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1.
Am J Respir Crit Care Med ; 209(11): 1328-1337, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38346178

ABSTRACT

Rationale: General anesthesia and mechanical ventilation have negative impacts on the respiratory system, causing heterogeneous distribution of lung aeration, but little is known about the ventilation patterns of postoperative patients and their association with clinical outcomes. Objectives: To clarify the phenotypes of ventilation patterns along a gravitational direction after surgery by using electrical impedance tomography (EIT) and to evaluate their association with postoperative pulmonary complications (PPCs) and other relevant clinical outcomes. Methods: Adult postoperative patients at high risk for PPCs, receiving mechanical ventilation on ICU admission (N = 128), were prospectively enrolled between November 18, 2021 and July 18, 2022. PPCs were prospectively scored until hospital discharge, and their association with phenotypes of ventilation patterns was studied. The secondary outcomes were the times to wean from mechanical ventilation and oxygen use and the length of ICU stay. Measurements and Main Results: Three phenotypes of ventilation patterns were revealed by EIT: phenotype 1 (32% [n = 41], a predominance of ventral ventilation), phenotype 2 (41% [n = 52], homogeneous ventilation), and phenotype 3 (27% [n = 35], a predominance of dorsal ventilation). The median PPC score was higher in phenotype 1 and phenotype 3 than in phenotype 2. The median time to wean from mechanical ventilation was longer in phenotype 1 versus phenotype 2. The median duration of ICU stay was longer in phenotype 1 versus phenotype 2. The median time to wean from oxygen use was longer in phenotype 1 and phenotype 3 than in phenotype 2. Conclusions: Inhomogeneous ventilation patterns revealed by EIT on ICU admission were associated with PPCs, delayed weaning from mechanical ventilation and oxygen use, and a longer ICU stay.


Subject(s)
Electric Impedance , Postoperative Complications , Respiration, Artificial , Tomography , Humans , Male , Female , Electric Impedance/therapeutic use , Middle Aged , Aged , Respiration, Artificial/methods , Prospective Studies , Tomography/methods , Postoperative Complications/physiopathology , Length of Stay/statistics & numerical data , Ventilator Weaning/methods , Intensive Care Units , Adult
2.
Am J Respir Crit Care Med ; 209(6): 738-747, 2024 Mar 15.
Article in English | MEDLINE | ID: mdl-38032260

ABSTRACT

Rationale: The respiratory mechanisms of a successful transition of preterm infants after birth are largely unknown. Objectives: To describe intrapulmonary gas flows during different breathing patterns directly after birth. Methods: Analysis of electrical impedance tomography data from a previous randomized trial in preterm infants at 26-32 weeks gestational age. Electrical impedance tomography data for individual breaths were extracted, and lung volumes as well as ventilation distribution were calculated for end of inspiration, end of expiratory braking and/or holding maneuver, and end of expiration. Measurements and Main Results: Overall, 10,348 breaths from 33 infants were analyzed. We identified three distinct breath types within the first 10 minutes after birth: tidal breathing (44% of all breaths; sinusoidal breathing without expiratory disruption), braking (50%; expiratory brake with a short duration), and holding (6%; expiratory brake with a long duration). Only after holding breaths did end-expiratory lung volume increase: Median (interquartile range [IQR]) = 2.0 AU/kg (0.6 to 4.3), 0.0 (-1.0 to 1.1), and 0.0 (-1.1 to 0.4), respectively; P < 0.001]. This was mediated by intrathoracic air redistribution to the left and non-gravity-dependent parts of the lung through pendelluft gas flows during braking and/or holding maneuvers. Conclusions: Respiratory transition in preterm infants is characterized by unique breathing patterns. Holding breaths contribute to early lung aeration after birth in preterm infants. This is facilitated by air redistribution during braking/holding maneuvers through pendelluft flow, which may prevent lung liquid reflux in this highly adaptive situation. This study deciphers mechanisms for a successful fetal-to-neonatal transition and increases our pathophysiological understanding of this unique moment in life. Clinical trial registered with www.clinicaltrials.gov (NCT04315636).


