| 1. |
- Eklund, Anders, et al.
(författare)
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Evaluation of applanation resonator sensors for intra-ocular pressure measurement : results from clinical and in vitro studies.
- 2003
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Ingår i: Medical and Biological Engineering and Computing. - 0140-0118 .- 1741-0444. ; 41:2, s. 190-197
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Tidskriftsartikel (refereegranskat)abstract
- Glaucoma is an eye disease that, in its most common form, is characterised by high intra-ocular pressure (IOP), reduced visual field and optic nerve damage. For diagnostic purposes and for follow-up after treatment, it is important to have simple and reliable methods for measuring IOP. Recently, an applanation resonator sensor (ARS) for measuring IOP was introduced and evaluated using an in vitro pig-eye model. In the present study, the first clinical evaluation of the same probe has been carried out, with experiments in vivo on human eyes. There was a low but significant correlation between IOP(ARS) and the IOP measured with a Goldmann applanation tonometer (r = 0.40, p = 0.001, n = 72). However, off-centre positioning of the sensor against the cornea caused a non-negligible source of error. The sensor probe was redesigned to have a spherical, instead of flat, contact surface against the eye and was evaluated in the in vitro model. The new probe showed reduced sensitivity to off-centre positioning, with a decrease in relative deviation from 89% to 11% (1 mm radius). For normalised data, linear regression between IOP(ARS) and direct IOP measurement in the vitreous chamber showed a correlation of r = 0.97 (p < 0.001, n = 108) and a standard deviation for the residuals of SD < or = 2.18 mm Hg (n = 108). It was concluded that a spherical contact surface should be preferred and that further development towards a clinical instrument should focus on probe design and signal analysis.
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| 2. |
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| 3. |
- Jalkanen, Ville, 1978-, et al.
(författare)
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Explanatory models for a tactile resonance sensor system-elastic and density-related variations of prostate tissue in vitro
- 2008
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Ingår i: Physiological Measurement. - Bristol : IOP Publ. Ltd. - 0967-3334 .- 1361-6579. ; 29:7, s. 729-745
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Tidskriftsartikel (refereegranskat)abstract
- Tactile sensors based on piezoelectric resonance have been adopted for medical applications. The sensor consists of an oscillating piezoelectric sensor–circuit system, and a change in resonance frequency is observed when the sensor tip contacts a measured object such as tissue. The frequency change at a constant applied force or mass load is used as a stiffness-sensitive parameter in many applications. Differential relations between force and frequency have also been used for monitoring intraocular pressure and stiffness variations in prostate tissue in vitro. The aim of this study was to relate the frequency change (Δf), measured force (F) and the material properties, density and elasticity to an explanatory model for the resonance sensor measurement principle and thereby to give explanatory models for the stiffness parameters used previously. Simulations of theoretical equations were performed to investigate the relation between frequency change and contact impedance. Measurements with a resonance sensor system on prostate tissue in vitro were used for experimental validation of the theory. Tissue content was quantified with a microscopic-based morphometrical method. Simulation results showed that the frequency change was dependent upon density (ρ) and contact area (S) according to Δf ∝ ρS3/2. The experiments followed the simulated theory at small impression depths. The measured contact force followed a theoretical model with the dependence of the elastic modulus (E) and contact area, F ∝ ES3/2. Measured density variations related to histological variations were statistically weak or non-significant. Elastic variations were statistically significant with contributions from stroma and cancer relative to normal glandular tissue. The theoretical models of frequency change and force were related through the contact area, and a material-dependent explanatory model was found as Δf ∝ ρE−1F. It explains the measurement principle and the previously established stiffness parameters from the material properties point of view.
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| 4. |
- Jalkanen, Ville, 1978-, et al.
(författare)
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Prostate tissue stiffness as measured with a resonance sensor system : a study on silicone and human prostate tissue in vitro.
