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1.
Opt Lett ; 49(14): 4022-4025, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-39008767

RESUMO

Windowed Fourier transform (WFT) is used to analyze fringe patterns observed from optical measurements. The space-frequency resolution of the WFT is limited, which affects the analyzing performance. In this Letter, we propose to apply the two-dimensional synchrosqueezing transform (SST) for analyzing fringe patterns. The SST is a technique used to overcome the limitation of the space-frequency resolution of the WFT, which sharpens the WFT representation using the derivative of the WFT phase. Numerical experiments confirm the effectiveness of the SST in denoising the fringe pattern and estimating the local frequency from the observed fringe pattern.

2.
J Pediatr Orthop ; 44(2): 69-75, 2024 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-37981894

RESUMO

OBJECTIVE: The Pavlik harness (PH) has been widely used as the standard treatment for infants with developmental dysplasia of the hip (DDH). When the initial application of the PH fails, alternative treatments, such as closed reduction, open reduction, and reapplication of the PH will be considered. Compared with other treatments, reapplication of the PH offers certain advantages, including simplicity and reduced physical, and psychological stress, on both infants and caregivers. This study aims to investigate the effectiveness of reapplying the PH in patients with DDH. METHODS: This study included patients with DDH (complete dislocation) who were treated by reapplication of PH between 1988 and 2012. Patients who were able to follow-up for more than 5 years were included. We examined the reduction rate and several factors to identify indicators associated with successful reduction during reapplication, including age, sex, side of hip dislocation, and the presence of the Ortolani sign. At the final follow-up, hip development was assessed using the Severin classification, whereas avascular necrosis (AVN) was evaluated using the Kalamchi classification and the Salter criteria. RESULTS: A total of 56 patients (48 females and 8 males) and 57 hips were included in this study. The mean age at first and second application of PH was 4.2 months old (range: 0.12 to 6.4), and 5.8 months old (3.0 to 11.4), respectively. The reduction rate was 49% (28 out of 57 hips). Among the successfully reduced hips, the AVN rate was 3.6% (1 out of 28 hips). The Severin classification revealed 27 hips in class I and 1 hip in class III. Statistical analysis indicated a significantly higher proportion of left hip involvement in the reduction group (85% vs 41%, χ 2 test, P < 0.001). Although not statistically significant, the rate of positive Ortolani sign tended to be higher in the reduction group (61% vs 38%, χ 2 test, P = 0.06). CONCLUSION: The reapplication method demonstrated a 49% reduction rate and a low AVN rate of 3.6% in our study. It is worth considering for patients who fail the initial PH treatment, particularly in cases of left-side dislocation and a positive Ortolani sign during the initial application.


Assuntos
Displasia do Desenvolvimento do Quadril , Necrose da Cabeça do Fêmur , Luxação Congênita de Quadril , Luxações Articulares , Lactente , Masculino , Feminino , Humanos , Luxação Congênita de Quadril/terapia , Aparelhos Ortopédicos , Braquetes , Estudos Retrospectivos , Resultado do Tratamento
3.
J Acoust Soc Am ; 154(5): 3403-3413, 2023 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-38010048

RESUMO

High-speed train noise remains a wayside environmental issue. For accurate noise prediction, the characteristics of a moving sound source must be revealed. In this work, the frequency modulation of sound waves emitted from a high-speed moving sound source was experimentally investigated. In the experiment, the sound field around a running train model emitting a 40 kHz pure tone was measured by an optical measurement technique, parallel phase-shifting interferometry, which can visualize instantaneous sound fields. For quantitative evaluation, a lens distortion correction was also developed and adopted for the visualization results. From the measured result of a sound source moving at a running speed of 280 km/h, the frequency modulation, known as the Doppler effect, was observed, and the measured frequency agreed well with the theoretical values.

