Evaluation of Electromagnetic Navigational Bronchoscopy Using Tomosynthesis-Assisted Visualization, Intraprocedural Positional Correction and Continuous Guidance for Evaluation of Peripheral Pulmonary Nodules

BACKGROUND

Electromagnetic navigational bronchoscopy (ENB) has been shown to have variable diagnostic accuracy for the assessment of peripheral pulmonary nodules. This may be because of discrepancies between the preplanned computed tomography of chest target lesion location versus actual target location (computed tomography-to-body divergence), and the lack of a continuous navigational image. The ILLUMISITE (Medtronic, Minneapolis, MN) is a newly developed ENB platform that utilizes tomosynthesis, an imaging technology that can visualize the target location using fluoroscopy (F-ENB). This new system also allows for intraprocedural positional correction and continuous navigation guidance during sampling to overcome these limitations and improve diagnostic yield. We report our first experience in a single center, single proceduralist using this new technology.

METHODS

We conducted a retrospective, single center, single operator study reviewing 72 consecutive patients (78 nodules) over a 3-month period. We investigated the overall diagnostic yield and diagnostic yield by nodule location, size, and sedation type using this new F-ENB system.

RESULTS

The overall diagnostic yield was 87% and pnemothoraces occurred in 2/78 procedures. We did not find any statistically significant difference when comparing pulmonary nodule location, size or sedation method utilized ( P =0.231, 0.338, and 0.112, respectively). Sixty-nine percent of the pulmonary nodules biopsied were 2 to 3 cm in size. The average distance corrected after tomosynthesis visualization was 15.4 mm (0.4 to 29.8 mm).

CONCLUSION

We report our initial experience with the ILLUMISITE system using fluoroscopic tomosynthesis-assisted visualization with continuous navigational guidance at our institution. This new technology allows the operator to correct for better target lesion alignment and real time positional correction and may improve diagnostic yields with minimal complications for evaluation of peripheral pulmonary nodules.

Target registration errors in navigation-assisted mandibular surgery according to the tracking methods and the type of markers: experiments using human dry mandibular bone

OBJECTIVES

This study was conducted to evaluate the accuracy of navigation process according to the type of tracking methods and registration markers. The target registration errors (TREs) were measured at seven anatomical landmarks of the mandible.

METHODS

Four different experiments were performed to obtain the TREs using two tracking methods, the optical tracker (Polaris) and the electromagnetic (EM) tracker (Aurora), and two types of registration markers, invasive and noninvasive markers. All comparisons of TREs were statistically analyzed using SPSS and Python-based statistical package.

RESULTS

The average TRE values obtained from the four experiments were as follows: (1) 0.85 mm (± 0.07) using invasive marker and Aurora, (2) 1.06 mm (± 0.12) using invasive marker and Polaris, (3) 1.43 mm (± 0.15) using noninvasive marker and Aurora, and (4) 1.57 mm (± 0.23) using noninvasive marker and Polaris. Comparisons between all the experimental results revealed statistically significant differences except for the type of tracking system. Although the comparison between the modality of the tracking system showed no significant differences, the EM-based approach consistently demonstrated better performances than the optical type in all comparisons.

CONCLUSIONS

This study demonstrates that irrespective of the tracking modality, using invasive marker is a better choice in terms of accuracy. When using noninvasive marker, it is important to consider the increased TREs. In this study, the noninvasive marker caused a maximum increment of TREs of 0.81 mm compared with the invasive marker. Furthermore, using an EM-based tracker with invasive marker may result in the best accuracy for navigation.

Design of double-notch UWB filter with upper stopband characteristics based on ACPW-DGS

In this manuscript, a compact (size only 9.8mm*9.8mm) Ultra Wide Band (UWB) bandpass filter with a new structure is proposed, which can be used in the UWB wireless communication band authorized by the FCC. The top plane is composed of a pair of back-to-back microstrip lines, and the ground plane structure is based on an asymmetric coplanar waveguide-defect ground structure (ACPW-DGS). UWB is formed by the vertical electromagnetic coupling of the top plane and the ground plane. On this basis, split ring resonator (SRR) and C type resonator (CTR) are utilized to place double notch bands. A novel third order nested C-type resonator (TONCTR) is obtained by performing CTR, which can further optimize the upper stopband while ensuring double notch bands. The filter can be used for filtering within the UWB system, and it can also avoid the amateur radio band (9.2 -10.3GHz) and the X-band satellite link band (9.6-12.3GHz) on UWB communication systems. Finally, the measured results from the fabricated prototype are basically consistent with the simulation results.

A single-coil-based method for electromagnetic interference reduction in point-of-care low field MRI systems

One of the main challenges for point-of-care (POC) MRI systems is electromagnetic interference (EMI), since such systems are intended for use outside conventional Faraday-shielded rooms. Many methods have been proposed based on EMI detection via sensors external to the MRI system, followed by different types of signal processing to reduce artifacts in the image. Although these methods can be very effective, they do increase the complexity of the overall system, and introduce more potential failure points for systems designed for challenging environments. In this work we introduce a new method that does not require external sensors, but rather uses the "MR-silent" mode of an RF coil to detect the EMI, followed by simple subtraction from the signal from the "MR-active" mode. This method can be performed post-acquisition if there are two receive channels available, or as demonstrated here can operate with a single-channel receive detection system with the addition of a simple passive 180° power splitter/combiner into the receive chain. Proof-of-concept in vivo results show that a reduction in the standard deviation of the EMI up to ∼ 97 % is possible, with average values ∼ 90 %.

Frameless neuronavigation-assisted brain biopsy with electromagnetic tracking: how I do it?

BACKGROUND

In recent years, thanks to several technological innovations, stereotactic cerebral biopsies have evolved from frame-based to frameless neuronavigation-assisted techniques.

METHODS

The authors provide herein a detailed step-by-step description of the technique, shedding light on surgical tips and how to avoid complications. The practical application of the technique is demonstrated with a high-quality video.

CONCLUSION

The neuronavigation-assisted brain biopsy with electromagnetic tracking is a "true frameless" procedure. It represents a simple, safe, and effective innovation for frameless biopsy of cerebral lesions. This technique is time efficient, offering a high degree of accuracy required for the establishment of a definitive diagnosis, enabling optimal further treatment, and thus improving patient outcome.

A Review of Emerging Electromagnetic-Acoustic Sensing Techniques for Healthcare Monitoring

Conventional electromagnetic (EM) sensing techniques such as radar and LiDAR are widely used for remote sensing, vehicle applications, weather monitoring, and clinical monitoring. Acoustic techniques such as sonar and ultrasound sensors are also used for consumer applications, such as ranging and in vivo medical/healthcare applications. It has been of long-term interest to doctors and clinical practitioners to realize continuous healthcare monitoring in hospitals and/or homes. Physiological and biopotential signals in real-time serve as important health indicators to predict and prevent serious illness. Emerging electromagnetic-acoustic (EMA) sensing techniques synergistically combine the merits of EM sensing with acoustic imaging to achieve comprehensive detection of physiological and biopotential signals. Further, EMA enables complementary fusion sensing for challenging healthcare settings, such as real-world long-term monitoring of treatment effects at home or in remote environments. This article reviews various examples of EMA sensing instruments, including implementation, performance, and application from the perspectives of circuits to systems. The novel and significant applications to healthcare are discussed. Three types of EMA sensors are presented: (1) Chip-based radar sensors for health status monitoring, (2) Thermo-acoustic sensing instruments for biomedical applications, and (3) Photoacoustic (PA) sensing and imaging systems, including dedicated reconstruction algorithms were reviewed from time-domain, frequency-domain, time-reversal, and model-based solutions. The future of EMA techniques for continuous healthcare with enhanced accuracy supported by artificial intelligence (AI) is also presented.

