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1.
Annu Int Conf IEEE Eng Med Biol Soc ; 2021: 1957-1960, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34891670

RESUMO

Blind linear unmixing (BLU) methods allow the separation of multi and hyperspectral data into end-members and abundance maps in an unsupervised fashion. However, due to incident noise, the abundance maps can exhibit high presence of granularity. To address this problem, in this paper, we present a novel proposal for BLU that considers spatial coherence in the abundance estimations, through a total spatial variation component. The proposed BLU formulation is based on the blind end-member and abundance extraction perspective with total spatial variation (EBEAE-STV). In EBEAE-STV, internal abundances are added to incorporate the spatial coherence in the cost function, which is solved by a coordinates descent algorithm. The results with synthetic data show that the proposed algorithm can significantly decrease the granularity in the estimated abundances, and the estimation errors and computational times are lower compared to state of the art methodologies.Clinical relevance- The proper and robust estimation of end-members and their respective contributions (abundances) in multi-spectral and hyper-spectral images from the proposed EBEAE-STV methodology might provide useful information in several biomedical applications, such as chemometric analysis on different biological samples, tumor identification and brain tissue classification for hyper-spectral imaging, among others.


Assuntos
Quimiometria , Imageamento Hiperespectral , Algoritmos , Diagnóstico por Imagem
2.
Annu Int Conf IEEE Eng Med Biol Soc ; 2021: 3161-3164, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34891912

RESUMO

Tissular blood perfusion is helpful to assess the health condition of a subject and even monitor superficial lesions. Current state of the art is focused on developing non-invasive, quantitative and accessible methods for blood flow monitoring in large areas. This paper presents an approach based on multispectral images on the VIS-NIR range to quantify blood perfusion. Our goal is to estimate the changes in deoxygenated hemoglobin. To do so, we employ principal component analysis followed by a linear regression model. The proposal was evaluated using in-vivo data from a vascular occlusion protocol, and the results were validated against photoplethysmography measurements. Although the number of subjects in the protocol was limited, our model made a prediction with an average similarity of 91.53% with a mean R-squared adjusted of 0.8104.


Assuntos
Diagnóstico por Imagem , Hemoglobinas , Humanos , Análise de Componente Principal
3.
Annu Int Conf IEEE Eng Med Biol Soc ; 2021: 7625-7628, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34892855

RESUMO

The Biomedical Engineering (BME) bachelor pro-gram of the Faculty of Sciences in Universidad Autónoma de San Luis Potosí (UASLP) was created in June of 2010, with the aim of training professionals with an integral perspective in the engineering field by considering a multidisciplinary approach to develop and apply technology in the areas of medicine and biology. After 10 years, our BME program has achieved national recognition. Despite of being an emerging program, this achievement has been obtained by the consolidation of our academic staff, the outstanding participation of our students in national and international academic events, and the historical graduation results. In our comprehensive evaluation, we report an overall terminal efficiency (completion rate) of 67% and a graduation rate of 47.2%, where these values are above the average for an engineering program in our institution. Additionally, the BME program provides students with solid skills and background to carry out research activities, which has resulted in a considerable number of alumni pursuing graduate studies or have already completed one. Our results show that 90% of our former students are working after graduation, but only 44% work in the field of biomedical engineering, since the regional labor market starts to saturate given the fact that, at present, students from six generations have completed our BME bachelor program. In this way, few graduates visualize the wide spectrum of job options where a biomedical engineer can impact, by their distinctive comprehensive and multidisciplinary training. Therefore, it is necessary to propose new curricular design strategies to provide our students with an academic training that allows them to enter a globalized world, where there is an even greater spectrum of engineering possibilities related to the fields of medicine and biology, in line with current trends.


