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Sample records for chest-wall impedance algorithms

  1. Algorithm of chest wall keloid treatment

    PubMed Central

    Long, Xiao; Zhang, Mingzi; Wang, Yang; Zhao, Ru; Wang, Youbin; Wang, Xiaojun

    2016-01-01

    Abstract Keloids are common in the Asian population. Multiple or huge keloids can appear on the chest wall because of its tendency to develop acne, sebaceous cyst, etc. It is difficult to find an ideal treatment for keloids in this area due to the limit of local soft tissues and higher recurrence rate. This study aims at establishing an individualized protocol that could be easily applied according to the size and number of chest wall keloids. A total of 445 patients received various methods (4 protocols) of treatment in our department from September 2006 to September 2012 according to the size and number of their chest wall keloids. All of the patients received adjuvant radiotherapy in our hospital. Patient and Observer Scar Assessment Scale (POSAS) was used to assess the treatment effect by both doctors and patients. With mean follow-up time of 13 months (range: 6–18 months), 362 patients participated in the assessment of POSAS with doctors. Both the doctors and the patients themselves used POSAS to evaluate the treatment effect. The recurrence rate was 0.83%. There was an obvious significant difference (P < 0.001) between the before-surgery score and the after-surgery score from both doctors and patients, indicating that both doctors and patients were satisfied with the treatment effect. Our preliminary clinical result indicates that good clinical results could be achieved by choosing the proper method in this algorithm for Chinese patients with chest wall keloids. This algorithm could play a guiding role for surgeons when dealing with chest wall keloid treatment. PMID:27583896

  2. Algorithm of chest wall keloid treatment.

    PubMed

    Long, Xiao; Zhang, Mingzi; Wang, Yang; Zhao, Ru; Wang, Youbin; Wang, Xiaojun

    2016-08-01

    Keloids are common in the Asian population. Multiple or huge keloids can appear on the chest wall because of its tendency to develop acne, sebaceous cyst, etc. It is difficult to find an ideal treatment for keloids in this area due to the limit of local soft tissues and higher recurrence rate. This study aims at establishing an individualized protocol that could be easily applied according to the size and number of chest wall keloids.A total of 445 patients received various methods (4 protocols) of treatment in our department from September 2006 to September 2012 according to the size and number of their chest wall keloids. All of the patients received adjuvant radiotherapy in our hospital. Patient and Observer Scar Assessment Scale (POSAS) was used to assess the treatment effect by both doctors and patients. With mean follow-up time of 13 months (range: 6-18 months), 362 patients participated in the assessment of POSAS with doctors.Both the doctors and the patients themselves used POSAS to evaluate the treatment effect. The recurrence rate was 0.83%. There was an obvious significant difference (P < 0.001) between the before-surgery score and the after-surgery score from both doctors and patients, indicating that both doctors and patients were satisfied with the treatment effect.Our preliminary clinical result indicates that good clinical results could be achieved by choosing the proper method in this algorithm for Chinese patients with chest wall keloids. This algorithm could play a guiding role for surgeons when dealing with chest wall keloid treatment. PMID:27583896

  3. Defibrillator electrode-chest wall coupling agents: influence on transthoracic impedance and shock success.

    PubMed

    Aylward, P E; Kieso, R; Hite, P; Charbonnier, F; Kerber, R E

    1985-09-01

    The purpose of this study was to determine if the difference in transthoracic impedance produced by different coupling agents affects the success of shocks for defibrillation. Three different coupling agents, Harco pads (Hewlett-Packard), Littman pads (3M) and Redux paste (Hewlett-Packard), were assessed in 10 anesthetized dogs in which ventricular fibrillation was induced by electrical stimulation of the right ventricle. Defibrillation was attempted 15 seconds later, using 50, 100 and 150 joules (selected energy). Actual delivered energy, current, impedance and the percent of the shocks that achieved defibrillation were determined for the three coupling agents. Redux paste gave significantly lower impedance and higher current than the two disposable performed coupling pads tested. Despite this, there were no significant differences in shock success among the three coupling agents. Thus, in this experimental model, over a three-fold energy range, disposable coupling pads were as effective as electrode paste for defibrillation despite the slightly higher impedance of the disposable pads.

  4. Musculoskeletal chest wall pain

    PubMed Central

    Fam, Adel G.; Smythe, Hugh A.

    1985-01-01

    The musculoskeletal structures of the thoracic wall and the neck are a relatively common source of chest pain. Pain arising from these structures is often mistaken for angina pectoris, pleurisy or other serious disorders. In this article the clinical features, pathogenesis and management of the various musculoskeletal chest wall disorders are discussed. The more common causes are costochondritis, traumatic muscle pain, trauma to the chest wall, “fibrositis” syndrome, referred pain, psychogenic regional pain syndrome, and arthritis involving articulations of the sternum, ribs and thoracic spine. Careful analysis of the history, physical findings and results of investigation is essential for precise diagnosis and effective treatment. ImagesFig. 3Fig. 4Fig. 5 PMID:4027804

  5. Biometric estimation of chest wall thickness of females

    SciTech Connect

    Berger, C.D.; Lane, B.H.

    1985-09-01

    Optimal use of whole-body counting data to estimate pulmonary deposition of many of the actinides is dependent upon accurate measurement of the thickness of the chest wall because of severe attenuation of low-energy x rays and photons associated with the decay of these radionuclides. An algorithm for estimation of female chest wall thicknesses, verified by real-time ultrasonic measurements, has been derived based on the correlation of measured chest wall thickness and other common biometric quantities. Use of this algorithm will reduce the error generally associated with estimation of internal actinide deposition previously resulting from assuming an average chest wall thickness for all female subjects.

  6. Actinomycosis involving the chest wall: CT findings

    SciTech Connect

    Webb, W.R.; Sagel, S.S.

    1982-11-01

    Two cases of pulmonary actinomycosis with extension to involve the chest wall that were evaluated using computerized tomography are reported. In both cases, the relation of pulmonary and chest wall disease was best shown using CT. (KRM)

  7. Major chest wall reconstruction after chest wall irradiation

    SciTech Connect

    Larson, D.L.; McMurtrey, M.J.; Howe, H.J.; Irish, C.E.

    1982-03-15

    In the last year, 12 patients have undergone extensive chest wall resection. Eight patients had recurrent cancer after prior resection and irradiation with an average defect of 160 square centimeters, usually including ribs and a portion of the sternum; four had radionecrosis of soft tissue and/or bone. Methods of reconstruction included latissimus dorsi musculocutaneous (MC) flap (five patients), pectoralis major MC flap (seven patients), and omental flap and skin graft (one patient). The donor site was usually closed primarily. All flaps survived providing good wound coverage. The only complication was partial loss of a latissimus dorsi MC flap related to an infected wound; this reconstruction was salvaged with a pectoralis major MC flap. The hospital stay ranged from 10-25 days with a median stay of 11 days. Use of the MC flap is a valuable tool which can be used to significantly decrease morbidity, hospital stay, and patient discomfort related to the difficult problem of chest wall reconstruction after radiation therapy.

  8. Chest wall angiolipoma complicating von Recklinghausen disease.

    PubMed

    Komatsu, Teruya; Takahashi, Koji; Fujinaga, Takuji

    2013-09-01

    We present the case of an 18-year-old man with chest wall angiolipoma and a medical history of von Recklinghausen neurofibromatosis. The chest wall tumor was originally detected during an evaluation for chest pain. For diagnostic and therapeutic purposes, video-assisted thoracoscopic resection was performed, and the tumor was histopathologically confirmed to be an angiolipoma. Chest wall angiolipoma is exceptionally rare. Only two cases have been reported in the English literature, with no reports regarding chest wall angiolipoma in a patient with von Recklinghausen disease.

  9. Intercostal hemangioma of the chest wall

    PubMed Central

    Hamzík, Julian

    2016-01-01

    The authors describe a case of a 36-year-old patient who had six months’ pain of the thoracic spine and left chest. A soft slowly growing resistance was present on the dorso-lateral side of the left chest wall, in the range of the seventh to ninth rib. According to the medical history, the patient did not have any prior trauma and malignancy. A well-defined tumor of the left chest wall with calcifications, which grew to the seventh and eighth intercostal space, was present on computed tomography (CT) and magnetic resonance (MR) scans. The patient underwent resection of the tumor with the chest wall and reconstruction with polypropylene mesh. Histologically, it was a venous hemangioma, one of very rare tumors of the chest wall. PMID:27212983

  10. Tuberculous abscess on the chest wall.

    PubMed

    Aylk, S; Qakan, A; Aslankara, N; Ozsöz, A

    2009-03-01

    A 58-year old patient on dialysis for four years due to chronic renal failure presented with complaints of painless, continuously growing swelling on the left of his back and coughing, symptoms evolving over a period of approximately 3 months. Physical examination revealed a soft fixed mass of 10 x 10 x 4 cm on the left infrascapular area on the chest wall. The sample taken from the inflammation on the chest wall was analyzed with PCR method which resulted positive for Acid Fast Bacilli (AFB), tissue biopsy showed dermatitis with granulomata and sputum was positive for AFB. Thoracic MR, performed for the purpose of detecting the relationship between the lesion on the lung and the one on the chest wall, detected changes in the inflammatory soft tissues and multiple small abscess formations on the chest wall. There was no pathological signal in the bone structures of the chest wall. This case underlines the necessity to include "Empyema necessitatis" in the preliminary diagnosis when there is a soft tissue swelling on the chest wall without inflammatory signs in patients with reduced immune defences.

  11. Chest wall reconstruction after resection using hernia repair piece.

    PubMed

    Wu, Yimin; Zhang, Guofei; Zhu, Zhouyu; Chai, Ying

    2016-06-01

    Reconstruction of chest wall tumor is very important link of chest wall tumor resection. Many implants have been reported to be used to reconstruct the chest wall, such as steelwire, titanium mesh and polypropylene mesh. It is really hard for clinicians to decide which implant is the best one to replace the chest wall. We herein report a 68-year-old man who had underwent a chest wall reconstruction with a hernia repair piece and a Dacron hernia repair piece. The patient has maintained an excellent cosmetic and functional outcome since surgery, which proves that the hernia piece still has its place in reconstruction of chest wall. PMID:27293859

  12. Chest wall reconstruction after resection using hernia repair piece

    PubMed Central

    Wu, Yimin; Zhang, Guofei; Zhu, Zhouyu

    2016-01-01

    Reconstruction of chest wall tumor is very important link of chest wall tumor resection. Many implants have been reported to be used to reconstruct the chest wall, such as steelwire, titanium mesh and polypropylene mesh. It is really hard for clinicians to decide which implant is the best one to replace the chest wall. We herein report a 68-year-old man who had underwent a chest wall reconstruction with a hernia repair piece and a Dacron hernia repair piece. The patient has maintained an excellent cosmetic and functional outcome since surgery, which proves that the hernia piece still has its place in reconstruction of chest wall. PMID:27293859

  13. [Chest Wall Reconstruction Using Titanium Plates Sandwiched Between Sheets after Resection of Chest Wall Chondrosarcoma].

    PubMed

    Endoh, Makoto; Oizumi, Hiroyuki; Kato, Hirohisa; Suzuki, Jun; Watarai, Hikaru; Hamada, Akira; Suzuki, Katsuyuki; Takahashi, Ai; Nakahashi, Kenta; Sugawara, Masato; Tsuchiya, Takashi; Sadahiro, Mitsuaki

    2016-07-01

    Extensive chest wall resection carries the risk of difficult reconstruction and surgical complications. We report our experience on chest wall reconstruction using titanium plates for a wide thoracic defect after tumor resection. A 74-year-old man was diagnosed with chondrosarcoma of the 6th rib on the right. He needed extensive chest wall resection because of skip lesions on 4th rib noted on operative inspection, leaving a defect measuring 33 × 20 cm. Reconstruction using 5 transverse titanium plates sandwiched between an expanded polytetrafluoroethylene patch and a polypropylene mesh sheet stabilized the chest wall. This reconstruction allowed successful separation from ventilatory support after operation. The postoperative course was uneventful, and he was discharged on postoperative day 20. The advantages of this form of reconstruction over conventional prostheses are rigidity, and stability and usability. PMID:27365062

  14. Normalized mean shapes and reference index values for computerized quantitative assessment indices of chest wall deformities

    NASA Astrophysics Data System (ADS)

    Kim, Ho Chul; Park, Man Sik; Lee, Seong Keon; Nam, Ki Chang; Park, Hyung Joo; Kim, Min Gi; Song, Jae-Jun; Choi, Hyuk

    2015-11-01

    We previously proposed a computerized index (eccentricity index [EI]) for chest-wall deformity measurements, such as pectus excavatum. We sought to define mean shapes based on normal chest walls and to propose for computerized index reference values of that are used in the quantitative analysis of the severity of chest-wall deformities. A total of 584 patients were classified into 18 groups, and a database of their chest-wall computed tomography (CT) scan images was constructed. The boundaries of the chest wall were extracted by using a segmentation algorithm, and the mean shapes were subsequently developed. The reference index values were calculated from the developed mean shapes. Reference index values for the EI were compared with a conventional index, the Haller index (HI). A close association has been shown between the two indices in multiple subjects (r = 0.974, P < 0.001). The newly developed mean shapes and reference index values supply both reliability and objectivity to the diagnosis, analysis, and treatment of chest-wall deformities. They promise to be highly useful in clinical settings.

  15. Reconstruction of full thickness chest wall defects.

    PubMed Central

    Morgan, R F; Edgerton, M T; Wanebo, H J; Daniel, T M; Spotnitz, W D; Kron, I L

    1988-01-01

    Over the last 5 years, 14 patients were treated by wide en bloc resection of chest wall tumors with primary reconstruction. There were nine females and five male patients with an age range of 31-77 years. All patients had a skeletal resection of the chest wall. An average of 3.9 ribs were resected in the patients treated. In three patients a partial sternectomy was carried out in conjunction with the rib resections. Chest wall skeletal defects were reconstructed with Prolene mesh, which was placed under tension. Soft tissue reconstruction utilized selected portions of the latissimus dorsi musculocutaneous territory with fasciocutaneous extensions beyond the muscle itself. Primary healing was obtained in all patients and secondary procedures were not required. The average hospitalization was 23 days. All patients survived the resection and reconstruction and were alive 30 days after operation. In selected patients the preservation of a portion of the innervated muscle in situ or the transfer of the muscle with the preservation of its resting length has maintained the majority of the muscle function. Images Fig. 3A. Fig. 3C. Fig. 3D. Fig. 4A. Fig. 4C. Fig. 4D. Fig. 4E. Fig. 5A. Fig. 5B. Fig. 5D. Fig. 6A. Fig. 6C. Fig. 6D. Fig. 6E. Fig. 6F. Fig. 6G. Fig. 6H. PMID:3389939

  16. Chest wall, lung, and pleural space trauma.

    PubMed

    Miller, Lisa A

    2006-03-01

    Chest radiographs frequently underestimate the severity and extent of chest trauma and, in some cases, fail to detect the presence of injury. CT is more sensitive than chest radiography in the detection of pulmonary, pleural, and osseous abnormalities in the patient who has chest trauma. With the advent of multidetector CT (MDCT), high-quality multiplanar reformations are obtained easily and add to the diagnostic capabilities of MDCT. This article reviews the radiographic and CT findings of chest wall, pleural, and pulmonary injuries that are seen in the patient who has experienced blunt thoracic trauma.

  17. Important considerations in chest wall reconstruction.

    PubMed

    Momeni, Arash; Kovach, Stephen J

    2016-06-01

    Chest wall reconstruction represents one of the most challenging tasks in plastic surgery. Over the past several decades, a more profound understanding of surgical anatomy and physiology along with tremendous advances in surgical technique have resulted in substantial improvements in postoperative outcomes. Conceptually, the reconstructive goals include dead space obliteration, restoration of skeletal stability with protection of intrathoracic structures, and stable soft tissue coverage. Ideally, these goals are achieved with minimal aesthetic deformity. J. Surg. Oncol. 2016;113:913-922. © 2016 Wiley Periodicals, Inc. PMID:26969557

  18. Recurrent aggressive fibromatosis of the chest wall.

    PubMed

    Foà, Riccardo; Rizzo, Stefania; Petrella, Francesco; De Maria, Federica; Bellomi, Massimo

    2014-01-01

    A 57-year-old woman with a previous history of aesthetic surgery for breast reduction presented with a subcutaneous mass in the right axilla. A CT scan showed a solid mass on the chest wall, and she underwent surgical resection with a diagnosis of aggressive fibromatosis. After a 10-month period of follow-up, a local recurrence occurred, and in accordance with the up-to-date approach, the recurrence has been treated with a conservative approach (medical treatments) with good control of the symptoms and downsizing of the lesion.

  19. Solitary fibrous tumour of the chest wall.

    PubMed

    Mohtarrudin, N; Nor Hanipah, Z; Mohd Dusa, N

    2016-04-01

    Extrapleural solitary fibrous tumours (SFTs) are rare tumours characterized by patternless spindle cells with haemangiopericytoma-like vascular spaces. Previously the tumours have been classified as haemangiopericytoma, an entity that is now considered obsolete. We report a case of extrapleural SFT arising in the soft tissue of the chest wall. The patient was a 31-year-old Malay lady presenting with a mobile swelling of the right chest wall for more than five years. During excision the tumour was noted to be well-circumscribed and yellowish in colour, giving an impression of lipoma. Microscopically, the tumour had patternless architecture, characterized by hypocellular and hypercellular areas. It was composed of uniform, spindle-shaped cells displaying oval nuclei, inconspicuous nucleoli, pale cytoplasm and indistinct cell borders. The mitotic count was 2 per 10 HPF. Branching, medium-sized thin-walled blood vessels in a haemangiopericytomatous growth pattern, some with hyalinised wall were identified. The neoplastic cells were immunoreactive to CD99 and CD34 and were non-immunoreactive to Desmin, Smooth Muscle Actin, S100 protein and EMA. We elucidate the challenges in diagnosing this tumour in this unusual location.

  20. Solitary fibrous tumour of the chest wall.

    PubMed

    Mohtarrudin, N; Nor Hanipah, Z; Mohd Dusa, N

    2016-04-01

    Extrapleural solitary fibrous tumours (SFTs) are rare tumours characterized by patternless spindle cells with haemangiopericytoma-like vascular spaces. Previously the tumours have been classified as haemangiopericytoma, an entity that is now considered obsolete. We report a case of extrapleural SFT arising in the soft tissue of the chest wall. The patient was a 31-year-old Malay lady presenting with a mobile swelling of the right chest wall for more than five years. During excision the tumour was noted to be well-circumscribed and yellowish in colour, giving an impression of lipoma. Microscopically, the tumour had patternless architecture, characterized by hypocellular and hypercellular areas. It was composed of uniform, spindle-shaped cells displaying oval nuclei, inconspicuous nucleoli, pale cytoplasm and indistinct cell borders. The mitotic count was 2 per 10 HPF. Branching, medium-sized thin-walled blood vessels in a haemangiopericytomatous growth pattern, some with hyalinised wall were identified. The neoplastic cells were immunoreactive to CD99 and CD34 and were non-immunoreactive to Desmin, Smooth Muscle Actin, S100 protein and EMA. We elucidate the challenges in diagnosing this tumour in this unusual location. PMID:27126667

  1. [Functional Outcome after Chest Wall Stabilisation].

    PubMed

    Kyriss, T; Lenz, U; Friedel, G

    2016-09-01

    This overview reviews the current literature to compare the functional results after surgical and conservative treatment of patients with flail chest and multiple rib fractures. Regarding functional aspects, patients in the early phase after a thoracic trauma are those that benefit most from the stabilisation of the chest wall by internal fixation of the ribs. Patients recover faster from restrictive respiratory disorders, have less pain and return to the workplace earlier after an operation compared with those that receive conservative treatment. In the medium term, however, patients that are treated conservatively also achieve normal pulmonary function values and become free of pain. The period of convalescence after blunt thoracic trauma is generally underestimated. Future studies of the functional outcome after severe chest injuries should take this into account and the development of functional parameters should be monitored for at least 24 months. A prospective data collection of early and long-term surgical results in registries would be suitable to evaluate benefits and indications of chest wall stabilisation. PMID:27607891

  2. Results of chest wall resection and reconstruction in 162 patients with benign and malignant chest wall disease

    PubMed Central

    Aghajanzadeh, Manoucheher; Alavy, Ali; Taskindost, Mehrdad; Pourrasouly, Zahra; Aghajanzadeh, Gilda; massahnia, Sara

    2010-01-01

    Background Chest wall resection is a complicated treatment modality with significant morbidity. The purpose of this study is to report our experience with chest wall resections and reconstructions. Methods The records of all patients undergoing chest wall resection and reconstruction were reviewed. Diagnostic procedures, surgical indications, the location and size of the chest wall defect, performance of lung resection, the type of prosthesis, and postoperative complications were recorded. Results From 1997 to 2008, 162 patients underwent chest wall resection.113 (70%) of patients were male. Age of patients was 14 to 69 years. The most common indications for surgery were primary chest wall tumors. The most common localized chest wall mass has been seen in the anterior chest wall. Sternal resection was required in 22 patients, Lung resection in 15 patients, Rigid prosthetic reconstruction has been used in 20 patients and nonrigid prolene mesh and Marlex mesh in 40 patients. Mean intensive care unit stay was 8 days. In-hospital mortality was 3.7 % (six patients). Conclusions Chest wall resection and reconstruction with Bone cement sandwich with mesh can be performed as a safe and effective surgical procedure for major chest wall defects and respiratory failure is lower in prosthetic reconstruction patients than previously reported (6). PMID:22263024

  3. [Dedifferentiated Chondrosarcoma of the Chest Wall].

    PubMed

    Saitoh, Genkichi; Yoneshima, Yasuto; Nakamura, Toshihiko; Kitagawa, Dai; Kinjo, Nao; Ohgaki, Kippei; Maehara, Shinichiro; Teramoto, Seiichi; Adachi, Eisuke; Ikeda, Yoichi; Mine, Mari

    2016-08-01

    A 79-year-old man complaining of an anterior chest mass with pain had an abnormal shadow on chest X-ray. A mass, 7 cm in size, with destruction of the right 4th rib was found on chest computed tomography. A F-18 fluorodeoxyglucose positron emission tomography (FDG-PET) corresponding to the lesion showed an abnormal accumulation of FDG with the standardized uptake value(SUV) max=16.19. A malignant tumor of the chest wall origin was suspected and the tumor was resected with the 3th, 4th, and 5th ribs. Histologically, the tumor was diagnosed as dedifferentiated chondrosarcoma. He died of local recurrence about 5 months after the operation. PMID:27476566

  4. Multidisciplinary Oncoplastic Approach Reduces Infection in Chest Wall Resection and Reconstruction for Malignant Chest Wall Tumors

    PubMed Central

    Malahias, Marco N.; Balasubramanian, Balapathiran; Djearaman, Madava G.; Naidu, Babu; Grainger, Melvin F.; Kalkat, Maninder

    2016-01-01

    Background: Management of complex thoracic defects post tumor extipiration is challenging because of the nature of pathology, the radical approach, and the insertion of prosthetic material required for biomechanical stability. Wound complications pose a significant problem that can have detrimental effect on patient outcome. The authors outline an institutional experience of a multidisciplinary thoracic oncoplastic approach to improve outcomes. Methods: Prospectively collected data from 71 consecutive patients treated with chest wall resection and reconstruction were analyzed (2009–2015). The demographic data, comorbidities, operative details, and outcomes with special focus on wound infection were recorded. All patients were managed in a multidisciplinary approach to optimize perioperative surgical planning. Results: Pathology included sarcoma (78%), locally advanced breast cancer (15%), and desmoids (6%), with age ranging from 17 to 82 years (median, 42 years) and preponderance of female patients (n = 44). Chest wall defects were located anterior and anterolateral (77.5%), posterior (8.4%), and apical axillary (10%) with skeletal defect size ranging from 56 to 600 cm2 (mean, 154 cm2). Bony reconstruction was performed using polyprolene mesh, methyl methacrylate prosthesis, and titanium plates. Soft tissue reconstructions depended on size, location, and flap availability and were achieved using regional, distant, and free tissue flaps. The postoperative follow-up ranged from 5 to 70 months (median, 32 months). All flaps survived with good functional and aesthetic outcome, whereas 2 patients experienced surgical site infection (2.8%). Conclusions: Multidisciplinary thoracic oncoplastic maximizes outcome for patients with large resection of chest wall tumors with reduction in surgical site infection and wound complications particularly in association with rigid skeletal chest wall reconstruction. PMID:27536488

  5. Chest wall mechanics in sustained microgravity

    NASA Technical Reports Server (NTRS)

    Wantier, M.; Estenne, M.; Verbanck, S.; Prisk, G. K.; Paiva, M.; West, J. B. (Principal Investigator)

    1998-01-01

    We assessed the effects of sustained weightlessness on chest wall mechanics in five astronauts who were studied before, during, and after the 10-day Spacelab D-2 mission (n = 3) and the 180-day Euromir-95 mission (n = 2). We measured flow and pressure at the mouth and rib cage and abdominal volumes during resting breathing and during a relaxation maneuver from midinspiratory capacity to functional residual capacity. Microgravity produced marked and consistent changes (Delta) in the contribution of the abdomen to tidal volume [DeltaVab/(DeltaVab + DeltaVrc), where Vab is abdominal volume and Vrc is rib cage volume], which increased from 30.7 +/- 3. 5 (SE)% at 1 G head-to-foot acceleration to 58.3 +/- 5.7% at 0 G head-to-foot acceleration (P < 0.005). Values of DeltaVab/(DeltaVab + DeltaVrc) did not change significantly during the 180 days of the Euromir mission, but in the two subjects DeltaVab/(DeltaVab + DeltaVrc) was greater on postflight day 1 than on subsequent postflight days or preflight. In the two subjects who produced satisfactory relaxation maneuvers, the slope of the Konno-Mead plot decreased in microgravity; this decrease was entirely accounted for by an increase in abdominal compliance because rib cage compliance did not change. These alterations are similar to those previously reported during short periods of weightlessness inside aircrafts flying parabolic trajectories. They are also qualitatively similar to those observed on going from upright to supine posture; however, in contrast to microgravity, such postural change reduces rib cage compliance.

  6. Infiltrating angiolipoma of the chest wall: a rare clinical entity

    PubMed Central

    Mayooran, Nithiananthan; Tarazi, Munir; O'Brien, Odharnaith; Hinchion, John

    2016-01-01

    Angiolipoma is a rare variant of lipoma. Infiltrating chest wall angiolipoma usually presents as painful subcutaneous lesions. There are only a handful of cases reported in the literature. Malignancy is suspected in the differential diagnosis, and hence a tissue diagnosis is needed to rule out an underlying malignancy. Symptomatic infiltrating angiolipoma warrants surgical excision. We report a case of an infiltrating angiolipoma of the chest wall, which was successfully treated with surgical excision. PMID:26724328

  7. Chest Wall Dissemination of Nocardiosis after Percutaneous Transthoracic Needle Biopsy

    SciTech Connect

    Shimamoto, Hiroshi Inaba, Yoshitaka; Yamaura, Hidekazu; Sato, Yozo; Kamiya, Mika; Miyazaki, Masaya; Arai, Yasuaki; Horio, Yoshitsugu

    2007-07-15

    We described a case of chest wall dissemination after percutaneous transthoracic needle biopsy. A 65-year-old man had a lung nodule which was suspected to be lung carcinoma. He underwent percutaneous transthoracic needle biopsy using an 18G semiautomated biopsy needle and pathologic diagnosis showed organizing pneumonia. Two months after the biopsy, chest wall dissemination occurred. Implantation of carcinoma along the biopsy route was suspected, but the mass was actually due to pulmonary nocardiosis.

  8. Measurement of chest wall displacement based on terahertz wave

    NASA Astrophysics Data System (ADS)

    Li, Hui; Lv, Hao; Jiao, Teng; Lu, Guohua; Li, Sheng; Li, Zhao; Liu, Miao; Jing, Xijing; Wang, Jianqi

    2015-02-01

    Measurement of chest wall displacement is an important approach for measuring mechanics of chest wall, which has considerable significance for assessing respiratory system and diagnosing pulmonary diseases. However, existing optical methods for measuring chest wall displacement are inconvenient for some specific patients such as the female patients and the patients with bandaged chest. In this letter, we proposed a method for measuring chest wall displacement based on terahertz wave and established corresponding mathematic model and set up a terahertz measurement system. The main advantages of this method are that it can measure the chest wall displacement of the subjects without taking off clothes or arranging any markers. To validate this method and assess the performance of the terahertz system, in vitro, the displacement of a water module driven by a linear guide rail was measured by the terahertz system and compared with the actual displacement of the water module. The results showed that the waveforms measured with two methods have a good agreement, and the relative error is less than 5% and sufficiently good for measurement demands. In vivo, the synchronous experiment was performed on five human volunteers with the terahertz system and a respiratory belt transducer. The results demonstrate that this method has good performance and promising prospects for measuring chest wall displacement.

  9. Chest wall segmentation in automated 3D breast ultrasound scans.

    PubMed

    Tan, Tao; Platel, Bram; Mann, Ritse M; Huisman, Henkjan; Karssemeijer, Nico

    2013-12-01

    In this paper, we present an automatic method to segment the chest wall in automated 3D breast ultrasound images. Determining the location of the chest wall in automated 3D breast ultrasound images is necessary in computer-aided detection systems to remove automatically detected cancer candidates beyond the chest wall and it can be of great help for inter- and intra-modal image registration. We show that the visible part of the chest wall in an automated 3D breast ultrasound image can be accurately modeled by a cylinder. We fit the surface of our cylinder model to a set of automatically detected rib-surface points. The detection of the rib-surface points is done by a classifier using features representing local image intensity patterns and presence of rib shadows. Due to attenuation of the ultrasound signal, a clear shadow is visible behind the ribs. Evaluation of our segmentation method is done by computing the distance of manually annotated rib points to the surface of the automatically detected chest wall. We examined the performance on images obtained with the two most common 3D breast ultrasound devices in the market. In a dataset of 142 images, the average mean distance of the annotated points to the segmented chest wall was 5.59 ± 3.08 mm.

  10. Massive chest wall resection and reconstruction for malignant disease

    PubMed Central

    Foroulis, Christophoros N; Kleontas, Athanassios D; Tagarakis, George; Nana, Chryssoula; Alexiou, Ioannis; Grosomanidis, Vasilis; Tossios, Paschalis; Papadaki, Elena; Kioumis, Ioannis; Baka, Sofia; Zarogoulidis, Paul; Anastasiadis, Kyriakos

    2016-01-01

    Objective Malignant chest wall tumors are rare neoplasms. Resection with wide-free margins is an important prognostic factor, and massive chest wall resection and reconstruction are often necessary. A recent case series of 20 consecutive patients is reported in order to find any possible correlation between tumor histology, extent of resection, type of reconstruction, and adjuvant treatment with short- and long-term outcomes. Methods Twenty patients were submitted to chest wall resection and reconstruction for malignant chest wall neoplasms between 2006 and 2014. The mean age (ten males) was 59±4 years. The size and histology of the tumor, the technique of reconstruction, and the short- and long-term follow-up records were noted. Results The median maximum diameter of tumors was 10 cm (5.4–32 cm). Subtotal sternal resection was performed in nine cases, and the resection of multiple ribs was performed in eleven cases. The median area of chest wall defect was 108 cm2 (60–340 cm2). Histology revealed soft tissue, bone, and cartilage sarcomas in 16 cases (80%), most of them chondrosarcomas. The rest of the tumors was metastatic tumors in two cases and localized malignant pleural mesothelioma and non-Hodgkin lymphoma in one case. The chest wall defect was reconstructed by using the “sandwich technique” (propylene mesh/methyl methacrylate/propylene mesh) in nine cases of large anterior defects or by using a 2 mm polytetrafluoroethylene (e-PTFE) mesh in nine cases of lateral or posterior defects. Support from a plastic surgeon was necessary to cover the full-thickness chest wall defects in seven cases. Adjuvant oncologic treatment was administered in 13 patients. Local recurrences were observed in five cases where surgical reintervention was finally necessary in two cases. Recurrences were associated with larger tumors, histology of malignant fibrous histiocytoma, and initial incomplete resection or misdiagnosis made by nonthoracic surgeons. Three patients died

  11. Effect of the chest wall on breast lesion reconstruction

    NASA Astrophysics Data System (ADS)

    Ardeshirpour, Yasaman; Huang, Minming; Zhu, Quing

    2009-07-01

    The chest wall underneath the breast tissue affects near-infrared (NIR) diffusive waves measured with reflection geometry. With the assistance of a co-registered ultrasound, the depth and the tilting angle of the chest wall can be determined and are used to model the breast as a two-layer medium. Finite element method (FEM) is suitable for modeling complex boundary conditions and is adapted to model the breast tissue and chest wall. Four parameters of bulk absorption and reduced scattering coefficients of these two layers are estimated and used for imaging reconstruction. Using a two-layer model, we have systematically investigated the effect of the chest wall on breast lesion reconstruction. Results have shown that chest-wall depth, titling angle, and difference between optical properties of two layers of lesion and reference sites affect the lesion reconstruction differently. Our analysis will be valuable and informative to researchers who are using reflectance geometry for breast imaging. The analysis can also provide guidelines for imaging operators to minimize image artifacts and to produce the best reconstruction results.

