1
|
Halonen S, Ovissi A, Boyd S, Kari J, Kronström K, Kosunen J, Lauren H, Numminen K, Sievänen H, Hyttinen J. Human in vivoliver and tumor bioimpedance measured with biopsy needle. Physiol Meas 2022; 43. [PMID: 35051907 DOI: 10.1088/1361-6579/ac4d38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 01/20/2022] [Indexed: 11/11/2022]
Abstract
Objective:Liver biopsy is an essential procedure in cancer diagnostics but targeting the biopsy to the actual tumor tissue is challenging. Aim of this study was to evaluate the clinical feasibility of a novel bioimpedance biopsy needle system in liver biopsy and simultaneously to gatherin vivobioimpedance data from human liver and tumor tissues.Approach:We measured human liver and tumor impedance datain vivofrom 26 patients who underwent diagnostic ultrasound-guided liver biopsy. Our novel 18G core biopsy needle tip forms a bipolar electrode that was used to measure bioimpedance during the biopsy in real-time with frequencies from 1 kHz to 349 kHz. The needle tip location was determined by ultrasound. Also, the sampled tissue type was determined histologically.Main results:The bioimpedance values showed substantial variation between individual cases, and liver and tumor data overlapped each other. However, Mann-Whitney U test showed that the median bioimpedance values of liver and tumor tissue are significantly (p<0.05) different concerning the impedance magnitude at frequencies below 25 kHz and the phase angle at frequencies below 3 kHz and above 30 kHz.Significance:This study uniquely employed a real-time bioimpedance biopsy needle in clinical liver biopsies and reported the measured humanin vivoliver and tumor impedance data. Impedance is always device-dependent and therefore not directly comparable to measurements with other devices. Although the variation in tumor types prevented coherent tumor identification, our study provides preliminary evidence that tumor tissue differs from liver tissuein vivoand this association is frequency-dependent.
Collapse
Affiliation(s)
- Sanna Halonen
- R&D Department, Injeq, Biokatu 8, Tampere, 33520, FINLAND
| | - Ali Ovissi
- Department of Radiology, Meilahti Hospital, Haartmaninkatu 4, Helsinki, Uusimaa, 00029, FINLAND
| | - Sonja Boyd
- HUS Diagnostic Center, Helsinki University Hospital Pathology, PB 340, Helsinki, 00029, FINLAND
| | - Juho Kari
- R&D Department, Injeq, Biokatu 8, Tampere, 33520, FINLAND
| | | | - Juhani Kosunen
- Department of Radiology, Meilahti Hospital, Haartmaninkatu 4, Helsinki, Uusimaa, 00029, FINLAND
| | - Hanna Lauren
- Department of Radiology, Helsinki University Central Hospital Comprehensive Cancer Center, Haartmaninkatu 4, Helsinki, Uusimaa, 00029, FINLAND
| | - Kirsti Numminen
- Department of Radiology, Meilahti Hospital, Haartmaninkatu 4, Helsinki, Uusimaa, 00029, FINLAND
| | - Harri Sievänen
- R&D Department, Injeq, Biokatu 8, Tampere, 33520, FINLAND
| | - Jari Hyttinen
- Faculty of Medicine and Health Technology, Tampere University, Arvo Ylpön katu 34, Tampere, Pirkanmaa, 33520, FINLAND
| |
Collapse
|
2
|
Abbasi MA, Kim H, Chinnadayyala SR, Park KD, Cho S. Real-Time Impedance Detection of Intra-Articular Space in a Porcine Model Using a Monopolar Injection Needle. SENSORS 2020; 20:s20164625. [PMID: 32824575 PMCID: PMC7472031 DOI: 10.3390/s20164625] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 08/11/2020] [Accepted: 08/14/2020] [Indexed: 12/20/2022]
Abstract
Rheumatoid arthritis and osteoarthritis can be treated through specific drug injection into the intra-articular space. Several failures during drug injection attempts with conventional fluoroscopy and ultrasonography in a small area of the intra-articular space have been reported. In this work we present an innovative impedance measurement-based method/algorithm for needle tip positioning to enhance image-guided intra-articular vaccination treatment. A novel algorithm for detecting the intra-articular space in the elbow and knee joints of a live porcine model is reported. An impedance measurement system was developed for biological tissue measurement. The electrical impedance in the intra-articular space was monitored and the needle tip was examined by ultrasonography. The contrast dye was vaccinated and checked using fluoroscopy to confirm that the dye was properly inoculated in the cavity. The electrical impedance was estimated for various needle inclusion profundity levels in saline solution, which were broadly used to evaluate the proposed device for in vivo examinations. Good efficiency was observed in the impedance-based measurements using a monopolar injection needle for intra-articular therapy. To enhance the needle tip positioning for intra-articular therapy, the intended impedance measurement device with a monopolar injection needle can be used as a complement to existing modalities.
