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Tian X, Ye J, Zhang T, Zhang L, Liu X, Fu F, Shi X, Xu C. Multi-Path Fusion in SFCF-Net for Enhanced Multi-Frequency Electrical Impedance Tomography. IEEE TRANSACTIONS ON MEDICAL IMAGING 2024; 43:2814-2824. [PMID: 38536679 DOI: 10.1109/tmi.2024.3382338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/02/2024]
Abstract
Multi-frequency electrical impedance tomography (mfEIT) offers a nondestructive imaging technology that reconstructs the distribution of electrical characteristics within a subject based on the impedance spectral differences among biological tissues. However, the technology faces challenges in imaging multi-class lesion targets when the conductivity of background tissues is frequency-dependent. To address these issues, we propose a spatial-frequency cross-fusion network (SFCF-Net) imaging algorithm, built on a multi-path fusion structure. This algorithm uses multi-path structures and hyper-dense connections to capture both spatial and frequency correlations between multi-frequency conductivity images, which achieves differential imaging for lesion targets of multiple categories through cross-fusion of information. According to both simulation and physical experiment results, the proposed SFCF-Net algorithm shows an excellent performance in terms of lesion imaging and category discrimination compared to the weighted frequency-difference, U-Net, and MMV-Net algorithms. The proposed algorithm enhances the ability of mfEIT to simultaneously obtain both structural and spectral information from the tissue being examined and improves the accuracy and reliability of mfEIT, opening new avenues for its application in clinical diagnostics and treatment monitoring.
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Lee H, Culpepper J, Porter E. Analysis of electrode arrangements for brain stroke diagnosis via electrical impedance tomography through numerical computational models. Physiol Meas 2024; 45:025006. [PMID: 38306666 DOI: 10.1088/1361-6579/ad252c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 02/02/2024] [Indexed: 02/04/2024]
Abstract
Objective.Rapid stroke-type classification is crucial for improved prognosis. However, current methods for classification are time-consuming, require expensive equipment, and can only be used in the hospital. One method that has demonstrated promise in a rapid, low-cost, non-invasive approach to stroke diagnosis is electrical impedance tomography (EIT). While EIT for stroke diagnosis has been the topic of several studies in recent years, to date, the impact of electrode placements and arrangements has rarely been analyzed or tested and only in limited scenarios. Optimizing the location and choice of electrodes can have the potential to improve performance and reduce hardware cost and complexity and, most importantly, diagnosis time.Approach.In this study, we analyzed the impact of electrodes in realistic numerical models by (1) investigating the effect of individual electrodes on the resulting simulated EIT boundary measurements and (2) testing the performance of different electrode arrangements using a machine learning classification model.Main results.We found that, as expected, the electrodes deemed most significant in detecting stroke depend on the location of the electrode relative to the stroke lesion, as well as the role of the electrode. Despite this dependence, there are notable electrodes used in the models that are consistently considered to be the most significant across the various stroke lesion locations and various head models. Moreover, we demonstrate that a reduction in the number of electrodes used for the EIT measurements is possible, given that the electrodes are approximately evenly distributed.Significance.In this way, electrode arrangement and location are important variables to consider when improving stroke diagnosis methods using EIT.
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Affiliation(s)
- Hannah Lee
- Chandra Family Department of Electrical and Computer Engineering, The University of Texas at Austin, Austin, Texas, United States of America
| | - Jared Culpepper
- Chandra Family Department of Electrical and Computer Engineering, The University of Texas at Austin, Austin, Texas, United States of America
| | - Emily Porter
- Chandra Family Department of Electrical and Computer Engineering, The University of Texas at Austin, Austin, Texas, United States of America
- Department of Biomedical Engineering, McGill University, Montreal, Canada
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Culpepper J, Lee H, Santorelli A, Porter E. Applied machine learning for stroke differentiation by electrical impedance tomography with realistic numerical models. Biomed Phys Eng Express 2023; 10:015012. [PMID: 37939489 DOI: 10.1088/2057-1976/ad0adf] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 11/08/2023] [Indexed: 11/10/2023]
Abstract
Electrical impedance tomography (EIT) may have potential to overcome existing limitations in stroke differentiation, enabling low-cost, rapid, and mobile data collection. Combining bioimpedance measurement technologies such as EIT with machine learning classifiers to support decision-making can avoid commonly faced reconstruction challenges due to the nonlinear and ill-posed nature of EIT imaging. Therefore, in this work, we advance this field through a study integrating realistic head models with clinically relevant test scenarios, and a robust architecture consisting of nested cross-validation and principal component analysis. Specifically, realistic head models are designed which incorporate the highly conductive layers of cerebrospinal fluid in the subarachnoid space and ventricles. In total, 135 unique models are created to represent a large patient population, with normal, haemorrhagic, and ischemic brains. Simulated EIT voltage data generated from these models are used to assess the classification performance of support vector machines. Parameters explored include driving frequency, signal-to-noise ratio, kernel function, and composition of binary classes. Classifier accuracy at 60 dB signal-to-noise ratio, reported as mean and standard deviation, are (79.92% ± 10.82%) for lesion differentiation, (74.78% ± 3.79%) for lesion detection, (77.49% ± 15.90%) for bleed detection, and (60.31% ± 3.98%) for ischemia detection (after ruling out bleed). The results for each method were obtained with statistics from 3 independent runs with 17,280 observations, polynomial kernel functions, and feature reduction of 76% by PCA (from 208 to 50 features). While results of this study show promise for stroke differentiation using EIT data, our findings indicate that the achievable accuracy is highly dependent on the classification scenario and application-specific classifiers may be necessary to achieve acceptable accuracy.
