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1.
  • Abbaspour, S., et al. (författare)
  • Real-Time and Offline Evaluation of Myoelectric Pattern Recognition for the Decoding of Hand Movements
  • 2021
  • Ingår i: Sensors. - : MDPI AG. - 1424-8220. ; 21:16
  • Tidskriftsartikel (refereegranskat)abstract
    • Pattern recognition algorithms have been widely used to map surface electromyographic signals to target movements as a source for prosthetic control. However, most investigations have been conducted offline by performing the analysis on pre-recorded datasets. While real-time data analysis (i.e., classification when new data becomes available, with limits on latency under 200-300 milliseconds) plays an important role in the control of prosthetics, less knowledge has been gained with respect to real-time performance. Recent literature has underscored the differences between offline classification accuracy, the most common performance metric, and the usability of upper limb prostheses. Therefore, a comparative offline and real-time performance analysis between common algorithms had yet to be performed. In this study, we investigated the offline and real-time performance of nine different classification algorithms, decoding ten individual hand and wrist movements. Surface myoelectric signals were recorded from fifteen able-bodied subjects while performing the ten movements. The offline decoding demonstrated that linear discriminant analysis (LDA) and maximum likelihood estimation (MLE) significantly (p < 0.05) outperformed other classifiers, with an average classification accuracy of above 97%. On the other hand, the real-time investigation revealed that, in addition to the LDA and MLE, multilayer perceptron also outperformed the other algorithms and achieved a classification accuracy and completion rate of above 68% and 69%, respectively.
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2.
  • Brown, Shannon, et al. (författare)
  • Intarsia-sensorized band and textrodes for real-time myoelectric pattern recognition
  • 2016
  • Ingår i: Engineering in Medicine and Biology Society (EMBC), 2016 IEEE 38th Annual International Conference of the. - : Institute of Electrical and Electronics Engineers (IEEE). - 1557-170X. - 9781457702204 ; , s. 6074-6077
  • Konferensbidrag (refereegranskat)abstract
    • Surface Electromyography (sEMG) has applications in prosthetics, diagnostics and neuromuscular rehabilitation. Self-adhesive Ag/AgCl are the electrodes preferentially used to capture sEMG in short-term studies, however their long-term application is limited. In this study we designed and evaluated a fully integrated smart textile band with electrical connecting tracks knitted with intarsia techniques and knitted textile electrodes. Real-time myoelectric pattern recognition for motor volition and signal-to-noise ratio (SNR) were used to compare its sensing performance versus the conventional Ag-AgCl electrodes. After a comprehending measurement and performance comparison of the sEMG recordings, no significant differences were found between the textile and the Ag-AgCl electrodes in SNR and prediction accuracy obtained from pattern recognition classifiers.
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3.
  • Hafid, Abdelakram, et al. (författare)
  • Full Impedance Cardiography Measurement Device Using Raspberry PI3 and System-on-Chip Biomedical Instrumentation Solutions
  • 2018
  • Ingår i: IEEE journal of biomedical and health informatics. - : IEEE-INST ELECTRICAL ELECTRONICS ENGINEERS INC. - 2168-2194 .- 2168-2208. ; 22:6, s. 1883-1894
  • Tidskriftsartikel (refereegranskat)abstract
    • Impedance cardiography (ICG) is a noninvasive method for monitoring cardiac dynamics using electrical bioimpedance (EBI) measurements. Since its appearance more than 40 years ago, ICG has been used for assessing hemodynamic parameters. This paper presents a measurement system based on two System on Chip (SoC) solutions and Raspberry PI, implementing both a full three-lead ECG recorder and an impedance cardiographer, for educational and research development purposes. Raspberry PI is a platform supporting Do-I t-Yourself project and education applications across the world. The development is part of Biosignal PI, an open hardware platform focusing in quick prototyping of physiological measurement instrumentation. The SoC used for sensing cardiac biopotential is the ADAS1000, and for the EBI measurement is the AD5933. The recordings were wirelessly transmitted through Bluetooth to a PC, where the waveforms were displayed, and hemodynamic parameters such as heart rate, stroke volume, ejection time and cardiac output were extracted from the ICG and ECG recordings. These results show how Raspberry PI can be used for quick prototyping using relatively widely available and affordable components, for supporting developers in research and engineering education. The design and development documents will be available on www.BiosignalPl.com, for open access under a Non Commercial-Share A like 4.0 International License.