4.
J Acoust Soc Am ; 153(2): 1138, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36859155

RESUMO

This article presents a method for determining the acoustic center of a microphone from a sound field measured by optical interferometry. The acoustic center defines the equivalent point source position of a microphone serving as a sound source where the spherical waveform starts to diverge. The value is used to determine the effective distance between microphones for free-field reciprocity calibration. Conventionally, it is determined from the inverse distance law properties of a point source using the transfer function method. In this study, the acoustic center was determined from the projection of the sound field of the microphone. Parallel phase-shifting interferometry was used to measure the line integration of the sound pressure from a microphone. The acoustic center is determined as the position where the squared error between the measured data and the projection model of a point source is minimized. Experiments with the B&K 4180 (Brüel & Kjær, Nærum, Denmark) microphone were performed for frequencies from 10 to 50 kHz. The best acoustic center estimation was obtained at a microphone distance of 0 mm, with a difference of 0.17 mm to the IEC 61094-3 value and 0.36 mm to the Barrera-Figueroa et al. [J. Acoust. Soc. Am. 120(5), 2668-2675 (2006)] result at a measurement frequency of 20 kHz.

5.
J Pediatr Orthop ; 43(8): e633-e638, 2023 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-37278048

RESUMO

BACKGROUND: This study examined how radiologic indices at 10 years postreduction change over time and influence the final outcome through a comparative study of 3 reduction methods for developmental dysplasia of the hip, including the Pavlik harness, closed reduction, and open reduction (OR). METHODS: Patients treated from 1990 to 2000 for dysplasia of the hip and followed up for >20 years were included in this study. Radiologic indices at 10 years postreduction and final follow-up (average 24 years postreduction) were measured in the 3 groups. The relative joint space of <66% compared with the healthy side was defined as positive osteoarthritis (OA) at the final follow-up. The relationship between OA and factors such as age, sex, method of reduction, radiologic indices, and Severin and Kalamchi classifications at 10 years postreduction were examined. Clinical evaluation was performed using the modified Harris Hip Score; a score of ≥80 was defined as good performance at the final follow-up. RESULTS: Sixty-five patients (totaling 74 hips) were included. There were no significant differences in radiologic indices between the 10-year postreduction time and final follow-up. Excluding 9 bilateral patients, based on the relative joint space, 21% of the patients (13/56 hips), were positive for OA. Univariate analysis showed that the incidence of positive OA was significantly associated with OR and Kalamchi grade 4 at 10 years postreduction. The modified Harris Hip Score was 80 or higher in 90% of the cases at the final follow-up. CONCLUSIONS: No significant changes in hip morphology were observed at 10 years postreduction. The Kalamchi classification at 10 years postreduction and OR were significantly associated with the incidence of OA at the final follow-up. Therefore, patients who undergo OR and/or display Kalamchi grade 4 have a high risk of developing OA and would require individual instructions for their daily lives to prevent further progression of OA and longer follow-up. LEVEL OF EVIDENCE: Level Ⅲ-case-control study.


Assuntos
Displasia do Desenvolvimento do Quadril , Luxação Congênita de Quadril , Osteoartrite do Quadril , Osteoartrite , Humanos , Criança , Articulação do Quadril , Luxação Congênita de Quadril/diagnóstico por imagem , Luxação Congênita de Quadril/terapia , Luxação Congênita de Quadril/complicações , Estudos de Casos e Controles , Resultado do Tratamento , Estudos Retrospectivos , Fatores de Tempo , Osteoartrite/diagnóstico por imagem , Osteoartrite/etiologia , Osteotomia/métodos , Fatores de Risco , Seguimentos , Osteoartrite do Quadril/diagnóstico por imagem , Osteoartrite do Quadril/etiologia
6.
Opt Lett ; 47(21): 5688-5691, 2022 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-37219304

RESUMO

In this Letter, we propose to use Fresnel lenses for holographic sound-field imaging. Although a Fresnel lens has never been used for sound-field imaging mainly due to its low imaging quality, it has several desired properties, including thinness, lightweight, low cost, and ease of making a large aperture. We constructed an optical holographic imaging system composed of two Fresnel lenses used for magnification and demagnification of the illuminating beam. A proof-of-concept experiment verified that the sound-field imaging with Fresnel lenses is possible by using the spatiotemporally harmonic nature of sound.