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Affiliation(s)
| | - Hannah Lee
- University of Texas at Austin, United States of America
| | | | - Emily Porter
- University of Texas at Austin, United States of America
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Ouypornkochagorn T, Polydorides N, McCann H. Towards continuous EIT monitoring for hemorrhagic stroke patients. Front Physiol 2023; 14:1157371. [PMID: 37089433 PMCID: PMC10115159 DOI: 10.3389/fphys.2023.1157371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 03/24/2023] [Indexed: 04/08/2023] Open
Abstract
The practical implementation of continuous monitoring of stroke patients by Electrical Impedance Tomography (EIT) is addressed. In a previous paper, we have demonstrated EIT sensitivity to cerebral hemodynamics, using scalp-mounted electrodes, very low-noise measurements, and a novel image reconstruction method. In the present paper, we investigate the potential to adapt that system for clinical application, by using 50% fewer electrodes and by incorporating into the measurement protocol an additional high-frequency measurement to provide an effective reference. Previously published image reconstruction methods for multi-frequency EIT are substantially improved by exploiting the forward calculations enabled by the detailed head model, particularly to make the referencing method more robust and to attempt to remove the effects of modelling error. Images are presented from simulation of a typical hemorrhagic stroke and its growth. These results are encouraging for exploration of the potential clinical benefit of the methodology in long-term monitoring of hemorrhagic stroke.
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Affiliation(s)
| | - Nick Polydorides
- School of Engineering, The University of Edinburgh, Edinburgh, United Kingdom
| | - Hugh McCann
- School of Engineering, The University of Edinburgh, Edinburgh, United Kingdom
- *Correspondence: Hugh McCann,
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A Rapid, Low-Cost, and High-Precision Multifrequency Electrical Impedance Tomography Data Acquisition System for Plant Phenotyping. REMOTE SENSING 2022. [DOI: 10.3390/rs14133214] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Plant phenotyping plays an important role for the thorough assessment of plant traits such as growth, development, and physiological processes with the target of achieving higher crop yields by the proper crop management. The assessment can be done by utilizing two- and three-dimensional image reconstructions of the inhomogeneities. The quality of the reconstructed image is required to maintain a high accuracy and a good resolution, and it is desirable to reconstruct the images with the lowest possible noise. In this work, an electrical impedance tomography (EIT) data acquisition system is developed for the reconstruction and evaluation of the inhomogeneities by utilizing a non-destructive method. A high-precision EIT system is developed by designing an electrode array sensor using a cylindrical domain for the measurements in different planes. Different edible plant slices along with multiple plant roots are taken in the EIT domain to assess and calibrate the system, and their reconstructed results are evaluated by utilizing an impedance imaging technique. A non-invasive imaging is carried out in multiple frequencies by utilizing a difference method of reconstruction. The performance and accuracy of the EIT system are evaluated by measuring impedances between 1 and 100 kHz using a low-cost and rapid electrical impedance spectroscopy (EIS) tool connected to the sensor. A finite element method (FEM) modeling is utilized for image reconstruction, which is carried out using electrical impedance and diffuse optical tomography reconstruction software (EIDORS). The reconstruction is made successfully with the optimized results obtained using Gauss–Newton (GN) algorithms.
