Prefrontal cortex activation upon a demanding virtual hand-controlled task: A new frontier for neuroergonomics

open9noFunctional near-infrared spectroscopy (fNIRS) is a non-invasive vascular-based functional neuroimaging technology that can assess, simultaneously from multiple cortical areas, concentration changes in oxygenated-deoxygenated hemoglobin at the level of the cortical microcirculation blood vessels. fNIRS, with its high degree of ecological validity and its very limited requirement of physical constraints to subjects, could represent a valid tool for monitoring cortical responses in the research field of neuroergonomics. In virtual reality (VR) real situations can be replicated with greater control than those obtainable in the real world. Therefore, VR is the ideal setting where studies about neuroergonomics applications can be performed. The aim of the present study was to investigate, by a 20-channel fNIRS system, the dorsolateral/ventrolateral prefrontal cortex (DLPFC/VLPFC) in subjects while performing a demanding VR hand-controlled task (HCT). Considering the complexity of the HCT, its execution should require the attentional resources allocation and the integration of different executive functions. The HCT simulates the interaction with a real, remotely-driven, system operating in a critical environment. The hand movements were captured by a high spatial and temporal resolution 3-dimensional (3D) hand-sensing device, the LEAP motion controller, a gesture-based control interface that could be used in VR for tele-operated applications. Fifteen University students were asked to guide, with their right hand/forearm, a virtual ball (VB) over a virtual route (VROU) reproducing a 42 m narrow road including some critical points. The subjects tried to travel as long as possible without making VB fall. The distance traveled by the guided VB was 70.2 ± 37.2 m. The less skilled subjects failed several times in guiding the VB over the VROU. Nevertheless, a bilateral VLPFC activation, in response to the HCT execution, was observed in all the subjects. No correlation was found between the distance traveled by the guided VB and the corresponding cortical activation. These results confirm the suitability of fNIRS technology to objectively evaluate cortical hemodynamic changes occurring in VR environments. Future studies could give a contribution to a better understanding of the cognitive mechanisms underlying human performance either in expert or non-expert operators during the simulation of different demanding/fatiguing activities.openCarrieri, Marika; Petracca, Andrea; Lancia, Stefania; Basso Moro, Sara; Brigadoi, Sabrina; Spezialetti, Matteo; Ferrari, Marco; Placidi, Giuseppe; Quaresima, ValentinaCarrieri, Marika; Petracca, Andrea; Lancia, Stefania; BASSO MORO, Sara; Brigadoi, Sabrina; Spezialetti, Matteo; Ferrari, Marco; Placidi, Giuseppe; Quaresima, Valentin

Assessment of the added value of the Twente Photoacoustic Mammoscope in breast cancer diagnosis\ud

Purpose: Photoacoustic (PA) imaging is a recently developed breast cancer imaging technique. In order to enhance successful clinical implementation, we quantified the potential clinical value of different scenarios incorporating PA imaging by means of multi-criteria analysis. From this analysis, the most promising area of application for PA imaging in breast cancer diagnosis is determined, and recommendations are provided to optimize the design of PA imaging. - \ud Methods: The added value of PA imaging was assessed in two areas of application in the diagnostic track. These areas include PA imaging as an alternative to x-ray mammography and ultrasonography in early stage diagnosis, and PA imaging as an alternative to Magnetic Resonance Imaging (MRI) in later stage diagnosis. The added value of PA imaging was assessed with respect to four main criteria (costs, diagnostic performance, patient comfort and risks). An expert panel composed of medical, technical and management experts was asked to assess the relative importance of the criteria in comparing the alternative diagnostic devices. The judgments of the experts were quantified based on the validated pairwise comparison technique of the Analytic Hierarchy Process, a technique for multi-criteria analysis. Sensitivity analysis was applied to account for the uncertainty of the outcomes. - \ud Results: Among the considered alternatives, PA imaging is the preferred technique due to its non-invasiveness, low cost and low risks. However, the experts do not expect large differences in diagnostic performance. The outcomes suggest that design changes to improve the diagnostic performance of PA imaging should focus on the quality of the reconstruction algorithm, detector sensitivity, detector bandwidth and the number of wavelengths used. - \ud Conclusion: The AHP method was useful in recommending the most promising area of application in the diagnostic track for which PA imaging can be implemented, this being early diagnosis, as a substitute for the combined use of x-ray mammography and ultrasonography

