Automatic Assessment Of Cardiac Left Ventricular Function Via Magnetic Resonance Images, Mariam Afshin

Electronic Thesis and Dissertation Repository

Automating global and segmental (regional) assessments of cardiac Left Ventricle (LV) function in Magnetic Resonance Images (MRI) has recently sparked an impressive research effort, which has resulted a number of techniques delivering promising performances. However, despite such an effort, the problem is still acknowledged to be challenging, with substantial room for improvements in regard to accuracy. Furthermore, most of the existing techniques are labour intensive, requiring delineations of the endo- and/or epi-cardial boundaries in all frames of a cardiac sequence.

On the one hand, global assessments of LV function focus on estimation of the Ejection Fraction (EF), which quantifies how …

Properties And Applications Of Sensory Outcome Measures In Carpal Tunnel Syndrome, Derek Km Cheung

Electronic Thesis and Dissertation Repository

This thesis aimed to determine the psychometric properties and applications of sensory threshold tools and outcome measures in patients with Carpal Tunnel Syndrome (CTS). The first chapter is a psychometric study that defines clinically important difference (CID), construct validity and responsiveness of touch and vibration threshold tools and in the Symptoms Severity Scale (SSS). The study found the CID for the PSSD and for the SSS was 0.15g/mm² and 0.50 respectively. The study also found that the Vibrometer was more representative of hand function and responsive compared PSSD. The second objective of this thesis was to determine the feasibility …

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 …

Impact Of Bioparticle Recirculation In A Circulating Fluidized Bed Biofilm Reactor On Simultaneous Organic And Nitrogen Removal, Ming Li

Electronic Thesis and Dissertation Repository

The Circulating Fluidized Bed Biofilm Reactor (CFBBR), a bioparticle technology designed for biological nutrient removal, has been implemented to achieve considerable biodegradation efficiency and low sludge production, compared with activated sludge system and typical biofilm technology. The inherent advantages of bioparticle technology are enhanced substantially by the CFBBR, for example, decoupling of hydraulic retention time (HRT) from solids retention time (SRT), large specific surface area, ideal conditions for biofilm ecosystem.

In this work, bioparticle recirculation, as a novel control method for bioparticle system, was demonstrated in CFBBRs. To verify the impact of bioparticle recirculation on the reactor performance, bio-kinetics and …

Nanomechanics Of Electrospun Nanofibres For Tissue Engineering Of The Tympanic Membrane, Sara Makaremi

Electronic Thesis and Dissertation Repository

The Tympanic Membrane (TM), also known as the eardrum, includes layers of organized collagen nanofibres which play an essential role in sound transmission. Perforations that are caused by infection or accident must be repaired in order to restore hearing. Tympanoplasty is performed using grafts that are prepared from bladder, cartilage, temporal fascia and cadaveric skin. However, since mechanical properties of these grafts do not match those of the original TM, normal hearing is not fully restored. The goal of this study is to develop nanofibrous scaffolds for tissue engineering of the TM in order to circumvent the complications addressed with …

Investigating The Therapeutic Potential Of Salivary Proteins For Oral Diseases, Dusa Vukosavljevic

Electronic Thesis and Dissertation Repository

ABSTRACT

Saliva is responsible for the formation of the acquired enamel pellicle (AEP), a protein

integument formed as a result of selective adsorption of salivary proteins to the enamel

surface. The AEP demonstrates an important role for modulating dental erosion as a

result of its physical properties, along with its salivary and exogenous protein

composition (Chapter 2). In addition, individual proteins that comprise the AEP have

important physiological functions. Histatin 5 (H5) has potent antifungal effect against C.

albicans, the yeast responsible for the initiation of oral candidiasis. We designed an in

vitro model and found, for the first time, …

Geometrical Analysis And Modeling Of Craniosynostosis, Sahar Shahbazi

Electronic Thesis and Dissertation Repository

Craniosynostosis is a developmental abnormality in skull growth, due to the fusion of one or more sutures\cite{patho}. To accommodate the growing brain. the skull needs to grow quickly in the first few months of life, and most of the growth of the skull at that time occurs at the sutures. Craniosynostosis occurs when one or more sutures are fused in utero, resulting in an abnormal skull shape. Surgical intervention is usually required at a young age, and remodeling of the skull is done for cosmetic reasons as well as to avoid raised intracranial pressure. In order to study how the …

Quantitative Evaluation Of Pulmonary Emphysema Using Magnetic Resonance Imaging And X-Ray Computed Tomography, Amir M. Owrangi

