Biomedical subjects

Kwang Suk Park

Publications and source records attributed to Kwang Suk Park.

15 recordsLinked to original sources

PubMed2006

Generators of the gamma-band activities in response to rare and novel stimuli during the auditory oddball paradigm.

In this study, we report the cortical sources of the gamma-band activity emitted during the auditory oddball paradigm using the adaptive beamformer algorithm and non-parametric permutation test and then compare them with those of the P3a and P3b components. The results of the gamma-band current sources revealed that the same gamma-band activities are in process during the rare target and novelty task. In the low (30-55 Hz) gamma-band activity, the common sources were localized in the (inferior) anterior cingulate and adjacent inferior frontal cortex. In the high (65-85 Hz) gamma-band activity, the generator was represented in the superior frontal cortex. On the other hand, the P3a and P3b generators showed widespread distributions including the well-known fronto-parietal network [J. Polich, Theoretical overview of P3a and P3b, in: J. Polish (Ed.), Detection of Change: Event-Related Potential and fMRI Findings, Kluwer Academic Press, Boston, 2003, pp. 83-98]. In conclusion, the same frontal generators of gamma-band activities in the present study may be associated with the functions of attentional control for the binding of consecutive cognitive stages corresponding to earlier P3a and later P3b components, which have distinct source distributions except for some overlaps.

Acoustic Stimulation↗

PubMed2006

Non-constraining sleep/wake monitoring system using bed actigraphy.

This paper introduces a new method, bed actigraphy (BACT) for user-friendly sleep-wake monitoring. BACT provides a non-intrusive acquisition of activity data, and in particular does not require that sensors be attached to the subject's body. The system consists of four load-sensing cells supporting the bed, an A/D converter, and a microcontroller with appropriate software. The performance of BACT was compared to that of standard polysomnography (PSG) recordings and wrist-worn actigraphy (ACT). Ten normal volunteers underwent overnight PSG recordings and were examined simultaneously with BACT and ACT. An automatic scoring algorithm scored each 30-s epoch of the BACT recordings for either 'Wake' or 'Sleep.' A sleep specialist manually scored the PSG recordings, and the results were divided into 'Wake' and 'Sleep' categories. The three methods showed a significant correlation when compared with in the contingency test. The mean epoch-by-epoch agreements between the BACT and PSG, ACT and PSG, and BACT and ACT recordings were 95.2, 92.9, and 94.3%, respectively. The mean absolute differences in sleep percentage (SP) between them were 1.8 +/- 0.82, 3.4 +/- 1.45, and 1.9 +/- 1.16 %, respectively. BACT differentiation of the 'Wake' and 'Sleep' stages proved to be sufficiently robust, and its results were comparable to PSG analysis. This finding supports the experimental and clinical value of bed-activity monitoring during sleep.

Adult↗

PubMed2006

A new approach for non-intrusive monitoring of blood pressure on a toilet seat.

Pulse arrival time (PAT) was measured non-intrusively to estimate each individual's blood pressure. Electrocardiogram (ECG) was measured with copper-coated electrodes and photoplethysmogram (PPG) was measured using a specially designed toilet seat apparatus. Non-intrusively measured PATs were compared with PATs measured by the standard method, and the results showed a good correlation. An equation was used to estimate blood pressure from the measured PAT during a training period for each individual. Estimated blood pressures were compared with measured blood pressures in a series of blood pressure varying experiments. For each individual, the estimated blood pressure was similar to the measured blood pressure within a tolerable error range. This method was also practiced for long-term monitoring, and the results show the value of this method for continuous home monitoring of blood pressure.

Adult↗

PubMed2006

ECG measurement on a chair without conductive contact.

