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Table of contents

Volume 26

Number 5, October 2005

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TOPICAL REVIEW

R155

The wavelet transform has emerged over recent years as a powerful time–frequency analysis and signal coding tool favoured for the interrogation of complex nonstationary signals. Its application to biosignal processing has been at the forefront of these developments where it has been found particularly useful in the study of these, often problematic, signals: none more so than the ECG. In this review, the emerging role of the wavelet transform in the interrogation of the ECG is discussed in detail, where both the continuous and the discrete transform are considered in turn.

PAPERS

585

, and

The macro-bending loss effect in optical fibres has been used to redevelop a sensor for the measurement of thoracic and abdominal circumferences in non-invasive respiratory monitoring. The new sensor uses a novel figure-of-eight loop configuration, which results in increased linearity of response, less mechanical resistance and hysteresis, as well as other benefits. The performance of the new sensor as applied to respiratory monitoring is examined, and indicates a higher resolution and sensitivity than the old. This enhanced performance enables measurement of respiratory and cardiac function using the same transducing fibre.

591

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We present a new method to describe the dynamics of the beat-to-beat RR time series. The classification of the phase-space plots obtained from RR time series is performed by a calculation of parameters which describe the features of the two-dimensional plot. We demonstrate that every parameter has its specific consequence on the evaluation of the state of the cardiac function. By applying the method to the DIAMOND MI study we demonstrate that these parameters have more prognostic power than previously suggested risk markers. The results suggest that the RR intervals constitute a highly complex time series which necessitates the use of refined mathematical–statistical methods in order to reveal pathologies in the heart rate.

599

and

The resting peripheral volume pulse wave of 44 subjects within three age categories (30–39, 40–49, ⩾50) has been characterized using a novel algorithm for the automated determination of a mean pulse function. The contour of this resting mean pulse has been analyzed with regard to its systolic and diastolic characteristics. Previously described indices of arterial stiffness and viscoelasticity have been investigated for age-dependent variations associated with arterial mechanical properties. Measures of the minimum rise time (MRT) and the stiffness index (SI) demonstrated strong correlations with age and each other, although their derivations are unrelated. While significant correlations existed (|r| = 0.50–0.78, p ⩽ 0.002), pairwise comparisons between the right and left hands did not demonstrate significant differences for the minimum rise time parameter; however, the stiffness index was significantly lower in the left hand versus the right (p = 0.009). With regard to age, the youngest age group had significantly lower MRT and SI values than the two older groups. For these data, this was only demonstrated in parameters calculated for the right hand because of higher variability within age groups for the left hand. A normalized average mean pulse for each age group was determined which visually illustrated the contour changes associated with the MRT and SI parameters that occur in both the systolic and diastolic portions of the pulse. The finding that differences between the age groups were significantly more evident for the right hand suggests that the physical site for such testing may be an important consideration. This study provides further evidence regarding the merit of using contour analysis when assessing the peripheral volume pulse and the importance of establishing ageing indices for such analysis.

609

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The quality of life of many epilepsy patients may be improved significantly if the occurrence of epileptic seizures can be successfully forecasted and clinical intervention, such as electrical stimulation or drug delivery, can then be used to suppress their emergence, or warn the patient of the forthcoming events. In this paper, a prediction algorithm based on the second-order complexity measure was proposed to predict the impending seizures. Through the analysis of long-term intracranial EEG recordings from two frontal lobe epilepsy patients, the results indicated that the sensitivity of prediction was 77.8% (14/18) and 66.7% (4/6) and the number of false warnings was 3 and 2 for the two patients, respectively. Because only the information of past seizures was utilized to predict the current seizure and the computation load was low, the prediction algorithm could possibly be applied to clinical practice.

627

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To aid in the development of a long-range subcutaneous radio frequency identification tag to monitor the fate of sea lion pups, the dielectric properties of the cranial skin of young female otariids, and possible test subjects of similar size and age, or pigs (Sus scrofa) and sheep (Ovis aries) were obtained over a frequency range of 0.1–10 GHz at the base of their heads where the tag will be implanted. The resulting curves were similar in shape to adult human skin data, but the values were generally lower. Between subjects, variations were noted in all the species. Circuitry for the RF-ID tag is being designed to account for antenna detuning as a result of the lossy media or skin and the variation in dielectric properties.

