Biomedical Engineering and Bioengineering Commons^™

Continuous Monitoring Of Movement In Patients With Parkinson's Disease Using Inertial Sensors, Mahmoud Ahmed El-Gohary, Sean Pearson, James Mcnames, Martina Mancini, Fay Horak

Electrical and Computer Engineering Faculty Publications and Presentations

Gait impairment is a hallmark of Parkinson's disease (PD). The assessment of gait and balance in the clinic may not adequately reflect mobility in daily life. It is often reported that patients with PD walk better when they are examined in an outpatient clinic or in a research laboratory than at home. Continuous monitoring of mobility during spontaneous daily activities may provide clinicians and patients with objective measures of the quality of their mobility. We show that continuous monitoring of spontaneous gait with wearable inertial sensors during daily activities is feasible for patients with PD. We tested 13 patients with …

Assessment Of Electrode Configurations Of Electrical Impedance Myography For The Evaluation Of Neuromuscular Diseases, Khondokar Mohammad Fazle Rabbi

College of Graduate Studies: Theses & Dissertations

Electrical impedance myography (EIM) is a painless, noninvasive approach to measure the neuromuscular disease status. EIM parameters- resistance (R), reactance (X) and phase (θ) depend significantly on subcutaneous fat thickness, muscle size and inter electrode distance. The objective of this research is to find an electrode configuration which can minimize the effects on EIM parameters due to subcutaneous fat thickness variation. In this study, a model of human upper arm was developed using finite element method (FEM), which has already been established as an appropriate approach for the analysis of non-symmetrical shape for assessing alternations of muscle in disease-induced changes …

Biomechanical And Biological Evaluation Of A Model Of Post-Traumatic Osteoarthritis Following Noninvasive, Traumatic Rupture Of The Anterior Cruciate Ligament, Tristan Maerz

Wayne State University Dissertations

Post-traumatic osteoarthritis (PTOA) is a prevalent condition following rupture of the anterior cruciate ligament (ACL). While numerous animal models of PTOA exist, most are based on surgical disruption of a stabilizing structure. In the rat, surgical ACL transection is the most commonly employed model, but it may introduce confounding biological factors due to surgery. The purpose of this dissertation was to utilize the tibial compression model of ACL injury to induce a noninvasive ACL rupture in the rat. First, a biomechanical characterization of four different loading protocols was undertaken, and a high-speed, high-displacement protocol was deemed optimal for inducing a …

An Investigation Of The Relationship Between Axonal Injury, Biomarker Expression And Mechanical Response In A Rodent Head Impact Acceleration Model, Yan Li

Wayne State University Dissertations

In the United States 1.4 million people sustain traumatic brain injury (TBI) each year, resulting in 235,000 hospitalizations and 50,000 fatalities annually. Traumatic axonal injury (TAI) is a serious outcome of TBI that accounts for 40-50% of hospitalizations due to head injury and one third of the mortality due to TBI, and it is difficult to diagnose and evaluate. The purpose of this dissertation is to determine mechanical injury predictors for TAI and identify potential biomarkers to evaluate TAI.

In this dissertation, a modified Marmarou impact acceleration injury model was developed to allow the monitoring of velocity of the impactor …

Experimental Comparison Of Empirical Material Decomposition Methods For Spectral Ct, Kevin C. Zimmerman, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

Material composition can be estimated from spectral information acquired using photon counting x-ray detectors with pulse height analysis. Non-ideal effects in photon counting x-ray detectors such as charge-sharing, k-escape, and pulse-pileup distort the detected spectrum, which can cause material decomposition errors. This work compared the performance of two empirical decomposition methods: a neural network estimator and a linearized maximum likelihood estimator with correction (A-table method). The two investigated methods differ in how they model the nonlinear relationship between the spectral measurements and material decomposition estimates. The bias and standard deviation of material decomposition estimates were compared for the two methods, …

In Vivo Detection Of Hyperoxia-Induced Pulmonary Endothelial Cell Death Using 99mTc-Duramycin, Said H. Audi, Elizabeth R. Jacobs, Ming Zhao, David L. Roerig, Steven T. Haworth, Anne V. Clough

Biomedical Engineering Faculty Research and Publications

Introduction

^99mTc-duramycin, DU, is a SPECT biomarker of tissue injury identifying cell death. The objective of this study is to investigate the potential of DU imaging to quantify capillary endothelial cell death in rat lung injury resulting from hyperoxia exposure as a model of acute lung injury.