Collapse
Affiliation(s)
- Muhammad Aitzaz Abbasi
- Department of Electronics Engineering, Gachon University, 1342 Seongnamdaero, Sujeong-gu, Seongnam-si, Gyeonggi-do 13120, Korea; (M.A.A.); (S.R.C.)
| | - Hwijung Kim
- Department of Rehabilitation Medicine, Gachon University, Gil Medical Center Incheon, Incheon 21565, Korea;
| | - Somasekhar R. Chinnadayyala
- Department of Electronics Engineering, Gachon University, 1342 Seongnamdaero, Sujeong-gu, Seongnam-si, Gyeonggi-do 13120, Korea; (M.A.A.); (S.R.C.)
| | - Ki Deok Park
- Department of Rehabilitation Medicine, Gachon University, Gil Medical Center Incheon, Incheon 21565, Korea;
- Correspondence: (K.D.P.); (S.C.); Tel.: +82-32-460-8374 (K.D.P.); +82-31-750-5321 (S.C.)
| | - Sungbo Cho
- Department of Electronics Engineering, Gachon University, 1342 Seongnamdaero, Sujeong-gu, Seongnam-si, Gyeonggi-do 13120, Korea; (M.A.A.); (S.R.C.)
- Gachon Advanced Institute for Health Science & Technology, Gachon University, Incheon 21999, Korea
- Correspondence: (K.D.P.); (S.C.); Tel.: +82-32-460-8374 (K.D.P.); +82-31-750-5321 (S.C.)
| |
Collapse
|
3
|
Halonen S, Kari J, Ahonen P, Kronström K, Hyttinen J. Real-Time Bioimpedance-Based Biopsy Needle Can Identify Tissue Type with High Spatial Accuracy. Ann Biomed Eng 2018; 47:836-851. [DOI: 10.1007/s10439-018-02187-9] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Accepted: 12/08/2018] [Indexed: 11/29/2022]
|
4
|
Ewalefo SO, Dombrowski M, Hirase T, Rocha JL, Weaver M, Kline A, Carney D, Hogan MV. Management of Posttraumatic Ankle Arthritis: Literature Review. Curr Rev Musculoskelet Med 2018; 11:546-557. [PMID: 30327933 PMCID: PMC6220012 DOI: 10.1007/s12178-018-9525-9] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
PURPOSE OF REVIEW Trauma is the principle cause of osteoarthritis in the ankle, which is associated with significant morbidity. This review highlights the current literature for the purpose of bringing the reader up-to-date on the management of posttraumatic ankle arthritis, describing treatment efficacy, indications, contraindications, and complications. RECENT FINDINGS Recent studies on osteoarthritis have demonstrated variability among anatomic locations regarding the mechanisms and rates of development for posttraumatic osteoarthritis, which are attributed to newly discovered biological differences intrinsic to each joint. Regarding surgical management of posttraumatic ankle arthritis, osteochondral allograft transplantation of the talus, and supramalleolar osteotomies have demonstrated promising results. Additionally, the outpatient setting was found to be appropriate for managing pain following total ankle arthroplasty, associated with low complication rates and no readmission. Management for posttraumatic ankle arthritis is generally progressive. Initial treatment entails nonpharmacologic options with surgery reserved for posttraumatic ankle arthritis refractory to conservative treatment. Patient demographics and lifestyles should be carefully considered when formulating a management strategy, as outcomes are dependent upon the satisfaction of each set of respective criteria. Ultimately, the management of posttraumatic ankle arthritis should be individualized to satisfy the needs and desires, which are specific to each patient.
Collapse
Affiliation(s)
- Samuel O Ewalefo
- Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
- Texas A&M College of Medicine, Bryan, TX, USA.
| | - Malcolm Dombrowski
- Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Takashi Hirase
- Department of Orthopedics and Sports Medicine, Houston Methodist Hospital, Houston, TX, USA
| | - Jorge L Rocha
- Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Mitchell Weaver
- Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Alex Kline
- Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - Dwayne Carney
- Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| | - MaCalus V Hogan
- Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
| |
Collapse
|