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Sökning: L773:0094 2405 OR L773:2473 4209 > Intracranial haemor...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005121naa a2200469 4500
001oai:DiVA.org:kth-176635
003SwePub
008151109s2016 | |||||||||||000 ||eng|
009oai:DiVA.org:hb-8614
024a https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-1766352 URI
024a https://doi.org/10.1118/1.49392562 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-86142 URI
040 a (SwePub)kthd (SwePub)hb
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Atefi, Seyed Rezau KTH,Medicinska sensorer, signaler och system,Harvard Univsersity4 aut0 (Swepub:kth)u1j860kl
2451 0a Intracranial haemorrhage alters scalp potential distributions in bioimpedance cerebral monitoring applications :b preliminary results from FEM simulation on a realistic head model and human subjects
264 c 2016-01-13
264 1b American Association of Physicists in Medicine,c 2016
338 a print2 rdacarrier
500 a QC 20170111
500 a QS 2015
520 a Purpose: Current diagnostic neuroimaging for detection of intracranial hemorrhage (ICH) is limited to fixed scanners requiring patient transport and extensive infrastructure support. ICH diagnosis would therefore benefit from a portable diagnostic technology, such as electrical bioimpedance (EBI). Through simulations and patient observation, the authors assessed the influence of unilateral ICH hematomas on quasisymmetric scalp potential distributions in order to establish the feasibility of EBI technology as a potential tool for early diagnosis. Methods: Finite element method (FEM) simulations and experimental leftright hemispheric scalp potential differences of healthy and damaged brains were compared with respect to the asymmetry caused by ICH lesions on quasisymmetric scalp potential distributions. In numerical simulations, this asymmetry was measured at 25 kHz and visualized on the scalp as the normalized potential difference between the healthy and ICH damaged models. Proof-of-concept simulations were extended in a pilot study of experimental scalp potential measurements recorded between 0 and 50 kHz with the authors custom-made bioimpedance spectrometer. Mean leftright scalp potential differences recorded from the frontal, central, and parietal brain regions of ten healthy control and six patients suffering from acute/subacute ICH were compared. The observed differences were measured at the 5% level of significance using the two-sample Welch ttest. Results: The 3D-anatomically accurate FEM simulations showed that the normalized scalp potential difference between the damaged and healthy brain models is zero everywhere on the head surface, except in the vicinity of the lesion, where it can vary up to 5%. The authors preliminary experimental results also confirmed that the leftright scalp potential difference in patients with ICH (e.g., 64 mV) is significantly larger than in healthy subjects (e.g., 20.8 mV; P < 0.05). Conclusions: Realistic, proof-of-concept simulations confirmed that ICH affects quasisymmetric scalp potential distributions. Pilot clinical observations with the authors custom-made bioimpedance spectrometer also showed higher leftright potential differences in the presence of ICH, similar to those of their simulations, that may help to distinguish healthy subjects from ICH patients. Although these pilot clinical observations are in agreement with the computer simulations, the small sample size of this study lacks statistical power to exclude the influence of other possible confounders such as age, ex, and electrode positioning. The agreement with previously published simulation-based and clinical results, however, suggests that EBI technology may be potentially useful for ICH detection.
650 7a TEKNIK OCH TEKNOLOGIERx Medicinteknik0 (SwePub)2062 hsv//swe
650 7a ENGINEERING AND TECHNOLOGYx Medical Engineering0 (SwePub)2062 hsv//eng
653 a bioimpedance; FEM simulations; intracranial hemorrhage; prehospital triage; scalp equipotential lines
653 a Applied Medical Technology
653 a Tillämpad medicinsk teknik
653 a Människan i vården
700a Seoane, Fernandou Högskolan i Borås,KTH,Medicinska sensorer, signaler och system,Akademin för vård, arbetsliv och välfärd,KTH-School of Technology and Health4 aut0 (Swepub:hb)fsm
700a Kamalian, Shervin4 aut
700a Rosenthal, Eric4 aut
700a Lev, Michaelu Massachussets University Hospital4 aut
700a Bonmassar, Giorgiou Harvard University4 aut
710a KTHb Medicinska sensorer, signaler och system4 org
773t Medical Physicsd : American Association of Physicists in Medicineg 43:2, s. 675-686q 43:2<675-686x 2473-4209x 0094-2405
856u https://europepmc.org/articles/pmc4715008?pdf=render
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-176635
8564 8u https://doi.org/10.1118/1.4939256
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8614

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