Analysis of the Localization Error for Capsule Endoscopy Applications at UWB Frequencies

Localization for Wireless Capsule Endoscopy (WCE) in the Ultra-Wideband frequency band is a very active field of investigation due to its potential advantages in future endoscopy applications. Received Signal Strength (RSS) based localization is commonly preferred due to its simplicity. Previous studies on Ultra-Wideband (UWB) RSS-based localization showed that the localization accuracy depends on the average ranging error related to the selected combination of receivers, which not always is the one experiencing the highest level of received power. In this paper the tendency of the localization error is further investigated through supplementary software simulations and previously conducted laboratory measurements. Two-dimensional (2D) and three-dimensional (3D) positioning are performed and the trend of the localization error compared in both cases. Results shows that the distribution of the selected path loss values, corresponding to the receivers used for localization, around the in-body position to estimate also affects the localization accuracy.This work was supported by the H2020:MSCA:ITN program for the “Wireless In-body Environment Communication- WiBEC” project under the grant agreement no. 675353. This work was also supported by the European Union’s H2020:MSCA:ITN program for the ”mmWave Communications in the Built Environments - WaveComBE” project under the grant agreement no. 766231.Barbi, M.; Pérez-Simbor, S.; Garcia-Pardo, C.; Cardona Marcet, N. (2019). Analysis of the Localization Error for Capsule Endoscopy Applications at UWB Frequencies. IEEE. https://doi.org/10.1109/ISMICT.2019.8743813

Initial UWB in-body channel characterization using a novel multilayer phantom measurement setup

[EN] Wireless Body Area Networks (WBANs) are a promising technology for medical purposes. Currently the WBAN are classified into: implanted (in-), surface (on-) or outside (off-) body communications regarding the location of the devices with reference to the human body. The Ultra Wide-Band (UWB) frequency band is growing as a band of interest for implanted communications because of its high data rate and low power consumption among other benefits. Software simulations, in-vivo measurements and experimental phantom measurements are common methods to properly characterize the propagation channel. Nevertheless, up to now, experimental phantoms measurements presented in the literature show some inconveniences, i.e., the accuracy of the phantoms compared with the real human tissues or the testbed used for the measurements. This paper aims at overcoming these issues using accurate phantoms designed for the purpose of implanted communications in the UWB frequency band. In addition, a multilayer phantom container was developed. This container has capacity for two different phantoms, emulating a heterogeneous propagation medium for in-body measurements. Moreover, a novel setup was built for in-body phantom measurements. As a result, an experimental path loss model is presented from the measurements obtained with phantoms. Besides, software simulations mimicking the experimental setup are performed in order to validate the previous results obtainedThis work was supported by the European Union's H2020:MSCA:ITN program for the "Wireless In-body Environment Communication-WiBEC" project under the grant agreement no. 675353. this work was also funded by the Programa de Ayudas de Investigación y Desarrollo 8PAID-01-16) from Univeristat Politècnica de València and by the Ministerio de Economía y Competitividad, Spain (TEC2014-60258-C2-1-R), by the European FEDER funds.Pérez-Simbor, S.; Barbi, M.; Garcia-Pardo, C.; Castelló-Palacios, S.; Cardona Marcet, N. (2018). Initial UWB in-body channel characterization using a novel multilayer phantom measurement setup. IEEE. 384-389. https://doi.org/10.1109/WCNCW.2018.8369011S38438

Localization for capsule endoscopy at UWB frequencies using an experimental multilayer phantom