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An In Situ Electrical Impedance Tomography Sensor System for Biomass Estimation of Tap Roots. PLANTS 2022; 11:plants11131713. [PMID: 35807666 PMCID: PMC9269135 DOI: 10.3390/plants11131713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 06/24/2022] [Accepted: 06/26/2022] [Indexed: 12/02/2022]
Abstract
Root biomass is one of the most relevant root parameters for studies of plant response to environmental change. In this work, a dynamic and adjustable electrode array sensor system is designed for developing a cost-effective, high-speed data acquisition system based on electrical impedance tomography (EIT). The developed EIT system is found to be suitable for in situ measurements and capable of monitoring the changes in root growth and development with three-dimensional imaging by measuring impedances in multiple frequencies with the help of an EIT sensor. The designed EIT sensor system is assessed and calibrated by the inhomogeneities in both water and soil media. The impedances are measured for multiple tap roots using an electrical impedance spectroscopy (EIS) tool connected to the sensor at frequencies ranging from 1 kHz to 100 kHz. The changes in conductivity are calculated by obtaining the boundary voltages from the measured impedances for a given stimulation current. A non-invasive imaging method is utilized, and the spectral changes are observed accordingly to evaluate the growth of the roots. A further root analysis helps us estimate the root biomass non-destructively in real-time. The root size (such as, weight, length) is correlated with the measured impedances. A regression analysis is performed using the least square method, and more than 97% correlation is found for the biomass estimation of carrot roots with an RMSE of 4.516. The obtained models are later validated using a new and separate set of carrot root samples and the accuracy of the predicted models is found to be 93% or above. A complete electrode model is utilized, and the reconstruction analysis is performed and optimized by utilizing the impedance imaging technique in difference method. The tomography of the root is reconstructed with finite element method (FEM) modeling considering one-step Gauss–Newton (GN) algorithm which is carried out using an open source software known as electrical impedance and diffuse optical tomography reconstruction software (EIDORS).
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Arridge SR, Ehrhardt MJ, Thielemans K. (An overview of) Synergistic reconstruction for multimodality/multichannel imaging methods. PHILOSOPHICAL TRANSACTIONS. SERIES A, MATHEMATICAL, PHYSICAL, AND ENGINEERING SCIENCES 2021; 379:20200205. [PMID: 33966461 DOI: 10.1098/rsta.2020.0205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Imaging is omnipresent in modern society with imaging devices based on a zoo of physical principles, probing a specimen across different wavelengths, energies and time. Recent years have seen a change in the imaging landscape with more and more imaging devices combining that which previously was used separately. Motivated by these hardware developments, an ever increasing set of mathematical ideas is appearing regarding how data from different imaging modalities or channels can be synergistically combined in the image reconstruction process, exploiting structural and/or functional correlations between the multiple images. Here we review these developments, give pointers to important challenges and provide an outlook as to how the field may develop in the forthcoming years. This article is part of the theme issue 'Synergistic tomographic image reconstruction: part 1'.
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Affiliation(s)
- Simon R Arridge
- Department of Computer Science, University College London, London, UK
| | - Matthias J Ehrhardt
- Department of Mathematical Sciences, University of Bath, Bath, UK
- Institute for Mathematical Innovation, University of Bath, Bath, UK
| | - Kris Thielemans
- Institute of Nuclear Medicine, University College London, London, UK
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Development of a Portable, Reliable and Low-Cost Electrical Impedance Tomography System Using an Embedded System. ELECTRONICS 2020. [DOI: 10.3390/electronics10010015] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Electrical impedance tomography (EIT) is a useful procedure with applications in industry and medicine, particularly in the lungs and brain area. In this paper, the development of a portable, reliable and low-cost EIT system for image reconstruction by using an embedded system (ES) is introduced herein. The novelty of this article is the hardware development of a complete low-cost EIT system, as well as three simple and efficient algorithms that can be implemented on ES. The proposed EIT system applies the adjacent voltage method, starting with an impedance acquisition stage that sends data to a Raspberry Pi 4 (RPi4) as ES. To perform the image reconstruction, a user interface was developed by using GNU Octave for RPi4 and the EIDORS library. A statistical analysis is performed to determine the best average value from the samples measured by using an analog-to-digital converter (ADC) with a capacity of 30 kSPS and 24-bit resolution. The tests for the proposed EIT system were performed using materials such as metal, glass and an orange to simulate its application in food industry. Experimental results show that the statistical median is more accurate with respect to the real voltage measurement; however, it represents a higher computational cost. Therefore, the mean is calculated and improved by discarding data values in a transitory state, achieving better accuracy than the median to determine the real voltage value, enhancing the quality of the reconstructed images. A performance comparison between a personal computer (PC) and RPi4 is presented. The proposed EIT system offers an excellent cost-benefit ratio with respect to a traditional PC, taking into account precision, accuracy, energy consumption, price, light weight, size, portability and reliability. The proposed EIT system has potential application in mechanical ventilation, food industry and structural health monitoring.
