A 3D visualization method for bladder filling examination based on EIT

EDIT Software: A tool for the semi-automatic 3D reconstruction of bladder cancer and urinary bladder of animal models

BACKGROUND AND OBJECTIVE

This study presents the EDIT software, a tool for the visualization of the urinary bladder anatomy in the 3D space and for its semi-automatic 3D reconstruction.

METHODS

The inner bladder wall was computed by applying a Region of Interest (ROI) feedback-based active contour algorithm on the ultrasound images while the outer bladder wall was calculated by expanding the inner borders to approach the vascularization area on the photoacoustic images. The validation strategy of the proposed software was divided into two processes. Initially, the 3D automated reconstruction was performed on 6 phantom objects of different volume in order to compare the software computed volumes of the models with the true volumes of phantoms. Secondly, the in-vivo 3D reconstruction of the urinary bladder for 10 animals with orthotopic bladder cancer, which range in different stages of tumor progression was performed.

RESULTS

The results showed that the minimum volume similarity of the proposed 3D reconstruction method applied on phantoms is 95.59%. It is noteworthy to mention that the EDIT software enables the user to reconstruct the 3D bladder wall with high precision, even if the bladder silhouette has been significantly deformed by the tumor. Indeed, by taking into account the dataset of the 2251 in-vivo ultrasound and photoacoustic images, the presented software performs segmentation with dice similarity 96.96% and 90.91% for the inner and the outer borders of the bladder wall, respectively.

CONCLUSIONS

This study delivers the EDIT software, a novel software tool that uses ultrasound and photoacoustic images to extract different 3D components of the bladder.

Application of Machine Learning Algorithms to the Discretization Problem in Wearable Electrical Tomography Imaging for Bladder Tracking

The article presents the implementation of artificial intelligence algorithms for the problem of discretization in Electrical Impedance Tomography (EIT) adapted for urinary tract monitoring. The primary objective of discretization is to create a finite element mesh (FEM) classifier that will separate the inclusion elements from the background. In general, the classifier is designed to detect the area of elements belonging to an inclusion revealing the shape of that object. We show the adaptation of supervised learning methods such as logistic regression, decision trees, linear and quadratic discriminant analysis to the problem of tracking the urinary bladder using EIT. Our study focuses on developing and comparing various algorithms for discretization, which perfectly supplement methods for an inverse problem. The innovation of the presented solutions lies in the originally adapted algorithms for EIT allowing for the tracking of the bladder. We claim that a robust measurement solution with sensors and statistical methods can track the placement and shape change of the bladder, leading to effective information about the studied object. This article also shows the developed device, its functions and working principle. The development of such a device and accompanying information technology came about in response to particularly strong market demand for modern technical solutions for urinary tract rehabilitation.

Application of Particle Swarm Optimization with Simulated Annealing in MIT Regularization Image Reconstruction

Background and Objectives: Due to the soft-field effect of the electromagnetic field and the limit of detection, image reconstruction of magnetic induction tomography has to recover more complex electrical characteristics from very few signals. These cause a problem which have underdetermination, nonlinearity, and ill-posed characteristics, and therefore lead to many difficulties in finding its solution. Although many regularization image reconstruction methods exist, they are not suitable for MIT applications due to regularization parameter selection. The purpose of this paper is to study the principle of particle swarm optimization with simulated annealing, and to propose a regularization method for reconstruction, which will provide a new way to solve the MIT image problems. Methods and Models: Firstly, the regularization principle of image reconstruction of MIT will be analyzed. Then the hybrid regularization algorithm, including Tikhonov and NOSER regularization, will be developed, using the dimension of the Hessian matrix as a penalty term respecting the prior knowledge. PSO-SA algorithm will be applied to obtain an optimal solution for regularization parameters. Finally, six typical numerical models and approximately symmetrical cerebral hemorrhage models by COMSOL will be carried out, and the voltage signals obtained from the simulation will be used to verify the proposed reconstruction method. Results: Through the simulation results, the proposed imaging method has the average CC values of 0.9932, 0.8286 and the average RE values of 0.4982, 0.8320 for simple and complex models, respectively. Moreover, when the SNR changes from 55dB to 35dB, the CC value of the cerebral hemorrhage model reduced by 0.1034. The results demonstrate the effectiveness and high theoretical feasibility of the proposed method in MIT image reconstruction. Conclusions: This study indicates the potential application of PSO-SA algorithm in regularization imaging problem. Compared with traditional regularization imaging methods, the proposed method has the advantages of better accuracy, robustness and noise resistance, showing the certain application value in other similar ill-ness imaging problems.