Multispectral imaging methods for the diagnosis of skin cancer lesions

En col·laboració amb la Universitat Autònoma de Barcelona (UAB) i la Universitat de Barcelona (UB).Skin cancer is the most prevalent form of cancer, and melanoma is one of the most threat disease of it. But it can be cured if it is detected early enough. Multispectral imaging is a potential method to differenciate melanoma from nevi as it provides spectral images with information of absorbance and reflectance. With this aim, spectral images along the visible and near infrared range (from 415nm to 995nm) of 165 lesions including nevi, melanomas and basal cell carcinomas were processed in this master thesis. After obtaining all data in terms of reflectance and absorbance and other related parameters for each pixel of the segmented lesions, a statistical analysis was carried out to quantify their spatial distribution all over each lesion. Algorithms such as Support vector machine (SVM) and Discriminant Analysis (DA) were used as a means of classifying the lesions. The results show that DA linear classifier provides a better diagnosis than the SVM. BCCs are easier to discriminate from nevi than melanomas

SPICA infrared coronagraph for the direct observation of exo-planets

We present a MIR coronagraph to target the direct observation of extrasolar planets for SPICA, in which a coronagraph is currently regarded as an option of the focal plane instruments. The primary target of the SPICA coronagraph is the direct observation of Jovian exo-planets. A strategy of the baseline survey and the specifications for the coronagraph instrument for the survey are introduced together. The main wavelengths and the contrast required for the observations are 3.5-27um, and 10^{-6}, respectively.Laboratory experiments were performed with a visible laser to demonstrate the principles of the coronagraphs. In an experiment using binary-shaped pupil coronagraphs, a contrast of 6.7x10^{-8} was achieved, as derived from the linear average in the dark region and the core of the PSF. A coronagraph by a binary-shaped pupil mask is a baseline solution for SPICA because of its feasibility and robustness. On the other hand, a laboratory experiment of the phase induced amplitude apodization/binary-mask hybrid coronagraph has been executed to obtain an option of higher performance, and a contrast of 6.5x10^{-7} was achieved with active wavefront control.Potentially important by-product of the instrument, transit monitoring for characteization of exo-planets, is also described. We also present recent progress of technology on a design of a binary-shaped pupil mask for the actual pupil of SPICA, PSF subtraction, the development of free-standing binary masks, a vacuum chamber, and a cryogenic deformable mirror. Considering SPICA to be an essential platform for coronagraphs and the progress of key technologies, we propose to develop a mid-infrared coronagraph instrument for SPICA and to perform the direct observation of exo-planets with it.Comment: 37th COSPAR Scientific Assembly; Montreal, Canada 13-20 July 2008/Submitted to AS

A Portable, Low-Cost Wheelchair Ergometer Design Based on a Mathematical Model of Pediatric Wheelchair Dynamics

Evaluation and training of wheelchair propulsion improves efficiency and prevents orthopaedic injury in pediatric manual wheelchair users. Ergometers allow static propulsion and emulate typical conditions. Currently available ergometers have deficiencies that limit their use in motion analysis. A new ergometer is developed and evaluated based on a model of wheelchair inertial dynamics that eliminates these deficiencies. This makes integrated motion analysis of wheelchair propulsion in current community, home, and international outreach efforts possible

Use of functional near-infrared spectroscopy to evaluate cognitive change when using healthcare simulation tools

This is an accepted manuscript of an article published by BMJ on 01/11/2020, available online: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8936993/ The accepted version of the publication may differ from the final published version.Background The use of brain imaging techniques in healthcare simulation is relatively rare. However, the use of mobile, wireless technique, such as functional nearinfrared spectroscopy (fNIRS), is becoming a useful tool for assessing the unique demands of simulation learning. For this study, this imaging technique was used to evaluate cognitive load during simulation learning events. Methods This study took place in relation to six simulation activities, paired for similarity, and evaluated comparative cognitive change between the three task pairs. The three paired tasks were: receiving a (1) face-toface and (2) video patient handover; observing a simulated scene in (1) two dimensions and (2) 360° field of vision; and on a simulated patient (1) taking a pulse and (2) taking a pulse and respiratory rate simultaneously. The total number of participants was n=12. Results In this study, fNIRS was sensitive to variations in task difficulty in common simulation tools and scenarios, showing an increase in oxygenated haemoglobin concentration and a decrease in deoxygenated haemoglobin concentration, as tasks increased in cognitive load. Conclusion Overall, findings confirmed the usefulness of neurohaemoglobin concentration markers as an evaluation tool of cognitive change in healthcare simulation. Study findings suggested that cognitive load increases in more complex cognitive tasks in simulation learning events. Task performance that increased in complexity therefore affected cognitive markers, with increase in mental effort required