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Youssef Baby L, Bedran RS, Doumit A, El Hassan RH, Maalouf N. Past, present, and future of electrical impedance tomography and myography for medical applications: a scoping review. Front Bioeng Biotechnol 2024; 12:1486789. [PMID: 39726983 PMCID: PMC11670078 DOI: 10.3389/fbioe.2024.1486789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2024] [Accepted: 11/07/2024] [Indexed: 12/28/2024] Open
Abstract
This scoping review summarizes two emerging electrical impedance technologies: electrical impedance myography (EIM) and electrical impedance tomography (EIT). These methods involve injecting a current into tissue and recording the response at different frequencies to understand tissue properties. The review discusses basic methods and trends, particularly the use of electrodes: EIM uses electrodes for either injection or recording, while EIT uses them for both. Ag/AgCl electrodes are prevalent, and current injection is preferred over voltage injection due to better resistance to electrode wear and impedance changes. Advances in digital processing and integrated circuits have shifted EIM and EIT toward digital acquisition, using voltage-controlled current sources (VCCSs) that support multiple frequencies. The review details powerful processing algorithms and reconstruction tools for EIT and EIM, examining their strengths and weaknesses. It also summarizes commercial devices and clinical applications: EIT is effective for detecting cancerous tissue and monitoring pulmonary issues, while EIM is used for neuromuscular disease detection and monitoring. The role of machine learning and deep learning in advancing diagnosis, treatment planning, and monitoring is highlighted. This review provides a roadmap for researchers on device evolution, algorithms, reconstruction tools, and datasets, offering clinicians and researchers information on commercial devices and clinical studies for effective use and innovative research.
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Affiliation(s)
- Lea Youssef Baby
- Electrical and Computer Engineering Department, Lebanese American University, Byblos, Lebanon
| | - Ryan Sam Bedran
- Electrical and Computer Engineering Department, Lebanese American University, Byblos, Lebanon
| | - Antonio Doumit
- Electrical and Computer Engineering Department, Lebanese American University, Byblos, Lebanon
| | - Rima H. El Hassan
- Electrical and Computer Engineering Department, Lebanese American University, Byblos, Lebanon
- Biomedial Engineering Department, SciNeurotech Lab, Polytechnique Montréal, Montréal, QC, Canada
| | - Noel Maalouf
- Electrical and Computer Engineering Department, Lebanese American University, Byblos, Lebanon
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Escobar Fernández J, Martínez López C, Mosquera Leyton V. A low-cost, portable 32-channel EIT system with four rings based on AFE4300 for body composition analysis. HARDWAREX 2023; 16:e00494. [PMID: 38186666 PMCID: PMC10767629 DOI: 10.1016/j.ohx.2023.e00494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 09/19/2023] [Accepted: 11/11/2023] [Indexed: 01/09/2024]
Abstract
A proposed low-cost, portable, 32-channel (4 rings of 8-channel) Electrical Impedance Tomography (EIT) system based on the AFE4300 analog front-end for body composition measurement. Each ring allows obtaining the conductivity distribution of 4 cross sections, 4 cm apart; to analyze the behavior of conductivity in a volume. The switching of the 4 rings and the current injection and voltage measurement patterns are done with three Texas Instruments 74HC4067 multiplexers, which are managed by an ESP32 board. The proposed system has an average signal-to-noise ratio of 74.71 dB and a frame rate of 50 fps. The sensitivity tests to impedance and volume changes consisted of introducing 4 tubes of different diameters (2 steel and 2 polyvinyl chloride) into a tank with saline solution; then conductivity distribution images were generated in 4 cross-sections of the tank, using the algorithms Gauss-Newton and Noser. Finally, the global impedance index (GI) is calculated to estimate the volume of each tube inside the tank. The results show that the proposed system is highly sensitive to impedance and volume changes, being a promising system for monitoring tissues, and fluids biological.
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Affiliation(s)
| | | | - Víctor Mosquera Leyton
- Universidad del Cauca, Electronic, Instrumentation, and Control Department, Street 5 No 4-70, Popayán, Colombia
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Affordable, portable and self-administrable electrical impedance tomography enables global and regional lung function assessment. Sci Rep 2022; 12:20613. [PMID: 36450830 PMCID: PMC9712422 DOI: 10.1038/s41598-022-24330-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 11/14/2022] [Indexed: 12/12/2022] Open
Abstract
Accessibility of diagnostic screening and treatment monitoring devices for respiratory diseases is critical in promoting healthcare and reducing sudden complications and mortality. Spirometry is the standard for diagnosing and monitoring several lung diseases. However, it lacks regional assessment capabilities necessary for detecting subtle regional changes in certain diseases. It also requires challenging breathing maneuvers difficult for elderlies, children, and diseased patients. Here, we actualized an affordable, portable, and self-administrable electrical impedance tomography (EIT) system for home-based lung function assessment and telemedicine. Through simultaneous EIT-spirometry trials on healthy subjects, we demonstrated that our device can predict spirometry indicators over a wide range and can provide regional mapping of these indicators. We further developed a close-to-effortless breathing paradigm and tested it by longitudinally monitoring a COVID-19 discharged subject and two healthy controls with results suggesting the paradigm can detect initial deterioration followed by recovery. Overall, the EIT system can be widely applicable for lung function screening and monitoring both at homes and clinics.