Methods

Rats were exposed to room air (normoxic) or > 98% O₂ for 48 or 60 hours. DU was injected i.v. in anesthetized rats, scintigraphy images were acquired at steady-state, and lung DU uptake was quantified from the images. Post-mortem, the lungs were removed for histological studies. Sequential lung sections were immunostained …

The Effects Of Extending The Spectral Information Acquired By A Photon-Counting Detector For Spectral Ct, Taly Gilat Schmidt, Kevin C. Zimmerman, Emil Y. Sidky

Biomedical Engineering Faculty Research and Publications

Photon-counting x-ray detectors with pulse-height analysis provide spectral information that may improve material decomposition and contrast-to-noise ratio (CNR) in CT images. The number of energy measurements that can be acquired simultaneously on a detector pixel is equal to the number of comparator channels. Some spectral CT designs have a limited number of comparator channels, due to the complexity of readout electronics. The spectral information could be extended by changing the comparator threshold levels over time, sub pixels, or view angle. However, acquiring more energy measurements than comparator channels increases the noise and/or dose, due to differences in noise correlations across …

Evaluation Of Pediatric Manual Wheelchair Mobility Using Advanced Biomechanical Methods, Brooke A. Slavens, Alyssa J. Schnorenberg, Christine M. Aurit, Adam Graf, Joseph J. Krzak, Kathryn Reiners, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

There is minimal research of upper extremity joint dynamics during pediatric wheelchair mobility despite the large number of children using manual wheelchairs. Special concern arises with the pediatric population, particularly in regard to the longer duration of wheelchair use, joint integrity, participation and community integration, and transitional care into adulthood. This study seeks to provide evaluation methods for characterizing the biomechanics of wheelchair use by children with spinal cord injury (SCI). Twelve subjects with SCI underwent motion analysis while they propelled their wheelchair at a self-selected speed and propulsion pattern. Upper extremity joint kinematics, forces, and moments were computed using …

Kinematic Foot Types In Youth With Equinovarus Secondary To Hemiplegia, Joseph Krzak, Daniel M. Corcos, Diane L. Damiano, Adam Graf, Donald Hedeker, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

Elevated kinematic variability of the foot and ankle segments exists during gait among individuals with equinovarus secondary to hemiplegic cerebral palsy (CP). Clinicians have previously addressed such variability by developing classification schemes to identify subgroups of individuals based on their kinematics.

Objective

To identify kinematic subgroups among youth with equinovarus secondary to CP using 3-dimensional multi-segment foot and ankle kinematics during locomotion as inputs for principal component analysis (PCA), and K-means cluster analysis.

Methods

In a single assessment session, multi-segment foot and ankle kinematics using the Milwaukee Foot Model (MFM) were collected in 24 children/adolescents with equinovarus and …

A Portable, Low-Cost Wheelchair Ergometer Design Based On A Mathematical Model Of Pediatric Wheelchair Dynamics, Jacob R. Rammer, Susan A. Riedel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Evaluation and training of wheelchair propulsion improves efficiency and prevents orthopaedic injury in pediatric manual wheelchair users. Ergometers allow static propulsion and emulate typical conditions. Currently available ergometers have deficiencies that limit their use in motion analysis. A new ergometer is developed and evaluated based on a model of wheelchair inertial dynamics that eliminates these deficiencies. This makes integrated motion analysis of wheelchair propulsion in current community, home, and international outreach efforts possible.

