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Showing papers in "IEEE Transactions on Biomedical Engineering in 1994"


Journal ArticleDOI
TL;DR: An implantable potentiostat-radiotelemetry system for in vivo sensing of glucose is described and the design, construction, operation, and performance of the system hardware and software are described and evaluated.
Abstract: An implantable potentiostat-radiotelemetry system for in vivo sensing of glucose is described. An enzyme electrode sensor measures the oxidation current of hydrogen peroxide formed by the stoichiometric conversion of glucose substrate and oxygen cofactor in an immobilized glucose oxidase layer. The sensor current is converted to a frequency and transmitted at programmable intervals (4, 32, 256 s) to a remote receiver. Low power CMOS circuitry is employed and device operation for up to 1.5 years is predicted using two series connected 250 mAh lithium cells. Crystal controlled RF frequencies uniquely identify each sensor allowing over 10 sensors within the same 10 m radius. A custom interface card allows a PC to program the receiver and handle the transmitted sensor data using software written in Microsoft C and QuickBasic. Software control allows on-the-fly sensor addition or subtraction to the sensor group being monitored. Over 10 sensors can be tracked long-term using the longest transmit interval, or four sensors can be tracked during short-term infusion studies when the transmit interval is reduced to 4 s. The design, construction, operation, and performance of the system hardware and software are described and evaluated. >

447 citations


Journal ArticleDOI
TL;DR: The present review compares and contrasts several of the new bio-heat transfer models, emphasizing the problematics of their experimental validation, in the absence of measuring equipment capable of reliable evaluation of tissue properties and their variations that occur in the spatial scale of blood vessels with diameters less than about 0.2 mm.
Abstract: Successful hyperthermia treatment of tumors requires understanding the attendant thermal processes in both diseased and healthy tissue. Accordingly, it is essential for developers and users of hyperthermia equipment to predict, measure and interpret correctly the tissue thermal and vascular response to heating. Modeling of heat transfer in living tissues is a means towards this end. Due to the complex morphology of living tissues, such modeling is a difficult task and some simplifying assumptions are needed. Some investigators have recently argued that Pennes' interpretation of the vascular contribution to heat transfer in perfused tissues fails to account for the actual thermal equilibration process between the flowing blood and the surrounding tissue and proposed new models, presumably based on a more realistic anatomy of the perfused tissue. The present review compares and contrasts several of the new bio-heat transfer models, emphasizing the problematics of their experimental validation, in the absence of measuring equipment capable of reliable evaluation of tissue properties and their variations that occur in the spatial scale of blood vessels with diameters less than about 0.2 mm. For the most part, the new models still lack sound experimental grounding, and in view of their inherent complexity, the best practical approach for modeling bio-heat transfer during hyperthermia may still be the Pennes model, providing its use is based on some insights gained from the studies described here. In such cases, these models should yield a more realistic description of tissue locations and/or thermal conditions for which the Pennes model might not apply. >

420 citations


Journal ArticleDOI
TL;DR: The findings suggest that the finite element method is suitable for studying normal and pathological cardiac activation and has significant advantages over existing techniques.
Abstract: A new computational method was developed for modeling the effects of the geometric complexity, nonuniform muscle fiber orientation, and material inhomogeneity of the ventricular wall on cardiac impulse propagation. The method was used to solve a modification to the FitzHugh-Nagumo system of equations. The geometry, local muscle fiber orientation, and material parameters of the domain were defined using linear Lagrange or cubic Hermite finite element interpolation. Spatial variations of time-dependent excitation and recovery variables were approximated using cubic Hermite finite element interpolation, and the governing finite element equations were assembled using the collocation method. To overcome the deficiencies of conventional collocation methods on irregular domains, Galerkin equations for the no-flux boundary conditions were used instead of collocation equations for the boundary degrees-of-freedom. The resulting system was evolved using an adaptive Runge-Kutta method. Converged two-dimensional simulations of normal propagation showed that this method requires less CPU time than a traditional finite difference discretization. The model also reproduced several other physiologic phenomena known to be important in arrhythmogenesis including: Wenckebach periodicity, slowed propagation and unidirectional block due to wavefront curvature, reentry around a fixed obstacle, and spiral wave reentry. In a new result, the authors observed wavespeed variations and block due to nonuniform muscle fiber orientation. The findings suggest that the finite element method is suitable for studying normal and pathological cardiac activation and has significant advantages over existing techniques. >