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4.
  • Johansson, Martin L, et al. (författare)
  • Non-invasive sampling procedure revealing the molecular events at different abutments of bone-anchored hearing systems–A prospective clinical pilot study
  • 2022
  • Ingår i: Frontiers in Neuroscience. - : Frontiers Media SA. - 1662-4548 .- 1662-453X. ; 16
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: To investigate the molecular activities in different compartments around the bone-anchored hearing system (BAHS) with either electropolished or machined abutments and to correlate these activities with clinical and microbiological findings. Materials and methods: Twelve patients received machined or electropolished abutments after implant installation of BAHS. Peri-abutment fluid and tissue were collected from baseline to 12 months. Gene expression of cytokines and factors related to tissue healing and inflammation, regeneration and remodelling, as well as bacterial recognition were determined using quantitative-polymerase chain reaction (qPCR). The clinical status was evaluated using the Holgers scoring system, and bacterial colonisation was investigated by culturing. Results: The gene expression of inflammatory cytokines (IL-8, IL-1β, and IL-10) and bacteria-related Toll-like receptors (2 and 4) was higher in the peri-abutment fluid than at baseline and in the peri-abutment tissue at 3 and 12 months. Conversely, the expression of genes related to tissue regeneration (Coll1a1 and FOXO1) was higher in the tissue samples than in the peri-abutment fluid at 3 and 12 months. Electropolished abutments triggered higher expression of inflammatory cytokines (IL-8 and IL-1β) (in peri-abutment fluid) and regeneration factor FOXO1 (in peri-abutment tissue) than machined abutments. Several cytokine genes in the peri-abutment fluid correlated positively with the detection of aerobes, anaerobes and Staphylococcus species, as well as with high Holger scores. Conclusion: This study provides unprecedented molecular information on the biological processes of BAHS. Despite being apparently healed, the peri-abutment fluid harbours prolonged inflammatory activity in conjunction with the presence of different bacterial species. An electropolished abutment surface appears to be associated with stronger proinflammatory activity than that with a machined surface. The analysis of the peri-abutment fluid deserves further verification as a non-invasive sampling and diagnostic procedure of BAHS.
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5.
  • Seoane, Fernando, 1976-, et al. (författare)
  • Textile-Friendly Interconnection between Wearable Measurement Instrumentation and Sensorized Garments-Initial Performance Evaluation for Electrocardiogram Recordings.
  • 2019
  • Ingår i: Sensors. - : MDPI AG. - 1424-8220. ; 19:20
  • Tidskriftsartikel (refereegranskat)abstract
    • The interconnection between hard electronics and soft textiles remains a noteworthy challenge in regard to the mass production of textile-electronic integrated products such as sensorized garments. The current solutions for this challenge usually have problems with size, flexibility, cost, or complexity of assembly. In this paper, we present a solution with a stretchable and conductive carbon nanotube (CNT)-based paste for screen printing on a textile substrate to produce interconnectors between electronic instrumentation and a sensorized garment. The prototype connectors were evaluated via electrocardiogram (ECG) recordings using a sensorized textile with integrated textile electrodes. The ECG recordings obtained using the connectors were evaluated for signal quality and heart rate detection performance in comparison to ECG recordings obtained with standard pre-gelled Ag/AgCl electrodes and direct cable connection to the ECG amplifier. The results suggest that the ECG recordings obtained with the CNT paste connector are of equivalent quality to those recorded using a silver paste connector or a direct cable and are suitable for the purpose of heart rate detection.
