DOI QR코드

DOI QR Code

Gated Conductivity Imaging using KHU Mark2 EIT System with Nano-web Fabric Electrode Interface

나노웹 섬유형 전극 인터페이스와 KHU Mark2 EIT 시스템을 이용한 생체신호 동기 도전율 영상법

  • Kim, Tae-Eui (Impedance Imaging Research Center and Department of Biomedical Engineering, Kyung Hee University) ;
  • Kim, Hyun-Ji (Impedance Imaging Research Center and Department of Biomedical Engineering, Kyung Hee University) ;
  • Wi, Hun (Impedance Imaging Research Center and Department of Biomedical Engineering, Kyung Hee University) ;
  • Oh, Tong-In (Impedance Imaging Research Center and Department of Biomedical Engineering, Kyung Hee University) ;
  • Woo, Eung-Je (Impedance Imaging Research Center and Department of Biomedical Engineering, Kyung Hee University)
  • 김태의 (경희대학교 생체의공학과) ;
  • 김현지 (경희대학교 생체의공학과) ;
  • 위헌 (경희대학교 생체의공학과) ;
  • 오동인 (경희대학교 생체의공학과) ;
  • 우응제 (경희대학교 생체의공학과)
  • Received : 2011.12.14
  • Accepted : 2012.02.09
  • Published : 2012.03.30

Abstract

Electrical impedance tomography(EIT) can produce functional images with conductivity distributions associated with physiological events such as cardiac and respiratory cycles. EIT has been proposed as a clinical imaging tool for the detection of stroke and breast cancer, pulmonary function monitoring, cardiac imaging and other clinical applications. However EIT still suffers from technical challenges such as the electrode interface, hardware limitations, lack of animal or human trials, and interpretation of conductivity variations in reconstructed images. We improved the KHU Mark2 EIT system by introducing an EIT electrode interface consisting of nano-web fabric electrodes and by adding a synchronized biosignal measurement system for gated conductivity imaging. ECG and respiration signals are collected to analyze the relationship between the changes in conductivity images and cardiac activity or respiration. The biosignal measurement system provides a trigger to the EIT system to commence imaging and the EIT system produces an output trigger. This EIT acquisition time trigger signal will also allow us to operate the EIT system synchronously with other clinical devices. This type of biosignal gated conductivity imaging enables capture of fast cardiac events and may also improve images and the signal-to-noise ratio (SNR) by using signal averaging methods at the same point in cardiac or respiration cycles. As an example we monitored the beat by beat cardiac-related change of conductivity in the EIT images obtained at a common state over multiple respiration cycles. We showed that the gated conductivity imaging method reveals cardiac perfusion changes in the heart region of the EIT images on a canine animal model. These changes appear to have the expected timing relationship to the ECG and ventilator settings that were used to control respiration. As EIT is radiation free and displays high timing resolution its ability to reveal perfusion changes may be of use in intensive care units for continuous monitoring of cardiopulmonary function.

