Three-Dimensional Microwave Head Imaging with GPU-Based FDTD and the DBIM Method.

We present a preliminary study of microwave head imaging using a three-dimensional (3-D) implementation of the distorted Born iterative method (DBIM). Our aim is to examine the benefits of using the more computationally intensive 3-D implementation in scenarios where limited prior information is available, or when the target occupies an area that is not covered by the imaging array's transverse planes. We show that, in some cases, the 3-D implementation outperforms its two-dimensional (2-D) counterpart despite the increased number of unknowns for the linear problem at each DBIM iteration. We also discuss how the 3-D algorithm can be implemented efficiently using graphic processing units (GPUs) and validate this implementation with experimental data from a simplified brain phantom. In this work, we have implemented a non-linear microwave imaging approach using DBIM with GPU-accelerated FDTD. Moreover, the paper offers a direct comparison of 2-D and 3-D microwave tomography implementations for head imaging and stroke detection in inhomogenous anatomically complex numerical head phantoms.

Nanomaterials responding to microwaves: an emerging field for imaging and therapy.

In recent years, new microwave-based imaging, sensing and hyperthermia applications have emerged in the field of diagnostics and therapy. For diagnosis, this technology involves the application of low power microwaves, utilising contrast between the relative permittivity of tissues to identify pathologies. This contrast can be further enhanced through the implementation of nanomaterials. For therapy, this technology can be applied in tissues either through hyperthermia, which can help anti-cancer drug tumour penetration or as ablation to destroy malignant tissues. Nanomaterials can absorb electromagnetic radiation and can enhance the microwave hyperthermic effect. In this review we aim to introduce this area of renewed interest and provide insights into current developments in its technologies and companion nanoparticles, as well as presenting an overview of applications for diagnosis and therapy.

Enhancing the Accuracy of Non-Invasive Glucose Sensing in Aqueous Solutions Using Combined Millimeter Wave and Near Infrared Transmission.

We reported measurement results relating to non-invasive glucose sensing using a novel multiwavelength approach that combines radio frequency and near infrared signals in transmission through aqueous glucose-loaded solutions. Data were collected simultaneously in the 37-39 GHz and 900-1800 nm electromagnetic bands. We successfully detected changes in the glucose solutions with varying glucose concentrations between 80 and 5000 mg/dl. The measurements showed for the first time that, compared to single modality systems, greater accuracy on glucose level prediction can be achieved when combining transmission data from these distinct electromagnetic bands, boosted by machine learning algorithms.

Metasurface-Enhanced Antennas for Microwave Brain Imaging.

Stroke is a very frequent disorder and one of the major leading causes of death and disability worldwide. Timely detection of stroke is essential in order to select and perform the correct treatment strategy. Thus, the use of an efficient imaging method for an early diagnosis of this syndrome could result in an increased survival's rate. Nowadays, microwave imaging (MWI) for brain stroke detection and classification has attracted growing interest due to its non-invasive and non-ionising properties. In this paper, we present a feasibility study with the goal of enhancing MWI for stroke detection using metasurface (MTS) loaded antennas. In particular, three MTS-enhanced antennas integrated in different brain scanners are presented. For the first two antennas, which operate in a coupling medium, we show experimental measurements on an elliptical brain-mimicking gel phantom including cylindrical targets representing the bleeding in haemorrhagic stroke (h-stroke) and the not oxygenated tissue in ischaemic stroke (i-stroke). The reconstructed images and transmission and reflection parameter plots show that the MTS loadings improve the performance of our imaging prototype. Specifically, the signal transmitted across our head model is indeed increased by several dB's over the desired frequency range of 0.5-2.0 GHz, and an improvement in the quality of the reconstructed images is shown when the MTS is incorporated in the system. We also present a detailed simulation study on the performance of a new printed square monopole antenna (PSMA) operating in air, enhanced by a MTS superstrate loading. In particular, our previous developed brain scanner operating in an infinite lossy matching medium is compared to two tomographic systems operating in air: an 8-PSMA system and an 8-MTS-enhanced PSMA system. Our results show that our MTS superstrate enhances the antennas' return loss by around 5 dB and increases the signal difference due to the presence of a blood-mimicking target up to 25 dB, which leads to more accurate reconstructions. In conclusion, MTS structures may be a significant hardware advancement towards the development of functional and ergonomic MWI scanners for stroke detection.

Physical comorbidity in Older-Age Bipolar Disorder (OABD) compared to the general population - a 3-year longitudinal prospective cohort study.

