| 1. |
- Lui, Hoi-Shun, et al.
(författare)
-
On the matching medium for microwave stroke diagnosis
- 2019
-
Ingår i: Biomedical Physics and Engineering Express. - : IOP Publishing. - 2057-1976. ; 5:4
-
Tidskriftsartikel (refereegranskat)abstract
- The choice of matching medium can directly affect the amount of power transmitted into and through human bodies, which impacts on the quality of the reconstructed images in microwave-based medical imaging, and thus the diagnosis accuracies. In this paper, the amount of the transmitted and reflected power of multi-layer planar healthy and hemorrhagic stroke brain models under different choices of matching medium are determined. These multi-layer planar brain tissue models are made up of at least 17 tissue layers with realistic dielectric properties. A layer of blood with different thickness is introduced to model the case of hemorrhagic stroke. Our results show that matching medium with low relative permittivity provides better intrinsic contrast between healthy brain and hemorrhagic brain. Analysis on how the reflection coefficient and transmittance vary under different matching medium are included to provide better insights to the findings.
|
|
| 2. |
- Khodadad, Davood, 1985-, et al.
(författare)
-
Optimized breath detection algorithm in electrical impedance tomography
- 2018
-
Ingår i: Physiological Measurement. - : IOP Publishing. - 0967-3334 .- 1361-6579. ; 39:9
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: This paper defines a method for optimizing the breath delineation algorithms used in electrical impedance tomography (EIT). In lung EIT the identification of the breath phases is central for generating tidal impedance variation images, subsequent data analysis and clinical evaluation. The optimisation of these algorithms is particularly important in neonatal care since the existing breath detectors developed for adults may give insufficient reliability in neonates due to their very irregular breathing pattern.Approach: Our approach is generic in the sense that it relies on the definition of a gold standard and the associated definition of detector sensitivity and specificity, an optimisation criterion and a set of detector parameters to be investigated. The gold standard has been defined by 11 clinicians with previous experience with EIT and the performance of our approach is described and validated using a neonatal EIT dataset acquired within the EU-funded CRADL project.Main results: Three different algorithms are proposed that improve the breath detector performance by adding conditions on (1) maximum tidal breath rate obtained from zero-crossings of the EIT breathing signal, (2) minimum tidal impedance amplitude and (3) minimum tidal breath rate obtained from time-frequency analysis. As a baseline a zero-crossing algorithm has been used with some default parameters based on the Swisstom EIT device.Significance: Based on the gold standard, the most crucial parameters of the proposed algorithms are optimised by using a simple exhaustive search and a weighted metric defined in connection with the receiver operating characterics. This provides a practical way to achieve any desirable trade-off between the sensitivity and the specificity of the detectors.
|
|
| 3. |
- Bondesson, Johan, 1991, et al.
(författare)
-
Definition of Tubular Anatomic Structures from Arbitrary Stereo Lithographic Surface
- 2017
-
Ingår i: Initiative Seminar Engineering Health, 8-9 November 2017, Chalmers.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- An accurate description of anatomies and dynamics of vessels is crucial to understand their characteristics and improve surgical techniques, thus it is the basis, in addition to surgeon experience, on which stent design and operation procedures rely. The process of producing this description is user intensive, and recent improvement in image processing of medical3D imaging allows for a more automated workflow. However, there is a need to bridge the gap from a processed geometry to a robust mathematical computational grid. By sequentially segmenting a tubular anatomic structure, here defined by a stereo lithographic (STL) surface, an initial centerline is formed by connecting centroids of orthogonal cross-sectional contours along the length of the structure. Relying on the initial centerline, a set of non-overlapping 2D cross sectional contours are defined along the centerline, a centerline which is updated after the 2D contours are produced. After a second iteration of producing 2D contours and updating the centerline, a full description of the structure is created. Our method for describing vessel geometry shows good coherence to existing method. The main advantages of our method include the possibility of having arbitrary triangulated STL surface input, automated centerline definition, safety against intersecting cross-sectional contours and automatic clean-up of local kinks and wrinkles.
|
|
| 4. |
- Broman, Mikael, et al.
(författare)
-
Recirculation during veno-venous extra-corporeal membrane oxygenation - a simulation study
- 2015
-
Ingår i: International Journal of Artificial Organs. - : SAGE Publications. - 0391-3988 .- 1724-6040. ; 38:1, s. 23-30
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: Veno-venous ECMO is indicated in reversible life-threatening respiratory failure without life-threatening circulatory failure. Recirculation of oxygenated blood in the ECMO circuit decreases efficiency of patient oxygen delivery but is difficult to measure. We seek to identify and quantify some of the factors responsible for recirculation in a simulation model and compare with clinical data. Methods: A closed-loop real-time simulation model of the cardiovascular system has been developed. ECMO is simulated with a fixed flow pump 0 to 5 l/min with various cannulation sites -1) right atrium to inferior vena cava, 2) inferior vena cava to right atrium, and 3) superior+ inferior vena cava to right atrium. Simulations are compared to data from a retrospective cohort of 11 consecutive adult veno-venous ECMO patients in our department. Results: Recirculation increases with increasing ECMO-flow, decreases with increasing cardiac output, and is highly dependent on choice of cannulation sites. A more peripheral drainage site decreases recirculation substantially. Conclusions: Simulations suggest that recirculation is a significant clinical problem in veno-venous ECMO in agreement with clinical data. Due to the difficulties in measuring recirculation and interpretation of the venous oxygen saturation in the ECMO drainage blood, flow settings and cannula positioning should rather be optimized with help of arterial oxygenation parameters. Simulation may be useful in quantification and understanding of recirculation in VV-ECMO.
