Neuroplastic Changes Following Brain Ischemia and their Contribution to Stroke Recovery: Novel Approaches in Neurorehabilitation

Ischemic damage to the brain triggers substantial reorganization of spared areas and pathways, which is associated with limited, spontaneous restoration of function. A better understanding of this plastic remodeling is crucial to develop more effective strategies for stroke rehabilitation. In this review article, we discuss advances in the comprehension of post-stroke network reorganization in patients and animal models. We first focus on rodent studies that have shed light on the mechanisms underlying neuronal remodeling in the perilesional area and contralesional hemisphere after motor cortex infarcts. Analysis of electrophysiological data has demonstrated brain-wide alterations in functional connectivity in both hemispheres, well beyond the infarcted area. We then illustrate the potential use of non-invasive brain stimulation (NIBS) techniques to boost recovery. We finally discuss rehabilitative protocols based on robotic devices as a tool to promote endogenous plasticity and functional restoration

Proposal of a health care network based on big data analytics for PDs

Health care networks for Parkinson's disease (PD) already exist and have been already proposed in the literature, but most of them are not able to analyse the vast volume of data generated from medical examinations and collected and organised in a pre-defined manner. In this work, the authors propose a novel health care network based on big data analytics for PD. The main goal of the proposed architecture is to support clinicians in the objective assessment of the typical PD motor issues and alterations. The proposed health care network has the ability to retrieve a vast volume of acquired heterogeneous data from a Data warehouse and train an ensemble SVM to classify and rate the motor severity of a PD patient. Once the network is trained, it will be able to analyse the data collected during motor examinations of a PD patient and generate a diagnostic report on the basis of the previously acquired knowledge. Such a diagnostic report represents a tool both to monitor the follow up of the disease for each patient and give robust advice about the severity of the disease to clinicians

Intraoperative Navigation Systems for Image-Guided Surgery

Recent technological advancements in medical imaging equipment have resulted in a dramatic improvement of image accuracy, now capable of providing useful information previously not available to clinicians. In the surgical context, intraoperative imaging provides a crucial value for the success of the operation. Many nontrivial scientific and technical problems need to be addressed in order to efficiently exploit the different information sources nowadays available in advanced operating rooms. In particular, it is necessary to provide: (i) accurate tracking of surgical instruments, (ii) real-time matching of images from different modalities, and (iii) reliable guidance toward the surgical target. Satisfying all of these requisites is needed to realize effective intraoperative navigation systems for image-guided surgery. Various solutions have been proposed and successfully tested in the field of image navigation systems in the last ten years; nevertheless several problems still arise in most of the applications regarding precision, usability and capabilities of the existing systems. Identifying and solving these issues represents an urgent scientific challenge. This thesis investigates the current state of the art in the field of intraoperative navigation systems, focusing in particular on the challenges related to efficient and effective usage of ultrasound imaging during surgery. The main contribution of this thesis to the state of the art are related to: Techniques for automatic motion compensation and therapy monitoring applied to a novel ultrasound-guided surgical robotic platform in the context of abdominal tumor thermoablation. Novel image-fusion based navigation systems for ultrasound-guided neurosurgery in the context of brain tumor resection, highlighting their applicability as off-line surgical training instruments. The proposed systems, which were designed and developed in the framework of two international research projects, have been tested in real or simulated surgical scenarios, showing promising results toward their application in clinical practice

Robot Navigation in Distorted Magnetic Fields

This thesis investigates the utilization of magnetic field distortions for the localization and navigation of robotic systems. The work comprehensively illuminates the various aspects that are relevant in this context. Among other things, the characteristics of magnetic field environments are assessed and examined for their usability for robot navigation in various typical mobile robot deployment scenarios. A strong focus of this work lies in the self-induced static and dynamic magnetic field distortions of complex kinematic robots, which could hinder the use of magnetic fields because of their interference with the ambient magnetic field. In addition to the examination of typical distortions in robots of different classes, solutions for compensation and concrete tools are developed both in hardware (distributed magnetometer sensor systems) and in software. In this context, machine learning approaches for learning static and dynamic system distortions are explored and contrasted with classical methods for calibrating magnetic field sensors. In order to extend probabilistic state estimation methods towards the localization in magnetic fields, a measurement model based on Mises-Fisher distributions is developed in this thesis. Finally, the approaches of this work are evaluated in practice inside and outside the laboratory in different environments and domains (e.g. office, subsea, desert, etc.) with different types of robot systems

Design and Validation of a MR-compatible Pneumatic Manipulandum

The combination of functional MR imaging and novel robotic tools may provide unique opportunities to probe the neural systems underlying motor control and learning. Here, we describe the design and validation of a MR-compatible, 1 degree-of-freedom pneumatic manipulandum along with experiments demonstrating its safety and efficacy. We first validated the robot\u27s ability to apply computer-controlled loads about the wrist, demonstrating that it possesses sufficient bandwidth to simulate torsional spring-like loads during point-to-point flexion movements. Next, we verified the MR-compatibility of the device by imaging a head phantom during robot operation. We observed no systematic differences in two measures of MRI signal quality (signal/noise and field homogeneity) when the robot was introduced into the scanner environment. Likewise, measurements of joint angle and actuator pressure were not adversely affected by scanning. Finally, we verified device efficacy by scanning 20 healthy human subjects performing rapid wrist flexions against a wide range of spring-like loads. We observed a linear relationship between joint torque at peak movement extent and perturbation magnitude, thus demonstrating the robot\u27s ability to simulate spring-like loads in situ. fMRI revealed task-related activation in regions known to contribute to the control of movement including the left primary sensorimotor cortex and right cerebellum

