Biomedical Engineering and Bioengineering Commons^™

Field Experience As The Centerpiece Of An Integrated Model For Stem Teacher Preparation, Leigh A. Van Den Kieboom, Jill Mcnew-Birren, Ellen Eckman, M. Barbara Silver-Thorn

Biomedical Engineering Faculty Research and Publications

The purpose of this study was to provide a descriptive account of one pathway for preparing high-quality STEM (science, technology, engineering, and mathematics) teachers for work in high-need urban schools. In this account, we discuss the supports that STEM majors need in learning how to think about the content that they know well, through an educational perspective that focuses on teaching and learning. We also describe the approach that we use that integrates content knowledge, pedagogical content knowledge, and three extensive teaching co-op experiences to facilitate the transition from successful STEM undergraduate students to effective teachers of STEM content. We …

Wavelength Optimization For Quantitative Spectral Imaging Of Breast Tumor Margins, Justin Y. Lo, J. Quincy Brown, Sulochana Dhar, Bing Yu, Gregory M. Palmer, Nan M. Jokerst, Nirmala Ramanujam

Biomedical Engineering Faculty Research and Publications

A wavelength selection method that combines an inverse Monte Carlo model of reflectance and a genetic algorithm for global optimization was developed for the application of spectral imaging of breast tumor margins. The selection of wavelengths impacts system design in cost, size, and accuracy of tissue quantitation. The minimum number of wavelengths required for the accurate quantitation of tissue optical properties is 8, with diminishing gains for additional wavelengths. The resulting wavelength choices for the specific probe geometry used for the breast tumor margin spectral imaging application were tested in an independent pathology-confirmed ex vivo breast tissue data set and …

Mitochondrial Handling Of Excess Ca2+ Is Substrate-Dependent With Implications For Reactive Oxygen Species Generation, Mohammed Aldakkak, David F. Stowe, Ranjan K. Dash, Amadou K.S. Camara

Biomedical Engineering Faculty Research and Publications

The mitochondrial electron transport chain is the major source of reactive oxygen species (ROS) during cardiac ischemia. Several mechanisms modulate ROS production; one is mitochondrial Ca²⁺ uptake. Here we sought to elucidate the effects of extramitochondrial Ca²⁺ (e[Ca²⁺]) on ROS production (measured as H₂O₂ release) from complexes I and III. Mitochondria isolated from guinea pig hearts were preincubated with increasing concentrations of CaCl₂ and then energized with the complex I substrate Na⁺ pyruvate or the complex II substrate Na⁺ succinate. Mitochondrial H₂O₂ release rates were assessed after …

Protection Against Cardiac Injury By Small Ca2 +-Sensitive K+ Channels Identified In Guinea Pig Cardiac Inner Mitochondrial Membrane, David F. Stowe, Ashish K. Gadicherla, Yifan Zhou, Mohammed Aldakkak, Qunli Cheng, Wai-Meng Kwok, Ming Tao Jiang, James S. Heisner, Meiying Yang, Amadou K.S. Camara

Biomedical Engineering Faculty Research and Publications

We tested if small conductance, Ca^{2 +}‐sensitive K⁺ channels (SK_Ca) precondition hearts against ischemia reperfusion (IR) injury by improving mitochondrial (m) bioenergetics, if O₂‐derived free radicals are required to initiate protection via SK_Ca channels, and, importantly, if SK_Ca channels are present in cardiac cell inner mitochondrial membrane (IMM). NADH and FAD, superoxide (O₂⁻), and m[Ca^{2 +}] were measured in guinea pig isolated hearts by fluorescence spectrophotometry. SK_Ca and IK_Ca channel opener DCEBIO (DCEB) was given for 10 min and ended 20 min before IR. …

Effect Of Fine Wire Electrode Insertion On Gait Patterns In Children With Hemiplegic Cerebral Palsy, Joseph Krzak, Daniel M. Corcos, Adam Graf, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

Fine wire electromyography (EMG) is commonly used for surgical decision making in equinovarus foot deformity. However, this invasive technique may have the unwanted effect of altering the gait of children with cerebral palsy (CP). The purpose of this study was to determine if fine wire insertion into the posterior tibialis muscle affects temporal-spatial parameters and hindfoot kinematics during gait in children with equinovarus secondary to hemiplegic CP.