Subject(s)
Infant, Premature , Respiration , Humans , Infant, Newborn , Exhalation , Gestational Age , Infant, Premature/physiology , Lung , Randomized Controlled Trials as Topic
3.
Am J Respir Crit Care Med ; 209(6): 670-682, 2024 Mar 15.
Article in English | MEDLINE | ID: mdl-38127779

ABSTRACT

Hypoxemic respiratory failure is one of the leading causes of mortality in intensive care. Frequent assessment of individual physiological characteristics and delivery of personalized mechanical ventilation (MV) settings is a constant challenge for clinicians caring for these patients. Electrical impedance tomography (EIT) is a radiation-free bedside monitoring device that is able to assess regional lung ventilation and changes in aeration. With real-time tomographic functional images of the lungs obtained through a thoracic belt, clinicians can visualize and estimate the distribution of ventilation at different ventilation settings or following procedures such as prone positioning. Several studies have evaluated the performance of EIT to monitor the effects of different MV settings in patients with acute respiratory distress syndrome, allowing more personalized MV. For instance, EIT could help clinicians find the positive end-expiratory pressure that represents a compromise between recruitment and overdistension and assess the effect of prone positioning on ventilation distribution. The clinical impact of the personalization of MV remains to be explored. Despite inherent limitations such as limited spatial resolution, EIT also offers a unique noninvasive bedside assessment of regional ventilation changes in the ICU. This technology offers the possibility of a continuous, operator-free diagnosis and real-time detection of common problems during MV. This review provides an overview of the functioning of EIT, its main indices, and its performance in monitoring patients with acute respiratory failure. Future perspectives for use in intensive care are also addressed.


Subject(s)
Respiratory Distress Syndrome , Respiratory Insufficiency , Humans , Electric Impedance , Tomography, X-Ray Computed/methods , Lung , Respiratory Insufficiency/diagnostic imaging , Respiratory Insufficiency/therapy , Tomography/methods , Respiratory Distress Syndrome/diagnostic imaging , Respiratory Distress Syndrome/therapy
4.
Nano Lett ; 24(7): 2234-2241, 2024 Feb 21.
Article in English | MEDLINE | ID: mdl-38320294

ABSTRACT

Negative capacitance at low frequencies for spiking neurons was first demonstrated in 1941 (K. S. Cole) by using extracellular electrodes. The phenomenon subsequently was explained by using the Hodgkin-Huxley model and is due to the activity of voltage-gated potassium ion channels. We show that Escherichia coli (E. coli) biofilms exhibit significant stable negative capacitances at low frequencies when they experience a small DC bias voltage in electrical impedance spectroscopy experiments. Using a frequency domain Hodgkin-Huxley model, we characterize the conditions for the emergence of this feature and demonstrate that the negative capacitance exists only in biofilms containing living cells. Furthermore, we establish the importance of the voltage-gated potassium ion channel, Kch, using knock-down mutants. The experiments provide further evidence for voltage-gated ion channels in E. coli and a new, low-cost method to probe biofilm electrophysiology, e.g., to understand the efficacy of antibiotics. We expect that the majority of bacterial biofilms will demonstrate negative capacitances.


Subject(s)
Dielectric Spectroscopy , Escherichia coli , Neurons/physiology , Bacteria , Biofilms
5.
Small ; 20(25): e2310221, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38396158

ABSTRACT

Porous substrate electroporation (PSEP) is a promising new method for intracellular delivery, yet fundamentals of PSEP are not well understood, especially the intermediate processes leading to delivery. PSEP is an electrical method, yet the relationship between PSEP and electrical impedance remains underexplored. In this study, a device capable of measuring impedance and performing PSEP is developed and the changes in transepithelial electrical impedance (TEEI) are monitored. These measurements show TEEI increases following PSEP, unlike other electroporation methods. The authors then demonstrate how cell culture conditions and electrical waveforms influence this response. More importantly, TEEI response features are correlated with viability and delivery efficiency, allowing prediction of outcomes without fluorescent cargo, imaging, or image processing. This label-free delivery also allows improved temporal resolution of transient processes following PSEP, which the authors expect will aid PSEP optimization for new cell types and cargos.


