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At least 1,081 records · Page 60Linked to original sources
PubMed1991

Lower extremity angle measurement with accelerometers--error and sensitivity analysis.

Closed-loop control techniques for the restoration of locomotion of paraplegic subjects are expected to improve the quality of functional neuromuscular stimulation (FNS). We investigated the use of accelerometers for the assessment of feedback parameters. Previously, the possibility of angle assessment of the lower extremities using accelerometers, but without integration, was demonstrated. The current paper evaluates and assesses this method by an error and sensitivity analysis using healthy subject data. Of three potential error sources, the reference system, the accelerometers, and the model assumptions, the last was found to be the most important. Model calculations based on data obtained by the Elite video motion analysis system showed the rigid-body assumption error to be dominant for high frequencies (greater than 10 Hz), with vibrations in the order of 1 mm resulting in errors of one radial or more. For low frequencies (less than 5 Hz), the imperfect fixation of the accelerometers combined with a nonhinge type knee joint gave an error contribution of +/- 0.03 rad. The walking pattern was assumed to be two-dimensional which was shown to result in an error of +/- 0.04 rad. Accelerations due to rotations of the segments could be neglected. The total error computed for low frequencies (+/- 0.07 rad) was comparable to the experimental difference between the current and the reference system.

Acceleration↗
PubMed2002

Experimental comparison of a liquid-crystal point-diffraction interferometer (LCPDI) and a commercial phase-shifting interferometer and methods to improve LCPDI accuracy.

We compare the phase measurements of a fused-silica witness sample made with a liquid-crystal point-diffraction interferometer (LCPDI) with measurements made with a Zygo Mark IV xp phase-shifting interferometer and find close agreement. Two phase-shift-error sources in the LCPDI that contribute to measurement discrepancies are frame-to-frame intensity changes caused by the dichroism of the dye and alignment distortions of the host liquid crystal. An empirical model of the phase-shift error caused by the host alignment distortions is presented and used to investigate the performance of two different phase-detection algorithms. It is suggested that by proper choice of LCPDI fabrication parameters and phase-acquisition methods, the device's accuracy can be significantly improved.

Journal Article↗
PubMed1990

A compartment model for fluorometric indication of tissue perfusion.

Sodium fluorescein is an in vivo blood perfusion indicator for soft tissue. When fluorescein dye is introduced into the blood, it distributes throughout the vasculature and the extravascular space. Incident light from an external source causes the dye to fluoresce, the level of which is monitored by a photodetector placed over the tissue. In this study, theoretical analysis incorporating a multicompartmental model for dye distribution is applied to describe the relationship among perfusion, dye kinetics, and fluorescence readings. Errors in calculating perfusion from fluorescence are related to dye concentrations and to measurement errors. These error sources are minimized by selecting the measurement time. The alternatives of measurement during wash-in or during wash-out of dye are compared, as well as the alternatives of introducing dye by bolus injection or by constant infusion. Compensation of wash-in measurements for differences in skin pigmentation is accomplished by the matching of skin optical properties between incident and fluorescing wavelengths. A laboratory study at 80 measurement sites (from ten graded perfusion canine flaps) demonstrated a correlation of wash-in and wash-out perfusion data ranging from 0.88 to 0.96 at typical levels of fluorescein in blood. Since wash-in can be completed in a matter of a few minutes, this is likely to be preferable in the clinical setting to wash-out which can take much longer to complete.

Animals↗
PubMed1987

Childbirth research data: medical records or women's reports?

Medical records and women's reports were compared as sources of data for childbirth research. Three weeks after they had given birth in 1982 at five teaching hospitals in Sydney, Australia, 397 low-risk primiparous women in a random sample were interviewed about their birth experiences. The women's reports were compared with data from their medical records. Error sources in data collection were identified at four points: from the actual event to hospital recording, in the abstraction of data from medical records, in women's memory of the actual events, and in women's reporting of their encoded information. Both corrected data sources were accurate for most major variables. It is concluded that both data sources are subject to variation from the actual events they represent and that the assumption that medical records are always more accurate and acceptable is not supported.