Low Cost Digital Implementation of Hybrid FitzHugh Nagumo-Morris Lecar Neuron Model Considering Electromagnetic Flux Coupling

Digital realization of neuron models, especially implementation on a field programmable gate array (FPGA), is one of the key objectives of neuromorphic research, because the effective hardware realization of the biological neural networks plays a crucial role in implementing the behaviors of the brain for future applications. In this paper, a hybrid FitzHugh Nagumo-Morris Lecar (FNML) neuron model with electromagnetic flux coupling is considered, and two multiplierless piecewise linear (PWL) models, which have similar behaviors to the biological neuron, are presented. A comparison between digital implementation results of the original FNML and PWL models illustrates that, the PWL1 model provides a 65% speed-up with an overall saving (in FPGA resources) of 66.2%, and the PWL2 model yields a 71% speed-up with an overall saving of 78.2%.

Nacre-Mimetic Hierarchical Architecture in Polyborosiloxane Composites for Synergistically Enhanced Impact Resistance and Ultra-Efficient Electromagnetic Interference Shielding

Pervasive mechanical impact is growing requirement for advanced high-performance protective materials, while the electromagnetic interference (EMI) confers severe risk to human health and equipment operation. Bioinspired structural composites achieving outstanding safeguards against a single threat have been developed, whereas the synergistic implementation of impact/EMI coupling protection remains a challenge. This work proposes the concept of nacre-mimetic hierarchical composite duplicating the "brick-and-mortar" arrangement, which consists of freeze-drying constructed chitosan/MXene lamellar architecture skeleton embedded in a shear stiffening polyborosiloxane matrix. The resulting composite effectively attenuates the impact force of 85.9%-92.8% with extraordinary energy dissipation capacity, in the coordinative manner of strain-rate enhancement, structural densification, lamella dislocation and crack propagation. Attributed to the alternate laminated structure promoting the reflection loss of electromagnetic waves, it demonstrates an ultraefficient EMI shielding effectiveness of 47.2-71.8 dB within extremely low MXene loadings of 1.1-1.3 wt %. Furthermore, it serves favorably in impact monitoring and wireless alarm systems and accomplishes performance optimization through the combination of multiple biomimetic strategies. In conclusion, this function-integrated structural composite is shown to be a competitive candidate for sophisticated environments by resisting impact damage and EMI hazards.

Optimization of multi-frequency electromagnetic surveying for investigating waste characteristics in an open dumpsite

Implications: Open dump mining (ODM) is now applied as a sustainable approach to combat improper waste disposal and reduce municipal solid waste (MSW) in the open dumpsite. To implement ODM for producing RDF, business developers must know the amount and composition of waste that can be converted into RDF before mining. This study used multi-frequency EM surveys with frequencies of 5,000, 11,000, and 15,000 Hz. This multi-frequency method effectively determined the waste composition and identified potential excavation points in the open dumpsite prior to ODM. This method can mitigate the limitations of traditional surveying, due to its improved mobility, lower time consumption, and reduced labor needs.

Touch-Programmable Metasurface for Various Electromagnetic Manipulations and Encryptions

Previous programmable metasurfaces integrated with diodes or varactors require external instructions for field programmable gate arrays (FPGAs), which usually rely on computer-inputs or pre-loaded algorithms. But the complicated external devices make the coding regulation process of the programmable metasurfaces cumbersome and difficult to use. To simplify the process and provide a new interaction manner, a touch-programmable metasurface (TPM) based on touch sensing modules is proposed to realize various electromagnetic (EM) manipulations and encryptions. By simply touching the meta-units of the TPM, the state of the diodes can be changed. Through the touch controls, the TPM can achieve independent and direct manipulations of meta-units and efficient inputs of coding patterns without using a FPGA or other control modules. Various coding patterns are demonstrated to achieve diverse scattering-field control and flexible near-field EM information encryptions, which verifies the feasibility of the TPM design. The presented TPM will have wide application prospects in imaging displays, wireless communications, and EM information encryptions.

Exploring multiple electrical layers overlying coal seams using the transient electromagnetic method

The transient electromagnetic method (TEM) is widely applied in coal hydrogeological exploration owing to its sensitivity to low-resistivity bodies. However, when a coal seam is buried deep, particularly if there are multiple electrical layers in the vertical direction of the overlying stratum, the results of the calculation using the late-channel empirical formula of the TEM may no longer reflect the actual situation. In this study, we evaluated the principle of the one-dimensional (1D) Occam algorithm and the steps for performing an inversion. We proposed various two-, three-, and four-layer electrical models for inversion using the 1D Occam algorithm. Our results are consistent with the electrical distribution of the models, thus indicating the effectiveness of the algorithm. A test project of large-depth transient electromagnetic exploration in the Datong Coalfield in Shanxi, China, was selected for experimental verification. The 1D Occam inversion was used to successfully identify various electrical strata overlying the coal seam.

Electromagnetic absorption enhancing mechanisms by modified biochar derived from Enteromorpha prolifera: a combined experimental and simulation study

Although the rapid advances of wireless technologies and electronic devices largely improve the quality of life, electromagnetic (EM) pollution increases the risk of exposure to EM radiation. Developing high-efficiency absorbers with a rational structure and wideband characteristics is of great significance to eliminate radiation pollution. Herein, Enteromorpha prolifera derived biochar which would provide a suitable surface and multiple polarizations has been prepared as the supporter to anchor nanoparticles. In addition, theoretical simulation results further confirm that radar wave scattering could be largely inhibited after coating with absorbing materials. As a result, the hybrid absorbers achieve remarkable EM absorption properties attributed to the synergistic magnetic-dielectric loss. Elaborate compositional and structural characterization studies indicate that the absorber has a large specific area and numerous polarization centers, which would make full use of waste biomass as light weight and broadband high-performance EM absorption materials.

Fast Design Optimization and Comparative Analysis for Linear Permanent Magnet Motor with Magnet Skew, Auxiliary Tooth and Overhang Structure

This paper presents a fast design optimization using an effective characteristic analysis for linear permanent magnet motors (LPMMs) with techniques for improving motor performance such as using an auxiliary tooth, permanent magnet (PM) skew, and overhang structures. These techniques have different effects on the characteristics of the LPMM depending on the combinations of each other, resulting in complexity in the design optimization process. In particular, the three-dimensional (3-D) effect of the PM skew and overhang structure takes a lot of time to be analyzed. To deal with this problem, an effective magnetic field analysis method and a novel optimization algorithm are proposed. Preferentially, the field reconstruction method is used for a fast and accurate evaluation of the magnetic field of the LPMM. In the proposed magnetic field analysis method, the change of magnetic field distribution due to the addition of an auxiliary tooth is predicted, and the 3-D magnetic field effect of PM skew and overhang structure is considered. By reducing the computational burden in the magnetic field analysis, the electromagnetic characteristics of LPMMs can be calculated quickly, such as detent force, end force, thrust force, and back-EMF. The effect of the auxiliary tooth and overhang structure on the optimal PM skew length is investigated with comparative study results. Subsequently, the proposed optimization algorithm has the advantage of reducing time cost by providing multimodal optimization and robustness evaluation of local peaks at the same time. The proposed method is verified via comparison with finite element analysis and experimental results.