Technical Note: Phantom Study To Evaluate The Dose And Image Quality Effects Of A Computed Tomography Organ-Based Tube Current Modulation Technique, Diksha Gandhi, Dominic J. Crotty, Grant M. Stevens, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

Purpose

This technical note quantifies the dose and image quality performance of a clinically available organ-dose-based tube current modulation (ODM) technique, using experimental and simulation phantom studies. The investigated ODM implementation reduces the tube current for the anterior source positions, without increasing current for posterior positions, although such an approach was also evaluated for comparison.

Methods

Axial CT scans at 120 kV were performed on head and chest phantoms on an ODM-equipped scanner (Optima CT660, GE Healthcare, Chalfont St. Giles, England). Dosimeters quantified dose to breast, lung, heart, spine, eye lens, and brain regions for ODM and 3D-modulation (SmartmA) settings. …

Virtual Capstone Design Teams: Preparing For Global Innovation (Journal Article), Jay R. Goldberg, Susannah Howe

Biomedical Engineering Faculty Research and Publications

Global innovation requires collaboration between groups of people located in different parts of the world, and is a growing trend in industry. Virtual teams are often used to manage new product development projects. These teams are similar to traditional teams but are geographically separated and rely heavily on virtual methods of communication (email, Skype, teleconferencing, etc.) instead of regular face-to-face meetings. Experience working as a member of a virtual capstone design team can help prepare students for this growing trend. To begin preparing students for work on virtual teams in industry, we co-advised two virtual capstone design projects with students …

Critical Changes In Cortical Neuronal Interactions In Anesthetized And Awake Rats, Anthony G. Hudetz, Jeannette A. Vizuete, Siveshigan Pillay, Kristina M. Ropella

Biomedical Engineering Faculty Research and Publications

Background: Neuronal interactions are fundamental for information processing, cognition, and consciousness. Anesthetics reduce spontaneous cortical activity; however, neuronal reactivity to sensory stimuli is often preserved or augmented. How sensory stimulus–related neuronal interactions change under anesthesia has not been elucidated. In this study, the authors investigated the visual stimulus–related cortical neuronal interactions during stepwise emergence from desflurane anesthesia.

Methods: Parallel spike trains were recorded with 64-contact extracellular microelectrode arrays from the primary visual cortex of chronically instrumented, unrestrained rats (N = 6) at 8, 6, 4, and 2% desflurane anesthesia and wakefulness. Light flashes were delivered to the retina …

Recent Developments In Osteogenesis Imperfecta, Joseph L. Shaker, Carolyne Albert, Jessica M. Fritz, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Osteogenesis imperfecta (OI) is an uncommon genetic bone disease associated with brittle bones and fractures in children and adults. Although OI is most commonly associated with mutations of the genes for type I collagen, many other genes (some associated with type I collagen processing) have now been identified. The genetics of OI and advances in our understanding of the biomechanical properties of OI bone are reviewed in this article. Treatment includes physiotherapy, fall prevention, and sometimes orthopedic procedures. In this brief review, we will also discuss current understanding of pharmacologic therapies for treatment of OI.

Guest Editorial: The 2014 Capstone Design Conference, Steven Beyerlein, Jay R. Goldberg, Susannah Howe, Scott Palo, Renee Rogge, R. Keith Stanfill

Biomedical Engineering Faculty Research and Publications

The goal of the 2014 Capstone Design Conference held in Columbus, OH was to build upon the success of three previous conferences (2007 and 2010 in Boulder, CO, and 2012 in Champaign, IL) and expand the community of educators, students, and industry members engaged in discussing, analyzing, and improving capstone design education. Sessions at the 2014 Capstone Design Conference were designed for vibrant sharing of ideas and experiences across the capstone community via interactive panel sessions, poster session socials, and hands-on workshops. This editorial discusses conference planning, structure, and feedback. Technical papers that follow in this issue document scholarship surrounding …

Perception Of Lower Extremity Loads In Stroke Survivors, Virginia W. Chu, T. George Hornby, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Objective: This study aimed to improve our understanding of static and dynamic lower extremity sensory perception and the impact of sensory impairments on the control of walking in stroke survivors.