Adolescent↗
PubMed2003

VO2, VCO2, and RQ in a respiratory chamber: accurate estimation based on a new mathematical model using the Kalman-Bucy method.

A respiratory chamber is used for monitoring O(2) consumption (Vo(2)), CO(2) production (Vco(2)), and respiratory quotient (RQ) in humans, enabling long term (24-h) observation under free-living conditions. Computation of Vo(2) and Vco(2) is currently done by inversion of a mass balance equation, with no consideration of measurement errors and other uncertainties. To improve the accuracy of the results, a new mathematical model is suggested in the present study explicitly accounting for the presence of such uncertainties and error sources and enabling the use of optimal filtering methods. Experiments have been realized, injecting known gas quantities and estimating them using the proposed mathematical model and the Kalman-Bucy (KB) estimation method. The estimates obtained reproduce the known production rates much better than standard methods; in particular, the mean error when fitting the known production rates is 15.6 +/- 0.9 vs. 186 +/- 36 ml/min obtained using a conventional method. Experiments with 11 humans were carried out as well, where Vo(2) and Vco(2) were estimated. The variance of the estimation errors, produced by the KB method, appears relatively small and rapidly convergent. Spectral analysis is performed to assess the residual noise content in the estimates, revealing large improvement: 2.9 +/- 0.8 vs. 3,440 +/- 824 (ml/min)(2) and 1.8 +/- 0.5 vs. 2,057 +/- 532 (ml/min)(2), respectively, for Vo(2) and Vco(2) estimates. Consequently, the accuracy of the computed RQ is also highly improved (0.3 x 10(-4) vs. 800 x 10(-4)). The presented study demonstrates the validity of the proposed model and the improvement in the results when using a KB estimation method to resolve it.

Carbon Dioxide↗
PubMed1994

Scatter correction for three-dimensional PET based on an analytic model dependent on source and attenuating object.

Three-dimensional positron emission tomography admits a significant scatter fraction due to the large aperture of the detectors, and requires accurate scatter subtraction. A scatter-correction method, applicable to both emission and transmission imaging, calculates the projections of the single-scatter distribution, using an approximate image of the source and attenuating object. The scatter background is subtracted in projection space for transmission data and in image space for emission data, yielding corrected attenuation and emission images. The accuracy of this single-scatter distribution is validated for the authors' small imaging system by comparison with Monte Carlo simulations. The correction is demonstrated using transmission and emission data obtained from measurements on the authors' QPET imaging system using two acrylic phantoms. For the transmission data, generated with a flood source, errors of up to 24% in the linear attenuation coefficients resulted with no scatter subtraction, but the correction yielded an accurate value of mu =0.11+or-0.01 cm-1. For the emission data, the corrected images show that the scattered background has been removed to within the level of the background noise outside the source. The residual amplitude within a cold spot in one of the phantoms was reduced from 21% to 3% of the image amplitude.

Image Processing, Computer-Assisted↗
PubMed2005

Microsatellite genotyping errors: detection approaches, common sources and consequences for paternal exclusion.

Microsatellite genotyping errors will be present in all but the smallest data sets and have the potential to undermine the conclusions of most downstream analyses. Despite this, little rigorous effort has been made to quantify the size of the problem and to identify the commonest sources of error. Here, we use a large data set comprising almost 2000 Antarctic fur seals Arctocephalus gazella genotyped at nine hypervariable microsatellite loci to explore error detection methods, common sources of error and the consequences of errors on paternal exclusion. We found good concordance among a range of contrasting approaches to error-rate estimation, our range being 0.0013 to 0.0074 per single locus PCR (polymerase chain reaction). The best approach probably involves blind repeat-genotyping, but this is also the most labour-intensive. We show that several other approaches are also effective at detecting errors, although the most convenient alternative, namely mother-offspring comparisons, yielded the lowest estimate of the error rate. In total, we found 75 errors, emphasizing their ubiquitous presence. The most common errors involved the misinterpretation of allele banding patterns (n = 60, 80%) and of these, over a third (n = 22, 36.7%) were due to confusion between homozygote and adjacent allele heterozygote genotypes. A specific test for whether a data set contains the expected number of adjacent allele heterozygotes could provide a useful tool with which workers can assess the likely size of the problem. Error rates are also positively correlated with both locus polymorphism and product size, again indicating aspects where extra effort at error reduction should be directed. Finally, we conducted simulations to explore the potential impact of genotyping errors on paternity exclusion. Error rates as low as 0.01 per allele resulted in a rate of false paternity exclusion exceeding 20%. Errors also led to reduced estimates of male reproductive skew and increases in the numbers of pups that matched more than one candidate male. Because even modest error rates can be strongly influential, we recommend that error rates should be routinely published and that researchers make an attempt to calculate how robust their analyses are to errors.