[EN] Localization inside the human body using ultrawideband (UWB) wireless technology is gaining importance in several medical applications such as capsule endoscopy. Performance analysis of RF based localization techniques are mainly conducted through simulations using numerical human models or through experimental measurements using homogeneous phantoms. One of the most common implemented RF localization approaches uses the received signal strength (RSS). However, to the best of our knowledge, no experimental measurements employing multilayer phantoms are currently available in literature. This paper investigates the performance of RSS-based technique for two-dimensional (2D) localization by employing a two-layer experimental phantom-based setup. Preliminary results on the estimation of the in-body antenna coordinates show that RSS-based method can achieve a location accuracy on average of 0.5-1 cm within a certain range of distances between in-body and on-body antenna.This work was supported by the European Union’s H2020:MSCA:ITN program for the ”Wireless In-body Environment Communication- WiBEC” project under the grant agreement no. 675353. This work was also funded by the Programa de Ayudas de Investigación y Desarrollo (PAID-01-16) from Universitat Politècnica de València and by the Ministerio de Economía y Competitividad, Spain (TEC2014-60258-C2-1-R), by the European FEDER funds.Barbi, M.; Pérez Simbor, S.; García Pardo, C.; Andreu Estellés, C.; Cardona Marcet, N. (2018). Localization for capsule endoscopy at UWB frequencies using an experimental multilayer phantom. Institute of Electrical and Electronics Engineers (IEEE). https://doi.org/10.1109/WCNCW.2018.8369015

Impact of Receivers Location on the Accuracy of Capsule Endoscope Localization

[EN] In recent years, localization for capsule endoscopy applications using Ultra-Wideband (UWB) technology has become an attractive field of study due to its potential benefits for patients. Performance analysis of RF-based localization techniques are very limited in literature. Most of the available studies rely on software simulations using digital human models. Nonetheless, no realistic studies based on in-vivo measurements has been reported yet. This paper investigates the performance of RSS-based technique for three-dimensional (3D) localization in the UWB frequency band. Impact of receivers selection as well as of the evaluated path loss model on the localization accuracy is investigated. Results obtained through CST-based simulations and from recently conducted in-vivo measurements are presented and compared.This work was supported by the European Union's H2020:MSCA:ITN program for the "Wireless In-body Environment Communication- WiBEC" project under the grant agreement no. 675353. This work was also funded by the Ministerio de Economia y Competitividad, Spain (TEC2014-60258-C2-1-R), by the European FEDER funds.Barbi, M.; Garcia-Pardo, C.; Cardona Marcet, N.; Andrea Nevárez; Vicente Pons Beltrán; Frasson, M. (2018). Impact of Receivers Location on the Accuracy of Capsule Endoscope Localization. IEEE. 340-344. https://doi.org/10.1109/PIMRC.2018.8580862S34034

UWB RSS-based Localization for Capsule Endoscopy using a Multilayer Phantom and In Vivo Measurements

[EN] In recent years, the localization for capsule endoscopy applications using ultrawideband (UWB) technology has become an attractive field of investigation due to its potential benefits for patients. The literature concerning performance analysis of radio frequency-based localization techniques for in-body applications at UWB frequencies is very limited. Available studies mainly rely on finite-difference time-domain simulations, using digital human models and on experimental measurements by means of homogeneous phantoms. Nevertheless, no realistic analysis based on multilayer phantom measurements or through in vivo experiment has been reported yet. This paper investigates the performance of the received signal strength-based approach for 2-D and 3-D localizations in the UWB frequency band. For 2-D localization, experimental laboratory measurements using a two-layer phantom-based setup have been conducted. For 3-D localization, data from a recently conducted in vivo experiment have been used. Localization accuracy using path loss models, under ideal and non-ideal channel estimation assumptions, is compared. Results show that, under nonideal channel assumption, the relative localization error slightly increases for the 2-D case but not for the in vivo 3-D case. Impact of receivers selection on the localization accuracy has also been investigated for both 2-D and 3-D cases.This work was supported in part by the European Union's H2020 through the MSCA: ITN Program "Wireless in-Body Environment Communication-WiBEC" under Grant 675353, in part by the Programa de Ayudas de Investigacion y Desarrollo, Universitat Politecnica de Valencia under Grant PAID-01-16, and in part by the Ministerio de Economia y Competitividad, Spain, through the European FEDER Funds under Grant TEC2014-60258-C2-1-R.Barbi, M.; Garcia-Pardo, C.; Nevárez, A.; Pons Beltrán, V.; Cardona Marcet, N. (2019). UWB RSS-based Localization for Capsule Endoscopy using a Multilayer Phantom and In Vivo Measurements. IEEE Transactions on Antennas and Propagation. 67(8):5035-5043. https://doi.org/10.1109/TAP.2019.2916629S5035504367

Invasive Infections Associated with the Use of Probiotics in Children: A Systematic Review.