For the purpose of long-term, everyday electrocardiogram (ECG) monitoring, we present a convenient method of ECG measurement without direct conductive contact with the skin while subjects sat on a chair wearing normal clothes. Measurements were made using electrodes attached to the back of a chair, high-input-impedance amplifiers mounted on the electrodes, and a large ground-plane placed on the chair seat. ECGs were obtained by the presented method for several types of clothing and compared to ECGs obtained from conventional measurement using Ag-AgCl electrodes. Motion artifacts caused by usual desk works were investigated. This study shows the feasibility of the method for long-term, convenient, everyday use.

Amplifiers, Electronic↗

PubMed2005

Fractional anisotropy-based divisions of midsagittal corpus callosum.

The authors first divided the midsagittal corpus callosum of 22 healthy volunteers using three different subdivision methods: Witelson's geometric subdivision, boundary model-based subdivision, and medial model-based subdivision. Next, subdivisions of the corpus callosum were clustered on the basis of homogeneity of the fractional anisotropy values as produced from diffusion tensor images. Nine subregions of corpus callosum, similar in location and size, were successfully clustered when medial model-based or boundary model-based subdivisions were applied. These nine subregions of the corpus callosum were different from the seven subregions defined by Witelson's geometric subdivision, especially at the anterior and posterior tips of the corpus callosum. Our method of corpus callosum division can be potentially utilized to assess structural changes in the midsagittal corpus callosum.

Adult↗

PubMed2005

Voxel-based statistical analysis of cerebral glucose metabolism in the rat cortical deafness model by 3D reconstruction of brain from autoradiographic images.

PURPOSE: Animal models of cortical deafness are essential for investigation of the cerebral glucose metabolism in congenital or prelingual deafness. Autoradiographic imaging is mainly used to assess the cerebral glucose metabolism in rodents. In this study, procedures for the 3D voxel-based statistical analysis of autoradiographic data were established to enable investigations of the within-modal and cross-modal plasticity through entire areas of the brain of sensory-deprived animals without lumping together heterogeneous subregions within each brain structure into a large region of interest. METHODS: Thirteen 2-[1-(14)C]-deoxy-D: -glucose autoradiographic images were acquired from six deaf and seven age-matched normal rats (age 6-10 weeks). The deafness was induced by surgical ablation. For the 3D voxel-based statistical analysis, brain slices were extracted semiautomatically from the autoradiographic images, which contained the coronal sections of the brain, and were stacked into 3D volume data. Using principal axes matching and mutual information maximization algorithms, the adjacent coronal sections were co-registered using a rigid body transformation, and all sections were realigned to the first section. A study-specific template was composed and the realigned images were spatially normalized onto the template. Following count normalization, voxel-wise t tests were performed to reveal the areas with significant differences in cerebral glucose metabolism between the deaf and the control rats. RESULTS: Continuous and clear edges were detected in each image after registration between the coronal sections, and the internal and external landmarks extracted from the spatially normalized images were well matched, demonstrating the reliability of the spatial processing procedures. Voxel-wise t tests showed that the glucose metabolism in the bilateral auditory cortices of the deaf rats was significantly (P<0.001) lower than that in the controls. There was no significantly reduced metabolism in any other area, and no area showed a significant increase in metabolism in the deaf rats with the same threshold, demonstrating the high localization accuracy and specificity of the method developed in this study. CONCLUSION: This study established new procedures for the 3D reconstruction and voxel-based analysis of autoradiographic data which will be useful for examining the cerebral glucose metabolism in a rat cortical deafness model.

Algorithms↗

PubMed2005

Development and applications of a software for Functional Image Registration (FIRE).

Image registration with anatomical modalities, such as CT and MRI, facilitates the anatomical identification and localization in the interpretation of nuclear medicine images that lack anatomical information. The implementation of Functional Image Registration (FIRE), an operating system (OS) and platform independent multimodal image registration software is reported. In order to register the images without an operator's interaction, several automatic algorithms were implemented. These include principal axes matching and maximization of the mutual information methods. The user interface was designed to support the manual registration of the images. Fused images were composed by overlaying one image with the other one transparently, in which the opacity of the overlaid image was interactively controlled. FIRE was successfully applied to many clinical cases for which automatic and/or manual registration was required. An OS and platform independent program for image registration developed in this study will be useful for the clinical application of image registration techniques.