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Self-Abrading Servo Electrode Helmet for Electrical Impedance Tomography. SENSORS 2020; 20:s20247058. [PMID: 33317181 PMCID: PMC7763319 DOI: 10.3390/s20247058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 12/02/2020] [Accepted: 12/04/2020] [Indexed: 11/17/2022]
Abstract
Electrical Impedance Tomography (EIT) is a medical imaging technique which has the potential to reduce time to treatment in acute stroke by rapidly differentiating between ischaemic and haemorrhagic stroke. The potential of these methods has been demonstrated in simulation and phantoms, it has not yet successfully translated to clinical studies, due to high sensitivity to errors in scalp electrode mislocation and poor electrode-skin contact. To overcome these limitations, a novel electrode helmet was designed, bearing 32 independently controlled self-abrading electrodes. The contact impedance was reduced through rotation on an abrasive electrode on the scalp using a combined impedance, rotation and position feedback loop. Potentiometers within each unit measure the electrode tip displacement within 0.1 mm from the rigid helmet body. Characterisation experiments on a large-scale test rig demonstrated that approximately 20 kPa applied pressure and 5 rotations was necessary to achieve the target 5 kΩ contact impedance at 20 Hz. This performance was then replicated in a simplified self-contained unit where spring loaded electrodes are rotated by servo motors. Finally, a 32-channel helmet and controller which sequentially minimised contact impedance and simultaneously located each electrode was built which reduced the electrode application and localisation time to less than five minutes. The results demonstrated the potential of this approach to rapidly apply electrodes in an acute setting, removing a significant barrier for imaging acute stroke with EIT.
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Xiang J, Dong Y, Yang Y. Multi-Frequency Electromagnetic Tomography for Acute Stroke Detection Using Frequency-Constrained Sparse Bayesian Learning. IEEE TRANSACTIONS ON MEDICAL IMAGING 2020; 39:4102-4112. [PMID: 32746151 DOI: 10.1109/tmi.2020.3013100] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Imaging the bio-impedance distribution of the brain can provide initial diagnosis of acute stroke. This paper presents a compact and non-radiative tomographic modality, i.e. multi-frequency Electromagnetic Tomography (mfEMT), for the initial diagnosis of acute stroke. The mfEMT system consists of 12 channels of gradiometer coils with adjustable sensitivity and excitation frequency. To solve the image reconstruction problem of mfEMT, we propose an enhanced Frequency-Constrained Sparse Bayesian Learning (FC-SBL) to simultaneously reconstruct the conductivity distribution at all frequencies. Based on the Multiple Measurement Vector (MMV) model in the Sparse Bayesian Learning (SBL) framework, FC-SBL can recover the underlying distribution pattern of conductivity among multiple images by exploiting the frequency constraint information. A realistic 3D head model was established to simulate stroke detection scenarios, showing the capability of mfEMT to penetrate the highly resistive skull and improved image quality with FC-SBL. Both simulations and experiments showed that the proposed FC-SBL method is robust to noisy data for image reconstruction problems of mfEMT compared to the single measurement vector model, which is promising to detect acute strokes in the brain region with enhanced spatial resolution and in a baseline-free manner.
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Padilha Leitzke J, Zangl H. A Review on Electrical Impedance Tomography Spectroscopy. SENSORS 2020; 20:s20185160. [PMID: 32927685 PMCID: PMC7571205 DOI: 10.3390/s20185160] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Revised: 09/04/2020] [Accepted: 09/05/2020] [Indexed: 11/24/2022]
Abstract
Electrical Impedance Tomography Spectroscopy (EITS) enables the reconstruction of material distributions inside an object based on the frequency-dependent characteristics of different substances. In this paper, we present a review of EITS focusing on physical principles of the technology, sensor geometries, existing measurement systems, reconstruction algorithms, and image representation methods. In addition, a novel imaging method is proposed which could fill some of the gaps found in the literature. As an example of an application, EITS of ice and water mixtures is used.
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McDermott B, Elahi A, Santorelli A, O'Halloran M, Avery J, Porter E. Multi-frequency symmetry difference electrical impedance tomography with machine learning for human stroke diagnosis. Physiol Meas 2020; 41:075010. [PMID: 32554876 DOI: 10.1088/1361-6579/ab9e54] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Multi-frequency symmetry difference electrical impedance tomography (MFSD-EIT) can robustly detect and identify unilateral perturbations in symmetric scenes. Here, an investigation is performed to assess if the algorithm can be successfully applied to identify the aetiology of stroke with the aid of machine learning. METHODS Anatomically realistic four-layer finite element method models of the head based on stroke patient images are developed and used to generate EIT data over a 5 Hz-100 Hz frequency range with and without bleed and clot lesions present. Reconstruction generates conductivity maps of each head at each frequency. Application of a quantitative metric assessing changes in symmetry across the sagittal plane of the reconstructed image and over the frequency range allows lesion detection and identification. The algorithm is applied to both simulated and human (n = 34 subjects) data. A classification algorithm is applied to the metric value in order to differentiate between normal, haemorrhage and clot values. MAIN RESULTS An average accuracy of 85% is achieved when MFSD-EIT with support vector machines (SVM) classification is used to identify and differentiate bleed from clot in human data, with 77% accuracy when differentiating normal from stroke in human data. CONCLUSION Applying a classification algorithm to metrics derived from MFSD-EIT images is a novel and promising technique for detection and identification of perturbations in static scenes. SIGNIFICANCE The MFSD-EIT algorithm used with machine learning gives promising results of lesion detection and identification in challenging conditions like stroke. The results imply feasible translation to human patients.