Electromagnetic-guided versus endoscopic-guided postpyloric placement of nasoenteral feeding tubes

BACKGROUND

For people who are malnourished and unable to consume food by mouth, nasoenteral feeding tubes are commonly used for the administration of liquid food and drugs. Postpyloric placement is when the tip of the feeding tube is placed beyond the pylorus, in the small intestine.  Endoscopic-guided placement of postpyloric feeding tubes is the most common approach. Usually, an endoscopist and two or more medical professionals perform this procedure using a guidewire technique. The position of the tube is then confirmed with fluoroscopy or radiography, which requires moving people undergoing the procedure to the radiology department. Alternatively, electromagnetic-guided placement of postpyloric nasoenteral feeding tubes can be performed by a single trained nurse, at the bedside and with less equipment than endoscopic-guided placement. Hence, electromagnetic-guided placement may represent a promising alternative to endoscopic-guided placement, especially in settings where endoscopy and radiographic facilities are unavailable or difficult to access.

OBJECTIVES

To assess the efficacy and safety of electromagnetic-guided placement of postpyloric nasoenteral feeding tubes compared to endoscopic-guided placement.

SEARCH METHODS

We searched the Cochrane Library, MEDLINE, Embase, CINAHL, ClinicalTrials.gov, World Health Organization International Clinical Trials Registry Platform, and OpenGrey until February 2021. We screened the reference lists of relevant review articles and current treatment guidelines for further literature. We contacted the study authors for missing data.

SELECTION CRITERIA

We included randomised trials comparing electromagnetic-guided placement with endoscopic-guided placement of nasoenteral feeding tubes. We excluded prospective cohort studies, retrospective cohort studies, (nested) case-control studies, cross-sectional studies, and case series or case reports.

DATA COLLECTION AND ANALYSIS

Two review authors independently assessed the methodological quality of potentially eligible trials and extracted data from the included trials. The primary outcomes were technical success in insertion and aspiration pneumonitis. The secondary outcomes were the time for postpyloric placement of nasoenteral feeding tubes, direct healthcare costs, and adverse events. We performed a random-effects meta-analysis. We calculated risk ratios (RRs) with 95% confidence intervals (CIs) for dichotomous outcomes and mean differences (MDs) with 95% CIs for continuous outcomes. We evaluated the certainty of evidence based on the GRADE approach.

MAIN RESULTS

We identified four randomised controlled trials with 541 participants which met our inclusion criteria. All trials had methodological limitations, and lack of blinding of participants and investigators was a major source of bias. We had 'some concerns' for the overall risk of bias in all trials.  Electromagnetic-guided postpyloric placement of nasoenteral feeding tubes may result in little to no difference in technical success in insertion compared to endoscopic-guided placement (RR 1.09, 95% CI 0.88 to 1.35; I2 = 81%; low-certainty evidence). Electromagnetic-guided placement may result in a difference in the proportion of participants with aspiration pneumonitis compared to endoscopic-guided placement, but these results are unclear (RR 0.24, 95% CI 0.03 to 2.18; I2 = 0%; low-certainty evidence).  Electromagnetic-guided placement may result in little to no difference in the time for postpyloric placement of nasoenteral feeding tubes compared to endoscopic-guided placement (MD 4.06 minutes, 95% CI -0.47 to 8.59; I2 = 97%; low-certainty evidence). Electromagnetic-guided placement likely reduces direct healthcare costs compared to endoscopic-guided placement (MD -127.69 US dollars, 95% CI -135.71 to -119.67; moderate-certainty evidence). Electromagnetic-guided placement likely results in little to no difference in adverse events compared with endoscopic-guided placement (RR 0.78, 95% CI 0.41 to 1.49; moderate-certainty evidence).

AUTHORS' CONCLUSIONS

We found low-certainty evidence that electromagnetic-guided placement at the bedside results in little to no difference in technical success in insertion and aspiration pneumonitis, compared to endoscopic-guided placement. The heterogeneity of the healthcare professionals who performed the procedures and the small sample sizes limited our confidence in the evidence. Future research should be based on large studies with well-defined endpoints to potentially elucidate the differences between these two procedures.

An automatic framework for estimating the pose of the catheter distal section using a coarse-to-fine network

BACKGROUND AND OBJECTIVE

During percutaneous coronary intervention procedures, generally only 2D X-ray images are provided. The consequent lack of depth perception makes it difficult for interventionists to visually estimate the pose of medical tools inside the vasculature, especially for novices. Although some automatic methods have been developed to aid interventionists, it is still a challenging task to obtain stable and accurate pose estimation. In this paper, we describe a learning-based framework for estimating the pose of the catheter distal section (CDS). The main innovation of this framework is the proposal of a coarse-to-fine fusion network (CFF-Net) which can achieve the shape and orientation estimation for the CDS.

METHODS

By adopting a two-step fusion, CFF-Net progressively solves the shape and orientation ambiguities. The first step is the early fusion where the 2D projection image fuses with the shape prior before input, which makes the estimated result own a specific catheter distal shape. The second step is the late fusion where CFF-Net fuse feature maps and the orientation data from Electromagnetic (EM) sensors to confirm the overall orientation of the CDS. Finally, the estimated pose in the EM space will be obtained after we combine the estimated shape and orientation from CFF-Net with the position information from the EM sensor.

RESULTS

The effectiveness of CFF-Net has been verified in a simulated environment where RMSE of CFF-Net is 0.706 ± 0.121 mm. This approach was further transferred from simulation to reality using the real-world data, where RMSE of CFF-Net is 1.121 ± 0.124 mm and RMSE of the whole proposed framework is 1.577 ± 0.144 mm.

CONCLUSION

In simulated and real-world experiments, our proposed approach has been proven to achieve high accuracy while ensuring real-time processing for estimating the pose of the CDS.

A Wearable Capsule Endoscope Electromagnetic Localization System Based on a Novel WCL Algorithm

The wearable localization system for wireless capsule endoscopy (WCE) is a potential technology to realize rapid diagnosis and treatment of the gastrointestinal (GI). However, the electromagnetic localization accuracy of WCE still needs to be improved. In this paper, based on RSSI electromagnetic fading model, the accurate fitting parameter values are obtained by Kalman filter and the least square method. A novel weighted centroid localization (WCL) algorithm based on exponential weights is proposed, which can achieve high-accuracy localization by using only sparse reception matrix. The simulation results show that when the standard deviation of the localization data is 7.85, the localization root mean square error (RMSE) is 25.4 mm; when the standard deviation of the localization data is 5.475, the localization RMSE is 2.5 mm. These two localization RMSEs are 38% and 79% less than those of the conventional centroid localization algorithm, respectively. An experimental platform of wearable wireless communication and localization system using 24 array receiving antennas is developed in human phantom environment. The experimental results show that the wearable WCE electromagnetic localization system based on the proposed algorithm achieves a localization RMSE of 36.3 mm, which is 17% lower than that of the conventional centroid localization algorithm and meets the needs of clinical diagnosis.

[Study on Test Method of Radiation Emission of Proton Therapy Equipment]

Electromagnetic compatibility testing of proton therapy system is different from that of traditional products in an anechoic chamber. It has high requirements on the division of sample composition, the understanding of applicable standards, the formulation of operation mode, the selection of test location, and the test of ambient noise. According to the requirements of GB 4824-2019 standard, the test method of radiation emission of proton therapy equipment was developed to provide reference advice for the industry, and the problems encountered in the actual test were studied.