402 citations


Journal ArticleDOI
TL;DR: A platform-based signal processing system has been designed to interface with several active probes, providing direct analog access to the recording sites, performing on-chip analog-to-digital conversion of neural activity, and providing simple binary-output recognition of single-unit spike events using a user-input threshold voltage.
Abstract: Describes a 3-D microelectrode array for the chronic recording of single-unit activity in the central nervous system. The array is formed by a microassembly of planar silicon multishank microprobes, which are precisely positioned in a micromachined platform that resides on the surface of the cortex. Interconnects between the probes and the platform are formed using electroplated nickel lead transfers, implemented using automated computer control. All dimensions are controlled to /spl plusmn/1 /spl mu/m and shank/probe separations as small as 100 /spl mu/m are possible. Four-probe 16-shank prototype arrays have been tested chronically in guinea pig cortex. After three months in vivo, no significant tissue reaction has been observed surrounding these structures when they remain free to move with the brain, with normal appearing tissue between shanks spaced at 150 /spl mu/m to 200 /spl mu/m intervals. The array structure is compatible with the use of signal processing circuitry both on the probes and on the platform. A platform-based signal processing system has been designed to interface with several active probes, providing direct analog access to the recording sites, performing on-chip analog-to-digital conversion of neural activity, and providing simple binary-output recognition of single-unit spike events using a user-input threshold voltage. >

400 citations


Journal ArticleDOI
Irena Cosic1
TL;DR: The authors represent a whole new view to biomolecular interactions, in particular protein-protein and protein-DNA interactions, based on the assumption that these interactions are electromagnetic in their nature.
Abstract: Biological processes in any living organism are based on selective interactions between particular biomolecules. In most cases, these interactions involve and are driven by proteins which are the main conductors of any living process within the organism. The physical nature of these interactions is still not well known. The authors represent a whole new view to biomolecular interactions, in particular protein-protein and protein-DNA interactions, based on the assumption that these interactions are electromagnetic in their nature. This new approach is incorporated in the Resonant Recognition Model (RRM), which was developed over the last 10 years. It has been shown initially that certain periodicities within the distribution of energies of delocalized electrons along a protein molecule are critical for protein biological function, i.e., interaction with its target. If protein conductivity was introduced, then a charge moving through protein backbone can produce electromagnetic irradiation or absorption with spectral characteristics corresponding to energy distribution along the protein. The RRM enables these spectral characteristics, which were found to be in the range of infrared and visible light, to be calculated. These theoretically calculated spectra were proved using experimentally obtained frequency characteristics of some light-induced biological processes. Furthermore, completely new peptides with desired spectral characteristics, and consequently corresponding biological activities, were designed. >

352 citations


Journal ArticleDOI
TL;DR: A novel neural network approach is presented for the automated separation of melanoma from 3 benign categories of tumors which exhibit melanoma-like characteristics and is able to obtain above 80% correct classification of the malignant and benign tumors on real skin tumor images.
Abstract: Malignant melanoma is the deadliest form of all skin cancers. Approximately 32,000 new cases of malignant melanoma were diagnosed in 1991 in the United States, with approximately 80% of patients expected to survive 5 years. Fortunately, if detected early, even malignant melanoma may be treated successfully, Thus, in recent years, there has been rising interest in the automated detection and diagnosis of skin cancer, particularly malignant melanoma. Here, the authors present a novel neural network approach for the automated separation of melanoma from 3 benign categories of tumors which exhibit melanoma-like characteristics. The approach uses discriminant features, based on tumor shape and relative tumor color, that are supplied to an artificial neural network for classification of tumor images as malignant or benign. With this approach, for reasonably balanced training/testing sets, the authors are able to obtain above 80% correct classification of the malignant and benign tumors on real skin tumor images. >

269 citations


Journal ArticleDOI
TL;DR: Describes the design, fabrication, and testing of miniature ultraflexible ribbon cables for use with micromachined silicon microprobes capable of chronic recording and/or stimulation in the central nervous system (CNS).
Abstract: Describes the design, fabrication, and testing of miniature ultraflexible ribbon cables for use with micromachined silicon microprobes capable of chronic recording and/or stimulation in the central nervous system (CNS). These interconnects are of critical importance in reliably linking these microelectrodes to the external world through a percutaneous connector. The silicon cables allow the realization of multilead, multistrand shielded local interconnects that are extremely flexible and yet strong enough to withstand normal handling and surgical manipulation. Cables 5 /spl mu/m thick, 1-5 cm long, and from 60 to 250 /spl mu/m wide have been fabricated with up to eight leads. The series lead resistance is typically 4 k/spl Omega//cm for polysilicon and 500 /spl Omega//cm for tantalum with shunt capacitance values of 5-10 pF/cm and an interlead capacitance below 10 fF/cm. Soak tests in buffered saline performed under electrical and mechanical stress have been underway for over three years and show subpicoampere leakage levels. Silicon microprobes with built-in ribbon cables have remained functional for up to one gear in the guinea pig CNS, recording driven single-unit activity and maintaining impedance levels in the 1-7 M /spl Omega/ range. >

