Biomedical Engineering and Bioengineering Commons^™

Safety And Efficacy Of Ranolazine For The Treatment Of Chronic Angina Pectoris, Mohammed Aldakkak, David F. Stowe, Amadou K.S. Camara

Biomedical Engineering Faculty Research and Publications

Coronary heart disease is a global malady and it is the leading cause of death in the United States. Chronic stable angina is the most common manifestation of coronary heart disease and it results from the imbalance between myocardial oxygen supply and demand due to reduction in coronary blood flow. Therefore, in addition to lifestyle changes, commonly used pharmaceutical treatments for angina (nitrates, ß-blockers, Ca2+ channel blockers) are aimed at increasing blood flow or decreasing O2 demand. However, patients may continue to experience symptoms of angina. Ranolazine is a relatively new drug with anti-anginal and anti-arrhythmic effects. Its anti-anginal mechanism …

Experimental Study Of Optimal Energy Weighting In Energy-Resolved Ct Using A Czt Detector, Franco Rupcich, Taly Gilat-Schmidt

Biomedical Engineering Faculty Research and Publications

Recent advances in energy-resolved CT can potentially improve contrast-to-noise ratio (CNR), which could subsequently reduce dose in conventional and dedicated breast CT. Two methods have been proposed for optimal energy weighting: weighting the energy-bin data prior to log normalization (projection-based weighting) and weighting the energy-bin data after log normalization (image-based weighting). Previous studies suggested that optimal projection-based and image-based energy weighting provide similar CNR improvements for energy-resolved CT compared to photon-counting or conventional energy-integrating CT. This study experimentally investigated the improvement in CNR of projection-based and image-based weighted images relative to photon-counting for six different energy-bin combinations using a bench …

Preliminary Investigation Of Residual Limb Plantarflexion And Dorsiflexion Muscle Activity During Treadmill Walking For Trans-Tibial Amputees, M. Barbara Silver-Thorn, Thomas Current, Benjamin Kuhse

Biomedical Engineering Faculty Research and Publications

Background: Novel powered prosthetic ankles currently incorporate finite state control, using kinematic and kinetic sensors to differentiate stance and swing phases/sub-phases and control joint impedance and position or torque. For more intuitive control, myoelectric control of the ankle using the remnant residual limb dorsiflexors and plantarflexors, perhaps in concert with kinetic and kinematic sensors, may be possible.

Objective: The specific research objective was to assess the feasibility of using myoelectric control of future active or powered prosthetic ankle joints for trans-tibial amputees.

Study Design: The project involved human subject trials to determine whether current techniques of myoelectric control of upper …

Assessing Retinal Structure In Complete Congenital Stationary Night Blindness And Oguchi Disease, Pooja Godara, Robert F. Cooper, Panagiotis I. Sergouniotis, Melissa A. Diederichs, Megan R. Streb, Mohamed Genead, J. Jason Mcanany, Andrew R. Webster, Anthony T. Moore, Adam M. Dubis, Maureen Neitz, Alfredo Dubra, Edwin M. Stone, Gerald A. Fishman, Dennis P. Han, Michel Michaelides, Joseph Carroll

Biomedical Engineering Faculty Research and Publications

Purpose

To examine retinal structure and changes in photoreceptor intensity after dark adaptation in patients with complete congenital stationary night blindness and Oguchi disease.

Design

Prospective, observational case series.