Algorithms↗

PubMed2005

Development of pupillography using image processing.

PURPOSE: Pupillary examination is an important objective method to diagnose lesions of the anterior visual pathways. However, errors and faults may easily alter the interpretation and value of the test as it is highly dependent on the examiner's skills. Therefore, we tried to develop a pupillography which is independent of the examiner. METHODS: Hardware composed of a binocularly measuring instrument adapted for an infrared charge coupled device (CCD) was developed. Two arrays of infrared light emitting diodes (LED) were supplied in front of each of the subject's eyes. A microcontroller to modulate these LED was developed, as was software to save and analyze the pupil images. The hardware was able to deliver a light to either eye or to both eyes, and to change the time, frequency, and intensity of the stimulus. The software automatically analyzed the pupil size and location by image processing. Pupil size was calculated continuously. After artifact elimination, the response amplitudes of the pupils were determined for the right and left pupils. RESULTS: Pupillary images of size 320 x 240, at 30 frames/second, were saved and processed to evaluate the change of the actual pupil size and the velocity of pupillary response. CONCLUSIONS: A pupillography to measure, save and analyze the pupillary response using image processing was developed. Further detailed clinical studies with a large number of patients will be required to validate this new method.

Diagnostic Techniques, Ophthalmological↗

PubMed2005

Generation of parametric image of regional myocardial blood flow using H(2)(15)O dynamic PET and a linear least-squares method.

UNLABELLED: Although a parametric image of myocardial blood flow (MBF) can be obtained from H(2)(15)O PET using factor and cluster analysis, this approach is limited when factor analysis fails to extract each cardiac component. In this study, a linear least-squares (LLS) method for estimating MBF and generating a MBF parametric image was developed to overcome this limitation. The computer simulation was performed to investigate the statistical properties of the LLS method, and MBF values obtained from the MBF parametric images in dogs were compared with those obtained using the conventional region of interest (ROI) and invasive microsphere methods. METHODS: A differential model equation for H(2)(15)O in the myocardium was modified to incorporate the partial-volume and spillover effect. The equation was integrated from time 0 to each PET sampling point to obtain a linearlized H(2)(15)O model equation. The LLS solution of this equation was estimated and used to calculate the MBF, the perfusable tissue fraction (PTF), and the arterial blood volume fraction (V(a)). A computer simulation was performed using the input function obtained from canine experiments and the tissue time-activity curves contaminated by various levels of Poisson noise. The parametric image of the MBF, PTF, and V(a) was constructed using the PET data from dogs (n = 7) at rest and after pharmacologic stress. The regional MBF from the parametric image was compared with those produced by the ROI method using a nonlinear least-squares (NLS) estimation and an invasive radiolabeled microsphere technique. RESULTS: The simulation study showed that the LLS method was better than the NLS method in terms of statistical reliability, and the parametric images of the MBF, PTF, and V(a) using the LLS method had good image quality and contrast. The regional MBF values using the parametric image showed a good correlation with those using the ROI method (y = 0.84x + 0.40; r = 0.99) and the microsphere technique (y = 0.95x + 0.29; r = 0.96). The computation time was approximately 10 s for the 32 x 32 x 6 x18 (pixel x pixel x plane x frame) matrix. CONCLUSION: A noninvasive, very fast, and accurate method for estimating the MBF and generating a MBF parametric image was developed using the LLS estimation technique and H(2)(15)O dynamic myocardial PET.

Animals↗

PubMed2005

IT-based diagnostic instrumentation systems for personalized healthcare services.