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Affiliation(s)
- Barry McDermott
- Translational Medical Device Lab, National University of Ireland, Galway, Ireland
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McDermott B, O'Halloran M, Avery J, Porter E. Bi-Frequency Symmetry Difference EIT-Feasibility and Limitations of Application to Stroke Diagnosis. IEEE J Biomed Health Inform 2019; 24:2407-2419. [PMID: 31869810 DOI: 10.1109/jbhi.2019.2960862] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Bi-Frequency Symmetry Difference (BFSD)-EIT can detect, localize and identify unilateral perturbations in symmetric scenes. Here, we test the viability and robustness of BFSD-EIT in stroke diagnosis. METHODS A realistic 4-layer Finite Element Method (FEM) head model with and without bleed and clot lesions is developed. Performance is assessed with test parameters including: measurement noise, electrode placement errors, contact impedance errors, deviations in assumed tissue conductivity, deviations in assumed anatomy, and a frequency-dependent background. A final test is performed using ischemic patient data. Results are assessed using images and quantitative metrics. RESULTS BFSD-EIT may be feasible for stroke diagnosis if a signal-to-noise ratio (SNR) of ≥60 dB is achievable. Sensitivity to errors in electrode positioning is seen with a tolerance of only ±5 mm, but a tolerance of up to ±30 mm is possible if symmetry is maintained between symmetrically opposite partner electrodes. The technique is robust to errors in contact impedance and assumed tissue conductivity up to at least ±50%. Asymmetric internal anatomy affects performance but may be tolerable for tissues with frequency-dependent conductivity. Errors in assumed external geometry marginally affect performance. A frequency-dependent background does not affect performance with carefully chosen frequency points or use of multiple frequency points across a band. The Global Left-Hand Side (LHS) & Right-Hand Side (RHS) Mean Intensity metric is particularly robust to errors. CONCLUSION BFSD-EIT is a promising technique for stroke diagnosis, provided parameters are within the tolerated ranges. SIGNIFICANCE BFSD-EIT may prove an important step forward in imaging of static scenes such as stroke.
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Jiang YD, Soleimani M. Capacitively Coupled Electrical Impedance Tomography for Brain Imaging. IEEE TRANSACTIONS ON MEDICAL IMAGING 2019; 38:2104-2113. [PMID: 30703015 DOI: 10.1109/tmi.2019.2895035] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Electrical impedance tomography (EIT) is considered as a potential candidate for brain stroke imaging due to its compactness and potential use in bedside and emergency settings. The electrode-skin contact impedance and low conductivity of skull pose some practical challenges to the EIT head imaging. This paper studies the application of capacitively coupled electrical impedance tomography (CCEIT) in brain imaging for the first time. CCEIT is a new contactless EIT technique which uses voltage excitation without direct contact with the skin, as oppose to directly injecting the current to the skin in EIT. Because the safety issue of a new technique should be strictly treated, simulation work based on a simplified head model was carried out to investigate the safety aspects of CCEIT. By comparing with the standard EIT excited by a typical safe current level used in brain imaging, the safe excitation reference of CCEIT is obtained. This is done by comparing the maximum level of internal electrical field (internal current density) of EIT and that of CCEIT. Simulation results provide useful knowledge of excitation signal level of CCEIT and also show a critical comparison with traditional EIT. Practical experiments were carried out with a 12-electrode CCEIT phantom, saline, and carrot samples. Experimental results show the feasibility and potential of CCEIT for stroke imaging. In this paper, the anomaly diameter resolution is 10 mm (1/18 of the phantom diameter), which indicates that small-volume stroke could be detected. This is achieved by a low excitation voltage of 1 V, showing the possibility of even better performance when higher but yet safe level of excitation voltages is used.