202 citations


Journal ArticleDOI
TL;DR: Presents a method to analyze and filter digital signals of finite duration by means of a time-frequency representation, and proposes orthogonal and periodic basic discrete wavelets to get a correct invertibility of this procedure.
Abstract: Presents a method to analyze and filter digital signals of finite duration by means of a time-frequency representation. This is done by defining a purely invertible discrete transform, representing a signal either in the time or in the time-frequency domain, as simply as possible with the conventional discrete Fourier transform between the time and the frequency domains. The wavelet concept has been used to build this transform. To get a correct invertibility of this procedure, the authors have proposed orthogonal and periodic basic discrete wavelets. The properties of such a transform are described, and examples on brain-evoked potential signals are given to illustrate the time-frequency filtering possibilities. >

194 citations


Journal ArticleDOI
TL;DR: The adaptive process is considerably simplified by designing the notch filters by pole-zero placement on the unit circle using some suggested rules, and a constrained least mean-squared algorithm is used for the adaptive process.
Abstract: Investigates adaptive digital notch filters for the elimination of powerline noise from biomedical signals. Since the distribution of the frequency variation of the powerline noise may or may not be centered at 60 Hz. Three different adaptive digital notch filters are considered. For the first case, an adaptive FIR second-order digital notch filter is designed to track the center frequency variation. For the second case, the zeroes of an adaptive IIR second-order digital notch filter are fixed on the unit circle and the poles are adapted to find an optimum bandwidth to eliminate the noise to a pre-defined attenuation level. In the third case, both the poles and zeroes of the adaptive IIR second-order filter are adapted to track the center frequency variation within an optimum bandwidth. The adaptive process is considerably simplified by designing the notch filters by pole-zero placement on the unit circle using some suggested rules. A constrained least mean-squared algorithm is used for the adaptive process. To evaluate their performance, the three adaptive notch filters are applied to a powerline noise sample and to a noisy EEG as an illustration of a biomedical signal. >

187 citations


Journal ArticleDOI
TL;DR: A micromachined silicon sieve electrode has been developed and fabricated to record from and stimulate axons/fibers of the peripheral nervous system by utilizing the nerve regeneration principle, and the electrodes were implanted between the cut ends of peripheral taste fibers of rats.
Abstract: A micromachined silicon sieve electrode has been developed and fabricated to record from and stimulate axons/fibers of the peripheral nervous system by utilizing the nerve regeneration principle. The electrode consists of a 15-/spl mu/m-thick silicon support rim, a 4-/spl mu/m-thick diaphragm containing different size holes to allow nerve regeneration, thin-film iridium recording/stimulating sites, and an integrated silicon ribbon cable, all fabricated using boron etch-step and silicon micromachining techniques. The thin diaphragm is patterned using reactive ion etching to obtain different size holes with diameters as small as 1 /spl mu/m and center-center spacings as small as 10 /spl mu/m. The holes are surrounded by 100-200 /spl mu/m/sup 2/ anodized iridium oxide sites, which can be used for both recording and stimulation. These sites have impedances of less than 100 k/spl Omega/ @ 1 kHz and charge delivery capacities in the 4-6 mC/cm/sup 2/ range. The fabrication process is single-sided, has high yield, requires only five masks, and is compatible with integrated multilead silicon ribbon cables. The electrodes were implanted between the cut ends of peripheral taste fibers of rats (glossopharyngeal nerve), and axons functionally regenerated through holes, responding to chemical, mechanical, and thermal stimuli. >

164 citations


Journal ArticleDOI
TL;DR: In this paper, a new process for the fabrication of regeneration microelectrode arrays for peripheral and cranial nerve applications is presented, which provides a thin membrane for the via holes, surrounded by a thick silicon supporting rim.
Abstract: A new process for the fabrication of regeneration microelectrode arrays for peripheral and cranial nerve applications is presented. This type of array is implanted between the severed ends of nerves, the axons of which regenerate through via holes in the silicon and are thereafter held fixed with respect to the microelectrodes. The process described is designed for compatibility with industry-standard CMOS or BiCMOS processes (it does not involve high-temperature process steps nor heavily-doped etch-stop layers), and provides a thin membrane for the via holes, surrounded by a thick silicon supporting rim. Many basic questions remain regarding the optimum via hole and microelectrode geometries in terms of both biological and electrical performance of the implants, and therefore passive versions were fabricated as tools for addressing these issues in on-going work. Versions of the devices were implanted in the rat peroneal nerve and in the frog auditory nerve. In both cases, regeneration was verified histologically and it was observed that the regenerated nerves had reorganized into microfascicles containing both myelinated and unmyelinated axons and corresponding to the grid pattern of the via holes. These microelectrode arrays were shown to allow the recording of action potential signals in both the peripheral and cranial nerve settings, from several microelectrodes in parallel. >