Methods

12 children with hemiplegic CP who presented with an equinovarus foot (mean age 12.5 yrs, four right-sided, eight left-sided) were recruited. Temporal-spatial parameters and 3-D segmental foot and ankle kinematic gait …

Long-Term Follow Up Of Van Nes Rotationplasty For Congenital Proximal Focal Femoral Deficiency, Jeffrey D. Ackman, Haluk Altiok, Ann Flanagan, Mary Peer, Adam Graf, Joseph Krzak, Sahar Hassani, Dan C. Eastwood, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Van Nes rotationplasty may be used for patients with congenital proximal focal femoral deficiency (PFFD). The lower limb is rotated to use the ankle and foot as a functional knee joint within a prosthesis. A small series of cases was investigated to determine the long-term outcome. At a mean of 21.5 years (11 to 45) after their rotationplasty, a total of 12 prosthetic patients completed the Short-Form (SF)-36, Faces Pain Scale-Revised, Harris hip score, Oswestry back pain score and Prosthetic Evaluation Questionnaires, as did 12 age- and gender-matched normal control participants. A physical examination and gait analysis, computerised dynamic posturography …

Computational Fluid Dynamic Simulations For Determination Of Ventricular Workload In Aortic Arch Obstructions, Jessica S. Coogan, Frandics P. Chan, John F. Ladisa, Charles A. Taylor, Frank L. Hanley, Jeffrey A. Feinstein

Biomedical Engineering Faculty Research and Publications

Objective

The cardiac workload associated with various types of aortic obstruction was determined using computational fluid dynamic simulations.

Methods

Computed tomography image data were collected from 4 patients with 4 distinct types of aortic arch obstructions and 4 controls. The categorization of arch hypoplasia corresponded to the “A, B, C” nomenclature of arch interruption; a type “D” was added to represent diffuse arch hypoplasia. Measurements of the vessel diameter were compared against the normal measurements to determine the degree of narrowing. Three-dimensional models were created for each patient, and additional models were created for type A and B hypoplasia to …

Biplane Fluoroscopic Analysis Of The Hindfoot Using Model-Based Tracking Techniques: A Static Phantom Study, Janelle A. Cross, Ben Mchenry, Gerald F. Harris, Taly Gilat Schmidt

Biomedical Engineering Faculty Research and Publications

No abstract provided.

White Matter Structural Connectivity Is Associated With Sensorimotor Function In Stroke Survivors, Benjamin Kalinosky, Sheila M. Schindler-Ivens, Brian D. Schmit

Biomedical Engineering Faculty Research and Publications

Purpose

Diffusion tensor imaging (DTI) provides functionally relevant information about white matter structure. Local anatomical connectivity information combined with fractional anisotropy (FA) and mean diffusivity (MD) may predict functional outcomes in stroke survivors. Imaging methods for predicting functional outcomes in stroke survivors are not well established. This work uses DTI to objectively assess the effects of a stroke lesion on white matter structure and sensorimotor function.

Methods

A voxel-based approach is introduced to assess a stroke lesion's global impact on motor function. Anatomical T1-weighted and diffusion tensor images of the brain were acquired for nineteen subjects (10 post-stroke and 9 …

3d Micron-Scale Imaging Of The Cortical Bone Canal Network In Human Osteogenesis Imperfecta (Oi), John R. Jameson, Carolyne Albert, Bjoern Busse, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Osteogenesis imperfecta (OI) is a genetic disorder leading to increased bone fragility. Recent work has shown that the hierarchical structure of bone plays an important role in determining its mechanical properties and resistance to fracture. The current study represents one of the first attempts to characterize the 3D structure and composition of cortical bone in OI at the micron-scale. A total of 26 pediatric bone fragments from 18 individuals were collected during autopsy (N_c=5) or routing orthopaedic procedures (N_OI=13) and imaged by microtomography with a synchrotron light source (SRµCT) for several microstructural parameters including cortical porosity …

Markerless Analysis Of Upper Extremity Kinematics During Standardized Pediatric Functional Assessment With A Low-Cost Motion Analysis System, Gerald F. Harris, Susan A. Riedel

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Visuomotor Learning Enhanced By Augmenting Instantaneous Trajectory Error Feedback During Reaching, James L. Patton, John Wei Yejun, Preeti Bajaj, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

We studied reach adaptation to a 30u visuomotor rotation to determine whether augmented error feedback can promote faster and more complete motor learning. Four groups of healthy adults reached with their unseen arm to visual targets surrounding a central starting point. A manipulandum tracked hand motion and projected a cursor onto a display immediately above the horizontal plane of movement. For one group, deviations from the ideal movement were amplified with a gain of 2 whereas another group experienced a gain of 3.1. The third group experienced an offset equal to the average error seen in the initial perturbations, while …

3d Visualization Of Reference-Point Indentation In Human And Murine Bone, John Jameson, Alex Proctor, Carolyne Albert, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Brittle Bone Fracture Risk With Transverse Isotropy, Jessica M. Fritz, Nicole M. Grosland, Peter A. Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Biomechanical Modeling Of Pediatric Clubfoot, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

No abstract provided.