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6.
  • 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.
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7.
  • Ortiz Catalan, Max Jair, 1982, et al. (författare)
  • Patterned Stimulation of Peripheral Nerves Produces Natural Sensations With Regards to Location but Not Quality
  • 2019
  • Ingår i: IEEE Transactions on Medical Robotics and Bionics. - 2576-3202. ; 1:3, s. 199-203
  • Tidskriftsartikel (refereegranskat)abstract
    • Sensory feedback is crucial for dexterous manipulation and sense of ownership. Electrical stimulation of severed afferent fibers due to an amputation elicits referred sensations in the missing limb. However, these sensations are commonly reported with a concurrent “electric” or “tingling” character (paresthesia). In this paper, we examined the effect of modulating different pulse parameters on the quality of perceived sensations. Three subjects with above-elbow amputation were implanted with cuff electrodes and stimulated with a train of pulses modulated in either amplitude, width, or frequency (“patterned stimulation”). Pulses were shaped using a slower carrier wave or via quasi-random generation. Subjects were asked to evaluate the natural quality of the resulting sensations using a numeric rating scale. We found that the location of the percepts was distally referred and somatotopically congruent, but their quality remained largely perceived as artificial despite employing patterned modulation. Sensations perceived as arising from the missing limb are intuitive and natural with respect to their location and, therefore, useful for functional restoration. However, our results indicate that sensory transformation from paresthesia to natural qualia seems to require more than patterned stimulation.
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8.
  • Rezaei Aghdam, Sina, 1989, et al. (författare)
  • Reducing Motion Artifacts in Microwave-Based Hemorrhagic Stroke Detection
  • 2019
  • Ingår i: 13th European Conference on Antennas and Propagation, EuCAP 2019.
  • Konferensbidrag (refereegranskat)abstract
    • The use of microwave technology for brain stroke detection opens up the opportunity for developing low-cost transportable devices which can be employed for rapid and prehospital detection of bleeding in patients with traumatic brain injury. Since the detection relies on changes in the scattering parameters of the tissues during pathological conditions, the movements in head or the antennas can deteriorate the detection accuracy. As a countermeasure to this problem, we introduce a technique for reducing the sensitivity of the detection system to motion artifacts. Via analyzing the scattering from an anatomically accurate model of human brain, we evidence that the channels between different pairs of antennas exhibit significantly different levels of sensitivity to the movement. Using this as a ground truth, we develop a generalized singular value decomposition (GSVD)-based approach for assigning appropriate weights to the channels between different antennas such that the probability of correct bleeding detection is maximized.
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9.
  • Rowa, Per, et al. (författare)
  • Automated Malaria Parasite Detection
  • 1977
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • A system for malaria parasite detection in thin blood-smears is presented. Sample slides prepared with standard methods are accepted. A low-cost TV-camera mounted on an ordinary microscope with a computer controlled stage is used as a picture sensor. Frames, digitized in windows of 64 x 64 pixels are fed into a special purpose picture processor at normal frame rate (25 frames/sec). In the picture processor measurements are made on the images at high speed. The classification problem is split into different levels each having different characteristics such as different sampling density. Four classes, three of which are different types of malaria parasites, are recognized. As a whole the classification is best labelled as a sequential pattern recognition procedure.In its preliminary version the system has been run at a speed comparable to that of a human operator, that is l 500 cells per minute. A test on 80 000 cells gave 25 false negatives out of 283 parasites (9%) and 41 false positives (0.05%).
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10.
