The differential Howland current source with high signal to noise ratio for bioimpedance measurement system

Development of a Tetherless Bioimpedance Device That Uses Morphologic Changes to Predict Blood Flow Restrictions Mimicking Peripheral Artery Disease Progression

A tetherless multi-targeted bioimpedance device was designed, modeled, built, and tested for measuring arterial pulse and, using morphological analysis, its potential for monitoring blood flow restrictions that mimic Peripheral Artery Disease (PAD) was assessed across multiple peripheral arteries. Specifically, we first developed a small form factor, tetherless, bioimpedance device, based on high-frequency structure simulator (HFSS) simulations. After designing and building the device we then tested it in vivo on human subjects on multiple arteries and found that we did not need to modify the gain on the device compared to the bench top system. Further, it was found that changes in the morphology of the bioimpedance signal over time, depicted through the ratio of the first and second harmonic in the signal frequency, could be used to predict blood flow restrictions that mimic peripheral artery disease (PAD). The HFSS simulations helped guide the modulation frequency selection and the placement of the bioimpedance electrodes. We built the device and compared it to two commercially available bioimpedance devices and it was shown to demonstrate a distinct advantage in its multi-target capability, enabling more accurate pulse measurements from different arteries without the need for tuning the circuit for each artery. Comparing the ratio of the 1st and 2nd harmonics as a function of the blood flow restriction, the two commercial devices showed a maximum error across arteries of between 22% and 27% depending on the measurement location, whereas our system consistently displayed a stable value of just below 4%. With this system, there is the potential for comprehensive and personalized medical examinations for PAD at the point of care (POC).

Arterial Pulse Wave Velocity Signal Reconstruction Using Low Sampling Rates

Pulse Wave Velocity (PWV) analysis is valuable for assessing arterial stiffness and cardiovascular health and potentially for estimating blood pressure cufflessly. However, conventional PWV analysis from two transducers spaced closely poses challenges in data management, battery life, and developing the device for continuous real-time applications together along an artery, which typically need data to be recorded at high sampling rates. Specifically, although a pulse signal consists of low-frequency components when used for applications such as determining heart rate, the pulse transit time for transducers near each other along an artery takes place in the millisecond range, typically needing a high sampling rate. To overcome this issue, in this study, we present a novel approach that leverages the Nyquist-Shannon sampling theorem and reconstruction techniques for signals produced by bioimpedance transducers closely spaced along a radial artery. Specifically, we recorded bioimpedance artery pulse signals at a low sampling rate, reducing the data size and subsequently algorithmically reconstructing these signals at a higher sampling rate. We were able to retain vital transit time information and achieved enhanced precision that is comparable to the traditional high-rate sampling method. Our research demonstrates the viability of the algorithmic method for enabling PWV analysis from low-sampling-rate data, overcoming the constraints of conventional approaches. This technique has the potential to contribute to the development of cardiovascular health monitoring and diagnosis using closely spaced wearable devices for real-time and low-resource PWV assessment, enhancing patient care and cardiovascular disease management.

A new current injection and voltage measurement strategy of 3D electrical impedance tomography based on scanning electrode

Electrical impedance tomography (EIT) technology is an important imaging approach to show the conductivity distribution of the area noninvasively. Recently, 3D EIT has been extensively studied for its more comprehensive display of electrical properties. Nonetheless, most 3D EIT electrode models are based on multilayer ring electrodes and only suitable for specific scenarios. In order to overcome its limitations and alleviate the ill-condition of 3D EIT, we propose a new current injection and voltage measurement strategy based on scanning row electrodes (SRE) called the back electrode excitation (BEEM) strategy and select the optimal number of excitation electrodes according to different imaging effects. A 3D electrical impedance imaging system based on SRE is designed. Then, the traditional excitation measurement strategy is introduced, and the two strategies are compared through simulation and actual experiments. The results show that the BEEM strategy with SRE can not only obtain rich potential information in the finite field but also significantly improve the imaging detection depth, accuracy, and noise immunity compared with the flat electrode array.