Subject(s)
Electric Impedance , Electroporation , Electroporation/methods , Porosity , Animals , Humans , Cell Survival
6.
Small ; 20(6): e2303352, 2024 Feb.
Article in English | MEDLINE | ID: mdl-37794624

ABSTRACT

Antimicrobial resistance has become a serious threat to the global public health. Accurate and rapid antimicrobial susceptibility testing (AST) allows evidence-based prescribing of antibiotics to improve patient care and clinical outcomes. Current culture-based AST assays are inherently limited by the doubling time of bacterial reproduction, which require at least 24 h to have a decisive result. Herein, a label-free electrical impedance-based microfluidic platform designed to expedite and streamline AST procedure for clinical practice is presented. Following a 30-min exposure of bacterial samples to antibiotics, the presented high-throughput, single-bacterium level impedance characterization platform enables a rapid 2-min AST assay. The platform facilitates accurate analysis of individual bacterial viability, as indicated by changes in electrical characteristics, thereby enabling the determination of antimicrobial resistance. Moreover, the potential clinical applicability of this platform is demonstrated by testing different E. coli strains against five antibiotics, yielding 100% categorical agreements compared to standard culture methods.


Subject(s)
Escherichia coli , Microfluidics , Humans , Electric Impedance , Microbial Sensitivity Tests , Anti-Bacterial Agents/pharmacology , Bacteria
7.
Respir Res ; 25(1): 179, 2024 Apr 25.
Article in English | MEDLINE | ID: mdl-38664685

ABSTRACT

BACKGROUND: Prolonged weaning from mechanical ventilation is associated with poor clinical outcome. Therefore, choosing the right moment for weaning and extubation is essential. Electrical Impedance Tomography (EIT) is a promising innovative lung monitoring technique, but its role in supporting weaning decisions is yet uncertain. We aimed to evaluate physiological trends during a T-piece spontaneous breathing trail (SBT) as measured with EIT and the relation between EIT parameters and SBT success or failure. METHODS: This is an observational study in which twenty-four adult patients receiving mechanical ventilation performed an SBT. EIT monitoring was performed around the SBT. Multiple EIT parameters including the end-expiratory lung impedance (EELI), delta Tidal Impedance (ΔZ), Global Inhomogeneity index (GI), Rapid Shallow Breathing Index (RSBIEIT), Respiratory Rate (RREIT) and Minute Ventilation (MVEIT) were computed on a breath-by-breath basis from stable tidal breathing periods. RESULTS: EELI values dropped after the start of the SBT (p < 0.001) and did not recover to baseline after restarting mechanical ventilation. The ΔZ dropped (p < 0.001) but restored to baseline within seconds after restarting mechanical ventilation. Five patients failed the SBT, the GI (p = 0.01) and transcutaneous CO2 (p < 0.001) values significantly increased during the SBT in patients who failed the SBT compared to patients with a successful SBT. CONCLUSION: EIT has the potential to assess changes in ventilation distribution and quantify the inhomogeneity of the lungs during the SBT. High lung inhomogeneity was found during SBT failure. Insight into physiological trends for the individual patient can be obtained with EIT during weaning from mechanical ventilation, but its role in predicting weaning failure requires further study.


Subject(s)
Electric Impedance , Tomography , Ventilator Weaning , Humans , Ventilator Weaning/methods , Male , Female , Middle Aged , Aged , Tomography/methods , Monitoring, Physiologic/methods , Adult , Respiration, Artificial/methods , Respiration , Aged, 80 and over , Lung/physiopathology , Lung/diagnostic imaging , Lung/physiology
8.
Respir Res ; 25(1): 264, 2024 Jul 04.
Article in English | MEDLINE | ID: mdl-38965590