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Cao L, Li H, Xu C, Dai M, Ji Z, Shi X, Dong X, Fu F, Yang B. A novel time-difference electrical impedance tomography algorithm using multi-frequency information. Biomed Eng Online 2019; 18:84. [PMID: 31358013 PMCID: PMC6664596 DOI: 10.1186/s12938-019-0703-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Accepted: 07/20/2019] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Electrical impedance tomography (EIT) is a noninvasive, radiation-free, and low-cost imaging modality for monitoring the conductivity distribution inside a patient. Nowadays, time-difference EIT (tdEIT) is used extensively as it has fast imaging speed and can reflect the dynamic changes of diseases, which make it attractive for a number of medical applications. Moreover, modeling errors are compensated to some extent by subtraction of voltage measurements collected before and after the change. However, tissue conductivity varies with frequency and tdEIT does not efficiently exploit multi-frequency information as it only uses measurements associated with a single frequency. METHODS This paper proposes a tdEIT algorithm that imposes spectral constraints on the framework of the linear least squares problem. Simulation and phantom experiments are conducted to compare the proposed spectral constraints algorithm (SC) with the damped least squares algorithm (DLS), which is a stable tdEIT algorithm used in clinical practice. The condition number and rank of the matrices needing inverses are analyzed, and image quality is evaluated using four indexes. The possibility of multi-tissue imaging and the influence of spectral errors are also explored. RESULTS Significant performance improvement is achieved by combining multi-frequency and time-difference information. The simulation results show that, in one-step iteration, both algorithms have the same condition number and rank, but SC effectively reduces image noise by 20.25% compared to DLS. In addition, deformation error and position error are reduced by 8.37% and 7.86%, respectively. In two-step iteration, the rank of SC is greatly increased, which suggests that more information is employed in image reconstruction. Image noise is further reduced by an average of 32.58%, and deformation error and position error are also reduced by 20.20% and 31.36%, respectively. The phantom results also indicate that SC has stronger noise suppression and target identification abilities, and this advantage is more obvious with iteration. The results of multi-tissue imaging show that SC has the unique advantage of automatically extracting a single tissue to image. CONCLUSIONS SC enables tdEIT to utilize multi-frequency information in cases where the spectral constraints are known and then provides higher quality images for applications.
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Affiliation(s)
- Lu Cao
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Haoting Li
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Canhua Xu
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Meng Dai
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Zhenyu Ji
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Xuetao Shi
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Xiuzhen Dong
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Feng Fu
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
| | - Bin Yang
- Department of Biomedical Engineering, Air Force Medical University (Fourth Military Medical University), Xi’an, 710032 People’s Republic of China
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McDermott B, Avery J, O'Halloran M, Aristovich K, Porter E. Bi-frequency symmetry difference electrical impedance tomography-a novel technique for perturbation detection in static scenes. Physiol Meas 2019; 40:044005. [PMID: 30786267 DOI: 10.1088/1361-6579/ab08ba] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE A novel method for the imaging of static scenes using electrical impedance tomography (EIT) is reported with implementation and validation using numerical and phantom models. The technique is applicable to regions featuring symmetry in the normal case, asymmetry in the presence of a perturbation, and where there is a known, frequency-dependent change in the electrical conductivity of the materials in the region. APPROACH The stroke diagnostic problem is used as a motivating sample application. The head is largely symmetrical across the sagittal plane. A haemorrhagic or ischaemic lesion located away from the sagittal plane will alter this natural symmetry, resulting in a symmetrical imbalance that can be detected using EIT. Specifically, application of EIT stimulation and measurement protocols at two distinct frequencies detects deviations in symmetry if an asymmetrically positioned lesion is present, with subsequent identification and localisation of the perturbation based on known frequency-dependent conductivity changes. Anatomically accurate computational models are used to demonstrate the feasibility of the proposed technique using different types, sizes, and locations of lesions with frequency-dependent (or independent) conductivity. Further, a realistic experimental head phantom is used to validate the technique using frequency-dependent perturbations emulating the key numerical simulations. MAIN RESULTS Lesion presence, type, and location are detectable using this novel technique. Results are presented in the form of images and corresponding robust quantitative metrics. Better detection is achieved for larger lesions, those further from the sagittal plane, and when measurements have a higher signal-to-noise ratio. SIGNIFICANCE Bi-frequency symmetry difference EIT is an exciting new modality of EIT with the ability to detect deviations in the symmetry of a region that occur due to the presence of a lesion. Notably, this modality does not require a time change in the region and thus may be used in static scenarios such as stroke detection.
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Affiliation(s)
- Barry McDermott
- Translational Medical Device Lab, National University of Ireland Galway, Galway, Ireland
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Menden T, Orschulik J, Dambrun S, Matuszczyk J, Santos SA, Leonhardt S, Walter M. Reconstruction algorithm for frequency-differential EIT using absolute values. Physiol Meas 2019; 40:034008. [PMID: 30818291 DOI: 10.1088/1361-6579/ab0b55] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Tissues in the body differ by their frequency-dependent conductivity. Frequency-differential electrical impedance tomography (fdEIT) is a promising technique to reconstruct the distribution of tissue inside the body by injecting current at two frequencies and measuring the resulting surface-potential. APPROACH The Gauss-Newton method is one way to map the surface measurements to a conductivity image. Usually, the minimization function contains only weighted differential measurement data and a regularization. This traditional method is extended by absolute measurement data to improve fdEIT reconstruction results. The key challenge of unknown torso geometries and electrode displacement has been addressed for the reconstruction of different lung pathologies. MAIN RESULTS The frequency-dependent conductivity of the background was reconstructed precisely and a contrast between organs was achieved. The algorithm shows good performance compared to GREIT and the traditional Gauss-Newton method with respect to the figures of merit of GREIT. SIGNIFICANCE The reconstruction is robust in the presence of noise. One application of the algorithm might be the detection and monitoring of lung diseases like edema or atelectasis.