Evaluation of Cancer Cell Lines by Four-Point Probe Technique, by Impedance Measurements in Various Frequencies

Cell-based biosensors appear to be an attractive tool for the rapid, simple, and cheap monitoring of chemotherapy effects at a very early stage. In this study, electrochemical measurements using a four-point probe method were evaluated for suspensions of four cancer cell lines of different tissue origins: SK-N-SH, HeLa, MCF-7 and MDA-MB-231, all for two different population densities: 50 K and 100 K cells/500 μL. The anticancer agent doxorubicin was applied for each cell type in order to investigate whether the proposed technique was able to determine specific differences in cell responses before and after drug treatment. The proposed methodology can offer valuable insight into the frequency-dependent bioelectrical responses of various cellular systems using a low frequency range and without necessitating lengthy cell culture treatment. The further development of this biosensor assembly with the integration of specially designed cell/electronic interfaces can lead to novel diagnostic biosensors and therapeutic bioelectronics.

A FPGA-based adaptive differential current source for electrical impedance tomography

A high output impedance current source with a wide bandwidth is needed in electrical impedance tomography systems. Limitations appear mainly at higher frequencies and non-simple loads. In order to adjust the output current, the amplitude and phase are made to achieve the expected value automatically. A current source based on the field programmable gate array is designed. In this paper, we proposed a double DAC differential current source structure. By measuring the voltage of the sampling resistor in series with the load and using the proposed dynamic reference point demodulation algorithm, the actual current amplitude and phase on the load can be quickly obtained. Through the adaptive compensation module, the output current is adjusted to the expected value. The experimental results show that the output resistance of the current source can reach 10 MΩ and the output capacitance can be less than 0.8 pF in the frequency range of 10 kHz-1.28 MHz. At the same time, the current amplitude attenuation is less than 0.016%, and the phase error is less than 0.0025° after compensation. Therefore, the proposed current source achieves widebands, biocompatibility, and high precision.

Analysis, Simulation, and Development of a Low-Cost Fully Active-Electrode Bioimpedance Measurement Module

A low-cost 1 kHz–400 kHz operating frequency fully-active electrode bioimpedance measurement module, based on Howland current source, is presented in this paper. It includes a buffered positive feedback Howland current source, implemented with operational amplifiers, as well as an AD8421 instrumentation amplifier, for the differential voltage measurements. Each active electrode module can be connected to others, assembling a wearable active electrode module array. From this array, 2 electrodes can be selected to be driven from a THS413 fully differential amplifier, activating a mirrored Howland current source. This work performs a complete circuit analysis, verified with MATLAB and SPICE simulations of the current source’s transconductance and output impedance over the frequency range between 1 kHz and 1 MHz. Resistors’ tolerances, possible mismatches, and the operational amplifiers’ non-idealities are considered in both the analysis and simulations. A comparison study between four selected operational amplifiers (ADA4622, OPA2210, AD8034, and AD8672) is additionally performed. The module is also hardware-implemented and tested in the lab for all four operational amplifiers and the transconductance is measured for load resistors of 150 Ω, 660 Ω, and 1200 Ω. Measurements showed that, using the AD8034 operational amplifier, the current source’s transconductance remains constant for frequencies up to 400 KHz for a 150 Ω load and 250 kHz for a 1200 Ω load, while lower performance is achieved with the other 3 operational amplifiers. Finally, transient simulations and measurements are performed at the AD8421 output for bipolar measurements on the 3 aforementioned load resistor values.

A 122 fps, 1 MHz Bandwidth Multi-Frequency Wearable EIT Belt Featuring Novel Active Electrode Architecture for Neonatal Thorax Vital Sign Monitoring

A highly integrated, wearable electrical impedance tomography (EIT) belt for neonatal thorax vital multiple sign monitoring is presented. The belt has 16 active electrodes. Each electrode has an application-specific integrated circuit (ASIC) connected to it. The ASIC contains a fully differential current driver, a high-performance instrumentation amplifier, a digital controller, and multiplexors. The belt features a new active electrode architecture that allows programmable flexible electrode current drive and voltage sense patterns under simple digital control. It provides intimate connections to the electrodes for the current drive and to the IA for direct differential voltage measurement, providing superior common-mode rejection ratio. The ASIC was designed in a CMOS 0.35-μm high-voltage technology. The high-specification EIT belt has an image frame rate of 122 fps, a wide operating bandwidth of 1 MHz, and multi-frequency operation. It measures impedance with 98% accuracy and has less than 0.5 Ω and 1° variation across all possible channels. The image results confirmed the advantage of the new active electrode architecture and the benefit of wideband, multi-frequency EIT operation. The system successfully captured high-quality lung-respiration EIT images, breathing cycle, and heart rate. It can also provide boundary-shape information by using an array of MEMS sensors interfaced to the ASICs.

