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Biomedical subjects

J G Webster

Publications and source records attributed to J G Webster.

At least 55 records · Page 3Linked to original sources

Finite element modeling of electrode-skin contact impedance in electrical impedance tomography.

In electrical impedance tomography (EIT), we inject currents through and measure voltages from an array of surface electrodes. The measured voltages are sensitive to electrode-skin contact impedance because the contact impedance and the current density through this contact impedance are both high. We used large electrodes to provide a more uniform current distribution and reduce the contact impedance. A large electrode differs from a point electrode in that it has shunting and edge effects which cannot be modeled by a single resistor. We used the finite element method (FEM) to study the electric field distributions underneath an electrode, and developed three models: a FEM model, a simplified FEM model and a weighted load model. We showed that the FEM models considered both shunting and edge effects and matched closely the experimental measurements. FEM models for electrodes can be used to improve the performance of an electrical impedance tomography reconstruction algorithm.

Algorithms↗

Bioelectric impedance measurements using synchronous sampling.

We have applied synchronous sampling to the demodulation of bioelectric impedance signals. This overcomes the need for analog demodulators in bioimpedance measurements. The sampling rate is determined by signal bandwidth, rather than by the highest frequency component before demodulation.

Animals↗

AC instrumentation amplifier for bioimpedance measurements.

We analyze the input impedance and CMRR requirements for an amplifier for bioimpedance measurements when considering the capacitive components of the electrode-skin contact impedance. We describe an ac-coupled instrumentation amplifier (IA) that, in addition to fulfilling those requirements, both provides interference and noise reduction, and yields a zero phase shift over a wide frequency band without using broadband op amps.

Amplifiers, Electronic↗

The mosaic electrical characteristics of the skin.

The goals of this study are: 1) to characterize the structure of the skin by measuring impedance variations with a suction microelectrode; 2) to correlate the observed impedance variations with dc current pathways through the skin; 3) to characterize the breakdown phenomenon. We constructed a suction microelectrode with a 200-microns internal diameter and performed several tests on two male subjects. Skin impedance measured from different locations on the forearm and palm varied considerably. We found that the average skin impedance on the forearm was larger than the average impedance on the palm and that the ratio between the maximal and minimal skin impedance is larger for the forearm than for the palm. For both the forearm and the palm the magnitude and variance of skin impedance decrease with increasing stimulus frequency. The density of low impedance points observed on the forearm and palm are consistent with the density of dc current pathways through the skin as indicated by traces left on 1-cm2 Ag electrodes when we passed dc current through the skin. The ratio between the highest and lowest impedances decreased as temperature decreased--at low temperatures the skin displayed mostly high impedances. We were not able to break down the skin using the suction microelectrode. The tests with dry and wet electrodes suggest that breakdown is of thermal nature, and that the thermal capacitance of the saline in the suction microelectrode prevents the temperature of the underlying skin from increasing very rapidly. In conjunction with the larger impedance values, this would tend to increase the breakdown voltage.

Body Temperature↗

Skin impedance measurements using simple and compound electrodes.

We have studied the effect of the electrode configuration on the measurement of body impedance and found that the electrode configuration greatly affects the impedance measurement using the four-electrode method. We studied the characteristics of the compound electrode and found that the compound electrode provides the four-electrode method in a compact form. A new method of measuring the skin impedance using simple electrodes at low frequencies was developed. At high frequencies where the effect of internal tissue impedance is not negligible, we used the compensation method using compound electrodes, because they measure the voltage right under the skin. At 50 kHz, we measured the real part of the skin impedance of less than 80 omega on the thorax. We propose a simple instrument which can measure accurate skin impedance at various frequencies.

Electric Conductivity↗

External finger forces in submaximal five-finger static pinch prehension.