Electromagnetic Controlled Closed-Head Model of Mild Traumatic Brain Injury in Mice

Highly reproducible animal models of traumatic brain injury (TBI), with well-defined pathologies, are needed for testing therapeutic interventions and understanding the mechanisms of how a TBI alters brain function. The availability of multiple animal models of TBI is necessary to model the different aspects and severities of TBI seen in people. This manuscript describes the use of a midline closed head injury (CHI) to develop a mouse model of mild TBI. The model is considered mild because it does not produce structural brain lesions based on neuroimaging or gross neuronal loss. However, a single impact creates enough pathology that cognitive impairment is measurable at least 1 month after injury. A step-by-step protocol to induce a CHI in mice using a stereotaxically guided electromagnetic impactor is defined in the paper. The benefits of the mild midline CHI model include the reproducibility of the injury-induced changes with low mortality. The model has been temporally characterized up to 1 year after the injury for neuroimaging, neurochemical, neuropathological, and behavioral changes. The model is complementary to open skull models of controlled cortical impact using the same impactor device. Thus, labs can model both mild diffuse TBI and focal moderate-to-severe TBI with the same impactor.

Collective Behaviors of Magnetic Microparticle Swarms: From Dexterous Tentacles to Reconfigurable Carpets

Microrobot swarms have promising prospects in biomedical applications ranging from targeted cargo delivery to minimally invasive surgery. However, such potential is constrained by the small output force and low efficiency of the current microrobot swarms. To address this challenge, we report a tentacle-like reconfigurable microrobot swarm by programming paramagnetic microparticles into reconfigurable carpets with numerous cilia. This wirelessly controlled microrobot swarm is constructed via a strong gradient magnetic field in combination with a programmable oscillating magnetic field. The gradient magnetic field is supplied by a permanent magnet, which enables fast formation of a microrobot swarm with powerful collective behaviors via cooperative physical structures within the swarm. The oscillating magnetic field is produced by a custom-built electromagnetic coil system, which is adopted as an actuation device for conducting dexterous manipulation via controllable oscillation motion. Using the proposed microrobot swarming strategy, a milligram-level magnetic carpet achieves a millinewton-level output force. By applying different types of magnetic fields, the magnetic carpet accomplishes dexterous manipulation tasks, lesion removal, and controllable drug diffusion with a high-efficiency response in microscale executions. The formation and control mechanisms of the microrobot swarm reported here provide a practical candidate for in vivo biomedical treatment.

Low Dose and Non-Targeted Radiation Effects in Environmental Protection and Medicine-A New Model Focusing on Electromagnetic Signaling

The role of signalling in initiating and perpetuating effects triggered by deposition of ionising radiation energy in parts of a system is very clear. Less clear are the very early steps involved in converting energy to chemical and biological effects in non-targeted parts of the system. The paper aims to present a new model, which could aid our understanding of the role of low dose effects in determining ultimate disease outcomes. We propose a key role for electromagnetic signals resulting from physico-chemical processes such as excitation decay, and acoustic waves. These lead to the initiation of damage response pathways such as elevation of reactive oxygen species and membrane associated changes in key ion channels. Critically, these signalling pathways allow coordination of responses across system levels. For example, depending on how these perturbations are transduced, adverse or beneficial outcomes may predominate. We suggest that by appreciating the importance of signalling and communication between multiple levels of organisation, a unified theory could emerge. This would allow the development of models incorporating time, space and system level to position data in appropriate areas of a multidimensional domain. We propose the use of the term "infosome" to capture the nature of radiation-induced communication systems which include physical as well as chemical signals. We have named our model "the variable response model" or "VRM" which allows for multiple outcomes following exposure to low doses or to signals from low dose irradiated cells, tissues or organisms. We suggest that the use of both dose and infosome in radiation protection might open up new conceptual avenues that could allow intrinsic uncertainty to be embraced within a holistic protection framework.

Bioengineered magnetic graphene oxide microcomposites for bioremediation of chromium in ex situ - A novel strategy for aggrandized recovery by electromagnetic gadgetry

Novel magnetic microcomposites consisting of graphene oxide and iron oxide was synthesized to immobilize metabolically versatile Paracoccus sp. MKU1 and Leucobacter sp. AA7 and tested for the simultaneous adsorption and enhanced biological detoxification of hexavalent chromium (Cr(VI)) from tannery wastewater. This study reports highest chromium adsorption of 272.6 mg/g and 179.3 mg/g with complete reduction of Cr(VI) to Cr(III) by the microcomposites of AA7 and MKU1 from wastewater in a bioreactor (10 L) at large-scale for first time in ex situ. Furthermore, both the microcomposites displayed an enhanced detoxification of tannery wastewater by reducing various physicochemical conditions such as ammonia, nitrate, TDS, fluoride, CaCO_3, Ca, Mg, NO₃ and SO₂ under the permissible limits. Use of electromagnetic device for magnetic microcomposites recovery from bioreactor yielded a maximum of 88% and 80.6% recovery for AA7 and MKU1, respectively. The rate of chromium recuperation achieved following desorption from the microcomposites of AA7 and MKU1 was 90.71% and 93.97%, respectively. Thus, the multifarious benefits including adsorption, metabolic detoxification, recovery, and recuperation by single functional microcomposites seems to be an intriguing and profitable approach for practicing in real-time operations to effectively remove heavy metals from the contaminated wastewater for environmental protection.

[Electromagnetic interference in 3D-mapping procedures]

Catheter-based ablation is nowadays a safe and widespread procedure for the treatment of cardiac arrhythmia. This requires exact anatomical knowledge both before and during the examination and is an important prerequisite for targeted treatment. At the beginning of the era of interventional catheter-based treatment, fluoroscopy was the only and usual means of visualization, whereas in the middle of the 1990s continuous 3D-mapping systems were developed for the non-fluoroscopic examination of patients. The correct use of these 3‑D systems, which non-fluoroscopically visualize the catheter and mostly identify mechanisms of arrhythmia in great detail, nowadays makes an important contribution to successful interventional catheter treatment of arrhythmia; however, it is not uncommon for patients with ventricular arrhythmia to also carry implanted electronic devices, such as pacemakers, defibrillators or less frequently left ventricular hemodynamic support systems. All implantable devices lead to electromagnetic interferences, which can complicate the diagnostics and treatment during electrophysiological examinations and ablation. This article addresses the adversities and experiences associated with magnet-based 3D systems and implantable electromagnetically active cardiac devices.

Electromagnetic-Interference-Shielding Effectiveness of Lyocell-Based Carbon Fabrics Carbonized at Various Temperatures

Lyocell is a biodegradable filament yarn obtained by directly dissolving cellulose in a mixture of N-methylmorpholine-N-oxide and a non-toxic solvent. Therefore, herein, lyocell fabrics were employed as eco-friendly carbon-precursor substitutes for use as electromagnetic interference (EMI) shielding materials. First, a lyocell fabric treated with polyacrylamide via electron beam irradiation reported in a previous study to increase carbon yields and tensile strengths was carbonized by heating to 900, 1100, and 1300 °C. The carbonization transformed the fabric into a graphitic crystalline structure, and its electrical conductivity and EMI shielding effectiveness (SE) were enhanced despite the absence of metals. For a single sheet, the electrical conductivities of the lyocell-based carbon fabric samples at the different carbonization temperatures were 3.57, 5.96, and 8.91 S m⁻¹, leading to an EMI SE of approximately 18, 35, and 82 dB at 1.5–3.0 GHz, respectively. For three sheets of fabric carbonized at 1300 °C, the electrical conductivity was 10.80 S m⁻¹, resulting in an excellent EMI SE of approximately 105 dB. Generally, EM radiation is reduced by 99.9999% in instances when the EMI SE was over 60 dB. The EMI SE of the three lyocell-based carbon fabric sheets obtained at 1100 °C and that of all the sheets of the sample obtained at 1300 °C exceeded approximately 60 dB.