Although the effectiveness of probiotics has only been proven in specific conditions, their use in children is massively widespread because of their perception as harmless products. Recent evidence raises concerns about probiotics' safety, especially but not only in the paediatric population due to severe opportunistic infections after their use. This review aimed at summarising available case reports on invasive infections related to probiotics' use in children. For this purpose, we assessed three electronic databases to identify papers describing paediatric patients with documented probiotic-derived invasive infections, with no language restrictions. A total of 49 case reports from 1995 to June 2021 were identified. The infections were caused by Lactobacillus spp. (35%), Saccharomyces spp. (29%), Bifidobacterium spp. (31%), Bacillus clausii (4%), and Escherichia coli (2%). Most (80%) patients were younger than 2 years old and sepsis was the most observed condition (69.4%). All the patients except one had at least one condition facilitating the development of invasive infection, with prematurity (55%) and intravenous catheter use (51%) being the most frequent. Three (6%) children died. Given the large use of probiotics, further studies aiming at evaluating the real incidence of probiotic-associated systemic infections are warranted

Ultrawideband Technology for Medical In-Body Sensor Networks: An Overview of the Human Body as a Propagation Medium, Phantoms, and Approaches for Propagation Analysis

[EN] An in-body sensor network is that in which at least one of the sensors is located inside the human body. Such wireless in-body sensors are used mainly in medical applications, collecting and monitoring important parameters for health and disease treatment. IEEE Standard 802.15.6-2012 for wireless body area networks (WBANs) considers in-body communications in the Medical Implant Communications Service (MICS) band. Nevertheless, high-data-rate communications are not feasible at the MICS band because of its narrow occupied bandwidth. In this framework, ultrawideband (UWB) systems have emerged as a potential solution for in-body highdata-rate communications because of their miniaturization capabilities and low power consumption.This work was supported by the Programa de Ayudas de Investigación y Desarrollo (PAID-01-16) at the Universitat Politècnica de València, Spain; by the Ministerio de Economía y Competitividad, Spain (TEC2014-60258-C2-1-R); and by the European FEDER funds. It was also funded by the European Union’s H2020:MSCA:ITN program for the Wireless In-Body Environ-ment Communication–WiBEC project under grant 675353.Garcia-Pardo, C.; Andreu-Estellés, C.; Fornés Leal, A.; Castelló-Palacios, S.; Pérez-Simbor, S.; Barbi, M.; Vallés Lluch, A.... (2018). Ultrawideband Technology for Medical In-Body Sensor Networks: An Overview of the Human Body as a Propagation Medium, Phantoms, and Approaches for Propagation Analysis. IEEE Antennas and Propagation Magazine. 60(3):19-33. https://doi.org/10.1109/MAP.2018.2818458S193360

USING BLACK SOLDIER FLIES (HERMETIA ILLUCENS) TO BIOCONVERT WASTE FROM THE LIVESTOCK PRODUCTION CHAIN: A LIFE CYCLE ASSESSMENT CASE STUDY

The aim of this study was to enhance waste from the livestock production chain using insects to produce biomaterials that can fall within the agricultural production cycle (e.g. plastic mulch), in order to achieve sustainability throughout the technological process. After stabilization by drying, mature larvae of Hermetia illucens reared on substrate composed of poultry manure, zeolite and water were chemically separated in the laboratory to extract the proteic, lipidic and chitinic fractions. Proteins were then isolated and added to other components in order to obtain bioplastics. The environmental impacts of the bioplastic production process developed at a laboratory scale was evaluated through the LCA methodology

Oral ondansetron versus domperidone for acute gastroenteritis in pediatric emergency departments: Multicenter double blind randomized controlled trial

