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Ionescu CM, Copot D, Yumuk E, De Keyser R, Muresan C, Birs IR, Ben Othman G, Farbakhsh H, Ynineb AR, Neckebroek M. Development, Validation, and Comparison of a Novel Nociception/Anti-Nociception Monitor against Two Commercial Monitors in General Anesthesia. SENSORS (BASEL, SWITZERLAND) 2024; 24:2031. [PMID: 38610243 PMCID: PMC11013864 DOI: 10.3390/s24072031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Revised: 03/12/2024] [Accepted: 03/20/2024] [Indexed: 04/14/2024]
Abstract
In this paper, we present the development and the validation of a novel index of nociception/anti-nociception (N/AN) based on skin impedance measurement in time and frequency domain with our prototype AnspecPro device. The primary objective of the study was to compare the Anspec-PRO device with two other commercial devices (Medasense, Medstorm). This comparison was designed to be conducted under the same conditions for the three devices. This was carried out during total intravenous anesthesia (TIVA) by investigating its outcomes related to noxious stimulus. In a carefully designed clinical protocol during general anesthesia from induction until emergence, we extract data for estimating individualized causal dynamic models between drug infusion and their monitored effect variables. Specifically, these are Propofol hypnotic drug to Bispectral index of hypnosis level and Remifentanil opioid drug to each of the three aforementioned devices. When compared, statistical analysis of the regions before and during the standardized stimulus shows consistent difference between regions for all devices and for all indices. These results suggest that the proposed methodology for data extraction and processing for AnspecPro delivers the same information as the two commercial devices.
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Affiliation(s)
- Clara M. Ionescu
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
- Department of Automation, Technical University Cluj-Napoca, Memorandumului Street 20, 400114 Cluj, Romania;
| | - Dana Copot
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
| | - Erhan Yumuk
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
- Department of Control and Automation Engineering, Istanbul Technical University, Maslak, Istanbul 34469, Turkey
| | - Robin De Keyser
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
| | - Cristina Muresan
- Department of Automation, Technical University Cluj-Napoca, Memorandumului Street 20, 400114 Cluj, Romania;
| | - Isabela Roxana Birs
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
- Department of Automation, Technical University Cluj-Napoca, Memorandumului Street 20, 400114 Cluj, Romania;
| | - Ghada Ben Othman
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
| | - Hamed Farbakhsh
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
| | - Amani R. Ynineb
- Department of Electromechanics, System and Metal Engineering, Ghent University, 9052 Ghent, Belgium; (C.M.I.); (E.Y.); (R.D.K.); (I.R.B.); (G.B.O.); (H.F.); (A.R.Y.)
| | - Martine Neckebroek
- Department of Anesthesia, Ghent University Hospital, Corneel Heymanslaan 10, 9000 Ghent, Belgium;
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Vazquez-Guerrero P, Tuladhar R, Psychalinos C, Elwakil A, Chacron MJ, Santamaria F. Fractional order memcapacitive neuromorphic elements reproduce and predict neuronal function. Sci Rep 2024; 14:5817. [PMID: 38461365 PMCID: PMC10925066 DOI: 10.1038/s41598-024-55784-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 02/27/2024] [Indexed: 03/11/2024] Open
Abstract
There is an increasing need to implement neuromorphic systems that are both energetically and computationally efficient. There is also great interest in using electric elements with memory, memelements, that can implement complex neuronal functions intrinsically. A feature not widely incorporated in neuromorphic systems is history-dependent action potential time adaptation which is widely seen in real cells. Previous theoretical work shows that power-law history dependent spike time adaptation, seen in several brain areas and species, can be modeled with fractional order differential equations. Here, we show that fractional order spiking neurons can be implemented using super-capacitors. The super-capacitors have fractional order derivative and memcapacitive properties. We implemented two circuits, a leaky integrate and fire and a Hodgkin-Huxley. Both circuits show power-law spiking time adaptation and optimal coding properties. The spiking dynamics reproduced previously published computer simulations. However, the fractional order Hodgkin-Huxley circuit showed novel dynamics consistent with criticality. We compared the responses of this circuit to recordings from neurons in the weakly-electric fish that have previously been shown to perform fractional order differentiation of their sensory input. The criticality seen in the circuit was confirmed in spontaneous recordings in the live fish. Furthermore, the circuit also predicted long-lasting stimulation that was also corroborated experimentally. Our work shows that fractional order memcapacitors provide intrinsic memory dependence that could allow implementation of computationally efficient neuromorphic devices. Memcapacitors are static elements that consume less energy than the most widely studied memristors, thus allowing the realization of energetically efficient neuromorphic devices.
