Modelling Dynamically Re-sizeable Electrodes (DRE) for Targeted Transcutaneous Measurements in Impedance Plethysmography

Impedance plethysmography of extremities typically uses band electrodes around limbs to monitor changes in blood volume. This often causes monitored blood variations to only generate minuscule impedance values relative to the measured baseline, attributed to the tissue surrounding the artery or vein of interest. Smaller, ECG type electrodes can provide a larger signal, however their output is very easily affected by the placement of the electrodes relative to the targeted vasculature. This paper presents a novel method to adjust the active surface of electrodes, introducing Dynamically Re-sizeable Electrodes (DRE), to only target the exact area of interest, forming localised electrodes, without having to manually re-position them. Elongated rectangular electrodes were partitioned into smaller electrode segments, interconnected through custom circuitry. For the development and assessment of the DRE system, work was carried out both experimentally in-vitro on gelatine phantoms using custom switching circuits and through finite element modelling (FEM) simulations in COMSOL. A scanning sequence made use of DRE in single segment variable tetra-pole (SSVT) mode proved capable to identify the transcutaneous location of the blood vessel of interest and the specific electrode segments located in its vicinity. Impedance measurements were then taken using these segments connected to form localised electrodes only placed over the targeted vessel. The resulting localised electrodes exhibited up to 28% increased sensitivity to blood variations relative to larger electrodes

Improved Perturbation Theory for Improved Lattice Actions

We study a systematic improvement of perturbation theory for gauge fields on the lattice; the improvement entails resumming, to all orders in the coupling constant, a dominant subclass of tadpole diagrams. This method, originally proposed for the Wilson gluon action, is extended here to encompass all possible gluon actions made of closed Wilson loops; any fermion action can be employed as well. The effect of resummation is to replace various parameters in the action (coupling constant, Symanzik coefficients, clover coefficient) by ``dressed'' values; the latter are solutions to certain coupled integral equations, which are easy to solve numerically. Some positive features of this method are: a) It is gauge invariant, b) it can be systematically applied to improve (to all orders) results obtained at any given order in perturbation theory, c) it does indeed absorb in the dressed parameters the bulk of tadpole contributions. Two different applications are presented: The additive renormalization of fermion masses, and the multiplicative renormalization Z_V (Z_A) of the vector (axial) current. In many cases where non-perturbative estimates of renormalization functions are also available for comparison, the agreement with improved perturbative results is significantly better as compared to results from bare perturbation theory.Comment: 17 pages, 3 tables, 6 figure

Towards an optimized tetrapolar electrical impedance lithium detection probe for bipolar disorder: A simulation study

Bipolar disorder is characterized as a manic-depressive syndrome with severe risks to the individual. Bipolar patients' therapy involves administration of lithium which has proven to be effective for mood stabilization. The therapeutic concentration window for lithium in blood plasma is typically between 0.6-1.5 mM and is of vital importance that concentrations do not exceed the 1.5mM as it can be toxic. Accurate monitoring of the concentration changes of Lithium in blood, down to levels of approximately 0.2mM is vital since toxicity levels are in close proximity to therapeutic levels. This paper aims to study the sensitivity of tetrapolar electrical impedance measurements when used to monitor changes in the conductivity of a solution/sample as in the case of changes in Lithium concentration in blood

High-power CMOS current driver with accurate transconductance for electrical impedance tomography

Current drivers are fundamental circuits in bioimpedance measurements including electrical impedance tomography (EIT). In the case of EIT, the current driver is required to have a large output impedance to guarantee high current accuracy over a wide range of load impedance values. This paper presents an integrated current driver which meets these requirements and is capable of delivering large sinusoidal currents to the load. The current driver employs a differential architecture and negative feedback, the latter allowing the output current to be accurately set by the ratio of the input voltage to a resistor value. The circuit was fabricated in a 0.6-μ m high-voltage CMOS process technology and its core occupies a silicon area of 0.64 mm2. It operates from a ± 9 V power supply and can deliver output currents up to 5 mA p-p. The accuracy of the maximum output current is within 0.41% up to 500 kHz, reducing to 0.47% at 1 MHz with a total harmonic distortion of 0.69%. The output impedance is 665 kΩ at 100 kHz and 372 k Ω at 500 kHz

Renormalization of local quark-bilinear operators for Nf=3 flavors of SLiNC fermions