Keywords

References

  1. L. A. Geddes, and L. E. Baker, "The specific resistance of biological material: a compendium of data for the biomedical engineer and physiologist," Medical Engineering & Physics, vol. 5, no. 3, pp. 271-293, 1967.
  2. S. Gabriel, R. W. Lau, and C. Gabriel, "The dielectric properties of biological tissues: II. measurements in the frequency range 10 Hz to 20 GHz," Phys. Med. Biol, vol. 41, no. 11, pp. 2251-2269, 1996. https://doi.org/10.1088/0031-9155/41/11/002
  3. C. Gabriel, S. Gabriel, and E. Corthout, "The dielectric properties of biological tissues: I. literature survey," Phys. Med. Biol, vol. 41, no. 11, pp. 2231-2249, 1996. https://doi.org/10.1088/0031-9155/41/11/001
  4. S. Grimnes, and O. G. Martinsen, Bioimpedance and Bioelectricity Basics, 2nd Ed, Oxford, UK: Academic Press, 2008.
  5. D. S. Holder, Electrical Impedance Tomography: Methods, History and Applications, Bristol, UK: Univ. Press, 2005
  6. J. G. Webster, Electrical Impedance Tomography, Bristol, UK: Univ. Press, 1990
  7. I. Frerichs, "Electrical impedance tomography (EIT) in applications related to lung and ventilation: a review of experimental and clinical activities," Physiol. Meas, vol. 21, no. 2, pp. R1-R21, 2000. https://doi.org/10.1088/0967-3334/21/2/201
  8. Y. Zou, and Z. Guo, "A review of electrical impedance techniques for breast cancer detection," Medical Engineering & Physics, vol. 25, no. 2, pp. 79-90, 2003 https://doi.org/10.1016/S1350-4533(02)00194-7
  9. J. Sola, A. Adler, A. Santos, G. Tusman, and F. S. Sipmann, "Non-invasive monitoring of central blood pressure by electrical impedance tomography: first experimental evidence," Med. Eng. Comput., vol. 49, no. 4, pp. 409-415, 2011. https://doi.org/10.1007/s11517-011-0753-z
  10. A. McEwan, G. Cusick, and D. S. Holder, "A review of errors in multi-frequency EIT instrumentation," Physiol. Meas, vol. 28, no. 7, pp. S197-S215, 2007. https://doi.org/10.1088/0967-3334/28/7/S15
  11. B. H. Brown, "Electrical impedance tomography (EIT): a review," J of Med. Eng. & Tech. vol.27, no. 3, pp. 97-108, 2003. https://doi.org/10.1080/0309190021000059687
  12. J. M. Deibele, H. Luepschen, and S. Leonhardt, "Dynamic separation of pulmonary and cardiac changes in electrical impedance tomography," Physiol. Meas., vol. 29, no. 6, pp. 1- 14, 2008. https://doi.org/10.1088/0967-3334/29/1/001
  13. G. Hahn, J. Dittmar, A. Just, and G. Hellige, "Different approaches for quantifying ventilation distribution and lung tissue properties by functional EIT," Physiol. Meas., vol. 31, no. 8, pp. 73-84 2010. https://doi.org/10.1088/0967-3334/31/8/S06
  14. P. Yan, and S. Wang, "Estimation of Locating the Multi-Conductivity Distribution in Electrical Impedance Tomography Using ICA," in Proc. Diagnostics and Treatment II, Beijing, China, Nov. 2004, vol. 5630, pp. 523-530, 2005.
  15. J. H. Li, C. Joppek, and U. Faust, "Fast EIT data acquisition system with active electrodes and its application to cardiac imaging," Physiol. Meas. vol. 17, no. 4, pp. A25-A32, 1996. https://doi.org/10.1088/0967-3334/17/4A/005
  16. R. J. Sadleir, R. A. Fox, and V. F. Turner, "Inflatable belt for the application of electrode arrays," Rev. Sci. Instrum. vol. 71, no. 2, pp. 530-535, 2000. https://doi.org/10.1063/1.1150236
  17. T. I. Oh, S. M. Baek, J. S. Lee, E. J. Woo and C. J. Park, "Development of prototype multi-channel digital EIT system with radially symmetric architecture," J.Biomed. Eng. Res., vol. 26, no. 4, pp. 215-221, 2005.
  18. T. I. Oh, S. P. Cho, S. M. Kim, H. Koo, and E. J. Woo, "Multifrequency electrical impedance tomography system," J.Biomed. Eng. Res., vol. 28, no. 1, pp. 66-74, 2007.
  19. T. I. Oh, H. Wi, D. Y. Kim, P. J. Yoo, and E. J. Woo, "A fully parallel multi-frequency EIT system with flexible electrode configuration: KHU Mark2," Physiol. Meas. vol. 32, no. 7, pp. 835-849, 2011. https://doi.org/10.1088/0967-3334/32/7/S08
  20. R. D. Cook, G. J. Saulnier, D. G. Gisser, J. G. Goble, J. C. Newell, and D. Isaacson, "ACT3: a high-speed, high-precision electrical impedance tomography," IEEE Trans. Biomed. Eng. vol. 41, no. 8, pp. 713-722, 1994. https://doi.org/10.1109/10.310086
  21. A. V. Noordegraaaf, A. Janse, J. T. Marcus, J. G. F. Bronzwaer, P. E. Postmus, T. J. C. Faes, and P. M. J. M. Vries, "Determination of stroke volume by means of electrical impedance tomography," Physiol. Meas., vol. 21, no. 2, pp. 285-293, 2000. https://doi.org/10.1088/0967-3334/21/2/308
  22. P. J. Xu, H. Zhang, and X. M. Tao, "Textile-structured electrodes for electrocardiogram," Textile Progress, vol. 40, no. 4, pp. 183-213, 2008. https://doi.org/10.1080/00405160802597479
  23. S. Franco, Design with Operational Amplifiers and Analog Integrated Circuits 3rd. ed, NY, USA: McGraw-Hill Press, 2002.