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Biomedical subjects

R T Whalen

Publications and source records attributed to R T Whalen.

11 recordsLinked to original sources

Modeling of polychromatic attenuation using computed tomography reconstructed images.

This paper presents a procedure for estimating an accurate model of the CT imaging process including spectral effects. As raw projection data are typically unavailable to the end-user, we adopt a post-processing approach that utilizes the reconstructed images themselves. This approach includes errors from x-ray scatter and the nonidealities of the built-in soft tissue correction into the beam characteristics, which is crucial to beam hardening correction algorithms that are designed to be applied directly to CT reconstructed images. We formulate this approach as a quadratic programming problem and propose two different methods, dimension reduction and regularization, to overcome ill conditioning in the model. For the regularization method we use a statistical procedure, Cross Validation, to select the regularization parameter. We have constructed step-wedge phantoms to estimate the effective beam spectrum of a GE CT-I scanner. Using the derived spectrum, we computed the attenuation ratios for the wedge phantoms and found that the worst case modeling error is less than 3% of the corresponding attenuation ratio. We have also built two test (hybrid) phantoms to evaluate the effective spectrum. Based on these test phantoms, we have shown that the effective beam spectrum provides an accurate model for the CT imaging process. Last, we used a simple beam hardening correction experiment to demonstrate the effectiveness of the estimated beam profile for removing beam hardening artifacts. We hope that this estimation procedure will encourage more independent research on beam hardening corrections and will lead to the development of application-specific beam hardening correction algorithms.

Algorithms

A new frame-based registration algorithm.

This paper presents a new algorithm for frame registration. Our algorithm requires only that the frame be comprised of straight rods, as opposed to the N structures or an accurate frame model required by existing algorithms. The algorithm utilizes the full 3D information in the frame as well as a least squares weighting scheme to achieve highly accurate registration. We use simulated CT data to assess the accuracy of our algorithm. We compare the performance of the proposed algorithm to two commonly used algorithms. Simulation results show that the proposed algorithm is comparable to the best existing techniques with knowledge of the exact mathematical frame model. For CT data corrupted with an unknown in-plane rotation or translation, the proposed technique is also comparable to the best existing techniques. However, in situations where there is a discrepancy of more than 2 mm (0.7% of the frame dimension) between the frame and the mathematical model, the proposed technique is significantly better (p < or = 0.05) than the existing techniques. The proposed algorithm can be applied to any existing frame without modification. It provides better registration accuracy and is robust against model mis-match. It allows greater flexibility on the frame structure. Lastly, it reduces the frame construction cost as adherence to a concise model is not required.

Algorithms

Prediction of human gait parameters from temporal measures of foot-ground contact.

Investigation of the influence of human physical activity on bone functional adaptation requires long-term histories of gait-related ground reaction force (GRF). Towards a simpler portable GRF measurement, we hypothesized that: 1) the reciprocal of foot-ground contact time (1/tc); or 2) the reciprocal of stride-period-normalized contact time (T/tc) predict peak vertical and horizontal GRF, loading rates, and horizontal speed during gait. GRF data were collected from 24 subjects while they walked and ran at a variety of speeds. Linear regression and ANCOVA determined the dependence of gait parameters on 1/tc and T/tc, and prediction SE. All parameters were significantly correlated to 1/tc and T/tc. The closest pooled relationship existed between peak running vertical GRF and T/tc (r2 = 0.896; SE = 3.6%) and improved with subject-specific regression (r2 = 0.970; SE = 2.2%). We conclude that temporal measures can predict force parameters of gait and may represent an alternative to direct GRF measurements for determining daily histories of habitual lower limb loading quantities necessary to quantify a bone remodeling stimulus.

Adult

Application of high-performance computing to numerical simulation of human movement.