BACKGROUND: The aim of this study was to examine the accumulation of chronic physical diseases in Older-Age Bipolar Disorder (OABD) as well as in individuals from the general aging population over a 3-year period. METHODS: This prospective longitudinal study compared 101 patients with OABD receiving outpatient care (DOBi cohort) with 2545 individuals from the general aging population (LASA cohort). The presence of eight major chronic diseases was asked at baseline and 3-year follow-up. Total number of diseases was the main outcome measure. Self-rated health (SRH, scale 1-5) was examined as a secondary outcome. Multilevel linear modelling of change was performed to estimate and test the observed change in both samples. RESULTS: At baseline, the number of chronic diseases was lower (b= -0.47, p<0.01) and self-rated health comparable (b=0.27, p=0.13) in DOBi than in LASA. Over 3 years the number of chronic diseases increased faster in DOBi than in LASA (b=0.51 versus b=0.35, p(interaction)=0.03). When corrected for employment, depressive symptoms, waist circumference, smoking, and alcohol use, this difference was no longer significant. SRH decreased faster in DOBi than in LASA (b=-0.24 versus b=-0.02, p(interaction)=0.04). LIMITATIONS: Information on chronic diseases was collected using self-report. CONCLUSIONS: A faster accumulation of chronic physical diseases and a faster decline in health perception was observed in OABD than in participants from the general population. The observed differences could partly be attributed to baseline differences in psychosocial, lifestyle, and health behaviour factors. Our findings urgently call for the use of integrated care in BD.

Development of a Solid and Flexible Matching Medium for Microwave Medical Diagnostic Systems.

This paper reports the development of a new composite material as a matching medium for medical microwave diagnostic systems, where maximizing the microwave energy that penetrates the interrogated tissue is critical for improving the quality of the diagnostic images. The proposed material has several advantages over what is commonly used in microwave diagnostic systems: it is semi-flexible and rigid, and it can maximize microwave energy coupling by matching the tissue's dielectric constant without introducing high loss. The developed matching medium is a mirocomposite of barium titanate filler in polydimethylsiloxane (PDMS) in different weight-based mixing ratios. Dielectric properties of the material are measured using a Keysight open-ended coaxial slim probe from 0.5 to 10 GHz. To avoid systematic errors, a full dielectric properties calibration is performed before measurements of sample materials. Furthermore, the repeatability of the measurements and the homogeneity of the sample of interest are considered. Finally, to evaluate the proposed matching medium, its impact on a printed monopole antenna is studied. We demonstrate that the permittivity of the investigated mixtures can be increased in a controlled manner to reach values that have been previously shown to be optimal for medical microwave imaging (MWI) such as stroke and breast cancer diagnostic applications. As a result, the material is a good candidate for supporting antenna arrays designed for portable MWI scanners in applications such as stroke detection.

Assessing Changes in Dielectric Properties Due to Nanomaterials Using a Two-Port Microwave System.

Detecting changes in the dielectric properties of tissues at microwave frequencies can offer simple and cost effective tools for cancer detection. These changes can be enhanced by the use of nanoparticles (NPs) that are characterised by both increased tumour uptake and high dielectric constant. This paper presents a two-port experimental setup to assess the impact of contrast enhancement on microwave signals. The study focuses on carbon nanotubes, as they have been previously shown to induce high microwave dielectric contrast. We investigate multiwall carbon nanotubes (MWNT) and their -OH functionalised version (MWNT-OH) dispersed in tissue phantoms as contrast enhancing NPs, as well as salt (NaCl) solutions as reference mixtures which can be easily dissolved inside water mixtures and thus induce dielectric contrast changes reliably. MWNT and MWNT-OH are characterised by atomic force microscopy, and their dielectric properties are measured when dispersed in 60% glycerol-water mixtures. Salt concentrations between 10 and 50 mg/mL in 60% glycerol mixtures are also studied as homogeneous samples known to affect the dielectric constant. Contrast enhancement is then evaluated using a simplified two-port microwave system to identify the impact on microwave signals with respect to dielectric contrast. Numerical simulations are also conducted to compare results with the experimental findings. Our results suggest that this approach can be used as a reliable method to screen and assess contrast enhancing materials with regards to a microwave system's ability to detect their impact on a target.

A smart switching system to enable automatic tuning and detuning of metamaterial resonators in MRI scans.