  12. Use of the omentum in chest-wall reconstruction

    SciTech Connect

    Fix, R.J.; Vasconez, L.O. )

    1989-10-01

    Increased use of the omentum in chest-wall reconstruction has paralleled the refinement of anatomic knowledge and the development of safe mobilization techniques. Important anatomic points are the omental attachments to surrounding structures, the major blood supply from the left and right gastroepiploic vessels, and the collateral circulation via the gastroepiploic arch and Barkow's marginal artery. Mobilization of the omentum to the thorax involves division of its attachments to the transverse colon and separation from the greater curvature to fabricate a bipedicled flap. Most anterior chest wounds and virtually all mediastinal wounds can be covered with the omentum based on both sets of gastroepiploic vessels. The arc of transposition is increased when the omentum is based on a single pedicle, allowing coverage of virtually all chest-wall defects. The final method of increasing flap length involves division of the gastroepiploic arch and reliance on Barkow's marginal artery as collateral circulation to maintain flap viability. With regard to chest-wall reconstruction, we have included the omentum in the armamentarium of flaps used to cover mediastinal wounds. The omentum is our flap of choice for the reconstruction of most radiation injuries of the chest wall. The omentum may also be used to provide protection to visceral anastomoses, vascular conduits, and damaged structures in the chest, as well as to cover defects secondary to tumor excision or trauma. In brief, the omentum has proved to be a most dependable and versatile flap, particularly applicable to chest-wall reconstruction.

  13. Ventilation distribution and chest wall mechanics in microgravity

    NASA Technical Reports Server (NTRS)

    Paiva, M.; Wantier, M.; Verbanck, S.; Engel, L. A.; Prisk, G. K.; Guy, H. J. B.; West, J. B.

    1997-01-01

    The effect of gravity on lung ventilation distribution and the mechanisms of the chest wall were investigated. The following tests were performed with the respiratory monitoring system of the Anthorack, flown onboard Spacelab D2 mission: single breath washout (SBW), multiple breath washout (MBW) and argon rebreathing (ARB). In order to study chest wall mechanisms in microgravity, a respiratory inductive plethysmograph was used. The SBW tests did not reach statistical significance, while the ARB tests showed that gravity independent inhomogeneity of specific ventilation is larger than gravity dependent inhomogeneity. In which concerns the chest wall mechanisms, the analysis on the four astronauts during the normal respirations of the relaxation maneuver showed a 40 percent increase on the abdominal contribution to respiration.

  14. Sternalis muscle: an underestimated anterior chest wall anatomical variant

    PubMed Central

    2011-01-01

    Over the recent years, an increased alertness for thorough knowledge of anatomical variants with clinical significance has been recorded in order to minimize the risks of surgical complications. We report a rare case of bilateral strap-like sternalis muscle of the anterior chest wall in a female cadaver. Its presence may evoke alterations in the electrocardiogram or confuse a routine mammography. The incidental finding of a sternalis muscle in mammography, CT, and MRI studies must be documented in a patient's medical records as it can be used as a pedicle flap or flap microvascular anastomosis during reconstructive surgery of the anterior chest wall, head and neck, and breast. Moreover, its presence may be misdiagnosed as a wide range of benign and malignant anterior chest wall lesions and tumors. PMID:21575244

  15. Chest wall reconstruction. Experience with 100 consecutive patients.

    PubMed Central

    Arnold, P G; Pairolero, P C

    1984-01-01

    Experience with 100 consecutive chest wall reconstructions during the past 7 years was reviewed. There were 52 female and 48 male patients with ages ranging from 13 to 78 years (average 53). Of the 100 patients, 42 had tumors of the chest wall, 19 had radiation necrosis, 24 had infected median sternotomies , and 15 had combinations of the three. Seventy-six patients underwent skeletal resection of the chest wall. An average of 5.7 ribs were resected in 63 patients. Total or partial sternectomies were performed in 29. Ninety-two patients underwent 142 muscle flaps: 77 pectoralis major, 29 latissimus dorsi, and 36 other muscles, including serratus anterior, rectus abdominis, and external oblique muscles. The omentum was transposed in ten patients. Chest wall skeletal defects were closed with Prolene mesh in 29 patients and with autogenous ribs in 11. Eighty-nine patients underwent primary closure of the skin. The 100 patients underwent an average of 2.1 operations. Hospitalization averaged 17.5 days. There was one perioperative death (29 days). Two patients required tracheostomy. Follow-up averaged 21.6 months. There were 24 late deaths. All 99 patients who were alive 30 days after operation had excellent results at the time of death or last follow-up. Images Figs. 2A-D. Figs. 3A-F. Figs. 4A-D. Figs. 4A-D. Fig. 5. Fig. 5. PMID:6732314

  16. Giant intramuscular haemangioma of the chest wall with osteolytic change.

    PubMed

    Matsuoka, Katsunari; Ueda, Mitsuhiro; Miyamoto, Yoshihiro

    2012-05-01

    Intramuscular haemangioma of the chest wall is very rare, and only few cases associated with rib destruction has been reported. Here, we describe a 37-year old woman with a giant intramuscular haemangioma arising in the left back and associated with rib destruction.

  17. Recent and Future Developments in Chest Wall Reconstruction.

    PubMed

    Ng, Calvin S H

    2015-01-01

    Reconstruction following major chest wall resection can be challenging. Conventional methods of using mesh with or without incorporation of methyl methacrylate are slowly being replaced by chest wall reconstruction prosthetic systems that use titanium plates or bars. The most popular systems in use are the titanium STRATOS bars and MatrixRIB plates, which have different systems for securing to the chest wall. In general, these new approaches are user friendly, are more ergonomic, and may avoid certain complications associated with the more conventional methods of reconstruction. However, the successful implantation of these titanium prosthetic systems requires the operator to be familiar with the limitations and potential pitfalls of the process. Follow-up data are only just emerging on the risk factors for implant failure of these prosthetic systems, as well as certain device-specific complications, with fracture failure being increasingly recognized as a significant problem. In the future, emerging intraoperative real-time imaging and 3-dimensional printing technology, as well as development in biomaterials, will allow chest wall reconstruction to become increasingly personalized. PMID:26686454

  18. Lung Volume Reduction in Emphysema Improves Chest Wall Asynchrony

    PubMed Central

    LoMauro, Antonella; Aliverti, Andrea; Nelson, Christopher; Ward, Simon; Jordan, Simon; Polkey, Michael I.; Shah, Pallav L.; Hopkinson, Nicholas S.

    2015-01-01

    BACKGROUND: Lung volume reduction (LVR) techniques improve lung function in selected patients with emphysema, but the impact of LVR procedures on the asynchronous movement of different chest wall compartments, which is a feature of emphysema, is not known. METHODS: We used optoelectronic plethysmography to assess the effect of surgical and bronchoscopic LVR on chest wall asynchrony. Twenty-six patients were assessed before and 3 months after LVR (surgical [n = 9] or bronchoscopic [n = 7]) or a sham/unsuccessful bronchoscopic treatment (control subjects, n = 10). Chest wall volumes were divided into six compartments (left and right of each of pulmonary ribcage [Vrc,p], abdominal ribcage [Vrc,a], and abdomen [Vab]) and phase shift angles (θ) calculated for the asynchrony between Vrc,p and Vrc,a (θRC), and between Vrc,a and Vab (θDIA). RESULTS: Participants had an FEV1 of 34.6 ± 18% predicted and a residual volume of 217.8 ± 46.0% predicted with significant chest wall asynchrony during quiet breathing at baseline (θRC, 31.3° ± 38.4°; and θDIA, −38.7° ± 36.3°). Between-group difference in the change in θRC and θDIA during quiet breathing following treatment was 44.3° (95% CI, −78 to −10.6; P = .003) and 34.5° (95% CI, 1.4 to 67.5; P = .007) toward 0° (representing perfect synchrony), respectively, favoring the LVR group. Changes in θRC and θDIA were statistically significant on the treated but not the untreated sides. CONCLUSIONS: Successful LVR significantly reduces chest wall asynchrony in patients with emphysema. PMID:25654309

  19. Mechanically induced sudden death in chest wall impact (commotio cordis).

    PubMed

    Link, Mark S

    2003-01-01

    Sudden death due to nonpenetrating chest wall impact in the absence of injury to the ribs, sternum and heart is known as commotio cordis. Although once thought rare, an increasing number of these events have been reported. Indeed, a significant percentage of deaths on the athletic field are due to chest wall impact. Commotio cordis is most frequently observed in young individuals (age 4-18 years), but may also occur in adults. Sudden death is instantaneous or preceded by several seconds of lightheadedness after the chest wall blow. Victims are most often found in ventricular fibrillation, and successful resuscitation is more difficult than expected given the young age, excellent health of the victims, and the absence of structural heart disease. Autopsy examination is notable for the lack of any significant cardiac or thoracic abnormalities. In an experimental model of commotio cordis utilizing anesthetized juvenile swine, ventricular fibrillation can be produced by a 30 mph baseball strike if the strike occurred during the vulnerable period of repolarization, on the upslope of the T-wave. Energy of the impact object was also found to be a critical variable with 40 mph baseballs more likely to cause ventricular fibrillation than velocities less or greater than 40 mph. In addition, more rigid impact objects and blows directly over the center of the chest were more likely to cause ventricular fibrillation. Peak left ventricular pressure generated by the chest wall blow correlated with the risk of ventricular fibrillation. Activation of the K(+)(ATP) channel is a likely cause of the ventricular fibrillation produced by chest wall blows. Successful resuscitation is attainable with early defibrillation.

  20. Chest wall myositis in a patient with acute coronary syndrome

    PubMed Central

    Hussein, Laila; Al-Rawi, Harith

    2014-01-01

    We describe a case of a 42-year-old man who presented to the emergency department with severe left-sided chest pain and chest tenderness of 1-day duration. The pain was episodic and was aggravated by any chest wall movement. His initial blood tests and ECG were suggestive of acute coronary syndrome (ACS). However, his pattern of pain, lack of response to opiates, raised creatine kinase and signs of pleurisy on chest radiograph raised a suspicion of an alternative diagnosis. The patient showed a dramatic response in pain relief to non-steroidal anti-inflammatory medication. He was suspected to have chest wall myositis with pleural involvement in the form of pleurodynia. His serology test was positive for coxsackie virus antibodies. We will discuss in this case report the pathognomonic features, diagnosis and treatment of a rare infectious condition known as Bornholm disease. PMID:25312897

  1. Chest wall reconstruction with methacrylate prosthesis in Poland syndrome.

    PubMed

    Arango Tomás, Elisabet; Baamonde Laborda, Carlos; Algar Algar, Javier; Salvatierra Velázquez, Angel

    2013-10-01

    Poland syndrome is a rare congenital malformation. This syndrome was described in 1841 by Alfred Poland at Guy's Hospital in London. It is characterized by hypoplasia of the breast and nipple, subcutaneous tissue shortages, lack of the costosternal portion of the pectoralis major muscle and associated alterations of the fingers on the same side. Corrective treatment of the chest and soft tissue abnormalities in Poland syndrome varies according to different authors. We report the case of a 17-year-old adolescent who underwent chest wall reconstruction with a methyl methacrylate prosthesis. This surgical procedure is recommended for large anterior chest wall defects, and it prevents paradoxical movement. Moreover it provides for individual remodeling of the defect depending on the shape of the patient's chest. PMID:23453291

  2. Chest wall reconstruction with methacrylate prosthesis in Poland syndrome.

    PubMed

    Arango Tomás, Elisabet; Baamonde Laborda, Carlos; Algar Algar, Javier; Salvatierra Velázquez, Angel

    2013-10-01

    Poland syndrome is a rare congenital malformation. This syndrome was described in 1841 by Alfred Poland at Guy's Hospital in London. It is characterized by hypoplasia of the breast and nipple, subcutaneous tissue shortages, lack of the costosternal portion of the pectoralis major muscle and associated alterations of the fingers on the same side. Corrective treatment of the chest and soft tissue abnormalities in Poland syndrome varies according to different authors. We report the case of a 17-year-old adolescent who underwent chest wall reconstruction with a methyl methacrylate prosthesis. This surgical procedure is recommended for large anterior chest wall defects, and it prevents paradoxical movement. Moreover it provides for individual remodeling of the defect depending on the shape of the patient's chest.

  3. Radiation-induced sarcomas of the chest wall

    SciTech Connect

    Souba, W.W.; McKenna, R.J. Jr.; Meis, J.; Benjamin, R.; Raymond, A.K.; Mountain, C.F.

    1986-02-01

    Sixteen patients are presented who had sarcomas of the chest wall at a site where a prior malignancy had been irradiated. The first malignancies included breast cancer (ten cases), Hodgkin's disease (four cases), and others (two cases). Radiation doses varied from 4200 to 5500 R (mean, 4900 R). The latency period ranged from 5 to 28 years (mean, 13 years). The histologic types of the radiation-induced sarcomas were as follows: malignant fibrous histiocytoma, nine cases; osteosarcoma, six cases; and malignant mesenchymoma, one case. The only long-term survivor is alive and well 12 years after resection of a clavicular chondroblastic osteosarcoma. Three cases were recently diagnosed. Despite aggressive multimodality treatment, the remaining 13 patients have all died from their sarcomas (mean survival, 13.5 months). All patients have apparently been cured of their first malignancies. Chemotherapy was ineffective. No treatment, including forequarter amputation, appeared to palliate the patients with supraclavicular soft tissue sarcomas. Major chest wall resection offered good palliation for seven of eight patients with sarcomas arising in the sternum or lateral chest wall. Close follow-up is needed to detect signs of these sarcomas in the ever-increasing number of patients receiving therapeutic irradiation.

  4. Chest wall motion in preterm infants using respiratory inductive plethysmography.

    PubMed

    Warren, R H; Horan, S M; Robertson, P K

    1997-10-01

    Preterm infant tidal breathing may be different from that of healthy full-term infants because of various features of the premature thorax. The purpose of this project was to describe chest wall motion in the preterm infant (gestational age <37 weeks) and compare it with chest wall motion data in a group of healthy, full-term infants. We wanted to use an objective bedside method for assessment with minimal disruption to the infant. The study population consisted of 61 preterm human infants whose mean(+/-sD) postconceptional age at time of study was 35.3+/-2.1 weeks. During the study, the infants were quietly awake in a prone position. Preterm infants had initially been admitted to a level III neonatal intensive care unit for acute management and had been transferred to a step-down area, where they were in stable condition for study. Data were collected with a semiquantitatively calibrated, noninvasive respiratory inductive plethysmograph. Mean(+/-SD) phase angle was significantly greater in preterm infants than in full-term infants (60.6+/-39.8 degrees versus 12.5+/-5.0 degrees, respectively, p < or = 0.0001). The laboured breathing index was significantly greater in preterm infants than in full-term infants (1.35+/-0.35 versus 1.01+/-0.01, respectively, p = 0.001). The ribcage contribution to breathing did not differ significantly between preterm and full-term infants (25.5+/-17.7% versus 36.3+/-14.4%, respectively, p = 0.11). These results indicate a significant increase in the degree of ribcage and abdomen asynchrony in the preterm subjects compared to the full-term infants. Plethysmography provided a time-efficient and objective method of assessing chest wall motion in this fragile population. PMID:9387956

  5. Primary malignant chest wall tumors: analysis of 40 patients

    PubMed Central

    2014-01-01

    Background Primary chest wall tumors originate from different constructions of thoracic wall. We report our multidisciplinary experience on primary thoracic tumor resection and thoracic reconstruction, the need to additional therapy and evaluating prognostic factors affecting survival. Methods We performed a retrospective review of our prospectively maintained database of 40 patients treated for malignant primary chest wall tumor from 1989 to 2009. Patients were evaluated in terms of age, sex, clinical presentation, type of imaging, tissue diagnosis methods, pathology, surgical technique, early complications, hospital mortality, prevalence of recurrence and distant metastases, additional treatment, 3 years survival and factors affecting survival. Results Male/Female (F/M) = 1, with median age of 43.72 years. Mass was the most common symptoms and the soft tissue sarcoma was the most common pathology. Resection without reconstruction was performed in 5 patients and Thirty-five patients (87.5%) had extensive resection and reconstruction with rotatory muscular flap, prosthetic mesh and/or cement. Overall, 12.5% (5/40) of patients received neoadjuvant therapy and 75% (30/40) of patients were treated with adjuvant therapy. The 3-year survival rate was 65%. Recurrences occurred in 24 patients (60%), 14 developed local recurrences, and 10 developed distant metastases. The primary treatment modality for both local and distant recurrences was surgical resection; among them, 10 underwent repeated resection, 9 adjuvant therapy and 5 were treated with lung metastasectomy. The most common site of distant metastasis was lung (n = 7). Factors that affected survival were type of pathology and evidence of distant metastasis. Conclusion Surgery with wide margin is the safe and good technique for treatment of primary chest wall tumors with acceptable morbidity and mortality. PMID:24947314

  6. Radiation-associated lesions of the chest wall

    SciTech Connect

    Seyfer, A.E.

    1988-08-01

    A ten year review of 31 patients with chest wall complications associated with radiation therapy is presented. Carcinoma of the breast accounted for 23 instances, postradiation sarcomas for five and other complications for three. Twenty patients had radionecrotic ulcerations, nine of which were found to contain recurrent malignant disease. This finding significantly and unfavorably influenced survival in comparison with those whose ulcer was free of tumor (p less than or equal to 0.0001). Of 27 surgically treated patients, the regimen which correlated with the fewest complications included extensive removal of all poor quality tissue, avoidance of prosthetic materials and bone grafts and immediate reconstruction with well vascularized muscle or omental flaps.

  7. Melioidosis of Chest Wall Masquerading as a Tubercular Cold Abscess

    PubMed Central

    Vishnu Prasad, Nelamangala Ramakrishnaiah; Balasubramaniam, Gopal; Karthikeyan, Vilvapathy Senguttuvan; Ramesh, Chakravarti Kapil; Srinivasan, Krishnamachari

    2012-01-01

    Melioidosis caused by Burkholderia pseudomallei, an important human pathogen in the tropical regions causes protean and multisystem clinical manifestations. A 50-year-old man on treatment for pulmonary tuberculosis developed a chest wall abscess. With a suspicion of tuberculous cold abscess, pus culture was done and it revealed Burkholderia pseudomallei. He was treated with 10 days of ceftazidime and incision and drainage was done. Wound healed well and he has now completed three months of oral cotrimoxazole eradication therapy and is on follow-up without recurrence. We report this case for the unusual presentation of melioidosis and the diagnostic challenge posed due to clinical similarity with tuberculosis. PMID:23741590

  8. Algorithmic Error Correction of Impedance Measuring Sensors

    PubMed Central

    Starostenko, Oleg; Alarcon-Aquino, Vicente; Hernandez, Wilmar; Sergiyenko, Oleg; Tyrsa, Vira

    2009-01-01

    This paper describes novel design concepts and some advanced techniques proposed for increasing the accuracy of low cost impedance measuring devices without reduction of operational speed. The proposed structural method for algorithmic error correction and iterating correction method provide linearization of transfer functions of the measuring sensor and signal conditioning converter, which contribute the principal additive and relative measurement errors. Some measuring systems have been implemented in order to estimate in practice the performance of the proposed methods. Particularly, a measuring system for analysis of C-V, G-V characteristics has been designed and constructed. It has been tested during technological process control of charge-coupled device CCD manufacturing. The obtained results are discussed in order to define a reasonable range of applied methods, their utility, and performance. PMID:22303177

  9. Using "Rebar" to Stabilize Rigid Chest Wall Reconstruction.

    PubMed

    Robinson, Lary A; Grubbs, Deanna M

    2016-04-01

    After major chest wall resection, reconstruction of the bony defect with a rigid prosthesis is mandatory to protect the underlying thoracic organs, and to prevent flail chest physiology. Although many methods have been described for chest wall reconstruction, a commonly used technique employs a composite Marlex (polypropylene) mesh with methyl-methacrylate cement sandwiched between two layers of mesh (MMS), which is tailored to the defect size and shape. In building construction, steel "rebar" is used to strengthen and reinforce masonry structures. To avoid the initial residual motion of the rigid prosthesis used to reconstruct very large defects, particularly the sternum, we devised a simple technique of adding one or more Steinmann steel pins as "rebar" to strengthen and immediately stabilize the prosthesis to the surrounding ribs and sternum. For the very large defects, particularly over the heart and great vessels, titanium mesh may also be readily added into the sandwich construction for increased strength and to prevent late prosthetic fractures. Short- and long-term results of this inexpensive modification of the MMS reconstruction technique are excellent. This modified MMS tailor-made prosthesis is only one-third the cost of the recently popular prosthetic titanium systems, takes much less operative time to create and implant, and avoids the well-described complications of late titanium bar fracture and erosion/infection as well as loosening of screws and/or titanium bars.

  10. Predicting Chest Wall Pain From Lung Stereotactic Body Radiotherapy for Different Fractionation Schemes

    SciTech Connect

    Woody, Neil M.; Videtic, Gregory M.M.; Stephans, Kevin L.; Djemil, Toufik; Kim, Yongbok; Xia Ping

    2012-05-01

    Purpose: Recent studies with two fractionation schemes predicted that the volume of chest wall receiving >30 Gy (V30) correlated with chest wall pain after stereotactic body radiation therapy (SBRT) to the lung. This study developed a predictive model of chest wall pain incorporating radiobiologic effects, using clinical data from four distinct SBRT fractionation schemes. Methods and Materials: 102 SBRT patients were treated with four different fractionations: 60 Gy in three fractions, 50 Gy in five fractions, 48 Gy in four fractions, and 50 Gy in 10 fractions. To account for radiobiologic effects, a modified equivalent uniform dose (mEUD) model calculated the dose to the chest wall with volume weighting. For comparison, V30 and maximum point dose were also reported. Using univariable logistic regression, the association of radiation dose and clinical variables with chest wall pain was assessed by uncertainty coefficient (U) and C statistic (C) of receiver operator curve. The significant associations from the univariable model were verified with a multivariable model. Results: 106 lesions in 102 patients with a mean age of 72 were included, with a mean of 25.5 (range, 12-55) months of follow-up. Twenty patients reported chest wall pain at a mean time of 8.1 (95% confidence interval, 6.3-9.8) months after treatment. The mEUD models, V30, and maximum point dose were significant predictors of chest wall pain (p < 0.0005). mEUD improved prediction of chest wall pain compared with V30 (C = 0.79 vs. 0.77 and U = 0.16 vs. 0.11). The mEUD with moderate weighting (a = 5) better predicted chest wall pain than did mEUD without weighting (a = 1) (C = 0.79 vs. 0.77 and U = 0.16 vs. 0.14). Body mass index (BMI) was significantly associated with chest wall pain (p = 0.008). On multivariable analysis, mEUD and BMI remained significant predictors of chest wall pain (p = 0.0003 and 0.03, respectively). Conclusion: mEUD with moderate weighting better predicted chest wall pain than

  11. Photodynamic therapy for chest wall recurrence from breast cancer.

    PubMed

    Allison, R R; Sibata, C; Mang, T S; Bagnato, V S; Downie, G H; Hu, X H; Cuenca, R

    2004-09-01

    Breast cancer is common with over 230,000 new cases diagnosed each year in North America alone. While great strides have been made to achieve excellent cancer control and survival, a significant minority of patients fail locally. While initial salvage to regain disease control is of the utmost importance, it is not universally successful. This leads to a therapeutic quagmire. Additional surgery, radiation and chemo-hormonal therapy are possible, but they are usually highly morbid with low success rates. Photodynamic therapy appears to be an underutilized salvage modality for this unfortunate patient population. This report analyzes and reviews the role of photodynamic therapy for patients with chest wall re-recurrence from breast cancer.

  12. Chest wall dynamics and muscle recruitment during professional flute playing.

    PubMed

    Cossette, Isabelle; Monaco, Pierpaolo; Aliverti, Andrea; Macklem, Peter T

    2008-02-01

    Respiratory parameters and sound were recorded during professional flute playing in order to assess what physiological processes were associated with the control of sound production that results in 'breath support' which in turn is associated with high quality playing. Four standing young professional flautists played flute excerpts with and without breath support. Recordings included optoelectronic plethysmographic measurements of chest wall volume (V(cw)) and its compartments, surface electromyography of the scalene, lateral abdominal, rectus abdominus, parasternal and sternocleidomastoid muscles, mouth pressure, and sound. Flow was estimated from differentiating V(cw) during playing. Results showed that flute support entails antagonistic contraction of non-diaphragmatic inspiratory muscles that tends to hold the rib cage at higher lung volume. This relieves the expiratory muscles from the task of producing the right mouth pressure, especially at the end of the phrases, so they can contribute more to the finer control of mouth pressure modulations required for high quality playing.

  13. Clinical image: Hydatid disease of the chest wall

    SciTech Connect

    Graham, R.J.; Berlin, J.W.; Ghahremani, G.G.

    1996-05-01

    Hydatid disease is rarely encountered among the population of the United States, but it affects several million people in sheep-raising regions of the world. Human infestation with Echinococcus granulosus begins following ingestion of its ova, which are excreted into the contaminated water during the usual dog-sheep cycle. Hydatid cysts will then develop most frequently in the liver (75% of cases) and lungs (15%) of the human host. Skeletal involvement has been reported to occur in only 0.5-4.0% of patients in the endemic areas. Because of the rarity and perplexing imaging features of hydatid disease involving the chest wall, we wish herein to present a case evaluated recently at our institution. 5 refs., 1 fig.

  14. Bilateral Multifocal Hamartoma of the Chest Wall in an Infant

    PubMed Central

    Yilmaz, Erdem; Erol, Oguz Bulent; Pekcan, Melih; Gundogdu, Gokcen; Bilgic, Bilge; Gun, Feryal; Yekeler, Ensar

    2015-01-01

    Summary Background Hamartoma of the thoracic wall is a rare benign tumor that occurs in infancy and can be mistaken for a malignancy due to its clinical and imaging features. Hamartomas are extrapleural soft tissue lesions that cause rib expansion and destruction and appear on imaging as cystic areas with fluid levels and calcification. They can cause scoliosis, pressure on the neighboring lung parenchyma and mediastinal displacement. While conservative treatment is recommended in asymptomatic cases, growing lesions require surgical excision. Case Report In this report, we present the imaging findings in a 3-month-old infant that presented with a firm swelling in the chest wall and was histopathologically confirmed to have a bilateral multifocal hamartoma. Conclusions Radiological imaging methods are important for accurate diagnosis of this very rare condition that can be confused with a malignancy. PMID:26082822

  15. Musculoskeletal problems of the chest wall in athletes.

    PubMed

    Gregory, Peter L; Biswas, Anita C; Batt, Mark E

    2002-01-01

    Chest pain in the athlete has a wide differential diagnosis. Pain may originate from structures within the thorax, such as the heart, lungs or oesophagus. However, musculoskeletal causes of chest pain must be considered. The aim of this review is to help the clinician to diagnose chest wall pain in athletes by identifying the possible causes, as reported in the literature. Musculoskeletal problems of the chest wall can occur in the ribs, sternum, articulations or myofascial structures. The cause is usually evident in the case of direct trauma. Additionally, athletes' bodies may be subjected to sudden large indirect forces or overuse, and stress fractures of the ribs caused by sporting activity have been extensively reported. These have been associated with golf, rowing and baseball pitching in particular. Stress fractures of the sternum reported in wrestlers cause pain and tenderness of the sternum, as expected. Diagnosis is by bone scan and limitation of activity usually allows healing to occur. The slipping rib syndrome causes intermittent costal margin pain related to posture or movement, and may be diagnosed by the 'hooking manoeuvre', which reproduces pain and sometimes a click. If reassurance and postural advice fail, good results are possible with resection of the mobile rib. The painful xiphoid syndrome is a rare condition that causes pain and tenderness of the xiphoid and is self-limiting. Costochondritis is a self-limiting condition of unknown aetiology that typically presents with pain around the second to fifth costochondral joints. It can be differentiated from Tietze's syndrome in which there is swelling and pain of the articulation. Both conditions eventually settle spontaneously although a corticosteroid injection may be useful in particularly troublesome cases. The intercostal muscles may be injured causing tenderness between the ribs. Other conditions that should be considered include epidemic myalgia, precordial catch syndrome and referred pain

  16. Clinical experience with titanium mesh in reconstruction of massive chest wall defects following oncological resection

    PubMed Central

    Yang, Haitang; Tantai, Jicheng

    2015-01-01

    Objectives To present our experience of reconstructing wide defects with porously titanium mesh after radical resection of malignant chest wall tumors. Methods A retrospective review of surgical reconstruction for large chest wall resections with titanium mesh was conducted from January 2009 to August 2014 in Shanghai Chest Hospital. Results A total of 27 patients underwent major chest wall reconstructions with titanium mesh, following oncological resections. Chest wall sarcomas were the most frequent (63.0%). The mean tumor size was 72.4 (range, 36-140) cm2. The average size of the applied porously titanium mesh was 140.9 (range, 80-225) cm2. Mean postoperative length of stay was 7.1 (range, 4-14) days. There were no perioperative mortalities. Four (14.8%) patients experienced treatable complications. All had a resection of at least 3 ribs (median 3, mean 3.5 ribs). A total of 22 patients underwent ribs without sternal resections, and five patients underwent partial sternal resections with adjacent costal cartilage. Anterior chest wall resections were performed in 13 patients while lateral chest wall resections were performed in 9 patients. Three patients had extended resections beyond the chest wall in patients with primary chest wall malignancies, including two with wedge resections of lung and one with partial resection of pericardium. No patient was lost to follow-up. Mean follow-up was 30.7 months. Neither chest wall instability nor wound infection/necrosis was observed. Of these, 23 patients (85.2%) were alive at the last follow-up. Local recurrence was detected in three cases. The 5-year disease-free and overall survivals of primary chest tumors were 72.1% and 80.8%, respectively. Conclusions Our results showed that chest wall reconstruction utilizing synthetic titanium meshes following extensive resections of the chest wall malignant tumors allowed adequate resection size, with acceptable complications and survival benefits. PMID:26380739

  17. Chest Wall Reconstruction Using a Methyl Methacrylate Neo-Rib and Mesh.

    PubMed

    Suzuki, Kei; Park, Bernard J; Adusumilli, Prasad S; Rizk, Nabil P; Huang, James; Jones, David R; Bains, Manjit S

    2015-08-01

    Prosthetic reconstruction of the chest wall after oncologic resection is performed by means of various techniques using different materials. We describe a new technique of chest wall reconstruction that includes the use of Marlex mesh and the creation of a neo-rib from a Steinmann pin and methyl methacrylate. PMID:26234861

  18. Chest Wall Reconstruction Using a Methyl Methacrylate Neo-rib and Mesh

    PubMed Central

    Suzuki, Kei; Park, Bernard J.; Adusumilli, Prasad S.; Rizk, Nabil P.; Huang, James; Jones, David R.; Bains, Manjit S.

    2016-01-01

    Prosthetic reconstruction of the chest wall after oncologic resection is performed by means of various techniques using different materials. We describe a new technique of chest wall reconstruction that includes the use of Marlex mesh and the creation of a neo-rib from a Steinmann pin and methyl methacrylate. PMID:26234861

  19. Chest Wall Motion during Speech Production in Patients with Advanced Ankylosing Spondylitis

    ERIC Educational Resources Information Center

    Kalliakosta, Georgia; Mandros, Charalampos; Tzelepis, George E.

    2007-01-01

    Purpose: To test the hypothesis that ankylosing spondylitis (AS) alters the pattern of chest wall motion during speech production. Method: The pattern of chest wall motion during speech was measured with respiratory inductive plethysmography in 6 participants with advanced AS (5 men, 1 woman, age 45 plus or minus 8 years, Schober test 1.45 plus or…

  20. RLC model of visco-elastic properties of the chest wall

    NASA Astrophysics Data System (ADS)

    Aliverti, Andrea; Ferrigno, Giancarlo

    1996-04-01

    The quantification of the visco-elastic properties (resistance (R), inertia (L) and compliance (C)) of the different chest wall compartments (pulmonary rib cage,diaphragmatic rib cage and abdomen) is important to study the status of the passive components of the respiratory system, particularly in selected pathologies. Applying the viscoelastic-electrical analogy to the chest wall, we used an identification method in order to estimate the R, L and C parameters of the different parts of the chest, basing on different models; the input and output measured data were constituted by the volume variations of the different chest wall compartments and by the nasal pressure during controlled intermittent positive pressure ventilation by nasal mask, while the parameters of the system (R, L and C of the different compartments) were to be estimated. Volumes were measured with a new method, recently validated, based on an opto-electronic motion analyzer, able to compute with high accuracy and null invasivity the absolute values and the time variations of the volumes of each of the three compartments. The estimation of the R, L and C parameters has been based on a least-squared criterion, and the minimization has been based on a robustified iterative Gauss-Newton algorithm. The validation of the estimation procedure (fitting) has ben performed computing the percentage root mean square value of the error between the output real data and the output estimated data. The method has been applied to 2 healthy subjects. Also preliminary results have been obtained from 20 subjects affected by neuromuscular diseases (Duchenne Muscular Dystrophy (DMD) and Spinal Muscle Atrophy (SMA)). The results show that: (a) the best-fitting electrical models of the respiratory system are made up by one or three parallel RLC branches supplied by a voltage generator (so considering inertial properties, particularly in the abdominal compartment, and not considering patient/machine connection); (b) there

  1. A triceps musculocutaneous flap for chest-wall defects

    SciTech Connect

    Hartrampf, C.R. Jr.; Elliott, L.F.; Feldman, S. )

    1990-09-01

    A posterior upper arm flap based on the profunda brachii vessels has been described to cover soft-tissue defects in the upper anterolateral chest. In our series, the posterior upper arm skin is elevated with the long head of the triceps muscle to cover seven chest-wall defects resulting from indolent postradiation open wounds following partial TRAM flap failure (n = 2), soft-tissue deficiencies following partial TRAM flap loss (n = 3), and primarily as an ancillary flap in TRAM flap breast reconstruction (n = 2). This flap also may be used to supply well-vascularized tissue in the regions of the shoulder, axilla, and posterolateral back. A prerequisite for this operation is redundant tissue of the upper arm often present in middle-aged women and in patients with lymphedema following mastectomy. In our series of seven patients, all donor sites were closed primarily, and there was no subjective functional deficit following transfer of the long head of the triceps muscle.