Efficacy and Safety of Cone-Beam CT Augmented Electromagnetic Navigation Guided Bronchoscopic Biopsies of Indeterminate Pulmonary Nodules

Bronchoscopic biopsy results for indeterminate pulmonary nodules remain suboptimal. Electromagnetic navigation bronchoscopy (ENB) coupled with cone beam computed tomography (CBCT) for confirmation has the potential to improve diagnostic yield. We present our experience using this multimodal approach to biopsy 17 indeterminate nodules in 14 consecutive patients from April to August 2021. Demographic information, nodule characteristics, and biopsy results were recorded. Procedures were performed in a hybrid operating room equipped with a Siemens Artis Q bi-plane CBCT (Siemens, Munich, Germany). After ENB using the superDimension version 7.1 (Medtronic, Plymouth, MN, USA) to target the lesion, radial endobronchial ultrasound was used as secondary confirmation. Next, transbronchial needle aspiration was performed prior to CBCT to evaluate placement of the biopsy tool in the lesion. The average nodule size was 21.7+/−15 mm with 59% (10/17) < 2 cm in all dimensions and 35% (6/17) showing a radiographic bronchus sign. The diagnostic yield of CBCT-guided ENB was 76% (13/17). No immediate periprocedural or postprocedural complications were identified. Our experience with CBCT-guided ENB further supports the comparable efficacy and safety of this procedure compared to other mature biopsy modalities. Studies designed to optimize the lung nodule biopsy process and to determine the contributions from different procedural aspects are warranted.

Lipid Peroxides Mediated Ferroptosis in Electromagnetic Pulse-Induced Hippocampal Neuronal Damage via Inhibition of GSH/GPX4 Axis

Electromagnetic pulse (EMP) radiation was reported to be harmful to hippocampal neurons. However, the mechanism underlying EMP-induced neuronal damage remains unclear. In this paper, for the first time, we attempted to investigate the involvement of ferroptosis in EMP-induced neuronal damage and its underlying mechanism. In vivo studies were conducted with a rat model to examine the association of ferroptosis and EMP-induced hippocampal neuronal damage. Moreover, in vitro studies were conducted with HT22 neurons to investigate the underlying mechanism of EMP-induced neuronal ferroptosis. In vivo results showed that EMP could induce learning and memory impairment of rats, ferroptotic morphological damages to mitochondria, accumulation of malonaldehyde (MDA) and iron, overexpression of prostaglandin-endoperoxide synthase 2 (PTGS2) mRNA, and downregulation of GPX4 protein in rat hippocampus. In vitro results showed that EMP could induce neuronal death, MDA accumulation, iron overload, PTGS2 overexpression, and GPX4 downregulation in HT22 neurons. These adverse effects could be reversed by either lipid peroxides scavenger ferrostatin-1 or overexpression of GPX4. These results suggest that EMP radiation can induce ferroptosis in hippocampal neurons via a vicious cycle of lipid peroxides accumulation and GSH/GPX4 axis downregulation. Lipid peroxides and the GSH/GPX4 axis provide potential effective intervention targets to EMP-induced hippocampal neuronal damage.

Benign and Malignant Skin Lesions: Dielectric Characterization, Modelling and Analysis in Frequency Band 1 to 14 GHz

OBJECTIVE

This paper aims to characterize Non-Melanoma malignancies and their corresponding benign conditions in ex-vivo/in-vivo tissue environments to study the feasibility of microwave techniques for skin cancer detection.

METHODS

The dielectric dataset is developed across the frequency band 1 to 14 GHz using Keysight slim-form and RG405 probe characterization systems. The acquired reflection data captured by the systems is converted to dielectric values using the Open-Water-Short and Open-Water-Liquid calibration methods, respectively. Furthermore, the impact of anaesthesia application during skin excision procedure on ex-vivo dielectric data is investigated.

RESULTS

The observations suggest that the dielectric properties (DPs) of excised skin lesions may not accurately represent actual tissue properties as they vary significantly ( ∆ϵ^'= 30.7%, ∆ϵ^''= 66.6%) compared to pre-excision conditions. In-vivo dielectric data analysis indicates that when compared to healthy skin, malignant Basal Cell Carcinoma presents increased DPs (dielectric constant & loss factor) of (24.8 & 38.6 %), respectively. On the other hand, for malignant Squamous Cell Carcinoma and pre-malignant Actinic Keratosis, the measured results show decreased DPs (dielectric constant & loss factor) accordingly by (19.4 & 18.2 %) and (19.2 & 27.9 %). The corresponding benign lesions have less than 13 % dielectric contrast compared to healthy skin across the tested band.

CONCLUSION

The significant contrasts between in-vivo healthy and cancerous skin DPs strongly suggest the viability of the microwave band for skin cancer detection.

SIGNIFICANCE

The research finding of this study would be critical in developing a portable electromagnetic system for skin cancer detection.

Dielectric Permittivity Measurement Using Open-Ended Coaxial Probe-Modeling and Simulation Based on the Simple Capacitive-Load Model

The study aim was to validate that dielectric permittivity measurement using the open-ended coaxial probe can be reliably modeled using electromagnetic modeling and simulations, followed by the postprocessing calculations based on the simple capacitive-load model. Saline solutions with various NaCl concentrations were used as materials under test (MUTs) to investigate how ionic conductivity affects the model validity. Two different solvers and simulation methods were used: FEKO for the frequency domain and CST for the time domain. Furthermore, we performed physical experiments with the same probe and MUTs, again implementing the capacitive-load model on the measurement data to observe the model validity. Relative error of the capacitive-load model with respect to the reference permittivity values, both in measurements and simulations, was within 10% for all cases except for the measured εr' of 1M solution at the lowest frequencies. The model yielded average relative errors well below 1% for the physiological saline, which is relevant for biological materials. The error increased for higher concentrations and for the lowest simulated frequencies but was within the declared measurement accuracy of the probe itself. This makes the simple capacitive-load model valid for all analyzed concentrations in the microwave frequency range from 0.5 to 18 GHz.

Research on Vibration Reduction Performance of Electromagnetic Active Seat Suspension Based on Sliding Mode Control

Vehicle seats have a significant impact on the comfort of passengers. The development of seats is a field in which scholars are widely concerned. In this study, we add an electromagnetic levitation structure and design a new active seat suspension based on the passive seat suspension. Then, simulation research is carried out based on a C-level road surface combined with integral sliding mode control and state feedback control. The results show that both state feedback control and integral sliding mode control positively affect vehicle seat vibration reduction, and integral sliding mode control has a better anti-interference effect than state feedback control. At the same time, it is proved that the seat suspension has good working characteristics and economy.

Technical Feasibility of Electromagnetic US/CT Fusion Imaging and Virtual Navigation in the Guidance of Spine Biopsies

PURPOSE

 To test the technical feasibility of electromagnetic computed tomography (CT) + ultrasound fusion (US)-guided bone biopsy of spinal lesions.

MATERIALS AND METHODS

 This retrospective study included 14 patients referred for biopsy of spinal bone lesions without cortical disruption or intervertebral disc infection. Lesions were located in the sacrum (n = 4), lumbar vertebral body (n = 7) or intervertebral disc (n = 3). Fusion technology matched a pre-procedure CT scan with real-time ultrasound. The first six procedures were performed under both standard CT and CT + US fusion guidance (group 1). In the last eight procedures, the needle was positioned under fusion imaging guidance alone, and CT was only used at the end of needle placement to confirm correct positioning (group 2). Additionally, we retrieved 8 patients (controls) with location-matched lesions as group 2, which were biopsied in the past with the standard CT-guided technique. The procedure duration and number of CT passes were recorded.

