Biomedical Engineering and Bioengineering Commons^™

Fellow Eye Changes In Patients With Nonischemic Central Retinal Vein Occlusion: Assessment Of Perfused Foveal Microvascular Density And Identification Of Nonperfused Capillaries, Alexander Pinhas, Michael Dubow, Nishit Shah, Eric Cheang, Chun L. Liu, Moataz Razeen, Alexander Gan, Rishard Weitz, Yusufu N. Sulai, Toco Y.P. Chui, Alfredo Dubra, Richard B. Rosen

Biomedical Engineering Faculty Research and Publications

Purpose: Eyes fellow to nonischemic central retinal vein occlusion (CRVO) were examined for abnormalities, which might explain their increased risk for future occlusion, using adaptive optics scanning light ophthalmoscope fluorescein angiography.

Methods: Adaptive optics scanning light ophthalmoscope fluorescein angiography foveal microvascular densities were calculated. Nonperfused capillaries adjacent to the foveal avascular zone were identified. Spectral domain optical coherence tomography, ultrawide field fluorescein angiographies, and microperimetry were also performed.

Results: Ten fellow eyes of nine nonischemic CRVO and 1 nonischemic hemi-CRVO subjects and four affected eyes of three nonischemic CRVO and one nonischemic hemi-CRVO subjects were imaged. Ninety percent of fellow …

Quantifying Cross-Scatter Contamination In Biplane Fluoroscopy Motion Analysis Systems, Janelle A. Cross, Ben Mchenry, Taly Gilat-Schmidt

Biomedical Engineering Faculty Research and Publications

Biplane fluoroscopy is used for dynamic in vivo three-dimensional motion analysis of various joints of the body. Cross-scatter between the two fluoroscopy systems may limit tracking accuracy. This study measured the magnitude and effects of cross-scatter in biplane fluoroscopic images. Four cylindrical phantoms of 4-, 6-, 8-, and 10-in. diameter were imaged at varying kVp levels to determine the cross-scatter fraction and contrast-to-noise ratio (CNR). Monte Carlo simulations quantified the effect of the gantry angle on the cross-scatter fraction. A cadaver foot with implanted beads was also imaged. The effect of cross-scatter on marker-based tracking accuracy was investigated. Results demonstrated …

Biomechanics Of Pediatric Manual Wheelchair Mobility, Brooke A. Slavens, Alyssa J. Schnorenberg, Christine M. Aurit, Sergey Tarima, Lawrence C. Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Currently, there is limited research of the biomechanics of pediatric manual wheelchair mobility. Specifically, the biomechanics of functional tasks and their relationship to joint pain and health is not well understood. To contribute to this knowledge gap, a quantitative rehabilitation approach was applied for characterizing upper extremity biomechanics of manual wheelchair mobility in children and adolescents during propulsion, starting, and stopping tasks. A Vicon motion analysis system captured movement, while a SmartWheel simultaneously collected three-dimensional forces and moments occurring at the handrim. A custom pediatric inverse dynamics model was used to evaluate three-dimensional upper extremity joint motions, forces, and moments …

Opportunities To Identify Unmet Needs Outside Of The Operating Room, Jay R. Goldberg

Biomedical Engineering Faculty Research and Publications

The ability to identify unmet needs and new product opportunities is an important skill for biomedical engineering students planning a career in the medical device industry. Most biomedical engineering graduates will work in industry where many projects will not be defined for them. They will need to work with physicians, surgeons, nurses, clinical engineers, and other users of medical technology to identify problems and unmet needs and will work closely with marketing, sales, and other personnel to identify new product development opportunities. Students will be better prepared for careers involving the development of new medical devices if they are able …

Impaired Regulation Post-Stroke Of Motor Unit Firing Behavior During Volitional Relaxation Of Knee Extensor Torque Assessed Using High Density Surface Emg Decomposition, Spencer A. Murphy, Reivian Berrios, P. Andrew Nelson, Francesco Negro, Dario Farina, Brian D. Schmit, Allison S. Hyngstrom