  2. Energy dependent chest wall thickness equations for male lung monitoring with germanium detectors.

    PubMed

    Broggio, D; Lechaftois, X; Abline, O; Fleury, B; Vial, A; Corrèze, P; Franck, D; Merzoug, V

    2014-03-01

    The thickness and fat fraction of the chest wall are important parameters for in vivo lung monitoring. They have been measured from ultrasonic images on 374 male workers of the French nuclear industry using four measurement locations, as dictated by the size and position of the germanium detectors used for monitoring. The plastic muscle equivalent chest wall thickness (PMECWT) and the plastic 50% muscle-50% adipose equivalent chest wall thickness (X5050) have been calculated for each worker at 17, 59.5, and 185.7 keV, respectively. Multi-linear regression models have been tested to predict PMECWT and X5050 as a function of anthropometric measurements. Finally, it was considered whether the average chest wall thickness could be used instead of the material equivalent chest wall thickness. It was found that the mean chest wall thickness was (27 ± 5) mm and the mean fat fraction was (25 ± 8)%. The best and more convenient model for material equivalent chest wall thickness is a linear function of the body mass index. Depending on the energy, the standard errors of estimate for this model range between 3.2-3.4 mm for PMECWT and between 3.2-3.7 mm for X5050. At 59.5 and 185.7 keV, it was determined, to an excellent approximation, that the fat fraction and consideration of an equivalent material are unnecessary, contrary to the case at 17 keV.

  3. Reconstruction with a patient-specific titanium implant after a wide anterior chest wall resection

    PubMed Central

    Turna, Akif; Kavakli, Kuthan; Sapmaz, Ersin; Arslan, Hakan; Caylak, Hasan; Gokce, Hasan Suat; Demirkaya, Ahmet

    2014-01-01

    The reconstruction of full-thickness chest wall defects is a challenging problem for thoracic surgeons, particularly after a wide resection of the chest wall that includes the sternum. The location and the size of the defect play a major role when selecting the method of reconstruction, while acceptable cosmetic and functional results remain the primary goal. Improvements in preoperative imaging techniques and reconstruction materials have an important role when planning and performing a wide chest wall resection with a low morbidity rate. In this report, we describe the reconstruction of a wide anterior chest wall defect with a patient-specific custom-made titanium implant. An infected mammary tumour recurrence in a 62-year old female, located at the anterior chest wall including the sternum, was resected, followed by a large custom-made titanium implant. Latissimus dorsi flap and split-thickness graft were also used for covering the implant successfully. A titanium custom-made chest wall implant could be a viable alternative for patients who had large chest wall tumours. PMID:24227881

  4. A single plan solution to chest wall radiotherapy with bolus?

    PubMed Central

    Ordonez-Sanz, C; Bowles, S; Hirst, A

    2014-01-01

    Objective: Radiotherapy treatments of post-mastectomy chest walls are complex, requiring treatment close to skin, necessitating bolus use. Commonly used 5- and 10-mm-thick boluses develop full skin dose, needing removal for the latter half of treatment and requiring two treatment plans to be generated. Can a thinner bolus be used for all treatment fractions, requiring only one plan? Methods: Investigation of doses received using (A) a half-time 10-mm-thick Vaseline® bolus (current situation); (B) a brass mesh (Whiting & Davis, Attleboro Falls, MA) and (C) 3- and 5-mm Superflab™ (Mick Radio-Nuclear Instruments, Mount Vernon, NY) for 6 and 15 MV. Dosimetric measurements in Barts WT1 solid water and an anthropomorphic phantom, using ionization chambers and thermoluminescent dosemeters, were used to study the effect of different bolus regimes on the photon depth–dose curves (DDCs) and skin doses. Results: Measured skin doses for the current 10-mm-thick Vaseline bolus, brass mesh and 3-mm bolus were compared (5 mm bolus has been rejected). The brass mesh has the least effect on the DDC, with changes <0.7% for depths greater than dmax. Brass mesh conforms superiorly to skin surfaces. Measurements on an anthropomorphic phantom demonstrate an increased skin dose compared with our current treatment protocol. Conclusion: Brass mesh has the smallest effect on the DDC, whilst sufficiently increasing surface dose. It can be removed at any fraction, based on a clinical decision, without the need for generating a new plan. Treating with one plan significantly reduces planning times. Advances in knowledge: Quantification of skin doses required and achieved from wax-on/wax-off treatment compared with alternative available breast boluses. PMID:24646288

  5. Constant-phase descriptions of canine lung, chest wall, and total respiratory system viscoelasticity: effects of distending pressure.

    PubMed

    Kaczka, David W; Smallwood, Jennifer L

    2012-08-15

    The dynamic mechanical properties of the respiratory system reflect the ensemble behavior of its constituent structural elements. This study assessed the appropriateness of constant-phase descriptions of respiratory tissue viscoelasticity at various distending pressures. We measured the mechanical input impedance (Z) of the lungs, chest wall and total respiratory system in 12 dogs at mean airway pressures from 5 to 30 cm H(2)O. Each Z was fitted with a constant-phase model which provided estimates tissue damping (G), elastance (H), and hysteresivity (η=G/H). Both G and H sharply increased with increasing distending pressure for the lungs and chest wall, while η attained a minimum near 15-20 cm H(2)O. Model fitting errors for the lungs and total respiratory system increased for distending pressures greater than 20 cm H(2)O, indicating that constant-phase descriptions of parenchymal and respiratory system viscoelasticty may be inappropriate at volumes closer to total lung capacity. Such behavior may reflect alterations in load distribution across various parenchymal stress-bearing elements.

  6. Technique for repair of fractures and separations involving the cartilaginous portions of the anterior chest wall.

    PubMed

    Bonne, Stephanie L; Turnbull, Isaiah R; Southard, Robert E

    2015-06-01

    Internal fixation of the ribs has been shown in numerous studies to decrease complications following traumatic rib fractures. Anterior injuries to the chest wall causing cartilaginous fractures, although rare, can cause significant disability and can lead to a variety of complications and, therefore, pose a unique clinical problem. Here, we report the surgical technique used for four patients with internal fixation of injuries to the cartilaginous portions of the chest wall treated at our center. All patients had excellent clinical outcomes and reported improvement in symptoms, with no associated complications. Patients who have injuries to the anterior portions of the chest wall should be considered for internal fixation of the chest wall when the injuries are severe and can lead to clinical disability. PMID:26033132

  7. Prediction of Chest Wall Toxicity From Lung Stereotactic Body Radiotherapy (SBRT)

    SciTech Connect

    Stephans, Kevin L.; Djemil, Toufik; Tendulkar, Rahul D.; Robinson, Cliff G.; Reddy, Chandana A.; Videtic, Gregory M.M.

    2012-02-01

    Purpose: To determine patient, tumor, and treatment factors related to the development of late chest wall toxicity after lung stereotactic body radiotherapy (SBRT). Methods and Materials: We reviewed a registry of 134 patients treated with lung SBRT to 60 Gy in 3 fractions who had greater than 1 year of clinical follow-up and no history of multiple treatments to the same lobe (n = 48). Patients were treated as per Radiation Therapy Oncology Group Protocol 0236 without specific chest wall avoidance criteria. The chest wall was retrospectively contoured. Thirty-two lesions measured less than 3 cm, and sixteen measured 3 to 5 cm. The median planning target volume was 29 cm{sup 3}. Results: With a median follow-up of 18.8 months, 10 patients had late symptomatic chest wall toxicity (4 Grade 1 and 6 Grade 2) at a median of 8.8 months after SBRT. No patient characteristics (age, diabetes, hypertension, peripheral vascular disease, or body mass index) were predictive for toxicity, whereas there was a trend for continued smoking (p = 0.066; odds ratio [OR], 4.4). Greatest single tumor dimension (p = 0.047; OR, 2.63) and planning target volume (p = 0.040; OR, 1.04) were correlated with toxicity, whereas distance from tumor edge to chest wall and gross tumor volume did not reach statistical significance. Volumes of chest wall receiving 30 Gy (V30) through 70 Gy (V70) were all highly significant, although this correlation weakened for V65 and V70 and maximum chest wall point dose only trended to significance (p = 0.06). On multivariate analysis, tumor volume was no longer correlated with toxicity and only V30 through V60 remained statistically significant. Conclusions: Tumor size and chest wall dosimetry are correlated to late chest wall toxicity. Only chest wall V30 through V60 remained significant on multivariate analysis. Restricting V30 to 30 cm{sup 3} or less and V60 to 3 cm{sup 3} or less should result in a 10% to 15% risk of late chest wall toxicity or lower.

  8. Effects of high-frequency chest wall oscillation on pleural pressure and oscillated flow.

    PubMed

    Zucker, Tal; Skjodt, Neil M; Jones, Richard L

    2008-01-01

    The effectiveness of high-frequency chest wall oscillation (HF-CWO) is directly related to the level of oscillated flow (osc) in the airways. We used the Vest system to investigate the effects of HFCWO on chest wall and pleural pressures and we correlated these pressures to the resultant osc. We also compared the latest HFCWO device with it predecessor. Different combinations of vest inflation pressure (background pressure) and oscillation frequency were randomly applied to 10 healthy volunteers. Chest wall pressure was determined using an air-filled bag under the vest and pleural pressure was estimated using an esophageal balloon. Reverse plethysmography was used to measure osc at the mouth and a spirometer was used to measure changes in end-expired lung volume. We found a significant correlation between chest wall and pleural pressure with approximately one-third of the chest wall pressure transmitted into the pleural space. Mean esophageal pressure remained negative at all background pressure/frequency combinations. There was a significant correlation (p<0.0001) between the esophageal pulse pressure and osc, which was highest at 15Hz regardless of the background pressure. The end-expired lung volume correlated with mean chest wall pressure. There was no significant difference between the two Vest systems. Since osc dictates the effectiveness of HFCWO and since osc is dependent on esophageal pulse pressure, which in turn is dependent on chest wall pulse pressure, it follows that the effectiveness of HFCWO is influenced by the ability to generate an effective chest wall pulse pressure.

  9. Lung pressures and gas transport during high-frequency airway and chest wall oscillation.

    PubMed

    Khoo, M C; Ye, T H; Tran, N H

    1989-09-01

    The major goal of this study was to compare gas exchange, tidal volume (VT), and dynamic lung pressures resulting from high-frequency airway oscillation (HFAO) with the corresponding effects in high-frequency chest wall oscillation (HFCWO). Eight anesthetized paralyzed dogs were maintained eucapnic with HFAO and HFCWO at frequencies ranging from 1 to 16 Hz in the former and 0.5 to 8 Hz in the latter. Tracheal (delta Ptr) and esophageal (delta Pes) pressure swings, VT, and arterial blood gases were measured in addition to respiratory impedance and static pressure-volume curves. Mean positive pressure (25-30 cmH2O) in the chest cuff associated with HFCWO generation decreased lung volume by approximately 200 ml and increased pulmonary impedance significantly. Aside from this decrease in functional residual capacity (FRC), no change in lung volume occurred as a result of dynamic factors during the course of HFCWO application. With HFAO, a small degree of hyperinflation occurred only at 16 Hz. Arterial PO2 decreased by 5 Torr on average during HFCWO. VT decreased with increasing frequency in both cases, but VT during HFCWO was smaller over the range of frequencies compared with HFAO. delta Pes and delta Ptr between 1 and 8 Hz were lower than the corresponding pressure swings obtained with conventional mechanical ventilation (CMV) applied at 0.25 Hz. delta Pes was minimized at 1 Hz during HFCWO; however, delta Ptr decreased continuously with decreasing frequency and, below 2 Hz, became progressively smaller than the corresponding values obtained with HFAO and CMV.

  10. Obesity Increases the Risk of Chest Wall Pain From Thoracic Stereotactic Body Radiation Therapy

    SciTech Connect

    Welsh, James; Thomas, Jimmy; Shah, Deep; Allen, Pamela K.; Wei, Xiong; Mitchell, Kevin; Gao, Song; Balter, Peter; Komaki, Ritsuko; Chang, Joe Y.

    2011-09-01

    Purpose: Stereotactic body radiation therapy (SBRT) is increasingly being used to treat thoracic tumors. We attempted here to identify dose-volume parameters that predict chest wall toxicity (pain and skin reactions) in patients receiving thoracic SBRT. Patients and Methods: We screened a database of patients treated with SBRT between August 2004 and August 2008 to find patients with pulmonary tumors within 2.5 cm of the chest wall. All patients received a total dose of 50 Gy in four daily 12.5-Gy fractions. Toxicity was scored according to the NCI-CTCAE V3.0. Results: Of 360 patients in the database, 265 (268 tumors) had tumors within <2.5 cm of the chest wall; 104 (39%) developed skin toxicity (any grade); 14 (5%) developed acute pain (any grade), and 45 (17%) developed chronic pain (Grade 1 in 22 cases [49%] and Grade 2 or 3 in 23 cases [51%]). Both skin toxicity and chest wall pain were associated with the V{sub 30}, or volume of the chest wall receiving 30 Gy. Body mass index (BMI) was also strongly associated with the development of chest pain: patients with BMI {>=}29 had almost twice the risk of chronic pain (p = 0.03). Among patients with BMI >29, diabetes mellitus was a significant contributing factor to the development of chest pain. Conclusion: Safe use of SBRT with 50 Gy in four fractions for lesions close to the chest wall requires consideration of the chest wall volume receiving 30 Gy and the patient's BMI and diabetic state.

  11. Shunt tube problems due to placement of valves on the chest wall--three case reports.

    PubMed

    Tsurushima, H; Harakuni, T; Saito, A; Hyodo, A; Yoshii, Y

    2000-06-01

    Programmable valves are often used for ventriculoperitoneal (VP) shunts with the shunt valve positioned on the chest wall. Three cases of shunt problems occurred due to placement of the valve on the chest wall. A 43-year-old male was treated with a VP shunt, and suffered shunt malfunction due to dislocation of the ventricular tube. A 21-year-old male was treated with a VP shunt, and suffered shunt malfunction due to disconnection of the shunt tube. A 4-day-old female neonate was treated with a VP shunt, and suffered migration of the shunt valve. The shunt system has two anchor sites on the head and chest wall, with the neck between the two anchor sites. High tension is sometimes caused in the shunt tube between the two points due to movement of the neck or growth, and may induce such dislocation and disconnection of the shunt tube. We recommend a longer shunt tube in such cases.

  12. Primary infiltrating ductal carcinoma of the axillary breast with metastasis to the contralateral chest wall.

    PubMed

    Sun, Li-Min; Meng, Fan-Yun; Chang, Nai-Jen; Lu, Chiao-Yi; Lu, Tsung-Hsien; Liang, Ji-An; Chung, Li-Min

    2013-06-01

    Primary infiltrating ductal carcinoma of the axillary breast is rare and has a high frequency of lymph node (LN) involvement. We report a woman with primary infiltrating ductal carcinoma arising from the right axillary breast with metastasis to the contralateral chest wall. Excisional biopsy of the left chest wall nodule and the right axillary mass was carried out and both showed invasive ductal carcinomas histologically. The lesion of the right axillary mass arose from the breast tissue, rather than the LN. Further surgery proved the right axillary LN metastasis. After further review, a primary infiltrating ductal carcinoma of the right axillary breast with metastasis to axillary LNs and contralateral chest wall was diagnosed. The patient also received chemotherapy and radiation and there was no evidence of tumor recurrence after treatment. The present report demonstrated a rare case with uncommon manifestation. Lesions of uncertain origin around the periphery of the breast should be suspected for breast carcinoma. PMID:23602213

  13. Resection and debridement of chest-wall tumors and general aspects of reconstruction

    SciTech Connect

    el-Tamer, M.; Chaglassian, T.; Martini, N. )

    1989-10-01

    The main criterion for adequate local control of a chest-wall malignancy remains wide excision. With the available techniques of skeletal and soft-tissue reconstruction, even large lesions can be resected with safe margins. The primary purpose is to achieve a curative resection, although a significant number of symptomatic patients can benefit from palliative resection provided by such procedures. A key element in the success in treating chest-wall tumors is a multidisciplinary approach by all participating physicians, namely the thoracic surgeon, the plastic and reconstructive surgeon, the radiotherapist, and the medical oncologist. 70 references.

  14. Evaluation of a Thermoplastic Immobilization System for Breast and Chest Wall Radiation Therapy

    SciTech Connect

    Strydhorst, Jared H.; Caudrelier, Jean-Michel; Clark, Brenda G.; Montgomery, Lynn A.; Fox, Greg; MacPherson, Miller S.

    2011-04-01

    We report on the impact of a thermoplastic immobilization system on intra- and interfraction motion for patients undergoing breast or chest wall radiation therapy. Patients for this study were treated using helical tomotherapy. All patients were immobilized using a thermoplastic shell extending from the shoulders to the ribcage. Intrafraction motion was assessed by measuring maximum displacement of the skin, heart, and chest wall on a pretreatment 4D computed tomography, while inter-fraction motion was inferred from patient shift data arising from daily image guidance procedures on tomotherapy. Using thermoplastic immobilization, the average maximum motion of the external contour was 1.3 {+-} 1.6 mm, whereas the chest wall was found to be 1.6 {+-} 1.9 mm. The day-to-day setup variation was found to be large, with random errors of 4.0, 12.0, and 4.5 mm in the left-right, superior-inferior, and anterior-posterior directions, respectively, and the standard deviations of the systematic errors were found to be 2.7, 9.8, and 4.1 mm. These errors would be expected to dominate any respiratory motion but can be mitigated by daily online image guidance. Using thermoplastic immobilization can effectively reduce respiratory motion of the chest wall and external contour, but these gains can only be realized if daily image guidance is used.

  15. Salivary gland choristoma (heterotopic salivary gland tissue) on the anterior chest wall of a newborn.

    PubMed

    Aby, Janelle L; Patel, Mayha; Sundram, Uma; Benjamin, Latanya T

    2014-01-01

    Salivary gland choristoma (heterotopic salivary gland tissue) is a rare condition typically seen in the newborn period. This developmental heterotopia is generally nonprogressive, with little risk of malignant transformation. We present the second known reported case of a salivary gland choristoma located on the anterior chest wall. Knowledge of this rare entity will allow for accurate diagnosis and management of this benign anatomic variant.

  16. Rabbit model of chest wall rigidity induced by fentanyl and the effects of apomorphine.

    PubMed

    Soares, João Henrique Neves; Brosnan, Robert J; Smith, Andrea; Mayhew, Philipp D

    2014-10-01

    A rabbit model for fentanyl-induced chest wall rigidity and the effect of apomorphine was evaluated. Eleven New Zealand adult rabbits were anesthetized and mechanically ventilated. An esophageal balloon catheter was used to estimate pleural pressure (P(pl)). Chest wall compliance (C(cw)) at baseline was calculated during pentobarbital anesthesia. A loading dose of 0.1 mg kg(-1) of fentanyl followed by infusion of 0.01 mg kg(-1) min(-1) was started in all animals, and C(cw) reassessed. In the rabbits that developed decreased C(cw), apomorphine 0.4 mg kg(-1) followed by a 0.004 mg kg(-1) min(-1) was administered and C(cw) was reassessed. C(cw) at baseline and after fentanyl and fentanyl+apomorphine were compared with one-way ANOVA followed by Bonferroni-Holm test (P<0.05). In 5 rabbits, C(cw) decreased significantly after fentanyl administration and apomorphine was able to restore C(cw) to baseline values. Rabbits can be used as a model for fentanyl-induced chest wall rigidity. Results from this study support central dopaminergic pathways as being at least partially responsible for the opioid-induced chest wall rigidity.

  17. Complications of a pressure sore of the chest wall: case report.

    PubMed

    Robinson, D A; Cross, G D; Singh, R

    1988-10-01

    A female tetraplegic patient developed a pressure sore of the chest wall leading to an empyema of the lung and respiratory failure. The pressure sore resulted from the commonly practised habit of grasping the upright of the wheel chair with the upper arm in order to gain stability.

  18. Severe Chest Wall Toxicity From Cryoablation in the Setting of Prior Stereotactic Ablative Radiotherapy

    PubMed Central

    Chaudhuri, Aadel A; Binkley, Michael S; Aggarwal, Sonya; Qian, Yushen; Carter, Justin N; Shah, Rajesh

    2016-01-01

    We present the case of a 42-year-old woman with metastatic synovial sarcoma of parotid origin, treated definitively with chemoradiation, who subsequently developed oligometastatic disease limited to the lungs. She underwent multiple left and right lung wedge resections and left lower lobectomy, followed by right lower lobe stereotactic ablative radiotherapy (SABR), 54 Gy in three fractions to a right lower lobe lesion abutting the chest wall. Two years later, she was treated with cryoablation for a separate right upper lobe nodule abutting the chest wall. Two months later, she presented with acute shortness of breath, pleuritic chest pain, decreased peripheral blood O2 saturation, and productive cough. A computed tomography (CT) scan demonstrated severe chest wall necrosis in the area of recent cryoablation that, in retrospect, also received a significant radiation dose from her prior SABR. This case demonstrates that clinicians should exercise caution in using cryoablation when treating lung tumors abutting a previously irradiated chest wall. Note: Drs. Loo and Shah contributed equally as co-senior authors. PMID:27004154

  19. Effect of shape and size of lung and chest wall on stresses in the lung

    NASA Technical Reports Server (NTRS)

    Vawter, D. L.; Matthews, F. L.; West, J. B.

    1975-01-01

    To understand better the effect of shape and size of lung and chest wall on the distribution of stresses, strains, and surface pressures, we analyzed a theoretical model using the technique of finite elements. First we investigated the effects of changing the chest wall shape during expansion, and second we studied lungs of a variety of inherent shapes and sizes. We found that, in general, the distributions of alveolar size, mechanical stresses, and surface pressures in the lungs were dominated by the weight of the lung and that changing the shape of the lung or chest wall had relatively little effect. Only at high states of expansion where the lung was very stiff did changing the shape of the chest wall cause substantial changes. Altering the inherent shape of the lung generally had little effect but the topographical differences in stresses and surface pressures were approximately proportional to lung height. The results are generally consistent with those found in the dog by Hoppin et al (1969).

  20. Morganella morganii causing abscess over the anterior chest wall- a case report.

    PubMed

    D, Vijaya; Jv, Sathish; Mk, Yashaswini; S, Sulaiman

    2014-09-01

    A 17-year-old female college student presented with recurrent abscess over the anterior chest wall since one and half year. Morganella morganii was isolated from the aspirated pus. Patient was started on oral ciprofloxacin and the lesion resolved in two weeks.

  1. Respiratory kinematics by optoelectronic analysis of chest-wall motion and ultrasonic imaging of the diaphragm

    NASA Astrophysics Data System (ADS)

    Aliverti, Andrea; Pedotti, Antonio; Ferrigno, Giancarlo; Macklem, P. T.

    1998-07-01

    Although from a respiratory point of view, compartmental volume change or lack of it is the most crucial variable, it has not been possible to measure the volume of chest wall compartments directly. Recently we developed a new method based on a optoelectronic motion analyzer that can give the three-dimensional location of many markers with the temporal and spatial accuracy required for respiratory measurements. Marker's configuration has been designed specifically to measure the volume of three chest wall compartments, the pulmonary and abdominal rib cage compartments and the abdomen, directly. However, it can not track the exact border between the two rib cage compartments (pulmonary and abdominal) which is determined by the cephalic extremity of the area of apposition of the diaphragm to the inner surface of the rib cage, and which can change systematically as a result of disease processes. The diaphragm displacement can be detected by ultrasonography. In the present study, we propose an integrated system able to investigate the relationships between external (chest wall) and internal (diaphragm) movements of the different respiratory structures by simultaneous external imaging with the optoelectronic system combined with internal kinematic imaging using ultrasounds. 2D digitized points belonging to the lower lung margin, taken from ultrasonographic views, are mapped into the 3D space, where chest wall markers are acquired. Results are shown in terms of accuracy of 3D probe location, relative movement between the probe and the body landmarks, dynamic relationships between chest wall volume and position of the diaphragm during quiet breathing, slow inspirations, relaxations and exercise.

  2. Chest wall kinematics and respiratory muscle action in ankylosing spondylitis patients.

    PubMed

    Romagnoli, I; Gigliotti, F; Galarducci, A; Lanini, B; Bianchi, R; Cammelli, D; Scano, G

    2004-09-01

    No direct measurements of the pressures produced by the ribcage muscles, the diaphragm and the abdominal muscles during hyperventilation have been reported in patients with ankylosing spondylitis. Based on recent evidence indicating that abdominal muscles are important contributors to stimulation of ventilation, it was hypothesised that, in ankylosing spondylitis patients with limited ribcage expansion, a respiratory centre strategy to help the diaphragm function may involve coordinated action of this muscle with abdominal muscles. In order to validate this hypothesis, the chest wall response to a hypercapnic/hyperoxic rebreathing test was assessed in six ankylosing spondylitis patients and seven controls by combined analysis of: 1) chest wall kinematics, using optoelectronic plethysmography, this system is accurate in partitioning chest wall expansion into the contributions of the ribcage and the abdomen; and 2) respiratory muscle pressures, oesophageal, gastric and transdiaphragmatic (Pdi); the pressure/volume relaxation characteristics of both the ribcage and the abdomen allowed assessment of the peak pressure of both inspiratory and expiratory ribcage muscles, and of the abdominal muscles. During rebreathing, chest wall expansion increased to a similar extent in patients to that in controls; however, the abdominal component increased more and the ribcage component less in patients. Peak inspiratory ribcage, but not abdominal, muscle pressure was significantly lower in patients than in controls. End-inspiratory Pdi increased similarly in both groups, whereas inspiratory swings in Pdi increased significantly only in patients. No pressure or volume signals correlated with disease severity. The diaphragm and abdominal muscles help to expand the chest wall in ankylosing spondylitis patients, regardless of the severity of their disease. This finding supports the starting hypothesis that a coordinated response of respiratory muscle activity optimises the efficiency of

  3. Some Nonlinear Reconstruction Algorithms for Electrical Impedance Tomography

    SciTech Connect

    Berryman, J G

    2001-03-09

    An impedance camera [Henderson and Webster, 1978; Dines and Lytle, 1981]--or what is now more commonly called electrical impedance tomography--attempts to image the electrical impedance (or just the conductivity) distribution inside a body using electrical measurements on its boundary. The method has been used successfully in both biomedical [Brown, 1983; Barber and Brown, 1986; J. C. Newell, D. G. Gisser, and D. Isaacson, 1988; Webster, 1990] and geophysical applications [Wexler, Fry, and Neurnan, 1985; Daily, Lin, and Buscheck, 1987], but the analysis of optimal reconstruction algorithms is still progressing [Murai and Kagawa, 1985; Wexler, Fry, and Neurnan, 1985; Kohn and Vogelius, 1987; Yorkey and Webster, 1987; Yorkey, Webster, and Tompkins, 1987; Berryman and Kohn, 1990; Kohn and McKenney, 1990; Santosa and Vogelius, 1990; Yorkey, 1990]. The most common application is monitoring the influx or efflux of a highly conducting fluid (such as brine in a porous rock or blood in the human body) through the volume being imaged. For biomedical applications, this met hod does not have the resolution of radiological methods, but it is comparatively safe and inexpensive and therefore provides a valuable alternative when continuous monitoring of a patient or process is desired. The following discussion is intended first t o summarize the physics of electrical impedance tomography, then to provide a few details of the data analysis and forward modeling requirements, and finally to outline some of the reconstruction algorithms that have proven to be most useful in practice. Pointers to the literature are provided throughout this brief narrative and the reader is encouraged to explore the references for more complete discussions of the various issues raised here.

  4. Tissue-engineered ribs for chest wall reconstruction: a case with 12-year follow-up.

    PubMed

    Xie, Hui-Qi; Huang, Fu-Guo; Zhao, Yong-Fan; Qin, Ting-Wu; Li, Xiu-Qun; Liu, Chang; Li-Ling, Jesse; Yang, Zhi-Ming

    2014-01-01

    We hereby report on a case in which a huge chest wall defect generated by resection of a massive aggressive tumor (desmoplastic fibroma) was repaired with osteogenic-induced mesenchymal stem cells embedded in a bone-derived biomaterial. In this case, there were three challenges to overcome: reconstruction of the soft tissue, repair of the skeletal defect of the thoracic wall and repair of the defect in the pleural cavity. The defects of soft tissue and pleural cavity were reconstructed, respectively, with an ipsilateral abdominal flap and a diaphragm muscular flap. The huge defect in the chest wall was successfully repaired with the tissue-engineered ribs, which was confirmed by long-term follow-up with computerized tomography and histological and immunohistochemical evaluations. In view of its effectiveness and safety, tissue-engineered bones may have a broad application for the repair of large skeletal defects and bone regeneration.

  5. Thoracoabdominal blood volume change and its effect on lung and chest wall volumes.

    PubMed

    Kimball, W R; Kelly, K B; Mead, J

    1986-09-01

    The effects of changing blood volume within the thoracoabdominal cavity (Vtab) have been studied in four male subjects trained in respiratory maneuvers. Subjects were studied lying supine in a pressure plethysmograph with inflatable fracture splints placed around both arms and legs. Changes in Vtab were produced by inflating the splints to 30 cmH2O. Thoracic gas volume (Vtg) measured by Boyle's law, and the change in chest wall volume (delta Vw), measured by anteroposterior magnetometers on rib cage and abdomen, were measured almost simultaneously and at two respiratory system volumes. The quantity of blood moved by splint inflation was estimated for each subject at both respiratory system volumes and varied between 215 and 752 ml. The chest wall increased 64 +/- 11.8% (mean +/- SD) of the increase in Vtab. Thus increases in thoracoabdominal blood volume increase Vw about twice the decrease in Vtg. PMID:3759780

  6. Cavernous hemangioma with hematoma in the chest wall due to penetration from the anterior mediastinum.

    PubMed

    Nakamura, Hiroshige; Miwa, Ken; Miyoshi, Kenichirou; Adachi, Yoshin; Fujioka, Shinji; Taniguchi, Yuji; Yaniguchi, Yuji

    2007-04-01

    The patient was a 51-year-old man who visited the hospital with swelling of the anterior chest. Chest computed tomography detected a tumor developing from the anterior mediastinum to the anterior chest wall. There was weak contrast enhancement inside the tumor, and calcification was observed in the central region. A soft tumor with an obscure border and that adhered to the back of the left sternum was surgically removed with thymic fat including the region of the chest wall that had been penetrated by the tumor. The tumor measured 30 x 25 mm, and a phlebolith was observed in the center. The pathological tissue was diagnosed to be a cavernous hemangioma, and there were no malignant findings in the endothelial cells. Mediastinal hemangioma should therefore be kept in mind during an evaluation of mediastinal tumors, and one must also take into account the effect on the surrounding organs. PMID:17491358

  7. Reconstruction of full-thickness chest wall defects using rectus abdominis musculocutaneous flap: A report of fifteen cases

    SciTech Connect

    Miyamoto, Y.; Hattori, T.; Niimoto, M.; Toge, T. )

    1986-02-01

    In 15 patients chest walls were excised because of recurrent breast cancer, radiation ulcer, or rib tumor. In most cases the full-thickness defect of the chest wall was about 10 x 10 cm. Reconstruction was performed using only a rectus abdominis musculocutaneous flap. No patient developed circulation problems in the flap or severe flail chest, and we had successful results in all our cases. These results show that the rectus abdominis musculocutaneous flap is quite effective and safe to use in the reconstruction of chest wall defects.

  8. Case of chest-wall rigidity in a preterm infant caused by prenatal fentanyl administration

    PubMed Central

    Eventov-Friedman, S; Rozin, I; Shinwell, E S

    2010-01-01

    The inability to appropriately ventilate neonates shortly after their birth could be related in rare cases to chest-wall rigidity caused by the placental transfer of fentanyl. Although this adverse effect is recognized when fentanyl is administered to neonates after their birth, the prenatal phenomenon is less known. Treatment with either naloxone or muscle relaxants reverses the fentanyl effect and may prevent unnecessary excessive ventilatory settings. PMID:20118943

  9. Recurrent chest wall abscesses overlying a pneumonectomy scar: an unusual presentation of a cholecystocutaneous fistula.