We present a radio-frequency-activated switching system that can automatically detune a metamaterial resonator to enhance magnetic resonance imaging (MRI) performance. Local sensitivity-enhancing metamaterials typically consist of resonant components, which means that the transmitted radio frequency field is spatially inhomogeneous. The switching system shows for the first time that a metamaterial resonator can be detuned during transmission and tuned during reception using a digital circuit. This allows a resonating system to maintain homogeneous transmit field while maintaining an increased receive sensitivity. As a result, sensitivity can be enhanced without changing the system-provided specific absorption rate (SAR) models. The developed digital circuit consists of inductors sensitive to the transmit radio-frequency pulses, along with diodes acting as switches to control the resonance frequency of the resonator. We first test the automatic resonator detuning on-the-bench, and subsequently evaluate it in a 1.5 T MRI scanner using tissue-mimicking phantoms. The scan results demonstrate that the switching mechanism automatically detunes the resonator in transmit mode, while retaining its sensitivity-enhancing properties (tuned to the Larmor frequency) in receive mode. Since it does not require any connection to the MRI console, the switching system can have broad applications and could be adapted for use with other types of MRI scanners and field-enhancing resonators.

Feasibility Study of Enhancing Microwave Brain Imaging Using Metamaterials.

We present an approach to enhance microwave brain imaging with an innovative metamaterial (MM) planar design based on a cross-shaped split-ring resonator (SRR-CS). The proposed metasurface is incorporated in different setups, and its interaction with EM waves is studied both experimentally and by using CST Microwave Studio® and is compared to a "no MM" case scenario. We show that the MM can enhance the penetration of the transmitted signals into the human head when placed in contact with skin tissue, acting as an impedance-matching layer. In addition, we show that the MM can improve the transceivers' ability to detect useful "weak" signals when incorporated in a headband scanner for brain imaging by increasing the signal difference from a blood-like dielectric target introduced into the brain volume. Our results suggest that the proposed MM film can be a powerful hardware advance towards the development of scanners for brain haemorrhage detection and monitoring.

Hereditary methemoglobinemia in a cyanotic cat presented for ovariohysterectomy.

A 1-year-old, female, domestic shorthair cat with a history of cyanotic mucous membranes for several months was referred for ovariohysterectomy. Blood samples exhibited a noticeably brownish discoloration, while laboratory screening revealed mild-to-moderate erythrocytosis and near normal partial arterial oxygen pressure. Blood methemoglobin content was 41% of total hemoglobin concentration, and erythrocytic methemoglobin reductase activity was < 1% compared with control samples. A diagnosis of hereditary methemoglobinemia was established. After an intravenous injection of methylene blue, the cat's mucous membranes became transiently pink, and the ovariohysterectomy was uneventful. Methylene blue may have improved safety during anesthesia and surgery. Hereditary methemoglobinemia should be considered in persistently cyanotic cats with normal partial arterial oxygen pressure and lack of evidence of cardiopulmonary disease, anemia, or toxin exposure.

Méthémoglobinémie héréditaire chez une chatte cyanotique présentée pour une ovariohystérectomie. Une chatte domestique âgée de 1 an avec une anamnèse de muqueuses cyanotiques pendant plusieurs mois a été recommandée pour l'ovariohystérectomie. Des prélèvements sanguins présentaient une décoloration brune manifeste tandis que les tests de laboratoire ont révélé une érythrocytose de légère à modérée et une pression d'oxygène artérielle partielle presque normale. Le contenu de méthémoglobine sanguine était de 41 % de la concentration totale des hémoglobines et l'activité de la réductase de la méthémoglobine érythrocytaire était < 1 % comparativement aux prélèvements témoins. Un diagnostic de méthémoglobinémie héréditaire a été posé. Après une injection intraveineuse de bleu de méthylène, les muqueuses du chat sont devenues provisoirement roses et l'ovariohystérectomie a été réalisée sans complications. Le bleu de méthylène peut avoir amélioré l'innocuité durant l'anesthésie et la chirurgie.(Traduit par Isabelle Vallières).

Introduction to Special Issue on "Electromagnetic Technologies for Medical Diagnostics: Fundamental Issues, Clinical Applications and Perspectives".

The application of microwave technologies in medical imaging and diagnostics is an emerging topic within the electromagnetic (EM) engineering community [...].

Dielectric permittivity of human blood of different lactate levels measured at millimeter waves.