Physical Therapy Faculty Research and Publications

The purpose of this study was to use high density surface EMG recordings to quantify stroke-related abnormalities in motor unit firing behavior during repeated sub-maximal knee extensor contractions. A high density surface EMG system (sEMG) was used to record and extract single motor unit firing behavior in the vastus lateralis muscle of 6 individuals with chronic stroke and 8 controls during repeated sub-maximal isometric knee extension contractions. Paretic motor unit firing rates were increased with subsequent contractions (6.19±0.35 pps vs 7.89±0.66 pps, P

Stretch‐Induced Increase In Cardiac Contractility Is Independent Of Myocyte Ca2+ While Block Of Stretch Channels By Streptomycin Improves Contractility After Ischemic Stunning, Samhita S. Rhodes, Amadou Ks Camara, Mohammed Aldakkak, James S. Heisner, David F. Stowe

Biomedical Engineering Faculty Research and Publications

Stretching the cardiac left ventricle (LV) enhances contractility but its effect on myoplasmic [Ca²⁺] is controversial. We measured LV pressure (LVP) and [Ca²⁺] as a function of intra-LV stretch in guinea pig intact hearts before and after 15 min global stunning ± perfusion with streptomycin (STM), a stretch activated channel blocker. LV wall [Ca²⁺] was measured by indo-1 fluorescence and LVP by a saline-filled latex balloon inflated in 50 μL steps to stretch the LV. We implemented a mathematical model to interpret crossbridge dynamics and myofilament Ca²⁺ responsiveness from the instantaneous relationship between …

Validation Of A Finite Element Model Of The Humerus For Fracture Risk Assessment During Assisted Ambulation, Jessica M. Fritz, Prateek Grover, Nicole M. Grosland, Carolyne Albert, Linda M. Mcgrady, Mei Wang, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Using Swing Resistance And Assistance To Improve Gait Symmetry In Individuals Post-Stroke, Sheng-Che Yen, Brian D. Schmit, Ming Wu

Biomedical Engineering Faculty Research and Publications

A major characteristic of hemiplegic gait observed in individuals post-stroke is spatial and temporal asymmetry, which may increase energy expenditure and the risk of falls. The purpose of this study was to examine the effects of swing resistance/assistance applied to the affected leg on gait symmetry in individuals post-stroke. We recruited 10 subjects with chronic stroke who demonstrated a shorter step length with their affected leg in comparison to the non-affected leg during walking. They participated in two test sessions for swing resistance and swing assistance, respectively. During the adaptation period, subjects counteracted the step length deviation caused by the …

Finite Element Assessment Of Pediatric Femoral Response To Loading During Ambulation: Normal Vs. Osteogenesis Imperfecta (Oi) Bone, Jessica M. Fritz, Carolyne Albert, Nicole M. Grosland, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Biplanar Fluoroscopic Analysis Of In Vivo Hindfoot Kinematics During Ambulation, Janelle Ann Cross

Dissertations (1934 -)

The overall goal of this project was to develop and validate a biplanar fluoroscopic system and integrated software to assess hindfoot kinematics. Understanding the motion of the foot and ankle joints may lead to improved treatment methods in persons with foot and ankle pathologies. During gait analysis, skin markers are placed on the lower extremities, which are defined as four rigid-body segments with three joints representing the hip, knee and ankle. This method introduces gross assumptions on the foot and severely limits the analysis of in depth foot mechanics. Multi-segmental models have been developed, but are susceptible to skin motion …

Gene Expression In Experimental Aortic Coarctation And Repair: Candidate Genes For Therapeutic Intervention?, John F. Ladisa Jr., Serdar Bozdag, Jessica Olson, Ramani Ramchandran, Judy R. Kersten, Thomas J. Eddinger