  • Tomasic, Ivan, et al. (författare)
  • Comparison of publicly available beat detection algorithms performances on the ECGs obtained by a patch ECG device
  • 2019
  • Ingår i: 2019 42nd International Convention on Information and Communication Technology, Electronics and Microelectronics, MIPRO 2019 - Proceedings. - : Institute of Electrical and Electronics Engineers Inc.. - 9789532330984 ; , s. 275-278
  • Konferensbidrag (refereegranskat)abstract
    • Eight ECG beat detection algorithms, from the PhysioNet's WFDB and Cardiovascular Signal toolboxes, were tested on twenty measurements, obtained by the Savvy patch ECG device, for their accuracy in beat detection. On each subject, one measurement is obtained while sitting and one while running. Each measurement lasted from thirty seconds to one minute. The measurements obtained while running were more challenging for all the algorithms, as most of them almost perfectly detected all the beats on the measurements obtained in sitting position. However, when applied on the measurements obtained while running, all the algorithms have performed with decreased accuracy. Considering overall percentage of the faulty detected peaks, the four best algorithms were jqrs, from the Cardiovascular Signal Toolbox, and ecgpuwave, gqrs, and wqrs, from the WFDB Toolbox, with percentages of faulty detected beats 1.7, 2.3, 2.9, and 3, respectively. 
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11.
  • Zanoli, Massimiliano, 1989 (författare)
  • Ultra wideband microwave hyperthermia for brain cancer treatment
  • 2022
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Despite numerous clinical trials demonstrating that microwave hyperthermia is a powerful adjuvant modality in the treatment of cancers, there have been few instances where this method has been applied to brain tumors. The reason is a combination of anatomical and physiological factors in this site that require an extra degree of accuracy and precision in the thermal dose delivery. Current clinical applicators are not able to provide such control, partly because they are designed to operate at a single fixed frequency. In terms of treatment planning, the use of a single frequency is limiting as the size of the focal spot cannot be modified to accommodate the specific tumor volume and location. The introduction of ultra wide-band (UWB) systems opens up an opportunity to overcome these limitations, as they convey the possibility of adapting the focal spot and obtaining different power deposition patterns to reduce the heating of healthy tissues. In this thesis, we explore whether the current SAR-based treatment planning methods can be meaningfully translated to the UWB setting and propose new solutions for deep UWB microwave hyperthermia. We analyze the most commonly used cost functions for treatment planning optimization and discuss their suitability for use with UWB systems. Then, we propose a novel SAR-based cost function (HCQ) for UWB optimization that exhibits a high correlation with the resulting tumor temperature. To solve for the HCQ, we describe a novel, time-reversal-based, iterative scheme for a rapid and efficient optimization of UWB treatment plans. Next, we investigate the design possibilities of UWB brain applicators and introduce a fast E-field approximation scheme to quickly explore a large number of array configurations. The method determines the best antenna arrangement around the head with respect to the multiple objectives and requirements of clinical hyperthermia. Together, the proposed solutions manage to achieve the level of tumor coverage and hot-spot suppression that is necessary for a successful treatment. Finally, we investigate the benefit of integrating hyperthermia delivered by an optimized UWB applicator into the radiation therapy plan for a pediatric medulloblastoma patient. The results suggest that UWB microwave hyperthermia for brain cancer treatment is feasible and motivate efforts for further development of UWB applicators and systems.
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12.
  • Zeng, Xuezhi, 1980, et al. (författare)
  • Investigation of an ultra wideband noise sensor for health monitoring
  • 2020
  • Ingår i: Sensors. - : MDPI AG. - 1424-8220. ; 20:4
  • Tidskriftsartikel (refereegranskat)abstract
    • Quick on-scene assessment and early intervention is the key to reduce the mortality of stroke and trauma patients, and it is highly desirable to develop ambulance-based diagnostic and monitoring devices in order to provide additional support to the medical personnel. We developed a compact and low cost ultra wideband noise sensor for medical diagnostics and vital sign monitoring in pre-hospital settings. In this work, we demonstrated the functionality of the sensor for respiration and heartbeat monitoring. In the test, metronome was used to manipulate the breathing pattern and the heartbeat rate reference was obtained with a commercial electrocardiogram (ECG) device. With seventeen tests performed for respiration rate detection, sixteen of them were successfully detected. The results also show that it is possible to detect the heartbeat rate accurately with the developed sensor.
