Optimal Inertial Sensor Placement And Motion Detection For Epileptic Seizure Patient Monitoring, Babak Kamalizonouzi

Electronic Thesis and Dissertation Repository

Use of inertial sensory systems to monitor and detect seizure episodes in patients suffering from epilepsy is investigated via numerical simulations and experiments. Numerical simulations employ a mathematical model that is able to predict human body dynamic responses during a typical epileptic seizure. An optimized inertial sensor placement procedure is developed to address achievement of highest possible sensing resolution in determining angular accelerations with minimal errors. In addition, a joint torque estimation procedure is formulated to assist in the future development of a possible detection scheme. Experimental motion data obtained from an epileptic seizure patient as well as a healthy …

Calcium Phosphate-Based Resorbable Biomaterials For Bone Regeneration, Daniel O. Costa

Electronic Thesis and Dissertation Repository

Bone defects are a prevalent problem in orthopedics and dentistry. Calcium phosphate-based coatings and nanocomposites offer unique solutions towards producing scaffolds with suitable physical, mechanical and biological properties for bone regeneration.

We developed a novel method to synthesize hydroxyapatite (HA) particles with high aspect ratio using sol-gel chemistry and hydrothermal treatment. We obtained tunable pure-phase carbonated-HA in the form of micro/nanorods and nanowires (diameters 25-800 nm). To mimic the structure of bone, HA nanowires were homogenously mixed within poly(ε-caprolactone) (PCL) to produce nanocomposites with improved mechanical properties as determined by uniaxial tensile testing.

Surface chemistry and topography of biomaterials play …

Development Of A Novel Handheld Device For Active Compensation Of Physiological Tremor, Abhijit Saxena

Electronic Thesis and Dissertation Repository

In microsurgery, the human hand imposes certain limitations in accurately positioning the tip of a device such as scalpel. Any errors in the motion of the hand make microsurgical procedures difficult and involuntary motions such as hand tremors can make some procedures significantly difficult to perform. This is particularly true in the case of vitreoretinal microsurgery. The most familiar source of involuntary motion is physiological tremor. Real-time compensation of tremor is, therefore, necessary to assist surgeons to precisely position and manipulate the tool-tip to accurately perform a microsurgery. In this thesis, a novel handheld device (AID) is described for compensation …

Metrics For Evaluating Surgical Microscope Usage During Myringotomy, Arefin M. Shamsil

Electronic Thesis and Dissertation Repository

Abstract

Although teaching and learning surgical microscope manoeuvring is a fundamental step in middle ear surgical training, currently there is no objective method to teach or assess this skill. This thesis presents an experimental study designed to implement and test sets of metrics capable of numerically evaluating microscope manoeuvrability and qualitatively assessing surgical expertise of a subject during a middle ear surgery called myringotomy. The experiment involved performing a myringotomy on a fixed cadaveric ear. As participants, experienced ear-nose-throat (ENT) surgeons and ENT surgical residents were invited. While performing the procedure, their microscope manoeuvring motions were captured as translational and …

Quantification Of Bone And Cement Strains Surrounding A Distal Ulnar Implant With Varying Cement-Stem Interface Conditions, Sayward R. Fetterly

Electronic Thesis and Dissertation Repository

Implant loosening following joint replacement surgery is a health-care concern. The role of implant-cement debonding on the propensity of loosening has received limited attention. This thesis examines changes in strains within the cement mantle and bone surrounding distal ulnar implants, as a function of cement-stem interface bonding.

A method to embed strain gauges within the cement mantle of the restrictive distal ulnar canal was developed. This technique was applied in 8 cadaveric distal ulnae, where strains were quantified at 2 internal and 5 external (i.e., bone surface) locations under torsion and bending loads with bonded and de-bonded cement-stem interfaces. …

The Contact Mechanics And Kinematics Of Radial Head Implants, Hannah L. Shannon

Electronic Thesis and Dissertation Repository

A number of commercially available radial head (RH) implants are used for the management of RH fractures. The optimal shape of a RH implant to restore joint mechanics to the native state has not been established. This work compares radiocapitellar contact and kinematics for three implant designs as well as the native RH. These implants include an axisymmetric, a quasi-anatomic and a patient-specific design. When compared to the native RH, only the axisymmetric implant was significantly different in contact area (p=0.008). Active and passive forearm supination was assessed for differences in translations of the RH. Significant differences were found in …

A Sensorized Instrument For Minimally Invasive Surgery For The Measurement Of Forces During Training And Surgery: Development And Applications, Ana Luisa Trejos

Electronic Thesis and Dissertation Repository

The reduced access conditions present in Minimally Invasive Surgery (MIS) affect the feel of interaction forces between the instruments and the tissue being treated. This loss of haptic information compromises the safety of the procedure and must be overcome through training. Haptics in MIS is the subject of extensive research, focused on establishing force feedback mechanisms and developing appropriate sensors. This latter task is complicated by the need to place the sensors as close as possible to the instrument tip, as the measurement of forces outside of the patient's body does not represent the true tool--tissue interaction. Many force sensors …

Mri-Based Attenuation Correction In Emission Computed Tomography, Harry R. Marshall

Electronic Thesis and Dissertation Repository

The hybridization of magnetic resonance imaging (MRI) with positron emission tomography (PET) or single photon emission computed tomography (SPECT) enables the collection of an assortment of biological data in spatial and temporal register. However, both PET and SPECT are subject to photon attenuation, a process that degrades image quality and precludes quantification. To correct for the effects of attenuation, the spatial distribution of linear attenuation coefficients (μ-coefficients) within and about the patient must be available. Unfortunately, extracting μ-coefficients from MRI is non-trivial. In this thesis, I explore the problem of MRI-based attenuation correction (AC) in emission tomography.

In particular, I …

Real-Time Prostate Motion Tracking For Robot-Assisted Laparoscopic Radical Prostatectomy, Mehdi Esteghamatian

Electronic Thesis and Dissertation Repository

Radical prostatectomy surgery (RP) is the gold standard for treatment of localized prostate cancer (PCa). Recently, emergence of minimally invasive techniques such as Laparoscopic Radical Prostatectomy (LRP) and Robot-Assisted Laparoscopic Radical Prostatectomy (RARP) has improved the outcomes for prostatectomy. However, it remains difficult for surgeons to make informed decisions regarding resection margins and nerve sparing since the location of the tumour within the organ is not usually visible in a laparoscopic view. While MRI enables visualization of the salient structures and cancer foci, its efficacy in LRP is reduced unless it is fused into a stereoscopic view such that homologous …