Assuntos
Engenharia Biomédica , Universidades , Bioengenharia , Engenharia Biomédica/educação , Humanos , Estudantes
4.
PLoS One ; 16(3): e0248301, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33735228

RESUMO

The deconvolution process is a key step for quantitative evaluation of fluorescence lifetime imaging microscopy (FLIM) samples. By this process, the fluorescence impulse responses (FluoIRs) of the sample are decoupled from the instrument response (InstR). In blind deconvolution estimation (BDE), the FluoIRs and InstR are jointly extracted from a dataset with minimal a priori information. In this work, two BDE algorithms are introduced based on linear combinations of multi-exponential functions to model each FluoIR in the sample. For both schemes, the InstR is assumed with a free-form and a sparse structure. The local perspective of the BDE methodology assumes that the characteristic parameters of the exponential functions (time constants and scaling coefficients) are estimated based on a single spatial point of the dataset. On the other hand, the same exponential functions are used in the whole dataset in the global perspective, and just the scaling coefficients are updated for each spatial point. A least squares formulation is considered for both BDE algorithms. To overcome the nonlinear interaction in the decision variables, an alternating least squares (ALS) methodology iteratively solves both estimation problems based on non-negative and constrained optimizations. The validation stage considered first synthetic datasets at different noise types and levels, and a comparison with the standard deconvolution techniques with a multi-exponential model for FLIM measurements, as well as, with two BDE methodologies in the state of the art: Laguerre basis, and exponentials library. For the experimental evaluation, fluorescent dyes and oral tissue samples were considered. Our results show that local and global perspectives are consistent with the standard deconvolution techniques, and they reached the fastest convergence responses among the BDE algorithms with the best compromise in FluoIRs and InstR estimation errors.


Assuntos
Corantes Fluorescentes/química , Processamento de Imagem Assistida por Computador/métodos , Modelos Químicos , Algoritmos , Conjuntos de Dados como Assunto , Humanos , Análise dos Mínimos Quadrados , Microscopia de Fluorescência , Mucosa Bucal/patologia , Neoplasias Bucais/patologia , Fatores de Tempo
5.
Atherosclerosis ; 290: 94-102, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31604172

RESUMO

BACKGROUND AND AIMS: Significant macrophages infiltration in advanced atherosclerotic plaques promotes acute coronary events. Hence, the clinical imaging of macrophage content in coronary atherosclerotic plaques could potentially aid in identifying patients most at risk of future acute coronary events. The aim of this study was to introduce and validate a simple intravascular optical coherence tomography (IV-OCT) image processing method for automated, accurate and fast detection of macrophage infiltration within coronary atherosclerotic plaques. METHODS: This method calculates the ratio of the normalized-intensity standard deviation (NSD) values estimated over two axially-adjacent regions of interest in an IV-OCT cross-sectional image (B-scan). When applied to entire IV-OCT B-scans, this method highlights plaque areas with high NSD ratio values (NSDRatio), which was demonstrated to be correlated with the degree of coronary plaque macrophage infiltration. RESULTS: Using an optimized NSDRatio threshold value, coronary plaque macrophage infiltration could be detected with ~88% sensitivity and specificity in a database of 28 IV-OCT scans from postmortem coronary segments. For comparison, using an optimized NSD threshold value, considered the standard IV-OCT signature for macrophages, coronary plaque macrophage infiltration could be detected with only ~55% sensitivity and specificity. CONCLUSIONS: The proposed NSDRatio method significantly increases the sensitivity and specificity for the detection of coronary plaque macrophage infiltration compared to the standard NSD method. This computationally efficient method can be seamlessly implemented within standard IV-OCT imaging systems for in-vivo real-time imaging of macrophage content in coronary plaques, which could potentially aid in identifying patients most at risk of future acute coronary events.