Small conductive polymer force sensors were attached to the distal phalangeal pads for measuring individual finger forces exerted during submaximal static pinch. A linear force summing strain gauge dynamometer for measuring resultant five-finger pinch force was grasped vertically using a neutral wrist posture. Individual finger forces were measured at fixed total pinch force levels of 10%, 20%, and 30% of maximum voluntary exertion using pinch spans of 45 mm and 65 mm. Total pinch force and individual finger forces were also measured while similarly grasping the dynamometer and supporting fixed weights for 1.0 kg, 1.5 kg, and 2.0 kg loads using pinch spans of 45 mm and 65 mm. The index and middle fingers exerted more than 3 N greater average force than the ring and small fingers for the fixed total pinch force task. No significant individual finger force differences were observed at the 10% maximum voluntary exertion level, however both the index and middle fingers exerted more than 5 N greater force than the ring and small fingers at the 30% maximum voluntary exertion level. The average contribution of the index, middle, ring, and small fingers were 33%, 33%, 17%, and 15%, respectfully, for the fixed total pinch force task. As exertion level increased from 10% to 30%, the contribution of the middle finger was not constant increasing from 25% to 38%. Total pinch force increased from 15 N to 30 N when the load weight increased from 1.0 kg to 2.0 kg.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Maximal dynamic range electrotactile stimulation waveforms.

A new method to measure the dynamic range of electrotactile (electrocutaneous) stimulation uses both steepest ascent (gradient) and one-variable-at-a-time methods to determine the waveform variables that maximize the subjective magnitude (intensity) of the electrotactile percept at the maximal current without discomfort for balanced-biphasic pulse bursts presented at a 15-Hz rate. The magnitude at the maximal current without discomfort is maximized by the following waveform (range tested in parentheses): number of pulses/burst = 6 (1-20), pulse repetition rate within a burst = 350 Hz (200-1500), and phase width = 150 microseconds (40-350). The interphase interval (separation between positive and negative phases in a biphasic pulse) does not affect dynamic range from 0-500 microseconds. The number of pulses/burst has a large effect on the perceived dynamic range when this is measured using a subjective-magnitude-based algorithm, whereas it has little effect on the traditional dynamic range measure, i.e., (maximal current without discomfort)/(sensation threshold current). The perceived stimulus magnitude at the maximal current without discomfort is approximately twice as strong with 6 pulses/burst as it is with 1 pulse/burst (a frequently-used waveform).

Bias↗

Measuring lung resistivity using electrical impedance tomography.

We propose the use of electrical impedance tomography (EIT) imaging techniques in the measurement of lung resistivity for detection and monitoring of apnea and edema. In EIT, we inject currents into a subject using multiple electrodes and measure boundary voltages to reconstruct a cross-sectional image of internal resistivity distribution. We found that a simplified, therefore fast, version of the impedance imaging method can be used for detection and monitoring of apnea and edema. We have showed the feasibility of this method through computer simulations and human experiments. We speculate that the EIT imaging technique will be more reliable than the current impedance apnea monitoring method, since we are monitoring the change of internal lung resistivity. However, more study is required to verify that this method performs better in the presence of motion artifact than the conventional two-electrode impedance apnea monitoring method. Future work should include experiments which carefully simulate different kinds of motion artifacts.

Adult↗

The electrode system in impedance-based ventilation measurement.

In this paper, we determined which electrode types, sizes, and locations were best suited for impedance-based ventilation measurement. Optimal electrodes provide high signal-to-(motion) artifact ratio (SAR) and reliability by meeting the following criteria: 1) low baseline impedance, 2) high adhesion, 3) good physical stability, 4) large effective area, 5) thin with high flexibility. We compared 14 electrodes from two main groups: adhesive-gel and conductive rubber electrodes. Adhesive-gel electrodes are easy to apply, make good body contact, and do not slip during the course of an experiment. We found that higher SAR's are obtained when electrode area is increased by connecting several small electrodes together rather than by using a single electrode with a larger area. The peak SAR is achieved when two electrode arrays (area = 70 cm2) are centered at the 8th intercostal spaces on opposite midaxillary lines. To determine the optimal electrode locations, we placed 32 electrodes on the trunk and recorded impedance between 171 electrode combinations on ten normal adult subjects. Based on these data, we conclude that the SAR's are highest when one electrode is placed on the midpoint between the left and right second intercostal spaces on the sternum and the other electrode is placed in the opposite position on the back.

Adult↗

A portable insole plantar pressure measurement system.