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Affiliation(s)
- Tobias Menden
- Medical Information Technology, Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, Aachen, Germany
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Goren N, Avery J, Dowrick T, Mackle E, Witkowska-Wrobel A, Werring D, Holder D. Multi-frequency electrical impedance tomography and neuroimaging data in stroke patients. Sci Data 2018; 5:180112. [PMID: 29969115 PMCID: PMC6029572 DOI: 10.1038/sdata.2018.112] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2017] [Accepted: 04/16/2018] [Indexed: 11/26/2022] Open
Abstract
Electrical Impedance Tomography (EIT) is a non-invasive imaging technique, which has the potential to expedite the differentiation of ischaemic or haemorrhagic stroke, decreasing the time to treatment. Whilst demonstrated in simulation, there are currently no suitable imaging or classification methods which can be successfully applied to human stroke data. Development of these complex methods is hindered by a lack of quality Multi-Frequency EIT (MFEIT) data. To address this, MFEIT data were collected from 23 stroke patients, and 10 healthy volunteers, as part of a clinical trial in collaboration with the Hyper Acute Stroke Unit (HASU) at University College London Hospital (UCLH). Data were collected at 17 frequencies between 5 Hz and 2 kHz, with 31 current injections, yielding 930 measurements at each frequency. This dataset is the most comprehensive of its kind and enables combined analysis of MFEIT, Electroencephalography (EEG) and Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) data in stroke patients, which can form the basis of future research into stroke classification.
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Affiliation(s)
- Nir Goren
- Medical Physics & Biomedical Engineering, University College London, London WC1E 6BT, UK
| | - James Avery
- Medical Physics & Biomedical Engineering, University College London, London WC1E 6BT, UK
| | - Thomas Dowrick
- Medical Physics & Biomedical Engineering, University College London, London WC1E 6BT, UK
| | - Eleanor Mackle
- Medical Physics & Biomedical Engineering, University College London, London WC1E 6BT, UK
| | - Anna Witkowska-Wrobel
- Medical Physics & Biomedical Engineering, University College London, London WC1E 6BT, UK
| | - David Werring
- Stroke Research Centre, Department of Brain repair and Rehabilitation, University College London Institute of Neurology, London WC1N 3BG, UK
| | - David Holder
- Medical Physics & Biomedical Engineering, University College London, London WC1E 6BT, UK
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Yamaguchi TF, Okamoto Y. Computational method for estimating boundary of abdominal subcutaneous fat for absolute electrical impedance tomography. INTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING 2018; 34:e2909. [PMID: 28614900 DOI: 10.1002/cnm.2909] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Revised: 05/15/2017] [Accepted: 06/10/2017] [Indexed: 06/07/2023]
Abstract
Abdominal fat accumulation is considered an essential indicator of human health. Electrical impedance tomography has considerable potential for abdominal fat imaging because of the low specific conductivity of human body fat. In this paper, we propose a robust reconstruction method for high-fidelity conductivity imaging by abstraction of the abdominal cross section using a relatively small number of parameters. Toward this end, we assume homogeneous conductivity in the abdominal subcutaneous fat area and characterize its geometrical shape by parameters defined as the ratio of the distance from the center to boundary of subcutaneous fat to the distance from the center to outer boundary in 64 equiangular directions. To estimate the shape parameters, the sensitivity of the noninvasively measured voltages with respect to the shape parameters is formulated for numerical optimization. Numerical simulations are conducted to demonstrate the validity of the proposed method. A 3-dimensional finite element method is used to construct a computer model of the human abdomen. The inverse problems of shape parameters and conductivities are solved concurrently by iterative forward and inverse calculations. As a result, conductivity images are reconstructed with a small systemic error of less than 1% for the estimation of the subcutaneous fat area. A novel method is devised for estimating the boundary of the abdominal subcutaneous fat. The fidelity of the overall reconstructed image to the reference image is significantly improved. The results demonstrate the possibility of realization of an abdominal fat scanner as a low-cost, radiation-free medical device.