Journal ArticleDOI
S. Labonte1
TL;DR: A theoretical model for the study of the radiofrequency (RF) ablation technique is presented, relying on a finite-element time-domain calculation of the temperature distribution in a block of tissue, resulting from the flow of RF (<1 MHz) electrical current.
Abstract: A theoretical model for the study of the radiofrequency (RF) ablation technique is presented. The model relies on a finite-element time-domain calculation of the temperature distribution in a block of tissue, resulting from the flow of RF ( >

Journal ArticleDOI
TL;DR: The Hermite approach is found to be suitable for classification of spectral shapes and compression of spectral information of either voluntary or evoked signals, and very promising for neuromuscular diagnosis and assessment.
Abstract: Nonstationary signals with finite time support are frequently encountered in electrophysiology and other fields of biomedical research. It is often desirable to have a compact description of their shape and of their time evolution. For this purpose, Fourier analysis is not necessarily the best tool. The Hermite-Rodriguez and Associated Hermite basis functions are applied in this work. Both are based on the product of Hermite polynomials and Gaussian functions. Their general properties relevant to biomedical signal processing are reviewed. Preliminary applications are described concerning the analysis and description of: a) test signals such as a square pulse and a single cycle of a sinewave, b) electrically evoked myoelectric signals, and c) power spectra of either voluntary or evoked signals. It is shown that expansions with only five to ten terms provide an excellent description of the computer simulated and real signals. It is shown that these two families of Hermite functions are well suited for the analysis of nonstationary biological evoked potentials with compact time support. An application to the estimation of scaling factors of electrically evoked myoelectric signals is described. The Hermite functions show advantages with respect to the more traditional spectral analysis, especially in the case of signal truncation due to stimulation with interpulse intervals smaller than the duration of the evoked response. Finally, the Hermite approach is found to be suitable for classification of spectral shapes and compression of spectral information of either voluntary or evoked signals. The approach is very promising for neuromuscular diagnosis and assessment because of its capability for information compression and waveform classification. >

Journal ArticleDOI
TL;DR: A new approach to closed loop controlled ventilation, called adaptive lung ventilation (ALV), based on a pressure controlled ventilation mode suitable for paralyzed, as well as spontaneously breathing, subjects, is presented.
Abstract: Closed loop control of ventilation is traditionally based on end-tidal or mean expired CO/sub 2/. The controlled variables are the respiratory rate RR and the tidal volume V/sub T/. Neither patient size or lung mechanics were considered in previous approaches. Also the modes were not suitable for spontaneously breathing subjects. This report presents a new approach to closed loop controlled ventilation, called adaptive lung ventilation (ALV). ALV is based on a pressure controlled ventilation mode suitable for paralyzed, as well as spontaneously breathing, subjects. The clinician enters a desired gross alveolar ventilation (V/sub gA/' in l/min), and the ALV controller tries to achieve this goal by automatic adjustment of mechanical rate and inspiratory pressure level. The adjustments are based on measurements of the patient's lung mechanics and series dead space. The ALV controller was tested on a physical lung model with adjustable mechanical properties. Three different lung pathologies were simulated on the lung model to test the controller for rise time (T/sub 90/), overshoot (Y/sub m/), and steady state performance (/spl Delta//sub max/). The pathologies corresponded to restrictive lung disease (similar to ARDS), a "normal" lung, and obstructive lung disease (such as asthma). Furthermore, feasibility tests were done in 6 patients undergoing surgical procedures in total intravenous anesthesia. In the model studies, the controller responded to step changes between 48 seconds and 81 seconds. It did exhibit an overshoot between 5.5% and 7.9% of the setpoint after the step change. The maximal variation of V/sub gA/' in steady-state was between /spl plusmn/4.4% and /spl plusmn/5.6% of the setpoint value after the step change. In the patient study, the controller maintained the set V/sub gA/' and adapted the breathing pattern to the respiratory mechanics of each individual patient. >