    PubMed

    Hawari, Mohammad; Wemyss-Holden, Simon; Parry, Gareth Wyn

    2010-05-01

    We report a case of recurrent chest wall abscesses overlying a right thoracotomy scar four years after a pneumonectomy for a right middle lobe bronchus squamous cell carcinoma. Exploration of the abscess cavities revealed no intra-thoracic or intra-abdominal communication. The patient developed sinuses in his thoracotomy scar and two years later, two gallstones were expelled from these sinuses. A cholecystocutaneous fistula was confirmed on a fistulogram. PMID:20139203

  10. SU-E-T-437: Dosimetric Assessment of Brass Mesh Bolus for Postmastectomy Chest Wall Irradiation

    SciTech Connect

    Manger, R; Paxton, A; Cervino, L

    2014-06-01

    Purpose: It has been suggested that the use of a brass mesh bolus for chest wall irradiation sufficiently increases surface dose while having little effect on the dose at depth. This work quantified the increase in surface dose when using a brass mesh bolus in postmastectomy chest wall radiotherapy compared to tissue-equivalent bolus and assessed its effect on dose at depth. Methods: Percent depth doses with brass bolus, 5mm tissue-equivalent bolus, and no bolus were determined for a 6 MV photon beam in a solid water phantom using a parallel plate ionization chamber. Gafchromic film was used to determine the surface dose for the same three experimental setups. For comparison to a realistic treatment setup, gafchromic film and OSLDs were used to determine the surface dose over the irradiated area of a 6 MV chest wall plan with tangential beams delivered to a heterogeneous thorax phantom. The plan was generated using a CT of the phantom and delivered using brass mesh bolus, 5mm tissue-equivalent bolus, and no bolus. Results: For the en face beam, the central surface dose increased to 90% of maximum with the tissue-equivalent bolus, but to only 62% of maximum with the brass mesh. Using tangential beams on the thorax phantom, the surface dose increased from 40–72% to 75–110% of prescribed dose, with the brass mesh, and to 85–109% with the tissue-equivalent bolus. At depths beyond dmax in the plastic water phantom, the dose with and without brass mesh bolus differed by less than 0.5%. Conclusion: A brass mesh may be considered as a substitute for tissue-equivalent bolus to increase the superficial dose of 6 MV chest wall tangent plans. The brass mesh does not significantly change the dose at depth, so a non-bolus plan could be used for bolus and non-bolus treatments.

  11. Surgical treatment of 125 patients with non-small cell lung cancer and chest wall involvement.

    PubMed Central

    Pitz, C. C.; Brutel de la Rivière, A.; Elbers, H. R.; Westermann, C. J.; van den Bosch, J. M.

    1996-01-01

    BACKGROUND: The optimum operative procedure for lung cancer with chest wall invasion (T3) remains controversial. In this study results of en bloc resection and extrapleural dissection are reviewed to determine survival characteristics. METHODS: Between 1977 and 1993 125 patients underwent surgery for primary non-small cell lung cancer with chest wall invasion. Patients with superior sulcus tumours, metastatic carcinomas, synchronous tumours, or recurrences were excluded. Extrapleural dissection was performed in 73 patients and en bloc resection (range 1-4 ribs) in 52. Resection was regarded as complete in 86 and incomplete in 39 patients. Actuarial survival time was estimated and risk factors for late death were identified. RESULTS: Hospital mortality was 3.2%. (n = 4). Estimated mean five year survival was 24% for all hospital survivors (n = 121), 11% for patients with incomplete resection, and 29% for patients having a complete resection. In patients who underwent complete resection mediastinal lymph node involvement and intrapleural tumour spill worsened the prognosis. Patients with adenocarcinoma had a better chance of long term survival. No relationship was found between survival and age, type of operative procedure, depth of chest wall invasion, and postoperative radiotherapy. CONCLUSIONS: Both operative procedures show reasonable survival results. Incomplete resection, mediastinal lymph node involvement, and intrapleural tumour spill adversely influence survival. PMID:8795676

  12. Long-term survival after chest-wall reconstruction with musculocutaneous flaps

    SciTech Connect

    Kroll, S.S.; Schusterman, M.A.; Larson, D.L.; Fender, A. )

    1990-10-01

    Reconstruction of chest-wall defects with musculocutaneous flaps permits resection of advanced chest-wall tumors and of tissues severely damaged by radiotherapy in patients who in a previous era were not surgically treatable. To determine the long-term outcome from this surgery, the records of 96 patients who had undergone chest-wall resection with musculocutaneous flap reconstruction were reviewed. Median survival for the entire group was 20.5 months, but a more accurate prediction of outcome could be obtained by dividing the patients into three groups. In group I, patients free of known malignancy and undergoing resection of radionecrotic tissues, median survival was 60.0 months. In group II, patients with resectable disease and free of tumor following surgery, median survival was 31.1 months. In group III, patients incompletely resected or known to have metastatic disease following surgery, median survival was only 12.5 months. Even in group III, however, some individuals achieved prolonged survival and lasting benefits from the surgery, so these data should not be used to exclude patients from undergoing necessary palliative procedures.

  13. Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher.

    PubMed

    Kato, Kinshi; Yabuki, Shoji; Otani, Koji; Nikaido, Takuya; Otoshi, Ken-Ichi; Watanabe, Kazuyuki; Kikuchi, Shin-Ichi; Konno, Shin-Ichi

    2016-06-01

    Symptomatic thoracic disc herniation is clinically rare. There are few cases of disc herniation of the thoracic spine in top athletes described in the literature. We herein present a rare case of chest wall pain due to thoracic disc herniation in a professional baseball pitcher. A 30-year-old, left-handed pitcher complained of left-sided chest wall pain in the region of his lower ribs during a game. Neurological examination revealed hypoesthesia of the left side of the chest at the level of the lower thoracic spine. Magnetic resonance imaging (MRI) of the thoracic spine showed a left-sided paramedian disc herniation at the T9-T10 level. The player was initially prescribed rest, administration of pregabalin (150 mg twice a day), and subsequent physical rehabilitation. He was able to resume full training and pitching without medication 6 months after the onset. A follow-up MRI of the thoracic spine showed a reduction in the size of the herniated disc compared to the initial findings. Though relatively rare, thoracic disc herniation should be considered in cases of chest wall pain in athletes.

  14. Results of Bony Chest Wall Reconstruction with Expanded Polytetrafluoroethylene Soft Tissue Patch

    PubMed Central

    Huang, Haibo; Kitano, Kentaro; Nagayama, Kazuhiro; Nitadori, Jun-ichi; Anraku, Masaki; Murakawa, Tomohiro

    2015-01-01

    Purpose: The early and long-term outcomes of bony chest wall reconstruction with expanded polytetrafluoroethylene (Gore-Tex) soft tissue patch remain a concern. No clinical study has reported the shrinkage of Gore-Tex following reconstruction to date. Methods: Thirty-seven patients who underwent bony chest wall reconstruction from 1994 to 2012 were retrospectively reviewed. Postoperative chest computed tomography images of 17 patients were examined, and shrinkage of reconstruction materials was measured and compared. Results: Gore-Tex was used for reconstruction in 18 patients, autologous materials were used in 14, Marlex mesh was used in four, and Medifit felt was used in one. No surgery-related deaths were observed. Twenty patients experienced early postoperative complications. Four patients experienced local infection. One patient with Marlex-mesh experienced empyema 33 days postoperatively. Chest drainage time in the Gore-Tex patients was significantly lower than in patients with other types of prosthetic reconstruction. No dislocation or dehiscence was found. Shrinkage of Gore-Tex was absent in 4 patients and acceptable in seven patients. No granulation formation was evident around the Gore-Tex, No significant difference in shrinkage was seen between the different materials used. Conclusion: Chest wall reconstruction with Gore-Tex was feasible with favorable early and long-term results. PMID:25641033

  15. Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher.

    PubMed

    Kato, Kinshi; Yabuki, Shoji; Otani, Koji; Nikaido, Takuya; Otoshi, Ken-Ichi; Watanabe, Kazuyuki; Kikuchi, Shin-Ichi; Konno, Shin-Ichi

    2016-06-01

    Symptomatic thoracic disc herniation is clinically rare. There are few cases of disc herniation of the thoracic spine in top athletes described in the literature. We herein present a rare case of chest wall pain due to thoracic disc herniation in a professional baseball pitcher. A 30-year-old, left-handed pitcher complained of left-sided chest wall pain in the region of his lower ribs during a game. Neurological examination revealed hypoesthesia of the left side of the chest at the level of the lower thoracic spine. Magnetic resonance imaging (MRI) of the thoracic spine showed a left-sided paramedian disc herniation at the T9-T10 level. The player was initially prescribed rest, administration of pregabalin (150 mg twice a day), and subsequent physical rehabilitation. He was able to resume full training and pitching without medication 6 months after the onset. A follow-up MRI of the thoracic spine showed a reduction in the size of the herniated disc compared to the initial findings. Though relatively rare, thoracic disc herniation should be considered in cases of chest wall pain in athletes. PMID:26983590

  16. Comparison of total variation algorithms for electrical impedance tomography.

    PubMed

    Zhou, Zhou; Sato dos Santos, Gustavo; Dowrick, Thomas; Avery, James; Sun, Zhaolin; Xu, Hui; Holder, David S

    2015-06-01

    The applications of total variation (TV) algorithms for electrical impedance tomography (EIT) have been investigated. The use of the TV regularisation technique helps to preserve discontinuities in reconstruction, such as the boundaries of perturbations and sharp changes in conductivity, which are unintentionally smoothed by traditional l2 norm regularisation. However, the non-differentiability of TV regularisation has led to the use of different algorithms. Recent advances in TV algorithms such as the primal dual interior point method (PDIPM), the linearised alternating direction method of multipliers (LADMM) and the spilt Bregman (SB) method have all been demonstrated successful EIT applications, but no direct comparison of the techniques has been made. Their noise performance, spatial resolution and convergence rate applied to time difference EIT were studied in simulations on 2D cylindrical meshes with different noise levels, 2D cylindrical tank and 3D anatomically head-shaped phantoms containing vegetable material with complex conductivity. LADMM had the fastest calculation speed but worst resolution due to the exclusion of the second-derivative; PDIPM reconstructed the sharpest change in conductivity but with lower contrast than SB; SB had a faster convergence rate than PDIPM and the lowest image errors. PMID:26008768

  17. Estimating adipose tissue in the chest wall using ultrasonic and alternate /sup 40/K and biometric measurements

    SciTech Connect

    Anderson, A.L.; Campbell, G.W.

    1982-01-22

    The percentage of adipose (fat) tissue in the chest wall must be known to accurately measure Pu in the human lung. Correction factors of 100% or more in x-ray detection efficiency are common. Methods using simple /sup 40/K and biometric measurement techniques were investigated to determine the adipose content in the human chest wall. These methods predict adipose content to within 15% of the absolute ultrasonic value. These new methods are discussed and compared with conventional ultrasonic measurement techniques. (ERB)

  18. Imaging algorithms for geophysical applications of impedance tomography

    SciTech Connect

    Witten, A.J. ); Molyneux, J.E. )

    1992-06-02

    The methods of impedance tomography may be employed to obtain images of subsurface electrical and conductivity variations. For practical reasons, voltages and currents are usually applied at locations on the ground surface or down a limited number of boreholes, but almost never over the entire surface of the region being investigated. The geophysical inversion process can be facilitated by constructing algorithms adopted to these particular geometries and to the lack of complete surface data. In this paper we assume that the fluctuations in conductivity are small compared to the background value. The imaging of these fluctuations is carried out exactly within the constraints imposed by the problem geometry. Several possible arrangements of injection and monitoring electrodes are considered. In two dimensions include: Cross-line geometry, current input along one line (borehole) and measurements along a separate parallel line. Single-line geometry, injection and monitoring using the same borehole. Surface reflection geometry, all input and measurement along the ground surface. Theoretical and practical limitations on the image quality produced by the algorithms are discussed. They are applied to several sets of simulated data, and the images produced are displayed and analyzed.

  19. Pectoralis Muscle Flap Repair Reduces Paradoxical Motion of the Chest Wall in Complex Sternal Wound Dehiscence

    PubMed Central

    Zeitani, Jacob; Russo, Marco; Pompeo, Eugenio; Sergiacomi, Gian Luigi; Chiariello, Luigi

    2016-01-01

    Background The aim of the study was to test the hypothesis that in patients with chronic complex sternum dehiscence, the use of muscle flap repair minimizes the occurrence of paradoxical motion of the chest wall (CWPM) when compared to sternal rewiring, eventually leading to better respiratory function and clinical outcomes during follow-up. Methods In a propensity score matching analysis, out of 94 patients who underwent sternal reconstruction, 20 patients were selected: 10 patients underwent sternal reconstruction with bilateral pectoralis muscle flaps (group 1) and 10 underwent sternal rewiring (group 2). Eligibility criteria included the presence of hemisternum diastases associated with multiple (≥3) bone fractures and radiologic evidence of synchronous chest wall motion (CWSM). We compared radiologically assessed (volumetric computed tomography) ventilatory mechanic indices such as single lung and global vital capacity (VC), diaphragm excursion, synchronous and paradoxical chest wall motion. Results Follow-up was 100% complete (mean 85±24 months). CWPM was inversely correlated with single lung VC (Spearman R=−0.72, p=0.0003), global VC (R=−0.51, p=0.02) and diaphragm excursion (R=−0.80, p=0.0003), whereas it proved directly correlated with dyspnea grade (Spearman R=0.51, p=0.02) and pain (R=0.59, p=0.005). Mean CWPM and single lung VC were both better in group 1, whereas there was no difference in CWSM, diaphragm excursion and global VC. Conclusion Our study suggests that in patients with complex chronic sternal dehiscence, pectoralis muscle flap reconstruction guarantees lower CWPM and greater single-lung VC when compared with sternal rewiring and it is associated with better clinical outcomes with less pain and dyspnea. PMID:27733997

  20. Reconstruction after Anterior Chest Wall Keloid Resection Using Internal Mammary Artery Perforator Propeller Flaps

    PubMed Central

    Ogawa, Rei; Ono, Shimpei; Akaishi, Satoshi; Dohi, Teruyuki; Iimura, Takeshi; Nakao, Junichi

    2016-01-01

    Background: It is difficult to completely resect huge anterior chest wall keloids and then close the wound directly. We report here our retrospective analysis of our case series of patients with such keloids who underwent reconstruction with internal mammary artery perforator (IMAP) pedicled propeller flaps and then received postoperative high-dose-rate superficial brachytherapy. Methods: All consecutive patients with large/severe keloids on the anterior chest wall who underwent keloid resection followed by reconstruction with IMAP-pedicled propeller flaps and then high-dose-rate superficial brachytherapy in our academic hospital were identified. All cases were followed for >18 months. Donor site position, perforator pedicle, flap size, angle of flap rotation, complications, and recurrence were documented. Results: There were nine men and one woman. The average age was 37.9 years. The average follow-up duration was 28.7 months. The largest flap was 16 × 4 cm. The dominant perforators of the internal mammary artery were located in the sixth (n = 2), seventh (n = 5), eighth (n = 1), and ninth (n = 2) intercostal spaces. Twelve months after surgery, patients reported marked relief from keloid-associated pain and itching, except in two patients who underwent partial keloid resection; their remaining keloids were still troublesome but after conservative therapies, including steroid ointments/plasters, the keloids gradually ameliorated. Eighteen months after surgery, there was no keloid recurrence or new development of keloids on the donor site. Conclusions: IMAP-pedicled propeller flaps transfer skin tension from the anterior chest wall to the abdomen. Our series suggests that this approach combined with radiation therapy can control keloid recurrence. PMID:27757357

  1. [Chemo-thermotherapy of radiation-induced squamous cell carcinoma in anterior chest wall].

    PubMed

    Kodama, K; Doi, O; Higashiyama, M; Yokouchi, H; Noguchi, S; Koyama, H

    1992-09-01

    A 62-year-old woman had visited our hospital with the large and deep ulcer formation on the left anterior chest wall. A biopsy of the ulcerous lesion established the diagnosis of a squamous cell carcinoma which might be induced by the irradiation after mastectomy. Although a wide resection of the chest wall including left arm was performed, it was impossible to resect completely. After then, she had operations for local recurrence for three times in three years. However, cure was not obtained, and residual lesions gradually enlarged and all layers of the anterior chest wall was replaced with tumor tissues. Conventional chemotherapy using ftorafur and mitomycin C was not effective. Therefore, we tried combined therapy with intravenous administration of cisplatin (CDDP) and vindesine (VDS), and local hyperthermia using radiofrequency (RF) wave. A total number of 11 courses of this treatment modality was carried out at once a week intervals. The tumor-temperature was maintained at the range of 40-43 degrees C for 40 min in each treatment session. Chemotherapeutic agents were administered simultaneously with hyperthermia. After these treatments, the recurrent tumor was markedly reduced, and epithelization of the ulcer was recognized from the surrounding normal skin. The residual tumor was then resected completely. The operative wound was successfully closed by surrounding normal tissue mobilization. She is in good postoperative condition. We concluded that the chemo-thermotherapy is safe and promising therapeutic modality for such invasive squamous cell carcinoma, and the normal tissues are not affected. Furthermore, this approach will expand the scope of radical resection for such an uncontrollable tumor.

  2. Multi-Institutional Review of Repeat Irradiation of Chest Wall and Breast for Recurrent Breast Cancer

    SciTech Connect

    Wahl, Andrew O.; Rademaker, Alfred; Kiel, Krystyna D.; Jones, Ellen L.; Marks, Lawrence B.; Croog, Victoria; McCormick, Beryl M.; Hirsch, Arica; Karkar, Ami; Motwani, Sabin B.; Tereffe, Welela; Yu, T.-K.; Sher, David; Silverstein, Joshua; Kachnic, Lisa A.; Kesslering, Christy; Freedman, Gary M.; Small, William

    2008-02-01

    Purpose: To review the toxicity and clinical outcomes for patients who underwent repeat chest wall or breast irradiation (RT) after local recurrence. Methods and Materials: Between 1993 and 2005, 81 patients underwent repeat RT of the breast or chest wall for locally recurrent breast cancer at eight institutions. The median dose of the first course of RT was 60 Gy and was 48 Gy for the second course. The median total radiation dose was 106 Gy (range, 74.4-137.5 Gy). At the second RT course, 20% received twice-daily RT, 54% were treated with concurrent hyperthermia, and 54% received concurrent chemotherapy. Results: The median follow-up from the second RT course was 12 months (range, 1-144 months). Four patients developed late Grade 3 or 4 toxicity. However, 25 patients had follow-up >20 months, and no late Grade 3 or 4 toxicities were noted. No treatment-related deaths occurred. The development of Grade 3 or 4 late toxicity was not associated with any repeat RT variables. The overall complete response rate was 57%. No repeat RT parameters were associated with an improved complete response rate, although a trend was noted for an improved complete response with the addition of hyperthermia that was close to reaching statistical significance (67% vs. 39%, p = 0.08). The 1-year local disease-free survival rate for patients with gross disease was 53% compared with 100% for those without gross disease (p < 0.0001). Conclusions: The results of our study have shown that repeat RT of the chest wall for patients with locally recurrent breast cancer is feasible, because it is associated with acceptable acute and late morbidity and encouraging local response rates.

  3. Superficial microwave-induced hyperthermia in the treatment of chest wall recurrences in breast cancer.

    PubMed

    DuBois, J B; Hay, M; Bordure, G

    1990-09-01

    Our study concerns 42 patients with chest wall recurrences from breast cancer: 17 Stage 1 (less than 4 cm in diameter), 11 Stage 2 (more than 4 cm), seven Stage 3 (skin ulceration whatever tumor size), and seven Stage 4 (neoplastic lymphangitis and/or skin nodules covering chest wall beyond midline). All the patients were treated with 2450 MHz microwaves by means of a generator with 4 magnetrons (250 to 300 W) and arterial applicators delivering 5 to 10 W/cm2. Each applicator is coupled with an infrared thermometer allowing an atraumatic temperature control processed by a PC-compatible computer using a Turbo Pascal program. A temperature of 41.5 degrees C to 42.5 degrees C was maintained for 45 minutes from the skin surface to a 2.5-cm depth within tissues. Hyperthermia alone was done in four patients; hyperthermia was combined with chemotherapy in four patients, and with electrontherapy (2 X 450 cGy or 3 X 350 cGy/week) in 34 patients: tumor dose under 3000 cGy in seven patients and over 3000 cGy in 27 patients. We observed a complete response in 22 patients (52.3%), a partial response (greater than 50%) in 11 patients (26.1%), and no response in nine patients (21.4%). No complete response was observed in patients treated with hyperthermia alone or in conjunction with chemotherapy. The local control was demonstrated to be improved only in patients treated with hyperthermia and radiotherapy. The results were correlated with tumor stage: ten complete responses out of 12 Stage 1, and one complete response out of four Stage 4. We noted nine side effects completely reversible within a month with no late skin reaction. Our results show that hyperthermia can give improved local control without any morbidity in treating chest wall recurrences of breast cancer.

  4. Giant congenital intercostal arteriovenous malformation with extensive involvement of chest wall and ribs: surgical experience.

    PubMed

    Parashi, Hrishikesh Sukhadeo; Bhosle, Krishnarao Narayan; Thakare, Nitin Dashrath; Sharma, Ajay; Potwar, Sushrut Suhas

    2013-06-01

    Intercostal arteriovenous malformations (AVMs) are rare lesions. Review of literature shows that most reported cases are secondary to trauma or iatrogenic in origin. Congenital intercostal AVMs are extremely rare. We believe that only 1 case report of congenital intercostal arteriovenous malformation has been reported previously in the literature. We present an exceedingly rare case of giant congenital intercostal AVM in a young patient diagnosed on contrast-enhanced computed tomography of the thorax and treated by surgical resection of the involved chest wall and ribs with reconstruction of the surgical defect.

  5. Fireworks-induced chest wall granulomatous disease: 18F-FDG PET/CT imaging.

    PubMed

    Le, Stephanie T; Nguyen, Ba Duong

    2014-04-01

    The authors present a case of 18F-FDG-avid granulomatous reaction induced by fireworks injury of the chest wall in a patient with esophageal adenocarcinoma. This hypermetabolic lesion, involving the right pectoralis muscles, appeared slightly more prominent on restaging PET/CT imaging following chemotherapy and radiation therapy. Excisional biopsy of the lesion established the diagnosis of foreign-body granulomatous-type inflammation with surrounding foci of non-polarizable black foreign material and ruled out malignancy. The patient recalled accidentally shooting himself in the chest with a Roman candle at the age of 3.

  6. [Castleman's Disease of the Chest Wall Successfully Resected by Thoracoscopic Surgery;Report of a Case].

    PubMed

    Naomi, Akira; Kuroda, Hiroaki; Seto, Katsutoshi; Iiduka, Shuhei; Dejima, Hitoshi; Mizuno, Tetsuya; Sakakura, Noriaki; Sakao, Yukinori

    2015-12-01

    A 61-year-old woman without a significant past medical history was pointed out the abnormal shadow on the annual medical checkup. Chest computed tomography (CT) revealed a well-defined paravertebral chest wall tumor of 20 mm in maxmum size. Furthermore, diffusion weighted image on magnetic resonance imaging (MRI) showed high intensity, and standardized uptake value (SUV) max on positron emission tomography/computed tomography (PET/CT) was 13.4. Schwanoma, solitary fibrous tumor (SFT) or malignant lymphoma was suggested. Complete resection was performed with thoracoscopic surgery. The histological diagnosis was Castleman's disease with hyalineized type.

  7. Transcatheter Arterial Embolization for Tumor Seeding in the Chest Wall After Radiofrequency Ablation for Hepatocellular Carcinoma

    SciTech Connect

    Shibata, Toshiya Shibata, Toyomichi; Maetani, Yoji; Kubo, Takeshi; Nishida, Naoshi; Itoh, Kyo

    2006-06-15

    Tumor seeding in the chest wall was depicted at follow-up CT obtained 9 months after radiofrequency ablation for hepatocellular carcinoma. Transcatheter arterial embolization was successfully performed, injecting emulsion of 10 mg of epirubicin and 1 ml of iodized oil followed by gelatin sponge particles via the microcatheter placed in the right eleventh intercostal artery. The patient died of tumor growth in the liver one year after the embolization, but no progression of the tumor seeding was noted during the follow-up period. We conclude that transcatheter arterial embolization was effective for the control of tumor seeding after radiofrequency ablation for hepatocellular carcinoma.

  8. [Castleman's Disease of the Chest Wall Successfully Resected by Thoracoscopic Surgery;Report of a Case].

    PubMed

    Naomi, Akira; Kuroda, Hiroaki; Seto, Katsutoshi; Iiduka, Shuhei; Dejima, Hitoshi; Mizuno, Tetsuya; Sakakura, Noriaki; Sakao, Yukinori

    2015-12-01

    A 61-year-old woman without a significant past medical history was pointed out the abnormal shadow on the annual medical checkup. Chest computed tomography (CT) revealed a well-defined paravertebral chest wall tumor of 20 mm in maxmum size. Furthermore, diffusion weighted image on magnetic resonance imaging (MRI) showed high intensity, and standardized uptake value (SUV) max on positron emission tomography/computed tomography (PET/CT) was 13.4. Schwanoma, solitary fibrous tumor (SFT) or malignant lymphoma was suggested. Complete resection was performed with thoracoscopic surgery. The histological diagnosis was Castleman's disease with hyalineized type. PMID:26759958

  9. The Etiologies of Chest Wall and Breast Asymmetry and Improvement in Breast Augmentation.

    PubMed

    Glicksman, Caroline A; Ferenz, Sarah E

    2015-10-01

    Patients presenting for correction of breast and chest wall asymmetries may have undergone numerous thoracic procedures in early childhood and may have suffered profound psychosocial effects. Complex congenital syndromes as well as mild breast asymmetries should be carefully documented using objective measurements, photography, and 3-dimensional simulations when available. Shaped highly cohesive breast implants offer plastic surgeons more possibilities and precision by fine-tuning the gel distribution and specific volumes required to correct the hypoplastic elements. Long-lasting correction of asymmetry can be obtained when patients are not oversized, and care is taken to avoid visibility, palpability, and malposition problems. PMID:26408441

  10. Spectral characteristics of airway opening and chest wall tidal flows in spontaneously breathing preterm infants.

    PubMed

    Habib, Robert H; Pyon, Kee H; Courtney, Sherry E; Aghai, Zubair H

    2003-05-01

    We compared the harmonic content of tidal flows measured simultaneously at the mouth and chest wall in spontaneously breathing very low birth weight infants (n = 16, 1,114 +/- 230 g, gestation age: 28 +/- 2 wk). Airway opening flows were measured via face mask-pneumotachograph (P-tach), whereas chest wall flows were derived from respiratory inductance plethysmography (RIP) excursions. Next, for each, we computed two spectral shape indexes: 1) harmonic distortion (k(d); k(d,P-tach) and k(d,RIP), respectively) defines the extent to which flows deviated from a single sine wave, and 2) the exponent of the power law (s; s(P-tach) and s(RIP), respectively), describing the spectral energy vs. frequency. P-tach and RIP flow spectra exhibited similar power law functional forms consistently in all infants. Also, mouth [s(P-tach) = 3.73 +/- 0.23% (95% confidence interval), k(d,P-tach) = 38.8 +/- 4.6%] and chest wall (s(RIP) = 3.51 +/- 0.30%, k(d,RIP) = 42.8 +/- 4.8%) indexes were similar and highly correlated (s(RIP) = 1.17 x s(P-tach) + 0.85; r(2) = 0.81; k(d,RIP) = 0.90 x k(d,P-tach) + 8.0; r(2) = 0.76). The corresponding time to peak tidal expiratory flow-to-expiratory time ratio (0.62 +/- 0.08) was higher than reported in older infants. The obtained s and k(d) values are similar to those reported in older and/or larger chronic lung disease infants, yet appreciably lower than for 1-mo-old healthy infants of closer age and/or size; this indicated increased complexity of tidal flows in very low birth weight babies. Importantly, we found equivalent flow spectral data from mouth and chest wall tidal flows. The latter are desirable because they avoid face mask artificial effects, including leaks around it, they do not interfere with ventilatory support delivery, and they may facilitate longer measurements that are useful in control of breathing assessment.

  11. Fireworks-induced chest wall granulomatous disease: 18F-FDG PET/CT imaging.

    PubMed

    Le, Stephanie T; Nguyen, Ba Duong

    2014-04-01

    The authors present a case of 18F-FDG-avid granulomatous reaction induced by fireworks injury of the chest wall in a patient with esophageal adenocarcinoma. This hypermetabolic lesion, involving the right pectoralis muscles, appeared slightly more prominent on restaging PET/CT imaging following chemotherapy and radiation therapy. Excisional biopsy of the lesion established the diagnosis of foreign-body granulomatous-type inflammation with surrounding foci of non-polarizable black foreign material and ruled out malignancy. The patient recalled accidentally shooting himself in the chest with a Roman candle at the age of 3. PMID:23877517

  12. Dosimetric evaluation of integrated IMRT treatment of the chest wall and supraclavicular region for breast cancer after modified radical mastectomy

    SciTech Connect

    Yang, Bo; Wei, Xian-ding; Zhao, Yu-tian; Ma, Chang-Ming

    2014-07-01

    To investigate the dosimetric characteristics of irradiation of the chest wall and supraclavicular region as an integrated volume with intensity-modulated radiation therapy (IMRT) after modified radical mastectomy. This study included 246 patients who received modified radical mastectomy. The patients were scanned with computed tomography, and the chest wall (with or without the internal mammary lymph nodes) and supraclavicular region were delineated. For 143 patients, the chest wall and supraclavicular region were combined as an integrated planning volume and treated with IMRT. For 103 patients, conventional treatments were employed with 2 tangential fields for the chest wall, abutting a mixed field of 6-MV x-rays (16 Gy) and 9-MeV electrons (34 Gy) for the upper supraclavicular region. The common prescription dose was 50 Gy/25 Fx/5 W to 90% of the target volume. The dosimetric characteristics of the chest wall, the supraclavicular region, and normal organs were compared. For the chest wall target, compared with conventional treatments, the integrated IMRT plans lowered the maximum dose, increased the minimum dose, and resulted in better conformity and uniformity of the target volume. There was an increase in minimum, average, and 95% prescription dose for the integrated IMRT plans in the supraclavicular region, and conformity and uniformity were improved. The V{sub 30} of the ipsilateral lung and V{sub 10}, V{sub 30}, and mean dose of the heart on the integrated IMRT plans were lower than those of the conventional plans. The V{sub 5} and V{sub 10} of the ipsilateral lung and V{sub 5} of the heart were higher on the integrated IMRT plans (p < 0.05) than on conventional plans. Without an increase in the radiation dose to organs at risk, the integrated IMRT treatment plans improved the dose distribution of the supraclavicular region and showed better dose conformity and uniformity of the integrated target volume of the chest wall and supraclavicular region.

  13. Dosimetric evaluation of integrated IMRT treatment of the chest wall and supraclavicular region for breast cancer after modified radical mastectomy.

    PubMed

    Yang, Bo; Wei, Xian-Ding; Zhao, Yu-Tian; Ma, Chang-Ming

    2014-01-01

    To investigate the dosimetric characteristics of irradiation of the chest wall and supraclavicular region as an integrated volume with intensity-modulated radiation therapy (IMRT) after modified radical mastectomy. This study included 246 patients who received modified radical mastectomy. The patients were scanned with computed tomography, and the chest wall (with or without the internal mammary lymph nodes) and supraclavicular region were delineated. For 143 patients, the chest wall and supraclavicular region were combined as an integrated planning volume and treated with IMRT. For 103 patients, conventional treatments were employed with 2 tangential fields for the chest wall, abutting a mixed field of 6-MV x-rays (16Gy) and 9-MeV electrons (34Gy) for the upper supraclavicular region. The common prescription dose was 50Gy/25Fx/5W to 90% of the target volume. The dosimetric characteristics of the chest wall, the supraclavicular region, and normal organs were compared. For the chest wall target, compared with conventional treatments, the integrated IMRT plans lowered the maximum dose, increased the minimum dose, and resulted in better conformity and uniformity of the target volume. There was an increase in minimum, average, and 95% prescription dose for the integrated IMRT plans in the supraclavicular region, and conformity and uniformity were improved. The V30 of the ipsilateral lung and V10, V30, and mean dose of the heart on the integrated IMRT plans were lower than those of the conventional plans. The V5 and V10 of the ipsilateral lung and V5 of the heart were higher on the integrated IMRT plans (p < 0.05) than on conventional plans. Without an increase in the radiation dose to organs at risk, the integrated IMRT treatment plans improved the dose distribution of the supraclavicular region and showed better dose conformity and uniformity of the integrated target volume of the chest wall and supraclavicular region.

  14. Factors Associated With Chest Wall Toxicity After Accelerated Partial Breast Irradiation Using High-Dose-Rate Brachytherapy

    SciTech Connect

    Brown, Sheree; Vicini, Frank; Vanapalli, Jyotsna R.; Whitaker, Thomas J.; Pope, D. Keith; Lyden, Maureen; Bruggeman, Lisa; Haile, Kenneth L.; McLaughlin, Mark P.