A realistic pelvic phantom for electrical impedance measurement

OBJECTIVE

To design and fabricate an anatomically and conductively accurate phantom for electrical impedance studies of non-invasive bladder volume monitoring.

APPROACH

A modular pelvic phantom was designed and fabricated, consisting of a mechanically and conductively stable boundary wall, a background medium, and bladder phantoms. The wall and bladders are made of conductive polyurethane. The background material is an ultrasound gel-based mixture, with conductivity matched to a weighted average of the pelvic cavity organs, bone, muscle and fat. The phantom boundary is developed using a computer tomography model of a male human pelvis. The bladder phantoms were designed to correlate with human bladder dimensions. Electrical impedance measurements of the phantom were recorded, and images produced using six different bladder phantoms and a realistic finite element model.

MAIN RESULTS

Five different bladder volumes were successfully imaged using an empty bladder as a reference. The average conductivity index from the reconstructed images showed a strong positive correlation with the bladder phantom volumes.

SIGNIFICANCE

A conductively and anatomically accurate pelvic phantom was developed for non-invasive bladder volume monitoring using electrical impedance measurements. Several bladders were designed to correlate with actual human bladder volumes, allowing for accurate volume estimation. The conductivity of the phantom is accurate over 50-250 kHz. This phantom can allow changeable electrode location, contact and size; multi-layer electrodes configurations; increased complexity by addition of other organ or bone phantoms; and electrode movement and deformation. Overall, the pelvic phantom enables greater scope for experimentation and system refinement as a precursor to in-man clinical studies.

Bladder volume estimation from electrical impedance tomography

Non-invasive estimation of bladder volume is required to progress from scheduled voiding to a demand-driven emptying scheme for patients with impaired bladder volume sensation. Electrical impedance tomography (EIT) is a promising candidate for the non-invasive monitoring of bladder volume. This article focuses on four estimation algorithms used to map recorded EIT data to a volume estimate. Two different approaches are presented: the tomographic algorithms (one based on global impedance, the other on equivalent circular diameter) rely on the reconstruction of a tomographic image and then extract a volume estimate, whereas the parametric algorithms (one based on neural networks, the other on the singular value difference method) directly map the raw data to a volume estimate. The four algorithms presented here are evaluated for volume estimation error, noise tolerance and suppression of varying urine conductivity based on finite element simulation data.

Bioelectrical Impedance Methods for Noninvasive Health Monitoring: A Review

Under the alternating electrical excitation, biological tissues produce a complex electrical impedance which depends on tissue composition, structures, health status, and applied signal frequency, and hence the bioelectrical impedance methods can be utilized for noninvasive tissue characterization. As the impedance responses of these tissue parameters vary with frequencies of the applied signal, the impedance analysis conducted over a wide frequency band provides more information about the tissue interiors which help us to better understand the biological tissues anatomy, physiology, and pathology. Over past few decades, a number of impedance based noninvasive tissue characterization techniques such as bioelectrical impedance analysis (BIA), electrical impedance spectroscopy (EIS), electrical impedance plethysmography (IPG), impedance cardiography (ICG), and electrical impedance tomography (EIT) have been proposed and a lot of research works have been conducted on these methods for noninvasive tissue characterization and disease diagnosis. In this paper BIA, EIS, IPG, ICG, and EIT techniques and their applications in different fields have been reviewed and technical perspective of these impedance methods has been presented. The working principles, applications, merits, and demerits of these methods has been discussed in detail along with their other technical issues followed by present status and future trends.