Biomedical Engineering and Bioengineering Commons^™

On Coupling A Lumped Parameter Heart Model And A Three-Dimensional Finite Element Aorta Model, H. J. Kim, Irene E. Vignon-Clementel, C. A. Figueroa, John F. Ladisa, K. E. Jansen, Jeffrey A. Feinstein, Charles A. Taylor

Biomedical Engineering Faculty Research and Publications

Aortic flow and pressure result from the interactions between the heart and arterial system. In this work, we considered these interactions by utilizing a lumped parameter heart model as an inflow boundary condition for three-dimensional finite element simulations of aortic blood flow and vessel wall dynamics. The ventricular pressure–volume behavior of the lumped parameter heart model is approximated using a time varying elastance function scaled from a normalized elastance function. When the aortic valve is open, the coupled multidomain method is used to strongly couple the lumped parameter heart model and three-dimensional arterial models and compute ventricular volume, ventricular pressure, …

Comparison Of Cumulative Planimetry Versus Manual Dissection To Assess Experimental Infarct Size In Isolated Hearts, Matthias L. Riess, Samhita S. Rhodes, David F. Stowe, Mohammed Aldakkak, Amadou K.S. Camara

Biomedical Engineering Faculty Research and Publications

Introduction

Infarct size (IS) is an important variable to estimate cardiac ischemia/reperfusion injury in animal models. Triphenyltetrazolium chloride (TTC) stains viable cells red while leaving infarcted cells unstained. To quantify IS, infarcted and non-infarcted tissue is often manually dissected and weighed (IS-DW). An alternative is to measure infarcted areas by cumulative planimetry (IS-CP).

Methods

We prospectively compared these two methods in 141 Langendorff-prepared guinea pig hearts (1.44 ± 0.02 g) that were part of different studies on mechanisms of cardioprotection. Hearts were perfused with Krebs–Ringer's and subjected to 30 min global ischemia after various cardioprotective treatments. Two hours after reperfusion …

Exploiting Multiple Sensory Modalities In Brain-Machine Interfaces, Aaron J. Suminski, Dennis C. Tkach, Nicholas G. Hatsopoulos

Biomedical Engineering Faculty Research and Publications

Recent improvements in cortically-controlled brain-machine interfaces (BMIs) have raised hopes that such technologies may improve the quality of life of severely motor-disabled patients. However, current generation BMIs do not perform up to their potential due to the neglect of the full range of sensory feedback in their strategies for training and control. Here we confirm that neurons in the primary motor cortex (MI) encode sensory information and demonstrate a significant heterogeneity in their responses with respect to the type of sensory modality available to the subject about a reaching task. We further show using mutual information and directional tuning analyses …

Flexor Reflex Decreases During Sympathetic Stimulation In Chronic Human Spinal Cord Injury, Mark Kevin Garrison, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

A better understanding of autonomic influence on motor reflex pathways in spinal cord injury is important to the clinical management of autonomic dysreflexia and spasticity in spinal cord injured patients. The purpose of this study was to examine the modulation of flexor reflex windup during episodes of induced sympathetic activity in chronic human spinal cord injury (SCI). We simultaneously measured peripheral vascular conductance and the windup of the flexor reflex in response to conditioning stimuli of electrocutaneous stimulation to the opposite leg and bladder percussion. Flexor reflexes were quantified using torque measurements of the response to a noxious electrical stimulus …

Modulation Of Mitochondrial Bioenergetics In The Isolated Guinea Pig Beating Heart By Potassium And Lidocaine Cardioplegia: Implications For Cardioprotection, Mohammed Aldakkak, David F. Stowe, Edward J. Lesnefsky, James S. Heisner, Qun Chen, Amadou K.S. Camara

Biomedical Engineering Faculty Research and Publications

Mitochondria are damaged by cardiac ischemia/reperfusion (I/R) injury but can contribute to cardioprotection. We tested if hyperkalemic cardioplegia (CP) and lidocaine (LID) differently modulate mitochondrial (m) bioenergetics and protect hearts against I/R injury. Guinea pig hearts (n = 71) were perfused with Krebs Ringer's solution before perfusion for 1 minute just before ischemia with either CP (16 mM K+) or LID (1 mM) or Krebs Ringer's (control, 4 mM K+). The 1-minute perfusion period assured treatment during ischemia but not on reperfusion. Cardiac function, NADH, FAD, m[Ca2+], and superoxide (reactive oxygen species) were assessed at baseline, during the 1-minute perfusion, …

Splenic Trauma As An Adverse Effect Of Torso-Protecting Side Airbags: Biomechanical And Case Evidence, Jason John Hallman, Karen J. Brasel, Narayan Yoganandan, Frank A. Pintar

Biomedical Engineering Faculty Research and Publications

Injury mechanisms from frontal airbags, first identified in anecdotal reports, are now well documented for pediatric, small female, and out-of-position occupants. In contrast, torso side airbags have not yet been consistently associated with specific injury risks in field assessments. To determine possible torso side airbag-related injuries, the present study identified crashes involving side airbags from reports within the CIREN, NASS, and SCI databases. Injury patterns were compared to patterns from lateral crashes in absence of side airbag. Splenic trauma (AIS 3+) was found present in five cases of torso side airbag deployment at lower impact severity (as measured by velocity …