Biomedical Engineering Faculty Research and Publications

Coarctation of the aorta (CoA) is a constriction of the proximal descending thoracic aorta and is one of the most common congenital cardiovascular defects. Treatments for CoA improve life expectancy, but morbidity persists, particularly due to the development of chronic hypertension (HTN). Identifying the mechanisms of morbidity is difficult in humans due to confounding variables such as age at repair, follow-up duration, coarctation severity and concurrent anomalies. We previously developed an experimental model that replicates aortic pathology in humans with CoA without these confounding variables, and mimics correction at various times using dissolvable suture. Here we present the most comprehensive …

Reply To “Perception Of Lower Extremity Loading In Stroke”, Virginia W. Chu, T. George Hornby, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Tactile Proprioceptive Input In Robotic Rehabilitation After Stroke, Emmanouil Tzorakoleftherakis, Maria C. Bengston, Ferdinando A. Mussa-Ivaldi, Robert A. Scheidt, Todd D. Murphey

Biomedical Engineering Faculty Research and Publications

Stroke can lead to loss or impairment of somatosensory sensation (i.e. proprioception), that reduces functional control of limb movements. Here we examine the possibility of providing artificial feedback to make up for lost sensory information following stroke. However, it is not clear whether this kind of sensory substitution is even possible due to stroke-related loss of central processing pathways that subserve somatosensation. In this paper we address this issue in a small cohort of stroke survivors using a tracking task that emulates many activities of daily living. Artificial proprioceptive information was provided to the subjects in the form of vibrotactile …

Clinical Correlates Of High Cervical Fractional Anisotropy In Acute Cervical Spinal Cord Injury, Aditya Vedantam, Gerald Eckardt, Marjorie C. Wang, Brian D. Schmit, Shekar N. Kurpad

Biomedical Engineering Faculty Research and Publications

Objective: Fractional anisotropy (FA) of the high cervical cord (C1-C2), rostral to the injury site, correlates with upper limb function in patients with chronic cervical spinal cord injury (SCI). In acute cervical SCI, this relationship has not been investigated. The objective of this study was to identify functional correlates of FA of the high cervical cord in a series of patients with acute cervical SCI.

Methods: Traumatic cervical SCI patients who underwent presurgical cervical spine diffusion tensor imaging at our institution were reviewed for this study. FA of the whole cord as well as the lateralcorticospinal tracts (CSTs) was calculated …

Multimodal Sensory Integration For Perception And Action In High Functioning Children With Autism Spectrum Disorder, Nicole Marie Gregor Salowitz

Dissertations (1934 -)

Movement disorders are the earliest observed features of autism spectrum disorder (ASD) present in infancy. Yet we do not understand the neural basis for impaired goal-directed movements in this population. To reach for an object, it is necessary to perceive the state of the arm and the object using multiple sensory modalities (e.g. vision, proprioception), to integrate those sensations into a motor plan, to execute the plan, and to update the plan based on the sensory consequences of action. In this dissertation, I present three studies in which I recorded hand paths of children with ASD and typically developing (TD) …

Sagittal Subtalar And Talocrural Joint Assessment With Weight-Bearing Fluoroscopy During Barefoot Ambulation, Ben Mchenry, Emily L. Exten, Jason Long, Brian Law, Richard Marks, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background: Identifying talar position during ambulation has proved difficult as the talus lacks palpable landmarks for skin marker placement and more invasive methodologies such as bone pins are not practical for most clinical subjects. A fluoroscopic motion system was used to track the talus and calcaneus, allowing kinematic analysis of the talocrural and subtalar joints.

Methods: Thirteen male subjects (mean age 22.9 ± 3.0 years) previously screened for normal gait were tested. A fluoroscopy unit was used to collect images at 120 fps during stance. Sagittal motion of the talocrural and subtalar joints were analyzed.