    2012-07-01

    Purpose: The purpose of this analysis was to evaluate dose-volume relationships associated with a higher probability for developing chest wall toxicity (pain) after accelerated partial breast irradiation (APBI) by using both single-lumen and multilumen brachytherapy. Methods and Materials: Rib dose data were available for 89 patients treated with APBI and were correlated with the development of chest wall/rib pain at any point after treatment. Ribs were contoured on computed tomography planning scans, and rib dose-volume histograms (DVH) along with histograms for other structures were constructed. Rib DVH data for all patients were sampled at all volumes {>=}0.008 cubic centimeter (cc) (for maximum dose related to pain) and at volumes of 0.5, 1, 2, and 3 cc for analysis. Rib pain was evaluated at each follow-up visit. Patient responses were marked as yes or no. No attempt was made to grade responses. Eighty-nine responses were available for this analysis. Results: Nineteen patients (21.3%) complained of transient chest wall/rib pain at any point in follow-up. Analysis showed a direct correlation between total dose received and volume of rib irradiated with the probability of developing rib/chest wall pain at any point after follow-up. The median maximum dose at volumes {>=}0.008 cc of rib in patients who experienced chest wall pain was 132% of the prescribed dose versus 95% of the prescribed dose in those patients who did not experience pain (p = 0.0035). Conclusions: Although the incidence of chest wall/rib pain is quite low with APBI brachytherapy, attempts should be made to keep the volume of rib irradiated at a minimum and the maximum dose received by the chest wall as low as reasonably achievable.

  15. Chest wall deformities and thoracic scoliosis after costal cartilage graft harvesting.

    PubMed

    Ohara, K; Nakamura, K; Ohta, E

    1997-04-01

    Donor-site complications, specifically chest wall deformities and thoracic scoliosis, occurring after harvest of costal cartilage grafts are presented and discussed. The cases of 18 patients (12 male and 6 female), who underwent costal cartilage grafts for microtia reconstruction from 1975 to 1993, were reviewed for donor-site complications using radiography and physical examination. Ribs from which costal cartilage had been harvested showed increased inward bowing on radiographs in 16 of 32 donor sites. The frequency of rib deformity in donor sites was 20.0 percent when cartilages were harvested from patients older than 10 years of age, whereas it was 63.6 percent in patients younger than 10 years old. This difference was statistically significant (p = 0.027, Fisher's exact test), although only 32 grafts were performed in 18 cases. The upper ribs demonstrate a higher incidence of deformity than lower ribs. Thoracic scoliosis was found in 4 of 16 cases. The biomechanical impact of these deformities was considered because of respiratory movement of the thorax and injury to the germinal growth center of the ribs. We recommend delaying costal cartilage grafts for as long as possible, leaving the costochondral junction intact to minimize chest wall deformity and thoracic scoliosis. PMID:9091899

  16. Chest wall velocity as a predictor of nonauditory blast injury in a complex wave environment.

    PubMed

    Axelsson, H; Yelverton, J T

    1996-03-01

    Previous blast injury prediction criteria have been based on exposure to classic Friedlander or ideal blast waves. An ideal waveform is characterized by an instantaneous rise to a peak overpressure that decays exponentially to ambient pressure followed by a negative phase. The prediction criteria did not address injuries resulting from exposure to complex blast waves. It was difficult to establish a simple relationship between the two because complex blast waves typically consist of multiple shocks with variable frequency content and intensity that may be superimposed on a slow rising quasistatic pressure pulse. This paper deals with the application of a single degree of freedom mathematical model, originally developed to measure the response of the thorax to Friedlander waves, to calculate chest wall velocities resulting from various complex blast loads. Experimental results with sheep, exposed to complex blast waves in enclosures, demonstrated that there was a good relationship between the Adjusted Severity of Injury Index (which includes injury to the lungs, upper respiratory tract, gastrointestinal tract and solid intraabdominal organs) and the calculated peak inward chest wall velocity. In addition, there was a good correlation between these results and previously established Friedlander injury prediction curves. The velocity of complex blast waves was nearly the same as that of Friedlander waves for a given degree of injury: 3-4.5 meters/second for threshold injury, 8-12 meters/second for an LD1, and 12-17 meters/second for an LD50. PMID:8606417

  17. Pectus excavatum and carinatum: new concepts in the correction of congenital chest wall deformities in the pediatric age group.

    PubMed

    Mavanur, Arun; Hight, Donald W

    2008-01-01

    A wide range of congenital chest wall deformities have been described over the years. The spectrum of severity may range from life threatening deformities such as cordis ectopia to those which pose functional limitations as growth and maturity approach adulthood. Until recently, pectus excavatum (PE) and carinatum(PC) malformations have generally been considered as primarily cosmetic abnormalities. "Open" surgical procedures to correct PE and PC involved extensive resection of cartilage and bone to remove the bony deformity often with lasting growth restriction of the chest wall. Minimally invasive surgery has recently been reported as an effective technique in correcting PE without removing healthy chest wall structures. Nonoperative bracing has been effectively applied to PC eliminating traditional surgical methods. This report presents the experience at the Connecticut Children's Medical Center (CCMC) in the treatment of these two common deformities using new, less invasive methods with excellent long-term results. PMID:18286876

  18. Anterior chest wall involvement in seronegative arthritides. A study of the frequency of changes at radiography.

    PubMed

    Jurik, A G

    1992-01-01

    Material from a 10-year retrospective study of 268 patients with seronegative arthritis was analyzed with regard to the frequency of radiographic anterior chest wall (ACW) joint or bone lesions. Changes of the sternoclavicular joint were found in 17% of patients with ankylosing spondylitis (AS), in 6-9% of patients with reactive and psoriatic arthritis, and in 48% of patients with arthritis associated with palmoplantar pustular (PPP) lesions. The manubriosternal joint (MSJ) was involved in 51-57% of patients with AS and PPP lesions as well as in 18-24% of patients with reactive and psoriatic arthritis. The presence of ACW involvement was significantly related in AS, reactive and PPP associated arthritis to the duration of the disease; in AS to advanced sacroilitis, and involvement of the spine and root joints; in psoriatic and reactive arthritis to the presence of peripheral erosive polyarthritis; in reactive arthritis to sacroiliitis and spondylitis; and in psoriatic arthritis to root joint involvement.

  19. [Sudden death caused by a less lethal weapon chest-wall injury (Commotio cordis)].

    PubMed

    Contargyris, C; Peytel, E

    2012-05-01

    Less lethal weapons, like Flashball, are more and more used since 1995 in law enforcement, even by the local police to neutralize combative individuals and to disperse riot crowds. This gun fires large rubber bullets and has been incriminated many times in cases of face injuries with functional consequences. In this case report, we mention a case of sudden death from cardiac arrest due to low energy chest wall impact of a rubber bullet shot with the Flashball. Commotio cordis is potentialized by a lethal set of three including, a certain impact velocity, an exact location of the hit over the cardiac silhouette, and a precise timing 15 m/s prior to the peak of the T-wave. This case report highlights the fact that such impacts can cause significant injury to internal organs, in particular circonstances, implying the necessity of a raising awareness of the medical staff, in ordre to not underestimate the severity of such injuries.

  20. Plasma Cell Leukemia Presenting as a Chest Wall Mass: A Case Report

    PubMed Central

    Ali, Ahmed; Paul, Yonette; Nwabudike, Stanley Madu; Ogbonna, Onyekachi; Grantham, Mica; Taddesse-Heath, Lekidelu

    2016-01-01

    Plasma cell leukemia (PCL) is an uncommon neoplasm of plasma cells, with an aggressive clinical course and poor outcome, even with current standard of care. It can occur either de novo (primary PCL) or as a progression of multiple myeloma (MM). This disease has unique diagnostic criteria but certain genetic markers and clinical features may overlap with MM. Due to the low prevalence of PCL, guidelines on its management are extrapolated from the management of MM and based on small retrospective studies and cases reports/series. We present an interesting case of PCL in a middle-aged African-American male, who was diagnosed incidentally after chest wall imaging for an unrelated complaint. The diagnostic approach, management and outcomes of PCL are discussed. PMID:27462235

  1. High-Frequency Chest Wall Oscillation Successful in Controlling Refractory Asthma

    PubMed Central

    BOSE, SONALI; JUN, JONATHAN; DIETTE, GREGORY B.

    2016-01-01

    Introduction High-frequency chest wall oscillation (HFCWO) has been traditionally implemented for airway secretion clearance in conditions such as cystic fibrosis (CF) and bronchiectasis. There have been few reports of its use in refractory asthma. Case report A 36-year-old, non-smoker male presented with a lifelong history of poorly controlled asthma. Despite multiple controller medications, he reported daily chest congestion, copious phlegm, and frequent exacerbations. Imaging, blood work, and bronchoscopy ruled out atypical infections, immunodeficiency, CF, and other chronic conditions. Pulmonary function tests supported a diagnosis of asthma. Results We initiated HFCWO therapy twice daily in addition to standard inhaled pharmacological therapy. After 2 months, the patient noted resolution of respiratory symptoms as well as improvement in lung function. He remained symptom-free at his 2-year follow-up. Conclusion High-frequency chest oscillation may be useful in phenotypes of asthma characterized by prominent mucus hypersecretion. PMID:23394251

  2. Plasma Cell Leukemia Presenting as a Chest Wall Mass: A Case Report.

    PubMed

    Ali, Ahmed; Paul, Yonette; Nwabudike, Stanley Madu; Ogbonna, Onyekachi; Grantham, Mica; Taddesse-Heath, Lekidelu

    2016-01-01

    Plasma cell leukemia (PCL) is an uncommon neoplasm of plasma cells, with an aggressive clinical course and poor outcome, even with current standard of care. It can occur either de novo (primary PCL) or as a progression of multiple myeloma (MM). This disease has unique diagnostic criteria but certain genetic markers and clinical features may overlap with MM. Due to the low prevalence of PCL, guidelines on its management are extrapolated from the management of MM and based on small retrospective studies and cases reports/series. We present an interesting case of PCL in a middle-aged African-American male, who was diagnosed incidentally after chest wall imaging for an unrelated complaint. The diagnostic approach, management and outcomes of PCL are discussed. PMID:27462235

  3. Occult radiographic fractures of the chest wall identified by nuclear scan imaging: report of seven cases.

    PubMed

    LaBan, M M; Siegel, C B; Schutz, L K; Taylor, R S

    1994-03-01

    Between 1985 and 1990 the enactment of state mandatory seat belt laws has reduced the risk of death from auto accident by at least 40% and the risk of moderate to severe injury by 45%. Although head and facial trauma has also been significantly reduced, there has not been a decrease in injuries to other parts of the body. We evaluated seven restrained drivers who complained of persistent anterior and/or lateral chest wall pain after being in motor vehicle accidents. All had normal x-rays of the osseous thorax. Nuclear scan imaging subsequently revealed that all seven had a healing fracture of either the sternum or ribs. In each instance, direct trauma to the sternum and ribs anteriorly by the chest strap itself and/or laterally displaced bending forces transmitted to the postero lateral rib margins was sufficient to produce x-ray occult fractures.

  4. Chest Wall Ewing Sarcoma Family of Tumors: Long-Term Outcomes

    SciTech Connect

    Indelicato, Daniel J.; Keole, Sameer R.; Lagmay, Joanne P.; Morris, Christopher G.; Gibbs, C. Parker; Scarborough, Mark T.; Islam, Saleem; Marcus, Robert B.

    2011-09-01

    Purpose: To review the 40-year University of Florida experience treating Ewing sarcoma family of tumors of the chest wall. Methods and Materials: Thirty-nine patients were treated from 1966 to 2006. Of the patients, 22 were treated with radiotherapy (RT) alone, and 17 patients were treated with surgery with or without RT. Of 9 patients with metastatic disease, 8 were treated with RT alone. The risk profiles of each group were otherwise similar. The median age was 16.6 years, and the most frequent primary site was the rib (n = 17). The median potential follow-up was 19.2 years. Results: The 5-year actuarial overall survival (OS), cause-specific survival (CSS), and local control (LC) rates were 34%, 34%, and 72%, respectively. For the nonmetastatic subset (n = 30), the 5-year OS, CSS, and LC rates were 44%, 44%, and 79%, respectively. LC was not statistically significantly different between patients treated with RT alone (61%) vs. surgery + RT (75%). None of the 4 patients treated with surgery alone experienced local failure. No patient or treatment variable was significantly associated with local failure. Of the patients, 26% experienced Common Toxicity Criteria (CTC) Grade 3+ toxicity, including 2 pulmonary deaths. Modern intensive systemic therapy helped increase the 5-year CSS from 7% to 49% in patients treated after 1984 (p = 0.03). Conclusions: This is the largest single-institution series describing the treatment of chest wall Ewing tumors. Despite improvements in survival, obtaining local control is challenging and often accompanied by morbidity. Effort should be focused on identifying tumors amenable to combined-modality local therapy and to improving RT techniques.

  5. Fast impedance measurements at very low frequencies using curve fitting algorithms

    NASA Astrophysics Data System (ADS)

    Piasecki, Tomasz

    2015-06-01

    The method for reducing the time of impedance measurements at very low frequencies was proposed and implemented. The reduction was achieved by using impedance estimation algorithms that do not require the acquisition of the momentary voltage and current values for at least one whole period of the excitation signal. The algorithms were based on direct least squares ellipse and sine fitting to recorded waveforms. The performance of the algorithms was evaluated based on the sampling time, signal-to-noise (S/N) ratio and sampling frequency using a series of Monte Carlo experiments. An improved algorithm for the detection of the ellipse direction was implemented and compared to a voting algorithm. The sine fitting algorithm provided significantly better results. It was less sensitive to the sampling start point and measured impedance argument and did not exhibit any systematic error of impedance estimation. It allowed a significant reduction of the measurement time. A 1% standard deviation of impedance estimation was achieved using a sine fitting algorithm with a measurement time reduced to 11% of the excitation signal period.

  6. Biometric estimation of chest wall thickness of female radiation workers as an aid in in-vivo detection of the actinides

    SciTech Connect

    Lane, B.H.; Berger, C.D.

    1983-01-01

    An equation was derived to estimate female chest wall thickness from a series of biometric measurements. This technique will result in improved performance for actinide detection in females by accounting for variations in chest wall thickness in derivation of calibration factors.

  7. Passive mechanics of lung and chest wall in patients who failed or succeeded in trials of weaning.

    PubMed

    Jubran, A; Tobin, M J

    1997-03-01

    In an accompanying article (Jubran, et al., Am. J. Respir. Crit. Care Med. 155:906-915), we report that patients with chronic obstructive pulmonary disease (COPD) who failed a trial of weaning from mechanical ventilation developed worsening of pulmonary mechanics compared with patients who tolerated the trial and were extubated. We wondered whether the greater derangements in pulmonary mechanics in the weaning failure patients are evident ever before undertaking the weaning trial. We measured mechanics of the respiratory system, lung, and chest wall during passive ventilation at usual ventilator settings in 12 patients who went on to fail a weaning trial and in 12 patients who were successfully weaned. No differences in the resistances of the respiratory system, lung, and chest wall were observed between the two groups or when the resistances were separated into the components derived from ohmic resistance and viscoelastic behavior/time-constant inhomogeneities. Likewise, the groups did not differ in terms of static elastance and dynamic intrinsic positive end-expiratory pressure (PEEPi) of the respiratory system and the respective lung and chest wall components or in terms of dynamic elastances of the respiratory system and chest wall. The failure group had a higher dynamic elastance of the lung than the success group (p < 0.01), but the individual values showed considerable overlap among the patients in the two groups so limiting its usefulness in signaling a patient's ability to sustain spontaneous ventilation. Thus, mechanics of the respiratory system and its lung and chest wall components during passive ventilation did not satisfactorily discriminate between patients who failed a weaning trial and those successfully weaned, and, thus, are unlikely to be useful in signaling a patient's ability to tolerate the discontinuation of mechanical ventilation.

  8. Effects of chest wall compression on expiratory flow rates in patients with chronic obstructive pulmonary disease

    PubMed Central

    Nozoe, Masafumi; Mase, Kyoshi; Ogino, Tomoyuki; Murakami, Shigefumi; Takashima, Sachie; Domen, Kazuhisa

    2016-01-01

    Background: Manual chest wall compression (CWC) during expiration is a technique for removing airway secretions in patients with respiratory disorders. However, there have been no reports about the physiological effects of CWC in patients with chronic obstructive pulmonary disease (COPD). Objective: To compare the effects of CWC on expiratory flow rates in patients with COPD and asymptomatic controls. Method: Fourteen subjects were recruited from among patients with COPD who were receiving pulmonary rehabilitation at the University Hospital (COPD group). Fourteen age-matched healthy subjects were also consecutively recruited from the local community (Healthy control group). Airflow and lung volume changes were measured continuously with the subjects lying in supine position during 1 minute of quiet breathing (QB) and during 1 minute of CWC by a physical therapist. Results: During CWC, both the COPD group and the healthy control group showed significantly higher peak expiratory flow rates (PEFRs) than during QB (mean difference for COPD group 0.14 L/sec, 95% confidence interval (CI) 0.04 to 0.24, p<0.01, mean difference for healthy control group 0.39 L/sec, 95% CI 0.25 to 0.57, p<0.01). In the between-group comparisons, PEFR was significantly higher in the healthy control group than in the COPD group (-0.25 L/sec, 95% CI -0.43 to -0.07, p<0.01). However, the expiratory flow rates at the lung volume at the PEFR during QB and at 50% and 25% of tidal volume during QB increased in the healthy control group (mean difference for healthy control group 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.31 L/sec, 95% CI 0.15 to 0.47, p<0.01: 0.27 L/sec, 95% CI 0.13 to 0.41, p<0.01, respectively) but not in the COPD group (0.05 L/sec, 95% CI -0.01 to 0.12: -0.01 L/sec, 95% CI -0.11 to 0.08: 0.02 L/sec, 95% CI -0.05 to 0.90) with the application of CWC. Conclusion: The effects of chest wall compression on expiratory flow rates was different between COPD patients and asymptomatic

  9. Rib fracture patterns predict thoracic chest wall and abdominal solid organ injury.

    PubMed

    Al-Hassani, Ammar; Abdulrahman, Husham; Afifi, Ibrahim; Almadani, Ammar; Al-Den, Ahmed; Al-Kuwari, Abdulaziz; Recicar, John; Nabir, Syed; Maull, Kimball I

    2010-08-01

    Blunt trauma patients with rib fractures were studied to determine whether the number of rib fractures or their patterns were more predictive of abdominal solid organ injury and/or other thoracic trauma. Rib fractures were characterized as upper zone (ribs 1 to 4), midzone (ribs 5 to 8), and lower zone (ribs 9 to 12). Findings of sternal and scapular fractures, pulmonary contusions, and solid organ injures (liver, spleen, kidney) were characterized by the total number and predominant zone of ribs fractured. There were 296 men and 14 women. There were 38 patients with scapular fracture and 19 patients with sternal fractures. There were 90 patients with 116 solid organ injuries: liver (n = 42), kidney (n = 27), and spleen (n = 47). Lower rib fractures, whether zone-limited or overlapping, were highly predictive of solid organ injury when compared with upper and midzones. Scapular and sternal fractures were more common with upper zone fractures and pulmonary contusions increased with the number of fractured ribs. Multiple rib fractures involving the lower ribs have a high association with solid organ injury, 51 per cent in this series. The increasing number of rib fractures enhanced the likelihood of other chest wall and pulmonary injuries but did not affect the incidence of solid organ injury. PMID:20726423

  10. Results of chest wall resection for recurrent or locally advanced breast malignancies.

    PubMed

    Veronesi, Giulia; Scanagatta, Paolo; Goldhirsch, Aron; Rietjens, Mario; Colleoni, Marco; Pelosi, Giuseppe; Spaggiari, Lorenzo

    2007-06-01

    Between 1998 and 2003 we observed 15 women who underwent full thickness chest wall resection (FTCWR) followed by plastic reconstruction for locally recurrent or primary breast cancer. Preoperative symptoms were: pain (5 patients), malodorous ulceration (3 patients), presence of tumour mass (4 patients) and thoracic deformity (2 patients). One patient was asymptomatic. Surgery was partial sternectomy with rib resection in 9 patients, rib resection alone in 5, and total sternectomy in one. No perioperative mortality or major morbidity occurred; minor complications occurred in 3 patients (20%). Five of the six surviving patients reported a positive overall outcome in a telephonic interview. Median overall and disease-free survival were 23.4 and 17.5 months, respectively. In conclusion, FTCWR is a safe procedure with low morbidity and mortality that can provide good symptoms palliation in patients with locally advanced breast malignancies, so it should be considered more often by interdisciplinary care providers in those patients who fail to respond to classic multimodality treatment.

  11. Chest-wall segmentation in automated 3D breast ultrasound images using thoracic volume classification

    NASA Astrophysics Data System (ADS)

    Tan, Tao; van Zelst, Jan; Zhang, Wei; Mann, Ritse M.; Platel, Bram; Karssemeijer, Nico

    2014-03-01

    Computer-aided detection (CAD) systems are expected to improve effectiveness and efficiency of radiologists in reading automated 3D breast ultrasound (ABUS) images. One challenging task on developing CAD is to reduce a large number of false positives. A large amount of false positives originate from acoustic shadowing caused by ribs. Therefore determining the location of the chestwall in ABUS is necessary in CAD systems to remove these false positives. Additionally it can be used as an anatomical landmark for inter- and intra-modal image registration. In this work, we extended our previous developed chestwall segmentation method that fits a cylinder to automated detected rib-surface points and we fit the cylinder model by minimizing a cost function which adopted a term of region cost computed from a thoracic volume classifier to improve segmentation accuracy. We examined the performance on a dataset of 52 images where our previous developed method fails. Using region-based cost, the average mean distance of the annotated points to the segmented chest wall decreased from 7.57±2.76 mm to 6.22±2.86 mm.art.

  12. Actinomycetoma of the chest wall attributed to Nocardia nova after reconstructive surgery.

    PubMed

    Antunes, Joana; Pacheco, David; Travassos, Rita; Sequeira, Hortênsia; Filipe, Paulo; Marques, Manuel Sacramento

    2012-01-01

    A 29-year-old man, presented with multiple ulcers, nodules, abscesses, fistulae, and atrophic scars, over the right chest wall. Six years prior, the patient had a car accident, which resulted in skin loss of the right arm, shoulder, thoracic wall. In addition, he suffered a supracondylar fracture; orthopedic surgery and skin grafts were required. Material discharging from sinus tracts was obtained for mycological and bacteriological studies. Direct microscopic examination revealed small white grains. Cultures on Sabouraud and Lowenstein-Jensen media isolated orange-white colonies suggestive of Nocardia. PCR assay identified Nocardia nova. Thoracic and right upper limb CT showed signs of chronic osteomyelitis. Treatment with imipenem/cilastatin for 8 weeks, followed by amoxicillin clavulanate for 6 months, resulted in healing of lesions and improvement in the patient's general health. Primary cutaneous nocardiosis remains a diagnostic challenge. Nocardia are soil-borne filamentous gram-positive bacteria. Identification of characteristic granules on examination of discharge smears from discharge or tissue biopsy is essential for diagnosing mycetoma. Because grain discharge is discontinuous, multiple clinical specimens should be submitted for microscopic examination and culture. Sulfonamides have been the mainstay of Nocardia actinomycetoma treatment. However, our patient's strain was resistant to Co-trimoxazole. Therefore, treatment with imipenem followed by amoxicillin clavulanate was favored, with good clinical and analytical response. PMID:22301041

  13. Sonic phase delay from trachea to chest wall: spatial and inhaled gas dependency.

    PubMed

    Patel, S; Lu, S; Doerschuk, P C; Wodicka, G R

    1995-07-01

    A parametric phase delay estimation technique is used to determine the spatial and inhaled gas composition dependencies of sound propagation time through an intact human lung at frequencies of 150-1200 Hz. Noise transmission measurements from the mouth to the extrathoracic trachea and six sites on the posterior chest wall are performed in 11 healthy adult subjects at resting lung volume after equilibration with air, an 80% helium-20% oxygen mixture, and an 80% sulfurhexafluoride-20% oxygen mixture. The phase delay, tau(f), exhibits a bilateral asymmetry with relatively decreased delays to the left posterior chest as compared with the right. The phase delay to lower lung sites is greater than to upper sites at frequencies below 300 Hz; yet the opposite is found at higher frequencies, indicating changing propagation pathways with frequency. There is no measurable effect of inhaled gas composition on tau(f) below 300 Hz. At higher frequencies, changes in tau(f) that reflect the relative sound speed of the particular inhaled gas are observed. These findings support and extend previous measurements and hypotheses concerning the strong frequency dependence of the acoustical properties of the intact respiratory system. PMID:7475389

  14. High-frequency chest wall oscillation. Assistance to ventilation in spontaneously breathing subjects.

    PubMed

    Calverley, P M; Chang, H K; Vartian, V; Zidulka, A

    1986-02-01

    In five supine normal subjects breathing spontaneously, we studied the effects of high-frequency chest wall oscillation (HFCWO), which was achieved by oscillating the pressure in an air-filled cuff wrapped around the lower thorax. Oscillations of 3.5 and 8 Hz (in randomized order) were applied for 15 minutes each at both maximal (mean of 90 to 102 cm H2O) and half-maximal peak tolerable cuff pressures. Fifteen minutes of control spontaneous ventilation preceded each HFCWO maneuver. The HFCWO resulted in a significant decrease in spontaneous minute ventilation (VES) at maximal and half-maximal pressures by 35 and 40 percent, respectively, at 3 Hz and by 26 and 35 percent, respectively, at 5 Hz, with little change in VES at 8 Hz. This occurred despite an unchanging arterial carbon dioxide tension at all frequencies. Arterial oxygen pressure increased at 3 Hz at maximal pressure but remained statistically unchanged at 3 Hz at half-maximal pressure and at 5 Hz and 8 Hz both at maximal and half-maximal pressures. We conclude that HFCWO may potentially assist ventilation in spontaneously breathing man without requiring an endotracheal tube.

  15. Surgical treatment of T3 lung cancer invading the chest wall.

    PubMed

    Beltrami, V; Bezzi, M; Illuminati, G; Forte, A; Angelici, A; Bertagni, A; Ciulli, A; Gallinaro, L; Lorenzotti, A; Montesano, G; Palumbo, P G; Prece, V

    1999-01-01

    Lung tumors invading the chest wall are classed as belonging to the T3 group and are considered potentially resectable. Their management, however, is controversial, and extrapleural resection, when possible, is preferred to en bloc resection which is regarded as a far more invasive and dangerous operation. Five year survival rates for completely resected cases range in the literature from 25 to 35%, but survival rates are much worse if lymph node metastases are present. These poor outcomes have prompted the development of combined surgical approaches: preoperative radiation therapy, with or without chemotherapy, has been used with an improvement in resectability rates, but only modest results in terms of median survival; in a number of case series, increased operative morbidity and mortality have been reported with this approach. The present report relates to 122 patients treated by en bloc (20 cases) or extrapleural (102 cases) resection, 31 of whom also received neoadjuvant treatment. The operative mortality was 4.6%. Median survival was 17 months after en bloc resection and 19 months after extrapleural resection. Though no statistically significant difference was found, extrapleural resection would appear to yield better results than the en bloc procedure. PMID:10742890

  16. [Solitary fibrous tumor of the visceral pleura being suspected of chest wall origin: report of a case].

    PubMed

    Hayashi, S; Kitada, M; Ozawa, K; Sato, K; Hirata, S; Tokusashi, Y; Miyokawa, N; Sasajima, T

    2009-11-01

    We report a case of a solitary fibrous tumor (SFT) of the pleura which is suspected of chest wall tumor. A 52-year-old female was admitted to our hospital because of epigastralgia and body weight loss. Chest X-ray and computed tomography showed a circumscribed mass of 35 x 22 mm in diameter arising from the parietal pleura. Positron emission tomography showed uptake valve of 1.5. SFT of chest wall origin was suspected and performed video-assisted thoracic surgery. The pedunculated tumor attached to the visceral pleura. The tumor was diagnosed as a benign SFT in intraoperative diagnosis. Long term clinical follow-up is recommended for patients with SFT, because the tumor recurrence and malignant transformation may occur in tumors with benign histological features.

  17. Dynamic 3D printed titanium copy prosthesis: a novel design for large chest wall resection and reconstruction.

    PubMed

    Aragón, Javier; Pérez Méndez, Itzell

    2016-06-01

    Due to high rates of complications, chest wall resection and reconstruction is a high risk procedure when large size of resection is required. Many different prosthetic materials have been used with similar results. Recently, thanks to the new advances in technology, personalized reconstruction have been possible with specific custom-made prosthesis. Nevertheless, they all generate certain amount of stiffness in thoracic motion because of his rigidity. In this report, we present a forward step in prosthesis design based on tridimensional titanium-printed technology. An exact copy of the resected chest wall was made, even endowing simulated sternochondral articulations, to achieve the most exact adaptation and best functional results, with a view to minimize postoperative complications. This novel design, may constitute an important step towards the improvement of the functional postoperative outcomes compared to the other prosthesis, on the hope, to reduce postoperative complications. PMID:27293863

  18. Dynamic 3D printed titanium copy prosthesis: a novel design for large chest wall resection and reconstruction

    PubMed Central

    Pérez Méndez, Itzell

    2016-01-01

    Due to high rates of complications, chest wall resection and reconstruction is a high risk procedure when large size of resection is required. Many different prosthetic materials have been used with similar results. Recently, thanks to the new advances in technology, personalized reconstruction have been possible with specific custom-made prosthesis. Nevertheless, they all generate certain amount of stiffness in thoracic motion because of his rigidity. In this report, we present a forward step in prosthesis design based on tridimensional titanium-printed technology. An exact copy of the resected chest wall was made, even endowing simulated sternochondral articulations, to achieve the most exact adaptation and best functional results, with a view to minimize postoperative complications. This novel design, may constitute an important step towards the improvement of the functional postoperative outcomes compared to the other prosthesis, on the hope, to reduce postoperative complications. PMID:27293863

  19. Translucent poly(vinyl alcohol) cryogel dosimeters for simultaneous dose buildup and monitoring during chest wall radiation therapy.

    PubMed

    Eyadeh, Molham M; Weston, Mark A; Juhasz, Janos; Diamond, Kevin R

    2016-01-01

    Chest wall radiation therapy treatment delivery was monitored using a 5 mm thick radiochromic poly(vinyl alcohol) cryogel that also provided buildup material. The cryogels were used to detect positioning errors and measure the impact of shifts for a chest wall treatment that was delivered to a RANDO phantom. The phantom was shifted by ± 2, ± 3, and ± 5 mm from the planned position in the anterior/posterior (A/P) direction; these shifts represent setup errors and the uncertainty associated with lung filling during breath-hold. The two-dimensional absolute dose distributions measured in the cryogel at the planned position were compared with the distributions at all shifts from this position using gamma analysis (3%/3 mm, 10% threshold). For shifts of ± 2, ± 3, and ± 5 mm the passing rates ranged from 94.3% to 95.6%, 74.0% to 78.8%, and 17.5% to 22.5%, respectively. These results are consistent with the same gamma analysis performed on dose planes calculated in the middle of the cryogel and on the phantom surface using our treatment plan-ning system, which ranged from 94.3% to 95.0%, 76.8% to 77.9%, and 23.5% to 24.3%, respectively. The Pinnacle dose planes were then scaled empirically and compared to the cryogel measurements. Using the same gamma metric, the pass rates ranged from 97.0% to 98.4%. The results of this study suggest that cryogels may be used as both a buildup material and to evaluate errors in chest wall treat-ment positioning during deep-inspiration breath-hold delivery. The cryogels are sensitive to A/P chest wall shifts of less than 3 mm, which potentially allows for the detection of clinically relevant errors. PMID:27685110

  20. Evaluation of the safety of high-frequency chest wall oscillation (HFCWO) therapy in blunt thoracic trauma patients

    PubMed Central

    Anderson, Casandra A; Palmer, Cassandra A; Ney, Arthur L; Becker, Brian; Schaffel, Steven D; Quickel, Robert R

    2008-01-01

    Background Airway clearance is frequently needed by patients suffering from blunt chest wall trauma. High Frequency Chest Wall Oscillation (HFCWO) has been shown to be effective in helping to clear secretions from the lungs of patients with cystic fibrosis, bronchiectasis, asthma, primary ciliary dyskinesia, emphysema, COPD, and many others. Chest wall trauma patients are at increased risk for development of pulmonary complications related to airway clearance. These patients frequently have chest tubes, drains, catheters, etc. which could become dislodged during HFCWO. This prospective observational study was conducted to determine if HFCWO treatment, as provided by The Vest™ Airway Clearance System (Hill-Rom, Saint Paul, MN), was safe and well tolerated by these patients. Methods Twenty-five blunt thoracic trauma patients were entered into the study. These patients were consented. Each patient was prescribed 2, 15 minute HFCWO treatments per day using The Vest® Airway Clearance System (Hill-Rom, Inc., St Paul, MN). The Vest® system was set to a frequency of 10–12 Hz and a pressure of 2–3 (arbitrary unit). Physiological parameters were measured before, during, and after treatment. Patients were free to refuse or terminate a treatment early for any reason. Results No chest tubes, lines, drains or catheters were dislodged as a result of treatment. One patient with flail chest had a chest tube placed after one treatment due to increasing serous effusion. No treatments were missed and continued without further incident. Post treatment survey showed 76% experienced mild or no pain and more productive cough. Thirty days after discharge there were no deaths or hospital re-admissions. Conclusion This study suggests that HFCWO treatment is safe for trauma patients with lung and chest wall injuries. These findings support further work to demonstrate the airway clearance benefits of HFCWO treatment. PMID:18837992

  1. Postmastectomy Electron Beam Chest Wall Irradiation in Women With Breast Cancer: A Clinical Step Toward Conformal Electron Therapy

    SciTech Connect

    Kirova, Youlia M. Campana, Francois; Fournier-Bidoz, Nathalie; Stilhart, Anne; Dendale, Remi; Bollet, Marc A.; Fourquet, Alain

    2007-11-15

    Purpose: Electron beam radiotherapy of the chest wall with or without lymph node irradiation has been used at the Institut Curie for >20 years. The purpose of this report was to show the latest improvements of our technique developed to avoid hot spots and improve the homogeneity. Methods and Materials: The study was split into two parts. A new electron irradiation technique was designed and compared with the standard one (dosimetric study). The dose distributions were calculated using our treatment planning software ISIS (Technologie Diffusion). The dose calculation was performed using the same calculation parameters for the new and standard techniques. Next, the early skin toxicity of our new technique was evaluated prospectively in the first 25 patients using Radiation Therapy Oncology Group criteria (clinical study). Results: The maximal dose found on the five slices was 53.4 {+-} 1.1 Gy for the new technique and 59.1 {+-} 2.3 Gy for the standard technique. The hot spots of the standard technique plans were situated at the overlap between the internal mammary chain and chest wall fields. The use of one unique field that included both chest wall and internal mammary chain volumes solved the problem of junction. To date, 25 patients have been treated with the new technique. Of these patients, 12% developed Grade 0, 48% Grade 1, 32% Grade 2, and 8% Grade 3 toxicity. Conclusions: This report describes an improvement in the standard postmastectomy electron beam technique of the chest wall. This new technique provides improved target homogeneity and conformality compared with the standard technique. This treatment was well tolerated, with a low rate of early toxicity events.