Assuntos
Movimento Celular , Doença da Artéria Coronariana/diagnóstico por imagem , Vasos Coronários/diagnóstico por imagem , Macrófagos/patologia , Placa Aterosclerótica , Tomografia de Coerência Óptica , Antígenos CD/análise , Antígenos de Diferenciação Mielomonocítica/análise , Automação , Biomarcadores/análise , Cadáver , Doença da Artéria Coronariana/imunologia , Doença da Artéria Coronariana/patologia , Vasos Coronários/imunologia , Vasos Coronários/patologia , Bases de Dados Factuais , Humanos , Interpretação de Imagem Assistida por Computador , Macrófagos/imunologia , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Ruptura Espontânea
6.
Clin Cancer Res ; 25(21): 6329-6338, 2019 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-31315883

RESUMO

PURPOSE: In glioma surgery, it is critical to maximize tumor resection without compromising adjacent noncancerous brain tissue. Optical coherence tomography (OCT) is a noninvasive, label-free, real-time, high-resolution imaging modality that has been explored for glioma infiltration detection. Here, we report a novel artificial intelligence (AI)-assisted method for automated, real-time, in situ detection of glioma infiltration at high spatial resolution.Experimental Design: Volumetric OCT datasets were intraoperatively obtained from resected brain tissue specimens of 21 patients with glioma tumors of different stages and labeled as either noncancerous or glioma-infiltrated on the basis of histopathology evaluation of the tissue specimens (gold standard). Labeled OCT images from 12 patients were used as the training dataset to develop the AI-assisted OCT-based method for automated detection of glioma-infiltrated brain tissue. Unlabeled OCT images from the other 9 patients were used as the validation dataset to quantify the method detection performance. RESULTS: Our method achieved excellent levels of sensitivity (∼100%) and specificity (∼85%) for detecting glioma-infiltrated tissue with high spatial resolution (16 µm laterally) and processing speed (∼100,020 OCT A-lines/second). CONCLUSIONS: Previous methods for OCT-based detection of glioma-infiltrated brain tissue rely on estimating the tissue optical attenuation coefficient from the OCT signal, which requires sacrificing spatial resolution to increase signal quality, and performing systematic calibration procedures using tissue phantoms. By overcoming these major challenges, our AI-assisted method will enable implementing practical OCT-guided surgical tools for continuous, real-time, and accurate intraoperative detection of glioma-infiltrated brain tissue, facilitating maximal glioma resection and superior surgical outcomes for patients with glioma.


Assuntos
Glioma/patologia , Células-Tronco Neoplásicas/patologia , Cirurgia Assistida por Computador/métodos , Tomografia de Coerência Óptica/métodos , Inteligência Artificial , Feminino , Glioma/diagnóstico por imagem , Glioma/cirurgia , Humanos , Masculino , Margens de Excisão
7.
Biomed Opt Express ; 7(10): 4069-4085, 2016 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-27867716

RESUMO

Intravascular optical coherence tomography (IV-OCT) allows evaluation of atherosclerotic plaques; however, plaque characterization is performed by visual assessment and requires a trained expert for interpretation of the large data sets. Here, we present a novel computational method for automated IV-OCT plaque characterization. This method is based on the modeling of each A-line of an IV-OCT data set as a linear combination of a number of depth profiles. After estimating these depth profiles by means of an alternating least square optimization strategy, they are automatically classified to predefined tissue types based on their morphological characteristics. The performance of our proposed method was evaluated with IV-OCT scans of cadaveric human coronary arteries and corresponding tissue histopathology. Our results suggest that this methodology allows automated identification of fibrotic and lipid-containing plaques. Moreover, this novel computational method has the potential to enable high throughput atherosclerotic plaque characterization.

8.
Opt Express ; 23(18): 23748-67, 2015 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-26368470

RESUMO

Fluorescence lifetime microscopy imaging (FLIM) is an optic technique that allows a quantitative characterization of the fluorescent components of a sample. However, for an accurate interpretation of FLIM, an initial processing step is required to deconvolve the instrument response of the system from the measured fluorescence decays. In this paper, we present a novel strategy for the deconvolution of FLIM data based on a library of exponentials. Our approach searches for the scaling coefficients of the library by non-negative least squares approximations plus Thikonov/l(2) or l(1) regularization terms. The parameters of the library are given by the lower and upper bounds in the characteristic lifetimes of the exponential functions and the size of the library, where we observe that this last variable is not a limiting factor in the resulting fitting accuracy. We compare our proposal to nonlinear least squares and global non-linear least squares estimations with a multi-exponential model, and also to constrained Laguerre-base expansions, where we visualize an advantage of our proposal based on Thikonov/l(2) regularization in terms of estimation accuracy, computational time, and tuning strategy. Our validation strategy considers synthetic datasets subject to both shot and Gaussian noise and samples with different lifetime maps, and experimental FLIM data of ex-vivo atherosclerotic plaques and human breast cancer cells.