639

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The conventional assessment of human semen, especially sperm movement characteristics, is a highly subjective assessment, with considerable intra- and inter-technician variability. Computer-assisted sperm analysis (CASA) systems provide a rapid and automated assessment of the parameters of sperm motion, together with improved standardization and quality control. However, it should be noted that the measurement of the sperm head motion by CASA is sensitive to the technique of experimentation. While conventional CASA systems use digital microscopes with phase-contrast accessories that make the sperm's head appear brighter and sharper than the other parts, in this research, a regular light microscope was used with a digital camera directly attached to its eyepiece. One of the drawbacks of this method is that the images lack proper contrast and sharpness. To remedy this, we have proposed an algorithm for sperm tracking that is insensitive to image acquisition conditions. This tracking algorithm was used after the background and extra particles were successfully removed through a two-step enhancement algorithm. Additionally, in this research, a template matching method was used for finding the sperm's path. Upon examination, it was proven that our tracking algorithm worked well with different image acquisition conditions. This paper explains how this method reduces error probability in finding and tracking sperm in various frames.

653

and

Heart rate variability (HRV) analysis is a non-invasive and reliable means to assess an autonomic nervous system (ANS) function. Heart rate is a non-stationary signal that may contain indicators of current diseases and sometimes warnings about impending diseases. In this paper, we have proposed the threshold-based acceleration change index (TACI) for HRV analysis, which is calculated from the sign of differences of RR time series characterizing the dynamics of threshold crossings. It was found that TACI is robust in classifying various groups under different physiological and pathological conditions. We have studied the behavior of TACI for simulated time series (uncorrelated random data, sinusoidal time series and logistics map time series) and its robustness in the presence of artifacts for RR time series. The performance of TACI is evaluated for classifying normal sinus rhythm (NSR), congestive heart failure (CHF) and atrial fibrillation (AF). An unpaired Student's t-test was used to check significant differences between these groups and the degree of separation between these groups was quantified by using the area of a receiver operator curve.

667

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Using the cross-sectional images taken with the zoom-in micro-tomography technique, we measured trabecular thicknesses of femur bones in postmortem rats. Since the zoom-in micro-tomography technique is capable of high resolution imaging of a small local region inside a large subject, we were able to measure the trabecular thickness without extracting bone samples from the rats. For the zoom-in micro-tomography, we used a micro-tomography system consisting of a micro-focus x-ray source, a 1248 × 1248 flat-panel x-ray detector and a precision scan mechanism. To compensate for the limited spatial resolution in the zoom-in micro-tomography images, we used the fuzzy distance transform for the calculation of the trabecular thickness. To validate the trabecular thickness measurement with the zoom-in micro-tomography images, we compared the measurement results with those obtained from the conventional micro-tomography images of the extracted bone samples. The difference between the two types of measurement results was less than 2.5%.

677

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Upper airway luminal patency is influenced by a number of factors including: intraluminal air pressure, upper airway dilator muscle activity, surrounding extraluminal tissue pressure and surface tension acting within the liquid layer lining the upper airway. In this study we examine the performance characteristics for the 'pull-off' force method for measuring the surface tension (γ) of liquids. This method is then used to examine the γ of the liquid lining the oro-pharynx in awake human subjects. The γ of UAL samples (∼0.2 µL) obtained from the posterior pharyngeal wall was quantified using the pull-off force technique in which γ is measured as the force required to separate two curved silica discs bridged by the liquid sample. Pull-off force measurement was not influenced by sample volumes or under different temperature or humidity conditions. The coefficients of variation for repeated measurements using the pull-off force technique for the three standard liquids ranged from 1.2% to 5.6%. The pull-off method tended to give slightly lower values than the Wihelmy balance method with the mean difference being 2.4 ± 1.8 mN m−1. For the group, the γ of saliva was 59.2 ± 0.6 mN m−1 (CV 4.9 ± 0.9%) for five measurements of a single sample. There was no significant relationship between the measured γ values for five subjects measured on five separate days and the day of collection of the sample for any of the subjects or the group as a whole (both p > 0.6). There was no significant difference (p = 0.53, ANOVA) between the γ values for samples obtained from under the tongue (61.6 ± 1.7 mN m−1), at the oral surface of the soft palate (56.1 ± 3.2 mN m−1) and from the posterior oro-pharyngeal wall (58.1 ± 2.4 mN m−1). The pull-off force method provides adequate reproducibility to be able to measure the γ of UAL. In healthy humans the γ of UAL is similar to that of saliva.