  2. CyberKnife radiotherapy for malignant fibrous histiocytoma of the chest wall: A case report and review of the literature

    PubMed Central

    WANG, ZHEN; WU, XIN-HU; LI, BING; KONG, QING-TAO; SHEN, ZE-TIAN; LI, JING; LIU, ZHI-BING; ZHU, XI-XU

    2014-01-01

    Malignant fibrous histiocytoma (MFH) is the most common type of soft tissue sarcoma, but rarely originates in the chest wall. Surgical resection is considered to be the most reliable treatment, however, no consensus has been reached concerning the best treatment for unresectable MFH. The current study presents the case of a 77-year-old male with MFH of the chest wall. The patient developed a painless mass and intermittent fever over a four-month period. A computed tomography scan demonstrated a large inhomogeneous lesion in the right chest wall, which was subsequently diagnosed via biopsy as a MFH. Since the tumor was an unresectable mass, CyberKnife® radiotherapy was conducted. Following the treatment, a marked reduction in the tumor size was observed with a tolerable level of toxicity. The sequencing analysis also revealed an in-frame deletion (delE746-A750) in exon 19 of the epidermal growth factor receptor gene. Based on this result, gefitinib was administered to the patient at a dose of 250 mg/day. PMID:24932251

  3. Impedance learning for robotic contact tasks using natural actor-critic algorithm.

    PubMed

    Kim, Byungchan; Park, Jooyoung; Park, Shinsuk; Kang, Sungchul

    2010-04-01

    Compared with their robotic counterparts, humans excel at various tasks by using their ability to adaptively modulate arm impedance parameters. This ability allows us to successfully perform contact tasks even in uncertain environments. This paper considers a learning strategy of motor skill for robotic contact tasks based on a human motor control theory and machine learning schemes. Our robot learning method employs impedance control based on the equilibrium point control theory and reinforcement learning to determine the impedance parameters for contact tasks. A recursive least-square filter-based episodic natural actor-critic algorithm is used to find the optimal impedance parameters. The effectiveness of the proposed method was tested through dynamic simulations of various contact tasks. The simulation results demonstrated that the proposed method optimizes the performance of the contact tasks in uncertain conditions of the environment. PMID:19696001

  4. Impedance learning for robotic contact tasks using natural actor-critic algorithm.

    PubMed

    Kim, Byungchan; Park, Jooyoung; Park, Shinsuk; Kang, Sungchul

    2010-04-01

    Compared with their robotic counterparts, humans excel at various tasks by using their ability to adaptively modulate arm impedance parameters. This ability allows us to successfully perform contact tasks even in uncertain environments. This paper considers a learning strategy of motor skill for robotic contact tasks based on a human motor control theory and machine learning schemes. Our robot learning method employs impedance control based on the equilibrium point control theory and reinforcement learning to determine the impedance parameters for contact tasks. A recursive least-square filter-based episodic natural actor-critic algorithm is used to find the optimal impedance parameters. The effectiveness of the proposed method was tested through dynamic simulations of various contact tasks. The simulation results demonstrated that the proposed method optimizes the performance of the contact tasks in uncertain conditions of the environment.

  5. 3D analysis of the chest wall motion for monitoring late-onset Pompe disease patients.

    PubMed

    Meric, Henri; Falaize, Line; Pradon, Didier; Orlikowski, David; Prigent, Hélène; Lofaso, Frédéric

    2016-02-01

    Late-onset Pompe disease, for which enzyme replacement therapy is available, induces progressive diaphragmatic weakness. Monitoring diaphragmatic function is therefore crucial but is hindered by the need to insert esophageal and gastric probes. Vital capacity (VC), inspiratory capacity, maximal inspiratory pressure, and sniff nasal pressure are noninvasive measurements but reflect only global inspiratory-muscle function. Diaphragmatic function may be assessable noninvasively based on abdominal contribution to breathing and abdominal volume change during the VC maneuver (AVC-VC), obtained by 3-dimensional chest-wall analysis. In 11 patients, we assessed the relationships between the above-listed noninvasive variables and the invasively measured Gilbert index reflecting the diaphragmatic contribution to breathing (ratio of gastric pressure over transdiaphragmatic pressure swings during spontaneous breathing). Only abdominal contribution to breathing and AVC-VC correlated significantly with the Gilbert index (R = 0.977, P = 0.0001; and R = 0.944, P = 0.001 respectively). AVC-VC correlated significantly with transdiaphragmatic pressure swing during the sniff maneuver (R = 0.743, P = 0.0009) and with phrenic magnetic stimulation (R = 0.610, P = 0.046). Repeat testing 1 year later in the first 6 patients showed concordant changes in abdominal contribution to breathing, Gilbert index, and VC. Abdominal contribution to breathing and AVC-VC are reliable and noninvasive indices of diaphragmatic function in Pompe disease, and therefore hold promise as clinical monitoring tools. PMID:26711305

  6. Chest Wall Toxicity After Stereotactic Body Radiotherapy for Malignant Lesions of the Lung and Liver

    SciTech Connect

    Andolino, David L.; Forquer, Jeffrey A.; Henderson, Mark A.; Barriger, Robert B.; Shapiro, Ronald H.; Brabham, Jeffrey G.; Johnstone, Peter A.S.; Cardenes, Higinia R.; Fakiris, Achilles J.

    2011-07-01

    Purpose: To quantify the frequency of rib fracture and chest wall (CW) pain and identify the dose-volume parameters that predict CW toxicity after stereotactic body radiotherapy (SBRT). Methods and Materials: The records of patients treated with SBRT between 2000 and 2008 were reviewed, and toxicity was scored according to Common Terminology Criteria for Adverse Events v3.0 for pain and rib fracture. Dosimetric data for CW and rib were analyzed and related to the frequency of toxicity. The risks of CW toxicity were then further characterized according to the median effective concentration (EC{sub 50}) dose-response model. Results: A total of 347 lesions were treated with a median follow-up of 19 months. Frequency of Grade I and higher CW pain and/or fracture for CW vs. non-CW lesions was 21% vs. 4%, respectively (p < 0.0001). A dose of 50 Gy was the cutoff for maximum dose (Dmax) to CW and rib above which there was a significant increase in the frequency of any grade pain and fracture (p = 0.03 and p = 0.025, respectively). Volume of CW receiving 15 Gy - 40 Gy was highly predictive of toxicity (R{sup 2} > 0.9). According to the EC{sub 50} model, 5 cc and 15 cc of CW receiving 40 Gy predict a 10% and 30% risk of CW toxicity, respectively. Conclusion: Adequate tumor coverage remains the primary objective when treating lung or liver lesions with SBRT. To minimize toxicity when treating lesions in close proximity to the CW, Dmax of the CW and/or ribs should remain <50 Gy, and <5 cc of CW should receive {>=}40 Gy.

  7. 3D analysis of the chest wall motion for monitoring late-onset Pompe disease patients.

    PubMed

    Meric, Henri; Falaize, Line; Pradon, Didier; Orlikowski, David; Prigent, Hélène; Lofaso, Frédéric

    2016-02-01

    Late-onset Pompe disease, for which enzyme replacement therapy is available, induces progressive diaphragmatic weakness. Monitoring diaphragmatic function is therefore crucial but is hindered by the need to insert esophageal and gastric probes. Vital capacity (VC), inspiratory capacity, maximal inspiratory pressure, and sniff nasal pressure are noninvasive measurements but reflect only global inspiratory-muscle function. Diaphragmatic function may be assessable noninvasively based on abdominal contribution to breathing and abdominal volume change during the VC maneuver (AVC-VC), obtained by 3-dimensional chest-wall analysis. In 11 patients, we assessed the relationships between the above-listed noninvasive variables and the invasively measured Gilbert index reflecting the diaphragmatic contribution to breathing (ratio of gastric pressure over transdiaphragmatic pressure swings during spontaneous breathing). Only abdominal contribution to breathing and AVC-VC correlated significantly with the Gilbert index (R = 0.977, P = 0.0001; and R = 0.944, P = 0.001 respectively). AVC-VC correlated significantly with transdiaphragmatic pressure swing during the sniff maneuver (R = 0.743, P = 0.0009) and with phrenic magnetic stimulation (R = 0.610, P = 0.046). Repeat testing 1 year later in the first 6 patients showed concordant changes in abdominal contribution to breathing, Gilbert index, and VC. Abdominal contribution to breathing and AVC-VC are reliable and noninvasive indices of diaphragmatic function in Pompe disease, and therefore hold promise as clinical monitoring tools.

  8. Lung and chest wall mechanics in patients with acquired immunodeficiency syndrome and severe Pneumocystis carinii pneumonia.

    PubMed

    D'Angelo, E; Calderini, E; Robatto, F M; Puccio, P; Milic-Emili, J

    1997-10-01

    The aim of this study was to assess the mechanical characteristics of the respiratory system in patients with acquired immune deficiency syndrome (AIDS) and acute respiratory distress syndrome (ARDS) caused by Pneumocystis carinii pneumonia (PCP). In 12 mechanically ventilated patients, total respiratory system mechanics was assessed using the technique of rapid airway occlusion during constant flow inflation, and was partitioned into lung and chest wall components using the oesophageal balloon technique. We measured interrupter resistance (Rint), which mainly reflects airway resistance, additional resistance (deltaR) due to viscoelastic behaviour and time constant inequalities, and static elastance (Est). In addition, the static inflation volume-pressure (V-P) curve was assessed. In eight patients, computed tomography scans were performed within 2 days of the assessment of respiratory mechanics. Compared to values reported in the literature for normal subjects, Est and deltaR were markedly increased in AIDS patients with PCP, whilst Rint exhibited a relatively smaller increase. These changes, which involved only the lung and airways, were mainly due to the reduction of ventilated lung units, but additional factors were involved to cause independent modifications of lung stiffness, airway calibre, and viscoelastic properties. The changes in Rint, deltaR, and Est were similar to those observed in other studies on patients with ARDS of different aetiologies. At variance with common observations in the latter patients, none of the AIDS patients with PCP exhibited an inflection point on the static inflation V-P curve, suggesting little or no alveolar recruitment during lung inflation. This finding could be related to the distinctive histopathology of Pneumocystis carinii pneumonia. Indeed, computed tomography revealed homogeneous diffuse interstitial and alveolar infiltration rather than the dense, dependent opacities observed in other studies on acute respiratory

  9. Nitrogen washout during tidal breathing with superimposed high-frequency chest wall oscillation.

    PubMed

    Harf, A; Zidulka, A; Chang, H K

    1985-08-01

    In order to assess the efficacy of high-frequency chest wall oscillation (HFCWO) superimposed on tidal ventilation, multiple-breath nitrogen washout curves were obtained in 7 normal seated subjects. To maintain a regular breathing pattern throughout the study, the subjects breathed synchronously with a Harvard ventilator set at a constant tidal volume and frequency for each subject during a trial period. Washout curves were obtained during 3 different maneuvers performed in random order. Series A was the control condition with no superimposed HFCWO. In Series B and C, HFCWO at 5 Hz was superimposed on the regulated tidal breathing; the magnitude of the oscillatory tidal volume measured at the airway opening was 20 ml for Series B and 40 ml for Series C. The nitrogen washout was clearly faster in Series C than in Series A for each subject. In Series B, there was an interindividual variability, with a washout rate either equal to that in Maneuver A or in Maneuver C, or intermediate between the two. When these washout curves were analyzed in terms of a simple monocompartment model, the time constant of the washout was found to decrease by 16 +/- 11% in Series B, and 25 +/- 7% in Series C compared with that in Series A. In this group of normal subjects, the correction of any inhomogeneity in the distribution of the ventilation is unlikely to explain these results because of the close fit of all washout curves to a monoexponential model. It is postulated that during inspiration HFCWO enhances gas mixing in the lung periphery and that during expiration it improves gas mixing in the airways.(ABSTRACT TRUNCATED AT 250 WORDS)

  10. CNE article: pain after lung transplant: high-frequency chest wall oscillation vs chest physiotherapy.

    PubMed

    Esguerra-Gonzalez, Angeli; Ilagan-Honorio, Monina; Fraschilla, Stephanie; Kehoe, Priscilla; Lee, Ai Jin; Marcarian, Taline; Mayol-Ngo, Kristina; Miller, Pamela S; Onga, Jay; Rodman, Betty; Ross, David; Sommer, Susan; Takayanagi, Sumiko; Toyama, Joy; Villamor, Filma; Weigt, S Samuel; Gawlinski, Anna

    2013-03-01

    Background Chest physiotherapy and high-frequency chest wall oscillation (HFCWO) are routinely used after lung transplant to facilitate removal of secretions. To date, no studies have been done to investigate which therapy is more comfortable and preferred by lung transplant recipients. Patients who have less pain may mobilize secretions, heal, and recover faster. Objectives To compare effects of HFCWO versus chest physiotherapy on pain and preference in lung transplant recipients. Methods In a 2-group experimental, repeated-measures design, 45 lung transplant recipients (27 single lung, 18 bilateral) were randomized to chest physiotherapy (10 AM, 2 PM) followed by HFCWO (6 PM, 10 PM; group 1, n=22) or vice versa (group 2, n=23) on postoperative day 3. A verbal numeric rating scale was used to measure pain before and after treatment. At the end of the treatment sequence, a 4-item patient survey was administered to assess treatment preference, pain, and effectiveness. Data were analyzed with χ(2) and t tests and repeated-measures analysis of variance. Results A significant interaction was found between mean difference in pain scores from before to after treatment and treatment method; pain scores decreased more when HFCWO was done at 10 AM and 6 PM (P =.04). Bilateral transplant recipients showed a significant preference for HFCWO over chest physiotherapy (11 [85%] vs 2 [15%], P=.01). However, single lung recipients showed no significant difference in preference between the 2 treatments (11 [42%] vs 14 [54%]). Conclusions HFCWO seems to provide greater decreases in pain scores than does chest physiotherapy. Bilateral lung transplant recipients preferred HFCWO to chest physiotherapy. HFCWO may be an effective, feasible alternative to chest physiotherapy. (American Journal of Critical Care. 2013;22:115-125).

  11. High frequency chest wall oscillation in patients with chronic air-flow obstruction.

    PubMed

    Piquet, J; Brochard, L; Isabey, D; de Cremoux, H; Chang, H K; Bignon, J; Harf, A

    1987-12-01

    In order to assess high frequency chest wall oscillation (HFCWO) as a way to assist spontaneous breathing in obstructive lung disease, we studied 12 patients with severe and stable COPD. HFCWO at 5 Hz were applied by means of an inflatable vest. In order to avoid any discomfort, oscillations were applied only during the expiratory phase of the spontaneous breathing cycle. We compared gas exchange and pattern of breathing during control and HFCWO periods, each lasting 15 min. Minute ventilation did not change, but the pattern of breathing was markedly altered during HFCWO: breathing frequency decreased (p less than 0.001) from 18 +/- 6/min during control to 14 +/- 5/min, whereas tidal volume increased (p less than 0.01) from 600 +/- 200 ml during control to 860 +/- 400 ml. Secondary to this change in the pattern of breathing, arterial PO2 increased slightly (p less than 0.01) from 54 +/- 7 mm Hg during control to 57 +/- 8 mm Hg during HFCWO, and arterial PCO2 significantly (p less than 0.01) decreased from 46 +/- 6 mm Hg during control to 43 +/- 7 mm Hg during HFCWO. In addition, duty cycle (Ti/Ttot) decreased (p less than 0.001) from 0.37 +/- 0.03 s during control to 0.29 +/- 0.05 s during HFCWO. Such a decrease in duty cycle suggest that inspiratory muscle work was facilitated under HFCWO. In 8 patients, we obtained the tension-time index (TTdi), or the product of duty cycle and Pdi/Pdimax, and found that this index significantly decreased (p less than 0.05) from 0.06 +/- 0.03 during control to 0.04 +/- 0.02 during HFCWO.(ABSTRACT TRUNCATED AT 250 WORDS)

  12. Effects of high-frequency chest wall oscillation on respiratory control in humans.

    PubMed

    Khoo, M C; Gelmont, D; Howell, S; Johnson, R; Yang, F; Chang, H K

    1989-05-01

    We studied the spontaneous breathing patterns of 10 normal adult volunteers during high-frequency chest wall oscillation (HFCWO), accomplished by inflating and deflating a vest worn around each subject's thorax at 2.5 Hz. Tidal volumes generated by HFCWO averaged 100 ml. Mean vest pressure was maintained at approximately 35 cm H2O throughout each experiment, even when HFCWO was not applied. During HFCWO, subjects were instructed occasionally to exhale deeply to obtain end-tidal samples representative of PACO2. HFCWO increased the breath-to-breath variability of spontaneous respiration in all subjects, prolonging expiratory pauses and producing short apneas in some cases. PACO2 decreased significantly (p less than 0.05). The effects on minute ventilation, tidal volume, and inspiratory and expiratory durations remained variable across subjects, even when differences in PACO2 between control and HFCWO states were reduced through inhalation of a low CO2 mixture. None of the changes were statistically significant, although average expiratory duration increased by 29%. Ventilatory responses to CO2 with and without HFCWO were also measured. Normocapnic (PACO2 = 40 mm Hg) ventilatory drive increased significantly (p less than 0.05) in six subjects (Type 1 response) and decreased substantially in the others (Type 2 response); with hypercapnia, the changes in drive were attenuated in both groups. Consequently, CO2 sensitivity decreased in Type 1 subjects and increased in Type 2 subjects. A simple analysis based on this result shows that with HFCWO, Type 2 subjects breathing air will tend to have a lower spontaneous minute ventilation and become hypercapnic. Type 1 subjects will become hypocapnic, but minute ventilation may be higher or lower than control.(ABSTRACT TRUNCATED AT 250 WORDS)

  13. Higher Chest Wall Dose Results in Improved Locoregional Outcome in Patients Receiving Postmastectomy Radiation

    SciTech Connect

    Panoff, Joseph E.; Takita, Cristiane; Hurley, Judith; Reis, Isildinha M.; Zhao, Wei; Rodgers, Steven E.; Gunaseelan, Vijayalakshmi; Wright, Jean L.

    2012-03-01

    Purpose: Randomized trials demonstrating decreased locoregional recurrence (LRR) and improved overall survival (OS) in women receiving postmastectomy radiation therapy (PMRT) used up to 50 Gy to the chest wall (CW), but in practice, many centers boost the CW dose to {>=}60 Gy, despite lack of data supporting this approach. We evaluated the relationship between CW dose and clinical outcome. Methods and Materials: We retrospectively reviewed medical records of 582 consecutively treated patients who received PMRT between January 1999 and December 2009. We collected data on patient, disease, treatment characteristics, and outcomes of LRR, progression-free survival (PFS) and OS. Results: Median follow-up from the date of diagnosis was 44.7 months. The cumulative 5-year incidence of LRR as first site of failure was 6.2%. CW dose for 7% (43 patients) was {<=}50.4 Gy (range, 41.4-50.4 Gy) and 93% received >50.4 Gy (range, 52.4-74.4 Gy). A CW dose of >50.4 Gy vs. {<=}50.4 Gy was associated with lower incidence of LRR, a 60-month rate of 5.7% (95% confidence interval [CI], 3.7-8.2) vs. 12.7% (95% CI, 4.5-25.3; p = 0.054). Multivariate hazard ratio (HR) for LRR controlling for race, receptor status, and stage was 2.62 (95% CI, 1.02-7.13; p = 0.042). All LRR in the low-dose group occurred in patients receiving 50 to 50.4 Gy. Lower CW dose was associated with worse PFS (multivariate HR, 2.73; 95% CI, 1.64-4.56; p < 0.001) and OS (multivariate HR, 3.88; 95% CI, 2.16-6.99; p < 0.001). Conclusions: The addition of a CW boost above 50.4 Gy resulted in improved locoregional control and survival in this cohort patients treated with PMRT for stage II-III breast cancer. The addition of a CW boost to standard-dose PMRT is likely to benefit selected high-risk patients. The optimal technique, target volume, and patient selection criteria are unknown. The use of a CW boost should be studied prospectively, as has been done in the setting of breast conservation.

  14. Evaluating proton stereotactic body radiotherapy to reduce chest wall dose in the treatment of lung cancer

    SciTech Connect

    Welsh, James; Amini, Arya; Ciura, Katherine; Nguyen, Ngoc; Palmer, Matt; Soh, Hendrick; Allen, Pamela K.; Paolini, Michael; Liao, Zhongxing; Bluett, Jaques; Mohan, Radhe; Gomez, Daniel; Cox, James D.; Komaki, Ritsuko; Chang, Joe Y.

    2013-01-01

    Stereotactic body radiotherapy (SBRT) can produce excellent local control of several types of solid tumor; however, toxicity to nearby critical structures is a concern. We found previously that in SBRT for lung cancer, the chest wall (CW) volume receiving 20, 30, or 40 Gy (V{sub 20}, V{sub 30}, or V{sub 40}) was linked with the development of neuropathy. Here we sought to determine whether the dosimetric advantages of protons could produce lower CW doses than traditional photon-based SBRT. We searched an institutional database to identify patients treated with photon SBRT for lung cancer with tumors within < 2.5 cm of the CW. We found 260 cases; of these, chronic grade ≥ 2 CW pain was identified in 23 patients. We then selected 10 representative patients from this group and generated proton SBRT treatment plans, using the identical dose of 50 Gy in 4 fractions, and assessed potential differences in CW dose between the 2 plans. The proton SBRT plans reduced the CW doses at all dose levels measured. The median CW V{sub 20} was 364.0 cm{sup 3} and 160.0 cm{sup 3} (p < 0.0001), V{sub 30} was 144.6 cm{sup 3}vs 77.0 cm{sup 3} (p = 0.0012), V{sub 35} was 93.9 cm{sup 3}vs 57.9 cm{sup 3} (p = 0.005), V{sub 40} was 66.5 cm{sup 3}vs 45.4 cm{sup 3} (p = 0.0112), and mean lung dose was 5.9 Gy vs 3.8 Gy (p = 0.0001) for photons and protons, respectively. Coverage of the planning target volume (PTV) was comparable between the 2 sets of plans (96.4% for photons and 97% for protons). From a dosimetric standpoint, proton SBRT can achieve the same coverage of the PTV while significantly reducing the dose to the CW and lung relative to photon SBRT and therefore may be beneficial for the treatment of lesions closer to critical structures.

  15. Effect of external chest wall oscillation on gas exchange in healthy subjects.

    PubMed

    Dolmage, T E; De Rosie, J A; Avendano, M A; Goldstein, R S

    1995-02-01

    Effective gas exchange can be maintained in animals without the need for endotracheal intubation using external chest wall oscillation (ECWO). The clinical application of this technique has been limited by equipment which was either impractical or uncomfortable. We evaluated a prototype of a new oscillator in which an oscillatory profile of negative and positive pressure was imposed on a negative baseline pressure within a cuirass. In seven healthy subjects, we identified an oscillatory cuirass pressure that could effectively ventilate but would not result in severe hypocapnia over 5 min. We then measured the influence of changing the frequency of oscillation (fo) on PaCO2 and spontaneous ventilation. Lastly, we evaluated the capability of this prototype to achieve targeted changes in chamber pressure. Subjects were ventilated with an inspiratory chamber pressure of -20 +/- 4 cm H2O, an expiratory chamber pressure of 5 cm H2O and an inspiratory-expiratory ratio of 1:1 at 9 oscillatory frequencies (fo: 1 to 5 Hz at 0.5-Hz increments). Each subject was ventilated for 5 min with consecutive periods of ECWO being separated from each other by 10 min of unassisted breathing. Oscillatory tidal volume (Vo) was sampled and PaCO2 was determined from the expired carbon dioxide concentration (FECO2) measured at the mouth. The change in PaCO2 (delta PaCO2) was the difference in PaCO2 immediately before and after ECWO. We found that delta PaCO2 and Vo were inversely related to fo. At 1 Hz the delta PaCO2 was -13 +/- 1 mm Hg and Vo was 344 +/- 34 mL in the absence of spontaneous breathing (fb = 0). At 3 Hz and above, at the chamber pressures used, the delta PaCO2 was small (-1 to -2 mm Hg) and the Vo was less than the predicted dead space. Subjects breathed spontaneously but at a frequency below that of their resting fb. With this prototype, chamber pressure changes up to 30 cm H2O could be accurately achieved at 1, 2.5, and 4 Hz. In conclusion, ECWO can provide effective

  16. A simple idea for approximating the volume of filler needed for chest-wall contour-defects.

    PubMed

    Sivathasan, Niroshan; Chakrabarty, Kaushik H

    2012-09-01

    Fillers can be used to correct contour-defects. Due to the irregularities of defects, estimating the volume of filler required can be difficult. This frequently results in surgeons taking a step-wise approach to filler-injection, usually occurring over different appointments. Using a patient with pectus excavatum as an example, we provide a simple tip as to estimating the volume of filler required. In this case, normal saline was poured into the chest-wall defect until the adequate level was reached (from the lateral aspect), while noting how much liquid was used. The patient then had a comparable volume of filler injected.

  17. Effectiveness of treatment with high-frequency chest wall oscillation in patients with bronchiectasis

    PubMed Central

    2013-01-01

    Background High-frequency airway clearance (HFCWC) assist devices generate either positive or negative trans-respiratory pressure excursions to produce high-frequency, small-volume oscillations in the airways. HFCWC can lead to changes in volume of 15–57 ml and in flow up to 1.6 L/s, which generate minimal coughing to mobilize secretions. The typical treatment lasts 20–30 minutes, and consists of short periods of compression at different frequencies, separated by coughing. The aim of this study was to find the more efficacious treatment in patients with bronchiectasis: traditional techniques of chest physiotherapy (CPT) versus high frequency oscillation of the chest wall in patients with bronchiectasis. Methods 37 patients were enrolled. Seven of them were excluded. Computer randomization divided the patients into three groups: – 10 patients treated with HFCWO by using the Vest® Airway Clearance System; – 10 patients treated with traditional techniques of air way clearance (PEP bottle, PEP mask, ELTGOL, vibratory positive expiratory pressure); – 10 patients received medical therapy only (control group). To be eligible for enrollment, participants had to be between 18 and 85 years old and have a diagnosis of bronchiectasis, confirmed on high resolution computed tomography. Exclusion criteria: lack of informed consent, signs of exacerbation, cystic fibrosis. Before the treatment, each patient had blood tests, sputum volume and cell count, pulmonary function tests and on the quality of life inventories (MMRC, CAT, BCSS). The results were processed through the covariance analysis, performed with the R-Project statistical program. It has been considered a positive result p <005. Results Both treatments (traditional CPT and HFCWO) showed a significant improvement in some biochemical and functional respiratory tests as well as in the quality of life compared to the control group. The use of HFCWO compared to CPT also produced a significant improvement in blood

  18. A prototype system and reconstruction algorithms for electrical impedance technique in medical body imaging.

    PubMed

    Kim, Y; Woo, H W

    1987-01-01

    We have developed an impedance imaging system to reconstruct cross-sectional images of the body's electrical characteristics based on static tissue impedance. The hardware system consists of a data collection subsystem and the Intel 380 host microcomputer system with an Intel 80286 microprocessor, an Intel 80287 numeric data processor, and an Intel 80186 microprocessor-based display board. The system is capable of initiating a data collection from an array of current-sensing electrodes and reconstructing impedance images based on these data measurements. We have tested the data collection subsystem with physical phantom models, and we have found that the prototype system is capable of discriminating high resistivity regions in contrast with the low resistivity background. Our system is flexible in that each electrode's function (sensing currents, applying voltages, grounding body surfaces, and disconnected from the body) can be programmed individually so that a variety of electrode configurations for different projection techniques can be tested for optimal system performance. Various reconstruction algorithms have been developed and tested particularly for this imaging modality. Since a computer body model is needed for some impedance reconstruction algorithms, we have created two- and three-dimensional computer body models based on the finite element method approach, and verified our finite element modelling technique by building physical phantoms and comparing measured experimental results with simulation results predicted by the computer model. We have found that the sensitivity is a function of position, pixel size (image resolution) and background resistivity. We have also tried to compensate the low sensitivity of impedance changes in the central region.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. Levofloxacin decreased chest wall mechanical inhomogeneities and airway and vascular remodeling in rats with induced hepatopulmonary syndrome.

    PubMed

    Gaio, Eduardo; Amado, Veronica; Rangel, Leonardo; Huang, Wilson; Storck, Rodrigo; Melo-Silva, César Augusto

    2013-12-01

    The administration of antibiotics decreases bacterial translocation, reduces the activity of nitric oxide synthase and improves the gas exchange of hepatopulmonary syndrome (HPS) in rats. We hypothesized that levofloxacin could reduce HPS-induced respiratory mechanical inhomogeneities and airway and pulmonary vascular remodeling. We assessed the respiratory mechanical properties and lung tissue structure in 24 rats assigned to the control, HPS (eHPS) and HPS+levofloxacin (eHPS+L) groups. The administration of levofloxacin reduced the HPS-induced chest wall but not the lung mechanical inhomogeneities. The eHPS airway proportion of elastic fibers increased 20% but was similar between the control and eHPS+L groups. The eHPS vascular collagen increased 25% in eHPS but was similar between the control and eHPS+L groups. Compared to the control group, the vascular proportion of elastic fibers of the eHPS and eHPS+L groups increased by 60% and 16%, respectively. The administration of levofloxacin decreased the HPS-induced chest wall mechanical inhomogeneities and airway and vascular remodeling. PMID:23994178

  20. Statistical methods for analysis of coordination of chest wall motion using optical reflectance imaging of multiple markers

    NASA Astrophysics Data System (ADS)

    Kenyon, C. M.; Ghezzo, R. H.; Cala, S. J.; Ferrigno, Giancarlo; Pedotti, Antonio; Macklem, P. T.; Rochester, D. F.

    1994-07-01

    To analyze coordination of chest wall motion we have used principle component analysis (PCA) and multiple regression analysis (MRA) with respect to spirometry on the displacements of 93 optical reflective markers placed upon the chest wall (CW). Each marker is tracked at 10 Hz with an accuracy of 0.2 mm in each spatial dimension using the ELITE system (IEEE Trans. Biomed. Eng. 11:943-949, 1985). PCA enables the degree of linear coordination between all of the markers to be assessed using the eigenvectors and eigenvalues of the covariance of the matrix of marker displacements in each dimension against time. Thus the number of linear degrees of freedom (DOF) which contribute more than a particular amount to the total variance can be determined and analyzed. MRA with respect to spirometrically measured lung volume changes enables identification of the CW points whose movement correlates best with lung volume. We have used this analysis to compare a quiet breathing sequence with one where tidal volume was increased fourfold involuntarily and show that the number of DOF with eigenvalues accounting for >5% of the covariance increased from 2 to 3. Also the point whose movement correlated best with lung volume changed from halfway down the lower costal margin to a more lateral point at the level of the bottom of the sternum. This quantification of CW coordination may be useful in analysis and staging of many respiratory disorders and is applicable to any nonrigid body motion where points can be tracked.