7.
J Acoust Soc Am ; 148(5): 3171, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33261402

RESUMO

Sound fields radiated from the castanet, a Spanish percussive instrument comprising two shells, were optically visualized. A measurement system, which used parallel phase-shifting interferometry and a high-speed polarization camera, enabled the capture of instantaneous sound fields around the castanets, while the castanets were played, with the spatial resolution of 1.1 mm and frame rate of 100 000 fps. By carefully aligning the tilt of the castanets, the sound fields within the 1-mm gaps between both the shells were captured. From the visualization results, two acoustic resonances between the shells were identified. The first mode appeared between 1000 and 2000 Hz and exhibited a frequency chirp of several hundred hertz for several milliseconds after the impact. This can be explained by the Helmholtz resonance with a time-varying resonator shape, which is caused by the movement of the shells after impact. The second mode showed a resonance pattern with a single nodal diameter at the center of the shells, i.e., the standing wave mode caused by the interior volume. These physical phenomena involved in the sound radiation were identified owing to the unique features of the optical imaging method, such as contactless nature and millimeter-resolution imaging of instantaneous pressure fields.

8.
J Acoust Soc Am ; 145(4): 2638, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31046384

RESUMO

In order to incorporate a directive sound source into acoustic simulation using the finite-difference time-domain method (FDTD), this paper proposes an optimization-based method to estimate the initial value which approximates a desired directional pattern after propagation. The proposed method explicitly considers a discretized FDTD scheme and optimizes the initial value directly in the time domain so that every effect of the discretization error of FDTD, including numerical dispersion, is taken into account. It is also able to consider a frequency-wise directivity by integrating the Fourier transform into the optimization procedure, even though the estimated result is defined in the time domain. After the optimization, the obtained result can be utilized in any acoustic simulation based on the same FDTD scheme without modification because the result is represented as the initial value to be propagated and no additional procedure is required.

9.
Opt Express ; 26(11): 13705-13720, 2018 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-29877419

RESUMO

Recent development of parallel phase-shifting interferometry (PPSI) enables accurate measurement of time-varying phase maps. By combining a high-speed camera with PPSI, it became possible to observe not only time-varying but also fast phenomena including fluid flow and sound in air. In such observation, one has to remove static phase (time-invariant or slowly-varying phase unrelated to the phenomena of interest) from the observed phase maps. Ordinarily, a signal processing method for eliminating the static phase is utilized after phase unwrapping to avoid the 2π discontinuity which can be a source of error. In this paper, it is shown that such phase unwrapping is not necessary for the high-speed observation, and a time-directional filtering method is proposed for removing the static phase directly from the wrapped phase without performing phase unwrapping. In addition, experimental results of simultaneously visualizing flow and sound with 42 000 fps are shown to illustrate how the time-directional filtering changes the appearance. A MATLAB code is included within the paper (also in https://goo.gl/N4wzdp) for aiding the understanding of the proposed method.

10.
Opt Lett ; 43(14): 3273-3276, 2018 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-30004484

RESUMO

In this Letter, a visualization method of a fluid flow through temperature control is proposed. The proposed method enables us to visualize an invisible fluid flow by controlling the temperature so that its visibility can be easily adjusted. Such ability of adjusting appearance is effective for visualizing the phenomena consisting of multiple physical processes. In order to verify the validity of the proposed method, the measurement experiment of visualization of both flow and sound in air using parallel phase-shifting interferometry, which is a similar condition to the previous research [Opt. Lett.43, 991 (2018)OPLEDP0146-959210.1364/OL.43.000991], was conducted.

11.
Opt Lett ; 43(5): 991-994, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29489763

RESUMO

In this Letter, simultaneous imaging of flow and sound by using parallel phase-shifting interferometry and a high-speed polarization camera is proposed. The proposed method enables the visualization of flow and sound simultaneously by using the following two factors: (i) injection of the gas, whose density is different from the surrounding air, makes the flow visible to interferometry, and (ii) time-directional processing is applied for extracting the small-amplitude sound wave from the high-speed flow video. An experiment with a frame rate of 42,000 frames per second for visualizing the flow and sound emitted from a whistle was conducted. By applying time-directional processing to the obtained video, both flow emitted from the slit of the whistle and a spherical sound wave of 8.7 kHz were successively captured.