ABSTRACT

BACKGROUND: Bronchoscopic lung volume reduction (BLVR) with one-way endobronchial valves (EBV) has better outcomes when the target lobe has poor collateral ventilation, resulting in complete lobe atelectasis. High-inspired oxygen fraction (FIO2) promotes atelectasis through faster gas absorption after airway occlusion, but its application during BLVR with EBV has been poorly understood. We aimed to investigate the real-time effects of FIO2 on regional lung volumes and regional ventilation/perfusion by electrical impedance tomography (EIT) during BLVR with EBV. METHODS: Six piglets were submitted to left lower lobe occlusion by a balloon-catheter and EBV valves with FIO2 0.5 and 1.0. Regional end-expiratory lung impedances (EELI) and regional ventilation/perfusion were monitored. Local pocket pressure measurements were obtained (balloon occlusion method). One animal underwent simultaneous acquisitions of computed tomography (CT) and EIT. Regions-of-interest (ROIs) were right and left hemithoraces. RESULTS: Following balloon occlusion, a steep decrease in left ROI-EELI with FIO2 1.0 occurred, 3-fold greater than with 0.5 (p < 0.001). Higher FIO2 also enhanced the final volume reduction (ROI-EELI) achieved by each valve (p < 0.01). CT analysis confirmed the denser atelectasis and greater volume reduction achieved by higher FIO2 (1.0) during balloon occlusion or during valve placement. CT and pocket pressure data agreed well with EIT findings, indicating greater strain redistribution with higher FIO2. CONCLUSIONS: EIT demonstrated in real-time a faster and more complete volume reduction in the occluded lung regions under high FIO2 (1.0), as compared to 0.5. Immediate changes in the ventilation and perfusion of ipsilateral non-target lung regions were also detected, providing better estimates of the full impact of each valve in place. TRIAL REGISTRATION: Not applicable.


Subject(s)
Bronchoscopy , Electric Impedance , Animals , Swine , Bronchoscopy/methods , Pneumonectomy/methods , Lung/diagnostic imaging , Lung/physiopathology , Lung/surgery , Lung/physiology , Tomography/methods , Pulmonary Atelectasis/diagnostic imaging , Pulmonary Atelectasis/physiopathology , Lung Volume Measurements/methods , Time Factors
9.
Allergy ; 79(1): 142-152, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37753955

ABSTRACT

BACKGROUND: Skin barrier dysfunction is associated with the development of atopic dermatitis (AD), however methods to assess skin barrier function are limited. We investigated the use of electrical impedance spectroscopy (EIS) to detect skin barrier dysfunction in children with AD of the CARE (Childhood AlleRgy, nutrition, and Environment) cohort. METHODS: EIS measurements taken at multiple time points from 4 months to 3-year-old children, who developed AD (n = 66) and those who did not (n = 49) were investigated. Using only the EIS measurement and the AD status, we developed a machine learning algorithm that produces a score (EIS/AD score) which reflects the probability that a given measurement is from a child with active AD. We investigated the diagnostic ability of this score and its association with clinical characteristics and age. RESULTS: Based on the EIS/AD score, the EIS algorithm was able to clearly discriminate between healthy skin and clinically unaffected skin of children with active AD (area under the curve 0.92, 95% CI 0.85-0.99). It was also able to detect a difference between healthy skin and AD skin when the child did not have active AD. There was no clear association between the EIS/AD score and the severity of AD or sensitisation to the tested allergens. The performance of the algorithm was not affected by age. CONCLUSIONS: This study shows that EIS can detect skin barrier dysfunction and differentiate skin of children with AD from healthy skin and suggests that EIS may have the ability to predict future AD development.


Subject(s)
Dermatitis, Atopic , Hypersensitivity , Humans , Child, Preschool , Dermatitis, Atopic/diagnosis , Dielectric Spectroscopy , Skin , Allergens
10.
Allergy ; 79(1): 128-141, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37766519

ABSTRACT

BACKGROUND: Epithelial barrier impairment is associated with many skin and mucosal inflammatory disorders. Laundry detergents have been demonstrated to affect epithelial barrier function in vitro using air-liquid interface cultures of human epithelial cells. METHODS: Back skin of C57BL/6 mice was treated with two household laundry detergents at several dilutions. Barrier function was assessed by electric impedance spectroscopy (EIS) and transepidermal water loss (TEWL) measurements after the 4 h of treatments with detergents. RNA sequencing (RNA-seq) and targeted multiplex proteomics analyses in skin biopsy samples were performed. The 6-h treatment effect of laundry detergent and sodium dodecyl sulfate (SDS) was investigated on ex vivo human skin. RESULTS: Detergent-treated skin showed a significant EIS reduction and TEWL increase compared to untreated skin, with a relatively higher sensitivity and dose-response in EIS. The RNA-seq showed the reduction of the expression of several genes essential for skin barrier integrity, such as tight junctions and adherens junction proteins. In contrast, keratinization, lipid metabolic processes, and epidermal cell differentiation were upregulated. Proteomics analysis showed that the detergents treatment generally downregulated cell adhesion-related proteins, such as epithelial cell adhesion molecule and contactin-1, and upregulated proinflammatory proteins, such as interleukin 6 and interleukin 1 beta. Both detergent and SDS led to a significant decrease in EIS values in the ex vivo human skin model. CONCLUSION: The present study demonstrated that laundry detergents and its main component, SDS impaired the epidermal barrier in vivo and ex vivo human skin. Daily detergent exposure may cause skin barrier disruption and may contribute to the development of atopic diseases.