  1. Retrospective case series analysing the clinical data and treatment options of patients with a tubercular abscess of the chest wall

    PubMed Central

    Tanaka, Satona; Aoki, Minoru; Nakanishi, Takao; Otake, Yosuke; Matsumoto, Masataka; Sakurai, Toshiyasu; Tada, Kimihide; Ikeda, Akihiko

    2012-01-01

    The tubercular abscess of the chest wall remains one of the differential diagnoses of a chest wall tumour, and the management strategy is controversial. We reviewed the medical records of 22 patients treated at our institution. Two patients were managed by antitubercular medications alone; eight patients were managed by medication and open drainage. Five patients underwent open drainage with subsequent radical surgery at a constant interval of time, and the mean duration between open drainage and radical surgery was 9.8 weeks (range, 3–12). Seven patients underwent radical surgery without prior open drainage. Five patients required rib resections, and curettage of infected pleural peel was necessary in 5 patients. Antitubercular drugs were administered basically for more than 6 months regardless of surgical management, including for more than 1 month prior to radical surgery. Postoperative empyema was seen in 1 patient after radical surgery. The mean follow-up duration was 32.8 months (range, 3–100), and there was no recurrence. Complete resection of the tubercular abscess with sufficient antitubercular therapy resulted in a satisfactory outcome. Antitubercular therapy with or without open drainage can be a viable choice. PMID:22184463

  2. Evaluation of various boluses in dose distribution for electron therapy of the chest wall with an inward defect

    PubMed Central

    Mahdavi, Hoda; Jabbari, Keyvan; Roayaei, Mahnaz

    2016-01-01

    Delivering radiotherapy to the postmastectomy chest wall can be achieved using matched electron fields. Surgical defects of the chest wall change the dose distribution of electrons. In this study, the improvement of dose homogeneity using simple, nonconformal techniques of thermoplastic bolus application on a defect is evaluated. The proposed phantom design improves the capability of film dosimetry for obtaining dose profiles of a patient's anatomical condition. A modeled electron field of a patient with a postmastectomy inward surgical defect was planned. High energy electrons were delivered to the phantom in various settings, including no bolus, a bolus that filled the inward defect (PB0), a uniform thickness bolus of 5 mm (PB1), and two 5 mm boluses (PB2). A reduction of mean doses at the base of the defect was observed by any bolus application. PB0 increased the dose at central parts of the defect, reduced hot areas at the base of steep edges, and reduced dose to the lung and heart. Thermoplastic boluses that compensate a defect (PB0) increased the homogeneity of dose in a fixed depth from the surface; adversely, PB2 increased the dose heterogeneity. This study shows that it is practical to investigate dose homogeneity profiles inside a target volume for various techniques of electron therapy. PMID:27051169

  3. Uncertainty induced by chest wall thickness assessment methods on lung activity estimation for plutonium and americium: a large population-based study.

    PubMed

    Broggio, D; Lechaftois, X; Franck, D

    2015-03-01

    In vivo lung counting aims at assessing the retained activity in the lungs. The calibration factor relating the measured counts to the worker's specific retained lung activity can be obtained by several means and strongly depends on the chest wall thickness. Here we compare, for 374 male nuclear workers, the activity assessed with a reference protocol, where the material equivalent chest wall thickness is known from ultrasound measurements, with two other protocols. The counting system is an array of four germanium detectors.It is found that non site-specific equations for the assessment of the chest wall thickness induce large biases in the assessment of activity. For plutonium isotopes or (241)Am the proportion of workers for whom the retained activity is within ± 10% of the reference one is smaller than 10%.The use of site-specific equations raises this proportion to 20% and 58% for plutonium and (241)Am, respectively.Finally, for the studied population, when site-specific equations are used for the chest wall thickness, the standard uncertainties for the lung activity are 42% and 12.5%, for plutonium and (241)Am, respectively. Due to the relatively large size of the studied population, these values are a relatively robust estimate of the uncertainties due to the assessment of the chest wall thickness for the current practice at this site. PMID:25517347

  4. Uncertainty induced by chest wall thickness assessment methods on lung activity estimation for plutonium and americium: a large population-based study.

    PubMed

    Broggio, D; Lechaftois, X; Franck, D

    2015-03-01

    In vivo lung counting aims at assessing the retained activity in the lungs. The calibration factor relating the measured counts to the worker's specific retained lung activity can be obtained by several means and strongly depends on the chest wall thickness. Here we compare, for 374 male nuclear workers, the activity assessed with a reference protocol, where the material equivalent chest wall thickness is known from ultrasound measurements, with two other protocols. The counting system is an array of four germanium detectors.It is found that non site-specific equations for the assessment of the chest wall thickness induce large biases in the assessment of activity. For plutonium isotopes or (241)Am the proportion of workers for whom the retained activity is within ± 10% of the reference one is smaller than 10%.The use of site-specific equations raises this proportion to 20% and 58% for plutonium and (241)Am, respectively.Finally, for the studied population, when site-specific equations are used for the chest wall thickness, the standard uncertainties for the lung activity are 42% and 12.5%, for plutonium and (241)Am, respectively. Due to the relatively large size of the studied population, these values are a relatively robust estimate of the uncertainties due to the assessment of the chest wall thickness for the current practice at this site.

  5. Algorithm for characteristic parameter estimation of gastric impedance spectra in humans.

    PubMed

    Beltrán, Nohra E; de Folter, Jozefus J M; Godínez, María M; Díaz, Ursina; Sacristán, Emilio

    2007-01-01

    Impedance spectroscopy has been proposed as a method of monitoring mucosal injury due to hypoperfusion and ischemia in the critically ill. The present paper presents an algorithm developed to calculate the characteristic electrical values that best describe human gastric impedance measurements and simplify the information obtained with this method. An impedance spectroscopy probe and nasogastric tube (ISP/NGT) was placed into the stomach of healthy volunteers, cardiovascular surgery and critically ill patients, and a database with 16199 spectra was obtained. The gastric spectrum forms two semi circles in the complex domain, divided into low frequency (F < 10 kHz) and high frequency (F > 10 kHz). A fitting algorithm was developed based on the Cole model, and central characteristic parameters were calculated. The parameters were validated using the normalized mean squared error and 0.66% of the spectra were discarded. From the experimental data obtained in humans, the greatest changes observed as the gastric mucosa becomes ischemic occur at low frequencies, which are specific and sensitive to tissue damage, and vary with the degree of hypoperfusion. PMID:18002911

  6. Neurophysiological evaluation of convergent afferents innervating the human esophagus and area of referred pain on the anterior chest wall.

    PubMed

    Hobson, Anthony R; Chizh, Boris; Hicks, Kirsty; Aziz, Qasim; Worthen, Sian; Lawrence, Philip; Dewit, Odile; Boyle, Yvonne; Dukes, George

    2010-01-01

    Noxious stimuli in the esophagus cause pain that is referred to the anterior chest wall because of convergence of visceral and somatic afferents within the spinal cord. We sought to characterize the neurophysiological responses of these convergent spinal pain pathways in humans by studying 12 healthy subjects over three visits (V1, V2, and V3). Esophageal pain thresholds (Eso-PT) were assessed by electrical stimulation and anterior chest wall pain thresholds (ACW-PT) by use of a contact heat thermode. Esophageal evoked potentials (EEP) were recorded from the vertex following 200 electrical stimuli, and anterior chest wall evoked potentials (ACWEP) were recorded following 40 heat pulses. The fear of pain questionnaire (FPQ) was administered on V1. Statistical data are shown as point estimates of difference +/- 95% confidence interval. Pain thresholds increased between V1 and V3 [Eso-PT: V1-V3 = -17.9 mA (-27.9, -7.9) P < 0.001; ACW-PT: V1-V3 = -3.38 degrees C (-5.33, -1.42) P = 0.001]. The morphology of cortical responses from both sites was consistent and equivalent [P1, N1, P2, N2 complex, where P1 and P2 are is the first and second positive (downward) components of the CEP waveform, respectively, and N1 and N2 are the first and second negative (upward) components, respectively], indicating activation of similar cortical networks. For EEP, N1 and P2 latencies decreased between V1 and V3 [N1: V1-V3 = 13.7 (1.8, 25.4) P = 0.02; P2: V1-V3 = 32.5 (11.7, 53.2) P = 0.003], whereas amplitudes did not differ. For ACWEP, P2 latency increased between V1 and V3 [-35.9 (-60, -11.8) P = 0.005] and amplitudes decreased [P1-N1: V1-V3 = 5.4 (2.4, 8.4) P = 0.01; P2-N2: 6.8 (3.4, 10.3) P < 0.001]. The mean P1 latency of EEP over three visits was 126.6 ms and that of ACWEP was 101.6 ms, reflecting afferent transmission via Adelta fibers. There was a significant negative correlation between FPQ scores and Eso-PT on V1 (r = -0.57, P = 0.05). These data provide the first

  7. [Wide resection of chest wall for intramuscular lipoma in serratus anterior muscle reconstructed by autologous tissue;report of a case].

    PubMed

    Mizuno, Kiyomichi; Urabe, Norikazu; Nakatsuka, Kazuhiko; Ishikawa, Kayoko; Eguchi, Masanobu

    2015-02-01

    A 60-years-old man with a right lateral chest wall mass visited our hospital. There was a mass of 50×45 mm on the 5th rib. The mild atypical cells were detected by the percutaneous needle biopsy, and the tumor was resected with the chest wall of which detect was reconstructed with fascia lata and latissimus dorsi muscle cutaneous flap. Pathological diagnosis was lipoma in the serratus anterior muscle. The postoperative course was uneventful without paradoxical respiration and surgical site infection. Since intramuscular lipoma is very rare and is reported to have a risk of recurrence, careful observation is necessary.

  8. Two Rare Cases Involving the Spread of Tuberculosis: A Tuberculous Abscess of the Chest Wall Invading the Liver by Way of the Diaphragm.

    PubMed

    Zhang, Lening; Han, Chunshan; Han, Zhenguo; Yang, Bin; Gao, Haicheng; Shi, Jingwei; Xin, Hua

    2016-01-01

    We herein report two separate cases in which a tuberculous abscess of the chest wall invaded the liver by penetrating through the diaphragm. After confirming the presence of tuberculous lesions in the chest wall and liver, both patients received preoperative anti-tuberculosis (TB) medications for two weeks; after which, the lesions were surgically removed. Following surgery, both patients fully recovered and were asymptomatic, but continued to receive routine postoperative care involving anti-TB medications. Neither patient showed recurrence of TB during a 15-month follow-up period. PMID:27523001

  9. Quantitative evaluation of correlation of dose and FDG-PET uptake value with clinical chest wall complications in patients with lung cancer treated with stereotactic body radiation therapy.

    PubMed

    Algan, O; Confer, M; Algan, S; Matthiesen, C; Herman, T; Ahmad, S; Ali, I

    2015-01-01

    The aim of this study was to investigate quantitatively the dosimetric factors that increase the risk of clinical complications of rib fractures or chest wall pain after stereotactic body radiation therapy (SBRT) to the lung. The correlations of clinical complications with standard-uptake values (SUV) and FDG-PET activity distributions from post-treatment PET-imaging were studied. Mean and maximum doses from treatment plans, FDG-PET activity values on post-SBRT PET scans and the presence of clinical complications were determined in fifteen patients undergoing 16 SBRT treatments for lung cancer. SBRT treatments were delivered in 3 to 5 fractions using 5 to 7 fields to prescription doses in the range from 39.0 to 60.0 Gy. The dose and FDG-PET activity values were extracted from regions of interest in the chest wall that matched anatomically. Quantitative evaluation of the correlation between dose deposition and FDG-PET activity was performed by calculating the Pearson correlation coefficient using pixel-by-pixel analysis of dose and FDG-PET activity maps in selected regions of interest associated with clinical complications. Overall, three of fifteen patients developed rib fractures with chest wall pain, and two patients developed pain symptoms without fracture. The mean dose to the rib cage in patients with fractures was 37.53 Gy compared to 33.35 Gy in patients without fractures. Increased chest wall activity as determined by FDG-uptake was noted in patients who developed rib fractures. Enhanced activity from PET-images correlated strongly with high doses deposited to the chest wall which could be predicted by a linear relationship. The local enhanced activity was associated with the development of clinical complications such as chest wall inflammation and rib fracture. This study demonstrates that rib fractures and chest wall pain can occur after SBRT treatments to the lung and is associated with increased activity on subsequent PET scans. The FDG-PET activity

  10. A Reconstruction Algorithm for Breast Cancer Imaging With Electrical Impedance Tomography in Mammography Geometry

    PubMed Central

    Kao, Tzu-Jen; Isaacson, David; Saulnier, Gary J.; Newell, Jonathan C.

    2009-01-01

    The conductivity and permittivity of breast tumors are known to differ significantly from those of normal breast tissues, and electrical impedance tomography (EIT) is being studied as a modality for breast cancer imaging to exploit these differences. At present, X-ray mammography is the primary standard imaging modality used for breast cancer screening in clinical practice, so it is desirable to study EIT in the geometry of mammography. This paper presents a forward model of a simplified mammography geometry and a reconstruction algorithm for breast tumor imaging using EIT techniques. The mammography geometry is modeled as a rectangular box with electrode arrays on the top and bottom planes. A forward model for the electrical impedance imaging problem is derived for a homogeneous conductivity distribution and is validated by experiment using a phantom tank. A reconstruction algorithm for breast tumor imaging based on a linearization approach and the proposed forward model is presented. It is found that the proposed reconstruction algorithm performs well in the phantom experiment, and that the locations of a 5-mm-cube metal target and a 6-mm-cube agar target could be recovered at a target depth of 15 mm using a 32 electrode system. PMID:17405377

  11. High-frequency chest-wall oscillation in a noninvasive-ventilation-dependent patient with type 1 spinal muscular atrophy.

    PubMed

    Keating, Joanna M; Collins, Nicola; Bush, Andrew; Chatwin, Michelle

    2011-11-01

    With the recent increased use of noninvasive ventilation, the prognoses of children with neuromuscular disease has improved significantly. However, children with muscle weakness remain at risk for recurrent respiratory infection and atelectasis. We report the case of a young girl with type 1 spinal muscular atrophy who was dependent on noninvasive ventilation, and in whom conventional secretion-clearance physiotherapy became insufficient to clear secretions. We initiated high-frequency chest-wall oscillation (HFCWO) as a rescue therapy, and she had improved self-ventilation time. This is the first case report of HFCWO for secretion clearance in a severely weak child with type 1 spinal muscular atrophy. In a patient with neuromuscular disease and severe respiratory infection and compromise, HFCWO can be used safely in combination with conventional secretion-clearance physiotherapy.

  12. Dynamics of chest wall volume regulation during constant work rate exercise in patients with chronic obstructive pulmonary disease

    PubMed Central

    Takara, L.S.; Cunha, T.M.; Barbosa, P.; Rodrigues, M.K.; Oliveira, M.F.; Nery, L.E.; Neder, J.A.

    2012-01-01

    This study evaluated the dynamic behavior of total and compartmental chest wall volumes [(VCW) = rib cage (VRC) + abdomen (VAB)] as measured breath-by-breath by optoelectronic plethysmography during constant-load exercise in patients with stable chronic obstructive pulmonary disease. Thirty males (GOLD stages II-III) underwent a cardiopulmonary exercise test to the limit of tolerance (Tlim) at 75% of peak work rate on an electronically braked cycle ergometer. Exercise-induced dynamic hyperinflation was considered to be present when end-expiratory (EE) VCW increased in relation to resting values. There was a noticeable heterogeneity in the patterns of VCW regulation as EEVCW increased non-linearly in 17/30 “hyperinflators” and decreased in 13/30 “non-hyperinflators” (P < 0.05). EEVAB decreased slightly in 8 of the “hyperinflators”, thereby reducing and slowing the rate of increase in end-inspiratory (EI) VCW (P < 0.05). In contrast, decreases in EEVCW in the “non-hyperinflators” were due to the combination of stable EEVRC with marked reductions in EEVAB. These patients showed lower EIVCW and end-exercise dyspnea scores but longer Tlim than their counterparts (P < 0.05). Dyspnea increased and Tlim decreased non-linearly with a faster rate of increase in EIVCW regardless of the presence or absence of dynamic hyperinflation (P < 0.001). However, no significant between-group differences were observed in metabolic, pulmonary gas exchange and cardiovascular responses to exercise. Chest wall volumes are continuously regulated during exercise in order to postpone (or even avoid) their migration to higher operating volumes in patients with COPD, a dynamic process that is strongly dependent on the behavior of the abdominal compartment. PMID:23250012

  13. Effects of non-invasive ventilation and posture on chest wall volumes and motion in patients with amyotrophic lateral sclerosis: a case series

    PubMed Central

    Magalhães, Cristiana M.; Fregonezi, Guilherme A.; Vidigal-Lopes, Mauro; Vieira, Bruna S. P. P.; Vieira, Danielle S. R.; Parreira, Verônica F.

    2016-01-01

    ABSTRACT Background The effects of non-invasive ventilation (NIV) on the breathing pattern and thoracoabdominal motion of patients with amyotrophic lateral sclerosis (ALS) are unknown. Objectives 1) To analyze the influence of NIV on chest wall volumes and motion assessed by optoelectronic plethysmography in ALS patients and 2) to compare these parameters in the supine and sitting positions to those of healthy individuals (without NIV). Method Nine ALS patients were evaluated in the supine position using NIV. In addition, the ALS patients and nine healthy individuals were evaluated in both sitting and supine positions. Statistical analysis was performed using the paired Student t-test or Wilcoxon test and the Student t-test for independent samples or Mann-Whitney U test. Results Chest wall volume increased significantly with NIV, mean volume=0.43 (SD=0.16)L versus 0.57 (SD=0.19)L (p=0.04). No significant changes were observed for the pulmonary rib cage, abdominal rib cage, or abdominal contribution. The index of the shortening velocity of the diaphragmatic muscle, mean=0.15 (SD=0.05)L/s versus 0.21 (SD=0.05)L/s (p<0.01), and abdominal muscles, mean=0.09 (SD=0.02)L/s versus 0.14 (SD=0.06)L/s (p<0.01), increased during NIV. Comparisons between the supine and sitting positions showed similar changes in chest wall motion in both groups. However, the ALS patients presented a significantly lower contribution of the abdomen in the supine position compared with the controls, mean=56 (SD=13) versus 69 (SD=10) (p=0.02). Conclusions NIV improved chest wall volumes without changing the contribution of the chest wall compartment in ALS patients. In the supine position, ALS patients had a lower contribution of the abdomen, which may indicate early diaphragmatic dysfunction. PMID:27556390

  14. Protocol for PIT: a phase III trial of prophylactic irradiation of tracts in patients with malignant pleural mesothelioma following invasive chest wall intervention

    PubMed Central

    Bayman, N; Ardron, D; Ashcroft, L; Baldwin, D R; Booton, R; Darlison, L; Edwards, J G; Lang-Lazdunski, L; Lester, J F; Peake, M; Rintoul, R C; Snee, M; Taylor, P; Lunt, C

    2016-01-01

    Introduction Histological diagnosis of malignant mesothelioma requires an invasive procedure such as CT-guided needle biopsy, thoracoscopy, video-assisted thorascopic surgery (VATs) or thoracotomy. These invasive procedures encourage tumour cell seeding at the intervention site and patients can develop tumour nodules within the chest wall. In an effort to prevent nodules developing, it has been widespread practice across Europe to irradiate intervention sites postprocedure—a practice known as prophylactic irradiation of tracts (PIT). To date there has not been a suitably powered randomised trial to determine whether PIT is effective at reducing the risk of chest wall nodule development. Methods and analysis In this multicentre phase III randomised controlled superiority trial, 374 patients who can receive radiotherapy within 42 days of a chest wall intervention will be randomised to receive PIT or no PIT. Patients will be randomised on a 1:1 basis. Radiotherapy in the PIT arm will be 21 Gy in three fractions. Subsequent chemotherapy is given at the clinicians’ discretion. A reduction in the incidence of chest wall nodules from 15% to 5% in favour of radiotherapy 6 months after randomisation would be clinically significant. All patients will be followed up for up to 2 years with monthly telephone contact and at least four outpatient visits in the first year. Ethics and dissemination PIT was approved by NRES Committee North West—Greater Manchester West (REC reference 12/NW/0249) and recruitment is currently on-going, the last patient is expected to be randomised by the end of 2015. The analysis of the primary end point, incidence of chest wall nodules 6 months after randomisation, is expected to be published in 2016 in a peer reviewed journal and results will also be presented at scientific meetings and summary results published online. A follow-up analysis is expected to be published in 2018. Trial registration number ISRCTN04240319; NCT01604005; Pre

  15. Occurrence of Breast Cancer After Chest Wall Irradiation for Pediatric Cancer, as Detected by a Multimodal Screening Program

    SciTech Connect

    Terenziani, Monica; Casalini, Patrizia; Scaperrotta, Gianfranco; Gandola, Lorenza; Trecate, Giovanna; Catania, Serena; Cefalo, Graziella; Conti, Alberto; Massimino, Maura; Meazza, Cristina; Podda, Marta; Spreafico, Filippo; Suman, Laura; Gennaro, Massimiliano

    2013-01-01

    Purpose: To assess the occurrence of breast cancer (BC) after exposure to ionizing radiation for pediatric cancer, by means of a multimodal screening program. Patients and Methods: We identified 86 patients who had received chest wall radiation therapy for pediatric cancer. Clinical breast examination (CBE), ultrasound (US), and mammography (MX) were performed yearly. Magnetic resonance imaging (MRI) was added as of October 2007. We calculated the risk of developing BC by radiation therapy dose, patient age, and menarche before or after primary treatment. Results: Eleven women developed a BC from July 2002-February 2010. The sensitivity of the screening methods was 36% for CBE, 73% for MX, 55% for US, and 100% for MRI; the specificity was 91%, 99%, 95%, and 80% for CBE, MX, US, and MRI, respectively. The annual BC detection rate was 2.9%. The median age at BC diagnosis was 33 years. Although age had no influence, menarche before as opposed to after radiation therapy correlated significantly with BC (P=.027): the annual BC detection rate in the former subgroup was 5.3%. Conclusions: Mammography proved more sensitive and specific in our cohort of young women than CBE or US. Magnetic resonance imaging proved 100% sensitive (but this preliminary finding needs to be confirmed). Our cohort of patients carries a 10-fold BC risk at an age more than 20 years younger than in the general population.

  16. Chest Wall Radiotherapy: Middle Ground for Treatment of Patients With One to Three Positive Lymph Nodes After Mastectomy

    SciTech Connect

    MacDonald, Shannon M.; Abi-Raad, Rita F.; Alm El-Din, Mohamed A.; Niemierko, Andrzej; Kobayashi, Wendy; McGrath, John J.; Goldberg, Saveli I.; Powell, Simon; Smith, Barbara; Taghian, Alphonse G.

    2009-12-01

    Purpose: To evaluate the outcomes for patients with Stage II breast cancer and one to three positive lymph nodes after mastectomy who were treated with observation or adjuvant radiotherapy to the chest wall (CW) with or without the regional lymphatics. Methods and Materials: We retrospectively analyzed 238 patients with Stage II breast cancer (one to three positive lymph nodes) treated with mastectomy at the Massachusetts General Hospital between 1990 and 2004. The estimates of locoregional recurrence (LRR), disease-free survival (DFS), and overall survival were analyzed according to the delivery of radiotherapy and multiple prognostic factors. Results: LRR and DFS were significantly improved by postmastectomy radiotherapy (PMRT), with a 5- and 10-year LRR rate without PMRT of 6% and 11%, respectively and, with PMRT, of 0% at both 5 and 10 years (p = .02). The 5- and 10-year DFS rate without PMRT was 85% and 75%, respectively, and, with PMRT, was 93% at both 5 and 10 years (p = .03). A similar benefit was found for patients treated with RT to the CW alone. The LRR, DFS, and overall survival rate for patients treated to the CW only was 0%, 96%, and 95% at 10 years, respectively. Conclusion: Our data suggest that adjuvant PMRT to the CW alone provides excellent disease control for patients with breast cancer <5 cm with one to three positive lymph nodes.

  17. Treatment techniques for 3D conformal radiation to breast and chest wall including the internal mammary chain.

    PubMed

    Sonnik, Deborah; Selvaraj, Raj N; Faul, Clare; Gerszten, Kristina; Heron, Dwight E; King, Gwendolyn C

    2007-01-01

    Breast, chest wall, and regional nodal irradiation have been associated with an improved outcome in high-risk breast cancer patients. Complex treatment planning is often utilized to ensure complete coverage of the target volume while minimizing the dose to surrounding normal tissues. The 2 techniques evaluated in this report are the partially wide tangent fields (PWTFs) and the 4-field photon/electron combination (the modified "Kuske Technique"). These 2 techniques were evaluated in 10 consecutive breast cancer patients. All patients had computerized tomographic (CT) scans for 3D planning supine on a breast board. The breast was defined clinically by the physician and confirmed radiographically with radiopaque bebes. The resulting dose-volume histograms (DVHs) of normal and target tissues were then compared. The deep tangent field with blocks resulted in optimal coverage of the target and the upper internal mammary chain (IMC) while sparing of critical and nontarget tissues. The wide tangent technique required less treatment planning and delivery time. We compared the 2 techniques and their resultant DVHs and feasibility in a busy clinic.

  18. A novel combined regularization algorithm of total variation and Tikhonov regularization for open electrical impedance tomography.

    PubMed

    Liu, Jinzhen; Ling, Lin; Li, Gang

    2013-07-01

    A Tikhonov regularization method in the inverse problem of electrical impedance tomography (EIT) often results in a smooth distribution reconstruction, with which we can barely make a clear separation between the inclusions and background. The recently popular total variation (TV)regularization method including the lagged diffusivity (LD) method can sharpen the edges, and is robust to noise in a small convergence region. Therefore, in this paper, we propose a novel regularization method combining the Tikhonov and LD regularization methods. Firstly, we clarify the implementation details of the Tikhonov, LD and combined methods in two-dimensional open EIT by performing the current injection and voltage measurement on one boundary of the imaging object. Next, we introduce a weighted parameter to the Tikhonov regularization method aiming to explore the effect of the weighted parameter on the resolution and quality of reconstruction images with the inclusion at different depths. Then, we analyze the performance of these algorithms with noisy data. Finally, we evaluate the effect of the current injection pattern on reconstruction quality and propose a modified current injection pattern.The results indicate that the combined regularization algorithm with stable convergence is able to improve the reconstruction quality with sharp contrast and more robust to noise in comparison to the Tikhonov and LD regularization methods solely. In addition, the results show that the current injection pattern with a bigger driver angle leads to a better reconstruction quality.

  19. [Correction of the congenital malformations of the front chest wall by the modelling technique of sternochondroplasty: technique and results on a series of 14 cases].

    PubMed

    Duhamel, P; Brunel, C; Le Pimpec, F; Pons, F; Jancovici, R

    2003-04-01

    In the congenital malformations of the front chest wall showing depression or protrusion, the cardiorespiratory disorders are inconstant and often not linked with the distortion. On the other hand psychoaffective repercussions are major in adolescents and young adults justifying recourse to surgery with morphological and aesthetic aiming. The authors present the technique of modelling sternochondroplasty by raising with osteosynthesis by slide fastener-handle of Martin-Borrelly, applied to the correction of congenital malformation of the front chest wall in young adult, both of protrusion (pectus carinatum), of thoraxes in funnel (pectus excavatum) types or of mixed types (pectus arcuatum). This surgical replanning intervention is carried out by under-mammary way and aims at reestablishing a normal anatomy of the front chest wall. It leads to a genuine wide sternochondrocostal volet, which is stabilised by a specific, multipurpose, adaptable and reliable osteosynthesis equipment. The results obtained on a series of 14 cases are good or excellent in 86% of the cases and stable over time in the absence of major complications. A good cooperation of the patient is essential to obtain a good result in particular via the continuation of musculation exercises after assembly consolidation, possibly associated with remote mammary plastic surgery in the event of hypoplasia or of associated mammary agenesia. PMID:12801547

  20. Low-dose Photofrin-induced PDT offers excellent clinical response with minimal morbidity in chest wall recurrence of breast cancer

    NASA Astrophysics Data System (ADS)

    Allison, Ron; Mang, Thomas S.

    2000-03-01

    Limited therapeutic options exist when chest wall recurrence form breast cancer progresses despite standard salvage treatment. As photodynamic therapy offers excellent response for cutaneous lesions this may be a possible indication for PDT. A total of 102 treatment fields were illuminated on 9 women with biopsy proven chest wall recurrence of breast cancer which was progressing despite salvage surgery, radiation, and chemi-hormonal therapy. PDT consisted of outpatient IV infusion of Photofrin at 0.8 mg/kg followed 48 hours laser by illumination at 140-170 J/cm2 via a KTP Yag laser coupled to a dye unit. No patient was lost to follow up. At 6 months post PDT; complete response, defined as total lesion elimination was 89 percent, partial response 8 percent, and no response 3 percent. No photosensitivity was seen and no patient developed scarring, fibrosis, or healing difficulties. Low dose Photofrin induced PDT is very active against chest wall lesions. Despite fragile and heavily pre-treated tissues, excellent clinical and cosmetic outcome was obtained. PDT is an underutilized modality for this indication.

  1. Highly sensitive monitoring of chest wall dynamics and acoustics provides diverse valuable information for evaluating ventilation and diagnosing pneumothorax.

    PubMed

    Pesin, Jimy; Faingersh, Anna; Waisman, Dan; Landesberg, Amir

    2014-06-15

    Current practice of monitoring lung ventilation in neonatal intensive care units, utilizing endotracheal tube pressure and flow, end-tidal CO2, arterial O2 saturation from pulse oximetry, and hemodynamic indexes, fails to account for asymmetric pathologies and to allow for early detection of deteriorating ventilation. This study investigated the utility of bilateral measurements of chest wall dynamics and sounds, in providing early detection of changes in the mechanics and distribution of lung ventilation. Nine healthy New Zealand rabbits were ventilated at a constant pressure, while miniature accelerometers were attached to each side of the chest. Slowly progressing pneumothorax was induced by injecting 1 ml/min air into the pleural space on either side of the chest. The end of the experiment (tPTX) was defined when arterial O2 saturation from pulse oximetry dropped <90% or when vigorous spontaneous breathing began, since it represents the time of clinical detection using common methods. Consistent and significant changes were observed in 15 of the chest dynamics parameters. The most meaningful temporal changes were noted for features extracted from subsonic dynamics (<10 Hz), e.g., tidal amplitude, energy, and autoregressive poles. Features from the high-frequency band (10-200 Hz), e.g., energy and entropy, exhibited smaller but significant changes. At 70% tPTX, identification of asymmetric ventilation was attained for all animals. Side identification of the pneumothorax was achieved at 50% tPTX, within a 95% confidence interval. Diagnosis was, on average, 34.1 ± 18.8 min before tPTX. In conclusion, bilateral monitoring of the chest dynamics and acoustics provide novel information that is sensitive to asymmetric changes in ventilation, enabling early detection and localization of pneumothorax. PMID:24790013

  2. Highly sensitive monitoring of chest wall dynamics and acoustics provides diverse valuable information for evaluating ventilation and diagnosing pneumothorax.

    PubMed

    Pesin, Jimy; Faingersh, Anna; Waisman, Dan; Landesberg, Amir

    2014-06-15

    Current practice of monitoring lung ventilation in neonatal intensive care units, utilizing endotracheal tube pressure and flow, end-tidal CO2, arterial O2 saturation from pulse oximetry, and hemodynamic indexes, fails to account for asymmetric pathologies and to allow for early detection of deteriorating ventilation. This study investigated the utility of bilateral measurements of chest wall dynamics and sounds, in providing early detection of changes in the mechanics and distribution of lung ventilation. Nine healthy New Zealand rabbits were ventilated at a constant pressure, while miniature accelerometers were attached to each side of the chest. Slowly progressing pneumothorax was induced by injecting 1 ml/min air into the pleural space on either side of the chest. The end of the experiment (tPTX) was defined when arterial O2 saturation from pulse oximetry dropped <90% or when vigorous spontaneous breathing began, since it represents the time of clinical detection using common methods. Consistent and significant changes were observed in 15 of the chest dynamics parameters. The most meaningful temporal changes were noted for features extracted from subsonic dynamics (<10 Hz), e.g., tidal amplitude, energy, and autoregressive poles. Features from the high-frequency band (10-200 Hz), e.g., energy and entropy, exhibited smaller but significant changes. At 70% tPTX, identification of asymmetric ventilation was attained for all animals. Side identification of the pneumothorax was achieved at 50% tPTX, within a 95% confidence interval. Diagnosis was, on average, 34.1 ± 18.8 min before tPTX. In conclusion, bilateral monitoring of the chest dynamics and acoustics provide novel information that is sensitive to asymmetric changes in ventilation, enabling early detection and localization of pneumothorax.