RESULTS

 Mean procedure duration and median CT pass number were significantly higher in group 1 vs. group 2 (45 ± 5 vs. 26 ± 3 minutes, p = 0.002 and 7; 5.25-8.75 vs. 3; 3-3.25, p = 0.001). In controls, the mean procedure duration was 47 ± 4 minutes (p = 0.001 vs. group 2; p = 0.696 vs. group 1) and the number of CT passes was 6.5 (5-8) (p = 0.001 vs. group 2; p = 0.427 vs. group 1). No complications occurred and all specimens were adequate overall. In one case in group 2, the needle position was modified according to CT assessment before specimen withdrawal.

CONCLUSION

 Electromagnetic CT+US fusion-guided bone biopsy of spinal lesions is feasible and safe. Compared to conventional CT guidance, it may reduce procedural time and the number of CT passes.

Single Coil Mechano-Electromagnetic System for the Automatic 1-Axis Position Feedback 3D Locomotion Control of Magnetic Robots and Their Selective Manipulation

3D locomotion of magnetic microrobots requires at least one pair of coils per axis and 3D feedback of the position of the microrobot. This results in voluminous systems with high-power usage and a small working space, which require complex and expensive controllers. This study presents a single-coil magneto-electromagnetic system, comprising a parallel robot and coil, capable of precise 3D locomotion control of magnetic millirobots while requiring only feedback of the vertical position of the millirobot. The coil current creates a 2D magnetic trapping point in the horizontal plane, which depends on the position and orientation of the coil and toward which the millirobot moves, eliminating the need for position feedback at such plane. The vertical position of the millirobot is controlled by varying the coil current while receiving feedback from the vertical position of the millirobot. Feedbackless 2D control and 1-axis feedback 3D automatic control of magnetic millirobots are experimentally demonstrated, achieving higher speeds and similar position errors when compared to control systems with 3D position feedback. Furthermore, selective control of two millirobots is demonstrated by matching the region of maximum vertical magnetic force and the targeted millirobot, achieving selective levitation and control of such millirobots.

Wireless Power Transfer: Systems, Circuits, Standards, and Use Cases

Wireless power transfer provides a most convenient solution to charge devices remotely and without contacts. R&D has advanced the capabilities, variety, and maturity of solutions greatly in recent years. This survey provides a comprehensive overview of the state of the art on different technological concepts, including electromagnetic coupled and uncoupled systems and acoustic technologies. Solutions to transfer mW to MW of power, over distances ranging from millimeters to kilometers, and exploiting wave concepts from kHz to THz, are covered. It is an attractive charging option for many existing applications and moreover opens new opportunities. Various technologies are proposed to provide wireless power to these devices. The main challenges reside in the efficiency and range of the transfer. We highlight innovation in beamforming and UV-assisted approaches. Of particular interest for designers is the discussion of implementation and operational aspects, standards, and safety relating to regulations. A high-level catalog of potential applications maps these to adequate technological options for wireless power transfer.

Electromagnetic Source Imaging via Bayesian Modeling with Smoothness in Spatial and Temporal Domains

Accurate reconstruction of cortical activation from electroencephalography and magnetoencephalography (E/MEG) is a long-standing challenge because of the inherently ill-posed inverse problem. In this paper, a novel algorithm under the empirical Bayesian framework, source imaging with smoothness in spatial and temporal domains (SI-SST), is proposed to address this issue. In SI-SST, current sources are decomposed into the product of spatial smoothing kernel, sparseness encoding coefficients, and temporal basis functions (TBFs). Further smoothness is integrated in the temporal domain with the employment of an underlying autoregressive model. Because sparseness encoding coefficients are constructed depending on overlapped clusters over cortex in this model, we derived a novel update rule based on fixed-point criterion instead of the convexity based approach which becomes invalid in this scenario. Entire variables and hyper parameters are updated alternatively in the variational inference procedure. SI-SST was assessed by multiple metrics with both simulated and experimental datasets. In practice, SI-SST had the superior reconstruction performance in both spatial extents and temporal profiles compared to the benchmarks.

Susceptibility of LoRa Communications to Intentional Electromagnetic Interference with Different Sweep Periods

This work presents a detailed analysis of the susceptibility of LoRa communications in the presence of intentional jamming signals. The analysis is performed with a periodic frequency-sweeping intentional electromagnetic interference, corresponding to the most common jamming signals. Such a waveform faithfully represents the signals emitted by commercial jammers. As the sweep period of the jamming signals may vary from one such device to another, the analyses are conducted with different sweep period values, from 1 μs to 50 μs. The experimental results indicate that the impact varies significantly according to the sweep period of the jamming signal. The detailed analysis allows us to identify the jamming signals to which LoRa communications can be resilient or not as well as to identify which LoRa channels are less affected during an attack.

Overcoming Facial Paralysis with an Implantable Actuator for Restoration of Blink

The loss of the ability to blink the eyelid is considered the most severe effect of facial nerve paralysis. The delicate homeostasis of the eye is disrupted, and without frequent intervention, the cornea can become damaged, ultimately resulting in blindness. The psychosocial impact is also significant, with individuals withdrawing from society to hide what they perceive to be a disfigurement. Surgical and engineering interventions have been devised to reanimate blink, however, a solution has yet to be designed which addresses both functional and aesthetic concerns. Here we describe an implantable electromagnetic actuator to restore the capacity to blink. Triggered synchronously with the contralateral eye, and externally modifiable to tailor treatment post-operatively to the individual, this implant restores complete blinking and a natural appearance. Cadaver studies (N=12) have been used to validate the device design, including the form factor and force required to elicit a blink, while a passive in vivo study (N=1) has verified the surgical protocol and recovery.

Learning Curves for Electromagnetic Navigation Bronchoscopy Using CUSUM Analysis

BACKGROUND

Electromagnetic navigation bronchoscopy (ENB) is a relatively new and technically demanding procedure for the guidance of bronchoscopic biopsy to help locate small lung lesions. The results in experienced hands are well described. However, we do not know the results in unexperienced hands-in other words, we have no knowledge about how fast you can learn the procedure.

AIM

The aim of this study was to draw learning curves for beginners in ENB using Cumulated Sum (CUSUM) analysis, a method for quantitative evaluation of the learning curves for clinical procedures.

METHODS

Four operators from 3 centers without prior ENB experience were enrolled. The outcome of consecutive ENB procedures was assessed and classified as either diagnostic or nondiagnostic based on sample adequacy. Learning curves were drawn based on diagnostic yield.

RESULTS

A total of 215 procedures were assessed. For 2 of the operators (operators 1 and 4), at least 25 to 30 procedures were necessary to obtain competency whereas operators 2 and 3 showed more horizontal learning curves indicating an overweight of diagnostic procedures from the beginning.

CONCLUSION

Operators achieve competences in ENB at different paces. This must be taken in account when beginners start to learn the procedure. There is a huge need for a structured educational program and a validated test to determine competences.

Hybrid Triboelectric-Electromagnetic Magnetic Energy Harvester-Based Sensing for Wireless Monitoring of Transmission Lines

Magnetic energy is an abundant and persistent form of energy radiating from various sources. Here, a hybrid triboelectric-electromagnetic magnetic energy harvester (HMEH) system consisting of a modified pendulum unit is proposed, interacting mechanically with two multilayered TENGs and remotely with Cu coils. Systematic studies are conducted on magneto-mechano-energy conversion from power transmission lines. The pendulum is made out of a thin PET plate, with two permanent magnets stuck at each side of the free end of the PET plate. Two multilayered TENGs (each of which has one layer fixed at the same angle while other layers are set free) are located at both sides of the pendulum unit. The coils and the magnets make up the electromagnetic generator (EMG). Multilayered TENGs are connected in parallel with the EMG (each unit is connected to an independent rectifying bridge), and it is possible to charge a 100 µF capacitor to 4.78 V within 55 s. The HMEH system is used to power up a thermometer continuously via a 47 µF capacitor. Furthermore, a design for a wireless early warning system for potential fire hazards due to overheating is realized, revealing potential applications for self-powered wireless monitoring of transmission lines.