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13.
  • Eklund, Anders, 1965-, et al. (författare)
  • A catheter tactile sensor for measuring hardness of soft tissue : measurement in a silicone model and in an in vitro human prostate model
  • 1999
  • Ingår i: Medical and Biological Engineering and Computing. - 0140-0118 .- 1741-0444. ; 37:5, s. 618-624
  • Tidskriftsartikel (refereegranskat)abstract
    • Tissue hardness is related to tissue composition, and this is often changed by disease. It is therefore of interest to measure the hardness in an objective and non-invasive way. A tactile sensor based on a vibrating piezoelectric ceramic element in a feedback loop is described. When the sensor touches an object it produces a frequency shift related to the hardness of the object. The aim of this study was to develop an in vitro hardness measurement method using a catheter type version of the sensor. The method was evaluated in an established silicone tissue model and on human prostate tissue in vitro. A linear relationship was found with a high degree of explanation (R2 = 0.98) between a cone penetration hardness standard (DIN ISO 2137) applied to the silicone model and the corresponding frequency shift. The results from measurements on a human prostate tissue sample, fixed with formalin, showed that the relative hardness measured with the tactile sensor correlated (R = -0.96, p < 0.001, N = 60) with the proposed hardness related to the histological composition of the prostate tissue. The results indicated that hardness of prostate tissue, and maybe hardness of human tissue in general, can be expressed according to the cone penetration standard and that the hardness can be measured with this tactile sensory system. These findings hold the promise of further development of a non-invasive tool for hardness measurement in a clinical situation
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14.
  • Eklund, Anders, 1965-, et al. (författare)
  • A resonator sensor for measurement of intraocular pressure : evaluation in an in vitro pig-eye model
  • 2000
  • Ingår i: Physiological Measurement. - : IOP Publishing. - 0967-3334 .- 1361-6579. ; 21:3, s. 355-367
  • Tidskriftsartikel (refereegranskat)abstract
    • Intraocular pressure (IOP) measurement is performed routinely at every eye clinic. High IOP, which can be a sign of glaucoma, can lead to degeneration of the retina and can cause blindness. In this study we developed a resonator sensor for IOP measurement based on an oscillator consisting of a piezoelectric element made of lead zirconate titanate, a flat contact piece of nylon and a feedback circuit. The aim of this study was to evaluate the new sensor's ability to determine lOP in an in vitro pig-eye model. Six eyes from four pigs were removed and fixed in agar. They were then pressurized by a saline column (10-35 cm H2O) through a cannula inserted into the vitreous chamber. The IOP was measured with the resonator sensor applied to cornea. An Alcon applanation pneumatonometer and a standard Viggo-Spectramed pressure sensor connected to the saline column were used as references. The IOP as measured with the resonator sensor correlated well with the pressure elicited by the saline column for individual eyes (r = 0.96-0.99, n = 60) and for all eyes (r = 0.92, n = 360). The correlation between the resonance sensor and the pneumatonometer was r = 0.92 (n = 360). The pneumatonometer also showed a good correlation with the saline column (r = 0.98, n = 360). We conclude that our in vitro pig-eye model made it possible to induce reproducible variation in IOP, and measurement of that pressure with the newly developed resonator sensor gave very promising results for development of a clinically applicable IOP tonometer with unique properties.
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15.
