Detection of Vesicoureteral Reflux Using Electrical Impedance Tomography.

OBJECTIVE: The purpose of this study is to detect vesicoureteral reflux (VUR) noninvasively using an electrical impedance tomography (EIT). VUR is characterized by the backflow of urine from the bladder to the kidneys. METHODS: Using porcine models, small quantities of a solution mimicking the electrical properties of urine were infused into each ureter. EIT measurements were taken before, during and after the infusion using electrodes positioned around the abdomen. The collected data from 116 experiments were then processed and time-difference images reconstructed. Objective VUR detection was determined through statistical analysis of the mean change in the voltage signals and EIT image pixel intensities. RESULTS: Unilateral VUR was successfully detected in 94.83% of all mean voltage signals and in over 98.28% of the reconstructed images. The images showed strong visual contrast between the region of interest and the background. CONCLUSION: In animal models, EIT has the capability to detect reflux in the kidneys with high accuracy. The results show promise for EIT to be used for screening of VUR in children. SIGNIFICANCE: VUR is the most common congenital urinary tract abnormality in children. The condition predisposes children to urinary tract infections and kidney damage. The current gold standard diagnostic test, a voiding cystourethrogram, is invasive and uses ionizing radiation; therefore, there is a need for new tools for identifying VUR in children. This study presents a noninvasive method to detect VUR in animal models, illustrating the potential for EIT as a screening tool in clinical scenarios.

Adaptive Dictionary Reconstruction for Compressed Sensing of ECG Signals.

This paper proposes a novel adaptive dictionary (AD) reconstruction scheme to improve the performance of compressed sensing (CS) with electrocardiogram signals (ECG). The method is based on the use of multiple dictionaries, created using dictionary learning (DL) techniques for CS signal reconstruction. The modified reconstruction framework is a two-stage process that leverages information about the signal from an initial signal reconstruction stage. By identifying whether a QRS complex is present and if so, determining a location estimate of the QRS, the most appropriate dictionary is selected and a second stage more refined signal reconstruction can be obtained. The performance of the proposed algorithm is compared with state-of-the-art CS implementations in the literature, as well as the set partitioning in hierarchical trees (SPIHT) wavelet-based lossy compression algorithm. The results indicate that the proposed reconstruction scheme outperforms all existing CS implementations in terms of signal fidelity at each compression ratio tested. The performance of the proposed approach also compares favorably with SPIHT in terms of signal reconstruction quality. Furthermore, an analysis of the overall power consumption of the proposed ECG compression framework as would be used in a body area network (BAN) demonstrates positive results for the proposed CS approach when compared with existing CS techniques and SPIHT.

Energy-efficient Compressed Sensing for ambulatory ECG monitoring.

Advances in Compressed Sensing (CS) are enabling promising low-energy implementation solutions for wireless Body Area Networks (BAN). While studies demonstrate the potential of CS in terms of overall energy efficiency compared to state-of-the-art lossy compression techniques, the performance of CS remains limited. The aim of this study is to improve the performance of CS-based compression for electrocardiogram (ECG) signals. This paper proposes a CS architecture that combines a novel redundancy removal scheme with quantization and Huffman entropy coding to effectively extend the Compression Ratio (CR). Reconstruction is performed using overcomplete sparse dictionaries created with Dictionary Learning (DL) techniques to exploit the highly structured nature of ECG signals. Performance of the proposed CS implementation is evaluated by analyzing energy-based distortion metrics and diagnostic metrics including QRS beat-detection accuracy across a range of CRs. The proposed CS approach offers superior performance to the most recent state-of-the-art CS implementations in terms of signal reconstruction quality across all CRs tested. Furthermore, QRS detection accuracy of the technique is compared with the well-known lossy Set Partitioning in Hierarchical Trees (SPIHT) compression technique. The proposed CS approach outperforms SPIHT in terms of achievable CR, using the area under the receiver operator characteristic (ROC) curve (AUC). For an application where a minimum AUC performance threshold of 0.9 is required, the proposed technique extends the CR from 64.6 to 90.45 compared with SPIHT, ensuring a 40% saving on wireless transmission costs. Therefore, the results highlight the potential of the proposed technique for ECG computer-aided diagnostic systems.

Compressed sensing for bioelectric signals: a review.

This paper provides a comprehensive review of compressed sensing or compressive sampling (CS) in bioelectric signal compression applications. The aim is to provide a detailed analysis of the current trends in CS, focusing on the advantages and disadvantages in compressing different biosignals and its suitability for deployment in embedded hardware. Performance metrics such as percent root-mean-squared difference (PRD), signal-to-noise ratio (SNR), and power consumption are used to objectively quantify the capabilities of CS. Furthermore, CS is compared to state-of-the-art compression algorithms in compressing electrocardiogram (ECG) and electroencephalography (EEG) as examples of typical biosignals. The main technical challenges associated with CS are discussed along with the predicted future trends.

Compressive sampling for time critical microwave imaging applications.

Across all biomedical imaging applications, there is a growing emphasis placed on reducing data acquisition and imaging times. This research explores the use of a technique, known as compressive sampling or compressed sensing (CS), as an efficient technique to minimise the data acquisition time for time critical microwave imaging (MWI) applications. Where a signal exhibits sparsity in the time domain, the proposed CS implementation allows for sub-sampling acquisition in the frequency domain and consequently shorter imaging times, albeit at the expense of a slight degradation in reconstruction quality of the signals as the compression increases. This Letter focuses on ultra wideband (UWB) radar MWI applications where reducing acquisition is of critical importance therefore a slight degradation in reconstruction quality may be acceptable. The analysis demonstrates the effectiveness and suitability of CS with UWB applications.