Results: The intersubject mean and …

Identification And Retraining Of Sensorimotor Deficits To Reduce Intention Tremor In Multiple Sclerosis, Megan Heenan

Dissertations (1934 -)

Multiple sclerosis (MS) affects approximately 1 in 1000 Americans and is a significant cause of disability in the United States. One significant contributor to disability in MS is intention tremor, which manifests as an oscillation about the endpoint of a goal-directed movement. A major challenge of treating intention tremor is that the underlying causes of tremor in MS are unknown. In this study, we describe a systems-level computational model and an experimental technique that parameterizes subject-specific deficits in sensory feedback control during goal-directed movements. We used this approach to characterize sensorimotor control and examine how sensory and motor processes are …

Cardiovascular Magnetic Resonance Imaging-Based Computational Fluid Dynamics/Fluid-Structure Interaction Pilot Study To Detect Early Vascular Changes In Pediatric Patients With Type 1 Diabetes, Margaret M. Samyn, Ronak Jashwant Dholakia, Hongfeng Wang, Jennifer Co-Vu, Ke Yan, Michael E. Widlansky, John F. Ladisa Jr., Pippa Simpson, Ramin Alemzadeh

Biomedical Engineering Faculty Research and Publications

We hypothesized that pediatric patients with type 1 diabetes have cardiac magnetic resonance (CMR) detectable differences in thoracic aortic wall properties and hemodynamics leading to significant local differences in indices of wall shear stress, when compared with age-matched control subjects without diabetes. Pediatric patients with type 1 diabetes were recruited from Children’s Hospital of Wisconsin and compared with controls. All underwent morning CMR scanning, 4-limb blood pressure, brachial artery reactivity testing, and venipuncture. Patient-specific computational fluid dynamics modeling with fluid–structure interaction, based on CMR data, determined regional time-averaged wall shear stress (TAWSS) and oscillatory shear index (OSI). Twenty type 1 …

Diffusion Imaging In The Rat Cervical Spinal Cord, Elizabeth Zakszewski, Brian D. Schmit, Shekar N. Kurpad, Matthew D. Budde

Biomedical Engineering Faculty Research and Publications

Magnetic resonance imaging (MRI) is the state of the art approach for assessing the status of the spinal cord noninvasively, and can be used as a diagnostic and prognostic tool in cases of disease or injury. Diffusion weighted imaging (DWI), is sensitive to the thermal motion of water molecules and allows for inferences of tissue microstructure. This report describes a protocol to acquire and analyze DWI of the rat cervical spinal cord on a small-bore animal system. It demonstrates an imaging setup for the live anesthetized animal and recommends a DWI acquisition protocol for high-quality imaging, which includes stabilization of …

Software Tools And Analysis Methods For The Use Of Electromagnetic Articulography Data In Speech Research, Andrew Kolb

Master's Theses (2009 -)

Recent work with Electromagnetic Articulography (EMA) has shown it to be an excellent tool for characterizing speech kinematics. By tracking the position and orientation of sensors placed on the jaws, lips, teeth and tongue as they move in an electromagnetic field, information about movement and coordination of the articulators can be obtained with great time resolution. This technique has far-reaching applications for advancing fields related to speech articulation, including recognition, synthesis, motor learning, and clinical assessments. As more EMA data becomes widely available, a growing need exists for software that performs basic processing and analysis functions. The objective of this …

Temporal Evolution Of Both Premotor And Motor Cortical Tuning Properties Reflect Changes In Limb Biomechanics, Aaron J. Suminski, Philip Mardoum, Timothy P. Lillicrap, Nicholas G. Hatsopoulos

Biomedical Engineering Faculty Research and Publications

A prevailing theory in the cortical control of limb movement posits that premotor cortex initiates a high-level motor plan that is transformed by the primary motor cortex (MI) into a low-level motor command to be executed. This theory implies that the premotor cortex is shielded from the motor periphery and therefore its activity should not represent the low-level features of movement. Contrary to this theory, we show that both dorsal (PMd) and ventral premotor (PMv) cortices exhibit population-level tuning properties that reflect the biomechanical properties of the periphery similar to those observed in M1. We recorded single-unit activity from M1, …