Methods

We recruited 3 patients with complete congenital stationary night blindness caused by mutations in GRM6, 2 brothers with Oguchi disease caused by mutations in GRK1, and 1 normal control. Retinal thickness was measured from optical coherence tomography images. Integrity of the rod and cone mosaic was assessed using adaptive optics scanning light ophthalmoscopy. We imaged 5 of the patients after a period of dark adaptation and examined layer …

Quantification Of Thoracic Aorta Blood Flow By Magnetic Resonance Imaging During Supine Cycling Exercise Of Increasing Intensity, Laura M. Ellwein, John F. Ladisa, Stacy Leibham, Sheila M. Schindler-Ivens, Margaret M. Samyn

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Diffusion Tensor Imaging And Tractography In Brown-Sequard Syndrome, A. Vendatam, Michael B. Jirjis, Brian D. Schmit, M. D. Budde, J. L. Ulmer, Mei Wang, S. N. Kurpad

Biomedical Engineering Faculty Research and Publications

This report illustrates the utility of DTI and DTT in delineating regions of cord injury in two patients with traumatic Brown-Sequard syndrome. Our results indicate that DTI provides clinically relevant information that supplements conventional MR imaging for patients with acute SCI.

Differential Lung Uptake Of 99mtc-Hexamethylpropyleneamine Oxime And 99mtc-Duramycin In The Chronic Hyperoxia Rat Model, Anne V. Clough, Said H. Audi, Steven Thomas Haworth, David L. Roerig

Biomedical Engineering Faculty Research and Publications

Noninvasive radionuclide imaging has the potential to identify and assess mechanisms involved in particular stages of lung injury that occur with acute respiratory distress syndrome, for example. Lung uptake of ^99mTc-hexamethylpropyleneamine oxime (HMPAO) is reported to be partially dependent on the redox status of the lung tissue whereas ^99mTc-duramycin, a new marker of cell injury, senses cell death via apoptosis or necrosis. Thus, we investigated changes in lung uptake of these agents in rats exposed to hyperoxia for prolonged periods, a common model of acute lung injury. Methods: Male Sprague–Dawley rats were preexposed to either normoxia (21% O …

Altered Hemodynamics, Endothelial Function, And Protein Expression Occur With Aortic Coarctation And Persist After Repair, Arjun Menon, Thomas J. Eddinger, Hongfeng Wang, David C. Wendell, Jeffrey M. Toth, John F. Ladisa

Biomedical Engineering Faculty Research and Publications

Coarctation of the aorta (CoA) is associated with substantial morbidity despite treatment. Mechanically induced structural and functional vascular changes are implicated; however, their relationship with smooth muscle (SM) phenotypic expression is not fully understood. Using a clinically representative rabbit model of CoA and correction, we quantified mechanical alterations from a 20-mmHg blood pressure (BP) gradient in the thoracic aorta and related the expression of key SM contractile and focal adhesion proteins with remodeling, relaxation, and stiffness. Systolic and mean BP were elevated for CoA rabbits compared with controls leading to remodeling, stiffening, an altered force response, and endothelial dysfunction both …

Functional Classification Of Skeletal Muscle Networks. I. Normal Physiology, Yu Wang, John Winters, Shankar Subramaniam

Biomedical Engineering Faculty Research and Publications

Extensive measurements of the parts list of human skeletal muscle through transcriptomics and other phenotypic assays offer the opportunity to reconstruct detailed functional models. Through integration of vast amounts of data present in databases and extant knowledge of muscle function combined with robust analyses that include a clustering approach, we present both a protein parts list and network models for skeletal muscle function. The model comprises the four key functional family networks that coexist within a functional space; namely, excitation-activation family (forward pathways that transmit a motoneuronal command signal into the spatial volume of the cell and then use Ca …

The Effect Of Cone Opsin Mutations On Retinal Structure And The Integrity Of The Photoreceptor Mosaic, Joseph Carroll, Alfredo Dubra, Jessica C. Gardner, Liliana Mizrahi-Meissonnier, Robert F. Cooper, Adam M. Dubis, Rick Nordgren, Mohamed Genead, Thomas B. Connor Jr., Kimberly E. Stepien, Dror Sharon, David M. Hunt, Eyal Banin, Alison J. Hardcastle, Anthony T. Moore, David R. Williams, Gerald Fishman, Jay Neitz, Maureen Neitz, Michel Michaelides

Biomedical Engineering Faculty Research and Publications

Purpose.