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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: 0.7] [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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Evaluation of underwater image enhancement algorithms based on Retinex and its implementation on embedded systems. Neurocomputing 2022. [DOI: 10.1016/j.neucom.2022.04.074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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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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Experimental Characterization Techniques for Solid-Liquid Slurry Flows in Pipelines: A Review. Processes (Basel) 2022. [DOI: 10.3390/pr10030597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/10/2022] Open
Abstract
In industrial environments, having instrumentation able to attain fast, accurate, and autonomous measurements is pivotal to understanding the dynamics of liquid and particles during transport. Ideally, these instruments, consisting of either probes or sensors, should be robust, fast, and unintrusive, i.e., not cause interference on the very flows being monitored, and require minimal maintenance. Beyond monitoring, the process knowledge gained through real time inspection allows teams to make informed technical decisions based on particle behavior, i.e., settling of particles causing pipe wear and clustering or blockages that can damage the unit or cause shutdowns, both of which with economical drawbacks. The purpose of this review is to examine experimental measurement techniques used to characterize physical properties and operational parameters of solid-liquid slurry flows, focusing on non-ionizing radiation methods. With this text the intent is not to provide an exhaustive examination of each individual technique but rather an overview on the most pertinent types of instrumentation, which will be presented, in addition to application examples from the literature, while directing the reader for pertinent seminal and review papers for a more in-depth analysis.
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Evaluation of Machine Learning Algorithms for Early Diagnosis of Deep Venous Thrombosis. MATHEMATICAL AND COMPUTATIONAL APPLICATIONS 2022. [DOI: 10.3390/mca27020024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Deep venous thrombosis (DVT) is a disease that must be diagnosed quickly, as it can trigger the death of patients. Nowadays, one can find different ways to determine it, including clinical scoring, D-dimer, ultrasonography, etc. Recently, scientists have focused efforts on using machine learning (ML) and neural networks for disease diagnosis, progressively increasing the accuracy and efficacy. Patients with suspected DVT have no apparent symptoms. Using pattern recognition techniques, aiding good timely diagnosis, as well as well-trained ML models help to make good decisions and validation. The aim of this paper is to propose several ML models for a more efficient and reliable DVT diagnosis through its implementation on an edge device for the development of instruments that are smart, portable, reliable, and cost-effective. The dataset was obtained from a state-of-the-art article. It is divided into 85% for training and cross-validation and 15% for testing. The input data in this study are the Wells criteria, the patient’s age, and the patient’s gender. The output data correspond to the patient’s diagnosis. This study includes the evaluation of several classifiers such as Decision Trees (DT), Extra Trees (ET), K-Nearest Neighbor (KNN), Multi-Layer Perceptron Neural Network (MLP-NN), Random Forest (RF), and Support Vector Machine (SVM). Finally, the implementation of these ML models on a high-performance embedded system is proposed to develop an intelligent system for early DVT diagnosis. It is reliable, portable, open source, and low cost. The performance of different ML algorithms was evaluated, where KNN achieved the highest accuracy of 90.4% and specificity of 80.66% implemented on personal computer (PC) and Raspberry Pi 4 (RPi4). The accuracy of all trained models on PC and Raspberry Pi 4 is greater than 85%, while the area under the curve (AUC) values are between 0.81 and 0.86. In conclusion, as compared to traditional methods, the best ML classifiers are effective at predicting DVT in an early and efficient manner.