Electronic Thesis and Dissertation Repository

Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality affecting at least 600 million people worldwide. The most widely used clinical measurements of lung function such as spirometry and plethysmography are generally accepted for diagnosis and monitoring of the disease. However, these tests provide only global measures of lung function and they are insensitive to early disease changes. Imaging tools that are currently available have the potential to provide regional information about lung structure and function but at present are mainly used for qualitative assessment of disease and disease progression. In this thesis, we focused on …

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 …

An Image-Based Tool To Examine Joint Congruency At The Elbow, Emily A. Lalone

Electronic Thesis and Dissertation Repository

Post-traumatic osteoarthritis commonly occurs as a result of a traumatic event to the articulation. Although the majority of this type of arthritis is preventable, the sequence and mechanism of the interaction between joint injury and the development of osteoarthritis (OA) is not well understood. It is hypothesized that alterations to the joint alignment can cause excessive and damaging wear to the cartilage surfaces resulting in OA. The lack of understanding of both the cause and progression of OA has contributed to the slow development of interventions which can modify the course of the disease. Currently, there have been no reported …

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. …

Preoperative Planning Of Robotics-Assisted Minimally Invasive Cardiac Surgery Under Uncertainty, Hamidreza Azimian

Electronic Thesis and Dissertation Repository

In this thesis, a computational framework for patient-specific preoperative planning of Robotics-Assisted Minimally Invasive Cardiac Surgery (RAMICS) is developed. It is expected that preoperative planning of RAMICS will improve the rate of success by considering robot kinematics, patient-specific thoracic anatomy, and procedure-specific intraoperative conditions. Given the significant anatomical features localized in the preoperative computed tomography images of a patient's thorax, port locations and robot orientations (with respect to the patient's body coordinate frame) are determined to optimize characteristics such as dexterity, reachability, tool approach angles and maneuverability. In this thesis, two approaches for preoperative planning of RAMICS are proposed that …

Poly(Vinyl Alcohol) Nanocomposite Hydrogels For Intervertebral Disc Prostheses, Elaine Wong

Electronic Thesis and Dissertation Repository

Spinal fusion is currently the gold standard for surgical intervention of intervertebral disc (IVD) diseases leading to neck and back pain failing conservative treatments. However, fusion removes motion between the vertebrae and can result in adjacent level degeneration. Total disc replacement (TDR) is an emerging treatment alternative that preserves motion, but materials found in clinically available devices bear little resemblance to the properties of the native IVD. Poly(vinyl alcohol) (PVA) hydrogels are biocompatible, have mechanical behaviour similar to natural tissues, and properties that can be tuned by varying polymer concentration and physical crosslinking through freeze-thaw cycling. Furthermore, their properties can …

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 …

Augmented Image-Guidance For Transcatheter Aortic Valve Implantation, Pencilla Lang

Electronic Thesis and Dissertation Repository

The introduction of transcatheter aortic valve implantation (TAVI), an innovative stent-based technique for delivery of a bioprosthetic valve, has resulted in a paradigm shift in treatment options for elderly patients with aortic stenosis. While there have been major advancements in valve design and access routes, TAVI still relies largely on single-plane fluoroscopy for intraoperative navigation and guidance, which provides only gross imaging of anatomical structures. Inadequate imaging leading to suboptimal valve positioning contributes to many of the early complications experienced by TAVI patients, including valve embolism, coronary ostia obstruction, paravalvular leak, heart block, and secondary nephrotoxicity from contrast use.

A …

The Effects Of Lubrication On Pharmaceutical Granules, Garett Morin

Electronic Thesis and Dissertation Repository

Spray-dried lactose was mixed with 4 different lubricants – magnesium stearate, magnesium silicate, stearic acid, and calcium stearate – in various concentrations. Flowability testing revealed that magnesium stearate improved powder flow until a threshold was reached, at which addition of lubricant had no effect. The addition of calcium stearate also improved flow; however, additional lubricant over the optimum amount further decreased flow. Full placebo granules were manufactured by both high shear and fluidized bed techniques. A granule comparison showed different growth mechanisms, surface morphology, particle size distribution, and flow characteristics for each manufacturing technique. The high shear granules demonstrated better …

Investigation Of In-Vivo Hindfoot And Orthotic Interactions Using Bi-Planar X-Ray Fluoroscopy, Kristen M. Bushey

Electronic Thesis and Dissertation Repository

A markerless RSA method was used to determine the effect of orthotics on the normal, pes planus and pes cavus populations. Computed tomography (CT) was used to create bone models that were imported into the virtual environment. Joint coordinate systems were developed to measure kinematic changes in the hindfoot during weight-bearing gait and quiet standing. The objectives of this thesis were to (1) implement a fluoroscopy-based markerless RSA system on the foot, (2) determine the effect of various orthotics at midstance of fully weight-bearing dynamic gait, and (3) determine the effect of orthotics as measured using three different techniques. Every …