To evaluate retinal structure and photoreceptor mosaic integrity in subjects with OPN1LW and OPN1MW mutations.

Methods.

Eleven subjects were recruited, eight of whom have been previously described. Cone and rod density was measured using images of the photoreceptor mosaic obtained from an adaptive optics scanning light ophthalmoscope (AOSLO). Total retinal thickness, inner retinal thickness, and outer nuclear layer plus Henle fiber layer (ONL+HFL) thickness were measured using cross-sectional spectral-domain optical coherence tomography (SD-OCT) images. Molecular genetic analyses were performed to characterize the OPN1LW/OPN1MW gene array.

Results.

While disruptions in retinal lamination and cone mosaic structure were observed …

Mitigation Of Radiation Induced Pulmonary Vascular Injury By Delayed Treatment With Captopril, Robert C. Molthen, Qingping Wu, Brian L. Fish, John E. Moulder, Elizabeth R. Jacobs, Meetha M. Medhora

Biomedical Engineering Faculty Research and Publications

Background and Objective: A single dose of 10 Gy radiation to the thorax of rats results in decreased total lung angiotensin-converting enzyme (ACE) activity, pulmonary artery distensibility and distal vascular density while increasing pulmonary vascular resistance (PVR) at 2 months post-exposure. In this study, we evaluate the potential of a renin-angiotensin system (RAS) modulator, the ACE inhibitor captopril, to mitigate this pulmonary vascular damage.

Methods: Rats exposed to 10 Gy thorax only irradiation and age-matched controls were studied 2 months after exposure, during the development of radiation pneumonitis. Rats were treated, either immediately or 2 weeks after radiation exposure, with …

First-Order Design Of A Reflective Viewfinder For Adaptive Optics Ophthalmoscopy, Alfredo Dubra, Yusufu N. Sulai

Biomedical Engineering Faculty Research and Publications

Adaptive optics (AO) ophthalmoscopes with small fields of view have limited clinical utility. We propose to address this problem in reflective instruments by incorporating a viewfinder pupil relay designed by considering pupil and image centering and conjugation. Diverting light from an existing pupil optical relay to the viewfinder relay allows switching field of view size. Design methods that meet all four centering and conjugation conditions using either a single concave mirror or with two concave mirrors forming an off-axis afocal telescope are presented. Two different methods for calculating the focal length and orientation of the concave mirrors in the afocal …

Tyrosine Nitration Of Voltage-Dependent Anion Channels In Cardiac Ischemia-Reperfusion: Reduction By Peroxynitrite Scavenging, Meiying Yang, Amadou K.S. Camara, Bassam T. Wakim, Yifan Zhou, Ashish K. Gadicherla, Wai-Meng Kwok, David F. Stowe

Biomedical Engineering Faculty Research and Publications

Excess superoxide (O₂⁻) and nitric oxide (NO) forms peroxynitrite (ONOO⁻) during cardiac ischemia reperfusion (IR) injury, which in turn induces protein tyrosine nitration (tyr-N). Mitochondria are both a source of and target for ONOO⁻. Our aim was to identify specific mitochondrial proteins that display enhanced tyr-N after cardiac IR injury, and to explore whether inhibiting O₂⁻/ONOO⁻ during IR decreases mitochondrial protein tyr-N and consequently improves cardiac function. We show here that IR increased tyr-N of 35 and 15 kDa mitochondrial proteins using Western blot analysis with 3-nitrotyrosine antibody. Immunoprecipitation …

Functional Classification Of Skeletal Muscle Networks. Ii. Applications To Pathophysiology, Yu Wang, Jack Winters, Shankar Subramaniam

