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Calcaneal bone mineral and ultrasound attenuation in male athletes exposed to weight-bearing and nonweight-bearing activity. A cross-sectional report.

BACKGROUND: To determine if the expected differences in bone mineral content/density of the calcaneus among male athletic groups that undertake weight-bearing and nonweight-bearing activity are also apparent for bone quality as assessed by quantitative ultrasound (QUS) attenuation. METHODS EXPERIMENTAL DESIGN: cross-sectional. SETTING: a University research laboratory. PARTICIPANTS: we studied 30 young men: 10 Finnish national level jumpers whose training incorporates repeated impacts to the heel, 10 aquatics athletes whose skeletons are exposed to nonweight-bearing activity, and 10 sedentary men matched for age and body weight. MEASURES: bone mineral content (BMC, g x cm(-1)), areal bone mineral density (BMDa; g x cm(-2)) and presumed volumetric BMD (BMDv, g x cm(-3)) was measured by single energy photon absorption (SPA). Broadband ultrasound attenuation (BUA using Fourier spectral estimation and UBI-4 using Burg spectral estimation, both in db/MHz) was assessed by a new QUS device (QUS-1TM, Metra Biosystems). RESULTS: There was no difference in years of sport specific training or total training time per week between athlete groups. BMC, BMDa and BMDv were significantly different among groups (p=0.0001) with jumpers being higher than aquatics athletes and controls. BMC of jumpers was 52% and 39% higher than controls and aquatics athletes, respectively, while the corresponding values for BMDv were 34% and 28%. However, BUA values were not significantly different (p=0.10) among groups nor was UBI-4 (p=0.03; jumpers values were 7% and 6% higher than aquatics athletes and controls, respectively). CONCLUSIONS: These cross-sectional results indicate that bone mineral content and density of the calcaneus are substantially higher in jumpers than individuals engaged in nonweight-bearing or regular weight-bearing activity. However, parameters assessed by QUS attenuation are not markedly different, which suggests that bone quality properties may not be as responsive as that of bone mineral content/density to habitual skeletal loading.

Adult↗

Power spectral strain estimators in elastography.

Elastography can produce quality strain images in vitro and in vivo. Standard elastography uses a coherent cross-correlation technique to estimate tissue displacement and tissue strain using a subsequent gradient operator. Although coherent estimation methods generally have the advantage of being highly accurate and precise, even relatively small undesired motions are likely to cause enough signal decorrelation to produce significant degradation of the elastogram. For elastography to become more universally practical in such applications as hand-held, intravascular and abdominal imaging, the limitations associated with coherent strain estimation methods that require tissue and system stability, must be overcome. In this paper, we propose the use of a spectral-shift method that uses a centroid shift estimate to measure local strain directly. Furthermore, we also show theoretically that a spectral bandwidth method can also provide a direct strain estimation. We demonstrate that strain estimation using the spectral-shift technique is moderately less precise, but far more robust than the cross-correlation method. A theoretical analysis, simulations and experimental results are used to illustrate the properties associated with this method.

Elasticity↗

Application of time series spectral analysis theory: analysis of cardiovascular variability signals.

The paper focuses on the most important application problems commonly encountered in spectral analysis of short-term (less than 10 min) recordings of cardiovascular variability signals (CVSs), critically analysing the different approaches to these problems presented in the literature and suggesting practical solutions based on sound theoretical and empirical considerations. The Blackman-Tukey (BT) and Burg methods have been selected as the most representative of classical and AR spectral estimators, respectively. For realistic simulations, 'synthetic' CVSs are generated as AR processes whose parameters are estimated on corresponding time series of normal, post-myocardial infarction and congestive heart failure subjects. The problem of resolution of spectral estimates is addressed, and an empirical method is proposed for model order selection in AR estimation. The issue of the understandability and interpretability of spectral shapes is discussed. The problem of non-stationarity and removing trends is dealt with. The important issue of identification and estimation of spectral components is discussed, and the main advantages and drawbacks of spectral decomposition algorithms are critically evaluated.

Heart Diseases↗

Multivariate time-variant identification of cardiovascular variability signals: a beat-to-beat spectral parameter estimation in vasovagal syncope.