Animals↗
PubMed2005

Operator representation as a new differential optical absorption spectroscopy formalism.

UV-visible absorption spectroscopy with extraterrestrial light sources is a widely used technique for the measurement of stratospheric and tropospheric trace gases. We focus on differential optical absorption spectroscopy (DOAS) and present an operator notation as a new formalism to describe the different processes in the atmosphere and the simplifying assumptions that compose the advantage of DOAS. This formalism provides tools to classify and reduce possible error sources of DOAS applications.

Journal Article↗
PubMed1995

Analysis of the effects of measurement errors on the evaluation of propagation coefficients, in rubber tubes and canine aorta in vivo.

Published measurements of canine arterial propagation coefficients show large disparities in pulse wave attenuation and considerable variation with frequency, suggesting both random and systematic error. Here we devise methods of assessing the likely magnitude of each measurement error source, and calculate the individual and cumulative effects on the propagation coefficients derived using three different schemes to compensate for reflections: the three-point method (3PT), the total occlusion method (OCC) and the general iterative method applied to Cox's arrangement of four transducers (GEN). Results from measurements using impulse excitation in a latex tube show that each method accumulates error in a characteristic frequency pattern. The predicted error bands for OCC are very small except at the fundamental, and clearly exclude a significant further error component. The predicted 3PT error is large at low and at high frequency, and the error bands are better predictors of actual error than in the OCC case. Transducer position error is less than any one of the three pressure measurement errors. The predicted GEN error increases with frequency and when averaged across frequency is of magnitude intermediate between those for OCC and 3PT. Results for the OCC and GEN methods from the canine aorta in vivo generally confirm these trends, but the concentration of natural pulse wave energy at low frequencies acts to reduce low-frequency error and increase high-frequency error.

Algorithms↗
PubMed1996

Reduction of Saccharomyces cell adhesion by liquid mechanical vibration.

The effect of liquid mechanical vibration on the adhesion of Saccharomyces cerevisiae cells to the internal glass surface of a pipette was studied using a 25 Hz vibration source. The maximum vibration amplitude was 1.06 mm (peak to peak) along the pipette direction. Relative movements between the pipette and yeast suspension in it were produced by vibration and reduced the cell adhesion. The reduction in adhesion was affected by both vibration amplitude and suspension pH. Analysis showed that in routine cell counts, cell adhesion to the pipette wall was a significant error source. The construction of a vibration device for routine cell count work appears feasible.

Cell Adhesion↗
PubMed2005

An analysis of an implantable dosimeter system for external beam therapy.

BACKGROUND AND PURPOSE: To review the data from an implantable radiation dosimetry system used in a clinical setting and to examine correlations between dosimeter readings and potential causative error sources. MATERIALS AND METHODS: MOSFET (metal oxide semiconductor field effect transistor) based encapsulated dosimeters were evaluated in a phantom (in vitro) and in a study with 18 patients. The dosimeters were placed in the gross tumor volume or in collateral normal tissue. Predicted dose values were established by imaging the dosimeters in the planning CTs. RESULTS: The in vitro study confirmed that bounding cumulative errors due to setup, planning, and machine output within a +/-5% level is achievable. In patients, it was found that deviations from the targeted dose often exceeded the 5% level. CONCLUSIONS: The use of an implantable dosimeter system could provide an effective empiric check on the dose delivered at depth. Such a tool may have value for institutional quality assurance, as well as for therapy delivered to individual patients.