Discriminating Pulmonary Hypertension Caused By Monocrotaline Toxicity From Chronic Hypoxia By Near-Infrared Spectroscopy And Multivariate Methods Of Analysis, Simon Duri, Robert C. Molthen, Chieu D. Tran

Biomedical Engineering Faculty Research and Publications

A new method has been developed for the determination of tissue pathology caused by chronic hypoxia and monocrotaline toxicity. The method is based on the use of near-infrared (NIR) spectrophotometry to measure spectra of lung tissue from normal chronic hypoxia (CH) and monocrotaline (MCT) models of pulmonary hypertension (PH), followed by analysis using multivariate methods, that is, principal component analysis (PCA) and partial least squares (PLS). Synergistic use of NIR with the PCA/PLS method makes it possible, for the first time, not only to divide different lung tissue samples into their respective groups (normal, CH, and MCT) but also to …

Elastic, Viscous, And Mass Load Effects On Poststroke Muscle Recruitment And Co-Contraction During Reaching: A Pilot Study, Tina M. Stoeckmann, Katherine J. Sullivan, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

Background: Resistive exercise after stroke can improve strength (force-generating capacity) without increasing spasticity (velocity-dependent hypertonicity). However, the effect of resistive load type on muscle activation and co-contraction after stroke is not clear.

Objective: The purpose of this study was to determine the effect of load type (elastic, viscous, or mass) on muscle activation and co-contraction during resisted forward reaching in the paretic and nonparetic arms after stroke.

Design: This investigation was a single-session, mixed repeated-measures pilot study.

Methods: Twenty participants (10 with hemiplegia and 10 without neurologic involvement) reached forward with each arm against equivalent elastic, viscous, and mass loads. …

Optimal "Image-Based" Weighting For Energy-Resolved Ct, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

This paper investigates a method of reconstructing images from energy-resolved CT data with negligible beam-hardening artifacts and improved contrast-to-nosie [sic] ratio (CNR) compared to conventional energy-weighting methods. Conceptually, the investigated method first reconstructs separate images from each energy bin. The final image is a linear combination of the energy-bin images, with the weights chosen to maximize the CNR in the final image. The optimal weight of a particular energy-bin image is derived to be proportional to the contrast-to-noise-variance ratio in that image. The investigated weighting method is referred to as “image-based” weighting, although, as will be described, the weights can …

Mitochondrial Reactive Oxygen Species Production In Excitable Cells: Modulators Of Mitochondrial And Cell Function, David F. Stowe, Amadou K.S. Camara

Biomedical Engineering Faculty Research and Publications

The mitochondrion is a major source of reactive oxygen species (ROS). Superoxide (O₂^•−) is generated under specific bioenergetic conditions at several sites within the electron-transport system; most is converted to H₂O₂ inside and outside the mitochondrial matrix by superoxide dismutases. H₂O₂ is a major chemical messenger that, in low amounts and with its products, physiologically modulates cell function. The redox state and ROS scavengers largely control the emission (generation scavenging) of O₂^•−. Cell ischemia, hypoxia, or toxins can result in excess O₂^•− production when the redox …

Bioresorbable Film For The Prevention Of Adhesion To The Anterior Spine After Anterolateral Discectomy, Lisa S. Klopp, Jeffrey M. Toth, William C. Welch, Sangeeta Rao, Joseph W. Tai, Kevin A. Thomas, Simon Turner

Biomedical Engineering Faculty Research and Publications

Background context

The development of scar tissue and adhesions postoperatively is a natural consequence of healing but can be associated with medical complications and render reoperation difficult. Many biocompatible products have been evaluated as barriers or deterrents to adhesions.

Purpose

To evaluate the efficacy of a bioresorbable polylactide film as a barrier to adhesion formation after anterolateral discectomy.

Study design

Experimental study.

Methods

Seven, skeletally mature female sheep underwent a retroperitoneal approach to the anterolateral lumbar spine. A discectomy was performed at two levels with an intervening unoperated disc site. One site was treated with a polylactide film barrier (Hydrosorb …

Vascular Injury After Whole Thoracic X-Ray Irradiation In The Rat, S. N. Ghosh, Q. Wu, M. Mäder, B. L. Fish, John E. Moulder, Elizabeth R. Jacobs, Meetha Medhora, Robert C. Molthen

Biomedical Engineering Faculty Research and Publications

Purpose

To study vascular injury after whole thoracic irradiation with single sublethal doses of X-rays in the rat and to develop markers that might predict the severity of injury.

Methods and Materials

Rats that received 5- or 10-Gy thorax-only irradiation and age-matched controls were studied at 3 days, 2 weeks, and 1, 2, 5, and 12 months. Several pulmonary vascular parameters were evaluated, including hemodynamics, vessel density, total lung angiotensin-converting enzyme activity, and right ventricular hypertrophy.