In this paper a bivariate, time-variant model able to continuously measure the mutual interactions between heart rate and systolic blood pressure variability signals is presented. A recursive identification of the model parameters makes it possible to estimate, on a beat-to-beat basis, spectral low-frequency (LF) and high-frequency (HF) power, (LF/HF ratio) and cross-spectral (coherence and phase relationships between spectral peaks) indexes during nonstationary events. These indexes can be helpful in: 1) physiological study of autonomic nervous system mechanisms of cardiovascular control and 2) quantification and clinical evaluation of the neural and mechanical links between the two signals. In addition, an estimate of baroreceptive activation (alpha-gain) is continuously extracted. Before applying the model to cardiovascular signals, the reliability of the estimated parameters was tested on simulated signals. Subsequently, the model was applied to investigating vasovagal syncope episodes, aiming at the assessment of autonomic nervous system status and autonomic role in the dynamic phenomena which lead to syncope. The proposed model, which provides noninvasive beat-to-beat evaluation of the autonomic events, may be useful in the description of the syncopal episodes and in the comprehension of the complex physiological mechanisms of syncope.

Algorithms↗

Moments of the power spectral density estimated from samples of the autocorrelation function (a robust procedure for monitoring changes in the statistical properties of lengthy non-stationary time series such as the EEG.

Accurate estimates of the statistical moments of the power spectral density (PSD) are obtained without computing the Fourier transform of the associated time series. An innovative analytical procedure is derived which reduces the problem to that of summing a small number of weighted samples of the autocorrelation function (ACF). This result significantly reduces the computational requirements for generating meaningful PSD shape descriptors and thus is especially important in biomedical applications where the cost and effort of monitoring lengthy non-stationary time series is a serious practical limitation. In addition the procedure is robust and therefore can be rigorously applied to any stochastic process to estimate its fundamental statistical properties.

Adult↗

Time-frequency methods applied to muscle fatigue assessment during dynamic contractions.

This paper discusses the assessment of the electrical manifestations of muscle fatigue during dynamic contractions. In the past, the study of muscle fatigue was restricted to isometric constant force contractions because, in this contraction paradigm, the myoelectric signal may be considered as wide sense stationary over epochs lasting up to two or three seconds, and hence classic spectral estimation techniques may be applied. Recently, the availability of spectral estimation techniques specifically designed for nonstationary signal analysis made it possible to extend the employment of muscle fatigue assessment to cyclic dynamic contractions, thus increasing noticeably its possible clinical applications. After presenting the basics of time-frequency distributions, we introduce instantaneous spectral parameters well suited to tracking spectral changes due to muscle fatigue, discuss the issues of quasi-stationarity and quasi-cyclostationarity, and present different strategies of signal analysis to be utilized with cyclic dynamic contractions. We present preliminary results obtained by analyzing data collected from paraspinal muscles during repetitive lift movements, from the first dorsal interosseus during abduction-adduction movements of the index finger, and from knee flexors and extensors during isokinetic exercise. In conclusion, data herein reported demonstrate that the described techniques allow for evidencing the electrical manifestations of muscle fatigue in different paradigms of cyclic dynamic contractions. We believe that the extension of the objective assessment of the electrical manifestations of muscle fatigue from static to dynamic contractions may increase considerably the interest of researchers and clinicians and open new application fields, as ergonomics and sports medicine.

Electromyography↗

Mean-scatterer spacing estimates with spectral correlation.

An ultrasonic backscattered signal from material comprised of quasiperiodic scatterers exhibit redundancy over both its phase and magnitude spectra. This paper addresses the problem of estimating mean-scatterer spacing from the backscattered ultrasound signal using spectral redundancy characterized by the spectral autocorrelation (SAC) function. Mean-scatterer spacing estimates are compared for techniques that use the cepstrum and the SAC function. A -scan models consist of a collection of regular scatterers with Gamma distributed spacings embedded in diffuse scatterers with uniform distributed spacings. The model accounts for attenuation by convolving the frequency dependent scattering centers with a time-varying system response. Simulation results indicate that SAC-based estimates converge more reliably over smaller amounts of data than cepstrum-based estimates. A major reason for the performance advantage is the use of phase information by the SAC function, while the cepstrum uses a phaseless power spectral density that is directly affected by the system response and the presence of diffuse scattering (speckle). An example of estimating the mean-scatterer spacing in liver tissue also is presented.