We have examined the feasibility of using massively-parallel and vector-processing supercomputers to solve large-scale optimization problems for human movement. Specifically, we compared the computational expense of determining the optimal controls for the single support phase of gait using a conventional serial machine (SGI Iris 4D25), a MIMD parallel machine (Intel iPSC/860), and a parallel-vector-processing machine (Cray Y-MP 8/864). With the human body modeled as a 14 degree-of-freedom linkage actuated by 46 musculotendinous units, computation of the optimal controls for gait could take up to 3 months of CPU time on the Iris. Both the Cray and the Intel are able to reduce this time to practical levels. The optimal solution for gait can be found with about 77 hours of CPU on the Cray and with about 88 hours of CPU on the Intel. Although the overall speeds of the Cray and the Intel were found to be similar, the unique capabilities of each machine are better suited to different portions of the computational algorithm used. The Intel was best suited to computing the derivatives of the performance criterion and the constraints whereas the Cray was best suited to parameter optimization of the controls. These results suggest that the ideal computer architecture for solving very large-scale optimal control problems is a hybrid system in which a vector-processing machine is integrated into the communication network of a MIMD parallel machine.

Computer Systems

Factors in daily physical activity related to calcaneal mineral density in men.

To determine the factors in daily physical activity that influence the mineral density of the calcaneus, we recorded walking steps and the type and duration of exercise in 43 healthy 26-to 51-yr-old men. Areal (g.cm-2) calcaneal bone mineral density (CBMD) was measured by single energy x-ray densitometry (SXA, Osteon, Inc., Wahiawa, HI). Subjects walked a mean (+/- SD) of 7902 (+/- 2534) steps per day or approximately 3.9 (+/- 1.2) miles daily. Eight subjects reported no exercise activities. The remaining 35 subjects spent 143 (2-772) (median and range) min.wk-1 exercising. Twenty-eight men engaged in exercise activities that generate single leg peak vertical ground reaction forces (GRFz) of 2 or more body weights (high loaders, HL), and 15 reported exercise or daily activities that typically generate GRFz less than 1.5 body weights (low loaders, LL). CBMD was 12% higher in HL than LL (0.668 +/- 0.074 g.cm-2 vs 0.597 +/- 0.062 g.cm-2, P < 0.004). In the HL group, CBMD correlated to reported minutes of high load exercise (r = 0.41, P < 0.03). CBMD was not related to the number of daily walking steps (N = 43, r = 0.03, NS). The results of this study support the concept that the dominant factor in daily physical activity relating to bone mineral density is the participation in site specific high loading activities, i.e., for the calcaneus, high calcaneal loads.

Absorptiometry, Photon

Dynamic leg exercise improves tolerance to lower body negative pressure.

Lower body negative pressure (LBNP) of 100 mm Hg generates a footward force approximating one body weight for most subjects, yet LBNP may also produce syncope by pooling blood in the lower body. We hypothesized that dynamic leg exercise would improve LBNP tolerance by reducing lower body fluid accumulation. Seven healthy male subjects underwent four supine LBNP tolerance tests: 1) the control condition: conventional, resting LBNP with a saddle (SADL); 2) resting LBNP against a footplate instead of a saddle (FP); 3) cyclic, non-load-bearing ankle plantar- and dorsiflexion movements during LBNP with a saddle (SADLEX); and 4) LBNP with cyclic ankle plantar- and dorsiflexion exercise against the footplate (FPEX). Tolerance tests consisted of reducing chamber pressure in 10 mm Hg decrements every 3 min to -100 mm Hg or presyncope. Tolerance was assessed by integrating the area under the LBNP x time step function. Exercise doubled LBNP tolerance relative to resting LBNP (SADL: 771 +/- 162 mm Hg x min; FP: 819 +/- 212; SADLEX: 1461 +/- 175; FPEX: 1656 +/- 160; p < 0.05). During FPEX, footward force oscillations averaged 215 +/- 14 N (21.9 +/- 1.4 kg), and mean peak force of 872 +/- 26 N (88.9 +/- 2.7 kg; n = 5) was produced by plantarflexing against 100 mm Hg LBNP. Calf volume increased slightly less when exercise accompanied LBNP (SADLEX and FPEX), while heart rate increased more. Therefore, exercise improved tolerance in part by skeletal muscle pumping of venous blood from the legs.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

Effects of 1-week head-down tilt bed rest on bone formation and the calcium endocrine system.