To analyze plantar pressures during activities of daily living, one needs a fully portable system capable of measuring many steps over extended periods. This paper presents an inexpensive, reliable, portable plantar pressure acquisition system which we have developed. It allows the long-term recording (up to 2 hours) of pressure-time data from 14 pressure sensors within insoles. The sensor chosen is an inexpensive, conductive polymer sensor that is only 0.25 mm thick yet able to withstand sudden overloads. The portable, battery-powered, microprocessor-based data acquisition system has a memory space of 480 kbytes for data storage. It can collect pressure data from 14 insole sensors at a 20 Hz sample frequency for 5 seconds every minute over a 2-hour period. It enables the long-term measurement of plantar pressures during normal activities in a natural unrestricted environment. The design and development of this portable insole plantar pressure measurement system is described.

Foot↗

A conductive polymer sensor for measuring external finger forces.

This paper describes the construction and use of a durable and thin force sensor that can be attached to the palmar surface of the fingers and hands for studying the biomechanics of grasp and for use in hand injury rehabilitation. These force sensors were constructed using a modified commercially available conductive polymer pressure sensing element and installing an epoxy dome for directing applied forces through a 12 mm diameter active sensing area. The installation of an epoxy dome was effective for making the sensors insensitive to contact surfaces varying from 25 to 1100 mm2 and a 16 mm radius surface curved convex towards the finger. The completed sensors were only 1.8 mm thick and capable of being taped to the distal phalangeal finger pads. They were calibrated on the hand by pinching a strain gage dynamometer. The useful range was between 0 and 30 N with an accuracy of 1 N for both static loading and normal dynamic grasp activities. The sensor time constant was 0.54 ms for a step force input. Because of varying offset voltages every time the sensors were attached, these sensors should be calibrated on the hand before each use. The sensors were used for measuring finger forces during controlled pinching and lifting tasks, and during ordinary grasping activities, such as picking up a book or a box, where the useful force range and response for these sensors were adequate.

Biomechanical Phenomena↗

Electrotactile and vibrotactile displays for sensory substitution systems.

Sensory substitution systems provide their users with environmental information through a human sensory channel (eye, ear, or skin) different from that normally used, or with the information processed in some useful way. We review the methods used to present visual, auditory, and modified tactile information to the skin. First, we discuss present and potential future applications of sensory substitution, including tactile vision substitution (TVS), tactile auditory substitution, and remote tactile sensing or feedback (teletouch). Next, we review the relevant sensory physiology of the skin, including both the mechanisms of normal touch and the mechanisms and sensations associated with electrical stimulation of the skin using surface electrodes (electrotactile (also called electrocutaneous) stimulation). We briefly summarize the information-processing ability of the tactile sense and its relevance to sensory substitution. Finally, we discuss the limitations of current tactile display technologies and suggest areas requiring further research for sensory substitution systems to become more practical.

Artificial Intelligence↗

Noninvasive measurement of compliance of human leg arteries.

Electrical impedance plethysmography has been evaluated for early detection of peripheral atherosclerosis. A pressure cuff was wrapped around the lower leg and the cuff pressure increased. Two circumferential electrodes glued in the middle of the cuff recorded the impedance pulse, from which the arterial pulse volume was calculated. The ratio of maximal arterial volume change to the pulse pressure was determined as a measure of maximal compliance Cp. Based on the data from 118 human subjects, Cp was found to correlate well with known cardiovascular risk factors. For example, Cp decreased on the average from 3.08 to 1.92 microL.mm Hg-1.cm-1 (1 microL.mm Hg-1.cm-1 = 7.5 x 10(-10) m4.N-1) in groups of subjects of increasing age from 22 to 70 years. Subjects on a regular exercise program had an average value of 3.86, while those with proven peripheral vascular disease had a value of 0.70. In a related pathologic validation study on 15 monkeys fed a cholesterol-control diet a good correlation was found between the limb peak compliance and morphometric data obtained from iliac and carotid arteries.

Adult↗

A microprocessor-based data-acquisition system for measuring plantar pressures from ambulatory subjects.