Subject(s)
Detergents , Skin , Humans , Mice , Animals , Detergents/adverse effects , Detergents/chemistry , Detergents/metabolism , Mice, Inbred C57BL , Skin/metabolism , Epidermis/metabolism , Inflammation/metabolism
11.
Muscle Nerve ; 69(3): 288-294, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37787098

ABSTRACT

INTRODUCTION/AIMS: Electrical impedance myography (EIM) is a noninvasive technique being used in clinical studies to characterize muscle by phase, reactance, and resistance after application of a low-intensity current. The aim of this study was to obtain 50-kHz EIM data from healthy volunteers (HVs) for use in future clinical and research studies, perform reliability tests on EIM outcome measures, and compare findings with muscle ultrasound variables. METHODS: Four arm and four leg muscles of HVs were evaluated using an EIM device with two sensors, P/N 20-0045 and P/N 014-009. Muscles were evaluated individually and eight-muscle average (8MU), four-muscle upper extremity average, and four-muscle lower extremity average. An intraclass correlation coefficient (ICC) was applied to assess interrater, intrarater, and intersensor reliability using a subset of HVs. Ultrasound studies on muscle thickness and elastography were also performed on a subset of HVs. RESULTS: For the P/N 20-0045 sensor, the 8MU EIM mean and standard deviation (n = 41) was 14.54 ± 3.31 for phase, 7.04 ± 1.22 for reactance, and 28.91 ± 7.63 for resistance. Reliability for 8MU phase (n = 22) was good to excellent for both interrater (n = 22, ICC = 0.920, 95% CI 0.820 to 0.966) and intrarater (n = 22, ICC = 0.950, 95% CI 0.778 to 0.983). The P/N 014-009 sensor had similar reliability findings. Correlation analyses showed no association between EIM and muscle thickness. DISCUSSION: EIM is a reproducible measure of muscle physiology. Obtaining EIM values from HVs allows us to gain a better understanding how EIM may be altered in diseased muscle.


Subject(s)
Muscle, Skeletal , Myography , Humans , Electric Impedance , Reproducibility of Results , Healthy Volunteers , Myography/methods , Muscle, Skeletal/diagnostic imaging , Muscle, Skeletal/physiology
12.
Am J Respir Crit Care Med ; 208(1): 25-38, 2023 07 01.
Article in English | MEDLINE | ID: mdl-37097986

ABSTRACT

Rationale: Defining lung recruitability is needed for safe positive end-expiratory pressure (PEEP) selection in mechanically ventilated patients. However, there is no simple bedside method including both assessment of recruitability and risks of overdistension as well as personalized PEEP titration. Objectives: To describe the range of recruitability using electrical impedance tomography (EIT), effects of PEEP on recruitability, respiratory mechanics and gas exchange, and a method to select optimal EIT-based PEEP. Methods: This is the analysis of patients with coronavirus disease (COVID-19) from an ongoing multicenter prospective physiological study including patients with moderate-severe acute respiratory distress syndrome of different causes. EIT, ventilator data, hemodynamics, and arterial blood gases were obtained during PEEP titration maneuvers. EIT-based optimal PEEP was defined as the crossing point of the overdistension and collapse curves during a decremental PEEP trial. Recruitability was defined as the amount of modifiable collapse when increasing PEEP from 6 to 24 cm H2O (ΔCollapse24-6). Patients were classified as low, medium, or high recruiters on the basis of tertiles of ΔCollapse24-6. Measurements and Main Results: In 108 patients with COVID-19, recruitability varied from 0.3% to 66.9% and was unrelated to acute respiratory distress syndrome severity. Median EIT-based PEEP differed between groups: 10 versus 13.5 versus 15.5 cm H2O for low versus medium versus high recruitability (P < 0.05). This approach assigned a different PEEP level from the highest compliance approach in 81% of patients. The protocol was well tolerated; in four patients, the PEEP level did not reach 24 cm H2O because of hemodynamic instability. Conclusions: Recruitability varies widely among patients with COVID-19. EIT allows personalizing PEEP setting as a compromise between recruitability and overdistension. Clinical trial registered with www.clinicaltrials.gov (NCT04460859).