Multimodal Sensory Integration for Perception and Action in High Functioning Children with Autism Spectrum Disorder

Movement disorders are the earliest observed features of autism spectrum disorder (ASD) present in infancy. Yet we do not understand the neural basis for impaired goal-directed movements in this population. To reach for an object, it is necessary to perceive the state of the arm and the object using multiple sensory modalities (e.g. vision, proprioception), to integrate those sensations into a motor plan, to execute the plan, and to update the plan based on the sensory consequences of action. In this dissertation, I present three studies in which I recorded hand paths of children with ASD and typically developing (TD) controls as they grasped the handle of a robotic device to control a cursor displayed on a video screen. First, participants performed discrete and continuous movements to capture targets. Cursor feedback was perturbed from the hand\u27s actual position to introduce visuo-spatial conflict between sensory and proprioceptive feedback. Relative to controls, children with ASD made greater errors, consistent with deficits of sensorimotor adaptive and strategic compensations. Second, participants performed a two-interval forced-choice discrimination task in which they perceived two movements of the visual cursor and/or the robot handle and then indicated which of the two movements was more curved. Children with ASD were impaired in their ability to discriminate movement kinematics when provided visual and proprioceptive information simultaneously, suggesting deficits of visuo-proprioceptive integration. Finally, participants made goal-directed reaching movements against a load while undergoing simultaneous functional magnetic resonance imaging (MRI). The load remained constant (predictable) within an initial block of trials and then varied randomly within four additional blocks. Children with ASD exhibited greater movement variability compared to controls during both constant and randomly-varying loads. MRI analysis identified marked differences in the extent and intensity of the neural activities supporting goal-directed reaching in children with ASD compared to TD children in both environmental conditions. Taken together, the three studies revealed deficits of multimodal sensory integration in children with ASD during perception and execution of goal-directed movements and ASD-related motor performance deficits have a telltale neural signature, as revealed by functional MR imaging

New directions for inline inspection of automobile laser welds using non-destructive testing

POCI-01-0247-FEDER-040042, Ref. 40042 FCT-SFRH/BD/108168/ EXPL/EEI-EEE/0394/2021 UIDB/00667/2020An innovative pilot installation and eddy current testing (ECT) inspection system for laser-brazed joints is presented. The proposed system detects both surface and sub-surface welding defects operating autonomously and integrated with a robotized arm. Customized eddy current probes were designed and experimentally validated detecting pore defects with 0.13 mm diameter and sub-surface defects buried 1 mm deep. The integration of the system and the manufacturing process towards an Industry 4.0 quality control paradigm is also discussed.publishersversioninpres

Design and analysis of a novel long-distance double tendon-sheath transmission device for breast intervention robots under MRI field

Cancer represents a major threat to human health. Magnetic resonance imaging (MRI) provides superior performance to other imaging-based examination methods in the detection of tumors and offers distinct advantages in biopsy and seed implantation. However, because of the MRI environment, the material requirements for actuating devices for the medical robots used in MRI are incredibly demanding. This paper describes a novel double tendon-sheath transmission device for use in MRI applications. LeBus grooves are used in the original transmission wheels, thus enabling the system to realize long-distance and large-stroke transmission with improved accuracy. The friction model of the transmission system and the transmission characteristics model of the novel tendon-sheath structure are then established. To address the problem that tension sensors cannot be installed in large-stroke transmission systems, a three-point force measurement method is used to measure and set an appropriate preload in the novel tendon-sheath transmission system. Additionally, experiments are conducted to verify the accuracy of the theoretical model and multiple groups of tests are performed to explore the transmission characteristics. Finally, the novel tendon-sheath transmission system is compensated to improve its accuracy and the experimental results acquired after compensation show that the system satisfies the design requirements

Supervised ANN vs. unsupervised SOM to classify EEG data for BCI: why can GMDH do better?

Construction of a system for measuring the brain activity (electroencephalogram (EEG)) and recognising thinking patterns comprises significant challenges, in addition to the noise and distortion present in any measuring technique. One of the most major applications of measuring and understanding EGG is the brain-computer interface (BCI) technology. In this paper, ANNs (feedforward back -prop and Self Organising Maps) for EEG data classification will be implemented and compared to abductive-based networks, namely GMDH (Group Methods of Data Handling) to show how GMDH can optimally (i.e. noise and accuracy) classify a given set of BCI’s EEG signals. It is shown that GMDH provides such improvements. In this endeavour, EGG classification based on GMDH will be researched for comprehensible classification without scarifying accuracy. GMDH is suggested to be used to optimally classify a given set of BCI’s EEG signals. The other areas related to BCI will also be addressed yet within the context of this purpose