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 …

New Mechatronic Systems For The Diagnosis And Treatment Of Cancer, Jeffrey S. Bax

Electronic Thesis and Dissertation Repository

Both two dimensional (2D) and three dimensional (3D) imaging modalities are useful tools for viewing the internal anatomy. Three dimensional imaging techniques are required for accurate targeting of needles. This improves the efficiency and control over the intervention as the high temporal resolution of medical images can be used to validate the location of needle and target in real time. Relying on imaging alone, however, means the intervention is still operator dependent because of the difficulty of controlling the location of the needle within the image. The objective of this thesis is to improve the accuracy and repeatability of needle-based …

A Method To Measure The Detective Quantum Efficiency Of Radiographic Systems In Clinical Setting, Michael C. Mcdonald

Electronic Thesis and Dissertation Repository

The risks associated with exposure to radiation make it critical that digital imaging systems give the best possible images for a given dose to the patient. The DQE is the most widely accepted measure of performance and dose efficiency for digital radiography systems, however it is not commonly measured in a clinical environment as part of routine quality assurance. The primary reason for this is that the data provided to the user by clinical systems has typically undergone image processing and therefore may have a non-linear characteristic response. This is a problem because the Fourier metrics of the DQE require …

Co-Culture Of Smooth Muscle Cells And Endothelial Cells On Porous 3d Polyurethane Scaffolds For Vascular Tissue Engineering, Aparna Bhattacharyya

Electronic Thesis and Dissertation Repository

One of the challenges in the designing of clinically-relevant vascular substitutes is our lack of understanding on how vascular smooth muscle cells (VSMCs) and vascular endothelial cells (VECs) interact in the graft. The aim of this study was to examine the factors that play a role in VSMC and VEC interaction in 3D co-culture. Highly porous 3D poly(carbonate urethane) scaffolds were fabricated using a solvent casting and particulate leaching method. VSMCs and VECs were co-cultured for 48 hours. Immunofluorescence staining showed that VSMCs readily attached to the scaffold and formed dense confluent layers which facilitated the organization of VECs of …

Encapsulation And Controlled Release Of Rhu-Erythropoietin From Chitosan Biopolymer Nanoparticles, Cody Bulmer

Electronic Thesis and Dissertation Repository

The objective of this research project was to develop a drug delivery system for recombinant human erythropoietin (rHu-EPO), a glycoprotein hormone used in the treatment of renal anaemia and chemotherapy induced anaemia, using the biopolymer chitosan as the base component. Two types of chitosan nanoparticles were produced through ionotropic gelation using flush mixing with either tripolyphosphate (TPP) or carrageenan polymer. Chitosan-TPP and chitosan-carrageenan nanoparticles were generated under a variety of conditions to evaluate the effects of chitosan concentration, chitosan to anion mass ratio and solution pH on the nanoparticle characteristics of particle diameter, surface charge and particle size distribution. A …

Bacterial Cellulose Templates For Nano-Hydroxyapatite Fibre Synthesis, Jordan A. Demello

Electronic Thesis and Dissertation Repository

Guided bone regeneration is a medical procedure which induces in vivo re-growth of bone using membranes and osteopromoting fillers. In this work, bacterial cellulose fibers were isolated and used as a basis for biomimetic hydroxyapatite growth, with the ultimate goal of producing GBR filler materials. Acetobacter xylinum generated BC using various carbon sources. Fibers were treated with phosphoric acid to phosphorylate functional groups and preconditioned with calcium to nucleate the HA. Simulated body fluid (SBF) furthered the growth. Over 14 days, the product was characterized via EDX, SEM, FTIR, and XRD. The effect of media composition, phosphorylation time, pretreatment, and …

Development Of A Three-Dimensional Image-Guided Needle Positioning System For Small Animal Interventions, Christopher S.R. Waring

Electronic Thesis and Dissertation Repository

Conventional needle positioning techniques for small animal microinjections are fraught with issues of repeatability and targeting accuracy. To improve the outcomes of these interventions a small animal needle positioning system guided by micro-computed tomography (micro-CT) imaging was developed. A phantom was developed to calibrate the geometric accuracy of micro-CT scanners to a traceable standard of measurement. Use of the phantom ensures the geometric fidelity of micro-CT images for use in image-guided interventions or other demanding quantitative applications. The design of a robot is described which features a remote center of motion architecture and is compact enough to operate within a …