The influence of CSF on EEG sensitivity distributions of multilayered head models

We examined how the cerebrospinal fluid (CSF) affects the distribution of electroencephalogram (EEG) measurement sensitivity. We used concentric spheres and realistic head models to investigate the difference between computed-tomography (CT) and magnetic resonance image (MRI) models that exclude the CSF layer. The cortical EEG sensitivity distributions support these phenomena and show that the CSF layer significantly influences them, thus identifying the importance of including the CSF layer inside the head volume conductor models. The results show that the highly conductive CSF channels the current, thus decreasing the maximum cortical current density relative to models that do not include the CSF. We found that the MRI and CT models yielded HSV results 20% and 45%, respectively, too small when compared with CSF-inclusive models.

Prediction of implantable ECG lead systems by using thorax models

New implantable ECG devices may provide more stable and noiseless measurements compared to body surface ECG measurements. When the electrodes are moved to inside of the body the way the ECG measurement is done is changing. Modeling can be an effective way to study effects of implantation to the capacity of electrodes to measure ECG compared to surface measurements. This work introduces a project where effects of electrode implantation to the magnitude and direction of lead sensitivity to detect cardiac source, lead field, was studied with a model of the thorax as a volume conductor. The study was based on 3D finite difference method (FDM) featuring visible human man. The results of the study indicate that the effect of electrode implantation under the skin (5-15 mm) to the way they measure ECG is rather small. Magnitude change is dependent of the studied lead and the change of the sensitivity to heart's equivalent sources in direction of lead field is minor.

Estimation of ECG signal of closely separated bipolar electrodes using thorax models

New miniaturized portable ECG measuring devices may require reduced electrode size and distance. Modeling tools can be useful in predicting the behavior of electric field between electrodes. This work introduces a project where the effect of interelectrode distance (IED) of ECG precordial electrodes was studied with a model of the thorax as a volume conductor and with body surface potential map (BSPM) data. The objective was to study how the IED affects the signal strength and how well the modeling data corresponds to the clinical data. 2D and 3D finite difference method (FDM) torso models based on visible human man data were used. On these FDM models, the electrodes9 sensitivity to measure the electric field of the heart was derived. The results were compared to clinical 120 channel BSPM data. It was found out that reducing the IED obviously decreases the signal strength. According to the clinical data, the magnitude of this effect depends on the electrode location. This study indicates that modeling the volume conductor can predict the signal strength obtained with given electrode configurations. 3D modeling is more accurate in predicting the signal strength from clinical recordings; however, also simple and fast 2D modeling results show comparable values.

Effects of hypertonic 75 mg/ml (7.5%) saline on extracellular water volume when used for preloading before spinal anaesthesia

BACKGROUND

Prevention of hypotension during spinal anaesthesia is commonly achieved using fluid preloading. This may result in a substantial amount of excess free water retained in the body after spinal anaesthesia. We aimed to evaluate the effects of 7.5% hypertonic saline on extracellular water volume and haemodynamics when used for fluid preloading before spinal anaesthesia.

METHODS

This randomised double-blind study evaluated the effects of 75 mg/ml (7.5%) hypertonic saline (HS) on extracellular water volume and haematocrit in patients undergoing arthroscopy or other lower limb surgery under spinal anaesthesia. Amounts of 1.6 ml/kg of HS (20 patients) or 13 ml/kg of 9 mg/ml normal saline (20 patients) were administered for preloading before spinal anaesthesia with a 10 mg dose of 0.5% hyperbaric bupivacaine. Etilefrine was administered in order to maintain mean arterial pressure (MAP) at >or=80% of its baseline value. Whole-body impedance cardiography-derived cardiac index (CI) and extracellular water (ECW) were measured.

RESULTS

There were no significant differences in demographic data or in the number of blocked segments. ECW remained similar in both groups despite the much smaller amount of infused free water in the HS group. There were no significant differences between the groups in CI values during the study. The amount of etilefrine administered was similar in the treatment groups. Dilution of haematocrit was also similar in both groups.

CONCLUSION

Hypertonic 75 mg/ml (7.5%) saline is an alternative for preloading before spinal anaesthesia in situations where excess free water administration is not desired. It is effective in small doses of 1.6 ml/kg, which increase the extracellular water, plasma volume and cardiac output, and thus maintain haemodynamic stability during spinal anaesthesia.

