Modelling and characterisation of a ultrasound-actuated needle for improved visibility in ultrasound-guided regional anaesthesia and tissue biopsy

AbstractClear needle visualisation is recognised as an unmet need for ultrasound guided percutaneous needle procedures including regional anaesthesia and tissue biopsy. With inadequate needle visibility, these procedures may result in serious complications or a failed operation. This paper reports analysis of the modal behaviour of a previously proposed ultrasound-actuated needle configuration, which may overcome this problem by improving needle visibility in colour Doppler imaging. It uses a piezoelectric transducer to actuate longitudinal resonant modes in needles (outer diameter 0.8–1.2mm, length>65mm). The factors that affect the needle’s vibration mode are identified, including the needle length, the transducer’s resonance frequency and the gripping position. Their effects are investigated using finite element modelling, with the conclusions validated experimentally. The actuated needle was inserted into porcine tissue up to 30mm depth and its visibility was observed under colour Doppler imaging. The piezoelectric transducer is able to generate longitudinal vibration with peak-to-peak amplitude up to 4μm at the needle tip with an actuating voltage of 20Vpp. Actuated in longitudinal vibration modes (distal mode at 27.6kHz and transducer mode at 42.2kHz) with a drive amplitude of 12–14Vpp, a 120mm needle is delineated as a coloured line in colour Doppler images, with both needle tip and shaft visualised. The improved needle visibility is maintained while the needle is advanced into the tissue, thus allowing tracking of the needle position in real time. Moreover, the needle tip is highlighted by strong coloured artefacts around the actuated needle generated by its flexural vibration. A limitation of the technique is that the transducer mode requires needles of specific lengths so that the needle’s resonance frequency matches the transducer. This may restrict the choice of needle lengths in clinical applications

histological quality and clinical aspects

Boy on a beach, Little Jimmy photographed, Budapest June 1932. Digitisation and record funded by the Pilgrim Trust

Use of Finite Element and Finite Segment Methods in Modeling Rail Flexibility: A Comparative Study

Safety requirements and optimal performance of railroad vehicle systems require the use of multibody system (MBS) dynamics formulations that allow for modeling flexible bodies. This investigation will present three methods suited for the study of flexible track models while conclusions about their implementations and features are made. The first method is based on the floating frame of reference (FFR) formulation which allows for the use of a detailed finite element mesh with the component mode synthesis technique in order to obtain a reduced order model. In the second method, the flexible body is modeled as a finite number of rigid elements that are connected by springs and dampers. This method, called finite segment method (FSM) or rigid finite element method, requires the use of rigid MBS formulations only. In the third method, the FFR formulation is used to obtain a model that is equivalent to the FSM model by assuming that the rail segments are very stiff, thereby allowing the exclusion of the high frequency modes associated with the rail deformations. This FFR/FS model demonstrates that some rail movement scenarios such as gauge widening can be captured using the finite element FFR formulation. The three procedures FFR, FSM, and FFR/FS will be compared in order to establish differences among them and analyze the specific application of the FSM to modeling track flexibility. Convergence of the methods is analyzed. The three methods proposed in this investigation for modeling the movement of three-dimensional tracks are used with a three-dimensional elastic wheel/rail contact formulation that predicts contact points online and allows for updating the creepages to account for the rail deformations. Several conclusions will be drawn in view of the results obtained in this investigation