Journal ArticleDOI
TL;DR: The authors' results are largely consistent with the crossbridge theory of muscle contraction, indicating that transient and continuous displacements evoke different, although functionally relevant, aspects of muscle behavior.
Abstract: Continuous stochastic position perturbations are an attractive alternative to transient perturbations in muscle and reflex studies because they allow efficient characterization of system properties. However, the relevance of the results obtained from stochastic perturbations remains unclear because they may induce a state change in muscle properties. The authors addressed this concern by comparing the force and stiffness responses of isolated muscles of the decerebrate cat elicited by stochastic perturbations to those evoked by "step" stretches of similar amplitudes. Muscle stiffness during stochastic perturbations was found to be predominantly linear and elastic in nature for a given operating point, showing no evidence of instantaneous amplitude-dependent nonlinearities, even during large movements. In contrast, force responses evoked by step stretches were found to be mainly viscous in nature and nonlinear for larger stretches, with only a small maintained (elastic) component. Stiffness magnitude decreased with displacement amplitude for both stochastic and step perturbations. The authors' results are largely consistent with the crossbridge theory of muscle contraction, indicating that transient and continuous displacements evoke different, although functionally relevant, aspects of muscle behavior. These differences have several implications for the neural control of posture and movement, and for the design of perturbations appropriate for its study. >

Journal ArticleDOI
TL;DR: The results are consistent with the lungs being the major origin of both the cardiac and respiratory related components, and the origin of the cardiac related impedance changes could be the pulsatile volume changes in the pulmonary tree.
Abstract: Electrical impedance measurements have been made from the human trunk over the frequency range 9.6 kHz to 614 kHz. Measurements have been made from 12 normal subjects and the amplitude of the impedance changes associated with the cardiac and respiratory cycles have been recorded. It was found that the real part of the impedance fell to 64.0% of its low frequency value over the measured range of frequencies and that the changes associated with respiration fell in a similar manner. However, the cardiac related changes fell more rapidly with increasing frequency to 28.2% of the low frequency value. The origin of the measured changes is discussed with a view to understanding why the cardiac related changes fall more rapidly. It is not possible to relate in any simple way the frequency dispersion of a single component to that of the whole trunk. However, the results are consistent with the lungs being the major origin of both the cardiac and respiratory related components. The origin of the cardiac related impedance changes could be the pulsatile volume changes in the pulmonary tree. These could be shunted by nonpulsatile lung tissue that has decreasing impedance at high frequency and thus decreases the relative magnitude of the cardiac related changes. This hypothesis needs to be tested using localized measurements from the thorax and 3D modeling of the trunk. >

Journal ArticleDOI
TL;DR: Andreassen et al. as mentioned in this paper proposed a linear filter for each individual neuron, tuned to selectively respond to the spike waveform generated by the corresponding neuron, and to attenuate noise and spike waveforms from all other neurons.
Abstract: Describes advanced protocols for the discrimination and classification of neuronal spike waveforms within multichannel electrophysiological recordings. The programs are capable of detecting and classifying the spikes from multiple, simultaneously active neurons, even in situations where there is a high degree of spike waveform superposition on the recording channels. The protocols are based on the derivation of an optimal linear filter for each individual neuron. Each filter is tuned to selectively respond to the spike waveform generated by the corresponding neuron, and to attenuate noise and the spike waveforms from all other neurons. The protocol is essentially an extension of earlier work (S. Andreassen et al., 1979; W.M. Roberts and D.K. Hartline, 1975; R.B. Stein et al., 1979). However, the protocols extend the power and utility of the original implementations in two significant respects. First, a general single-pass automatic template estimation algorithm was derived and implemented. Second, the filters were implemented within a software environment providing a greatly enhanced functional organization and user interface. The utility of the analysis approach was demonstrated on samples of multiunit electrophysiological recordings from the cricket abdominal nerve cord. >

Journal ArticleDOI
TL;DR: A nonlinear nonisometric muscle model based on a Hill-type structure is presented and demonstrated that the parameterized model is capable of predicting force output with reasonable accuracy for a wide range of simultaneously varying kinematic and stimulation inputs.
Abstract: Designing advanced controllers for motor neural prosthesis applications requires appropriate models for electrically stimulated muscle. A nonlinear nonisometric muscle model based on a Hill-type structure is presented. Estimation algorithms were derived to parameterize the passive force-length, the passive force-velocity, the active force-length, and the active force-velocity properties, the isometric recruitment curve, and the linear contraction dynamics of the model. All parameters were based on experimental measurements rather than on values taken from the literature. The estimation methods were validated experimentally using isolated hind-limb muscles in two acute animal model preparations. The results demonstrated that the parameterized model is capable of predicting force output with reasonable accuracy for a wide range of simultaneously varying kinematic and stimulation inputs. >