A floating wide-band current source for electrical impedance tomography

The quality of reconstructed images in Electrical Impedance Tomography (EIT) depends on two essential factors: first, precision of the EIT hardware in current injection and voltage measurement and second, efficiency of its image reconstruction algorithm. Therefore the current source plays an important and a vital role in EIT instruments. Floating-load current sources constructed using sink and source drivers have better performance and higher output impedance than grounded-load (single-ended) current sources. In addition, a main feature of this kind is that the current source is not connected to the ground potential directly but via a large impedance. In this paper, we first focus on recent studies on designed EIT current sources, and after that, a practical design of a floating-load high output impedance current source-operating over a wide frequency band-will be proposed in detail. Simulation results of the proposed voltage-controlled current source (VCCS), along with some other models, will be shown and compared. At the end, the results of practical tests on the VCCS and a few EIT images, taken using our prototype EIT system coupled with the mentioned VCCS, will be illustrated which proves the quality of the proposed current source.

Design of Current Sources for Load Common Mode Optimization

Bioimpedance measurement systems often use the Howland current sources to excite the biological material under study. Usually, difference or instrumentation amplifiers are used to measure the resulting voltage drop on this material. In these circuits, common mode voltage appears as artifacts in the measurement. Most researches on current sources are focused on improving the output impedance, letting other characteristics aside. In this paper, it is made a brief review on the load common mode voltage and output swing of various topologies of Howland current sources. Three circuits are proposed to reduce load common mode voltage and enhance load capability by using a fully differential amplifier as active component. These circuits are equated, simulated and implemented. The three proposed circuits were able to deliver an output current with cut-off frequency (-3dB) higher than 1 MHz for loads as big as 4.7 kΩ. The worst measured load common mode voltage was smaller than 24 mV for one of the circuits and smaller than 8 mV for the other two. Consequently, it could be obtained increases in the Common Mode Rejection Ratio (CMRR) up to 60 dB when compared to the Enhanced Howland Current Source (EHCS).

Howland current source for high impedance load applications

For Electrical Impedance Spectroscopy (EIS) applications, the Enhanced Howland Current Source (EHCS) is a popular choice as an excitation circuit due to its simplicity, reliability, and safety. However, its output impedance degradation at high frequency leads to errors that are unacceptable for high load impedance applications, such as the ones which use dry or microelectrodes. Based on a proposed mathematical model, this work designed an EHCS circuit which includes an output current buffer and frequency compensation. PSpice simulations were performed as proof of concept, and then the measured data were collected for comparison. For the proposed circuit, called here Load-in-the-Loop Compensated Enhanced Howland Source (LLC-EHCS), the results showed that the output current errors are lower than 1% up to 3.7 MHz over the load range of 560-2200 Ω and 1.2 MHz with 5.6 kΩ. On the other hand, for the case of the standard EHCS circuit, these frequencies are 170 and 80 kHz, respectively. Also, the output linear swing was found to be 3 times higher than the EHCS. It can be concluded that the proposed LLC-EHCS may be widely used as an excitation circuit for high load and wide bandwidth EIS applications.

Design of current source for multi-frequency simultaneous electrical impedance tomography

Multi-frequency electrical impedance tomography has been evolving from the frequency-sweep approach to the multi-frequency simultaneous measurement technique which can reduce measuring time and will be increasingly attractive for time-varying biological applications. The accuracy and stability of the current source are the key factors determining the quality of the image reconstruction. This article presents a field programmable gate array-based current source for a multi-frequency simultaneous electrical impedance tomography system. A novel current source circuit was realized by combining the classic current mirror based on the feedback amplifier AD844 with a differential topology. The optimal phase offsets of harmonic sinusoids were obtained through the crest factor analysis. The output characteristics of this current source were evaluated by simulation and actual measurement. The results include the following: (1) the output impedance was compared with one of the Howland pump circuit in simulation, showing comparable performance at low frequencies. However, the proposed current source makes lower demands for resistor tolerance but performs even better at high frequencies. (2) The output impedance in actual measurement below 200 kHz is above 1.3 MΩ and can reach 250 KΩ up to 1 MHz. (3) An experiment based on a biological RC model has been implemented. The mean error for the demodulated impedance amplitude and phase are 0.192% and 0.139°, respectively. Therefore, the proposed current source is wideband, biocompatible, and high precision, which demonstrates great potential to work as a sub-system in the multi-frequency electrical impedance tomography system.