- 2006
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Ingår i: Medical and Biological Engineering and Computing. - : Springer Science and Business Media LLC. - 0140-0118 .- 1741-0444. ; 44:7, s. 593-603
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Tidskriftsartikel (refereegranskat)abstract
- Prostate cancer is the most common form of cancer in men in Europe and in the USA. Some prostate tumours are stiffer than the surrounding normal tissue, and it could therefore be of interest to measure prostate tissue stiffness. Resonance sensor technology based on piezoelectric resonance detects variations in tissue stiffness due to a change in the resonance frequency. An impression-controlled resonance sensor system was used to detect stiffness in silicone rubber and in human prostate tissue in vitro using two parameters, both combinations of frequency change and force. Variations in silicone rubber stiffness due to the mixing ratio of the two components could be detected (p<0.05) using both parameters. Measurements on prostate tissue showed that there existed a statistically significant (MANOVA test, p<0.001) reproducible difference between tumour tissue (n=13) and normal healthy tissue (n=98) when studying a multivariate parameter set. Both the tumour tissue and normal tissue groups had variations within them, which were assumed to be related to differences in tissue composition. Other sources of error could be uneven surfaces and different levels of dehydration for the prostates. Our results indicated that the resonance sensor could be used to detect stiffness variations in silicone and in human prostate tissue in vitro. This is promising for the development of a future diagnostic tool for prostate cancer.
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| 5. |
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| 6. |
- Jalkanen, Ville, 1978-, et al.
(författare)
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Resonance sensor measurements of stiffness variations in prostate tissue in vitro : a weighted tissue proportion model
- 2006
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Ingår i: Physiological Measurement. - : IOP Publishing. - 0967-3334 .- 1361-6579. ; 27:12, s. 1373-86
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Tidskriftsartikel (refereegranskat)abstract
- Prostate cancer is the most common type of cancer in men in Europe and the US. The methods to detect prostate cancer are still precarious and new techniques are needed. A piezoelectric transducer element in a feedback system is set to vibrate with its resonance frequency. When the sensor element contacts an object a change in the resonance frequency is observed, and this feature has been utilized in sensor systems to describe physical properties of different objects. For medical applications it has been used to measure stiffness variations due to various patho-physiological conditions. In this study the sensor's ability to measure the stiffness of prostate tissue, from two excised prostatectomy specimens in vitro, was analysed. The specimens were also subjected to morphometric measurements, and the sensor parameter was compared with the morphology of the tissue with linear regression. In the probe impression interval 0.5-1.7 mm, the maximum R(2) > or = 0.60 (p < 0.05, n = 75). An increase in the proportion of prostate stones (corpora amylacea), stroma, or cancer in relation to healthy glandular tissue increased the measured stiffness. Cancer and stroma had the greatest effect on the measured stiffness. The deeper the sensor was pressed, the greater, i.e., deeper, volume it sensed. Tissue sections deeper in the tissue were assigned a lower mathematical weighting than sections closer to the sensor probe. It is concluded that cancer increases the measured stiffness as compared with healthy glandular tissue, but areas with predominantly stroma or many stones could be more difficult to differ from cancer.
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| 7. |
- Jalkanen, Ville, 1978-, et al.
(författare)
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Spatial variations in prostate tissue histology as measured by a tactile resonance sensor
- 2007
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Ingår i: Physiological Measurement. - : IOP Publishing. - 0967-3334 .- 1361-6579. ; 28:10, s. 1267-81
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Tidskriftsartikel (refereegranskat)abstract
- In recent years, tactile sensors based on piezoelectric resonance sensor technology have been used for medical diagnosis where the sensor's stiffness-measuring properties can reflect tissue pathology. The change in the frequency of the resonating system and the change in force when contact is made with tissue are used as a stiffness parameter. Earlier stiffness measurements of prostate tissue in vitro demonstrate variations related to tissue composition. In this study, measured stiffness from two human prostate specimens was compared to histological composition of prostate tissue below and around the measurement points. Tissue stiffness was measured with the resonance sensor system. Tissue composition was measured at four different depths in the tissue specimen using a microscopic-image-based morphometrical method. With this method, the proportion of tissue types was determined at the points of intersections in a circular grid on the images representing each measurement point. Numerical values were used for weighting the tissue proportions at different depths in the tissue specimen. For an impression depth of 1.0 mm, the sensing depth in this study was estimated to be 3.5-5.5 mm. Stiffness variations due to horizontal tissue variations were investigated by studying the dependence of the size of the circular grid area relative to the contact area of the sensor tip. The sensing area (grid radius) was estimated to be larger than the contact area (contact radius) between the sensor tip and the tissue. Thus, the sensor tip registers spatial variations in prostate tissue histology, both directly below and lateral to the tip itself. These findings indicate that tumours around the sensor tip could be detected, which in turn supports the idea of a future resonance-sensor-based clinical device for detecting tumours and for guiding biopsies.