12.
J Pediatr Orthop ; 38(6): 312-319, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27442215

RESUMO

BACKGROUND: The concept of containment as an effective approach to reduce the risk of femoral head deformity has been questioned because modest results have been achieved after nonoperative and operative treatments for severely involved Legg-Calvé-Perthes disease. Several reports have shown the limited effectiveness of some conventional single procedures. However, there is limited data on the effectiveness of combined procedures. METHODS: The surgical group comprised 77 patients (mean age 8.3 y) and involved 79 hips. The average follow-up term was 9.5 years. Sixty-five patients were unilaterally involved and 12 patients were bilaterally involved (although 10 of the latter patients only received surgery on 1 hip). Among patients, 28 hips were classified as Herring class B/C border (>8 y old) and 51 hips were Herring class C. The 79 hips were divided into 2 treatment groups for further analysis: group 1, single procedures (femoral varus osteotomy) (n=47); group 2, combined procedures [femoral varus osteotomy+Dega (Pemberton) osteotomy] (n=32). RESULTS: Using Stulberg classification I and II (acceptable outcome), the final outcome was statistically significant for group 2 (21 hips, 65.6%) compared with group 1 (18 hips, 38.3%) (P=0.031). The average remodeling efficacy, defined as the change in caput index between preoperation and postoperation, was better in group 2 (12.7%) than in group 1 (3.9%) (P=0.005). The acetabulum-head index and α-angle were also statistically significant in group 2 than in group 1 at the last follow-up. Clinical evaluations were statistically significant in group 2 compared with group 1. CONCLUSIONS: Both clinically and radiologically, the combined procedure group demonstrated significantly better outcomes with accelerated remodeling in both the severely affected femoral heads and the acetabula compared with the single procedure group. With this procedure, we anticipate the increased likelihood of preventing or delaying coxarthroses in adulthood. LEVEL OF EVIDENCE: Level III-therapeutic study.


Assuntos
Acetábulo/cirurgia , Fêmur/cirurgia , Doença de Legg-Calve-Perthes/cirurgia , Osteoartrite do Quadril/prevenção & controle , Osteotomia/métodos , Criança , Feminino , Cabeça do Fêmur , Seguimentos , Humanos , Masculino , Período Pós-Operatório , Radiologia , Estudos Retrospectivos , Resultado do Tratamento
13.
J Opt Soc Am A Opt Image Sci Vis ; 34(1): 87-96, 2017 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-28059228

RESUMO

This paper presents a non-iterative phase retrieval method from randomly phase-shifted fringe images. By combining the hyperaccurate least squares ellipse fitting method with the subspace method (usually called the principal component analysis), a fast and accurate phase retrieval algorithm is realized. The proposed method is simple, flexible, and accurate. It can be easily coded without iteration, initial guess, or tuning parameter. Its flexibility comes from the fact that totally random phase-shifting steps and any number of fringe images greater than two are acceptable without any specific treatment. Finally, it is accurate because the hyperaccurate least squares method and the modified subspace method enable phase retrieval with a small error as shown by the simulations. A MATLAB code, which is used in the experimental section, is provided within the paper to demonstrate its simplicity and easiness.

14.
Eur Spine J ; 26(11): 2804-2810, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28389885

RESUMO

PURPOSE: Recently, lateral interbody fusion (LIF) has become more prevalent, and evaluation of lumbar nerves has taken on new importance. We report on the assessment of anatomical relationships between lumbar nerves and vertebral bodies using diffusion tensor imaging (DTI). METHODS: Fifty patients with degenerative lumbar disease and ten healthy subjects underwent DTI. In patients with lumbar degenerative disease, we studied nerve courses with patients in the supine positions and with hips flexed. In healthy subjects, we evaluated nerve courses in three different positions: supine with hips flexed (the standard position for MRI); supine with hips extended; and the right lateral decubitus position with hips flexed. In conjunction with tractography from L3 to L5 using T2-weighted sagittal imaging, the vertebral body anteroposterior span was divided into four equally wide zones, with six total zones defined, including an anterior and a posterior zone (zone A, zones 1-4, zone P). We used this to characterize nerve courses at disc levels L3/4, L4/5, and L5/S1. RESULTS: In patients with degenerative lumbar disease, in the supine position with hips flexed, all lumbar nerve roots were located posterior to the vertebral body centers in L3/4 and L4/5. In healthy individuals, the L3/4 nerve courses were displaced forward in hips extended compared with the standard position, whereas in the lateral decubitus position, the L4/5 and L5/S nerve courses were displaced posteriorly compared with the standard position. CONCLUSIONS: The L3/4 and L4/5 nerve roots are located posterior to the vertebral body center. These were found to be offset to the rear when the hip is flexed or the lateral decubitus position is assumed. The present study is the first to elucidate changes in the course of the lumbar nerves as this varies by position. The lateral decubitus position or the position supine with hips flexed may be useful for avoiding nerve damage in a direct lateral transpsoas approach. Preoperative DTI seems to be useful in evaluating the lumbar nerve course as it relates anatomically to the vertebral body.