Biomedical Engineering Faculty Research and Publications

In our preceding companion paper (Wang Y, Winters J, Subramaniam S. J Appl Physiol. doi: 10.1152/japplphysiol.01514.2011), we used extensive expression profile data on normal human subjects, in combination with legacy knowledge to classify skeletal muscle function into four models, namely excitation-activation, mechanical, metabolic, and signaling-production model families. In this paper, we demonstrate how this classification can be applied to study two well-characterized myopathies: amyotrophic lateral sclerosis (ALS) and Duchenne muscular dystrophy (DMD). Using skeletal muscle profile data from ALS and DMD patients compared with that from normal subjects, normal young in the case of DMD, we delineate molecular mechanisms …

Impairments In Sensorimotor Control During Pursuit And Compensatory Tracking In Individuals With Multiple Sclerosis, Scott A. Beardsley, Heenan M., Robert A. Scheidt, D. Woo, J. Bobholz

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Monosynaptic Functional Connectivity In Cerebral Cortex During Wakefulness And Under Graded Levels Of Anesthesia, Jeannette A. Vizuete, Siveshigan Pillay, Kamran Diba, Kristina M. Ropella, Anthony G. Hudetz

Biomedical Engineering Faculty Research and Publications

The balance between excitation and inhibition is considered to be of significant importance for neural computation and cognitive function. Excitatory and inhibitory functional connectivity in intact cortical neuronal networks in wakefulness and graded levels of anesthesia has not been systematically investigated. We compared monosynaptic excitatory and inhibitory spike transmission probabilities using pairwise cross-correlogram (CCG) analysis. Spikes were measured at 64 sites in the visual cortex of rats with chronically implanted microelectrode arrays during wakefulness and three levels of anesthesia produced by desflurane. Anesthesia decreased the number of active units, the number of functional connections, and the strength of excitatory connections. …

Functional Integration In The Cortical Neuronal Network Of Conscious And Anesthetized Animals, Jeannette A. Vizuete

Dissertations (1934 -)

General anesthesia consists of amnesia, analgesia, areflexia and unconsciousness. How anesthetics suppress consciousness has been a mystery for more than one and a half centuries.

The overall goal of my research has been to determine the neural correlates of anesthetic-induced loss of consciousness. I hypothesized that anesthetics induce unconsciousness by interfering with the functional connectivity of neuronal networks of the brain and consequently, reducing the brain's capacity for information processing. To test this hypothesis, I performed experiments in which neuronal spiking activity was measured with chronically implanted microelectrode arrays in the visual cortex of freely-moving rats during wakefulness and at …

Pedaling-Related Brain Activation In People Post-Stroke: An Fmri Study, Nutta-On Promjunyakul

Dissertations (1934 -)

This study aimed to enhance our understanding of supraspinal control of locomotion in stroke survivors and its relationship to locomotor impairment. We focused mainly on the locomotor component of walking, which involves rhythmic, reciprocal, flexion and extension movements of multiple joints in both legs. Functional magnetic resonance imaging (fMRI) was used to record human brain activity while pedaling was used as a model of locomotion. First, we examined the spatiotemporal characteristics of hemodynamic responses recorded with fMRI and found that they were different in stroke survivors and control subjects. However, these differences were not substantial enough to require altering the …

Biomechanical Evaluation Of An Optical System For Quantitative Human Motion Analysis, Jeffrey D. Kertis

Master's Theses (2009 -)

An eight-camera Optitrack motion capture system was evaluated by performing static, linear dynamic, and angular dynamic calibrations using marker distances associated with upper and lower extremity gait and wheelchair models. Data were analyzed to determine accuracy and resolution within a defined capture volume using a standard Cartesian reference system. Two additional cameras along with AMASS and Visual3D (C-Motion, Inc., Germantown, MD) biomechanical modeling software were used to determine joint kinematics at the pelvis, hip, knee, and ankle of ten control subjects (mean age 21.5 ± 1.65 years). The same data were processed through Nexus (Vicon Motion Systems, Oxford, England) modeling …

Biomechanical Model Of Pediatric Upper Extremity Dynamics During Wheelchair Mobility, Alyssa J. Paul

Master's Theses (2009 -)