  • Hellstrand Tang, Ulla, et al. (författare)
  • Exploring the Role of Complexity in Health Care Technology Bottom-Up Innovations : Multiple-Case Study Using the Nonadoption, Abandonment, Scale-Up, Spread, and Sustainability Complexity Assessment Tool
  • 2024
  • Ingår i: JMIR Human Factors. - : JMIR Publications. - 2292-9495. ; 11:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: New digital technology presents new challenges to health care on multiple levels. There are calls for further research that considers the complex factors related to digital innovations in complex health care settings to bridge the gap when moving from linear, logistic research to embracing and testing the concept of complexity. The nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework was developed to help study complexity in digital innovations.OBJECTIVE: This study aims to investigate the role of complexity in the development and deployment of innovations by retrospectively assessing challenges to 4 digital health care innovations initiated from the bottom up.METHODS: A multicase retrospective, deductive, and explorative analysis using the NASSS complexity assessment tool LONG was conducted. In total, 4 bottom-up innovations developed in Region Västra Götaland in Sweden were explored and compared to identify unique and shared complexity-related challenges.RESULTS: The analysis resulted in joint insights and individual learning. Overall, the complexity was mostly found outside the actual innovation; more specifically, it related to the organization's readiness to integrate new innovations, how to manage and maintain innovations, and how to finance them. The NASSS framework sheds light on various perspectives that can either facilitate or hinder the adoption, scale-up, and spread of technological innovations. In the domain of condition or diagnosis, a well-informed understanding of the complexity related to the condition or illness (diabetes, cancer, bipolar disorders, and schizophrenia disorders) is of great importance for the innovation. The value proposition needs to be clearly described early to enable an understanding of costs and outcomes. The questions in the NASSS complexity assessment tool LONG were sometimes difficult to comprehend, not only from a language perspective but also due to a lack of understanding of the surrounding organization's system and its setting.CONCLUSIONS: Even when bottom-up innovations arise within the same support organization, the complexity can vary based on the developmental phase and the unique characteristics of each project. Identifying, defining, and understanding complexity may not solve the issues but substantially improves the prospects for successful deployment. Successful innovation within complex organizations necessitates an adaptive leadership and structures to surmount cultural resistance and organizational impediments. A rigid, linear, and stepwise approach risks disregarding interconnected variables and dependencies, leading to suboptimal outcomes. Success lies in embracing the complexity with its uncertainty, nurturing creativity, and adopting a nonlinear methodology that accommodates the iterative nature of innovation processes within complex organizations.
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16.
  • Karlsson, Mattias (författare)
  • Model-based Analysis of Temporal Patterns in Atrioventricular Node Conduction During Atrial Fibrillation
  • 2022
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The lifetime risk of developing atrial fibrillation (AF) is estimated to be between 1in 3 to 1 in 4 individuals, making it the most common arrhythmia in the world.For persistent AF, rate control drugs with the purpose to affect the conduction properties of the atrioventricular (AV) node are the most common treatment. The drug of choice varies between β-blockers and calcium channel blockers, often chosen empirically. This can lead to long periods of time before sufficient treatment is found. However, due to the physiological differences between the drug types, it could be possible to predict the effect of the drugs and thus assist in treatment selection. The main focus of this thesis is therefore to assess drug-dependent differences in the AV node, using non-invasive measurements. This thesis comprises an introduction to the subject as well as two papers. The first paper proposes a framework for assessing the conduction properties of the AV node non-invasively using a mathematical model of the AV node in combination with a genetic algorithm.The second paper is a continuation of the work in paper I, where the proposed workflow was adapted to assess the drug-dependent effect on the AV node of four different rate control drugs during a period of 24 hours.The methods presented in this thesis have made it possible to assess both the refractory period and the conduction delay in the AV node in a robust way using ECG, and by doing so found population-related differences in AV node conduction properties between drug types.
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18.