This paper describes recent research and development activities on the diagnostic instruments for personalized healthcare services in Seoul National University. Utilizing the state-of-the-art information technologies (IT), various diagnostic medical instruments have been integrated into a personal wearable device and a home telehealthcare system. We developed a wrist-worn integrated health monitoring device (WIHMD) which performs the measurements of non-invasive blood pressure (NIBP), pulse oximetry (SpO2), electrocardiogram (ECG), respiration rate, heart rate, and body surface temperature and the detection of falls to determine the onset of emergency situation. The WIHMD also analyzes the acquired bio-signals and transmits the resultant data to a healthcare service center through a commercial cellular phone. Two different kinds of IT-based blood glucometer have been developed using a cellular phone and PDA(personal digital assistant) as a main unit. A blood glucometer was also integrated within a wrist pressure measurement module which is interfaced with a cellular phone via Telecommunications Technology Association (TTA) standard in order to provide users with easiness in measuring and handling two important health parameters. Non-intrusive bio-signal measurement systems were developed for the ease of home use. One can measure his ECG on a bed while he is sleeping; measure his ECG, body temperature, bodyfat ratio and weight on a toilet seat; measure his ECG on a chair; and estimate the degree of activity by motion analysis using a camera. Another integrated diagnostic system for home telehealthcare services has been developed to include a 12 channels ECG, a pressure meter for NIBP, a blood glucometer, a bodyfat meter and a spirometer. It is an expert system to analyze the measured health data and based on the diagnostic result, the system provides an appropriate medical consultation. The measured data can be either stored on the system or transmitted to the central server through the internet. We have installed the developed systems on a model house for the performance evaluation and confirmed the possibility of the system as an effective tool for the personalized healthcare services.

Accidental Falls↗

PubMed2004

Nonlinear-analysis of human sleep EEG using detrended fluctuation analysis.

Quantification of the fractal scaling properties of human sleep EEG dynamics was sought and each normal sleep stage was compared with that of sleep apnea. The fractal scaling exponents that quantify power-law correlations were computed using detrended fluctuation analysis. Six healthy subjects, aged 30-35 years, participated and six recordings of the apnea were acquired from MIT/BIH polysomnography database. The data were 8-h baseline recordings (23:00-07:00 h). The EEG signals from the C4-A1 derivation were acquired with a resolution of 250 Hz. The sleep stages were visually scored for 30 s epochs, according to the criteria of Rechtschaffen and Kales. The mean scaling exponents increased from the awake stage to stages 1, 2 and 3-4, but decreased during rapid eye movement (REM) sleep. The scaling exponents of the apnea were lower than those of the healthy subject for all the stages. The scaling exponents could be attributed to the fractal nature of EEG, which would be more appropriate for describing the complexity of EEG due to its assumption of non-stationarity.

Adult↗

PubMed2004

Changes in the heterogeneity of cerebral glucose metabolism with healthy aging: quantitative assessment by fractal analysis.

BACKGROUND AND PURPOSE: It has been shown that heterogeneity of cerebral glucose metabolism is increased in neuropsychiatric degenerative diseases. However, proper assessment of older patients requires knowledge about the effect of aging on heterogeneity. This study characterized the effects of aging on the heterogeneity of the distribution of cerebral glucose metabolism in healthy volunteers. METHODS: Sixty-six healthy volunteers (age range, 19-75 years) underwent flurodeoxyglucose brain positron emission tomography (PET), and all the PET images were spatially normalized onto a previously segmented standard brain template to parcel the brain regions automatically. Fractal dimension was regarded as a quantitative measurement for the heterogeneity of cerebral glucose metabolism and obtained for 9 brain regions. Participants were subdivided into young/midlife and elderly groups, and the Student t test was applied to the comparison of fractal dimensions in those groups. Analysis of covariance was performed for each region to explore the effects of age, gender, age-by-gender interaction, and total counts in the brain on the observed metabolic heterogeneity. RESULTS: Fractal dimensions were higher for elderly volunteers in most brain regions. Differences between the 2 groups in fractal dimension emerged within the whole gray matter, temporal lobe, striatum, and cingulate. No significant gender differences, age-by-gender interactions, or total counts were observed. Significant age effects were observed in the whole gray matter, frontal lobe, temporal lobe, striatum, and cingulate gyrus. CONCLUSIONS: Heterogeneity in the cerebral glucose metabolism of healthy volunteers increased with age, and individual variations of heterogeneity were higher in older volunteers. However, there was no significant difference between male and female volunteers of the same age. The effect of age on heterogeneity was not regionally uniform.