Dose-Response Relationship, Radiation↗
PubMed2000

Reduction of multiple reflection influence in microwave free-space measurements

The influence of the multiple reflections is one of the main error sources in the microwave free-space measurements. In this study, the influence is analyzed for the conventional free-space method, and a new method which uses absorbing material inserted between the antenna and the sample to reduce the influence of the multiple reflections is proposed. The effectiveness of this approach is verified by measuring the attenuation of timbers. It is showed that the maximum error caused by the multiple reflections in the improved free-space set-up is 0.4 dB, while that in the conventional free-space method is 1.5 dB.

Journal Article↗
PubMed1982

Anthropometric measurement of muscle mass: revised equations for calculating bone-free arm muscle area.

Arm muscle area (AMA, cm2) is currently calculated from triceps skinfold thickness (TSF, cm), and midarm circumference (MAC, cm). In assessing the accuracy of the current equation by comparison to AMA measured by computerized axial tomography, error in each of the four approximations made was found to result in a 20 to 25% overestimate of AMA. Two correctible error sources were: a 10 to 15% overestimation caused by assuming a circular midarm muscle compartment and a 5 to 10% overestimation due to inclusion of midarm cross-sectional bone area. Corrected AMA equations for men and women were respectively: [(MAC - pi x TSF)2/4 pi] - 10, and [MAC - pi x TSF)2/4 pip] - 6.5. With two additional study groups, the overall improved accuracy of the new equations was confirmed, although the average error for a given patient was 7 to 8%; the relationship between corrected AMA and total body muscle mass was established [muscle mass (kg) = (ht, cm2) (0.0264 + 0.0029 x corrected AMA)]; and the minimal range of corrected AMA values compatible with survival (9 to 11 cm2) was defined. Bedside estimates of undernutrition severity and prognosis can therefore be calculated from two simple measurements, TSF and MAC.

Adult↗
PubMed2005

[From the concept of guilt to the value-free notification of errors in medicine. Risks, errors and patient safety].

The number of liability cases but also the size of individual claims due to alleged treatment errors are increasing steadily. Spectacular sentences, especially in the USA, encourage this trend. Wherever human beings work, errors happen. The health care system is particularly susceptible and shows a high potential for errors. Therefore risk management has to be given top priority in hospitals. Preparing the introduction of critical incident reporting (CIR) as the means to notify errors is time-consuming and calls for a change in attitude because in many places the necessary base of trust has to be created first. CIR is not made to find the guilty and punish them but to uncover the origins of errors in order to eliminate them. The Department of Anesthesiology of the University Hospital of Basel has developed an electronic error notification system, which, in collaboration with the Swiss Medical Association, allows each specialist society to participate electronically in a CIR system (CIRS) in order to create the largest database possible and thereby to allow statements concerning the extent and type of error sources in medicine. After a pilot project in 2000-2004, the Swiss Society of Gynecology and Obstetrics is now progressively introducing the 'CIRS Medical' of the Swiss Medical Association. In our country, such programs are vulnerable to judicial intervention due to the lack of explicit legal guarantees of protection. High-quality data registration and skillful counseling are all the more important. Hospital directors and managers are called upon to examine those incidents which are based on errors inherent in the system.

Anesthesiology↗
PubMed2003

[Physiological and technical limitations of functional magnetic resonance imaging (fMRI)--consequences for clinical use].

Functional magnetic resonance imaging (fMRI) is the most common noninvasive technique in functional neuroanatomy. The capabilities and limitations of the method will be discussed based on a short review of the current knowledge about the neurovascular relationship. The focus of this article is on current methodical and technical problems regarding fMRI-based detection and localization of neuronal activity. Main error sources and their influence on the reliability and validity of fMRI-methods are presented. Appropriate solution strategies will be proposed and evaluated. Finally, the clinical relevance of MR-based diagnostic methods are discussed.

Brain Diseases↗
PubMedDate not supplied

Quantitative analysis of the measuring capabilities of the KT-1000 knee ligament arthrometer.