Subject(s)
COVID-19 , Respiratory Distress Syndrome , Humans , Electric Impedance , Prospective Studies , Lung/diagnostic imaging , Respiratory Distress Syndrome/diagnostic imaging , Respiratory Distress Syndrome/therapy , Tomography, X-Ray Computed/methods , Tomography/methods
13.
Paediatr Anaesth ; 34(8): 758-767, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38693633

ABSTRACT

AIMS: This study determined the optimal positive end-expiratory pressure levels in infants in supine and prone positions under general anesthesia using electrical impedance tomography (EIT). METHODS: This prospective observational single-centre study included infants scheduled for surgery in the prone position. An electrical impedance tomography sensor was applied after inducing general anesthesia. The optimal positive end-expiratory pressure in the supine position was determined in a decremental trial based on EIT and compliance. Subsequently, the patient's position was changed to prone. Electrical impedance tomography parameters, including global inhomogeneity index, regional ventilation delay, opening pressure, the centre of ventilation, and pendelluft volume, were continuously obtained up to 1 h after prone positioning. The optimal positive end-expiratory pressure in the prone position was similarly determined. RESULTS: Data from 30 infants were analyzed. The mean value of electrical impedance tomography-based optimal positive end-expiratory pressure in the prone position was significantly higher than that in the supine position [10.9 (1.6) cmH2O and 6.1 (0.9) cmH2O, respectively (p < .001)]. Significant differences were observed between electrical impedance tomography- and compliance-based optimal positive end-expiratory pressure. Peak and mean airway, plateau, and driving pressures increased 1 h after prone positioning compared with those in the supine position. In addition, the centre of ventilation for balance in ventilation between the ventral and dorsal regions improved. CONCLUSION: The prone position required higher positive end-expiratory pressure than the supine position in mechanically ventilated infants under general anesthesia. EIT is a promising tool to find the optimal positive end-expiratory pressure, which needs to be individualized.


Subject(s)
Anesthesia, General , Electric Impedance , Positive-Pressure Respiration , Tomography , Humans , Positive-Pressure Respiration/methods , Anesthesia, General/methods , Prone Position/physiology , Supine Position , Infant , Prospective Studies , Male , Female , Tomography/methods , Infant, Newborn
14.
Sensors (Basel) ; 24(11)2024 May 24.
Article in English | MEDLINE | ID: mdl-38894168

ABSTRACT

In medical imaging, detecting tissue anomalies is vital for accurate diagnosis and effective treatment. Electrical impedance tomography (EIT) is a non-invasive technique that monitors the changes in electrical conductivity within tissues in real time. However, the current challenge lies in simply and accurately reconstructing multi-conductivity distributions. This paper introduces a layered fusion framework for EIT to enhance imaging in multi-conductivity scenarios. The method begins with pre-imaging and extracts the main object from the fuzzy image to form one layer. Then, the voltage difference in the other layer, where the local anomaly is located, is estimated. Finally, the corresponding conductivity distribution is established, and multiple layers are fused to reconstruct the multi-conductivity distribution. The simulation and experimental results demonstrate that compared to traditional methods, the proposed method significantly improves multi-conductivity separation, precise anomaly localization, and robustness without adding uncertain parameters. Notably, the proposed method has demonstrated exceptional accuracy in local anomaly detection, with positional errors as low as 1% and size errors as low as 33%, which significantly outperforms the traditional method with respective minimum errors of 9% and 228%. This method ensures a balance between the simplicity and accuracy of the algorithm. At the same time, it breaks the constraints of traditional linear methods, struggling to identify multi-conductivity distributions, thereby providing new perspectives for clinical EIT.