The use of antiemetics for vomiting in acute gastroenteritis in children is still a matter of debate. We conducted a double-blind randomized trial to evaluate whether a single oral dose of ondansetron vs domperidone or placebo improves outcomes in children with gastroenteritis. After failure of initial oral rehydration administration, children aged 1-6 years admitted for gastroenteritis to the pediatric emergency departments of 15 hospitals in Italy were randomized to receive one oral dose of ondansetron (0.15 mg/kg) or domperidone (0.5 mg/kg) or placebo. The primary outcome was the percentage of children receiving nasogastric or intravenous rehydration. A p value of 0.014 was used to indicate statistical significance (and 98.6% CI were calculated) as a result of having carried out two interim analyses. 1,313 children were eligible for the first attempt with oral rehydration solution, which was successful for 832 (63.4%); 356 underwent randomization (the parents of 125 children did not give consent): 118 to placebo, 119 to domperidone, and 119 to ondansetron. Fourteen (11.8%) needed intravenous rehydration in the ondansetron group vs 30 (25.2%) and 34 (28.8%) in the domperidone and placebo groups, respectively. Ondansetron reduced the risk of intravenous rehydration by over 50%, both vs placebo (RR 0.41, 98.6% CI 0.20-0.83) and domperidone (RR 0.47, 98.6% CI 0.23-0.97). No differences for adverse events were seen among groups. In a context of emergency care, 6 out of 10 children aged 1-6 years with vomiting due to gastroenteritis and without severe dehydration can be managed effectively with administration of oral rehydration solution alone. In children who fail oral rehydration, a single oral dose of ondansetron reduces the need for intravenous rehydration and the percentage of children who continue to vomit, thereby facilitating the success of oral rehydration. Domperidone was not effective for the symptomatic treatment of vomiting during acute gastroenteritis

Location and Tracking for Ultra-WideBand In-Body Communications in Medical Applications

