Biomedical subjects

Martin P Mintchev

Publications and source records attributed to Martin P Mintchev.

6 recordsLinked to original sources

PubMed2006

Implantable neural electrical stimulator for external control of gastrointestinal motility.

Functional electrical stimulation has been suggested as a possible avenue for treating a variety of gastrointestinal motility-related disorders such as gastroparesis, chronic constipation and morbid obesity. The aims of the present study were to design a radio-frequency controlled multi-channel implantable neural gastrointestinal electrical stimulator and test it in an acute canine model. The stimulation parameters can be reprogrammed after implantation, allowing the execution of parametric studies and the investigation of their efficacy in producing controlled gastrointestinal contractions. Bipolar pulse trains of 50Hz frequency, 8-16V(pp) amplitude, 10-100% duty cycle, 1-120s duration, and 2s to 1h pause between successive stimulation sessions were delivered to the stomachs of nine dogs. The resulting contractions were measured by force transducers and digitally recorded on a personal computer. The acute studies confirmed the effectiveness of electrical stimulation in producing invoked gastric contractile activity under the control of the implantable neurostimulator.

Animals↗

PubMed2006

Pre-pyloric neural electrical stimulation produces cholinergically-mediated reverse peristalsis in the acute canine model of microprocessor-invoked gastric motility for the treatment of obesity.

BACKGROUND: Gastric Electrical Stimulation (GES) has been suggested as a new tool for the treatment of obesity. Among the known methods for GES, only Neural Gastric Electrical Stimulation (NGES) provides direct control of contractility without utilizing the spontaneously existing gastric electrical activity as an intermediary. However, only one of the established GES techniques, gastric pacing, has been described to produce retrograde peristalsis for delaying gastric emptying. The aim of this study was to explore the possibility of producing retrograde peristalsis using either single electrode set or dual electrode set NGES. METHODS: 8 anesthetized dogs underwent laparotomy and implantation of 2 circumferential electrode sets approximately 3 cm and 7 cm proximal to the pylorus, respectively. Single-set and dual-set NGES sessions were repeatedly administered using a custom-designed implantable neurostimulator. Gastric motility patterns were captured using 3 force transducers implanted on the anterior gastric wall along the gastric axis. Motility indices and velocities were employed to quantify the produced contractile patterns. RESULTS: Both single-set and dual-set NGES produced circumferential lumen-occluding contractions in the vicinity of the electrode sets. The invoked contractions propagated proximally in a retrograde fashion. The propagation scope was different depending on the number of electrode sets used. Different velocities of the invoked retrograde contractions associated with single- and dual-set NGES were observed and quantified. Contractility patterns reflected by the normalized motility indices were very similar regardless of the electrode stimulation technique. CONCLUSION: Pre-pyloric NGES can produce controlled retrograde peristalsis and serve as another avenue for the treatment of obesity.

Animals↗

PubMed2005

Improving geometric accuracy in the presence of susceptibility difference artifacts produced by metallic implants in magnetic resonance imaging.

Geometric and intensity distortions due to the presence of metallic implants in magnetic resonance imaging impede the full exploitation of this advanced imaging modality. The aim of this study is to provide a method for (a) quantifying and (b) reducing the implant distortions in patient images. Initially, a set of reference images (without distortion) was obtained by imaging a custom-designed three-dimensional grid phantom. Corresponding test images (containing the distortion) were acquired with the same imaging parameters, after positioning a specific metallic implant in the grid phantom. After determining: 1) the nonrecoverable; 2) the distorted, but recoverable; and 3) the unaffected areas, a point-based thin-plate spline image registration algorithm was employed to align the reference and test images. The calculated transformation functions utilized to align the image pairs described the implant distortions and could therefore be used to correct any other images containing the same distortions. The results demonstrate successful correction of grid phantom images with a metallic implant. Furthermore, the calculated correction was applied to porcine thigh images bearing the same metallic implant, simulating a patient environment. Qualitative and quantitative assessments of the proposed correction method are included.

Algorithms↗

PubMed2002

Microprocessor-controlled colonic peristalsis: dynamic parametric modeling in dogs.

The study aimed at completing a model of functional colonic electric stimulation and testing it for artificial recreation of peristalsis in dogs. Dynamic measurements of invoked single contractions obtained from two unconscious dogs as well as previously reported static contraction properties were utilized to suggest the optimal stimulation parameters of: (1) length of the stimulating electrodes, (2) separation between the successive electrode sets, (3) duration, and (4) phase lag between the stimuli sequentially applied to the electrode sets. The derived electrode configuration and stimulation pattern were adjusted for different anatomical dimensions and tested in distended colon full of viscous content. Forward and backward propagating peristaltic waves were invoked in two other unconscious dogs, indicating that the recreation of colonic peristalsis under microprocessor control is feasible.

Animals↗

PubMed2002

Electrical activity from colon overlaps with normal gastric electrical activity in cutaneous recordings.

The stability of EGG recordings is affected by a variety of artifacts. The aim of this study was to investigate possible overlapping of dominant frequencies in recorded cutaneous electrical activity arising simultaneously from the stomach and/or colon. Ten normal volunteers, eight posttotal colectomy patients, and four patients posttotal gastrectomy were studied. Fasting cutaneous recordings were obtained using four pediatric ECG electrodes attached to the abdominal surface. Electrical activity was recorded and digitally analyzed using custom-designed software. Spectral analysis after gastrectomy and colectomy showed persistence of power peaks in the gastric electrical activity range of frequency (2.5-3.75 cpm). In conclusion, noninvasively obtained colonic frequencies overlap EGG. This hypothesis is supported by the persistence of power peaks in the EGG range of frequency after gastrectomy and colectomy. Therefore, we conclude that contribution of electrical activity arising from the colon could substantially affect EGG recordings.

Aged↗

PubMed2002

Three-dimensional object-oriented modeling of the stomach for the purpose of microprocessor-controlled functional stimulation.

Three-dimensional (3-D) object-oriented models are needed for optimizing gastric electrical stimulation by performing virtual computer experiments. The aim of the study was to create a 3-D object-oriented electromechanical model of the stomach in vivo for the purpose of microprocessor controlled functional stimulation. The stomach was modeled using coaxial truncated conoids as objects. The strength of an external stimulating electric field generated by circumferentially implanted wire electrodes is related to artificial neurogenic and myogenic control of smooth muscle depolarization and contraction. Variation of the field strength modulates the frequency and concentration of acetylcholine release, as well as the transmembrane voltage of the muscle cells. Mechanical response of the stimulated tissue was quantified by two parametric functions of the electric field strength representing the relative contractile force and geometrical displacement of the gastric surface. Data from previously conducted canine experiments were used to test the validity of the model. The model was applied to simulate contractions with different positions, orientation and number of the circumferentially implanted stimulating electrodes. The model combined most of the existing theoretical and experimental findings concerning functional gastric stimulation and can be utilized as a flexible tool for virtual medical tests involving external high-frequency (50 Hz) neural stimulation.

Action Potentials↗