To understand the potential early responses of human bone and the calcium endocrine system to spaceflight, we studied 8 healthy men, aged 35-44 years before, during, and after bed rest in a -6 degrees head-down tilt model for microgravity. Based on a novel single-dose labeling schedule, average rates of bone formation in the iliac crest were reduced in 6, unchanged in 1, and increased in 1 following the bed rest period. The decrease was greatest for subjects whose daily walking miles were highest (r = -0.762, p less than 0.05, n = 7). Before a measurable increase in ionized serum calcium the sixth bed rest day, there was increased excretion of urinary calcium and sodium, evident the first 2 bed-rest days and parallel for the entire week (r = 0.92, p less than 0.001). Reduced excretion of phosphorus and 3', 5' cyclic adenosine monophosphate on the first and second bed rest days was followed by an increase in serum phosphorus by the sixth bed rest day. Depressed serum concentrations of parathyroid hormone and 1,25-dihydroxyvitamin D were manifest by the sixth and seventh bed rest days. The similarity of the response of bone and the calcium endocrine system of healthy men after only 7 days to results of longer term bed rest studies emphasizes the responsiveness of the adult human skeleton to biomechanical stimuli induced by changes in activity and/or position.

Adult

Lower body negative pressure to provide load bearing in space.

Presently, exercise protocols and equipment for spaceflight are unresolved, although recent calculations suggest that all exercise in space to date has lacked sufficient loads to maintain preflight musculoskeletal mass. We hypothesized that lower body negative pressure (LBNP) produces a footward force equal to the product of the pressure differential and body cross-sectional area at the waist seal. Twelve male volunteers weighing 67.6-86.9 kg were sealed at the superior iliac crest in upright and supine LBNP chambers. Neither configuration included a saddle, so that the force due to LBNP was transmitted to the feet of our subjects. Each subject was exposed to 10 mm Hg increments of LBNP up to 70 mm Hg (standing) or to 50-100 mm Hg (supine), depending upon individual tolerance. Static reaction force was measured at each LBNP level for approximately 1-2 min. An additional static force approximately equivalent to 1% Earth body weight was generated against the feet by each mm Hg of LBNP either during upright standing or supine posture. Furthermore, the forces measured during LBNP agreed well with forces calculated from the cross-sectional areas of our subjects' waists. These results indicate that exercise in microgravity against 100 mm Hg LBNP could produce static and inertial forces similar in magnitude to those occurring on Earth. This gravity-independent technique may help maintain the musculoskeletal and cardiovascular systems of crewmembers during prolonged exposure to microgravity.

Body Weight

Influence of physical activity on the regulation of bone density.

Using a mathematical model which relates bone density to daily stress histories, the influence of physical activities on the apparent density of the calcaneal cancellous bone was investigated. Assuming that the mechanical bone maintenance stimulus is constant for all bone tissue, bone apparent density was calculated by a linear superposition of the mechanical stimulus provided by different daily physical activities. An empirical weighting factor, m, accounted for possible differences in the relative importance of load magnitude and number of cycles in each activity. By considering hypothetical variations in body weight and occupational activity levels, the range of probable m values was established. The model was then applied to the results of two previous running studies in which calcaneal density was measured to obtain an estimate of the stress exponent parameter, m. The results indicate that stress magnitudes (or joint forces) have a greater influence on bone mass than the number of loading cycles. We demonstrate that by carefully considering the magnitudes of imposed skeletal forces and the number of loading cycles, it may be possible to design exercise programs to achieve predictable changes in bone mass.

Body Weight

Trabecular bone density and loading history: regulation of connective tissue biology by mechanical energy.

The method of considering a single loading condition in the study of stress/morphology relationships in trabecular bone is expanded to include the multiple loading conditions experienced by bone in vivo. The bone daily loading histories are characterized in terms of stress magnitudes or cyclic strain energy density and the number of loading cycles. Relationships between local bone apparent density and loading history are developed which assume that bone mass is adjusted in response to strength or energy considerations. Three different bone maintenance criteria are described which are formulated based upon: (1) continuum model effective stress, (2) continuum model fatigue damage accumulation density, and (3) bone tissue strain energy density. These approaches can be applied to predict variations in apparent density within bone and among bones. We show that all three criteria have similar mathematical forms and may be related to the density (or concentration) of bone strain energy which is transferred (dissipated) in the mineralized tissue. The loading history and energy transfer concepts developed here can be applied to many different situations of growth, functional adaptation, injury, and aging of connective tissues.

Biomechanical Phenomena