Complex dynamics in a Hopfield neural network under electromagnetic induction and electromagnetic radiation

Due to the potential difference between two neurons and that between the inner and outer membranes of an individual neuron, the neural network is always exposed to complex electromagnetic environments. In this paper, we utilize a hyperbolic-type memristor and a quadratic nonlinear memristor to emulate the effects of electromagnetic induction and electromagnetic radiation on a simple Hopfield neural network (HNN), respectively. The investigations show that the system possesses an origin equilibrium point, which is always unstable. Numerical results uncover that the HNN can present complex dynamic behaviors, evolving from regular motions to chaotic motions and finally to regular motions, as the memristors' coupling strength changes. In particular, coexisting bifurcations will appear with respect to synaptic weights, which means bi-stable patterns. In addition, some physical results obtained from breadboard experiments confirm Matlab analyses and Multisim simulations.

Noncontact Electromagnetic Wireless Recognition for Prosthesis Based on Intelligent Metasurface

With the development of artificial intelligence and Internet of Things, hand gesture recognition techniques have attracted great attention owing to their excellent applications in developing human-machine interaction (HMI). Here, the authors propose a non-contact hand gesture recognition method based on intelligent metasurface. Owing to the advantage of dynamically controlling the electromagnetic (EM) focusing in the wavefront engineering, a transmissive programmable metasurface is presented to illuminate the forearm with more focusing spots and obtain comprehensive echo data, which can be processed under the machine learning technology to reach the non-contact gesture recognition with high accuracy. Compared with the traditional passive antennas, unique variations of echo coefficients resulted from near fields perturbed by finger and wrist agonist muscles can be aquired through the programmable metasurface by switching the positions of EM focusing. The authors realize the gesture recognition using support vector machine algorithm based on five individual focusing spots data and all-five-spot data. The influences of the focusing spots on the gesture recognition are analyzed through linear discriminant analysis algorithm and Fisher score. Experimental verifications prove that the proposed metasurface-based non-contact wireless design can realize the classification of hand gesture recognition with higher accuracy than traditional passive antennas, and give an HMI solution.

Numerical Study and Optimal Design of the Butterfly Coil EMAT for Signal Amplitude Enhancement

The low energy conversion efficiency of electromagnetic acoustic transducers (EMATs) is a critical issue in nondestructive testing applications. To overcome this shortcoming, a butterfly coil EMAT was developed and optimized by numerical simulation based on a 2−D finite element model. First, the effect of the structural parameters of the butterfly coil EMAT was investigated by orthogonal test theory. Then, a modified butterfly coil EMAT was designed that consists of three−square permanent magnets with opposite polarity (TSPM−OP) to enhance the signal amplitude. Finally, the signal amplitude obtained from the three types of EMATs, that is, the traditional EMAT, the EMAT optimized by orthogonal test theory, and the modified EMAT with TSPM−OP, were analyzed and compared. The results show that the signal amplitude achieved by the modified butterfly coil EMAT with TSPM−OP can be increased by 4.97 times compared to the traditional butterfly coil EMAT.

Electromagnetic-guided puncture: a tool or a tale?

PURPOSE OF REVIEW

The puncture technique and site of the puncture can impact the clinical outcome and the development of postoperative adverse events following percutaneous nephrolithotomy (PCNL). The aim of the current review was to discuss the available puncture guidance approaches and outline the potential role of the recently introduced electromagnetic-guided method.

RECENT FINDINGS

The puncture and PCNL tract establishment is usually performed using fluoroscopic or ultrasound guidance or a combination of two approaches. Electromagnetic-guided puncture is one of the most recent advancements of technology. The puncture navigation to the renal collecting system is available after placing a special wire with an electromagnetic tracking sensor into the desired calyx through the flexible ureterorenoscope. The available experimental and clinical studies have shown a high first puncture rate, decreased median time for obtaining a puncture, and shorter learning curves for beginners.

SUMMARY

Fluoroscopic and ultrasound guidance are the main approaches used by urologists. However, these modalities require a steep learning curve, approximately 60 cases for reaching competency. The initial data on electromagnetic navigation have shown the feasibility and potential promising outcomes of this novel approach. New studies are required to investigate its potential implementation opportunities in the daily practice of urologists.

The Design and Analysing Heating Effect of Spiral Planar Coil in COMSOL Multiphysics for Implantable Artificial Retina

In this paper, simulation data and heat generation due to electromagnetic from spiral planar pair of coils for arti-ficial retinal implant were analyzed by COMSOL Multiphysics. Planar spiral outer and inner coils for an implantable artificial retina were designed and analyzed. The whole geometry was designed in a transplant situation. The parameters of the coil were set within the design limits due to the limitations of im-plant space. The inductance for the coil and the thermal change due to the electromagnetic force generated in the inductively coupled coil were calculated. Analysis of heat transfer in a biological model showed that the maximum heat did not exceed the internal tissue damage temperature. The results showed that a pair of coils designed for artificial retinas can be implanted in vivo without destruction of body tissues.

A Direct Comparative Study of Bronchoscopic Navigation Planning Platforms for Peripheral Lung Navigation: The ATLAS Study

BACKGROUND

The use of mapping to guide peripheral lung navigation (PLN) represents an advance in the management of peripheral pulmonary lesions (PPL). Software has been developed to virtually reconstruct computed tomography images into 3-dimensional airway maps and generate navigation pathways to target PPL. Despite this there remain significant gaps in understanding the factors associated with navigation success and failure including the cartographic performance characteristics of these software algorithms. This study was designed to determine whether differences exist when comparing PLN mapping platforms.

METHODS

An observational direct comparison was performed to evaluate navigation planning software packages for the lung. The primary endpoint was distance from the terminal end of the virtual navigation pathway to the target PPL. Secondary endpoints included distal virtual and segmental airway generations built to the target and/or in each lung.

RESULTS

Twenty-five patient chest computed tomography scans with 41 PPL were evaluated. Virtual airway and navigation pathway maps were generated for each scan/nodule across all platforms. Virtual navigation pathway comparison revealed differences in the distance from the terminal end of the navigation pathway to the target PPL (robotic bronchoscopy 9.4 mm vs. tip-tracked electromagnetic navigation 14.2 mm vs. catheter based electromagnetic navigation 17.2 mm, P=0.0005) and in the generation of complete distal airway maps.

CONCLUSION

Comparing PLN planning software revealed significant differences in the generation of virtual airway and navigation maps. These differences may play an unrecognized role in the accurate PLN and biopsy of PPL. Further prospective trials are needed to quantify the effect of the differences reported.

Proof-of-concept of a mattress based power harvesting system architecture suitable for wireless physiological monitoring systems

This work investigates the feasibility of having a mattress based wireless power transfer system with transfer efficiency such that the received power could potentially be enough to fully power up wearable systems intended to provide some level of continuous physiological monitoring; hence eliminating the need for users to ever have to recharge the systems. The novel architecture proposed in this work, to optimise power transfer efficiency against angular misalignment typical of non-static use is based on a non-coupling coil structure combined with a magnetic beamforming scheme. The coil system also incorporates a non-coupling relay array to overcome the significant loss in power transfer efficiency associated to increasing distances between transmitters and receivers. The system is proven to be able to deliver around 11.8mW of power in the worst-case scenario, with a receiver 25cm above the transmitters, whilst meeting the safety requirements associated to electromagnetic exposure to the human body.