The renormalization factors of local quark-bilinear operators are computed non-perturbatively for $N_f=3$ flavors of SLiNC fermions, with emphasis on the various procedures for the chiral and continuum extrapolations. The simulations are performed at a lattice spacing $a=0.074$ fm, and for five values of the pion mass in the range of 290-465 MeV, allowing a safe and stable chiral extrapolation. Emphasis is given in the subtraction of the well-known pion pole which affects the renormalization factor of the pseudoscalar current. We also compute the inverse propagator and the Green's functions of the local bilinears to one loop in perturbation theory. We investigate lattice artifacts by computing them perturbatively to second order as well as to all orders in the lattice spacing. The renormalization conditions are defined in the RI$'$-MOM scheme, for both the perturbative and non-perturbative results. The renormalization factors, obtained at different values of the renormalization scale, are translated to the ${\bar{\rm MS}}$ scheme and are evolved perturbatively to 2 GeV. Any residual dependence on the initial renormalization scale is eliminated by an extrapolation to the continuum limit. We also study the various sources of systematic errors. Particular care is taken in correcting the non-perturbative estimates by subtracting lattice artifacts computed to one loop perturbation theory using the same action. We test two different methods, by subtracting either the ${\cal O}(g^2\,a^2)$ contributions, or the complete (all orders in $a$) one-loop lattice artifacts.Comment: 33 pages, 27 figures, 6 table

Perturbatively improving renormalization constants

Renormalization factors relate the observables obtained on the lattice to their measured counterparts in the continuum in a suitable renormalization scheme. They have to be computed very precisely which requires a careful treatment of lattice artifacts. In this work we present a method to suppress these artifacts by subtracting one-loop contributions proportional to the square of the lattice spacing calculated in lattice perturbation theory.Comment: 7 pages, 2 figures, LATTICE 201

An Integrated Analog Readout for Multi-Frequency Bioimpedance Measurements

Bioimpedance spectroscopy is used in a wide range of biomedical applications. This paper presents an integrated analog readout, which employs synchronous detection to perform galvanostatic multi-channel, multi-frequency bioimpedance measurements. The circuit was fabricated in a 0.35-μm CMOS technology and occupies an area of 1.52 mm2. The effect of random dc offsets is investigated, along with the use of chopping to minimize them. Impedance measurements of a known RC load and skin (using commercially available electrodes) demonstrate the operation of the system over a frequency range up to 1 MHz. The circuit operates from a ±2.5 V power supply and has a power consumption of 3.4-mW per channel

Neutron-Star-Merger Equation of State

In this work, we discuss the dense matter equation of state (EOS) for the extreme range of conditions encountered in neutron stars and their mergers. The calculation of the properties of such an EOS involves modeling different degrees of freedom (such as nuclei, nucleons, hyperons, and quarks), taking into account different symmetries, and including finite density and temperature effects in a thermodynamically consistent manner. We begin by addressing subnuclear matter consisting of nucleons and a small admixture of light nuclei in the context of the excluded volume approach. We then turn our attention to supranuclear homogeneous matter as described by the Chiral Mean Field (CMF) formalism. Finally, we present results from realistic neutron-star-merger simulations performed using the CMF model that predict signatures for deconfinement to quark matter in gravitational wave signals.Comment: Contribution to the Special Issue "Compact Stars in the QCD Phase Diagram and in the Multi-Messenger Era of Astronomy" dedicated to the conference: Compact Stars in the QCD Phase Diagram VI

On the merits of tetrapolar impedance spectroscopy for monitoring lithium concentration variations in human blood plasma

Bipolar disorder is characterized as a manic-depressive psychiatric syndrome with life-threatening risks to the patient. Diagnosed individuals undergo long-term lithium therapy which has proven to be effective for mood stabilization. Maintaining blood lithium concentration levels within a narrow therapeutic window between 0.6-1.5 mM is vital for the patient as slightly elevated concentrations of the order of 0.1 mM can be toxic. This paper aims to evaluate the merits of tetrapolar electrical impedance spectroscopy (TEIS) as an alternative method in monitoring blood Lithium levels. Measurements were performed using a custom-made tetrapolar probe in human blood plasma with Lithium concentrations covering the therapeutic range. The results indicate a limit of detection less than 0.1 mM and a response time of less than 5 s. Prediction of Lithium concentration levels using impedance values is in good agreement with conventional standard techniques to approximately 0.05 mM. This technique provides a basis for further development of instrumentation for point of care healthcare technologies