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Affiliation(s)
- Patricia Vazquez-Guerrero
- Department of Neuroscience, Developmental and Regenerative Biology, The University of Texas at San Antonio, San Antonio, TX, 78349, USA
| | - Rohisha Tuladhar
- Department of Neuroscience, Developmental and Regenerative Biology, The University of Texas at San Antonio, San Antonio, TX, 78349, USA
| | | | - Ahmed Elwakil
- Department of Electrical and Computer Engineering, University of Sharjah, PO Box 27272, Sharjah, UAE
- Department of Electrical and Software Engineering, University of Calgary, Calgary, AB, T2N 1N4, Canada
| | - Maurice J Chacron
- Department of Physiology, McGill University, Quebec, H3G 1Y6, Canada
| | - Fidel Santamaria
- Department of Neuroscience, Developmental and Regenerative Biology, The University of Texas at San Antonio, San Antonio, TX, 78349, USA.
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Kouhalvandi L, Matekovits L, Peter I. Amplifiers in Biomedical Engineering: A Review from Application Perspectives. SENSORS (BASEL, SWITZERLAND) 2023; 23:2277. [PMID: 36850873 PMCID: PMC9961860 DOI: 10.3390/s23042277] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 01/22/2023] [Accepted: 02/15/2023] [Indexed: 05/31/2023]
Abstract
Continuous monitoring and treatment of various diseases with biomedical technologies and wearable electronics has become significantly important. The healthcare area is an important, evolving field that, among other things, requires electronic and micro-electromechanical technologies. Designed circuits and smart devices can lead to reduced hospitalization time and hospitals equipped with high-quality equipment. Some of these devices can also be implanted inside the body. Recently, various implanted electronic devices for monitoring and diagnosing diseases have been presented. These instruments require communication links through wireless technologies. In the transmitters of these devices, power amplifiers are the most important components and their performance plays important roles. This paper is devoted to collecting and providing a comprehensive review on the various designed implanted amplifiers for advanced biomedical applications. The reported amplifiers vary with respect to the class/type of amplifier, implemented CMOS technology, frequency band, output power, and the overall efficiency of the designs. The purpose of the authors is to provide a general view of the available solutions, and any researcher can obtain suitable circuit designs that can be selected for their problem by reading this survey.
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Affiliation(s)
- Lida Kouhalvandi
- Department of Electrical and Electronics Engineering, Dogus University, Istanbul 34775, Turkey
| | - Ladislau Matekovits
- Department of Electronics and Telecommunications, Politecnico di Torino, 10129 Turin, Italy
- Department of Measurements and Optical Electronics, Politehnica University Timisoara, 300006 Timisoara, Romania
- Istituto di Elettronica e di Ingegneria dell’Informazione e delle Telecomunicazioni, National Research Council, 10129 Turin, Italy
| | - Ildiko Peter
- Department of Industrial Engineering and Management, University of Medicine, Pharmacy, Science and Technology “George Emil Palade”, 540139 Targu Mures, Romania
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Pîslaru-Dănescu L, Zărnescu GC, Telipan G, Stoica V. Design and Manufacturing of Equipment for Investigation of Low Frequency Bioimpedance. MICROMACHINES 2022; 13:1858. [PMID: 36363879 PMCID: PMC9698562 DOI: 10.3390/mi13111858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 10/22/2022] [Accepted: 10/25/2022] [Indexed: 06/16/2023]
Abstract
The purpose of this study was to highlight a method of making equipment for the investigation of low frequency bioimpedance. A constant current with an average value of I = 100 µA is injected into the human body via means of current injection electrodes, and the biological signal is taken from the electrodes of electric potential charged with the biopotentials generated by the human body. The resulting voltage, ΔU is processed by the electronic conditioning system. The mathematical model of the four-electrode system in contact with the skin, and considering a target organ, was simplified to a single equivalent impedance. The capacitive filter low passes down from the differential input of the first instrumentation amplifier together with the isolated capacitive barrier integrated in the precision isolated secondary amplifier and maintains the biological signal taken from the electrodes charged with the undistorted biopotentials generated by the human body. Mass loops are avoided, and any electric shocks or electrostatic discharges are prevented. In addition, for small amplitudes of the biological signal, electromagnetic interferences of below 100 Hz of the power supply network were eliminated by using an active fourth-order Bessel filtering module. The measurements performed for the low frequency of f = 100 Hz on the volunteers showed for the investigated organs that the bioelectrical resistivities vary from 90 Ωcm up to 450 Ωcm, and that these are in agreement with other published and disseminated results for each body zone.