Assuntos
Imagem de Tensor de Difusão/métodos , Vértebras Lombares , Região Lombossacral , Músculos Psoas/diagnóstico por imagem , Fusão Vertebral/métodos , Raízes Nervosas Espinhais/diagnóstico por imagem , Humanos , Degeneração do Disco Intervertebral/cirurgia , Vértebras Lombares/diagnóstico por imagem , Vértebras Lombares/inervação , Região Lombossacral/diagnóstico por imagem , Região Lombossacral/inervação , Região Lombossacral/cirurgia
15.
BMC Musculoskelet Disord ; 18(1): 428, 2017 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-29100502

RESUMO

BACKGROUND: Nerve growth factor (NGF) is not only an important factor in nerve growth but also a major contributor to the production of inflammation. It has been reported that inhibiting NGF could reduce several types of pain in several animal models. Here, we aimed to clarify the efficacy of NGF antibody in a knee osteoarthritis (OA) pain model in mice. METHOD: Six-week-old male C57BR/J mice were used (n = 30). Ten mice comprised the control group, which received saline injection into the right knee joints; the other 20 mice comprised the experimental group, which received monoiodoacetate (MIA) injection into the right knee joints. Three weeks after surgery, the 20 experimental mice were randomly placed into treatment groups which received either sterile saline (non-treat group: 10 mg/kg, i.p.) or an anti-NGF antibody (anti-NGF group: 10 mg/kg, i.p.). Simultaneously, all mice received fluorogold (FG) retrograde neurotracer injection into their right joints. In a behavioral study, we evaluated gait using the CatWalk quantitative gait analysis system before surgery, 3 weeks after surgery (before treatment), 4 weeks after surgery (one week after surgery), and 5 weeks after surgery (2 weeks after surgery). In immunohistochemical analysis, the right dorsal root ganglia (DRGs) from the L4-L6 levels were resected 5 weeks after surgery (2 weeks after surgery). They were immunostained for calcitonin gene-related peptide (CGRP), and the number of FG-labeled or CGRP-immunoreactive (IR) DRG neurons was counted. RESULTS: On gait analysis using the CatWalk system, duty cycle, swing speed, and print area were decreased in non-treat group compared with those in control group and improved in the anti-NGF group compared with those in non-treat group. CGRP expression in DRGs was up-regulated in non-treat group compared with that in control group and suppressed in the anti-NGF group compared with that in non-treat group (both p < 0.05). CONCLUSIONS: MIA injection into the knee joint induced gait impairment and the up-regulation of CGRP in DRG neurons in a knee OA pain model in mice. Intraperitoneal injection of anti-NGF antibody suppressed this impairment of gait and up-regulation of CGRP in DRG neurons. These finding suggest that anti-NGF therapy might be valuable in the treatment of OA pain in the knee.


Assuntos
Anticorpos/uso terapêutico , Artralgia/tratamento farmacológico , Fator de Crescimento Neural/antagonistas & inibidores , Osteoartrite do Joelho/complicações , Animais , Anticorpos/farmacologia , Artralgia/etiologia , Peptídeo Relacionado com Gene de Calcitonina/metabolismo , Modelos Animais de Doenças , Avaliação Pré-Clínica de Medicamentos , Gânglios Espinais/metabolismo , Ácido Iodoacético , Masculino , Camundongos , Fator de Crescimento Neural/imunologia , Osteoartrite do Joelho/induzido quimicamente , Osteoartrite do Joelho/tratamento farmacológico , Osteoartrite do Joelho/metabolismo
17.
Opt Express ; 24(20): 22881-22891, 2016 Oct 03.
Artigo em Inglês | MEDLINE | ID: mdl-27828355

RESUMO

Phase extraction methods based on the principal component analysis (PCA) can extract objective phase from phase-shifted fringes without any prior knowledge about their shift steps. Although it is fast and easy to implement, many fringe images are needed for extracting the phase accurately from noisy fringes. In this paper, a simple extension of the PCA method for reducing extraction error is proposed. It can effectively reduce influence from random noise, while most of the advantages of the PCA method is inherited because it only modifies the construction process of the data matrix from fringes. Although it takes more time because size of the data matrix to be decomposed is larger, computational time of the proposed method is shown to be reasonably fast by using the iterative singular value decomposition algorithm. Numerical experiments confirmed that the proposed method can reduce extraction error even when the number of interferograms is small.