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High-Security Image Encryption Based on a Novel Simple Fractional-Order Memristive Chaotic System with a Single Unstable Equilibrium Point. ELECTRONICS 2021. [DOI: 10.3390/electronics10243130] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Fractional-order chaotic systems have more complex dynamics than integer-order chaotic systems. Thus, investigating fractional chaotic systems for the creation of image cryptosystems has been popular recently. In this article, a fractional-order memristor has been developed, tested, numerically analyzed, electronically realized, and digitally implemented. Consequently, a novel simple three-dimensional (3D) fractional-order memristive chaotic system with a single unstable equilibrium point is proposed based on this memristor. This fractional-order memristor is connected in parallel with a parallel capacitor and inductor for constructing the novel fractional-order memristive chaotic system. The system’s nonlinear dynamic characteristics have been studied both analytically and numerically. To demonstrate the chaos behavior in this new system, various methods such as equilibrium points, phase portraits of chaotic attractor, bifurcation diagrams, and Lyapunov exponent are investigated. Furthermore, the proposed fractional-order memristive chaotic system was implemented using a microcontroller (Arduino Due) to demonstrate its digital applicability in real-world applications. Then, in the application field of these systems, based on the chaotic behavior of the memristive model, an encryption approach is applied for grayscale original image encryption. To increase the encryption algorithm pirate anti-attack robustness, every pixel value is included in the secret key. The state variable’s initial conditions, the parameters, and the fractional-order derivative values of the memristive chaotic system are used for contracting the keyspace of that applied cryptosystem. In order to prove the security strength of the employed encryption approach, the cryptanalysis metric tests are shown in detail through histogram analysis, keyspace analysis, key sensitivity, correlation coefficients, entropy analysis, time efficiency analysis, and comparisons with the same fieldwork. Finally, images with different sizes have been encrypted and decrypted, in order to verify the capability of the employed encryption approach for encrypting different sizes of images. The common cryptanalysis metrics values are obtained as keyspace = 2648, NPCR = 0.99866, UACI = 0.49963, H(s) = 7.9993, and time efficiency = 0.3 s. The obtained numerical simulation results and the security metrics investigations demonstrate the accuracy, high-level security, and time efficiency of the used cryptosystem which exhibits high robustness against different types of pirate attacks.
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Shi Y, Yang Z, Xie F, Ren S, Xu S. The Research Progress of Electrical Impedance Tomography for Lung Monitoring. Front Bioeng Biotechnol 2021; 9:726652. [PMID: 34660553 PMCID: PMC8517404 DOI: 10.3389/fbioe.2021.726652] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 08/09/2021] [Indexed: 01/16/2023] Open
Abstract
Medical imaging can intuitively show people the internal structure, morphological information, and organ functions of the organism, which is one of the most important inspection methods in clinical medical diagnosis. Currently used medical imaging methods can only be applied to some diagnostic occasions after qualitative lesions have been generated, and the general imaging technology is usually accompanied by radiation and other conditions. However, electrical impedance tomography has the advantages of being noninvasive and non-radiative. EIT (Electrical Impedance Tomography) is also widely used in the early diagnosis and treatment of some diseases because of these advantages. At present, EIT is relatively mature and more and more image reconstruction algorithms are used to improve imaging resolution. Hardware technology is also developing rapidly, and the accuracy of data collection and processing is continuously improving. In terms of clinical application, EIT has also been used for pathological treatment of lungs, the brain, and the bladder. In the future, EIT has a good application prospect in the medical field, which can meet the needs of real-time, long-term monitoring and early diagnosis. Aiming at the application of EIT in the treatment of lung pathology, this article reviews the research progress of EIT, image reconstruction algorithms, hardware system design, and clinical applications used in the treatment of lung diseases. Through the research and introduction of several core components of EIT technology, it clarifies the characteristics of EIT system complexity and its solutions, provides research ideas for subsequent research, and once again verifies the broad development prospects of EIT technology in the future.
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Affiliation(s)
- Yan Shi
- The School of Automation Science and Electrical Engineering, Beihang University, Beijing, China
| | - ZhiGuo Yang
- The School of Automation Science and Electrical Engineering, Beihang University, Beijing, China
| | - Fei Xie
- Department of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China
| | - Shuai Ren
- The School of Automation Science and Electrical Engineering, Beihang University, Beijing, China
- State Key Laboratory of Fluid Power and Mechatronic Systems, Zhejiang University, Hangzhou, China
| | - ShaoFeng Xu
- The School of Automation Science and Electrical Engineering, Beihang University, Beijing, China
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Electrical Tomography Reconstruction Using Reconfigurable Waveforms in a FPGA. SENSORS 2021; 21:s21093272. [PMID: 34068457 PMCID: PMC8125997 DOI: 10.3390/s21093272] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 04/24/2021] [Accepted: 04/28/2021] [Indexed: 11/16/2022]
Abstract
The principal objective of this research is to conceive a mobile system based on electrical tomography for subsurface imaging and monitoring in order to enable simultaneous recording of electrical potentials of cardiac and pulmonary activity. For an exploration of excitation waveforms in electrical tomography, specialized hardware is required. As the main principle of tomography is the measurement of electrical perturbations on an unknown object, it is crucial to synchronize excitation and sensing processes in a very precise way for the purpose of acquiring meaningful data. To cope with this problem, an FPGA device is used, with an architecture that allows us to trigger excitation signals and to read sensed data simultaneously via independent processes that share the same clock. In this way, waveform reconfiguration on frequency and shape can be provided and studied. The system is connected to a standard microcontroller SoC with a simple API that allows for IoT capabilities for on-line operation and tracking, given that the design is targeted for in vivo medical monitoring. As a result of the research work, a measuring device was developed, the surface data analyzed and the image was reconstructed using the selected configuration.
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