|
|
| 5. |
- Cervin, Ida, et al.
(författare)
-
Improving the creation and reporting of structured findings during digital pathology review
- 2016
-
Ingår i: Journal of Pathology Informatics. - : Medknow Publications. - 2229-5089 .- 2153-3539. ; 7:1, s. 32-32
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Today, pathology reporting consists of many separate tasks, carried out by multiple people. Common tasks include dictation during case review, transcription, verification of the transcription, report distribution, and report the key findings to follow-up registries. Introduction of digital workstations makes it possible to remove some of these tasks and simplify others. This study describes the work presented at the Nordic Symposium on Digital Pathology 2015, in Linköping, Sweden. Methods: We explored the possibility to have a digital tool that simplifies image review by assisting note-taking, and with minimal extra effort, populates a structured report. Thus, our prototype sees reporting as an activity interleaved with image review rather than a separate final step. We created an interface to collect, sort, and display findings for the most common reporting needs, such as tumor size, grading, and scoring. Results: The interface was designed to reduce the need to retain partial findings in the head or on paper, while at the same time be structured enough to support automatic extraction of key findings for follow-up registry reporting. The final prototype was evaluated with two pathologists, diagnosing complicated partial mastectomy cases. The pathologists experienced that the prototype aided them during the review and that it created a better overall workflow. Conclusions: These results show that it is feasible to simplify the reporting tasks in a way that is not distracting, while at the same time being able to automatically extract the key findings. This simplification is possible due to the realization that the structured format needed for automatic extraction of data can be used to offload the pathologists' working memory during the diagnostic review.
|
|
| 6. |
- Mendrik, AM, et al.
(författare)
-
MRBrainS Challenge: Online Evaluation Framework for Brain Image Segmentation in 3T MRI Scans
- 2015
-
Ingår i: Computational Intelligence and Neuroscience. - : Hindawi Publishing Corporation. - 1687-5265 .- 1687-5273. ; 2015
-
Tidskriftsartikel (refereegranskat)abstract
- Many methods have been proposed for tissue segmentation in brain MRI scans. The multitude of methods proposed complicates the choice of one method above others. We have therefore established the MRBrainS online evaluation framework for evaluating (semi)automatic algorithms that segment gray matter (GM), white matter (WM), and cerebrospinal fluid (CSF) on 3T brain MRI scans of elderly subjects (65–80 y). Participants apply their algorithms to the provided data, after which their results are evaluated and ranked. Full manual segmentations of GM, WM, and CSF are available for all scans and used as the reference standard. Five datasets are provided for training and fifteen for testing. The evaluated methods are ranked based on their overall performance to segment GM, WM, and CSF and evaluated using three evaluation metrics (Dice, H95, and AVD) and the results are published on the MRBrainS13 website. We present the results of eleven segmentation algorithms that participated in the MRBrainS13 challenge workshop at MICCAI, where the framework was launched, and three commonly used freeware packages: FreeSurfer, FSL, and SPM. The MRBrainS evaluation framework provides an objective and direct comparison of all evaluated algorithms and can aid in selecting the best performing method for the segmentation goal at hand.
|
|
| 7. |
- Fredén Jansson, Karl-Johan, 1988
(författare)
-
The Balanced Electromagnetic Separation Transducer for Bone Conduction Audiometry and Hearing Rehabilitation
- 2017
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Hearing via air conduction (AC) and bone conduction (BC) are attributed to bethe natural ways of conducting sound to the cochlea. With AC hearing, air pressurevariations are transmitted to the cochlea via the ear canal, whereas with BChearing, sound vibrations are transmitted through the skull bone to the cochlea.Patients with a hearing loss in the cochlea or auditory nerve are commonly rehabilitatedwith conventional AC hearing aids in the ear canal, but also using cochlearimplants. If the pathway for AC sound to reach the cochlea is obstructed, patientscan often benet from bone conduction devices (BCDs). In order to determinethe type and degree of hearing loss, the BC hearing thresholds are measured usinga bone conduction vibrator, and then analyzed together with the AC hearingthresholds for the diagnosis and to suggest an appropriate rehabilitation alternative.The motor unit in conventional BCDs and bone vibrators are known togenerate high amount of distortion at low frequencies where the Balanced ElectromagneticSeparation Transducer (BEST) principle may oer a new era in BChearing rehabilitation and audiometry.This thesis combines two BC hearing related topics, where the rst topic is anevaluation of a new audiometric bone vibrator, Radioear B81, which is assumedto oer more accurate BC hearing threshold measurements. The second topic isrelated to a new type of active transcutaneous BCD, called the Bone ConductionImplant (BCI), which leaves the skin intact by using a wireless solution thatdoes not require a permanent skin penetration. Even though the applications aredierent, both devices use the BEST principle as motor unit in their design.The audiometric bone vibrator Radioear B81 was found to have an improvedperformance at low frequencies where it can produce higher output levels with lessharmonic distortion than the conventional Radioear B71. In a clinical study of therst six patients, the BCI was found as ecient as already commercially availableBCDs, and with the advantage of not needing a skin penetration. In a technicalevaluation of the BCI, it was shown to be a mechanically robust design and totolerate magnetic resonance imaging at 1.5 Tesla.