Differential Effects Of Buffer Ph On Ca2+-Induced Ros Emission With Inhibited Mitochondrial Complexes I And Iii, Daniel P. Lindsay, Amadou K. S. Camara, David F. Stowe, Mohammed Aldakkak, Ryan Lubbe

Biomedical Engineering Faculty Research and Publications

Excessive mitochondrial reactive oxygen species (ROS) emission is a critical component in the etiology of ischemic injury. Complex I and complex III of the electron transport chain are considered the primary sources of ROS emission during cardiac ischemia and reperfusion (IR) injury. Several factors modulate ischemic ROS emission, such as an increase in extra-matrix Ca²⁺, a decrease in extra-matrix pH, and a change in substrate utilization. Here we examined the combined effects of these factors on ROS emission from respiratory complexes I and III under conditions of simulated IR injury. Guinea pig heart mitochondria were suspended in experimental …

Stroke-Related Effects On Maximal Dynamic Hip Flexor Fatigability And Functional Implications, Henry Kuhnen, Megan M. Rybar, Tanya Onushko, Ryan E. Doyel, Sandra K. Hunter, Brian D. Schmit, Allison S. Hyngstrom

Exercise Science Faculty Research and Publications

Introduction: Stroke-related changes in maximal dynamic hip flexor muscle fatigability may be more relevant functionally than isometric hip flexor fatigability. Methods: Ten chronic stroke survivors performed 5 sets of 30 hip flexion maximal dynamic voluntary contractions (MDVC). A maximal isometric voluntary contraction (MIVC) was performed before and after completion of the dynamic contractions. Both the paretic and nonparetic legs were tested. Results: Reduction in hip flexion MDVC torque in the paretic leg (44.7%) was larger than the nonparetic leg (31.7%). The paretic leg had a larger reduction in rectus femoris EMG (28.9%) between the first and last …

Immersive Visualization For Enhanced Computational Fluid Dynamics Analysis, David Quam, Timothy J. Gundert, Laura M. Ellwein, Christopher E. Larkee, Paul Hayden, Raymond Q. Migrino, Hiromasa Otake, John F. Ladisa

Biomedical Engineering Faculty Research and Publications

Modern biomedical computer simulations produce spatiotemporal results that are often viewed at a single point in time on standard 2D displays. An immersive visualization environment (IVE) with 3D stereoscopic capability can mitigate some shortcomings of 2D displays via improved depth cues and active movement to further appreciate the spatial localization of imaging data with temporal computational fluid dynamics (CFD) results. We present a semi-automatic workflow for the import, processing, rendering, and stereoscopic visualization of high resolution, patient-specific imaging data, and CFD results in an IVE. Versatility of the workflow is highlighted with current clinical sequelae known to be influenced by …

The Feasibility Of Imaging Myocardial Ischemic/Reperfusion Injury Using 99mTc-Labeled Duramycin In A Porcine Model, Lei Wang, Feng Wang, Wei Fang, Steven E. Johnson, Said H. Audi, Michael Zimmer, Thomas A. Holly, Daniel C. Lee, Bao Zhu, Haibo Zhu, Ming Zhao

Biomedical Engineering Faculty Research and Publications

When pathologically externalized, phosphatidylethanolamine (PE) is a potential surrogate marker for detecting tissue injuries. ^99mTc-labeled duramycin is a peptide-based imaging agent that binds PE with high affinity and specificity. The goal of the current study was to investigate the clearance kinetics of ^99mTc-labeled duramycin in a large animal model (normal pigs) and to assess its uptake in the heart using a pig model of myocardial ischemia–reperfusion injury.

Methods

The clearance and distribution of intravenously injected ^99mTc-duramycin were characterized in sham-operated animals (n = 5). In a closed chest model of myocardial ischemia, coronary occlusion was induced …

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, …

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 …

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, …

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 …

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. …