Biomedical subjects

D C Barber

Publications and source records attributed to D C Barber.

At least 19 recordsLinked to original sources

PubMed1998

Use of forward projection to correct patient motion during SPECT imaging.

We have developed an iterative method to correct axial and tangential patient motion occurring during tomographic acquisition. The method uses axial images reconstructed from the uncorrected projection images, which are then forward projected to form a basis for registering the original planar images and, in the process, directly seeks to establish a consistent data set. Our method can be applied to all SPECT scans including myocardial and brain SPECT. We demonstrate that the method is capable of detecting and quantitatively correcting for complex motion in both axial and tangential directions. Results from phantom experiments show excellent resolution and contrast recovery after simulated movement in both the axial and tangential directions and initial results with clinical data sets are encouraging.

Biophysical Phenomena↗

PubMed1996

Three-dimensional electrical impedance tomography.

The electrical resistivity of mammalian tissues varies widely and is correlated with physiological function. Electrical impedance tomography (EIT) can be used to probe such variations in vivo, and offers a non-invasive means of imaging the internal conductivity distribution of the human body. But the computational complexity of EIT has severe practical limitations, and previous work has been restricted to considering image reconstruction as an essentially two-dimensional problem. This simplification can limit significantly the imaging capabilities of EIT, as the electric currents used to determine the conductivity variations will not in general be confined to a two-dimensional plane. A few studies have attempted three-dimensional EIT image reconstruction, but have not yet succeeded in generating images of a quality suitable for clinical applications. Here we report the development of a three-dimensional EIT system with greatly improved imaging capabilities, which combines our 64-electrode data-collection apparatus with customized matrix inversion techniques. Our results demonstrate the practical potential of EIT for clinical applications, such as lung or brain imaging and diagnostic screening.

Algorithms↗

PubMed1996

Parametric modelling for electrical impedance spectroscopy system.

Three parametric modelling approaches based on the Cole-Cole model are introduced. Comparison between modelling only the real part and modelling both the real and imaginary parts is carried out by simulations, in which random and systematic noise are considered, respectively. The results of modelling the in vitro data collected from sheep are given to reach the conclusions.

Animals↗

PubMed1996

Three-dimensional image reconstruction for electrical impedance tomography.

Very little work has been conducted on three-dimensional aspects of electrical impedance tomography (EIT), partly due to the increased computational complexity over the two-dimensional aspects of EIT. Nevertheless, extending EIT to three-dimensional data acquisition and image reconstruction may afford significant advantages such as an increase in the size of the independent data set and improved spatial resolution. However, considerable challenges are associated with the software aspects of three-dimensional EIT systems due to the requirement for accurate three-dimensional forward problem modelling and the derivation of three-dimensional image reconstruction algorithms. This paper outlines the work performed to date to derive a three-dimensional image reconstruction algorithm for EIT based on the inversion of the sensitivity matrix approach for a finite right circular cylinder. A comparison in terms of the singular-value spectra and the singular vectors between the sensitivity matrices for a three-dimensional cylinder and a two-dimensional disc has been performed. This comparison shows that the three-dimensional image reconstruction algorithm recruits more central information at lower condition numbers than the two-dimensional image reconstruction algorithm.

Algorithms↗

PubMed1995

Automatic registration of SPECT images as an alternative to immobilization in neuroactivation studies.

Subtraction of the two components (baseline and stimulation) of a neuroactivation study using 99Tcm HMPAO SPECT requires accurate registration of the two images. Immobilization of the subject during and between the two components of the study can prove difficult and degrades signal to noise ratio. The use of an automated image registration technique for registering the two components of the test can, even in the case where the subject is removed from the scanner, produce significantly better registration than immobilization.

Algorithms↗

PubMed1995

A fast parametric modelling algorithm with the Powell method.

This paper presents a model that comprises only two parameters (R/S, fr) and the application of three function minimization algorithms (simplex, Powell and modified Powell) to this model to obtain parametric images. Comparisons among the three algorithms in terms of efficiency and reliability were carried out. It was found that, with proper initialization by taking the shape of the modelled data into consideration, the minimization function can be approximated by a quadratic function near the minimum point, therefore the iteration times can be minimized in the modified Powell method. The results show that with the modified Powell method a substantial reduction of computation time can be achieved in the parametric imaging. This makes it possible to obtain a 16 x 16 parametric image in 1 s.

Algorithms↗

PubMed1995

Incorporating a priori information into the Sheffield filtered backprojection algorithm.

The Sheffield image reconstruction algorithm is based on the assumption that the initial conductivity distribution of the body being imaged is uniform. In many situations this assumption is violated. Previous attempts at incorporating a priori information by modifications to the backprojection matrices were ineffective. An alternative method of including a priori information became apparent following the recent reformulation of the Sheffield image reconstruction algorithm. Applying matrix algebra to the image reconstruction equations reveals that the incorporation of a priori information can be considered as either a modification to the original backprojection matrix or a component of a composite data filter. A simple two-dimensional model of the adult head was chosen to test this approach. The results of imaging studies using synthetic data derived from this model show that a priori information has been successfully incorporated into the image reconstruction process. The ability to include a priori information into the image reconstruction process may have significant implications for the more challenging applications of EIT such as imaging the adult head.