Culture Techniques↗

Heart rate variability in the horse by ambulatory monitoring.

Using a microprocessor controlled Ambulatory Monitoring System (AMS) developed by one of us (LvD), we have been studying the changes in and control of heart rate in the resting horse. The system provides us with InterBeat Intervals (IBI in milliseconds), motion sensing, and a time domain measure (mean successive differences: MSD) of heart rate variability for periods up to 72 hours. Thoracic impedance is also available but parameters for the equine chest are not currently available. The system is completely noninvasive, small, and carried on a surcingle worn by the subject. The equine subject is confined to a stall in our teaching hospital but not otherwise restrained. Recording is virtually unobtrusive. Ten horses (judged to be clinically normal) were used in this preliminary study. After collection, the data were "offloaded" to a laptop computer for additional analysis. The electrocardiogram could be recorded on each of the ten animals. Complete data, suitable for spectral analysis, were obtained from four of the animals. Spectral estimates were calculated on periods of varying lengths (3-5 minutes) with more stable spectral estimates associated with longer recording periods. Results indicated the preponderance of parasympathetic control in equid heart rate. These results provide support for the utility of this method for the study of heart rate variability in the freely behaving horse.

Animals↗

Statistical bias and variance in blood flow estimation by spectral analysis of Doppler signals.

The stochastic nature of the Doppler signal is discussed as a source of variability and bias in estimation of mean blood velocity and flow performed using the Discrete or Fast-Fourier Transform. The estimators studied are those appropriate when the ultrasound beam is assumed to be wide enough to insonate the cross-section of the vessel uniformly, and assumed to be narrow enough to insonate only a diameter. Approximate expressions are derived theoretically for the biases and variances of these statistics when the Doppler power spectrum is uniform. For more complex spectra numerical evaluation is carried out by computer. Results for the double-sided spectra obtained from mixed flow are inferred from the single-sided cases. Typically, an estimate of instantaneous mean velocity has very little bias added (< 1%) but might have a standard error of approximately 10% of its mean value, and an estimate of flow in one cardiac cycle a standard error of approximately 1% of its mean value.

Bias↗

Variation in the dominant period during ventricular fibrillation.

Time-varying periodicities are commonly observed in biological time series. In this paper, we discuss three different algorithms to detect and quantify change in periodicity. Each technique uses a sliding window to estimate periodic components in short subseries of a longer recording. The three techniques we utilize are based on: 1) standard Fourier spectral estimation; 2) an information theoretic adaption of linear (autoregressive) modeling; and 3) geometric properties of the embedded time series. We compare the results obtained from each of these methods using artificial data and experimental data from swine ventricular fibrillation (VF). Spectral estimates have previously been applied to VF time series to show a time-dependent trend in the dominant frequency. We confirm this result by showing that the dominant period of VF, following onset, first decreases to a minimum and then rises to a plateau. Furthermore, our algorithms detect longer period correlations which may indicate the presence of additional periodic oscillations or more complex nonlinear structure. We show that in general this possibly nonlinear structure is most apparent immediately after the onset of VF.

Algorithms↗

Time-frequency analysis of postural sway.

Postural sway during quiet stance has been used to characterize the postural control system. Most studies have used center of pressure (COP) measurements and have assumed stationarity, however, recent research has indicated that COP is not stationary. The purpose of this study is to introduce and demonstrate a nonstationary spectral estimation technique to examine the time-varying nature of postural sway. Data from two experiments were used to verify the usefulness of the spectral estimator for the analysis of COP. The first data set contains COP recorded from normal subjects swaying about their ankles in response to a metronome as it was gradually changed from 2 to 1 Hz. The time-frequency distribution reveals time-varying spectral changes corresponding to frequency changes made by the subjects. The second set consists of COP from normal subjects and vestibularly impaired patients standing quietly on a force plate with eyes closed for 100 s. The time-frequency distributions for the COP were estimated for both sets of data. The COP's appear to be nonstationary with the energies at a given frequency modulating through time.

Computer Simulation↗

On the tracking of rapid dynamic changes in seizure EEG.