The KT-1000 arthrometer was evaluated in vitro and in vivo to determine accuracy and quantify effects of potential error sources in clinical application. The KT-1000 arthrometer in vitro accuracy was evaluated by making 30 measurements of 13 known displacements (range, +15 to -15 mm). The effect of applied force on malalignment measurements was evaluated in vitro by making repeated measurements with force applied 5 degrees, 10 degrees, and 15 degrees from the vertical position. The effect of malpositioning the device along the joint line was evaluated in vivo by making repeated measurements 1 cm proximal and 1 cm distal to the joint line. The KT-1000 arthrometer was accurate in vitro (average error, 0.13 mm; SD, 0.12 mm). The range of measurements increased when the angle of force application was increased. Positioning the device 1 cm proximal to the joint line produced larger anterior translation measurements in vivo than those at the joint line (5.8 versus 5.4 mm), while positioning it 1 cm distal produced smaller measurements (4.4 mm). The KT-1000 arthrometer's accuracy indicates great potential for clinical application, but one must ensure that the displacing force is directed properly and the device is positioned accurately over the joint line.

Equipment Design↗
PubMed2000

Quantitation of regional cerebral blood flow corrected for partial volume effect using O-15 water and PET: I. Theory, error analysis, and stereologic comparison.

Limited spatial resolution of positron emission tomography (PET) can cause significant underestimation in the observed regional radioactivity concentration (so-called partial volume effect or PVE) resulting in systematic errors in estimating quantitative physiologic parameters. The authors have formulated four mathematical models that describe the dynamic behavior of a freely diffusible tracer (H215O) in a region of interest (ROI) incorporating estimates of regional tissue flow that are independent of PVE. The current study was intended to evaluate the feasibility of these models and to establish a methodology to accurately quantify regional cerebral blood flow (CBF) corrected for PVE in cortical gray matter regions. Five monkeys were studied with PET after IV H2(15)O two times (n = 3) or three times (n = 2) in a row. Two ROIs were drawn on structural magnetic resonance imaging (MRI) scans and projected onto the PET images in which regional CBF values and the water perfusable tissue fraction for the cortical gray matter tissue (hence the volume of gray matter) were estimated. After the PET study, the animals were killed and stereologic analysis was performed to assess the gray matter mass in the corresponding ROIs. Reproducibility of the estimated parameters and sensitivity to various error sources were also evaluated. All models tested in the current study yielded PVE-corrected regional CBF values (approximately 0.8 mL x min(-1) x g(-1) for models with a term for gray matter tissue and 0.5 mL x min(-1) x g(-1) for models with a term for a mixture of gray matter and white matter tissues). These values were greater than those obtained from ROIs tracing the gray matter cortex using conventional H2(15)O autoradiography (approximately 0.40 mL x min(-1) x g(-1)). Among the four models, configurations that included two parallel tissue compartments demonstrated better results with regards to the agreement of tissue time-activity curve and the Akaike's Information Criteria. Error sensitivity analysis suggested the model that fits three parameters of the gray matter CBF, the gray matter fraction, and the white matter fraction with fixed white matter CBF as the most reliable and suitable for estimating the gray matter CBF. Reproducibility with this model was 11% for estimating the gray matter CBF. The volume of gray matter tissue can also be estimated using this model and was significantly correlated with the results from the stereologic analysis. However, values were significantly smaller compared with those measured by stereologic analysis by 40%, which can not be explained by the methodologic errors. In conclusion, the partial volume correction was essential in quantitation of regional CBF. The method presented in this article provided the PVE-corrected regional CBF in the cortical gray matter tissue. This study also suggests that further studies are required before using MRI derived anatomic information for PVE correction in PET.

Animals↗
PubMed2006

Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety.

Patient safety in transplantation depends on accurate testing, transcription and transmission of the ABO types of the donor and recipient. Similar to 'near-miss' transfusion labeling errors, three cases of mislabeled ABO types on deceased donor kidney containers were recognized through a pretransplant verification process. Six steps to confirming the organ and ABO identification were developed to ensure safety of the patient and prevent liability for the transplant team and facility. In each case, rapid recognition and documentation of the error source, on site confirmation of the ABO type of the accompanying blood specimen, and full disclosure to the patient and family permitted safe transplantation and avoided the need to pursue a more conservative course that would have required discarding the organs. We advocate following these measures in determining whether to persevere with transplantation of a mislabeled organ.

ABO Blood-Group System↗