689

and

The decrease in the costs of electronic components and devices, conjugated to the advancement of the miniaturization technologies, has promoted a large profusion of the use of motion sensors for human movement analysis in clinics. The errors in the design are numerous, from circuital errors to positioning and orientation errors; a preliminary approach to the problem by means of simulations is necessary. We developed an environment for the simulation of mixed kinematic sensor assemblies with accelerometers and rate gyroscopes; it was tested by means of three different assemblies in the simulation of the trajectory reconstruction. The first assembly was represented by a 6-accelerometer assembly, the second by a 9-accelerometer assembly and the third was based on three rate gyroscopes and three accelerometers. The circuital error, given as an input to the environment, was determined during a bench test, the positioning error was set to pe = 5 × 10−4 m and the orientation error to αe = 6 × 10−2 deg. Results showed the agreement between estimated and experimental data from the bench test. Simulation results also showed that the errors in trajectory reconstruction in the sagittal plane were lower than 3–4% during 4 s of simulation.

707

and

The reliable recognition and adequate electrical shock therapy of life-threatening cardiac states depend on the electrocardiogram (ECG) descriptors which are used by the defibrillator-embedded automatic arrhythmia analysis algorithms. We propose a method for real-time ECG processing and parameter set extraction using band-pass digital filtration and ECG peak detection. Twelve parameters were derived: (i) seven parameters from the band-pass filter output—six threshold parameters and one peak counter; (ii) five parameters from the ECG peak detection branch, which assess the heart rate, the periodicity and the amplitude/slope symmetry of the ECG peaks. The statistical assessment for more than 36 h of cardiac arrhythmia episodes collected from the public AHA and MIT databases showed that some of the parameters achieved high specificity and sensitivity, but there was no parameter providing 100% separation between non-shockable and shockable rhythms. In order to estimate the influence of the wide variety of cardiac arrhythmias and the different artifacts in real recording conditions, we performed a more detailed study for eight non-shockable and four shockable rhythm categories. The combination of the six top-ranked parameters provided specificity: (i) more than 99% for rhythms with narrow supraventricular complexes, premature ventricular contractions, paced beats and bradycardias; (ii) almost 95% for supraventricular tachycardias; (iii) 91.5% for bundle branch blocks; (iv) 92.2% for slow ventricular tachycardias. The attained sensitivity was above 98% for coarse and fine ventricular fibrillations and 94% for the rapid ventricular tachycardias. The accuracy for the noise contaminated non-shockable and shockable signals exceeded 93%. The proposed parameter set guarantees an accuracy that meets the AHA performance goal for each rhythm category and could be a reliable facility for AED shock-advisory algorithms.

725

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Cerebral autoregulation maintains a relatively constant blood flow despite changes of blood pressure in the brain. Linear models have been extensively applied to identify this mechanism, using spontaneous arterial blood pressure (ABP) fluctuation as input and cerebral blood flow velocity (CBFV) change as output. Although valuable measurements have been achieved by these models, accuracy and consistency are of great concern due to the large variability of results. We therefore investigated whether more reliable measurements can be achieved by selecting only those recordings (or parts of recordings) with relatively high spontaneous variability of ABP. Twenty-four recordings, 7 from hypercapnia and 17 from normocapnia, of ABP and CBFV from 9 healthy adults were analyzed. Two conventional autoregulatory parameters were used to assess cerebral autoregulation. In the absence of a 'gold' standard for the study of dynamic cerebral autoregulation, lower variability of the parameters and higher correlation with pCO2 were considered as criteria for identifying improved measures of autoregulation. Both significantly lower variability of the parameters, and higher correlation between the parameters and pCO2 were achieved from the data with higher variability of blood pressure. We therefore conclude that ABP with high variability may effectively stimulate regulatory response in blood flow resulting in improved assessment of cerebral autoregulation.

743

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A model based high-resolution QRS fiducial point correction algorithm, which is suitable for sparsely sampled electrocardiogram (ECG) recordings, is presented. The presented method can be divided into three steps. First, the initial QRS fiducial points are estimated by using ordinary interpolation methods. Then, the data points of each QRS are extracted and centered in time and the shape of the QRS complex is estimated by nonlinearly fitting a double exponential function to the extracted data points. Finally, the estimated model and its derivative are linearly fitted to the data points of each QRS complex separately and new fiducial point estimates are obtained. The proposed method is tested with simulations and real ECG data. As a result, it is observed that the proposed method is also suitable for asymmetric QRS complexes unlike, e.g., the commonly used cubic spline interpolation method.