Estimation of autospectra and coherence and phase spectra of seizure EEG, using the FFT technique, will cause "smearing" of the rapid dynamic changes which occur during the seizure. This is inherent to FFT spectral estimation, due to the averaging process which is necessary in order to get consistent spectral estimates. A different approach suggested in the present study is to carry out multivariate autoregressive modeling of the multichannel seizure EEG, combined with adaptive segmentation. In order to obtain good estimates in cases of short record length, the vectorial AR modeling was based on residual energy ratios. The method has been tested on multichannel seizure EEG recordings from rats with focal epilepsy, caused by intracerebral administration of Kainic acid, and in depth EEG recordings in patients with temporal lobe epilepsy.

Animals↗

Respiratory sinus arrhythmia and cardiovascular neural regulation in athletes.

Studies using spectral analysis of cardiovascular variability as a noninvasive means for assessing autonomic nervous system activity have provided controversial results in athletes. One reason is that a slow breathing rate--a common feature in athletes--affects spectral estimation because it causes the low-frequency (LF) and high-frequency (HF) components to overlap. Low-frequency power increases during sympathetic activation; high-frequency corresponds to respiratory sinus arrhythmia. In this study, to assess how controlled respiration influences autonomic nervous system activity, we determined the effect of controlled and uncontrolled breathing conditions on cardiovascular variability. Our aim was to identify a standard respiratory rate for spectral estimation of cardiovascular neural control in athletes. During electrocardiographic recordings, subjects lay supine and breathed at their spontaneous frequency and at rates of 15, 12, and 10 to 14 (random) breaths x min(-1). Uncontrolled and random breathing rates significantly altered spectral sympathetic indices; conversely, 15 and 12 breaths x min(-1) redistributed respiratory related power through the HF, thus yielding correct LF power estimation. None of the breathing conditions significantly changed mean heart rate, arterial blood pressure, or spectral total power of cardiovascular variability. In conclusion, when power spectral analysis is used for assessing autonomic activity in athletes, respiration should be standardized at 15 breaths x min(-1). Controlled respiration at this rate leaves autonomic nervous system activity unchanged.

Adolescent↗

Critical appraisal of indices for the assessment of baroreflex sensitivity.

The sequence technique and the spectral estimation of the alpha coefficient are currently employed for the assessment of "spontaneous" baroreflex sensitivity (BRS). The comparison of performance and effectiveness of these techniques is obtained by the analysis of systolic blood pressure (SBP) and pulse interval (PI) tracings recorded in conscious cats before and after baroreceptor denervation. Results indicate that (1) the average BRS estimates obtained by the sequence technique and by the alpha coefficient at the respiratory frequency are similar, (2) the alpha coefficients computed at the respiratory frequency tend to be higher than alpha coefficients estimated at 0.1 Hz, and (3) in spite of what is traditionally claimed, the PI-SBP coherence does not seem to represent a reliable parameter to enhance the specificity of the spectral estimate, because coherence values often remain above the 0.5 threshold also after baroreceptor denervation.

Animals↗

Is fatigue in patients with multiple sclerosis related to autonomic dysfunction?

Time-dependent frequency decomposition of fluctuations in cardiovascular signals (heart rate [HR], blood pressure, and blood flow) provides noninvasive and quantitative evaluation of autonomic activity during transient and steady-state conditions. This method was applied during a change of position from supine to standing in patients with multiple sclerosis (MS) who experienced unexplained fatigue and in age-matched control subjects. No difference in response to standing, as reflected in the time domain parameters (mean HR, mean blood pressure, and mean blood flow), was observed between patients with MS and control subjects. Moreover, no difference was observed in very-low-frequency and low-frequency (related to sympathetic activity) content of HR, blood pressure, blood flow, or high-frequency content of HR (related to parasympathetic activity). The only spectral estimates that showed a significant difference between groups were the ratio of low-frequency to high-frequency content of HR and low-frequency content of HR normalized to total power. Both these parameters provide an estimate of the sympathovagal balance. A significant increase in these two estimates on standing was observed in control subjects only, indicating possible impairment of the sympathovagal balance response to standing in patients with MS who experienced fatigue. The authors observed a significant age dependence between close age subgroups, which occurred in the MS group only and was observed in some of the investigated spectral estimates that reflect vagal activity. Therefore, the authors assumed that age-related reduction in vagal activity occurred earlier in patients with MS who experienced fatigue. This reduction could also explain the lack of increase in the sympathovagal balance on standing. To validate this enhanced age dependence, further investigation should be performed in a larger group of subjects with a wider age range.