Improving Brain–Machine Interface Performance By Decoding Intended Future Movements, Francis R. Willett, Aaron J. Suminski, Andrew H. Fagg, Nicholas G. Hatsopoulos

Biomedical Engineering Faculty Research and Publications

Objective. A brain–machine interface (BMI) records neural signals in real time from a subject's brain, interprets them as motor commands, and reroutes them to a device such as a robotic arm, so as to restore lost motor function. Our objective here is to improve BMI performance by minimizing the deleterious effects of delay in the BMI control loop. We mitigate the effects of delay by decoding the subject's intended movements a short time lead in the future. Approach. We use the decoded, intended future movements of the subject as the control signal that drives the movement of our BMI. This …

Bone Properties By Nanoindentation In Mild And Severe Osteogenesis Imperfecta, Carolyne Albert, John Jameson, Jeffrey M. Toth, Peter Smith, Gerald F. Harris

Biomedical Engineering Faculty Research and Publications

Background

Osteogenesis imperfecta is a heterogeneous genetic disorder characterized by bone fragility. Previous research suggests that impaired collagen network and abnormal mineralization affect bone tissue properties, however, little data is yet available to describe bone material properties in individuals with this disorder. Bone material properties have not been characterized in individuals with the most common form of osteogenesis imperfecta, type I.

Methods

Bone tissue elastic modulus and hardness were measured by nanoindentation in eleven osteotomy specimens that were harvested from children with osteogenesis imperfecta during routine surgeries. These properties were compared between osteogenesis imperfecta types I (mild, n = …

Comparison Of Randomized Multifocal Mapping And Temporal Phase Mapping Of Visual Cortex For Clinical Use, Yan Ma, B. Douglas Ward, Kristina M. Ropella, Edgar A. Deyoe

Biomedical Engineering Faculty Research and Publications

fMRI is becoming an important clinical tool for planning and guidance of surgery to treat brain tumors, arteriovenous malformations, and epileptic foci. For visual cortex mapping, the most popular paradigm by far is temporal phase mapping, although random multifocal stimulation paradigms have drawn increased attention due to their ability to identify complex response fields and their random properties. In this study we directly compared temporal phase and multifocal vision mapping paradigms with respect to clinically relevant factors including: time efficiency, mapping completeness, and the effects of noise. Randomized, multifocal mapping accurately decomposed the response of single voxels to multiple stimulus …

A Hands-On, Active Learning Approach To Increasing Manufacturing Knowledge In Engineering Students, Jay R. Goldberg, David B. Rank

Biomedical Engineering Faculty Research and Publications

This paper describes a new learning module implemented as part of the senior capstone design course at Marquette University to teach engineering students about basic manufacturing processes, lean manufacturing principles, and design for manufacturability. The module includes several examples of active and student centered learning as part of an in-class assembly line simulation exercise. Students reflected on this experience, and suggested process improvements to save time, reduce cost and waste, and improve the assembly line process. They learned of the importance of manufacturing documentation, process design, and design for assembly. At the end of the module, students understood the importance …

In Vivo Dark-Field Imaging Of The Retinal Pigment Epithelium Cell Mosaic, Drew Scoles, Yusufu N. Sulai, Alfredo Dubra

Biomedical Engineering Faculty Research and Publications

Non-invasive reflectance imaging of the human RPE cell mosaic is demonstrated using a modified confocal adaptive optics scanning light ophthalmoscope (AOSLO). The confocal circular aperture in front of the imaging detector was replaced with a combination of a circular aperture 4 to 16 Airy disks in diameter and an opaque filament, 1 or 3 Airy disks thick. This arrangement reveals the RPE cell mosaic by dramatically attenuating the light backscattered by the photoreceptors. The RPE cell mosaic was visualized in all 7 recruited subjects at multiple retinal locations with varying degrees of contrast and cross-talk from the photoreceptors. Various experimental …

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 …