The investigation of variations in dielectric properties of blood based on its biochemical profile is important for determining the feasibility of developing electromagnetic non-invasive sensing systems for monitoring the levels of various metabolites in blood. In this paper, the real and imaginary parts of dielectric permittivity are measured as a function of lactate concentration in the 30-60 GHz frequency range using two different measurement techniques. The blood samples are collected from a healthy subject undergoing three different exercise modes and the dielectric properties are measured with an open-ended coaxial probe technique and a custom-made millimeter wave transmission system. Good correlation is observed in measurements from the two methods, suggesting that an increase in lactate concentration lowers the imaginary part of permittivity and thus causing higher attenuation.

Feasibility Experiments to Detect Skin Hydration Using a Bio-Impedance Sensor.

We present proof of concept experiment of a sensing method to detect skin hydration using a low-cost bio-impedance sensor. The sensing system is validated by testing its current output over frequencies between 1 kHz and 50 kHz and comparing measured values of impedance. A series of experiments with salt-water mixtures as well as a gelatin-based phantom were carried out to test the sensor's ability to detect small changes in impedance due to changes in water content. We also compared impedance measurements from the phantom to human skin to confirm that the manufactured phantoms can mimic skin properties successfully. Our experimental results show that the sensor can detect small changes in salt concentration and can capture the correlation between the impedance and skin hydration in a reliable manner.

Metasurface Resonator for 1.5 T MRI Based on BaTiO3 Host Material.

Magnetic resonance imaging (MRI) is a widely used clinical tool for medical diagnosis and therapy. Several research studies focus on passively improving MRI sensitivity using high dielectric constant (HDC) materials and metamaterials. In this work, we investigate a new metasurface resonator which can enhance local transmit and receive efficiency in 1.5T MRI. The metasurface has been realized with an array of non-magnetic rods embedded in two blocks of a BaTiO3 aqueous mixture. BaTiO3 when mixed with water exhibits high dielectric permittivity values in the 40-200 MHz range, allowing the design of a compact and safe device for practical use in an MRI scanner. Simulation results show 50% enhancement of the magnetic field in the region-of-interest. The resonance frequency of the metasurface is also validated experimentally with a small loop antenna and a vector network analyzer (VNA) in a laboratory-controlled environment.

A Multithreshold Iterative DBIM-Based Algorithm for the Imaging of Heterogeneous Breast Tissues.

OBJECTIVE: This paper proposes a novel microwave imaging (MWI) multifrequency technique, which combines compressive sensing (CS) with the well-known distorted Born iterative method. CS strategies are emerging as a promising tool in MWI applications, which can improve reconstruction quality and/or reduce the number of data samples. METHODS: The proposed approach is based on iterative shrinkage thresholding algorithm (ISTA), which has been modified to include an automatic and adaptive selection of multithreshold values. RESULTS: This adaptive multithreshold ISTA implementation is applied in reconstruction of two-dimensional (2-D) numerical heterogeneous breast phantoms, where it outperforms the standard thresholding implementation. We show that our approach is also successful in 3-D simulations of a realistic imaging experiment, despite the mismatch between the data and our algorithm's forward model. CONCLUSION: These results suggest that the proposed algorithm is a promising tool for medical MWI applications. SIGNIFICANCE: Important novelties of this approach are the use of multiple thresholds to recover the different unknowns in the Debye model as well as the adaptive selection of these thresholds. Moreover, we have shown that employing modified hard constraints inside the linear step of the inversion procedure can enhance reconstruction quality.

Preliminary Assessment of a Microwave System to Detect Contrast Enhancing Agents.

This paper presents a preliminary study of the impact of potential contrast enhancing agents on a 2-port microwave imaging system. To this end, we have conducted microwave measurements inside a dual cylindrical tank, comprised of an outer and inner cylinder filled with high and low loss liquids, respectively. A third smaller cylinder inside the low loss filled tank represents a target. The target materials consisted of safflower oil, water, PEGylated zinc oxide nanoparticles dispersed in water, and saline with varying concentrations of salt. To benchmark our experimental results, we have also performed accurate numerical simulations of the system under three target scenarios: safflower oil, water, and PEGylated zinc oxide suspension. Our results show that the difference in received signal strength in scenarios with and without PEGylated zinc oxide nanoparticles in our 2-port system was comparable to measurement error. However, with the use of varying concentrations of saline solutions as a target, we have observed a significant difference in received signal strength.

Design and Experimental Validation of a Multiple-Frequency Microwave Tomography System Employing the DBIM-TwIST Algorithm.