  • Molin, Jesper, 1987, et al. (författare)
  • Slide navigation patterns among pathologists with long experience of digital review
  • 2015
  • Ingår i: Histopathology. - : Wiley. - 0309-0167 .- 1365-2559. ; 67:2, s. 185-192
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims: In order to develop efficient digital pathologyworkstations, we studied the navigation patterns ofpathologists diagnosing whole-slide images. To gain abetter understanding of these patterns, we built aconceptual model based on observations. We alsodetermined whether or not new navigation patternshave emerged among pathologists with extensive digitalexperience.Methods and results: Five pathologists were asked todiagnose a set of four cases while thinking out loud.The navigation within the digital slides was recordedand divided into re-occurring navigation actions. Thepathologists reused the same type of actions, but theiroccurrence differed. The most common action was aslow panning that followed an edge structure orcovered an area systematically, which accounted for30.2% of all actions and had a median duration of7.2 s. Of all the actions, 49% were carried out withinthe navigation overview and 38% of the actionscould not have been performed with a conventionalmicroscope.Conclusions: The new navigation possibilities in thedigital workstation were used to a large extent. Thedivision of actions into different concepts can be usedto find and prioritize between existing user interfacedesigns as well as to understand the different navigationstyles used by different pathologists.
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19.
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20.
  • Nyberg, Morgan, et al. (författare)
  • A combined tactile and Raman probe for tissue characterization - Design considerations
  • 2012
  • Ingår i: Measurement Science and Technology. - : IOP Publishing. - 0957-0233 .- 1361-6501. ; 23:6
  • Tidskriftsartikel (refereegranskat)abstract
    • Histopathology is the golden standard for cancer diagnosis and involves the characterization of tissue components. It is labour intensive and time consuming. We have earlier proposed a combined fibre-optic near-infrared Raman spectroscopy (NIR-RS) and tactile resonance method (TRM) probe for detecting positive surgical margins as a complement to interoperative histopathology. The aims of this study were to investigate the effects of attaching an RS probe inside a cylindrical TRM sensor and to investigate how laser-induced heating of the fibre-optic NIR-RS affected the temperature of the RS probe tip and an encasing TRM sensor. In addition, the possibility to perform fibre-optic NIR-RS in a well-lit environment was investigated. A small amount of rubber latex was preferable for attaching the thin RS probe inside the TRM sensor. The temperature rise of the TRM sensor due to a fibre-optic NIR-RS at 270 mW during 20 s was less than 2 degrees C. Fibre-optic NIR-RS was feasible in a dimmed bright environment using a small light shield and automatic subtraction of a pre-recorded contaminant spectrum. The results are promising for a combined probe for tissue characterization.
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21.
  • Pau, Ivan, et al. (författare)
  • Home e-health system integration in the Smart Home through a common media server.
  • 2009
  • Ingår i: EMBC: 2009 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY, VOLS 1-20. - 9781424432967 ; 2009, s. 6171-4
  • Konferensbidrag (refereegranskat)abstract
    • Home e-health systems and services are revealed as one of the most important challenges to promote Quality of Life related to Health in the Information Society. Leading companies have worked on e-health systems although the majority of them are addressed to hospital or primary care settings. The solution detailed in this paper offers a personal health system to be integrated with Smart Home services platform to support home based e-care. Thus, the home e-health system and architecture detailed in this research work is ready to supply a seamless personal care solution both from the biomedical data analysis, service provision, security guarantee and information management s point of view. The solution is ready to be integrated within the Accessible Digital Home, a living lab managed by Universidad Politécnica de Madrid for R&D activities.
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22.
  • Rigato, Cristina, 1989, et al. (författare)
  • Audiometric comparison between Bone Anchored Hearing Aid and Bone Conduction Implant
  • 2016
  • Ingår i: AudiologyNOW!2016.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Patients suffering from conductive or mixed hearing losses can often be successfully rehabilitated using bone conduction devices (BCDs). Percutaneous BCDs are widely used today, but the trend is to develop transcutaneous solutions able to providing equally good rehabilitation and less complications. Here, the transcutaneous Bone Conduction Implant was compared with percutaneous BCDs under the hypothesis that they are equally effective. Tone and speech audiometry and questionnaires were utilized to assess the overall performance. The outcome confirmed the initial hypothesis.