Effects of tissue resistivities on electroencephalogram sensitivity distribution

The effects of tissue resistivities on EEG amplitudes were studied using an anatomically accurate computer model based on the finite difference method (FDM) and lead field analysis covering the whole brain area with 180,000 nodes. Five tissue types and three lead fields were considered for analysis. The changes in sensitivity distribution are directly comparable to changes in the potential distribution on the scalp. The results indicate that a 10% decrease in any tissue resistivity caused 3.0-4.1% differences in the sensitivity distributions of the selected EEG leads. The applied 10% decrease in the resistivity values covers only a fraction of the range of variation of 50% to 100% reported in the literature. The use of a 55% decreased skull resistivity value or a commonly applied three-compartment model increased the differences to 28% and 33%, respectively. In conclusion, both a realistic anatomy and accurate resistivity data are important in EEG head models.

Application of computer modelling and lead field theory in developing multiple aimed impedance cardiography measurements

Conventional impedance cardiography (ICG) methods estimate parameters related to the function of the heart from a single waveform that reflects an integrated combination of complex sources. We have previously developed methods and tools for calculating measurement sensitivity distributions of ICG electrode configurations. In this study, the methods were applied to investigate the prospects of recording multiple aimed ICG waveforms utilizing the 12-lead electrocardiography (ECG) electrode locations. Three anatomically realistic volume conductor models were used: one based on Visible Human Man cryosection data and two on magnetic resonance (MR) images representing end diastolic and end systolic phases of the cardiac cycle. Based on the sensitivity distributions obtained, 236 electrode configurations were selected for preliminary clinical examination on 12 healthy volunteers and 9 valvular patients. The model study suggested that a variety of configurations had clearly enhanced sensitivity to the cardiovascular structures as compared to conventional ICGs. Simulation data and clinical experiments showed logical correspondence supporting the theoretically predicted differences between the configurations. Recorded 12-lead ICG signals had characteristic waveforms and landmarks not coinciding with those of conventional ICG. Furthermore, configurations showing resemblance to invasive data and morphological variations in disease are of interest. The results indicate the applicability of the modelling approach in developing ICG measurement configurations. However, the level of clinical relevance and potential of the 12-lead method remains to be explored in studies employing dynamic modelling and acquisition of invasive reference data.

A software implementation for detailed volume conductor modelling in electrophysiology using finite difference method

There is an evolving need for new information available by employing patient tailored anatomically accurate computer models of the electrical properties of the human body. Because construction of a computer model can be difficult and laborious to perform sufficiently well, devised models have varied greatly in the level of anatomical accuracy incorporated in them. This has restricted the validity of conducted simulations. In the present study, a versatile software package was developed to transform anatomic voxel data into accurate finite difference method volume conductor models conveniently and in a short time. The package includes components for model construction, simulation, visualisation and detailed analysis of simulation output based on volume conductor theory. Due to the methods developed, models can comprise more anatomical details than the prior computer models. Several models have been constructed, for example, a highly detailed 3-D anatomically accurate computer model of the human thorax as a volume conductor utilising the US National Library of Medicine's (NLM) Visible Human Man (VHM) digital anatomy data. Based on the validation runs the developed software package is readily applicable in analysis of a wide range of bioelectric field problems.

Semi-automatic tool for segmentation and volumetric analysis of medical images

Segmentation software is described, developed for medical image processing and run on Windows. The software applies basic image processing techniques through a graphical user interface. For particular applications, such as brain lesion segmentation, the software enables the combination of different segmentation techniques to improve its efficiency. The program is applied for magnetic resonance imaging, computed tomography and optical images of cryosections. The software can be utilised in numerous applications, including pre-processing for three-dimensional presentations, volumetric analysis and construction of volume conductor models.

Detailed model of the thorax as a volume conductor based on the visible human man data

A large number of computerized conductivity models of the human thorax have been created to study bioelectric phenomena in human beings. Devised models have varied greatly in the level of anatomical detail incorporated thus restricting the accuracy and validity of conducted simulations. This paper introduces a highly detailed anatomically accurate three-dimensional computer model of the conductive anatomy of the human thorax for calculating electric fields generated by equivalent bioelectric sources and different externally applied sources. The anatomy of the devised model is based on high resolution colour cryosection images of the US National Library of Medicine's Visible Human Man data set and is comprised of more anatomical detail than prior computer models. The model is based on the finite difference method and is readily applicable for the analysis of a wide range of biomedical field problems, such as electrocardiography, impedance cardiography, tissue stimulations, and especially, in development of measurement systems.

Mobility and percussion sound of healthy upper incisors and canines

In order to evaluate the correlation between mobility and percussion sound, 126 upper incisors and canines in 21 student volunteers were measured by means of the Periotest (Siemens), by evaluating the percussion sound subjectively and by analyzing its spectrum. The attenuation time and frequency of the sound were measured for each tooth. A logical mobility and percussion sound existed in accordance with the sizes of the teeth. Spearman correlation coefficients close to 1.00 were noted in individual cases between the Periotest and the three other tests describing the percussion sounds.