We have developed a portable microprocessor-based data-acquisition system to measure discrete plantar pressures within the shoe from ambulatory subjects. The system offers improved accuracy, repeatability, portability, and flexibility not available in current commercial systems. It consists of 14 conductive polymer pressure sensors, 14 analog amplifiers, an 8-bit analog-to-digital converter, a microprocessor, 120 kbytes of memory space, and a parallel I/O interface. Seven pressure sensors are embedded within each insole and located at the posterior heel, anterior heel, the four metatarsal heads, and hallux of each foot. The system is capable of continuously sampling 14 channels of pressure data for 7 min at a 20-Hz sample rate. The recorded data are downloaded into a microcomputer for further processing, analysis, and display. Foot pressures have been acquired from a sensate subject during multiple walking trials.

Diagnosis, Computer-Assisted↗

A 16-channel 8-parameter waveform electrotactile stimulation system.

We have developed a general-purpose electrotactile (electrocutaneous) stimulation system as a research tool for studying psychophysiological performance associated with various stimulation waveforms. An experimenter-defined command file specifies the stimulation current and waveform of each of the 16 channels. The system provides burst onset delay of 0-20 ms, phase current of 0-50 mA, interphase interval of 0-1000 microseconds, number of pulses per burst from 1-100, pulse repetition rate of 0.1-25 kHz, phase width of 2-1000 microseconds, and functionally-monophasic pulses (with zero dc current) or balanced-biphasic pulses (with equal positive and negative phases). The system automatically delivers the desired stimulation, prompts the subject for responses, and then logs subject responses. Key features of the system are 1) very flexible choice of bursts of pulsatile waveforms, 2) real-time control of all of the waveform parameters as mathematical functions of external analog inputs, and 3) high-performance electrode-driver circuitry.

Electric Stimulation↗

Composite instrumentation amplifier for biopotentials.

We present the design of an instrumentation biopotential amplifier that, (a) combines the ac coupling and high input impedance of an ac-coupled buffer with the CMRR of a simple differential amplifier or a monolithic instrumentation amplifier, (b) improves the CMRR by using a potentiometer without requiring either precision resistors or high-CMRR op amps, (c) illustrates how to calculate the CMRR for differential-input stages for either differential output or single-ended output. With our approach, for the 741 op amp, the CMRR of the differential stage exceeds 126 dB at 10 Hz and 106 dB at 100 Hz, which is higher than the 90 dB of the op amp alone. This is because a potentiometer permits mismatch of the resistor ratio, which compensates for the low CMRR of the op amp. Use of the LF355 op amp, which has a wider band-width, yields a CMRR of 126 dB at both 10 and 100 Hz. If the second stage is an instrumentation amplifier then no adjustment is necessary. Mismatch of passive components in the bootstrapped input buffer stage decreases the CMRR from 126 dB to 112 dB at 60 Hz and decreases it further at lower frequencies, but that is not a problem for the usual power-line interference.

Action Potentials↗

An umbilical data-acquisition system for measuring pressures between the foot and shoe.

We have developed an umbilical data-acquisition system for measuring pressures between the foot and shoe during walking. It consists of pressure sensors in the insoles of shoes, amplifier circuits, umbilical cables, an analog-to-digital converter, and a graphics display card in an IBM PC for real-time data collection and display. The applied pressure on a sensor decreases its resistance, which causes the output voltage of the amplifier circuit to increase. We attach seven sensors to the surface of each insole of a pair of extra-depth shoes and calibrate all the sensors in the insole before and after each test using a load cell as a reference. The IBM PC samples the outputs from the sensor and the load cell and stores a piecewise linear lookup table for use in compensation for the nonlinearity of the sensor. On the PC's graphics display, two programs provide displays of foot pressures as real-time bar graphs or as analog pressure versus time curves.

Analog-Digital Conversion↗

Development of a three-channel, 24-h ambulatory esophageal pressure monitor.

We have developed a three-channel ambulatory esophageal pressure monitor and tested it with a series of 24-h studies. The monitor is a battery-operated, microprocessor-based device that measures pressures from three transducers positioned in the esophagus, stores the data in its memory, and transfers the data to an IBM PC computer system at the end of the recording period. Programs on the PC then analyze the data and identify contractile events, categorizing them according to specific parameters. Other programs display the pressure waveforms on the PC and allow visual inspection of the entire recordings or, alternatively, of particular events of interest. The system detects contractile abnormalities in patients with intermittent, noncardiac chest pains. We tested the system on ten normal subjects and found a relatively high incidence of what are usually considered "abnormal" contractions.

Esophagus↗