Adult↗

PubMed1994

Multi-frequency imaging and modelling of respiratory related electrical impedance changes.

Two studies concerning multi-frequency impedance measurements are presented. The first uses tetrapolar measurements made on the thorax and the second electrical impedance tomography images, also made from the thorax. The way in which the impedance and the changes in impedance with ventilation depend upon frequency are investigated using Cole-Cole modelling and also a physiological model of lung tissue. There is an excellent fit to the Cole-Cole model, and the results show that it should be possible to identify tissue on the basis of the impedance spectrum and the spectrum of the changes in impedance during breathing.

Cardiography, Impedance↗

PubMed1994

Image reconstruction using non-adjacent drive configurations.

The standard 'back projection' image reconstruction algorithm developed at Sheffield uses data obtained by passing current between adjacent pairs of electrodes and measuring voltage differences between the remaining pairs. Previously it has been argued that this configuration gives the best resolution compared to all other bipolar drive configurations. However, it also gives the worst signal to noise ratio data and it is possible that under conditions of poor signal to noise ratio it may be advantageous to use an alternative drive configuration, even at the expense of resolution. A general image reconstruction algorithm for any bipolar drive configuration has been produced. Reconstruction algorithms for the adjacent, cross (drive electrodes 90 degrees apart) and polar drive (drive electrodes 180 degrees apart) have been examined and compared in terms of their resolution and noise performance.

Algorithms↗

PubMed1994

Cardiac and respiratory related electrical impedance changes in the human thorax.

Electrical impedance measurements have been made from the human trunk over the frequency range 9.6 kHz to 614 kHz. Measurements have been made from 12 normal subjects and the amplitude of the impedance changes associated with the cardiac and respiratory cycles have been recorded. It was found that the real part of the impedance fell to 64.0% of its low frequency value over the measured range of frequencies and that the changes associated with respiration fell in a similar manner. However, the cardiac related changes fell more rapidly with increasing frequency to 28.2% of the low frequency value. The origin of the measured changes is discussed with a view to understanding why the cardiac related changes fall more rapidly. It is not possible to relate in any simple way the frequency dispersion of a single component to that of the whole trunk. However, the results are consistent with the lungs being the major origin of both the cardiac and respiratory related components. The origin of the cardiac related impedance changes could be the pulsatile volume changes in the pulmonary tree. These could be shunted by nonpulsatile lung tissue that has decreasing impedance at high frequency and thus decreases the relative magnitude of the cardiac related changes. This hypothesis needs to be tested using localized measurements from the thorax and 3-D modeling of the trunk.

Adult↗

PubMed1993

Quantification of disease activity in Crohn's disease by computer analysis of Tc-99m hexamethyl propylene amine oxime (HMPAO) labelled leucocyte images.

The reliability and clinical applications of computerised image analysis measurement of bowel uptake of Tc-99m HMPAO labelled leucocytes has been examined as a measure of disease activity in Crohn's disease. In 54 studies carried out on 33 patients with established Crohn's disease, the mean 'scan score', a quantitative assessment of image intensity, was 82.1 SEM (13.6), in patients with clinically active disease compared to 24.7 (7.0) in those with quiescent disease, p < or = 0.0005. A significant correlation was found between the scan score and Crohn's Disease Activity Index (rs = 0.52, p < 0.0001), and Harvey and Bradshaw Simple Index (rs = 0.4, p < 0.004). A low scan score correctly identified seven patients whose raised Crohn's Disease Activity Index incorrectly indicated active disease because symptoms used in calculation of the index were not caused by active inflammation. Of the laboratory measurements, the scan score correlated with the haemoglobin (rs = 0.66, p < 0.0001), albumin level (rs = -0.6, p < 0.0001), C-reactive protein (rs = 0.7, p < 0.0001), alpha-acid glycoprotein (rs = 0.57, p < 0.001), and platelet count (rs = 0.47, p < or = 0.006), but not with the erythrocyte sedimentation rate (rs = 0.2, p < or = 0.25). The scan score was raised in all patients who had clinically active disease but normal laboratory tests. The results of this study indicate that the scan score provides an objective indicator of disease activity in Crohn's disease which may be superior to clinical indices, and also to laboratory tests which although objective are often normal in the presence of active disease.

Acute Disease↗

PubMed1992

Registration of low resolution medical images.

