance was excellent despite the continual presence of strong maternal interference. Significance: This detector serves as a valuable adjunct to traditional measurement based on subjective assessment.Objective: Recent studies utilizing fetal magnetocardiography have demonstrated the efficacy of corrected QT interval (QTc) measurement for in utero diagnosis and prognosis of long QT syndrome, a leading cause of sudden death in early life. The objective of the study was to formulate and test a novel statistical estimation method to detect the end of the fetal T-wave and thereby improve the accuracy of fetal QT interval measurement. Methods: To detect the end of the T-wave, we apply a sequential composite hypothesis test to decide when the T-wave has returned to baseline. The method uses the generalized likelihood ratio test in conjunction with a low-rank spatiotemporal model that exploits the repetitive nature of cardiac signals. The unknown model parameters are determined using maximum likelihood estimation. Results: In realistic simulations, the detector was shown to be accurate to within 10 ms (95% prediction interval), even at noise-to-signal ratios as high as 6. When applied to real data from normal fetuses, the detector agreed well with measurements made by cardiologists ( 1.4 6.9 ms). Conclusions: The method was effective and practical. Detector performance was excellent despite the continual presence of strong maternal interference. Significance: This detector serves as a valuable adjunct to traditional measurement based on subjective assessment.


Assuntos
Eletrocardiografia/métodos , Magnetocardiografia/métodos , Diagnóstico Pré-Natal/métodos , Processamento de Sinais Assistido por Computador , Feminino , Humanos , Síndrome do QT Longo/diagnóstico , Gravidez
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