We present a first prototype of a wideband microwave tomography system with potential application to medical imaging. The system relies on a compact and robust printed monopole antenna which can operate in the 1.0⁻3.0 GHz range when fully immersed in commonly used coupling liquids, such as glycerine⁻water solutions. By simulating the proposed imaging setup in CST Microwave Studio, we study the signal transmission levels and array sensitivity for different target and coupling liquid media. We then present the experimental prototype design and data acquisition process, and show good agreement between experimentally measured data and results from the CST simulations. We assess imaging performance by applying our previously proposed two-dimensional (2-D) DBIM TwIST-algorithm to both simulated and experimental datasets, and demonstrate that the system can reconstruct simple cylindrical targets at multiple frequencies.

Impact of Information Loss on Reconstruction Quality in Microwave Tomography for Medical Imaging.

This paper studies how limited information in data acquired by a wideband microwave tomography (MWT) system can affect the quality of reconstructed images. Limitations can arise from experimental errors, mismatch between the system and its model in the imaging algorithm, or losses in the immersion and coupling medium which are required to moderate this mismatch. We also present a strategy for improving reconstruction performance by discarding data that is dominated by experimental errors. The approach relies on recording transmitted signals in a wide frequency range, and then correlating the data in different frequencies. We apply this method to our wideband MWT prototype, which has been developed in our previous work. Using this system, we present results from simulated and experimental data which demonstrate the practical value of the frequency selection approach. We also propose a K-neighbour method to identify low quality data in a robust manner. The resulting enhancement in imaging quality suggests that this approach can be useful for various medical imaging scenarios, provided that data from multiple frequencies can be acquired and used in the reconstruction process.

Zinc oxide nanoparticles as contrast-enhancing agents for microwave imaging.

PURPOSE: Microwave imaging/sensing is an emerging technology that shows potential for healthcare diagnostic applications, particularly in breast cancer detection. This technique estimates the anatomically variant dielectric properties of the breast. Similar to other imaging modalities, nanoparticles (NPs) could potentially be utilized as contrast agents to increase contrast between healthy and malignant tissues. METHODS: In this study, aqueous suspensions of NPs such as surface-modified single-walled carbon nanotubes, zinc oxide, and silicon dioxide are studied to assess their potential effective contrast for microwave imaging. Morphology characterization of the NPs has been achieved using atomic force microscopy (AFM) and scanning electron microscopy (SEM). The size and stability of colloidal dispersions have been characterized by dynamic light scattering technique (DLS) and Ultraviolet-visible spectrophotometry (UV-Vis). The dielectric characterization of the aqueous-based colloidal suspensions is recorded over the microwave frequency range between 1 and 4 GHz. RESULTS: Zinc oxide NP dispersion has shown an increase in the dielectric constant compared to the background medium. Furthermore, PEGylation of ZnO NPs can achieve a valid increase in the dielectric constant compared to water, which was shown to be concentration dependent. CONCLUSION: These results suggest that ZnO nanomaterials have the potential to be used in biomedical applications such as breast imaging to improve diagnostic capabilities.

An Embedded, Eight Channel, Noise Canceling, Wireless, Wearable sEMG Data Acquisition System With Adaptive Muscle Contraction Detection.

Wearable technology has gained increasing popularity in the applications of healthcare, sports science, and biomedical engineering in recent years. Because of its convenient nature, the wearable technology is particularly useful in the acquisition of the physiological signals. Specifically, the (surface electromyography) sEMG systems, which measure the muscle activation potentials, greatly benefit from this technology in both clinical and industrial applications. However, the current wearable sEMG systems have several drawbacks including inefficient noise cancellation, insufficient measurement quality, and difficult integration to customized applications. Additionally, none of these sEMG data acquisition systems can detect sEMG signals (i.e., contractions), which provides a valuable environment for further studies such as human machine interaction, gesture recognition, and fatigue tracking. To this end, we introduce an embedded, eight channel, noise canceling, wireless, wearable sEMG data acquisition system with adaptive muscle contraction detection. Our design consists of two stages, which are the sEMG sensors and the multichannel data acquisition unit. For the first stage, we propose a low cost, dry, and active sEMG sensor that captures the muscle activation potentials, a data acquisition unit that evaluates these captured multichannel sEMG signals and transmits them to a user interface. In the data acquisition unit, the sEMG signals are processed through embedded, adaptive methods in order to reject the power line noise and detect the muscle contractions. Through extensive experiments, we demonstrate that our sEMG sensor outperforms a widely used commercially available product and our data acquisition system achieves 4.583 dB SNR gain with accuracy in the detection of the contractions.