There are several situations in which the registration of two medical images is desirable. One example is the registration of two images of the same organ taken using different radionuclide tracers, for example the ventilation and perfusion components of a V/Q lung scan, where the aim is to compare the regional uptake of the two tracers. Another example is the registration of images of an organ belonging to a single patient but taken at different times, where the aim is to follow changes in tracer uptake. Such techniques require a reliable method of registering images. One image is usually brought into registration with another image using a coordinate transfer function (CTF) and the central problem in image registration is the determination of the appropriate CTF. A new semi-automatic approach to the problem of finding the CTF for similar images is described which is especially applicable to low resolution images.

Diagnostic Imaging↗

PubMed1992

99Tcm HMPAO-labelled leucocyte imaging in Crohn's disease: a subtraction technique for the quantification of disease activity.

A new technique for the quantitative analysis of labelled leucocyte images from patients with inflammatory bowel disease is described. The method involves the computer generation of a 'background' image which, after appropriate registration, is subtracted from the patient's image to leave a residue which represents abnormal uptake in the bowel. Quantification of the residual activity yields a scan score which can be related to the level of disease activity in patients with Crohn's disease. In 54 investigations on 33 patients the scan scores correctly agreed with a clinical assessment of disease activity in 16 of 20 cases with inactive disease and 32 out of 34 cases with active disease. Most of the discrepancies reflected inaccuracies in the clinical assessment of activity rather than shortcomings of the imaging technique.

Crohn Disease↗

PubMed1992

Back-projection distortions in applied potential tomography images due to non-uniform reference conductivity distributions.

An investigation was conducted to determine and quantify the distortions in applied potential tomography (APT) images reconstructed from data originating from bodies of non-uniform reference conductivity distributions. The results show that the distortions in the images are dependent on the reference conductivity distribution and on whether the images are formed by back projection along the assumed equipotentials of a uniform reference conductivity distribution or along the equipotentials of the true conductivity distribution. We believe that this last finding is significant since our previously held expectation, similar to that of Yorkey and Webster (1987), that back projection along the true equipotentials of the reference conductivity distribution should result in an accurate reconstruction, is shown to be incorrect.

Electric Conductivity↗

PubMed1992

Noise and spatial resolution of a real-time electrical impedance tomograph.

The Sheffield real-time electrical impedance tomograph produces 25 images per second, using 16 electrodes with adjacent-pair current drive and non-iterative image reconstruction. We describe the data acquisition timing of this instrument and present quantitative measurements of its signal-to-noise ratio and spatial resolution.

Electric Conductivity↗

PubMed1992

Blood flow imaging using electrical impedance tomography.

It is shown that a real-time electrical impedance tomography (EIT) system can be used to image the flow of saline through the human vascular system. A 10 ml bolus of 0.9% saline injected intravenously distal to an EIT imaging plane allows venous flow to be observed. Measurements on a cylindrical tank with flow along axial conductive tubes have been used to establish that the area under a concentration against time curve can be obtained from the EIT images and used to determine the flow rate down the tube. In vivo results show that flow images of the venous system in a limb can be obtained and that there is adequate sensitivity to follow the passage of a saline bolus though the cardiac chambers.

Blood Flow Velocity↗

PubMed1992

Monitoring body fluid distribution in microgravity using impedance tomography (APT (applied potential tomography)).

For an astronaut, the excitement of going into orbit is accompanied by a shift of 1 to 1.5 l of fluid from the legs into the upper body. Information on the way the redistributed fluid is handled by the body is very useful to space physiologists studying the process of adaptation to zero-gravity. Applied potential tomography (APT) can be used to image changes in fluid distribution. To ensure that the technique was capable of measuring fluid shifts induced by changing gravitational forces on the body, a standard Sheffield APT system was used to study several subjects during the eight ESA parabolic flight campaign. The results clearly demonstrated the feasibility of using APT for monitoring fluid redistribution during space flight. A battery-powered, body-worn APT system has now been developed for use in space. The equipment was tested on the eleventh parabolic flight campaign. The data collected with the miniaturised system was comparable to that obtained in the earlier experiment. Ergonomic tests indicated that the equipment is no more difficult to operate and maintain under weightless conditions than on earth. The system is undergoing space qualification tests in Munich. If no problems arise it will be used by German astronauts on missions to MIR and Skylab.

Body Fluids↗

PubMed1992

Determination of the arterial flow fraction in normal and diseased livers using constrained deconvolution.

There is some evidence that the ratio of the blood flow to the liver through the hepatic artery to the total flow to the liver through the hepatic artery and portal vein (the hepatic arterial flow fraction, AFF) is altered in the presence of cirrhosis. Several methods have been published that seek to provide an index of this ratio. These indices are dependent on factors other than the AFF and cannot provide a true measure of it. The impulse retention function of the liver has two components and these may be derived using a model-driven deconvolution of the arterial tracer concentration curve and the curve of tracer concentration in the liver. The AFF may then be obtained from the relative heights of these two components. Simulation studies show that the AFF calculated using this method is reasonably accurate and a small clinical series shows that it is capable of appropriate clinical classification of patients into cirrhotic and non-cirrhotic groups.

Colloids↗