Journal ArticleDOI
TL;DR: An analytic solution is derived for the magnetic field generated by current sources located in a piecewise homogeneous volume conductor using a linear discretization approach, whereby the surface potential is assumed to be a pieceswise linear function over each tessellated surface defining the regions of differing conductivity.
Abstract: An analytic solution is derived for the magnetic field generated by current sources located in a piecewise homogeneous volume conductor. A linear discretization approach is used, whereby the surface potential is assumed to be a piecewise linear function over each tessellated surface defining the regions of differing conductivity. The magnetic field is shown to be a linear combination of vector functions which are strictly dependent on the geometry of the problem, the surface tesselation, and the observation point. >

Journal ArticleDOI
TL;DR: Numerical calculations simulated the response of cardiac muscle to stimulation by electrical current using the bidomain model with unequal anisotropy ratios to show that the virtual cathode size and shape were dependent upon both membrane and tissue conductivities.
Abstract: Numerical calculations simulated the response of cardiac muscle to stimulation by electrical current. The bidomain model with unequal anisotropy ratios represented the tissue, and parallel leak and active sodium channels represented the membrane conductance. The speed of the wavefront was faster in the direction parallel to the myocardial fibers than in the direction perpendicular to them. However, for cathodal stimulation well above threshold, the wavefront originated farther from the cathode in the direction perpendicular to the myocardial fibers than in the direction parallel to them, consistent with observations of a dog-bone-shaped virtual cathode made by Wikswo et al., (Circ. Res., vol.68, p.513-30, 1991). The model showed that the virtual cathode size and shape were dependent upon both membrane and tissue conductivities. Increasing the peak Na conductance or reducing the transverse intracellular conductivity accentuated the dog-bone shape, while the opposite change caused the virtual cathode to become more elliptical, with the major axis of the ellipse transverse to the fiber direction. A cathodal stimulus created regions of hyperpolarization that slowed conduction of the wavefront propagating parallel to the fibers. An anodal stimulus evoked a wavefront with a complex shape; activation originated from two depolarized regions 1 to 2 mm from the stimulus site along the fiber direction. The threshold current strength (0.5 ms duration pulse) for a cathodal stimulus was 0.048 mA, and for an anodal stimulus was 0.67 mA. When the model was modified to simulate the effect of electropermeabilization, which may be present, when the transmembrane potential reaches very large values near the stimulating electrode, the authors' qualitative conclusions remained unchanged. >

Journal ArticleDOI
TL;DR: The MOBD algorithms provide a good performance tradeoff between accuracy and response time, making this type of algorithm desirable for real-time microprocessor-based implementation.
Abstract: A class of algorithms has been developed which detects QRS complexes in the electrocardiogram (ECG). The algorithms employ nonlinear transforms derived from multiplication of backward differences (MOBD). The algorithms are evaluated with the American Heart Association ECG database, and comparisons are made with the algorithms reported by Okada (1979) and by Hamilton and Tompkins (1986). The MOBD algorithms provide a good performance tradeoff between accuracy and response time, making this type of algorithm desirable for real-time microprocessor-based implementation. >

Journal ArticleDOI
TL;DR: This study derives effective boundary conditions for potentials and currents on the interface between syncytial tissue and a surrounding volume conductor based on an idealized representation of thesyncytium as a network of interconnected cells arranged periodically in space.
Abstract: This study derives effective boundary conditions for potentials and currents on the interface between syncytial tissue and a surrounding volume conductor. The derivation is based on an idealized representation of the syncytium as a network of interconnected cells arranged periodically in space. The microscopic model of an interface assumes that the extracellular fluid is in direct contact with the outside volume conductor and that the inside of the cells is separated from the outside by the membrane. From this microscopic model, a homogenization process and boundary layer analysis derive effective boundary conditions applicable to macroscopic volume-averaged potentials. These effective boundary conditions call for the extracellular potential and current density to be continuous with the potential and current density in the volume conductor, and for the intracellular current to vanish. Hence, the long-debated appropriate boundary conditions for the bidomain model are established. >