15.
Sensors (Basel) ; 24(2)2024 Jan 05.
Article in English | MEDLINE | ID: mdl-38257426

ABSTRACT

This paper introduces a sensitivity matrix decomposition regularization (SMDR) method for electric impedance tomography (EIT). Using k-means clustering, the EIT-reconstructed image can be divided into four clusters, derived based on image features, representing posterior information. The sensitivity matrix is then decomposed into distinct work areas based on these clusters. The elimination of smooth edge effects is achieved through differentiation of the images from the decomposed sensitivity matrix and further post-processing reliant on image features. The algorithm ensures low computational complexity and avoids introducing extra parameters. Numerical simulations and experimental data verification highlight the effectiveness of SMDR. The proposed SMDR algorithm demonstrates higher accuracy and robustness compared to the typical Tikhonov regularization and the iterative penalty term-based regularization method (with an improvement of up to 0.1156 in correlation coefficient). Moreover, SMDR achieves a harmonious balance between image fidelity and sparsity, effectively addressing practical application requirements.

16.
Sensors (Basel) ; 24(10)2024 May 17.
Article in English | MEDLINE | ID: mdl-38794040

ABSTRACT

Malaria is a disease that affects millions of people worldwide, particularly in developing countries. The development of accurate and efficient methods for the detection of malaria-infected cells is crucial for effective disease management and control. This paper presents the electrical impedance spectroscopy (EIS) of normal and malaria-infected red blood cells. An EIS microfluidic device, comprising a microchannel and a pair of coplanar electrodes, was fabricated for single-cell measurements in a continuous manner. Based on the EIS results, the aim of this work is to discriminate Plasmodium falciparum-infected red blood cells from the normal ones. Different from typical impedance spectroscopy, our measurement was performed for the cells in a low-conductivity medium in a frequency range between 50 kHz and 800 kHz. Numerical simulation was utilized to study the suitability parameters of the microchannel and electrodes for the EIS experiment over the measurement frequencies. The measurement results have shown that by using the low-conductivity medium, we could focus on the change in the conductance caused by the presence of a cell in the sensing electrode gap. The results indicated a distinct frequency spectrum of the conductance between the normal and infected red blood cells, which can be further used for the detection of the disease.


Subject(s)
Dielectric Spectroscopy , Erythrocytes , Plasmodium falciparum , Erythrocytes/parasitology , Dielectric Spectroscopy/methods , Dielectric Spectroscopy/instrumentation , Humans , Plasmodium falciparum/physiology , Plasmodium falciparum/pathogenicity , Electrodes , Lab-On-A-Chip Devices , Malaria, Falciparum/diagnosis , Malaria, Falciparum/parasitology , Electric Impedance , Malaria/diagnosis , Malaria/parasitology
17.
Sensors (Basel) ; 24(4)2024 Feb 14.
Article in English | MEDLINE | ID: mdl-38400369

ABSTRACT

Amyloid plays a critical role in the pathogenesis of Alzheimer's disease (AD) and can aggregate to form oligomers and fibrils in the brain. There is increasing evidence that highly toxic amyloid-ß oligomers (AßOs) lead to tau protein aggregation, hyperphosphorylation, neuroinflammation, neuronal loss, synaptic loss, and dysfunction. Although the effects of AßOs on neurons have been investigated using conventional biochemical experiments, there are no established criteria for electrical evaluation. To this end, we explored electrophysiological changes in mouse hippocampal neurons (HT22) following exposure to AßOs and/or naringenin (Nar, a flavonoid compound) using electrical impedance spectroscopy (EIS). AßO-induced HT22 showed a decreased impedance amplitude and increased phase angle, and the addition of Nar reversed these changes. The characteristic frequency was markedly increased with AßO exposure, which was also reversed by Nar. The AßOs decreased intranuclear and cytoplasmic resistance and increased nucleus resistance and extracellular capacitance. Overall, the innovative construction of the eight-element CPE-equivalent circuit model further reflects that the pseudo-capacitance of the cell membrane and cell nucleus was increased in the AßO-induced group. This study conclusively revealed that AßOs induce cytotoxic effects by disrupting the resistance characteristics of unit membranes. The results further support that EIS is an effective technique for evaluating AßO-induced neuronal damage and microscopic electrical distinctions in the sub-microscopic structure of reactive cells.