Distributed source localization of epileptiform discharges in juvenile myoclonic epilepsy: Standardized low-resolution brain electromagnetic tomography (sLORETA) Study

Juvenile myoclonic epilepsy (JME) is a common generalized epilepsy syndrome considered the prototype of idiopathic generalized epilepsy. To date, generalized and focal seizures have been the fundamental concepts for classifying seizure types. In several studies, focal features of JME have been reported predominantly in the frontal lobe. However, results in previous studies are inconsistent. Therefore, we investigated the origin of epileptiform discharges in JME. We performed electroencephalography source localization using a distributed model with standardized low-resolution brain electromagnetic tomography. In 20 patients with JME, standardized low-resolution brain electromagnetic tomography images corresponding to the midpoint of the ascending phase and the negative peak of epileptiform discharges were obtained from a total of 362 electroencephalography epochs (181 epochs at each timepoint). At the ascending phase, the maximal current source density was located in the frontal lobe (58.6%), followed by the parietal (26.5%) and occipital lobes (8.8%). At the negative peak, the maximal current source density was located in the frontal lobe (69.1%), followed by the parietal (11.6%) and occipital lobes (9.4%). In the ascending phase, 41.4% of discharges were located outside the frontal lobe, and 30.9% were in the negative peak. Frontal predominance of epileptiform discharges was observed; however, source localization extending to various cortical regions also was identified. This widespread pattern was more prominent in the ascending phase (P = .038). The study results showed that JME includes widespread cortical regions over the frontal lobe. The current concept of generalized epilepsy and pathophysiology in JME needs further validation.

A novel speed control strategy for 3-phase induction motor drives with star-connected under single-phase open-circuit fault using modified RFOC strategy

In this research, a novel control method is proposed for 3-Phase Induction Motor (3-PIM) drives with star-connected under Single-Phase Open-Circuit (SPOC) fault using modified Rotor Field-Oriented Control (RFOC) strategy. The standard RFOC strategy is designed based on the d-q model of 3-PIM during normal mode. This strategy cannot be applied for a 3-PIM under SPOC fault as the model of a healthy 3-PIM is different from the model of a faulty 3-PIM. The use of standard RFOC strategy for Vector Control (VC) of a 3-PIM under SPOC fault increases the electromagnetic torque ripples during this fault. To overcome this problem, two unbalanced rotational transformations are used. A Current Transformation Matrix (CTM) is obtained based on the concept of maintaining value of Magnetic Motive Force (MMF) of the faulted machine like the healthy machine. Then, a Voltage Transformation Matrix (VTM) is introduced by using the presented CTM and according to the Single-Phase Induction Motor (SPIM) model. Based on the results, faulted machine RFOC equations were obtained similar to the healthy machine RFOC equations by using the CTM and VTM. The proposed technique was verified by simulations and experiments. Results indicated that the performances of the faulted machine under the proposed RFOC strategy are better than standard control techniques.

Multi-interface Assembled N-Doped MXene/HCFG/AgNW Films for Wearable Electromagnetic Shielding Devices with Multimodal Energy Conversion and Healthcare Monitoring Performances

With the progressive requirements of modern electronics, outstanding electromagnetic interference (EMI) shielding materials are extensively desirable to protect intelligent electronic equipment against EMI radiation under various conditions, while integrating functional applications. So far, it remains a great challenge to effectively construct thin films with diversiform frameworks as integrated shielding devices. To simultaneously promote electromagnetic waves (EMWs) attenuation and construct integrated multifunction, an alternating-layered deposition strategy is designed to fabricate polydimethylsiloxane packaged N-doped MXene (Ti₃CNT_x)/graphene oxide wrapped hollow carbon fiber/silver nanowire films (p-LMHA) followed by annealing and encapsulation approaches. Contributed by the synergistic effect of consecutively conductive networks and porous architectures, LMHA films exhibit satisfying EMI shielding effectiveness of 73.2 dB at a thickness of 11 μm, with a specific EMI shielding effectiveness of 31 150.1 dB·cm²·g^-1. Benefiting from the encapsulation, p-LMHA films further impart hydrophobicity and reliability against harsh environments. Besides, p-LMHA devices integrate a rapid-response behavior of the electro/photothermal and, meanwhile, function as a healthcare monitoring sensor. Therefore, it is believed that the p-LMHA films assembled by independent conductive networks with reliability offer a facile solution for practical multimodular protection of devices with integration characteristics.

Electromagnetic modeling and simulation of the biophoton propagation in myelinated axon waveguide

Biophotons in the nervous system are a potential carrier of neural signals. Previous experiments and studies indicated that biophotons are closely related to the neuronal activity and can propagate along myelinated axons. We establish a multilayer electromagnetic simulation model and demonstrate that the myelinated axon waveguide has low attenuation and low dispersion and operates in a narrow bandwidth on the order of 10 nm. We also find that the operating wavelength of the waveguide is almost linearly related to the axon diameter and the number of myelin layers. Each additional layer of the myelin sheath causes the operating wavelength of the myelinated axon waveguide to shift 52.3 nm to the long-wave direction, while an increase in the axon diameter of 1.0 µm causes the operating wavelength to shift 94.5 nm to the short-wave direction. These findings well explain the tendency of the spectral redshift among different species and the spectral blueshift during the aging process of mice. Via the analysis method in this paper, we can predict the wavelength of the propagating biophotons based on the neural structure.

Frequency domain electromagnetic induction imaging: An effective method to see inside a capped landfill

The frequency-domain electromagnetic (FDEM) methods are a powerful tool for evaluating the impact caused on natural environments by anthropic facilities such as landfills. Noninvasive FDEM rapidly investigates large areas with no impact on the system. This is essential in case of capped landfills, as the impermeable liner represents a strong limitation for the use of all others direct and indirect investigation methods. This technique allows the propagation of the EM fields and collection of subsurface response below the liner thus representing the only effective solution both for static imaging and time-lapse monitoring of the processes that take place into the waste deposits. Traditionally, electromagnetic data are visualized as apparent electrical conductivity (ECa) maps that give practically no information about the variation of the conductivity with depth because ECa is only the equivalent conductivity of a homogeneous soil that would give the same measured response along depth. More recent approaches allow for an inversion of data thus providing clear information on the thickness of the investigated subsurface layers. The need for building a 3D electromagnetic model is crucial in the context of the urban waste landfill characterization, where leachate induces strong anomalies in electrical conductivity, which in turn causes a nonlinear model of the EMI response. A rigorous EMI inversion approach has been tested at a closed landfill in Southern Italy. The inverted model provided detailed information unattainable with other methods, by corroborating the assumption that electromagnetic measurements represent the best technique to characterize closed systems such as capped landfills.

A CNN Based Software Gradiometer for Electromagnetic Background Noise Reduction in Low Field MRI Applications

The shielding of electromagnetic noise is critical in obtaining magnetic resonance imaging measurements in the ultra-low magnetic field regime where the intrinsic signal-to-noise ratio is very small. The traditional approach of using an enclosure for electromagnetic shielding is expensive and hinders system portability. We describe here the use of a CNN-based software gradiometer to suppress the effect of electromagnetic ambient background noise sources that inductively couple into the signal detection coils. The system involves three ambient noise monitoring coils placed at a distance from the magnetic resonance signal detector. The three coils were used to synthesize the ambient noise captured by the signal detector; a convolutional neural network approach was used. Mathematical foundations are provided to justify the noise suppression framework. The results show that as much as 20-fold noise suppression can be achieved using an optimized convolutional neural network and simultaneous ambient noise measurements. The proposed approach has the potential to replace the requirement for magnetically shielded enclosures and make ultra-low field magnetic resonance imaging truly portable.