Assessment of optimized electrode configuration in Electrical Impedance Myography study using genetic algorithm via Finite Element Model

Electrical Impedance Myography (EIM) is a neurophysiologic technique in which high- frequency, low-intensity electrical current is applied via surface electrodes over a muscle or muscle group of interest and the resulting electrical parameters (resistance, reactance and phase) are analyzed to isolate diseased muscles from healthy ones. Beside muscle properties, some other anatomic and non-anatomic factors like muscle shape, subcutaneous fat (SF) thickness, inter-electrode distance, etc. also impact the major EIM parameters and thus affect the EIM analysis outcomes. The purpose of this study is to explore the effects of variation in some of these factors impose on EIM parameters and propose an optimum electrode configuration which is least affected by these anatomic and non-anatomic factors without compromising EIM’s ability to detect muscle conditions. In this study, genetic algorithm was applied as an optimization tool in order to find out an optimized electrode setup, which is less prone to these factors other than muscle properties. The results obtained suggest a particular arrangement of electrodes and minimization of electrode surface area to its practical limit, can overcome the effect of undesired factors on EIM parameters to a larger extent

Optimizing Electrode Configuration for Electrical Impedance Measurements of Muscle via the Finite Element Method

Electrical impedance myography (EIM) is a technique for the evaluation of neuromuscular diseases, including amyotrophic lateral sclerosis and muscular dystrophy. In this study, we evaluated how alterations in the size and conductivity of muscle and thickness of subcutaneous fat impact the EIM data, with the aim of identifying an optimized electrode configuration for EIM measurements. Finite element models were developed for the human upper arm based on anatomic data; material properties of the tissues were obtained from rat and published sources. The developed model matched the frequency-dependent character of the data. Of the three major EIM parameters, resistance, reactance, and phase, the reactance was least susceptible to alterations in the subcutaneous fat thickness, regardless of electrode arrangement. For example, a quadrupling of fat thickness resulted in a 375% increase in resistance at 35 kHz but only a 29% reduction in reactance. By further optimizing the electrode configuration, the change in reactance could be reduced to just 0.25%. For a fixed 30 mm distance between the sense electrodes centered between the excitation electrodes, an 80 mm distance between the excitation electrodes was found to provide the best balance, with a less than 1% change in reactance despite a doubling of subcutaneous fat thickness or halving of muscle size. These analyses describe a basic approach for further electrode configuration optimization for EIM

Hardware and software for hand-held electrical impedance myography measurement prototype system

Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2008.This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.Includes bibliographical references (p. 73-77).This thesis discusses the need for a more quantitative, objective, and non-invasive method of neuromuscular disease assessment. Currently, the best solution to this problem requires large, bulky pieces of equipment and the time-consuming placement of numerous individual electrodes. In this thesis, a new hardware device and its corresponding software interface are described. The device includes a reconfigurable hand-held probe with an electrode head which both makes contact with the skin and eliminates the need for individual electrodes. The new software interface provides a simple way for users to control the device through the USB interface of a laptop. In addition, various strategies were explored for leveraging the linearity of the muscle tissue in order to shorten the measurement time.by Roshni C. Cooper.M.Eng

DICOM for EIT

With EIT starting to be used in routine clinical practice [1], it important that the clinically relevant information is portable between hospital data management systems. DICOM formats are widely used clinically and cover many imaging modalities, though not specifically EIT. We describe how existing DICOM specifications, can be repurposed as an interim solution, and basis from which a consensus EIT DICOM ‘Supplement’ (an extension to the standard) can be writte

Torso shape detection to improve lung monitoring

Two methodologies are proposed to detect the patient-specific boundary of the chest, aiming to produce a more accurate forward model for EIT analysis. Thus, a passive resistive and an inertial prototypes were prepared to characterize and reconstruct the shape of multiple phantoms. Preliminary results show how the passive device generates a minimum scatter between the reconstructed image and the actual shap

Estimation of thorax shape for forward modelling in lungs EIT

The thorax models for pre-term babies are developed based on the CT scans from new-borns and their effect on image reconstruction is evaluated in comparison with other available models

Rapid generation of subject-specific thorax forward models

For real-time monitoring of lung function using accurate patient geometry, shape information needs to be acquired and a forward model generated rapidly. This paper shows that warping a cylindrical model to an acquired shape results in meshes of acceptable mesh quality, in terms of stretch and aspect ratio

Nanoparticle electrical impedance tomography

We have developed a new approach to imaging with electrical impedance tomography (EIT) using gold nanoparticles (AuNPs) to enhance impedance changes at targeted tissue sites. This is achieved using radio frequency (RF) to heat nanoparticles while applying EIT imaging. The initial results using 5-nm citrate coated AuNPs show that heating can enhance the impedance in a solution containing AuNPs due to the application of an RF field at 2.60 GHz

Alignment of magnetic sensing and clinical magnetomyography

Neuromuscular diseases are a prevalent cause of prolonged and severe suffering for patients, and with the global population aging, it is increasingly becoming a pressing concern. To assess muscle activity in NMDs, clinicians and researchers typically use electromyography (EMG), which can be either non-invasive using surface EMG, or invasive through needle EMG. Surface EMG signals have a low spatial resolution, and while the needle EMG provides a higher resolution, it can be painful for the patients, with an additional risk of infection. The pain associated with the needle EMG can pose a risk for certain patient groups, such as children. For example, children with spinal muscular atrophy (type of NMD) require regular monitoring of treatment efficacy through needle EMG; however, due to the pain caused by the procedure, clinicians often rely on a clinical assessment rather than needle EMG. Magnetomyography (MMG), the magnetic counterpart of the EMG, measures muscle activity non-invasively using magnetic signals. With super-resolution capabilities, MMG has the potential to improve spatial resolution and, in the meantime, address the limitations of EMG. This article discusses the challenges in developing magnetic sensors for MMG, including sensor design and technology advancements that allow for more specific recordings, targeting of individual motor units, and reduction of magnetic noise. In addition, we cover the motor unit behavior and activation pattern, an overview of magnetic sensing technologies, and evaluations of wearable, non-invasive magnetic sensors for MMG