18.
Opt Express ; 24(12): 12922-32, 2016 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-27410311

RESUMO

Sound-field imaging, the visualization of spatial and temporal distribution of acoustical properties such as sound pressure, is useful for understanding acoustical phenomena. This study investigated the use of parallel phase-shifting interferometry (PPSI) with a high-speed polarization camera for imaging a sound field, particularly high-speed imaging of propagating sound waves. The experimental results showed that the instantaneous sound field, which was generated by ultrasonic transducers driven by a pure tone of 40 kHz, was quantitatively imaged. Hence, PPSI can be used in acoustical applications requiring spatial information of sound pressure.

19.
Muscle Nerve ; 54(4): 776-82, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-26930007

RESUMO

INTRODUCTION: In this study we evaluated the relationships among the behavioral changes after muscle injury, histological changes, changes in inflammatory cytokines in the injured muscle, and changes in the sensory nervous system innervating the muscle in rats. METHODS: We established a model of muscle injury in rats using a dropped weight. Behavior was assessed using the CatWalk system. Subsequently, bilateral gastrocnemius muscles and dorsal root ganglia (DRGs) were resected. Muscles were stained with hematoxylin and eosin, and inflammatory cytokines in injured muscles were assayed. DRGs were immunostained for calcitonin gene-related peptide (CGRP). RESULTS: Changes of behavior and upregulation of inflammatory cytokines in injured muscles subsided within 2 days of injury. Repaired tissue was observed 3 weeks after injury. However, upregulation of CGRP in DRG neurons continued for 2 weeks after injury. CONCLUSION: These findings may explain in part the pathological mechanism of persistent muscle pain. Muscle Nerve 54: 776-782, 2016.


Assuntos
Peptídeo Relacionado com Gene de Calcitonina/biossíntese , Citocinas/biossíntese , Gânglios Espinais/metabolismo , Mediadores da Inflamação/metabolismo , Músculo Esquelético/lesões , Músculo Esquelético/metabolismo , Animais , Masculino , Músculo Esquelético/inervação , Ratos , Ratos Sprague-Dawley , Regulação para Cima/fisiologia
20.
Circ J ; 80(1): 85-92, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26581624

RESUMO

BACKGROUND: Subcutaneous implantable cardiac defibrillator (S-ICD) systems have a lower invasiveness than traditional ICD systems, and expand the indications of ICD implantations. The S-ICD standard defibrillation shock output energy, however, is approximately 4 times that of the traditional ICD system. This raises concern about the efficacy of the defibrillation and myocardial injury. In this study, we investigated the defibrillation efficacy and myocardial injury with S-ICD systems based on computer simulations. METHODS AND RESULTS: First, computer simulations were performed based on the S-ICD system configurations proposed in a previous study. Furthermore, simulations were performed by placing the lead at the left or right parasternal margin and the pulse generator in the superior and inferior positions (0-10 cm) of the recommended site. The simulated defibrillation threshold (DFT) for the 4 S-ICD system configurations were 30.1, 41.6, 40.6, and 32.8 J, which were generally similar to the corresponding clinical results of 33.5, 40.4, 40.1, and 34.3 J. CONCLUSIONS: The simulated DFT were generally similar to their clinical counterparts. In the simulation, the S-ICD system had a higher DFT but relatively less severe myocardial injury compared with the traditional ICD system. Further, the lead at the right parasternal margin may correspond to a lower DFT and cause less myocardial injury.


Assuntos
Simulação por Computador , Desfibriladores Implantáveis/efeitos adversos , Traumatismos Cardíacos/fisiopatologia , Coração/fisiopatologia , Modelos Cardiovasculares , Traumatismos Cardíacos/etiologia , Humanos
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