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Analog Gaussian Function Circuit: Architectures, Operating Principles and Applications. ELECTRONICS 2021. [DOI: 10.3390/electronics10202530] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This review paper explores existing architectures, operating principles, performance metrics and applications of analog Gaussian function circuits. Architectures based on the translinear principle, the bulk-controlled approach, the floating gate approach, the use of multiple differential pairs, compositions of different fundamental blocks and others are considered. Applications involving analog implementations of Machine Learning algorithms, neuromorphic circuits, smart sensor systems and fuzzy/neuro-fuzzy systems are discussed, focusing on the role of the Gaussian function circuit. Finally, a general discussion and concluding remarks are provided.
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Evaluation of Thoracic Equivalent Multiport Circuits Using an Electrical Impedance Tomography Hardware Simulation Interface. TECHNOLOGIES 2021. [DOI: 10.3390/technologies9030058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Electrical impedance tomography is a low-cost, safe, and high temporal resolution medical imaging modality which finds extensive application in real-time thoracic impedance imaging. Thoracic impedance changes can reveal important information about the physiological condition of patients’ lungs. In this way, electrical impedance tomography can be a valuable tool for monitoring patients. However, this technique is very sensitive to measurement noise or possible minor signal errors, coming from either the hardware, the electrodes, or even particular biological signals. Thus, the design of a good performance electrical impedance tomography hardware setup which properly interacts with the tissue examined is both an essential and a challenging concept. In this paper, we adopt an extensive simulation approach, which combines the system’s analogue and digital hardware, along with equivalent circuits of 3D finite element models that represent thoracic cavities. Each thoracic finite element model is created in MATLAB based on existing CT images, while the tissues’ conductivity and permittivity values for a selected frequency are acquired from a database using Python. The model is transferred to a multiport RLC network, embedded in the system’s hardware which is simulated at LT SPICE. The voltage output data are transferred to MATLAB where the electrical impedance tomography signal sampling and digital processing is also simulated. Finally, image reconstructions are performed in MATLAB, using the EIDORS library tool and considering the signal noise levels and different electrode and signal sampling configurations (ADC bits, sampling frequency, number of taps).
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Analysis, Simulation, and Development of a Low-Cost Fully Active-Electrode Bioimpedance Measurement Module. TECHNOLOGIES 2021. [DOI: 10.3390/technologies9030059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
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.
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Influence of Methods Approximating Fractional-Order Differentiation on the Output Signal Illustrated by Three Variants of Oustaloup Filter. Symmetry (Basel) 2020. [DOI: 10.3390/sym12111898] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Fractional-order (FO) differential equations are more and more frequently applied to describe real-world applications or models of phenomena. Despite such models exhibiting high flexibility and good fits to experimental data, they introduce their inherent inaccuracy related to the order of approximation. This article shows that the chosen model influences the dynamic properties of signals. First, we calculated symbolically the steady-state values of an FO inertia using three variants of the Oustaloup filter approximation. Then, we showed how the models influence the Nyquist plots in the frequency domain. The unit step responses calculated using different models also have different plots. An example of FO control system evidenced different trajectories dependent on applied models. We concluded that publicized parameters of FO models should also consist of the name of the model used in calculations in order to correctly reproduce described phenomena. For this reason, the inappropriate use of FO models may lead to drawing incorrect conclusions about the described system.
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