Adult↗

Developments in cardiovascular ultrasound: Part 1: Signal processing and instrumentation.

One of the major contributions to the improvement of spectral Doppler and colour flow imaging instruments has been the development of advanced signal-processing techniques made possible by increasing computing power. Model-based or parametric spectral estimators, time-frequency transforms, station-arising algorithms and spectral width correction techniques have been investigated as possible improvements on the FFT-based estimators currently used for real-time spectral estimation of Doppler signals. In colour flow imaging some improvement on velocity estimation accuracy has been achieved by the use of new algorithms but at the expense of increased computational complexity compared with the conventional autocorrelation method. Polynomial filters have been demonstrated to have some advantages over IIR filters for stationary echo cancellation. Several methods of velocity vector estimation to overcome the problem of angle dependence have been studied, including 2D feature tracking, two and three beam approaches and the use of spectral width in addition to mean frequency. 3D data acquisition and display and Doppler power imaging have also been investigated. The use of harmonic imaging, using the second harmonic generated by encapsulated bubble contrast media, seems promising particularly for imaging slow flow. Parallel image data acquisition using non-sequential scanning or broad beam transmission, followed by simultaneous reception along a number of beams, has been studied to speed up 'real-time' imaging.

Blood Flow Velocity↗

Comparison of autoregression and fast Fourier transform techniques for power spectral analysis of heart period variability of persons with sudden cardiac arrest before and after therapy to increase heart period variability.

Clinical studies have used two types of analysis of the power spectral estimates of heart period variability: autoregressive and fast Fourier transform techniques. Controversy exists regarding which method is the most valid. The specific aims of this study are: (1) to describe the power spectra of heart period variability before and after an intervention designed to increase heart period variability in persons after sudden cardiac arrest; (2) to compare the integral of power spectral density between autoregressive and fast Fourier transform techniques within low and high-frequency bands; (3) to compare the magnitude of the spectral peak values determined by autoregressive and fast Fourier transform techniques approaches within low and high-frequency bands; and (4) to compare the aforementioned parameters using 4-minute, 1-hour, and 24-hour blocks of heart period data. Results indicated high correlations between spectral estimations by autoregressive and fast Fourier transform techniques using integrals or peak values within either the low or high-frequency ranges. The autoregressive technique demonstrated better resolution of sharp peaks than the fast Fourier transform technique, and makes a smoother, more interpretable curve. Lastly, people can cognitively change their heart rate variability.

Biofeedback, Psychology↗

Topographic cortical mapping of EEG sleep stages during daytime naps in normal subjects.

Computer-generated cortical maps of power spectral estimates derived from 16 leads were drawn based on daytime sleep recordings in four normal volunteers. These data were compiled from nine 10-s artifact-free, EEG epochs from awake, stages 1-4 and REM sleep in each volunteer. EEG leads were placed on the left hemisphere and midline according to the 10-20 system with four additional interpolated posterior locations. Magnitude spectral estimates with 1 Hz resolution and adjacent frequencies (delta 2-4, alpha 8-12, beta 13-18) were analyzed with two-way ANOVA (lead by sleep stage). Delta activity was relatively uniform and of low amplitude in awake, eyes-closed subjects, and REM. Delta power increased at the vertex in stage 1. With progressing, non-REM sleep stages, it increased in power and enlarged radially to the intraparietal sulcus posteriorly, and the superior frontal gyrus anteriorly. Comparison of maps with ear and a computed average reference yielded similar topographic patterns. Alpha activity was expectedly maximal occipitally in awake subjects, but surprisingly a frontal area appeared in slow wave sleep. Beta activity in awake subjects was low and maximal parietally; stages 1 and REM showed even lower and more uniform distribution. Stage 2 showed the greatest power, concentrated at the vertex, with stages 3 and 4 diminishing. These data suggest that sleep stages are not completely uniform electrophysiologically across the cortex. This opens the possibility for a new method for the diagnosis of sleep disorders and alternatives in sleep staging.

Adult↗