Clinical Applications of Electrical Impedance Tomography in Stroke and Traumatic Brain Injury

Electrical Impedance Tomography (EIT) is a medical imaging technology which uses voltage measurements on the boundaries to reconstruct internal conductivity changes. When applied to imaging brain function, EIT is challenged by the unique geometry of the head and the high variability in the conductivities of brain tissue. Stroke and Trau-matic Brain Injury (TBI) are two of the leading causes of death and long-term disability worldwide. It has been suggested that EIT, which is already in clinical use primarily as a means of assessing lung function, could be used as a pre-hospital diagnostic tool for stroke and TBI, and for bedside monitoring for brain injury patients. The main aim of this PhD thesis is to bring the application of EIT in brain injury closer to regular clinical use. Chapter 1 introduces the concepts of EIT, stroke and TBI, and provides a comprehensive review of clinically relevant neuroimaging techniques and the current state of brain EIT. Chapter 2 presents the results of a series of lab experiments designed to investigate the characteristics and mechanisms of drift in measured boundary voltages, which is the key technical barrier to brain monitoring with EIT. Ex-periments were conducted on lab phantoms, vegetable skin, and healthy human subjects. Chapter 3 describes a feasibility study of monitoring for brain injury with EIT over several hours, using noise recorded on real healthy volunteers. This study also compares the performance of different electrode types. Chapter 4 presents a clinical pilot study performed on acute stroke patients. Multi-frequency (MF) EIT data were record-ed on patients and healthy controls to create the first of its kind clinical EIT dataset to be used as a resource for future research for the EIT community. Finally, the ability to identify stroke patients is demonstrated on the clinical EIT dataset

Kajian Awal Karakteristik Impedansi Listrik Larutan NaCl pada Berbagai Konsentrasi Menggunakan Metode Spektroskopi Impedansi Listrik

Larutan NaCl merupakan salah satu elektrolit utama dalam tubuh manusia. Selain itu, pemanfaatan larutan NaCl sebagai larutan pengencer pada bidang medis juga banyak digunakan. Makalah ini menganalisis karakteristik impedansi larutan NaCl dan juga hubungan antara konsentrasi dengan nilai impedansi listrik dari larutan NaCl. Metode Spektroskopi Impedansi Listrik (SIL) diterapkan dengan menginjeksikan arus listrik sebesar 1 mA ke dalam larutan NaCl. Tegangan keluaran respons dicatat menggunakan PicoScope 5244B. Pengukuran impedansi menggunakan dua elektroda jarum yang terbuat dari emas dalam rentang frekuensi 1 Hz hingga 100 kHz. Konsentrasi sampel larutan NaCl yang digunakan 1,7 mM- 513 mM. Karakteristik impedansi hasil pengukuran larutan NaCl memiliki pola seperti model rangkaian ekuivalen Randles. Pengukuran impedansi larutan NaCl yang baik adalah pada rentang frekuensi 10 kHz – 100 kHz dimana larutan NaCl memiliki sifat resistif yang dominan. Hasil pengukuran impedansi listrik dari Larutan NaCl semakin berkurang dengan bertambahnya konsentrasi larutan NaCl

Towards Microwave Detection of Thromboses

Stroke is estimated to be the second most common cause of death with hugeburdens and costs for the patient and society. Since the treatment given to a stroke patient depends on the type of stroke they have, a fast and reliable diagnosis of the stroke type is needed before any treatment can be started. In general, the treatment is more effective the sooner it is started. Thrombectomy is an interventional treatment for patients with an occlusion (thrombosis) in a large artery that is only performed in a limited number of hospitals, thus early detection can support the pre-hospital decision-making process and help decreasing the time to treatment start. The aim of this work is to investigate and develop a method for pre-hospital diagnosis of ischemic stroke by using a microwave diagnosis setup and Contrast-Enhancement Agent (CEA). We propose to exploit the asymmetry created in the brain as a result of partial or full blockage of the arteries due to thromboses. This asymmetry is enhanced with the use of CEA and can be captured by the EM waves transmitted and received by the antennas on the head.The microwave diagnosis setup consists of several antennas placed on thebody. The multipath interference caused by the waves traveling on the surfaceof the body is a factor that limits the detection accuracy of this system. In the present study, a Dielectric Rod Antenna (DRA) is designed to address this challenge with a Self Grounded Bow-Tie Antenna (SGBTA) as the wave exciter. It was shown that DRA can reduce the surface wave power up to 10 dB in comparison with that of SGBTA while increasing its bandwidth by 72%.Preliminary results obtained from measurements on sheep are promising

Clinical Research on Diabetic Complications

Refrigeration, air conditioning, and heat pumps (RACHP) have an important impact on the final energy uses of many sectors of modern society, such as residential, commercial, industrial, transport, and automotive. Moreover, RACHP also have an important environmental impact due to the working fluids that deplete the stratospheric ozone layer, which are being phased out according to the Montreal Protocol (1989). Last, but not least, high global working potential (GWP), working fluids (directly), and energy consumption (indirectly) are responsible for a non-negligible quota of greenhouse gas (GHG) emissions in the atmosphere, thus impacting climate change

Ex-Vivo Characterization of Bioimpedance Spectroscopy of Normal, Ischemic and Hemorrhagic Rabbit Brain Tissue at Frequencies from 10 Hz to 1 MHz

Stroke is a severe cerebrovascular disease and is the second greatest cause of death worldwide. Because diagnostic tools (CT and MRI) to detect acute stroke cannot be used until the patient reaches the hospital setting, a portable diagnostic tool is urgently needed. Because biological tissues have different impedance spectra under normal physiological conditions and different pathological states, multi-frequency electrical impedance tomography (MFEIT) can potentially detect stroke. Accurate impedance spectra of normal brain tissue (gray and white matter) and stroke lesions (ischemic and hemorrhagic tissue) are important elements when studying stroke detection with MFEIT. To our knowledge, no study has comprehensively measured the impedance spectra of normal brain tissue and stroke lesions for the whole frequency range of 1 MHz within as short as possible an ex vivo time and using the same animal model. In this study, we established intracerebral hemorrhage and ischemic models in rabbits, then measured and analyzed the impedance spectra of normal brain tissue and stroke lesions ex vivo within 15 min after animal death at 10 Hz to 1 MHz. The results showed that the impedance spectra of stroke lesions significantly differed from those of normal brain tissue; the ratio of change in impedance of ischemic and hemorrhagic tissue with regard to frequency was distinct; and tissue type could be discriminated according to its impedance spectra. These findings further confirm the feasibility of detecting stroke with MFEIT and provide data supporting further study of MFEIT to detect stroke