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Affiliation(s)
- Tohru F Yamaguchi
- Health Care Food Research Laboratories, Kao Corporation, 2-1-3 Bunka,, Sumida-ku, Tokyo 131-8501, Japan
| | - Yoshiwo Okamoto
- Department of Electrical, Electronics, and Computer Engineering, Chiba Institute of Technology, 2-17-1 Tsudanuma,, Narashino-shi, Chiba 275-0016, Japan
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Avery J, Dowrick T, Faulkner M, Goren N, Holder D. A Versatile and Reproducible Multi-Frequency Electrical Impedance Tomography System. SENSORS (BASEL, SWITZERLAND) 2017; 17:E280. [PMID: 28146122 PMCID: PMC5336119 DOI: 10.3390/s17020280] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/05/2016] [Accepted: 01/25/2017] [Indexed: 11/16/2022]
Abstract
A highly versatile Electrical Impedance Tomography (EIT) system, nicknamed the ScouseTom, has been developed. The system allows control over current amplitude, frequency, number of electrodes, injection protocol and data processing. Current is injected using a Keithley 6221 current source, and voltages are recorded with a 24-bit EEG system with minimum bandwidth of 3.2 kHz. Custom PCBs interface with a PC to control the measurement process, electrode addressing and triggering of external stimuli. The performance of the system was characterised using resistor phantoms to represent human scalp recordings, with an SNR of 77.5 dB, stable across a four hour recording and 20 Hz to 20 kHz. In studies of both haeomorrhage using scalp electrodes, and evoked activity using epicortical electrode mats in rats, it was possible to reconstruct images matching established literature at known areas of onset. Data collected using scalp electrode in humans matched known tissue impedance spectra and was stable over frequency. The experimental procedure is software controlled and is readily adaptable to new paradigms. Where possible, commercial or open-source components were used, to minimise the complexity in reproduction. The hardware designs and software for the system have been released under an open source licence, encouraging contributions and allowing for rapid replication.
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Affiliation(s)
- James Avery
- Department Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK.
| | - Thomas Dowrick
- Department Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK.
| | - Mayo Faulkner
- Department Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK.
| | - Nir Goren
- Department Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK.
| | - David Holder
- Department Medical Physics and Biomedical Engineering, University College London, London WC1E 6BT, UK.
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Yang L, Xu C, Dai M, Fu F, Shi X, Dong X. A novel multi-frequency electrical impedance tomography spectral imaging algorithm for early stroke detection. Physiol Meas 2016; 37:2317-2335. [PMID: 27897152 DOI: 10.1088/1361-6579/37/12/2317] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Multi-frequency electrical impedance tomography (MFEIT) reconstructs the image of conductivity inside the human body based on the dependence of tissue conductivity on frequency. As there exist differences in the conductivity over frequency between blood, ischemic cortical tissue and normal cortical tissue, MFEIT has potential application in the detection of acute stroke. However, because the conductivity distribution of the human head is highly inhomogeneous and the conductivities of normal head tissue and stroke lesion tissue both change with frequency, the anomaly and normal head tissues are often mixed together in the reconstructed image, which makes it difficult to discern the anomaly. Here we present a spectral decomposition frequency-difference (SD-FD) imaging algorithm in an attempt to address this issue: firstly, we reconstruct so-called EIT spectral images according to the conductivity spectra of tissues; secondly, we obtain the EIT image of the anomaly from the spectral images by using independent component analysis. The results show that the proposed algorithm is capable of detecting the anomaly in a numerical head phantom, as well as in a realistic human head tank with frequency-dependent and heterogeneous conductivities distribution. The proposed SD-FD algorithm may support MFEIT use for human stroke imaging in the future.
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Bera TK, Nagaraju J, Lubineau G. Electrical impedance spectroscopy (EIS)-based evaluation of biological tissue phantoms to study multifrequency electrical impedance tomography (Mf-EIT) systems. J Vis (Tokyo) 2016. [DOI: 10.1007/s12650-016-0351-0] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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Malone E, Powell S, Cox BT, Arridge S. Reconstruction-classification method for quantitative photoacoustic tomography. JOURNAL OF BIOMEDICAL OPTICS 2015; 20:126004. [PMID: 26662815 DOI: 10.1117/1.jbo.20.12.126004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Accepted: 10/30/2015] [Indexed: 05/06/2023]
Abstract
We propose a combined reconstruction-classification method for simultaneously recovering absorption and scattering in turbid media from images of absorbed optical energy. This method exploits knowledge that optical parameters are determined by a limited number of classes to iteratively improve their estimate. Numerical experiments show that the proposed approach allows for accurate recovery of absorption and scattering in two and three dimensions, and delivers superior image quality with respect to traditional reconstruction-only approaches.
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Affiliation(s)
- Emma Malone
- University College London, Department of Medical Physics and Biomedical Engineering, Gower Street, WC1E 6BT London, United Kingdom
| | - Samuel Powell
- University College London, Department of Computer Science, Gower Street, WC1E 6BT London, United Kingdom
| | - Ben T Cox
- University College London, Department of Medical Physics and Biomedical Engineering, Gower Street, WC1E 6BT London, United Kingdom
| | - Simon Arridge
- University College London, Department of Computer Science, Gower Street, WC1E 6BT London, United Kingdom
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