Biomechanical analysis has been used by many to evaluate upper extremity (UE) motion during human movement, including during the use of assistive devices such as crutches and walkers. However, few studies have been conducted to examine the upper extremity kinetics during wheelchair mobility, specifically within the pediatric population. In 2000, 90% of wheelchair users (1.5 million people) in the United States were manual wheelchair users, requiring the use of their upper body to maneuver the wheelchair as well as perform other activities of daily living. Among children under the age of 18, the wheelchair was the most used assistive mobility …

Development And Performance Of A Sparsity-Exploiting Algorithm For Few-View Single Photon Emission Computed Tomogrpahy (Spect) Reconstruction, Paul Arthur Wolf

Master's Theses (2009 -)

Single Photon Emission Computed Tomography (SPECT) provides noninvasive images of the distribution of radiotracer molecules. Dynamic Single Photon Emission Computed Tomography provides information about tracer uptake and washout from a series of time-sequence images. Stationary ring-like multi-camera systems are being developed to provide rapid dynamic acquisitions with high temporal sampling. Reducing the number of cameras reduces the cost of such systems but also reduces the number of views acquired, limiting the angular sampling of the system. Novel few-view image reconstruction methods may be beneficial and are being investigated for the application of dynamic SPECT. A sparsity-exploiting algorithm intended for few-view …

Three-Dimensional Biomechanical Model Of Wrist Dynamics During Tasks Of Daily Living, Patrick Roscher

Master's Theses (2009 -)

An understanding of wrist dynamics during functional movements is required to better diagnose and treat wrist injury and disease. Currently, there is a lack of upper extremity (UE) models that combine both the motions and resulting forces that occur in the wrist during daily activities. The purpose of this study is to create a three-dimensional (3D) model of the upper extremity that describes kinematics and wrist kinetics during functional activities. A model of this type could benefit clinical diagnosis, treatment, and follow-up care of orthopaedic and neurological disorders of the wrist. The created dynamic wrist model was used to test …

Design And Validation Of Bending Test Method For Characterization Of Miniature Pediatric Cortical Bone Specimens, Carolyne Albert, John Jameson, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Osteogenesis imperfecta is a genetic disorder of bone fragility; however, the effects of this disorder on bone material properties are not well understood. No study has yet measured bone material strength in humans with osteogenesis imperfecta. Small bone specimens are often extracted during routine fracture surgeries in children with osteogenesis imperfecta. These specimens could provide valuable insight into the effects of osteogenesis imperfecta on bone material strength; however, their small size poses a challenge to their mechanical characterization. In this study, a validated miniature three-point bending test is described that enables measurement of the flexural material properties of pediatric cortical …

Enhancing The Engineering Curriculum: Defining Discovery Learning At Marquette University, Jay R. Goldberg, Mark L. Nagurka

Biomedical Engineering Faculty Research and Publications

This paper summarizes the results of our investigation into the feasibility of increasing the level of discovery learning in the College of Engineering (COE) at Marquette University. We review the education literature, document examples of discovery learning currently practiced in the COE and other schools, and propose a Marquette COE-specific definition of discovery learn-ing. Based on our assessment of the benefits, costs, and tradeoffs associated with increasing the level of discovery learning, we pre-sent several recommendations and identify resources required for implementation. These recommendations may be helpful in enhancing engineering education at other schools.