Assuntos
Algoritmos , Interpretação Estatística de Dados , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Microscopia de Fluorescência/métodos , Imagem Molecular/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
9.
J Biomed Opt ; 20(7): 075010, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26222960

RESUMO

Time-deconvolution of the instrument response from fluorescence lifetime imaging microscopy (FLIM) data is usually necessary for accurate fluorescence lifetime estimation. In many applications, however, the instrument response is not available. In such cases, a blind deconvolution approach is required. An iterative methodology is proposed to address the blind deconvolution problem departing from a dataset of FLIM measurements. A linear combination of a base conformed by Laguerre functions models the fluorescence impulse response of the sample at each spatial point in our formulation. Our blind deconvolution estimation (BDE) algorithm is formulated as a quadratic approximation problem, where the decision variables are the samples of the instrument response and the scaling coefficients of the basis functions. In the approximation cost function, there is a bilinear dependence on the decision variables. Hence, due to the nonlinear nature of the estimation process, an alternating least-squares scheme iteratively solves the approximation problem. Our proposal searches for the samples of the instrument response with a global perspective, and the scaling coefficients of the basis functions locally at each spatial point. First, the iterative methodology relies on a least-squares solution for the instrument response, and quadratic programming for the scaling coefficients applied just to a subset of the measured fluorescence decays to initially estimate the instrument response to speed up the convergence. After convergence, the final stage computes the fluorescence impulse response at all spatial points. A comprehensive validation stage considers synthetic and experimental FLIM datasets of ex vivo atherosclerotic plaques and human breast cancer cell samples that highlight the advantages of the proposed BDE algorithm under different noise and initial conditions in the iterative scheme and parameters of the proposal.


Assuntos
Algoritmos , Processamento de Imagem Assistida por Computador/métodos , Microscopia de Fluorescência/métodos , Linhagem Celular Tumoral , Humanos , Modelos Biológicos , Placa Aterosclerótica/patologia
10.
Biomed Opt Express ; 6(6): 2088-105, 2015 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-26114031

RESUMO

In this paper, we investigate novel low-dimensional and model-free representations for multi-spectral fluorescence lifetime imaging microscopy (m-FLIM) data. We depart from the classical definition of the phasor in the complex plane to propose the extended output phasor (EOP) and extended phasor (EP) for multi-spectral information. The frequency domain properties of the EOP and EP are analytically studied based on a multiexponential model for the impulse response of the imaged tissue. For practical implementations, the EOP is more appealing since there is no need to perform deconvolution of the instrument response from the measured m-FLIM data, as in the case of EP. Our synthetic and experimental evaluations with m-FLIM datasets of human coronary atherosclerotic plaques show that low frequency indexes have to be employed for a distinctive representation of the EOP and EP, and to reduce noise distortion. The tissue classification of the m-FLIM datasets by EOP and EP also improves with low frequency indexes, and does not present significant differences by using either phasor.

11.
Artigo em Inglês | MEDLINE | ID: mdl-26737469

RESUMO

In this paper, we present a methodology for multimodal/ multispectral image registration of medical images. This approach is formulated by using the Expectation-Maximization (EM) methodology, such that we estimate the parameters of a geometric transformation that aligns multimodal/multispectral images. In this framework, the hidden random variables are associated to the intensity relations between the studied images, which allow to compare multispectral intensity values between images of different modalities. The methodology is basically composed by an iterative two-step procedure, where at each step, a new estimation of the joint conditional multispectral intensity distribution and the geometric transformation is computed. The proposed algorithm was tested with different kinds of medical images, and the obtained results show that the proposed methodology can be used to efficiently align multimodal/multispectral medical images.


