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Biomedical subjects

A G Ramakrishnan

Publications and source records attributed to A G Ramakrishnan.

7 recordsLinked to original sources

An investigation into the feasibility of fetal lung maturity prediction using statistical textural features.

Fetal lung and liver tissues were examined by ultrasound in 240 subjects during 24 to 38 weeks of gestational age in order to investigate the feasibility of predicting the maturity of the lung from the textural features of sonograms. A region of interest of 64 x 64 pixels is used for extracting textural features. Since the histological properties of the liver are claimed to remain constant with respect to gestational age, features obtained from the lung region are compared with those from liver. Though the mean values of some of the features show a specific trend with respect to gestation age, the variance is too high to guarantee definite prediction of the gestational age. Thus, we restricted our purview to an investigation into the feasibility of fetal lung maturity prediction using statistical textural features. Out of 64 features extracted, those features that are correlated with gestation age and less computationally intensive are selected. The results of our study show that the sonographic features hold some promise in determining whether the fetal lung is mature or immature.

Feasibility Studies↗

Wavelet domain nonlinear filtering for evoked potential signal enhancement.

A wavelet domain nonlinear filtering method for improving the signal-to-noise ratio (SNR) of the evoked potentials (EP) is proposed. The method modifies the selective filtering technique proposed for edge detection in images by Xu et al. for the case of signals which require a smooth transition at the edge points. It identifies the significant features of a noisy signal based on the correlation between the scales of its nonorthogonal subband decompositions. The signal transition information from interscale correlation coupled with the change in variance around the identified transition region is used to differentiate between noise and the signal. A nonlinear function such as a Gaussian smoothing function applied around the identified edge in the wavelet domain leads to smoothing in the signal space also. Numerical results obtained by applying the proposed nonlinear filtering method on middle latency responses of auditory evoked potentials show that the method is well suited for signal enhancement applications.

Evoked Potentials, Auditory↗

Heart rate variability as an index of cue reactivity in alcoholics.

BACKGROUND: Autonomic responses follow exposure to conditioned stimuli such as contextual factors associated with alcohol ingestion. Heart rate variability is under autonomic control and may be a measure of such response. METHODS: Twenty alcoholics and 23 matched social drinkers (all male) were exposed to a neutral cue and then an alcohol cue in identical settings, during which the electrocardiogram of these subjects was recorded. Time and frequency domain parameters of heart rate variability (HRV) were computed by a blind rater. RESULTS: Coefficient of variation of R-R intervals and absolute powers of HRV spectrum (in frequency bands 0.05-0.15 Hz and 0.01-0.05 Hz) following alcohol cue were significantly higher in alcoholics than social drinkers. The mean heart rate (MHR) failed to reflect this difference. CONCLUSIONS: HRV paradigm appears more sensitive than MHR to measure cue reactivity.

Adult↗

Effect of two selected yogic breathing techniques of heart rate variability.

The heart rate variability (HRV) is an indicator of the cardiac autonomic control. Two spectral components are usually recorded, viz. high frequency (0.15-0.50 Hz), which is due to vagal efferent activity and a low frequency component (0.05-0.15 Hz), due to sympathetic activity. The present study was conducted to study the HRV in two yoga practices which have been previously reported to have opposite effects, viz, sympathetic stimulation (kapalabhati, breathing at high frequency, i.e., 2.0 Hz) and reduced sympathetic activity (nadisuddhi, alternate nostril breathing). Twelve male volunteers (age range, 21 to 33 years) were assessed before and after each practice on separate days. The electrocardiogram (lead I) was digitized on-line and off-line analysis was done. The results showed a significant increase in low frequency (LF) power and LF/HF ratio while high frequency (HF) power was significantly lower following kapalabhati. There were no significant changes following nadisuddhi. The results suggest that kapalabhati modifies the autonomic status by increasing sympathetic activity with reduced vagal activity. The study also suggests that HRV is a more useful psychophysiological measure than heart rate alone.

Adult↗

ECG coding by wavelet-based linear prediction.

This paper presents a novel coding scheme for electrocardiogram (ECG). Following beat delineation, the periods of the beats are normalized by multirate processing. After amplitude normalization, discrete wavelet transform is applied to each beat. Due to the period and amplitude normalization, the wavelet transform coefficients bear a high correlation across beats at identical locations. To increase the compression ratio, the residual sequence obtained after linear prediction of the significant wavelet coefficients is transmitted to the decoder. The difference between the actual period and the mean beat period, and that between the actual scale factor and the average amplitude scale factor are also transmitted for each beat. At the decoder, the inverse wavelet transform is computed from the reconstructed wavelet transform coefficients. The original amplitude and period of each beat are then recovered. The approximation achieved, at an average rate of 180 b/s, is of high quality. We have evaluated the normalized maximum amplitude error and its position in each cycle, in addition to the normalized root mean square error. The significant feature of the proposed technique is that, while the error is nearly uniform throughout the cycle, the diagnostically crucial QRS region is kept free of maximal reconstruction error.

Algorithms↗

ECG compression by multirate processing of beats.

This paper presents a new compression scheme for single channel ECG, by delineating each ECG cycle. It uses multirate processing to normalize the varying period beats, followed by amplitude normalization. These beats are coded using vector quantization, with each beat being treated as a vector of uniform dimension. The average amplitude scale factor and the average beat period are made available at the decoder, along with the codebook of period and amplitude normalized beat vectors, to facilitate reconstruction of the signal. The actual beat period and the actual maximum amplitude of the beat are sent to the decoder by DPCM. It achieves a high quality approximation at less than 30 bits per second, with a compression ratio of around 100:1 to 200:1. To assess the technique properly we have evaluated two measures of error. Finally, the merits and demerits of the technique are discussed.

Electrocardiography↗

Electrophysiological correlates of hanseniasis.

Sensory nerve action potentials (SNAPs) and compound nerve action potentials (CNAPs) were recorded from 25 normal subjects and 21 hanseniasis patients following electrical stimulation of the median nerve at the wrist. The various nerve conduction parameters from the affected nerves of the patients were compared with those from the clinically normal nerves of patients as well as data from healthy individuals. Analysis of the data and clinical correlation studies indicate the suitability of amplitudes of the SNAPs and CNAPs rather than the nerve conduction velocities in better characterizing the neuropathy of the patients. Significantly reduced amplitudes of responses from clinically unaffected nerves of patients indicate an early stage of neuropathy, thus being of predictive value. Further, a discriminant classifier, trained on data from clinically affected nerves of patients, classified most of the data from clinically unaffected nerves of patients as abnormal. This indicates that clinical neurophysiological studies can reveal leprous neuropathy much before it becomes clinically evident by means of sensory or motor loss. A discriminant score involving only the parameters of motor threshold, amplitude of digit potential and palm nerve conduction velocity is able to classify almost all of the normal and abnormal responses. The authors hope that further confirmative studies might ultimately lead to the use of the study of distal sensory conduction in the upper limbs in possible screening of a population exposed to Mycobacterium leprae. On the other hand, misclassification of a normal person occurred and suggests that further refinement of the methods is necessary in order to facilitate wider use of the methods under field conditions.

Action Potentials↗