Creep Evaluation Of (Orthotic) Cast Materials During Simulated Clubfoot Correction, T. L. Cohen, H. Altiok, Sergey Tarima, P. A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

The Ponseti method is a widely accepted and highly successful conservative treatment of pediatric clubfoot that relies on weekly manipulations and cast applications. However, the material behavior of the cast in the Ponseti technique has not been investigated. The current study sought to characterize the ability of two standard casting materials to maintain the Ponseti corrected foot position by evaluating creep response. A dynamic cast testing device (DCTD) was built to simulate a typical pediatric clubfoot. Semi-rigid fiberglass and rigid fiberglass casting materials were applied to the device, and the rotational creep was measured at various constant torques. The movement …

Chronically Inadequate Sleep Results In Abnormal Bone Formation And Abnormal Bone Marrow In Rats, Carol A. Everson, Anne E. Folley, Jeffrey M. Toth

Biomedical Engineering Faculty Research and Publications

Insufficient sleep over long durations of the lifespan is believed to adversely affect proper development and healthful aging, although how this might become manifested is unknown. In the present study, rats were repeatedly sleep-restricted during 72 days to permit maladaptations to evolve, thereby permitting study. Densitometric and histomorphometric analyses were performed on harvested bone. In sleep-restricted rats, bone lined by osteoid was reduced 45-fold and osteoid thickness was decreased, compared with controls. This corresponded to a decrease in osteoblast number and activity. The percentage of bone lined by osteoclasts did not differ from that of controls. Plasma concentrations of an …

Role Of Glutathione In Lung Retention Of 99mtc-Hexamethylpropyleneamine Oxime In Two Unique Rat Models Of Hyperoxic Lung Injury, Said H. Audi, David L. Roerig, Steven Thomas Haworth, Anne V. Clough

Biomedical Engineering Faculty Research and Publications

Rat exposure to 60% O₂ for 7 days (hyper-60) or to >95% O₂ for 2 days followed by a 24-hour in room air (hyper-95R) confers susceptibility or tolerance, respectively, of the otherwise lethal effects of subsequent exposure to 100% O₂. The objective of this study was to determine if lung retention of the radiopharmaceutical agent ^99mTc-HMPAO (hexamethylpropyleneamine oxime) is differentially altered in hyper-60 and hyper-95R rats. Tissue retention of HMPAO is dependent on intracellular content of the antioxidant glutathione (GSH) and mitochondrial function. HMPAO was injected i.v. in anesthetized rats and planar images were acquired. …

Upper Extremity Biomechanical Model For Evaluation Of Pediatric Joint Demands During Wheelchair Mobility, Alyssa J. Paul, Brooke A. Slavens, Adam Graf, Joseph Krzak, Lawrence Vogel, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Current methods for evaluating upper extremity (UE) dynamics during pediatric wheelchair use are limited. We propose a new model to characterize UE joint kinematics and kinetics during pediatric wheelchair mobility. The bilateral model is comprised of the thorax, clavicle, scapula, upper arm, forearm, and hand segments. The modeled joints include: sternoclavicular, acromioclavicular, glenohumeral, elbow and wrist. The model is complete and is currently undergoing pilot studies for clinical application. Results may provide considerable quantitative insight into pediatric UE joint dynamics to improve wheelchair prescription, training and long term care of children with orthopaedic disabilities.

Understanding The In Vivo Uptake Kinetics Of A Phosphatidylethanolamine-Binding Agent 99mTc-Duramycin, Said H. Audi, Zhixin Li, Joseph Capacete, Yu Liu, Wei Fang, Laura G. Shu, Ming Zhao

Biomedical Engineering Faculty Research and Publications

Introduction

^99mTc-Duramycin is a peptide-based molecular probe that binds specifically to phosphatidylethanolamine (PE). The goal was to characterize the kinetics of molecular interactions between ^99mTc-Duramycin and the target tissue.

Methods

High level of accessible PE is induced in cardiac tissues by myocardial ischemia (30 min) and reperfusion (120 min) in Sprague–Dawley rats. Target binding and biodistribution of ^99mTc-duramycin were captured using SPECT/CT. To quantify the binding kinetics, the presence of radioactivity in ischemic versus normal cardiac tissues was measured by gamma counting at 3, 10, 20, 60 and 180 min after injection. A partially inactivated form of …

Storage And Loss Moduli Of Bone In Osteogenesis Imperfecta (Oi), Carolyne Albert, John Jameson, Jeffrey Toth, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.