Assuntos
Algoritmos , Processamento de Imagem Assistida por Computador/métodos , Imagem Multimodal/métodos , Humanos
12.
Opt Express ; 22(10): 12255-72, 2014 May 19.
Artigo em Inglês | MEDLINE | ID: mdl-24921344

RESUMO

Multispectral fluorescence lifetime imaging (m-FLIM) can potentially allow identifying the endogenous fluorophores present in biological tissue. Quantitative description of such data requires estimating the number of components in the sample, their characteristic fluorescent decays, and their relative contributions or abundances. Unfortunately, this inverse problem usually requires prior knowledge about the data, which is seldom available in biomedical applications. This work presents a new methodology to estimate the number of potential endogenous fluorophores present in biological tissue samples from time-domain m-FLIM data. Furthermore, a completely blind linear unmixing algorithm is proposed. The method was validated using both synthetic and experimental m-FLIM data. The experimental m-FLIM data include in-vivo measurements from healthy and cancerous hamster cheek-pouch epithelial tissue, and ex-vivo measurements from human coronary atherosclerotic plaques. The analysis of m-FLIM data from in-vivo hamster oral mucosa identified healthy from precancerous lesions, based on the relative concentration of their characteristic fluorophores. The algorithm also provided a better description of atherosclerotic plaques in term of their endogenous fluorophores. These results demonstrate the potential of this methodology to provide quantitative description of tissue biochemical composition.


Assuntos
Algoritmos , Processamento de Imagem Assistida por Computador/métodos , Microscopia de Fluorescência/métodos , Placa Aterosclerótica/patologia , Animais , Cricetinae , Humanos , Análise de Regressão
13.
ScientificWorldJournal ; 2014: 650653, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24683350

RESUMO

We introduce a two-loop power control that allows an efficient use of the overall power resources for commercial wireless networks based on cross-layer optimization. This approach maximizes the network's utility in the outer-loop as a function of the averaged signal to interference-plus-noise ratio (SINR) by considering adaptively the changes in the network characteristics. For this purpose, the concavity property of the utility function was verified with respect to the SINR, and an iterative search was proposed with guaranteed convergence. In addition, the outer-loop is in charge of selecting the detector that minimizes the overall power consumption (transmission and detection). Next the inner-loop implements a feedback power control in order to achieve the optimal SINR in the transmissions despite channel variations and roundtrip delays. In our proposal, the utility maximization process and detector selection and feedback power control are decoupled problems, and as a result, these strategies are implemented at two different time scales in the two-loop framework. Simulation results show that substantial utility gains may be achieved by improving the power management in the wireless network.


Assuntos
Redes de Comunicação de Computadores , Tecnologia sem Fio , Modelos Teóricos , Razão Sinal-Ruído
14.
IEEE J Biomed Health Inform ; 18(2): 606-17, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24608060