753

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Monitoring of uterine contraction activity is an important diagnostic tool used during both pregnancy and labour. The strain the pregnant uterus exerts on the maternal abdomen is measured via external tocography. However, limitation of this approach has caused the development of another technique—electrohysterography—which is based on the recording of electrical uterine activity. A computer-aided system is presented, which allows the recording of electrohysterographic signals from the maternal abdomen and their on-line analysis both in time and frequency domains. As a research material, we acquired 108 traces during a 24 h period before labour from a group of patients between 37 and 40 weeks of gestation. The comparison study between electrohysterography and tocography was carried out thanks to the possibility of simultaneous recording of mechanical and electrical uterine activities. The obtained results show that both methods demonstrate high agreement in relation to the number of contractions recognized as being consistent. However, their agreement in relation to the quantitative description of recognized patterns has appeared to be unacceptable to consider these methods as fully alternative. The appropriate way of further development of electrohysterography seems to be spectral analysis. Several spectral parameters describing electrophysiological properties of uterine muscle can be obtained by the use of electrohysterographic signals.

769

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The purpose of this paper is to study whether the deep freezing of bone and later thawing affects the bone mineral density (BMD) measurement. We used 56 calcanei from 28 adult female New Zealand white rabbits and 102 human calcanei from 51 donors post-mortem (27 men and 24 women, age 30–89). Dual energy x-ray absorptiometry evaluated BMD of the frozen specimen and of the thawed specimen. A main analysis compared BMD of each specimen in the frozen and thawed states. The mean BMD of 224 areas of frozen rabbits' calcanei was 0.31 ± 0.08 g cm−2 (95% confidence interval (CI) from 0.30 to 0.32 g cm−2) while the mean BMD of thawed rabbits' calcanei was 0.31 ± 0.08 g cm−2 (95% CI from 0.30 to 0.32 g cm−2; paired t-test p > 0.01). The mean BMD of 306 areas of frozen human calcaneus was 0.73 ± 0.22 g cm−2 (95% CI from 0.70 to 0.76 g cm−2) while the mean BMD of thawed human calcaneus was 0.73 ± 0.22 g cm−2 (95% CI from 0.70 to 0.76 g cm−2; p > 0.01). For both the rabbit and the human calcanei, a Bland–Altman analysis showed a mean difference between the BMD in the frozen and thawed states of 0.00 (limits of agreement, rabbit: −0.07 to 0.08 g cm−2, human: −0.16 to 0.21 g cm−2). A high correlation was observed between calcaneus BMD in the frozen and thawed states (r = 0.94, 0.97, 0.92 and 0.99 respectively in all rabbit calcanei, all human calcanei, immobilized rabbit calcanei and osteopenic human calcanei, all p < 0.01). Bone mineral density is not affected by deep freezing and later thawing of the specimen. Therefore, the specimens need not be thawed to obtain valid and precise BMD measurement. These results are relevant to general musculoskeletal as well as osteoporosis research where the specimens undergo multiple tests in series.

779

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Obstructive sleep apnea (OSA) is a highly prevalent disease in which upper airways are collapsed during sleep, leading to serious consequences. The gold standard of diagnosis, called polysomnography (PSG), requires a full-night hospital stay connected to over ten channels of measurements requiring physical contact with sensors. PSG is inconvenient, expensive and unsuited for community screening. Snoring is the earliest symptom of OSA, but its potential in clinical diagnosis is not fully recognized yet. Diagnostic systems intent on using snore-related sounds (SRS) face the tough problem of how to define a snore. In this paper, we present a working definition of a snore, and propose algorithms to segment SRS into classes of pure breathing, silence and voiced/unvoiced snores. We propose a novel feature termed the 'intra-snore-pitch-jump' (ISPJ) to diagnose OSA. Working on clinical data, we show that ISPJ delivers OSA detection sensitivities of 86–100% while holding specificity at 50–80%. These numbers indicate that snore sounds and the ISPJ have the potential to be good candidates for a take-home device for OSA screening. Snore sounds have the significant advantage in that they can be conveniently acquired with low-cost non-contact equipment. The segmentation results presented in this paper have been derived using data from eight patients as the training set and another eight patients as the testing set. ISPJ-based OSA detection results have been derived using training data from 16 subjects and testing data from 29 subjects.

