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Biomedical subjects

F K Lam

Publications and source records attributed to F K Lam.

24 records · Page 2Linked to original sources

Thyroid diagnosis by thermogram sequence analysis.

A computerised thermal imaging system for thyroid diagnosis was developed by the authors and it was discovered that the rate of changes of temperature, rather than the absolute values, associated with a sequence of thermograms could help the medical doctors to identify clinical disorders. In order to further enhance the diagnostic capabilities and speed, a new method for medical thermogram analysis has been developed that compresses a sequence of thermograms into one thermogram while retaining the important information such as the geometrical patterns of the objects and the rate of temperature changes of each pixel within the images. As motion artifacts are unavoidable when a patient undergoes minutes of thermogram recording, direct comparison between images is deemed impossible. A high speed image matching algorithm has been developed to provide an absolute geometrical foundation for pixel-to-pixel comparison. The rate of change of temperature of a particular pixel along the sequence is represented by one single parameter after a process of temperature integration which can then be converted into a corresponding gray level for display. The resultant compressed thermogram can give a clear distinction between problem areas and normal ones. Although our emphasis is on thyroid diagnosis, it is anticipated that this new technique can be applicable to other areas of a human body.

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Visual evoked potential measurement by adaptive filtering.

The method of ensemble averaging (EA), commonly used to improve signal-to-noise ratio (SNR) in evoked potential measurements, loses potentially useful information regarding response variability across trials. Due to the usually low SNR, it is difficult to extract the response from individual trials. The present paper describes an adaptive signal enhancer (ASE) that is capable of tracking the variation of visual evoked potential (VEP) from trial to trial as well as improving SNR. This ASE requires two inputs: a primary input, which is the raw noise-corrupted response, and a reference input, which is designed for an optional performance of ASE. We used moving ensemble averaging (MEA) to form the dynamic reference input. Experimental results in humans show a satisfactory performance of the ASE in determining VEP to single stimulus and in tracking the temporal changes of the signal.

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An enhanced approach to adaptive processing of the brain stem auditory evoked potential.

The present paper describes an adaptive signal enhancer (ASE) method for improving signal-to-noise ratio (SNR) and also for tracking the variation of brain-stem auditory evoked potential (BAEP). The enhancer has two inputs: a primary input which is the original data to be processed, consisting of signal badly corrupted by noise, and a reference input. A method called dynamic averaging (DA) is introduced to obtain the reference input. The improved reference signal allows closer tracking of evoked potential in each subsequent trial. For BAEP measurement in human, the SNR is typically very low. It requires about 200 ensembles to generate the reference input acceptable for ASE, and tracking of the variation of BAEP can be obtained satisfactorily. Our results show that while ensemble averaging is still needed, the total number of ensembles is greatly reduced. The adaptive method thus reduces the time of measurement for BAEP compared with the conventional method of ensemble averaging.

Electricity↗

Spectral characteristics of embolic heart sounds detected by precordial Doppler ultrasound during venous air embolism in dogs.

We have studied the frequency spectrum of embolic heart sounds as detected by precordial Doppler ultrasound after injecting air 0.01-0.1 ml into the external jugular vein of anaesthetized dogs (n = 7). At volumes of 0.05 ml and greater, there was a significant increase in both the maximum frequency of the spectrum and the power of those high frequency components to greater than control values. Both changes correlated significantly with the volume of air injected (P < 0.05). With repeated injections of air at 5-min intervals, there was a small increase in the high frequency components in the control signal between injections (P < 0.05). We conclude that such spectral changes could be used to quantify the volume of air in transit through the heart, and to reflect the short-term history of venous air embolism.

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Measurement of human BAERs by the maximum length sequence technique.

The traditional brainstem auditory evoked response (BAER) measurement technique (ensemble averaging) is time-consuming and is not acceptable for some time-critical clinical applications. In the paper the application of a pseudorandom binary sequence, the maximum length sequence, to human BAER measurements is examined. This technique permits a faster click rate to stimulate the test subject, and obtains a higher signal-to-noise ratio (SNR) response through deconvolution. When compared with conventional averaging, the method can result in an improved SNR or in faster measurement of BAER. The theory of the technique and the experimental setup are presented, and theoretical analysis on the SNR improvement by this technique against averaging is also given. Actual measurements of BAER on both humans and cats indicate that this technique is effective, especially when the measurement time is not too long, or the number of trials is not too large.

Algorithms↗

Visual evoked potential measurement by maximum length sequence technique.

The maximum length sequence (MLS) technique is applied to improve data collection of a clinically important long latency visual potential. Given a limited time for measuring the response and with low number of stimulus presentation, the MLS technique exceeded the conventional method of ensemble averaging in attaining a higher signal-to-noise ratio (SNR). The theoretical consideration of such improvement is developed along with the system implementation. Typical examples of the results obtained in a human subject are presented.

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