RESUMO

This paper proposes a new blind end-member and abundance extraction (BEAE) method for multispectral fluorescence lifetime imaging microscopy (m-FLIM) data. The chemometrical analysis relies on an iterative estimation of the fluorescence decay end-members and their abundances. The proposed method is based on a linear mixture model with positivity and sum-to-one restrictions on the abundances and end-members to compensate for signature variability. The synthesis procedure depends on a quadratic optimization problem, which is solved by an alternating least-squares structure over convex sets. The BEAE strategy only assumes that the number of components in the analyzed sample is known a spriori. The proposed method is first validated by using synthetic m-FLIM datasets at 15, 20, and 25 dB signal-to-noise ratios. The samples simulate the mixed response of tissue containing multiple fluorescent intensity decays. Furthermore, the results were also validated with six m-FLIM datasets from fresh postmortem human coronary atherosclerotic plaques. A quantitative evaluation of the BEAE was made against two popular techniques: minimum volume constrained nonnegative matrix factorization (MVC-NMF) and multivariate curve resolution-alternating least-squares (MCR-ALS). Our proposed method (BEAE) was able to provide more accurate estimations of the end-members: 0.32% minimum relative error and 13.82% worst-case scenario, despite different initial conditions in the iterative optimization procedure and noise effect. Meanwhile, MVC-NMF and MCR-ALS presented more variability in estimating the end-members: 0.35% and 0.34% for minimum errors and 15.31% and 13.25% in the worst-case scenarios, respectively. This tendency was also maintained for the abundances, where BEAE obtained 0.05 as the minimum absolute error and 0.12 in the worst-case scenario; MCR-ALS and MVC-NMF achieved 0.04 and 0.06 for the minimum absolute errors, and 0.15 and 0.17 under the worst-case conditions, respectively. In addition, the average computation time was evaluated for the synthetic datasets, where MVC-NMF achieved the fastest time, followed by BEAE and finally MCR-ALS. Consequently, BEAE improved MVC-NMF in convergence to a local optimal solution and robustness against signal variability, and it is roughly 3.6 time faster than MCR-ALS.


Assuntos
Processamento de Imagem Assistida por Computador/métodos , Microscopia de Fluorescência/métodos , Simulação por Computador , Bases de Dados Factuais , Histocitoquímica , Humanos , Análise dos Mínimos Quadrados , Placa Aterosclerótica/patologia
15.
IEEE Trans Biomed Eng ; 60(6): 1711-20, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23358941

RESUMO

This paper presents a new unmixing methodology of multispectral fluorescence lifetime imaging microscopy (m-FLIM) data, in which the spectrum is defined as the combination of time-domain fluorescence decays at multiple emission wavelengths. The method is based on a quadratic constrained optimization (CO) algorithm that provides a closed-form solution under equality and inequality restrictions. In this paper, it is assumed that the time-resolved fluorescence spectrum profiles of the constituent components are linearly independent and known a priori. For comparison purposes, the standard least squares (LS) solution and two constrained versions nonnegativity constrained least squares (NCLS) and fully constrained least squares (FCLS) (Heinz and Chang, 2001) are also tested. Their performance was evaluated by using synthetic simulations, as well as imaged samples from fluorescent dyes and ex vivo tissue. In all the synthetic evaluations, the CO obtained the best accuracy in the estimations of the proportional contributions. CO could achieve an improvement ranging between 41% and 59% in the relative error compared to LS, NCLS, and FCLS at different signal-to-noise ratios. A liquid mixture of fluorescent dyes was also prepared and imaged in order to provide a controlled scenario with real data, where CO and FCLS obtained the best performance. The CO and FCLS were also tested with 20 ex vivo samples of human coronary arteries, where the expected concentrations are qualitatively known. A certainty measure was employed to assess the confidence in the estimations made by each algorithm. The experiments confirmed a better performance of CO, since this method is optimal with respect to equality and inequality restrictions in the linear unmixing formulation. Thus, the evaluation showed that CO achieves an accurate characterization of the samples. Furthermore, CO is a computational efficient alternative to estimate the abundance of components in m-FLIM data, since a global optimal solution is always guaranteed in a closed form.


Assuntos
Processamento de Imagem Assistida por Computador/métodos , Microscopia de Fluorescência/métodos , Algoritmos , Colágeno/química , Vasos Coronários , Elastina/química , Corantes Fluorescentes/química , Humanos , Razão Sinal-Ruído
16.
Artigo em Inglês | MEDLINE | ID: mdl-23366083