Journal ArticleDOI
TL;DR: A simulation study illustrates the artifacts of every time-frequency representation on pure sinusoids and gives performance evaluation of the different methods when searching a sinusoid embedded in a QRS complex.
Abstract: The main transforms of Cohen's class allow signal representation simultaneously in time and frequency domains. Wavelet transforms make it possible to link the temporal window width to the analyzing frequency and leads to a "modified wavelet transform" which improves resolution both in time and frequency. A simulation study illustrates the artifacts of every time-frequency representation on pure sinusoids and gives performance evaluation of the different methods when searching a sinusoid embedded in a QRS complex. Analyses of real signals from healthy and pathological subjects confirm the simulation results and complete the characterization of ventricular late potentials yet detected by signal averaging. >

Journal ArticleDOI
TL;DR: Ray tracing analysis of the tapered probe demonstrated that the evanescent wave penetration depth increases along the length of the taper, and factors leading to the determination of the optimized probe are discussed.
Abstract: For pt.I see ibid., vol.41, no.6, p.578-84 (1994). A biosensor was developed using antibodies, fluorescence and the evanescent wave to detect antigen binding at the surface of an optical fiber. Cladding was removed from the core along the distal end of a step-index optical fiber, and recognition antibodies were immobilized on the declad core to form the probe sensing region. Immersing the declad probe in aqueous solution creates a V-number mismatch between the immersed probe and the clad fiber. Probes created with reduced sensing region radius exhibited improved response by decreasing the V-number mismatch. Tapering the radius of this region has further improved probe response. Ray tracing analysis of the tapered probe demonstrated that the evanescent wave penetration depth increases along the length of the taper. Experiments correlating position of refraction along the taper with launch angle at the proximal end were realized in the ray tracing model. An evanescent wave immunoassay was performed with a series of the tapered fiber probes, each tapered from the fiber core radius (100 /spl mu/m) to different end radii. An end radius of 29 /spl mu/m was found to produce maximal signal from the tapered probe. Factors leading to the determination of the optimized probe are discussed. >

Journal ArticleDOI
TL;DR: To assess the accuracy of solutions to the inverse problem of electrocardiography in man, epicardial potentials computed from thoracic potential distributions were compared to potentials measured directly over the surface of the heart during arrhythmia surgery.
Abstract: To assess the accuracy of solutions to the inverse problem of electrocardiography in man, epicardial potentials computed from thoracic potential distributions were compared to potentials measured directly over the surface of the heart during arrhythmia surgery. Three-dimensional finite element models of the thorax with different mesh resolutions and conductivity inhomogeneities were constructed from serial computerized tomography scans of a patient. These torso models were used to compute transfer matrices relating the epicardial potentials to the thoracic potentials. Potential distributions over the torso and the ventricles were measured with 63 leads in the same patient whose anatomical data was used to construct the torso models. To solve the inverse problem, different methods based on Tykhonov regularization or regularization-truncation were applied. The recovered epicardial potential distributions closely resembled the epicardial potential distributions measured early during ventricular preexcitation, but not the more complex distributions measured later during the QRS complex. Several problems encountered as the validation process is applied in man are also discussed. >

Journal ArticleDOI
TL;DR: The minimum detectable size of a formed-element embolus can be established as a function of carrier frequency and vessel size from a theory describing pulse Doppler ultrasound signals due to backscattering due to emboli in flowing blood.
Abstract: A theory describing pulse Doppler ultrasound signals due to backscattering due to emboli in flowing blood is presented. From this theory, the minimum detectable size of a formed-element embolus can be established as a function of carrier frequency and vessel size. Emboli can be sized and characterized, based on the ratio of the amplitude of the Doppler signal during embolus passage through the sample volume to background bloodflow Doppler signal when no embolus is present. This ratio is defined as the "embolus to blood ratio" (EBR). Size estimation of emboli can be done by insonating an embolus with a single frequency and measuring the EBR, only if the embolus does not exceed a certain size, and if the vessel diameter and per cent hematocrit are known. Using two different frequencies, the vessel geometry (diameter and sample volume length) and per cent hematocrit can be eliminated from calculation of embolus size. Sources of uncertainty in the EBR and their effect on embolus size estimation are discussed. Discrimination between gas and formed-element emboli is described, given a detector with sufficient dynamic range, and use of three carrier frequencies. The theory presented here is in agreement with experimental findings of other investigators. >

Journal ArticleDOI
TL;DR: The device was used for nerve recordings in the presence of electrical stimulation of muscles in the same leg and showed rejection of stimulation and muscle (M-wave) artifacts, while retaining the information of interest.
Abstract: An electronic circuit for analog processing of neural (electroneurogram or ENG) and muscular (electromyogram or EMG) signals in functional electrical stimulation (FES) systems is described. The basic circuit consists of a low-noise gated preamplifier, bandpass filter, amplifier, and a blanking circuit to minimize stimulation artifacts during electrical stimulation. This device was tested in chronic recordings using a triphasic cliff electrode for nerves and epimysial electrodes for muscles in the hind limbs of cats. The device was used for nerve recordings in the presence of electrical stimulation of muscles in the same leg. The recordings showed rejection of stimulation and muscle (M-wave) artifacts, while retaining the information of interest. >