Adult↗

PubMed2003

LORETA imaging of P300 in schizophrenia with individual MRI and 128-channel EEG.

We investigated the characteristics of P300 generators in schizophrenics by using voxel-based statistical parametric mapping of current density images. P300 generators, produced by a rare target tone of 1500 Hz (15%) under a frequent nontarget tone of 1000 Hz (85%), were measured in 20 right-handed schizophrenics and 21 controls. Low-resolution electromagnetic tomography (LORETA), using a realistic head model of the boundary element method based on individual MRI, was applied to the 128-channel EEG. Three-dimensional current density images were reconstructed from the LORETA intensity maps that covered the whole cortical gray matter. Spatial normalization and intensity normalization of the smoothed current density images were used to reduce anatomical variance and subject-specific global activity and statistical parametric mapping (SPM) was applied for the statistical analysis. We found that the sources of P300 were consistently localized at the left superior parietal area in normal subjects, while those of schizophrenics were diversely distributed. Upon statistical comparison, schizophrenics, with globally reduced current densities, showed a significant P300 current density reduction in the left medial temporal area and in the left inferior parietal area, while both left prefrontal and right orbitofrontal areas were relatively activated. The left parietotemporal area was found to correlate negatively with Positive and Negative Syndrome Scale total scores of schizophrenic patients. In conclusion, the reduced and increased areas of current density in schizophrenic patients suggest that the medial temporal and frontal areas contribute to the pathophysiology of schizophrenia, the frontotemporal circuitry abnormality.

Adolescent↗

PubMed2002

Detrended fluctuation analysis of EEG in sleep apnea using MIT/BIH polysomnography data.

A number of natural time series including electroencephalogram (EEG) show highly non-stationary characteristics in their behavior. We analyzed the EEG in sleep apnea that typically exhibits non-stationarity and long-range correlations by calculating its scaling exponents. Scaling exponents of the EEG dynamics are obtained by analyzing its fluctuation with detrended fluctuation analysis (DFA), which is suitable for non-stationary time series. We found the mean scaling exponents of EEG is discriminated according to Non-REM, REM (Rapid Eye Movement) and waken stage, and gradually increased from stage 1 to stage 2, 3 and 4.

Cerebral Cortex↗

PubMedDate not supplied

Shape changes of the corpus callosum in abstinent methamphetamine users.

The objective of the current study was to evaluate structural changes of the corpus callosum (CC) in abstinence methamphetamine (MA) users. Shape and size of the CC in 27 MA users were compared to those of 18 healthy comparison subjects. To define the local curvature and width of the CC, medial model-based shape analysis was performed using CC skeletons extracted from a distance map. To define the local displacement of the CC, a boundary model-based shape analysis was performed. In addition, the size of regional areas of the CC was measured according to the Witelson's definition for comparison. In the medial model-based shape analysis, increased curvature in the genu (curvature angle difference = 4.1 degrees) and decreased width in posterior midbody (width difference = 0.77 mm) and isthmus area (width difference = 0.86 mm) of the CC were observed in MA users relative to healthy comparison subjects. In the boundary model-based shape analysis, significant displacement was observed in MA users where there were differences in shape/width patterns by the medial model-based shape analysis. There were no differences in the size of regional areas of the CC between groups. Findings suggest that MA use is associated with regional changes in interhemispheric white matter tracts, which connect frontal and parietal cortices and that these frontal and parietal abnormalities may underlie clinical manifestations of the MA abuse.

Adult↗