RESUMO
This paper describes the development of a compact high frame rate passive electrical impedance tomography system. The injected current amplitude and frequency can be adjusted to fit any EIT application. Measured results show that the system is capable of high frame rate of 89 fps and has power consumption of 1.7 W. It has automatic gain control that reduces noise and improves the quality of the measured EIT image. A comparison is made with other EIT systems to show the potential of the developed system. Clinical Relevance- The developed EIT system has application in the clinical assessment of neonatal and SARS-Co V-2 patients. In these applications there is an urgent need for a low cost bedside non-invasive imaging system to continuously monitor dynamic changes in regional lung ventilation.
Assuntos
Respiração Artificial , Tomografia Computadorizada por Raios X , Impedância Elétrica , Humanos , Recém-Nascido , Pulmão/diagnóstico por imagemRESUMO
The highly compliant nature of the neonatal chest wall is known to clinicians. However, its morphological changes have never been characterized and are especially important for a customised monitoring of respiratory diseases. Here, we show that a device applied on newborns can trace their chest boundary without the use of radiation. Such technology, which is easy to sanitise between patients, works like a smart measurement tape drawing also a digital cross section of the chest. We also show that in neonates the supine position generates a significantly different cross section compared to the lateral ones. Lastly, an unprecedented comparison between a premature neonate and a child is reported.
Assuntos
Postura/fisiologia , Decúbito Dorsal/fisiologia , Parede Torácica/fisiologia , Feminino , Humanos , Recém-Nascido , Masculino , Posicionamento do Paciente/métodos , RespiraçãoRESUMO
Phantom experiments are a crucial step for testing new hardware or imaging algorithms for electrical impedance tomography (EIT) studies. However, constructing an accurate phantom for EIT research remains critical; some studies have attempted to model the skull and breasts, and even fewer, as yet, have considered the thorax. In this study, a critical comparison between the electrical properties (impedance) of three materials is undertaken: a polyurethane foam, a silicone mixture and a thermoplastic polyurethane filament. The latter was identified as the most promising material and adopted for the development of a flexible neonatal torso. The validation is performed by the EIT image reconstruction of the air filled cavities, which mimic the lung regions. The methodology is reproducible for the creation of any phantom that requires a slight flexibility.
Assuntos
Imagens de Fantasmas , Tórax/diagnóstico por imagem , Tomografia/instrumentação , Algoritmos , Impedância Elétrica , Humanos , Processamento de Imagem Assistida por Computador , Teste de Materiais , Impressão TridimensionalRESUMO
A highly integrated, wearable electrical impedance tomography (EIT) belt for neonatal thorax vital multiple sign monitoring is presented. The belt has 16 active electrodes. Each electrode has an application-specific integrated circuit (ASIC) connected to it. The ASIC contains a fully differential current driver, a high-performance instrumentation amplifier, a digital controller, and multiplexors. The belt features a new active electrode architecture that allows programmable flexible electrode current drive and voltage sense patterns under simple digital control. It provides intimate connections to the electrodes for the current drive and to the IA for direct differential voltage measurement, providing superior common-mode rejection ratio. The ASIC was designed in a CMOS 0.35-µm high-voltage technology. The high-specification EIT belt has an image frame rate of 122 fps, a wide operating bandwidth of 1 MHz, and multi-frequency operation. It measures impedance with 98% accuracy and has less than 0.5 Ω and 1° variation across all possible channels. The image results confirmed the advantage of the new active electrode architecture and the benefit of wideband, multi-frequency EIT operation. The system successfully captured high-quality lung-respiration EIT images, breathing cycle, and heart rate. It can also provide boundary-shape information by using an array of MEMS sensors interfaced to the ASICs.
Assuntos
Impedância Elétrica , Tórax , Tomografia/instrumentação , Tomografia/métodos , Dispositivos Eletrônicos Vestíveis , Eletrodos , Feminino , Humanos , Recém-Nascido , Masculino , Monitorização FisiológicaRESUMO
Advances in smartphones and wearable biosensors enable real-time psychological, behavioural, and physiological data to be gathered in increasingly precise and unobtrusive ways. Thus, moment-to-moment information about an individual's moods, cognitions, and activities can be collected, in addition to automated data about their whereabouts, behaviour, and physiological states. In this report, we discuss the potential of these new mobile digital technologies to transform mental health research and clinical practice. By drawing on results from the INSIGHT research project, we show how traditional boundaries between research and clinical practice are becoming increasingly blurred and how, in turn, this is leading to exciting new developments in the assessment and management of common mental disorders. Furthermore, we discuss the potential risks and key challenges associated with applying mobile technology to mental health.