799

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In obstructive sleep apnoea (OSA) cyclical changes in oxygen saturation and heart rate in the period range of 30–120 s are observed. In these patients, we prospectively analyse the coherence of nocturnal SaO2 and heart rate signals. A sample of 201 clinically suspected of having OSA were studied using nocturnal pulse oximetric and complete polysomnography. Coherence function versus period curves were categorized into three patterns: a positive pattern showing a predominant positive peak value of coherence in the period range of 30–120 s; a negative pattern if the predominant coherence was negative in the same range; and an undetermined pattern if no predominance was detected. One hundred and thirteen patients present a positive coherence pattern; 74.3% of these have OSA. A negative coherence pattern was observed for 28 patients; 85.7% of these have OSA. The remaining 60 patients present an undetermined pattern. Patients with OSA presented significantly higher maximal positive coherence and maximal negative coherence than those without OSA. We conclude that OSA patients present dynamic coordination and interdependence between SaO2 and heart rate in specific frequencies.

811

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The assessment and diagnosis of lower limb peripheral arterial occlusive disease (PAOD) is important since it can lead progressively to disabling claudication, ischaemic rest pain and gangrene. Historically, the first assessment has been palpation of the peripheral pulse since it can become damped, delayed and diminished with disease. In this study we investigated the clinical value of objective photoplethysmography (PPG) pulse measurements collected simultaneously from the right and left great toes to diagnose disease in the lower limbs. In total, 63 healthy subjects and 44 patients with suspected lower limb disease were studied. Pulse wave analysis techniques extracted timing, amplitude and shape characteristics for both toes and for right-to-left toe differences. Normative ranges of pulse characteristics were then calculated for the healthy subject group. The relative diagnostic values of the different pulse features for detecting lower limb arterial disease were determined, referenced to the established ankle-brachial pressure index (ABPI) measurement. The ranges of pulse characteristics and degree of bilateral similarity in healthy subjects were established, and the degrees of pulse delay, amplitude reduction, and damping and bilateral asymmetry were quantified for different grades of disease. When pulse timing, amplitude and shape features were ranked in order of diagnostic performance, the shape index (SI) gave substantial agreement with ABPI (>90% accuracy, kappa 0.75). SI also detected higher grade disease, for legs with an ABPI less than 0.5, with a sensitivity of 100%. The simple-to-calculate timing differences between pulse peaks produced a diagnostic accuracy of 88% for all grades of arterial disease (kappa 0.70), and 93% for higher grade disease (kappa 0.77). These contrasted with the limited discriminatory value of PPG pulse amplitude. The low-cost and simplicity of this optical-based technology could offer significant benefits to healthcare, such as in primary care where non-invasive, accurate and simple-to-use (de-skilled) diagnostic techniques are desirable.

823

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No quantitative method has been implemented routinely in clinical practice to assess the oesophago–gastric junction (OGJ). Using impedance planimetry a functional lumen imaging probe (FLIP) was constructed to measure eight cross-sectional areas (CSA) at 4 mm intervals inside a saline-filled bag. To validate the FLIP technique for profiling the OGJ, polymethylmethacrylate (Perspex®) cylinders with different CSAs were measured ten times by the FLIP to assess reproducibility and accuracy. A geometric sphincter phantom was constructed and its geometry was measured with a 360° radial ultrasound (US) mini-probe pulled through it at a rate of 1 mm s–1. The measurements were compared with FLIP measurements. Safety and technique reproducibility were tested on a volunteer. Reproducibility and accuracy between the ten samples were good. The probe performed well with and without a balloon mounted on it except for the smallest CSA (38.5 mm2) where there was a difference of 22% from the actual value at one CSA measurement point. The FLIP imaged the phantom geometry as well as the radial scanning US mini-probe. Pilot studies on a volunteer showed that the probe could be placed in the OGJ and the balloon distensions revealed the geometry of the sphincter at various levels of distension. The technique may be useful in accessing the role of the OGJ in diseases such as gastroesophageal reflux disease (GORD) and achalasia and their treatments with surgical and endoscopic therapies.