Results

By 1 month, the rats in the 10-Gy group had pulmonary vascular dropout, right ventricular hypertrophy, increased pulmonary vascular resistance, increased dry lung …

Ankle Load Modulates Hip Kinetics And Emg During Human Locomotion, Keith E. Gordon, Ming Wu, Jennifer H. Kahn, Yasin Y. Dhaher, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

The purpose of this research was to examine the role of isolated ankle-foot load in regulating locomotor patterns in humans with and without spinal cord injury (SCI). We used a powered ankle-foot orthosis to unilaterally load the ankle and foot during robotically assisted airstepping. The load perturbation consisted of an applied dorsiflexion torque designed to stimulate physiological load sensors originating from the ankle plantar flexor muscles and pressure receptors on the sole of the foot. We hypothesized that 1) the response to load would be phase specific with enhanced ipsilateral extensor muscle activity and joint torque occurring when unilateral …

Short-Term Osteoclastic Activity Induced By Locally High Concentrations Of Recombinant Human Bone Morphogenetic Protein–2 In A Cancellous Bone Environment, Jeffrey M. Toth, Scott D. Boden, J. Kenneth Burkus, Jeffrey Badura, Steve M. Peckham, William Mckay

Biomedical Engineering Faculty Research and Publications

Study Design. An experimental study investigating osteoclastic activity induced by rhBMP-2 in sheep.

Objective. To examine the effects of increasing local rhBMP-2 concentration on osteoclastic response and peri-implant bone resorption.

Summary of Background Data. Level I clinical studies have established the safe and effective volume and concentration of rhBMP-2 delivered on an absorbable collagen sponge. However, peri-implant bone resorption appearing as decreased mineral density has been observed radiographically in rare instances after implantation of rhBMP-2 on an absorbable collagen sponge (rhBMP-2/ACS).

Methods. Bilateral corticocancellous defects were created in the distal femora of 30 adult sheep. Combinations of rhBMP-2/ACS implant volume …

Simulated Scatter Performance Of An Inverse-Geometry Dedicated Breast Ct System, Reema Bhagtani, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

The purpose of this work was to quantify the effects of scatter for inverse-geometry dedicated breast CT compared to cone-beam breast CT through simulations. The inverse geometry was previously proposed as an alternative to cone-beam acquisition for volumetric CT. The inverse geometry consists of a large-area scanned-source opposite a detector array that is smaller in the transverse direction. While the gantry rotates, the x-ray beam is rapidly sequenced through an array of positions, acquiring a truncated projection image at each position. Inverse-geometry CT (IGCT) is expected to detect less scatter than cone-beam methods because only a fraction of the object …

Imaging Radiation Pneumonitis In A Rat Model Of A Radiological Terrorism Incident, Robert C. Molthen, Qingping Wu, Gary S. Krenz, Meetha Medhora, Elizabeth R. Jacobs, John E. Moulder

Biomedical Engineering Faculty Research and Publications

We have developed a rat model of single, sub-lethal thoracic irradiation. Our irradiation protocol is considered representative of exposures near the detonation site of a dirty bomb or small nuclear device. The model is being used to investigate techniques for identifying, triaging and treating possible victims. In addition to physiological markers of right ventricular hypertrophy, pulmonary vascular resistance, and arterial distensibility, we present two methods for quantifying microvascular density. We used methods including microfocal X-ray imaging to investigate changes in lung structure/function resulting from radiation exposure. Radiation pneumonitis is a complication in subjects receiving thoracic irradiation. A radiographic hallmark of …

Functional Stability Of Transfemoral Amputee Gait Using The 3r80 And Total Knee 2000 Prosthetic Knee Units, M. Barbara Silver-Thorn, Christine L. Glaister

Biomedical Engineering Faculty Research and Publications

Prosthetic knee designs have become extremely sophisticated compared to early constant friction single axis mechanisms. Today, prosthetists and physicians have a wide variety of components to choose from for their transfemoral amputee patients. Unfortunately, there are little quantitative data comparing the performance of different types of prosthetic components, and prosthetic prescription is often based on empirical knowledge and experience, rather than objective comparison of prosthetic designs. This study used gait analysis to objectively evaluate the stability characteristics of two types of prosthetic knee designs, the polycentric Total Knee 2000 (Ossur, Aliso Viejo, CA) and the single axis 3R80 stance control …

Preliminary Feasibility Of Dedicated Breast Ct With An Inverse Geometry, Taly Gilat-Schmidt

Biomedical Engineering Faculty Research and Publications

In this study we theoretically investigated the minimum scan time of an inverse-geometry dedicated breast CT system that provides sufficient sampling and dose equivalent to mammography without exceeding the limits of source power or detector count rate. The inverse geometry, which utilizes a large-area scanned source and a narrower photon-counting detector, is expected to have improved dose efficiency compared to cone-beam methods due to reduced scatter effects and improved detector efficiency. The analysis assumed the specifications of available inverse-geometry source and detector hardware (SBDX, NovaRay, Inc, Newark CA). The scan time was calculated for a 10, 14, and 18-cm diameter …