Subject(s)
Alzheimer Disease , Amyloid beta-Peptides , Mice , Animals , Amyloid beta-Peptides/chemistry , Electric Impedance , Alzheimer Disease/pathology , Neurons/metabolism , Synapses/metabolism , Synapses/pathology
18.
Sensors (Basel) ; 24(2)2024 Jan 16.
Article in English | MEDLINE | ID: mdl-38257663

ABSTRACT

In a seismic context, it is fundamental to deploy distributed sensor networks for Structural Health Monitoring (SHM). Indeed, regularly gathering data from a structure/infrastructure gives insight on the structural health status, and Artificial Intelligence (AI) technologies can help in exploiting this information to generate early warnings useful for decision-making purposes. With a perspective of developing a remote monitoring platform for the built environment in a seismic context, the authors tested self-sensing concrete beams in loading tests, focusing on the measured electrical impedance. The formed cracks were objectively assessed through a vision-based system. Also, a comparative analysis of AI-based and statistical prediction methods, including Prophet, ARIMA, and SARIMAX, was conducted for predicting electrical impedance. Results show that the real part of electrical impedance is highly correlated with the applied load (Pearson's correlation coefficient > 0.9); hence, the piezoresistive ability of the manufactured specimens has been confirmed. Concerning prediction methods, the superiority of the Prophet model over statistical techniques was demonstrated (Mean Absolute Percentage Error, MAPE < 1.00%). Thus, the exploitation of electrical impedance sensors, vision-based systems, and AI technologies can be significant to enhance SHM and maintenance needs prediction in the built environment.

19.
Sensors (Basel) ; 24(6)2024 Mar 21.
Article in English | MEDLINE | ID: mdl-38544275

ABSTRACT

Molding sand mixtures used in the foundry industry consist of various sands (quartz sands, chromite sands, etc.) and additives such as bentonite. The optimum control of the processes involved in using the mixtures and in their regeneration after the casting requires an efficient in-line monitoring method that is not available today. We are investigating whether such a method can be based on electrical impedance spectroscopy (EIS). To establish a database, we have characterized various sand mixtures by EIS in the frequency range from 0.5 kHz to 1 MHz under laboratory conditions. Attempts at classifying the different molding sand mixtures by support vector machines (SVM) show encouraging results. Already high assignment accuracies (above 90%) could even be improved with suitable feature selection (sequential feature selection). At the same time, the standard uncertainty of the SVM results is low, i.e., data assigned to a class by the presented SVMs have a high probability of being assigned correctly. The application of EIS with subsequent evaluation by machine learning (machine-learning-enhanced EIS, MLEIS) in the field of bulk material monitoring in the foundry industry appears possible.

20.
Sensors (Basel) ; 24(3)2024 Jan 25.
Article in English | MEDLINE | ID: mdl-38339508

ABSTRACT

The possibility of determining the elastic modules, viscosity coefficients, dielectric constant and electrical conductivity of a viscous conducting liquid using a piezoelectric resonator with a longitudinal electric field is shown. For the research, we chose a piezoelectric resonator made on an AT-cut quartz plate with round electrodes, operating with a shear acoustic mode at a frequency of about 4.4 MHz. The resonator was fixed to the bottom of a 30 mL liquid container. The samples of a mixture of glycerol and water with different viscosity and conductivity were used as test liquids. First, the frequency dependences of the real and imaginary parts of the electrical impedance of a free resonator were measured and, using the Mason electromechanical circuit, the elastic module, viscosity coefficient, piezoelectric constant and dielectric constant of the resonator material (quartz) were determined. Then, the container was filled with the test sample of a liquid mixture so that the resonator was completely covered with liquid, and the measurement of the frequency dependences of the real and imaginary parts of the electrical impedance of the loaded resonator was repeated. The dependences of the frequency of parallel and series resonances, as well as the maximum values of the electrical impedance and admittance on the conductivity of liquids for various viscosity values, were plotted. It was shown that these dependences can be used to unambiguously determine the viscosity and conductivity of the test liquid. Next, by fitting the theoretical frequency dependences of the real and imaginary parts of the electrical impedance of the resonator loaded with the liquid under study to the experimental dependences, the elastic module of the liquid and its dielectric constant were determined.

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