Journal ArticleDOI
TL;DR: An appropriate nonlinear model of the insulin/glucose regulatory system into an adaptive controller should predict the insulin-dependent glucose removal more reliably and hence provide better control over a wide spectrum of insulin signals.
Abstract: The design of plasma glucose controllers traditionally relies on linear approaches. The implementation of an appropriate nonlinear model of the insulin/glucose regulatory system into an adaptive controller should predict the insulin-dependent glucose removal more reliably and hence provide better control over a wide spectrum of insulin signals. A discretized form of the model leads to a two-step procedure. First, the measured plasma glucose levels associated with the erogeneous glucose infusion rates are used in the estimation of the past removal rates which, in turn, can be expressed as a weighted sum of past insulin inputs and previous values of the removal rate. Parameters of the sum are adjusted on-line by a recursive method of estimation which features a prefiltering of data to account for a corrupting coloured process noise. The same equation is in turn used to predict the time course of the insulin-dependent fractional rate of glucose removal. The performance of the controller. Tested in vivo in three pigs, is presented for various intravenous or subcutaneous rapid injections and staircase infusions of insulin. Plasma glucose is maintained at an average level of 99.9/spl plusmn/8.7% of the target value (% set point/spl plusmn/coefficient of variation). The controller reacts promptly to large and rapid variations in insulin action. Although control improves with the number of glucose measurements, the prediction of glucose removal allows for some flexibility in the monitoring of the plasma glucose. Sampling frequency varied from a 2 min interval during transient periods to 7 min as steady states were reached. >

Journal ArticleDOI
TL;DR: The purpose of this paper is to present an algorithm for automatically measuring source-tract interaction for voiced speech, and to present a simple speech production model that incorporates source-Tract interaction into the glottal source model.
Abstract: The quality of synthetic speech is affected by two factors: intelligibility and naturalness. At present, synthesized speech may be highly intelligible, but often sounds unnatural. Speech intelligibility depends on the synthesizer's ability to reproduce the formants, the formant bandwidths, and formant transitions, whereas speech naturalness is thought to depend on the excitation waveform characteristics for voiced and unvoiced sounds. Voiced sounds may be generated by a quasiperiodic train of glottal pulses of specified shape exciting the vocal tract filter. It is generally assumed that the glottal source and the vocal tract filter are linearly separable and do not interact. However, this assumption is often not valid, since it has been observed that appreciable source-tract interaction can occur in natural speech. Previous experiments in speech synthesis have demonstrated that the naturalness of synthetic speech does improve when source-tract interaction is simulated in the synthesis process. The purpose of this paper is two-fold: (1) to present an algorithm for automatically measuring source-tract interaction for voiced speech, and (2) to present a simple speech production model that incorporates source-tract interaction into the glottal source model, This glottal source model controls: (1) the skewness of the glottal pulse, and (2) the amount of the first formant ripple superimposed on the glottal pulse. A major application of the results of this paper is the modeling of vocal disorders. >

Journal ArticleDOI
TL;DR: A phenomenological mathematical model of a single site of the surface EMG waveform is described and reports on experimental studies which examined the performance of several temporal whitening filters.
Abstract: Previous investigators have experimentally demonstrated and/or analytically predicted that temporal whitening of the surface electromyograph (EMG) waveform prior to demodulation improves the EMG amplitude estimate. However, no systematic study of the influence of various whitening filters upon amplitude estimate performance has been reported. The authors describe a phenomenological mathematical model of a single site of the surface EMG waveform and reports on experimental studies which examined the performance of several temporal whitening filters. Surface EMG waveforms were sampled during nonfatiguing, constant-force, isometric contractions of the biceps or triceps muscles, over the range of 10-75% maximum voluntary contraction. A signal-to-noise ratio (SNR) was computed from each amplitude estimate (deviations about the mean value of the estimate were considered as noise). A moving average root mean square estimator (245 ms window) provided an average/spl plusmn/standard deviation (A/spl plusmn/SD) SNR of 10.7/spl plusmn/3.3 for the individual recordings. Temporal whitening with one fourth-order whitening filter designed per site improved the A/spl plusmn/SD SNR to 17.6/spl plusmn/6.0. >