Methods: Using a custom, real-time unloading system, we tested load perception at heel strike, mid stance and push off in 10 stroke survivors and compared their performance to 10 age-matched and 5 young adult control subjects. Dynamic load perception was based on a judgment of which leg was bearing more load, which was altered on a step by step basis. We also examined lower extremity static load perception, coordination, proprioception, …

Large-Scale Spatiotemporal Spike Patterning Consistent With Wave Propagation In Motor Cortex, Kazutaka Takahashi, Sanggyun Kim, Todd P. Coleman, Kevin A. Brown, Aaron J. Suminski, Matthew D. Best, Nicholas G. Hatsopoulos

Biomedical Engineering Faculty Research and Publications

Aggregate signals in cortex are known to be spatiotemporally organized as propagating waves across the cortical surface, but it remains unclear whether the same is true for spiking activity in individual neurons. Furthermore, the functional interactions between cortical neurons are well documented but their spatial arrangement on the cortical surface has been largely ignored. Here we use a functional network analysis to demonstrate that a subset of motor cortical neurons in non-human primates spatially coordinate their spiking activity in a manner that closely matches wave propagation measured in the beta oscillatory band of the local field potential. We also demonstrate …

Systematic Study Of The Biological Effects Of Nitric Oxide (No) Using Innovative No Measurement And Delivery Systems, Weilue He

Dissertations, Master's Theses and Master's Reports

Nitric oxide (NO) is recognized as the most important small signaling molecule in the human body. An imbalance of NO is closely associated with many serious diseases such as neurological disorders, cardiovascular diseases, chronic inflammations and cancers. Herein two chemiluminescence-based devices (a real-time NO measurement device and a controllable NO delivery device) were developed to facilitate the NO quantitative study and obtain information for NO related drug design.

The first device used for real-time measuring NO(g) flux from living cells was developed and validated. The principle was to use a two-chamber design, with a cell culture chamber and a gaseous …

Engineering Approaches For Suppressing Deleterious Host Responses To Medical Implants, Connor Mccarthy

Dissertations, Master's Theses and Master's Reports

Small diameter (< 6 mm) vascular grafts suffer from serious deleterious effects not encountered with their larger diameter relatives, leading to premature graft failure through restenosis. Platelet activation, inflammation, and smooth muscle cell proliferation are leading contributors to thrombosis and neointimal hyperplasia, both contributors to the progression of restenosis. It may be possible to suppress negative biological responses to vascular implants through the modification of surface properties and incorporation of drug release into blood contacting materials. In this work, bioengineering approaches are presented to improve the biocompatibility of small diameter vascular grafts.

We demonstrate a novel engineering approach for incorporating natural, decollagenized elastin matrices into PEU 1074A reinforced vascular grafts through spray-coating and electrospinning processes in a manner that retains elastin’s excellent blood contacting properties. A vascular construct with excellent mechanical and surgical handling properties demonstrating the suppression of neointimal hyperplasia is presented after 21 days in vivo.

Nitric oxide (NO) has been investigated over the past several decades due to its platelet, inflammation, and smooth muscle cell suppressing effects; and if appropriately delivered, could positively mediate the contributors to restenosis. Here, we characterize a novel macrocyclic NO …

Gelatin Microgel Incorporated Poly (Ethylene Glycol) Bioadhesive With Enhanced Adhesive Property And Bioactivity, Yuting Li

Dissertations, Master's Theses and Master's Reports - Open

In this study, chemically crosslinked gelatin microgels were incorporated into dopamine-modified poly (ethylene glycol) (PEGDM) adhesive to form composite bioadhesive with simultaneously improved adhesive property and bioactivity. Gelatin microgel, with an average diameter of 53.6±14.2μm, was prepared with water in oil emulsification method and chemically crosslinked with
1-ethyl-3-[3-dimethylaminopropyl]carbodiimide hydrochloride (EDC) and N-hydroxysuccinimide (NHS). Gelatin microgels were incorporated into PEGDM adhesive precursor solution at 1.5wt%, 3.75wt% and 7.5wt%. The cure time of adhesive reduced from 54 seconds to 37 seconds with increasing gelatin microgel content. Additionally, the incorporation of the gelatin microgel also increased the crosslinking density of the adhesive network …