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| 8. |
- Jonsson, Ulf G, et al.
(författare)
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Modeling the high-frequency complex modulus of a silicone rubber using standing lamb waves and an inverse finite element method
- 2014
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Ingår i: IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control. - : IEEE Press. - 0885-3010 .- 1525-8955. ; 61:12, s. 2106-2120
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Tidskriftsartikel (refereegranskat)abstract
- To gain an understanding of the high-frequency elastic properties of silicone rubber, a finite element model of a cylindrical piezoelectric element, in contact with a silicone rubber disk, was constructed. The frequency dependent elastic modulus of the silicone rubber was modeled by a four parameter fractional derivative viscoelastic model in the 100 kHz to 250 kHz frequency range. The calculations were carried out in the range of the first radial resonance frequency of the sensor. At the resonance, the hyperelastic effect of the silicone rubber was modeled by a hyperelastic compensating function. The calculated response was matched to the measured response by using the transitional peaks in the impedance spectrum that originates from the switching of standing Lamb wave modes in the silicone rubber. To validate the results, the impedance responses of three 5 mm thick silicone rubber disks, with different radial lengths, were measured. The calculated and measured transitional frequencies have been compared in detail. The comparison showed very good agreement, with average relative differences of 0.7 %, 0.6 %, and 0.7 % for the silicone rubber samples with radial lengths of 38.0 mm, 21.4 mm, and 11.0 mm, respectively. The average, complex, elastic modulus of the samples were: (0.97 + 0.009i) GPa at 100 kHz and (0.97 + 0.005i) GPa at 250 kHz.
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| 9. |
- Jonsson, Ulf G., et al.
(författare)
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Using a look-up table technique and finite element calculations for quick detection of stiff inclusions in silicone rubber
- 2020
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Ingår i: Engineering computations. - : Emerald Group Publishing Limited. - 0264-4401 .- 1758-7077. ; 37:6, s. 2137-2153
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of the study was to show that a new method, using a look-up table technique, can be used to detect the presence and position of an inclusion embedded in a tissue-like material. Due to the time-consuming nature of the finite element (FE) method or FEM, real-time applications involving FEM as part of a control loop, are traditionally limited to slowly varying systems. By using a simplified two-dimensional FE model and a look-up table, we show by simulations and experiments that it is possible to achieve reasonable computational times in a tactile resonance sensor application.Design/methodology/approach: A piezoelectric disk was placed in the center of a silicone rubber disk (SRD) with viscoelastic properties, where it acted as both sensor and actuator and dissipated radial acoustic waves into the silicone. The look-up table was constructed by calculating the radial Lamb wave transition frequencies in the impedance frequency response of the sensor while varying the position of an inclusion. A position-matching algorithm was developed that matched measured and calculated Lamb wave transitions and thereby identified the presence and position of an inclusion.Findings: In an experiment, the position of a hard inclusion was determined by measuring the Lamb transition frequencies of the first radial resonance in two SRDs. The result of the matching algorithm for Disk 1 was that the matched position was less than 3% from the expected value. For Disk 2, the matching algorithm erroneously reported two false positions before reporting a position that was less than 5% from the expected value. An explanation for this discrepancy is presented. In a verifying experiment, the algorithm identified the condition with no inclusion present.Originality/value: The approach outlined in this work, adds to the prospect of developing time-sensitive diagnostic instruments. This approach has the potential to provide a powerful technique to quickly present spatial information on detected tumors.
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