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23.
  • Seoane, Fernando, et al. (författare)
  • Slightly superior performance of bioimpedance spectroscopy over single frequency regression equations for assessment of total body water.
  • 2015
  • Ingår i: Engineering in Medicine and Biology Society (EMBC), 2015 37th Annual International Conference of the IEEE. 25-29 Aug. 2015, Milan, Italy.. - : IEEE. - 1094-687X .- 1558-4615. - 9781424492718 - 9781424492701 ; 2015, s. 3707-10
  • Konferensbidrag (refereegranskat)abstract
    • Electrical bioimpedance has been used for several decades to assess body fluid distribution and body composition by using single frequency and bioimpedance spectroscopic (BIS) techniques. It remains uncertain whether BIS methods have better performance compare to single frequency regression equations. In this work the performance of two BIS methods and four different 50 kHz single frequency prediction equations was studied in a data set of wrist-to-ankle tetrapolar BIS measurements (5-1000 kHz) together with reference values of total body water obtained by tritium dilution in 92 patients. Data were compared using regression techniques and Bland-Altman plots. The results of this study showed that all methods produced similarly high correlation and concordance coefficients, indicating good accuracy as a method. Limits of agreement analysis indicated that the population level performance of Sun's prediction equations was very similar to the performance of both BIS methods. However, BIS methods in practice have slightly better predictive performance than the single-frequency equations as judged by higher correlation and the limits of agreement from the Bland-Altman analysis. In any case, the authors believe that an accurate evaluation of performance of the methods cannot be done as long as the evaluation is done using Bland-Altman analysis, the commonly accepted technique for this kind of performance comparisons.
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24.
  • Tomasic, Ivan, et al. (författare)
  • Continuous remote monitoring of COPD patients—justification and explanation of the requirements and a survey of the available technologies
  • 2018
  • Ingår i: Medical & Biological Engineering & Computing. - : Springer Science and Business Media LLC. - 0140-0118 .- 1741-0444. ; 56:4, s. 547-569
  • Tidskriftsartikel (refereegranskat)abstract
    • Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a language that is adapted for engineers. Our aim is to bridge the gap between the technical and medical worlds and to facilitate and motivate future research in the field. We also present a justification, motivation, and explanation of how to monitor the most important parameters for COPD patients, together with pointers for the challenges that remain. Additionally, we propose and justify the importance of electrocardiograms (ECGs) and the arterial carbon dioxide partial pressure (PaCO2) as two crucial physiological parameters that have not been used so far to any great extent in the monitoring of COPD patients. We cover four possibilities for the remote monitoring of COPD patients: continuous monitoring during normal daily activities for the prediction and early detection of exacerbations and life-threatening events, monitoring during the home treatment of mild exacerbations, monitoring oxygen therapy applications, and monitoring exercise. We also present and discuss the current approaches to decision support at remote locations and list the normal and pathological values/ranges for all the relevant physiological parameters. The paper concludes with our insights into the future developments and remaining challenges for improvements to continuous remote monitoring systems. [Figure not available: see fulltext.]
  •  
25.
  • Capece, Sabrina, et al. (författare)
  • A general strategy for obtaining biodegradable polymer shelled microbubbles as theranostic devices
  • 2013
  • Ingår i: Chemical Communications. - 1359-7345 .- 1364-548X. ; 49:51, s. 5763-5765
  • Tidskriftsartikel (refereegranskat)abstract
    • Fabrication of multifunctional ultrasound contrast agents (UCAs) has been recently addressed by several research groups. A versatile strategy for the synthesis of UCA precursors in the form of biodegradable vesicles with a biocompatible crosslinked polymer shell is described. Upon ultrasound irradiation, acoustic droplet vaporization transforms such particles into microbubbles behaving as UCAs. This proof of concept entails the features of a potential theranostic microdevice.
  •  
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