837

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Recent studies on intraoperative radiofrequency ablation of atrial fibrillation have reported some cases of injury to the esophagus. The aim of this study was to perform computer simulations using a theoretical model in order to investigate the effect of different factors on the temperature distributions in the esophagus during ablation. A three-dimensional model was built to include an active electrode, atrial tissue, epicardial fat layer and a fragment of esophagus, aorta and lung, all linked by connective tissue. The finite-element method was used to calculate the temperature distribution during a procedure of constant-temperature ablation. The lesion geometry was assessed using a 50 °C isotherm. Our results show that the electrical power directly applied to the esophagus is insignificant and hence the esophageal injury is exclusively due to thermal conduction from the atrium. The esophageal lesion is mainly influenced by the thickness of connective tissue. Both the programmed target temperature of the electrode and the duration of the ablation also have a significant effect on the lesion in the esophagus. In contrast, the epicardial fat layer (0.9 mm thickness) did not show a significant influence. In conclusion, this theoretical model allows us to study the effect of different factors on the thermal injury in the esophagus during intraoperative radiofrequency ablation of atrial tissue.

849

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Hypoxia/ischaemia is the most common cause of brain damage in neonates. Thousands of newborn children suffer from perinatal asphyxia every year. The cells go through a response mechanism during hypoxia/ischaemia, to maintain the cellular viability and, as a response to the hypoxic/ischaemic insult, the composition and the structure of the cellular environment are altered. The alterations in the ionic concentration of the intra- and extracellular and the consequent cytotoxic oedema, cell swelling, modify the electrical properties of the constituted tissue. The changes produced can be easily measured using electrical impedance instrumentation. In this paper, we report the results from an impedance spectroscopy study on the effects of the hypoxia on the perinatal brain. The transencephalic impedance, both resistance and reactance, was measured in newborn piglets using the four-electrode method in the frequency range from 20 kHz to 750 kHz and the experimental results were compared with numerical results from a simulation of a suspension of cells during cell swelling. The experimental results make clear the frequency dependence of the bioelectrical impedance, confirm that the variation of resistance is more sensitive at low than at high frequencies and show that the reactance changes substantially during hypoxia. The resemblance between the experimental and numerical results proves the validity of modelling tissue as a suspension of cells and confirms the importance of the cellular oedema process in the alterations of the electrical properties of biological tissue. The study of the effects of hypoxia/ischaemia in the bioelectrical properties of tissue may lead to the development of useful clinical tools based on the application of bioelectrical impedance technology.

865

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A newly developed portable multi-channel photoplethysmography (PPG) device has been used for comparative studies of 20 healthy control subjects and 45 patients with diagnosed arterial stenosis in a leg. The peripheral blood pulsations were detected simultaneously at four body sites—the same fingers and toes of both arms and legs. The PPG pulses recorded at the periphery of the stenotic leg, if compared with those of the healthy leg, were much weaker, with delayed arrival as a consequence of increased pulse wave transit time (PWTT) due to higher vascular resistance. The specific PWTT delays for the occluded legs were in the range of 20–80 ms, while in the case of healthy subjects the leg PPG signals arrived without delays or with smaller time-shifts not exceeding 14 ms. The reference bilateral PPG signals detected at the fingertips did not show any notable PWTT delays in both groups. Parallel measurements of local blood pressures by means of the oscillometry method with subsequent calculation of the ankle–brachial index were performed. Convincing correlation between the bilateral differences in the local blood pressure (a routine tool for diagnostics of leg stenosis) and in the corresponding PWTT delay (Pearson's coefficient r = 0.93), as well as between the PWTT delay and the ankle–brachial index (r = −0.96) has been established. From the point of view of PWTT delay, the average value of leg stenosis diagnostic threshold was established to be in the range of 23 ± 9 ms, with full reliability above 32 ms. The obtained data may find further applications in alternative methodologies for detection and/or assessment of arterial occlusions in human extremities.

875

, , , , , , , , , et al

In magnetic resonance electrical impedance tomography (MREIT), we measure the induced magnetic flux density inside an object subject to an externally injected current. This magnetic flux density is contaminated with noise, which ultimately limits the quality of reconstructed conductivity and current density images. By analysing and experimentally verifying the amount of noise in images gathered from two MREIT systems, we found that a carefully designed MREIT study will be able to reduce noise levels below 0.25 and 0.05 nT at main magnetic field strengths of 3 and 11 T, respectively, at a voxel size of 3 × 3 × 3 mm3. Further noise level reductions can be achieved by optimizing MREIT pulse sequences and using signal averaging. We suggest two different methods to estimate magnetic flux noise levels, and the results are compared to validate the experimental setup of an MREIT system.

NOTE

N21

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A novel drive circuit, useful for medical electronics, is capable of supplying a sample of human tissue, across which there should be zero direct voltage (dc), with a well-defined test current from a source having an output impedance exceeding 16 MΩ at 100 kHz.

LETTERS TO THE EDITOR