RESUMO

Multi-Spectral Fluorescent Lifetime Imaging Microscopy (m-FLIM) is a technique that aims to perform noninvasive in situ clinical diagnosis of several diseases. It measures the endogenous fluorescence of molecules, recording their lifetime decay in different wavelength bands. This signal is a mixed response of multiple fluorescent components present in a tissue sample. The goal is to decompose the mixture and estimate the proportional contributions of its constituents. Estimation of such quantitative description will help to characterize the molecular constitution of a given sample. This paper presents a new method to estimate the abundances of multiple components present in a mixture measured using m-FLIM data. It provides a closed-form solution under the fully constrained linear unmixing model and assuming the number of components as well as their ideal lifetime decays are known. Its performance is tested using synthetic samples with three components, where performance can be measured accurately and the percentage error is around 6%. The algorithm was also validated performing unmixing of ex vivo data samples from atherosclerotic human tissue containing collagen, elastin and low-density lipoproteins. These experiments were validated against ground-truth maps, which only give a quantitative description, and the estimated accuracy was around 88%.


Assuntos
Algoritmos , Aterosclerose , Colágeno/metabolismo , Elastina/metabolismo , Processamento de Imagem Assistida por Computador/métodos , Lipoproteínas LDL/metabolismo , Aterosclerose/metabolismo , Aterosclerose/patologia , Feminino , Humanos , Masculino , Microscopia de Fluorescência/métodos
17.
Diabetes Technol Ther ; 12(7): 555-65, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20597831

RESUMO

BACKGROUND: Emerging technology, such as an artificial pancreatic beta-cell, is not likely to be affordable to people who live in developing nations in the next 20-30 years. However, multiple-daily injection (MDI) therapy can be improved using similar advanced control algorithms designed for continuous glucose monitoring and continuous insulin infusion pumps. METHODS: A simulation study of run-to-run control was developed for MDI therapy. Rapid- and slow-acting insulins were used in the protocol, which uses pre- and postprandial glucose measurements. The key information for the synthesis of the control algorithm is the subject insulin sensitivity that is calculated for two cases: (a) when the subject's glycemia and insulin dosing information is known (sensitivity response) and (b) when there is no previous information about the subject's response to the insulin protocol. In the latter case, this information needs to be estimated recursively using online data. After the sensitivity is recalculated, the run-to-run correction scheme is updated, obtaining an adaptive MDI therapy. The robustness of the advisory algorithm was evaluated by constant random parameter variations and superimposing sinusoidal oscillations on glucose-insulin model parameters to simulate intra-individual variability of the glucoregulatory system. RESULTS: Optimal glycemic control has been achieved for both cases (a and b) despite variable meals (15% variation in carbohydrate content and 15-min variation in timing) and parametric variations in the glucose-insulin model. In Case (b), no profound hypoglycemic (<60 mg/dL) or hyperglycemic (>180 mg/dL) events were observed on average during all evaluations. CONCLUSIONS: This work shows that the run-to-run framework for insulin updating can be successfully extended to an adaptive MDI protocol. These results motivate the practical implementation of this scheme in portable units such as personal digital assistants or smartphones.


Assuntos
Diabetes Mellitus Tipo 1/tratamento farmacológico , Insulina/análogos & derivados , Modelos Imunológicos , Algoritmos , Glicemia/análise , Simulação por Computador , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/imunologia , Humanos , Injeções Subcutâneas , Insulina/administração & dosagem , Insulina Glargina , Insulina Lispro , Insulina de Ação Prolongada
18.
Chaos ; 15(4): 043102, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16396587

RESUMO

A family of driving forces is discussed in the context of chaos suppression in the Laplace domain. This idea can be attained by increasing the order of the polynomial in the expressions of the driving force to account for the robustness and/or the performance of the closed loop. The motivation arises from the fact that chaotic systems can be controlled by increasing the order of the Laplace controllers even to track arbitrary orbits. However, a larger order in the driving forces can induce an undesirable frequency response, and the control efforts can result in either peaking or large energy accumulation. We overcame these problems by showing that considering the frequency response (interpreted by norms), the closed-loop execution can be improved by designing the feedback suppressor in the Laplace domain. In this manner, the stabilization of the chaotic behavior in jerk-like systems is achieved experimentally. Jerk systems are particularly sensitive to control performance (and robustness issues) because the acceleration time-derivative is involved in their models. Thus, jerky systems are especially helped by a robust control design.

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