[ES] La cápsula inalámbrica de endoscopia (WCE) es una tecnología notable y atractiva adoptada en el sector biomédico hace varios años. WCE proporciona una tecnología de imagen inalámbrica no invasiva que permite a los especialistas reconocer y diagnosticar enfermedades que afectan todo el tracto gastrointestinal. Aunque los médicos pueden recibir imágenes claras de anomalías en el tracto gastrointestinal, no tienen información sobre sus exacta ubicación. La localización precisa de los trastornos detectados es crucial para el posterior procedimiento de extracción mediante cirugía. Actualmente, la banda de frecuencia asignada para aplicaciones de cápsula endoscópica es la banda MICS (402-405 MHz) que ofrece una velocidad de datos de hasta 500 kbps, insuciente para transmitir imágenes de alta calidad. Recientemente, la tecnología de banda ultra ancha (UWB) ha estado atrayendo atención como posible candidato para la próxima generación de cápsula endoscópica. Las ventajas de UWB incluyen arquitecturas de transceptor simples que permiten bajo consumo de potencia, baja interferencia a otros sistemas y amplio ancho de banda que resulta en comunicaciones a una velocidad de datos más alta. En esta disertación, el rendimiento de las técnicas de localización de WCE basadas en radiofrecuencia (RF) se investiga a través de simulaciones software, medidas experimentales de laboratorio que involucran fantomas homogéneos y heterogéneos y a través de experimentos in vivo que constituyen el escenario de prueba más realista. La tecnología UWB (3.1-10.6 GHz) se considera como interfaz de comunicación para aplicaciones de cápsula endoscópica. En tal escenario, el transmisor inalámbrico está ubicado en el tracto gastrointestinal, mientras que uno o más receptores inalámbricos están ubicados sobre la supercie del cuerpo. El enfoque basado en la potencia recibida (RSS) se investiga principalmente debido a su simplicidad de implementación y menos sensibilidad a las limitaciones de ancho de banda. Se analiza el impacto de la posición y del número de receptores seleccionados en la precisión de la localización. Finalmente, se desarrolla una interfaz gráfica de usuario (GUI) para visualizar los resultados de la localización en tres dimensiones (3D) obtenidos mediante las medidas in vivo.[CA] La càpsula sense fil d'endoscòpia (WCE) és una tecnologia notable i atractiva adoptada en el sector biomèdic fa diversos anys. La WCE proporciona una tecnologia d'imatge sense fil no invasiva que permet als especialistes reconéixer i diagnosticar malalties que afecten tot el tracte gastrointestinal. Encara que els metges poden rebre imatges clares d'anomalies en el tracte gastrointestinal, no tenen informació sobre les seues exacta ubicació. La localització precisa dels trastorns detectats és crucial per al posterior procediment d'extracció mitjançant cirurgia. Actualment, la banda de freqüència assignada per a aplicacions de càpsula endoscòpica és la banda MICS (402-405 MHz) que ofereix una velocitat de dades de fins a 500 kbps, insucient per a transmetre imatges d'alta qualitat. Recentment, la tecnologia de banda ultra ampla (UWB) ha estat atraient atenció com a possible candidata per a la pròxima generació de càpsula endoscòpica. Els avantatges d' UWB inclouen arquitectures de transceptor simples que permeten un baix consum de potència, baixa interferència amb altres sistemes i una gran amplada de banda que resulta en comunicacions a una velocitat de dades més alta. En aquesta dissertació, el rendiment de les tècniques de localització de WCE basades en radiofrequència (RF) s'investiga a través de simulacions amb programari, mesures experimentals de laboratori que involucren fantomes homogenis i heterogenis i a través d'experiments in vivo que constitueixen l'escenari de prova més realista. La tecnologia UWB (3.1-10.6 GHz) es considera com a interfície de comunicació per a aplicacions de càpsula endoscòpica. En tal escenari, el transmissor sense fil està situat en el tracte gastrointestinal, mentre que un o més receptors sense fils estan situats sobre la superfície del cos. L'enfocament basat en la potència rebuda (RSS) s'investiga principalment a causa de la seua simplicitat d'implementació i menys sensibilitat a les limitacions d'amplada de banda. S'analitza l'impacte de la posició i del numere de receptors seleccionats en la precisió de la localització. Finalment, es desenvolupa una interfície gràca d'usuari (GUI) per a visualitzar els resultats de la localització en tres dimensions (3D) obtinguts mitjançant les mesures in vivo.[EN] Wireless Capsule Endoscopy (WCE) is a remarkable and attractive technology adopted in the biomedical sector several years ago. It provides a non-invasive wireless imaging technology for the entire gastrointestinal (GI) tract. WCE allows specialists to recognize and diagnose diseases affecting the whole GI tract. Although physicians can receive clear pictures of abnormalities in the GI tract, they have no information about their exact location. Precise localization of the detected disorders is crucial for the subsequent removal procedure by surgery. Currently, the frequency band allocated for capsule endoscopy applications is the MICS band (402-405 MHz). This band offers data rate up to 500 kbps, which is insufficient to transmit high quality images. Recently, Ultrawideband (UWB) technology has been attracting attention as potential candidate for next-generation WCE systems. The advantages of UWB include simple transceiver architectures enabling low power consumption, low interference to other systems and wide bandwidth resulting in communications at higher data rate. In this dissertation, performance of WCE localization techniques based on Radio Frequency (RF) information are investigated through software simulations, experimental laboratory measurements involving homogeneous and heterogeneous phantom models and in vivo experiments which constitute the most realistic testing scenario. Ultra-Wideband technology (3.1-10.6 GHz) is considered as communication interface in Wireless Capsule Endoscopy. In such scenario, the wireless transmitter is located in the gastrointestinal track while one or more wireless receivers are located over the surface of the body. Received Signal Strength (RSS)-based approach is mainly explored due to its implementation simplicity and less sensitivity to bandwidth limitations. Impact of the position and the number of selected receivers on the localization accuracy is analyzed. Finally, a graphical user interface (GUI) is developed to visualize the three-dimensional (3D) localization results obtained through in vivo measurements.Barbi, M. (2019). Location and Tracking for Ultra-WideBand In-Body Communications in Medical Applications [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/132874TESI