|
|
| 8. |
- Grishenkov, Dmitry, 1983-, et al.
(författare)
-
In search of the optimal ultrasound heart perfusion imaging platform
- 2015
-
Ingår i: Journal of ultrasound in medicine. - : Wiley. - 0278-4297 .- 1550-9613. ; 34:9, s. 1599-1605
-
Tidskriftsartikel (refereegranskat)abstract
- ObjectiveQuantification of the myocardial perfusion by contrast echocardiography (CEC) remains a challenge. Existing imaging phantoms used to evaluate the performance of ultrasound scanners do not comply with perfusion basics in the myocardium, where perfusion and motion are inherently coupled.MethodsTo contribute towards an improvement, we developed a CEC perfusion imaging platform based on isolated rat heart coupled to the ultrasound scanner. Perfusion was assessed using three different types of contrast agent: dextran-based Promiten®, phospholipid-shelled SonoVue®, and polymer-shelled MB-pH5-RT. The myocardial video-intensity was monitored over time from contrast administration to peak and two characteristic constants were calculated using exponential fit (A representing capillary volume and b representing inflow velocity).ResultsAcquired experimental evidence demonstrates that the application of all three types of contrast agent allow ultrasonic estimation of myocardial perfusion in the isolated rat heart. Video-intensity maps show that an increase in contrast concentration increases the late plateau values, A, mimicking increased capillary volume. Estimated values of the flow, proportional to Axb, increase when the pressure of the perfusate column increases from 80 to 110 cm of water. This finding is in agreement with the true values of the coronary flow increase measured by the flowmeter attached to the aortic cannula.ConclusionsThe described CEC perfusion imaging platform holds promise for standardized evaluation and optimization of ultrasound contrast perfusion imaging where real time inflow curves at low acoustic power semi-quantitatively reflect coronary flow.
|
|
| 9. |
- Khodadad, Davood, 1985-, et al.
(författare)
-
The Value of Phase Angle in Electrical Impedance Tomography Breath Detection
- 2018
-
Ingår i: 2018 Progress in Electromagnetics Research Symposium (PIERS-Toyama). - : Electromagnetics Academy. - 9784885523168 - 9781538654552 ; , s. 1040-1043
-
Konferensbidrag (refereegranskat)abstract
- The objective of this paper is to report our investigation demonstrating that the phase angle information of complex impedance could be a simple indicator of a breath cycle in chest Electrical Impedance Tomography (EIT). The study used clinical neonatal EIT data. The results show that measurement of the phase angle from complex EIT data can be used as a complementary information for improving the conventional breath detection algorithms.
|
|
| 10. |
- Azar, Jimmy, et al.
(författare)
-
Automated Classification of Glandular Tissue by Statistical Proximity Sampling
- 2015
-
Ingår i: International Journal of Biomedical Imaging. - : Hindawi Limited. - 1687-4188 .- 1687-4196.
-
Tidskriftsartikel (refereegranskat)abstract
- Due to the complexity of biological tissue and variations in staining procedures, features that are based on the explicit extraction of properties from subglandular structures in tissue images may have difficulty generalizing well over an unrestricted set of images and staining variations. We circumvent this problem by an implicit representation that is both robust and highly descriptive, especially when combined with a multiple instance learning approach to image classification. The new feature method is able to describe tissue architecture based on glandular structure. It is based on statistically representing the relative distribution of tissue components around lumen regions, while preserving spatial and quantitative information, as a basis for diagnosing and analyzing different areas within an image. We demonstrate the efficacy of the method in extracting discriminative features for obtaining high classification rates for tubular formation in both healthy and cancerous tissue, which is an important component in Gleason and tubule-based Elston grading. The proposed method may be used for glandular classification, also in other tissue types, in addition to general applicability as a region-based feature descriptor in image analysis where the image represents a bag with a certain label (or grade) and the region-based feature vectors represent instances.
|
|