  3. Effects of changes in lung volume on oscillatory flow rate during high-frequency chest wall oscillation

    PubMed Central

    Butcher, Scott J; Pasiorowski, Michal P; Jones, Richard L

    2007-01-01

    BACKGROUND: The effectiveness of high-frequency chest wall oscillation (HFCWO) in mucolysis and mucous clearance is thought to be dependant on oscillatory flow rate (Fosc). Therefore, increasing Fosc during HFCWO may have a clinical benefit. OBJECTIVES: To examine effects of continuous positive airway pressure (CPAP) on Fosc at two oscillation frequencies in healthy subjects and patients with airway obstruction. METHODS: Five healthy subjects and six patients with airway obstruction underwent 12 randomized trials of HFCWO (CPAP levels of 0 cm H2O, 2 cm H2O, 4 cm H2O, 6 cm H2O, 8 cm H2O and 10 cm H2O at frequencies of 10 Hz and 15 Hz) within a body plethysmograph, allowing measurements of changes in lung volume. Fosc was measured by reverse plethysmography using a 20 L isothermic chamber near the mouth. At the end of each randomized trial, an inspiratory capacity manoeuvre was used to determine end-expiratory lung volume (EELV). RESULTS: EELV increased significantly (P<0.05) with each level of CPAP regardless of oscillation frequency. Fosc also significantly increased with CPAP (P<0.05) and it was correlated with EELV (r=0.7935, P<0.05) in obstructed patients but not in healthy subjects (r=0.125, P=0.343). There were no significant differences in perceived comfort across the levels of CPAP. CONCLUSIONS: Significant increases in Fosc with CPAP-induced increases in lung volume were observed, suggesting that CPAP may be useful as a therapeutic adjunct in patients who have obstructive airway disease and who require HFCWO. PMID:17464379

  4. A clinical pilot study: high frequency chest wall oscillation airway clearance in patients with amyotrophic lateral sclerosis.

    PubMed

    Chaisson, Kathleen Marya; Walsh, Susan; Simmons, Zachary; Vender, Robert L

    2006-06-01

    Respiratory complications are common in patients with amyotrophic lateral sclerosis (ALS) with respiratory failure representing the most common cause of death. Ineffective airway clearance resultant from deficient cough frequently contributes to these abnormalities. We sought to evaluate the effectiveness of high frequency chest wall oscillation (HFCWO) administered through the Vest Airway Clearance System when added to standard care in preventing pulmonary complications and prolonging the time to death in patients with ALS. This is a single center study performed at the Penn State Milton S. Hershey Medical Center (HMC). Nine patients with a diagnosis of ALS and concurrently receiving non-invasive ventilatory support with bi-level positive airway pressure (BiPAP) were recruited from the outpatient clinic at HMC. Four patients were randomized to receive standard care and five patients to receive standard care plus the addition of HFCWO administered twice-daily for 15 min duration. Longitudinal assessments of oxyhemoglobin saturation, forced vital capacity (FVC), and adverse events were obtained until time of death. Pulmonary complications of atelectasis, pneumonia, hospitalization for a respiratory-related abnormality, and tracheostomy with mechanical ventilation were monitored throughout the study duration. No differences were observed between treatment groups in relation to the rate of decline in FVC. The addition of HFCWO airway clearance failed to improve time to death compared to standard treatment alone (340 days +/- 247 vs. 470 days +/- 241; p = 0.26). The random allocation of HFCWO airway clearance to patients with ALS concomitantly receiving BiPAP failed to attain any significant clinical benefits in relation to either loss of lung function or mortality. This study does not exclude the potential benefit of HFCWO in select patients with ALS who have coexistent pulmonary diseases, pre-existent mucus-related pulmonary complications, or less severe levels of

  5. High frequency chest wall oscillation for asthma and chronic obstructive pulmonary disease exacerbations: a randomized sham-controlled clinical trial

    PubMed Central

    2011-01-01

    Background High frequency chest wall oscillation (HFCWO) is used for airway mucus clearance. The objective of this study was to evaluate the use of HFCWO early in the treatment of adults hospitalized for acute asthma or chronic obstructive pulmonary disease (COPD). Methods Randomized, multi-center, double-masked phase II clinical trial of active or sham treatment initiated within 24 hours of hospital admission for acute asthma or COPD at four academic medical centers. Patients received active or sham treatment for 15 minutes three times a day for four treatments. Medical management was standardized across groups. The primary outcomes were patient adherence to therapy after four treatments (minutes used/60 minutes prescribed) and satisfaction. Secondary outcomes included change in Borg dyspnea score (≥ 1 unit indicates a clinically significant change), spontaneously expectorated sputum volume, and forced expired volume in 1 second. Results Fifty-two participants were randomized to active (n = 25) or sham (n = 27) treatment. Patient adherence was similarly high in both groups (91% vs. 93%; p = 0.70). Patient satisfaction was also similarly high in both groups. After four treatments, a higher proportion of patients in the active treatment group had a clinically significant improvement in dyspnea (70.8% vs. 42.3%, p = 0.04). There were no significant differences in other secondary outcomes. Conclusions HFCWO is well tolerated in adults hospitalized for acute asthma or COPD and significantly improves dyspnea. The high levels of patient satisfaction in both treatment groups justify the need for sham controls when evaluating the use of HFCWO on patient-reported outcomes. Additional studies are needed to more fully evaluate the role of HFCWO in improving in-hospital and post-discharge outcomes in this population. Trial Registration ClinicalTrials.gov: NCT00181285 PMID:21906390

  6. Lung function tests in neonates and infants with chronic lung disease: lung and chest-wall mechanics.

    PubMed

    Gappa, Monika; Pillow, J Jane; Allen, Julian; Mayer, Oscar; Stocks, Janet

    2006-04-01

    This is the fifth paper in a review series that summarizes available data and critically discusses the potential role of lung function testing in infants and young children with acute neonatal respiratory disorders and chronic lung disease of infancy (CLDI). This review focuses on respiratory mechanics, including chest-wall and tissue mechanics, obtained in the intensive care setting and in infants during unassisted breathing. Following orientation of the reader to the subject area, we focused comments on areas of enquiry proposed in the introductory paper to this series. The quality of the published literature is reviewed critically with respect to relevant methods, equipment and study design, limitations and strengths of different techniques, and availability and appropriateness of reference data. Recommendations to guide future investigations in this field are provided. Numerous different methods have been used to assess respiratory mechanics with the aims of describing pulmonary status in preterm infants and assessing the effect of therapeutic interventions such as surfactant treatment, antenatal or postnatal steroids, or bronchodilator treatment. Interpretation of many of these studies is limited because lung volume was not measured simultaneously. In addition, populations are not comparable, and the number of infants studied has generally been small. Nevertheless, results appear to support the pathophysiological concept that immaturity of the lung leads to impaired lung function, which may improve with growth and development, irrespective of the diagnosis of chronic lung disease. To fully understand the impact of immaturity on the developing lung, it is unlikely that a single parameter such as respiratory compliance or resistance will accurately describe underlying changes. Assessment of respiratory mechanics will have to be supplemented by assessment of lung volume and airway function. New methods such as the low-frequency forced oscillation technique, which

  7. An efficient impedance method for induced field evaluation based on a stabilized Bi-conjugate gradient algorithm

    NASA Astrophysics Data System (ADS)

    Wang, Hua; Liu, Feng; Xia, Ling; Crozier, Stuart

    2008-11-01

    This paper presents a stabilized Bi-conjugate gradient algorithm (BiCGstab) that can significantly improve the performance of the impedance method, which has been widely applied to model low-frequency field induction phenomena in voxel phantoms. The improved impedance method offers remarkable computational advantages in terms of convergence performance and memory consumption over the conventional, successive over-relaxation (SOR)-based algorithm. The scheme has been validated against other numerical/analytical solutions on a lossy, multilayered sphere phantom excited by an ideal coil loop. To demonstrate the computational performance and application capability of the developed algorithm, the induced fields inside a human phantom due to a low-frequency hyperthermia device is evaluated. The simulation results show the numerical accuracy and superior performance of the method.

  8. The MUSIC algorithm for impedance tomography of small inclusions from discrete data

    NASA Astrophysics Data System (ADS)

    Lechleiter, A.

    2015-09-01

    We consider a point-electrode model for electrical impedance tomography and show that current-to-voltage measurements from finitely many electrodes are sufficient to characterize the positions of a finite number of point-like inclusions. More precisely, we consider an asymptotic expansion with respect to the size of the small inclusions of the relative Neumann-to-Dirichlet operator in the framework of the point electrode model. This operator is naturally finite-dimensional and models difference measurements by finitely many small electrodes of the electric potential with and without the small inclusions. Moreover, its leading-order term explicitly characterizes the centers of the small inclusions if the (finite) number of point electrodes is large enough. This characterization is based on finite-dimensional test vectors and leads naturally to a MUSIC algorithm for imaging the inclusion centers. We show both the feasibility and limitations of this imaging technique via two-dimensional numerical experiments, considering in particular the influence of the number of point electrodes on the algorithm’s images.

  9. Dose-Volume Parameters Predict for the Development of Chest Wall Pain After Stereotactic Body Radiation for Lung Cancer

    SciTech Connect

    Mutter, Robert W.; Liu Fan; Abreu, Andres; Yorke, Ellen; Jackson, Andrew; Rosenzweig, Kenneth E.

    2012-04-01

    Purpose: Chest wall (CW) pain has recently been recognized as an important adverse effect of stereotactic body radiation therapy (SBRT) for non-small-cell lung cancer (NSCLC). We developed a dose-volume model to predict the development of this toxicity. Methods and Materials: A total of 126 patients with primary, clinically node-negative NSCLC received three to five fractions of SBRT to doses of 40-60 Gy and were prospectively followed. The dose-absolute volume histograms of two different definitions of the CW as an organ at risk (CW3cm and CW2cm) were examined for all 126 patients. Results: With a median follow-up of 16 months, the 2-year estimated actuarial incidence of Grade {>=} 2 CW pain was 39%. The median time to onset of Grade {>=} 2 CW pain (National Cancer Institute Common Terminology Criteria for Adverse Events, Version 3.0) was 9 months. There was no predictive advantage for biologically corrected dose over physical dose. Neither fraction number (p = 0.07) nor prescription dose (p = 0.07) were significantly correlated with the development of Grade {>=} 2 CW pain. Cox Proportional Hazards analysis identified significant correlation with a broad range of dose-volume combinations, with the CW volume receiving 30 Gy (V30) as one of the strongest predictors (p < 0.001). CW2cm consistently enabled better prediction of CW toxicity. When a physical dose of 30 Gy was received by more than 70 cm{sup 3} of CW2cm, there was a significant correlation with Grade {>=} 2 CW pain (p = 0.004). Conclusions: CW toxicity after SBRT is common and long-term follow-up is needed to identify affected patients. A volume of CW {>=} 70 cm{sup 3} receiving 30 Gy is significantly correlated with Grade {>=} 2 CW pain. We are currently applying this constraint at our institution for patients receiving thoracic SBRT. An actuarial atlas of our data is provided as an electronic supplement to facilitate data-sharing and meta-analysis relating to CW pain.

  10. Reproducibility of The Abdominal and Chest Wall Position by Voluntary Breath-Hold Technique Using a Laser-Based Monitoring and Visual Feedback System

    SciTech Connect

    Nakamura, Katsumasa . E-mail: nakam@radiol.med.kyushu-u.ac.jp; Shioyama, Yoshiyuki; Nomoto, Satoru; Ohga, Saiji; Toba, Takashi; Yoshitake, Tadamasa; Anai, Shigeo; Terashima, Hiromi; Honda, Hiroshi

    2007-05-01

    Purpose: The voluntary breath-hold (BH) technique is a simple method to control the respiration-related motion of a tumor during irradiation. However, the abdominal and chest wall position may not be accurately reproduced using the BH technique. The purpose of this study was to examine whether visual feedback can reduce the fluctuation in wall motion during BH using a new respiratory monitoring device. Methods and Materials: We developed a laser-based BH monitoring and visual feedback system. For this study, five healthy volunteers were enrolled. The volunteers, practicing abdominal breathing, performed shallow end-expiration BH (SEBH), shallow end-inspiration BH (SIBH), and deep end-inspiration BH (DIBH) with or without visual feedback. The abdominal and chest wall positions were measured at 80-ms intervals during BHs. Results: The fluctuation in the chest wall position was smaller than that of the abdominal wall position. The reproducibility of the wall position was improved by visual feedback. With a monitoring device, visual feedback reduced the mean deviation of the abdominal wall from 2.1 {+-} 1.3 mm to 1.5 {+-} 0.5 mm, 2.5 {+-} 1.9 mm to 1.1 {+-} 0.4 mm, and 6.6 {+-} 2.4 mm to 2.6 {+-} 1.4 mm in SEBH, SIBH, and DIBH, respectively. Conclusions: Volunteers can perform the BH maneuver in a highly reproducible fashion when informed about the position of the wall, although in the case of DIBH, the deviation in the wall position remained substantial.

  11. Design of a Broadband Electrical Impedance Matching Network for Piezoelectric Ultrasound Transducers Based on a Genetic Algorithm

    PubMed Central

    An, Jianfei; Song, Kezhu; Zhang, Shuangxi; Yang, Junfeng; Cao, Ping

    2014-01-01

    An improved method based on a genetic algorithm (GA) is developed to design a broadband electrical impedance matching network for piezoelectric ultrasound transducer. A key feature of the new method is that it can optimize both the topology of the matching network and perform optimization on the components. The main idea of this method is to find the optimal matching network in a set of candidate topologies. Some successful experiences of classical algorithms are absorbed to limit the size of the set of candidate topologies and greatly simplify the calculation process. Both binary-coded GA and real-coded GA are used for topology optimization and components optimization, respectively. Some calculation strategies, such as elitist strategy and clearing niche method, are adopted to make sure that the algorithm can converge to the global optimal result. Simulation and experimental results prove that matching networks with better performance might be achieved by this improved method. PMID:24743156

  12. Evaluation of algorithms for calculating bioimpedance phase angle values from measured whole-body impedance modulus.

    PubMed

    Nordbotten, Bernt J; Tronstad, Christian; Martinsen, Ørjan G; Grimnes, Sverre

    2011-07-01

    This paper addresses the problem of calculating the bioimpedance phase angle from measurements of impedance modulus. A complete impedance measurement was performed on altogether 20 healthy persons using a Solatron 1260/1294 system. The obtained impedance modulus (absolute impedance value) values were used to calculate the Cole parameters and from them the phase angles. In addition, the phase angles were also calculated using a Kramers-Kronig approach. A correlation analysis for all subjects at each frequency (5, 50, 100 and 200 kHz) for both methods gave R(2) values ranging from 0.7 to 0.96 for the Cole approach and from 0.83 to 0.96 for the Kramers-Kronig approach; thus, both methods gave good results compared with the complete measurement results. From further statistical significance testing of the absolute value of the difference between measured and calculated phase angles, it was found that the Cole equation method gave significantly better agreement for the 50 and 100 kHz frequencies. In addition, the Cole equation method gives the four Cole parameters (R(0), R(∞), τ(z) and α) using measurements at frequencies up to 200 kHz while the Kramers-Kronig method used frequencies up to 500 kHz to reduce the effect of truncation on the calculated results. Both methods gave results that can be used for further bioimpedance calculations, thus improving the application potential of bioimpedance measurement results obtained using relatively inexpensive and portable measurement equipment.

  13. Maintaining end-expiratory transpulmonary pressure prevents worsening of ventilator-induced lung injury caused by chest wall constriction in surfactant-depleted rats

    PubMed Central

    Loring, Stephen H.; Pecchiari, Matteo; Valle, Patrizia Della; Monaco, Ario; Gentile, Guendalina; D'Angelo, Edgardo

    2014-01-01

    Objective To see whether in acute lung injury (ALI) 1) compression of the lungs caused by thoracoabdominal constriction degrades lung function and worsens ventilator-induced lung injury (VILI), and 2) maintaining end-expiratory transpulmonary pressure (Pl) by increasing positive end-expiratory pressure (PEEP) reduces the deleterious effects of chest wall constriction. Design Experimental study in rats. Setting Physiology laboratory. Interventions ALI was induced in 3 groups of 9 rats by saline lavage. Nine animals immediately sacrificed served as control group. Group L had lavage only, group LC had the chest wall constricted with an elastic binder, and group LCP had the same chest constriction but with PEEP raised to maintain end-expiratory Pl. After lavage, all groups were ventilated with the same pattern for 1½ hr. Measurements and Main Results Pl, measured with an esophageal balloon-catheter, lung volume changes, arterial blood gasses and pH were assessed during mechanical ventilation (MV). Lung wet-to-dry ratio (W/D), albumin, TNF-α, IL-1β, IL-6, IL-10, and MIP-2 in serum and bronchoalveolar lavage fluid (BALF), and serum E-selectin and von Willebrand Factor (vWF) were measured at the end of MV. Lavage caused hypoxemia and acidemia, increased lung resistance and elastance, and decreased end-expiratory lung volume. With prolonged MV, lung mechanics, hypoxemia, and W/D were significantly worse in group LC. Pro-inflammatory cytokines except E-selectin were elevated in serum and BALF in all groups, with significantly greater levels of TNF-α, IL-1β, and IL-6 in group LC, which also exhibited significantly worse bronchiolar injury and greater heterogeneity of airspace expansion at a fixed Pl than other groups. Conclusions Chest wall constriction in ALI reduces lung volume, worsens hypoxemia, and increases pulmonary edema, mechanical abnormalities, pro-inflammatory mediator release, and histological signs of VILI. Maintaining end-expiratory Pl at preconstriction

  14. Chest wall stabilization and reconstruction: short and long-term results 5 years after the introduction of a new titanium plates system

    PubMed Central

    Sollitto, Francesco; Loizzi, Domenico; Di Gennaro, Francesco; Scarascia, Daniele; Carlucci, Annalisa; Giudice, Giuseppe; Armenio, Andrea; Ludovico, Rossana; Loizzi, Michele

    2016-01-01

    Background We report short and long-term results with the dedicated Synthes® titanium plates system, introduced 5 years ago, for chest wall stabilization and reconstruction. Methods We retrospectively analyzed (January 2010 to December 2014) 27 consecutive patients (22 males, 5 females; range 16–83 years, median age 60 years), treated with this system: primary [3] and secondary [8] chest wall tumor; flail chest [5]; multiple ribs fractures [5]; sternal dehiscence-diastasis [3]; sternal fracture [1]; sternoclavicular joint dislocation [1]; Poland syndrome [1]. Short-term results were evaluated as: operating time, post-operative morbidity, mortality, hospital stay; long-term results as: survival, plates-related morbidity, spirometric values, chest pain [measured with Verbal Rating Scale (VRS) and SF12 standard V1 questionnaire]. Results Each patient received from 1 to 10 (median 2) titanium plates/splints; median operating time was 150 min (range: 115–430 min). Post-operative course: 15 patients (55.6%) uneventful, 10 (37%) minor complications, 2 (7.4%) major complications; no post-operative mortality. Median post-operative hospital stay was 13 days (range: 5–129 days). At a median follow-up of 20 months (range: 1–59 months), 21 patients (78%) were alive, 6 (22%) died. Three patients presented long-term plates-related morbidity: plates rupture [2], pin plate dislodgment [1]; two required a second surgical look. One-year from surgery median spirometric values were: FVC 3.31 L (90%), FEV1 2.46 L (78%), DLCO 20.9 mL/mmHg/min (76%). On 21 alive patients, 7 (33.3%) reported no pain (VRS score 0), 10 (47.6%) mild (score 2), 4 (19.1%) moderate (score 4), no-one severe (score >4); 15 (71.5%) reported none or mild, 6 (28.5%) moderate pain influencing quality of life. Conclusions An optimal chest wall stabilization and reconstruction was achieved with the Synthes® titanium plates system, with minimal morbidity, no post-operative mortality, acceptable operating time

  15. Radio-guided occult lesion localisation using iodine 125 Seeds “ROLLIS” to guide surgical removal of an impalpable posterior chest wall melanoma metastasis

    SciTech Connect

    Dissanayake, Shashini; Dissanayake, Deepthi; Taylor, Donna B

    2015-09-15

    Cancer screening and surveillance programmes and the use of sophisticated imaging tools such as positron emission tomography-computed tomography (PET-CT) have increased the detection of impalpable lesions requiring imaging guidance for excision. A new technique involves intra-lesional insertion of a low-activity iodine-125 ({sup 125}I) seed and detection of the radioactive signal in theatre using a hand-held gamma probe to guide surgery. Whilst several studies describe using this method to guide the removal of impalpable breast lesions, only a handful of publications report its use to guide excision of lesions outside the breast. We describe a case in which radio-guided occult lesion localisation using an iodine 125 seed was used to guide excision of an impalpable posterior chest wall metastasis detected on PET-CT.

  16. EM algorithm applied for estimating non-stationary region boundaries using electrical impedance tomography

    NASA Astrophysics Data System (ADS)

    Khambampati, A. K.; Rashid, A.; Kim, B. S.; Liu, Dong; Kim, S.; Kim, K. Y.

    2010-04-01

    EIT has been used for the dynamic estimation of organ boundaries. One specific application in this context is the estimation of lung boundaries during pulmonary circulation. This would help track the size and shape of lungs of the patients suffering from diseases like pulmonary edema and acute respiratory failure (ARF). The dynamic boundary estimation of the lungs can also be utilized to set and control the air volume and pressure delivered to the patients during artificial ventilation. In this paper, the expectation-maximization (EM) algorithm is used as an inverse algorithm to estimate the non-stationary lung boundary. The uncertainties caused in Kalman-type filters due to inaccurate selection of model parameters are overcome using EM algorithm. Numerical experiments using chest shaped geometry are carried out with proposed method and the performance is compared with extended Kalman filter (EKF). Results show superior performance of EM in estimation of the lung boundary.

  17. Poster — Thur Eve — 09: Evaluation of electrical impedance and computed tomography fusion algorithms using an anthropomorphic phantom

    SciTech Connect

    Chugh, Brige Paul; Krishnan, Kalpagam; Liu, Jeff; Kohli, Kirpal

    2014-08-15

    Integration of biological conductivity information provided by Electrical Impedance Tomography (EIT) with anatomical information provided by Computed Tomography (CT) imaging could improve the ability to characterize tissues in clinical applications. In this paper, we report results of our study which compared the fusion of EIT with CT using three different image fusion algorithms, namely: weighted averaging, wavelet fusion, and ROI indexing. The ROI indexing method of fusion involves segmenting the regions of interest from the CT image and replacing the pixels with the pixels of the EIT image. The three algorithms were applied to a CT and EIT image of an anthropomorphic phantom, constructed out of five acrylic contrast targets with varying diameter embedded in a base of gelatin bolus. The imaging performance was assessed using Detectability and Structural Similarity Index Measure (SSIM). Wavelet fusion and ROI-indexing resulted in lower Detectability (by 35% and 47%, respectively) yet higher SSIM (by 66% and 73%, respectively) than weighted averaging. Our results suggest that wavelet fusion and ROI-indexing yielded more consistent and optimal fusion performance than weighted averaging.

  18. Early Indication of Decompensated Heart Failure in Patients on Home-Telemonitoring: A Comparison of Prediction Algorithms Based on Daily Weight and Noninvasive Transthoracic Bio-impedance

    PubMed Central

    Bonomi, Alberto G; Goode, Kevin M; Reiter, Harald; Habetha, Joerg; Amft, Oliver; Cleland, John GF

    2016-01-01

    Background Heart Failure (HF) is a common reason for hospitalization. Admissions might be prevented by early detection of and intervention for decompensation. Conventionally, changes in weight, a possible measure of fluid accumulation, have been used to detect deterioration. Transthoracic impedance may be a more sensitive and accurate measure of fluid accumulation. Objective In this study, we review previously proposed predictive algorithms using body weight and noninvasive transthoracic bio-impedance (NITTI) to predict HF decompensations. Methods We monitored 91 patients with chronic HF for an average of 10 months using a weight scale and a wearable bio-impedance vest. Three algorithms were tested using either simple rule-of-thumb differences (RoT), moving averages (MACD), or cumulative sums (CUSUM). Results Algorithms using NITTI in the 2 weeks preceding decompensation predicted events (P<.001); however, using weight alone did not. Cross-validation showed that NITTI improved sensitivity of all algorithms tested and that trend algorithms provided the best performance for either measurement (Weight-MACD: 33%, NITTI-CUSUM: 60%) in contrast to the simpler rules-of-thumb (Weight-RoT: 20%, NITTI-RoT: 33%) as proposed in HF guidelines. Conclusions NITTI measurements decrease before decompensations, and combined with trend algorithms, improve the detection of HF decompensation over current guideline rules; however, many alerts are not associated with clinically overt decompensation. PMID:26892844

  19. Dystrophic calcinosis with both a huge calcified mass in the cervical spine and calcification in the chest wall in a patient with rheumatoid overlap syndrome.

    PubMed

    Nakamura, Tadashi; Hirakawa, Kei; Takaoka, Hirokazu; Iyama, Ken-Ichi

    2016-05-01

    Dystrophic calcinosis in soft tissue occurs in damaged or devitalized tissues in the presence of normal calcium and phosphorous metabolism. It is often noted in subcutaneous tissues in patients with collagen vascular diseases and may involve a relatively localized area or be widespread. A 74-year-old Japanese woman with an overlap of rheumatoid arthritis, Sjögren's syndrome, and systemic sclerosis developed a huge tumor-like mass at the atlanto-axial vertebral joint region that caused severe cervical pain and difficulty in activities of daily living. She also had subcutaneous dystrophic calcification in the soft tissue of the chest wall. Calcinosis associated with systemic sclerosis is a well-recognized phenomenon, but a destructive paraspinal tumor in the cervical spine associated with overlap syndrome is extremely unique. Because calcinosis in spinal locations can be complicated by neurological involvement, patients with progressive symptoms may require surgical intervention. Surgical resection and biological therapy improved this patient's life and activities of daily living. Calcinosis is common in the conditions reviewed here, and different agents have been used for treatment. However, calcinosis management is poorly organized and lacks an accepted classification, systematic studies, and clinical therapeutic trials. The association of calcinosis and collagen vascular diseases is clinically and etiologically important. Although a combination of calcinosis and rheumatoid overlap syndrome is rare, various collagen vascular diseases may occur simultaneously. A perceptive diagnostic approach toward these diseases is critical, and early diagnosis and treatment are needed to prevent dystrophic calcinosis.

  20. Diaphragm pacing failure secondary to deteriorated chest wall mechanics: When a good diaphragm does not suffice to take a good breath in.

    PubMed

    Layachi, Lila; Georges, Marjolaine; Gonzalez-Bermejo, Jésus; Brun, Anne-Laure; Similowski, Thomas; Morélot-Panzini, Capucine

    2015-01-01

    Diaphragm pacing allows certain quadriplegic patients to be weaned from mechanical ventilation. Pacing failure can result from device dysfunction, neurotransmission failure, or degraded lung mechanics (such as atelectasis). We report two cases where progressive pacing failure was attributed to deteriorated chest wall mechanics. The first patient suffered from cervical spinal cord injury at age 45, was implanted with a phrenic stimulator (intrathoracic), successfully weaned from ventilation, and permanently paced for 7 years. Pacing effectiveness then slowly declined, finally attributed to rib cage stiffening due to ankylosing spondylitis. The second patient became quadriplegic after meningitis at age 15, was implanted with a phrenic stimulator (intradiaphragmatic) and weaned. After a year hypoventilation developed without obvious cause. In relationship with complex endocrine disorders, the patient had gained 31 kg. Pacing failure was attributed to excessive mechanical inspiratory load. Rib cage mechanics abnormalities should be listed among causes of diaphragm pacing failure and it should be kept in mind that a "good diaphragm" is not sufficient to produce a "good inspiration". PMID:26236593

  1. Pulmonary hyperinflation and respiratory distress following solvent aspiration in a patient with asthma: expectoration of bronchial casts and clinical improvement with high-frequency chest wall oscillation.

    PubMed

    Koga, Toshihiko; Kawazu, Taketoshi; Iwashita, Kazuo; Yahata, Ritsuko

    2004-11-01

    An 18-year-old student with a history of asthma accidentally inhaled organic solvent during a class, with immediate cough and dyspnea that worsened over several hours. He presented in severe respiratory distress, with hypoxemia and marked pulmonary hyperinflation. Administration of inhaled bronchodilator was ineffective because of agitation, and the patient could not be positioned for chest physiotherapy to treat presumed widespread mucus plugging. High-frequency chest wall oscillation (HFCWO) in the sitting position initially caused increased distress but was subsequently tolerated when noninvasive positive-pressure ventilation (NPPV) via nasal mask was initiated. Almost immediately, the patient began expectorating bronchial mucus casts, with concomitant clinical improvement. Endotracheal intubation was avoided, and with aggressive pharmacologic treatment for acute severe asthma and continuation of intermittent HFCWO-NPPV, the patient made a full recovery over the next several days. This case suggests that the combination of HFCWO and NPPV may be helpful in the presence of mucus plugging as a complication of acute inhalation injury or acute severe asthma.

  2. Experimental validation of a novel reconstruction algorithm for electrical impedance tomography based on backprojection of Lagrange multipliers.

    PubMed

    Bayford, R; Hanquan, Y; Boone, K; Holder, D S

    1995-08-01

    A novel approach to image reconstruction for electrical impedance tomography (EIT) has been developed. It is based on a constrained optimization technique for the reconstruction of difference resistivity images without finite-element modelling. It solves the inverse problem by optimizing a cost function under constraints, in the form of normalized boundary potentials. Its application to the neighboring data collection method is presented here. Mathematical models are developed according to specified criteria. These express the reconstructed image in terms of one-dimensional Lagrange multiplier functions. The reconstruction problem becomes one of estimating these functions from normalized boundary potentials. This model is based on a cost criterion of the minimization of the variance between the reconstructed and the true resistivity distributions. The algorithm was tested on data collected in a cylindrical saline-filled tank. A polyacrylamide rod was placed in various positions with or without a peripheral plaster of Paris ring in place. This was intended to resemble the conditions during EIT of epileptic seizures recorded with scalp or cortical electrodes in the human head. One advantage of this approach is that compensation for non-uniform initial conditions may be made, as this is a significant problem in imaging cerebral activity through the skull.

  3. SU-E-T-632: A Dosimetric Comparison of the 3D-CRT Planning of Chest Wall in Post-Mastectomy Breast Cancer Patients, with and Without Breast Board Setup

    SciTech Connect

    Muzaffar, Ambreen; Masood, Asif; Ullah, Haseeb; Mehmood, Kashif; Qasim, Uzma; Afridi, M. Ali; Khan, Salim; Hameed, Abdul

    2014-06-15

    Purpose: Breast boards are used in breast radiation which increases normal lung and heart doses, when supraclavicular field is included. Therefore, in this study through dose volume histogram (DVHs), lung and heart doses comparison was done between two different setups i.e. with and without breast board, for the treatment of left chest wall and supraclavicular fossa in postmastectomy left breast cancer. Methods: In this study, CT-Simulation scans of ten breast cancer patients were done with and without breast board, at Shifa International Hospitals Islamabad, to investigate the differences between the two different setups of the irradiation of left chest wall in terms of lung and heart doses. For immobilization, support under the neck, shoulders and arms was used. Precise PLAN 2.15 treatment planning system (TPS) was used for 3D-CRT planning. The total prescribed dose for both the plans was 5000 cGy/25 fractions. The chest wall was treated with a pair of tangential photon fields and the upper supraclavicular nodal regions were treated with an anterior photon field. A mono-isocentric technique was used to match the tangential fields with the anterior field at the isocentre. The dose volume histogram was used to compare the doses of heart and ipsilateral lung. Results: Both the plans of each patient were generated and compared. DVH results showed that for the same PTV dose coverage, plans without breast board resulted in a reduction of lung and heart doses compared with the plans with breast board. There was significant reductions in V20, V<25 and mean doses for lung and V<9 and mean doses for heart. Conclusion: In comparison of both the plans, setup without breast board significantly reduced the dose-volume of the ipsilateral lung and heart in left chest wall patients. Waived registration request has been submitted.

  4. Determination of acoustic impedances of multi matching layers for narrowband ultrasonic airborne transducers at frequencies <2.5 MHz - Application of a genetic algorithm.

    PubMed

    Saffar, Saber; Abdullah, Amir

    2012-01-01

    The effective ultrasonic energy radiation into the air of piezoelectric transducers requires using multilayer matching systems with accurately selected acoustic impedances and the thickness of particular layers. One major problem of ultrasonic transducers, radiating acoustic energy into air, is to find the proper acoustic impedances of one or more matching layers. This work aims at developing an original solution to the acoustic impedance mismatch between transducer and air. If the acoustic impedance defences between transducer and air be more, then finding best matching layer(s) is harder. Therefore we consider PZT (lead zirconate titanate piezo electric) transducer and air that has huge acoustic impedance deference. The vibration source energy (PZT), which is used to generate the incident wave, consumes a part of the mechanical energy and converts it to an electrical one in theoretical calculation. After calculating matching layers, we consider the energy source as layer to design a transducer. However, this part of the mechanical energy will be neglected during the mathematical work. This approximation is correct only if the transducer is open-circuit. Since the possibilities of choosing material with required acoustic impedance are limited (the counted values cannot always be realized and applied in practice) it is necessary to correct the differences between theoretical values and the possibilities of practical application of given acoustic impedances. Such a correction can be done by manipulating other parameters of matching layers (e.g. by changing their thickness). The efficiency of the energy transmission from the piezoceramic transducer through different layers with different thickness and different attenuation enabling a compensation of non-ideal real values by changing their thickness was computer analyzed (base on genetic algorithm). Firstly, three theoretical solutions were investigated. Namely, Chebyshev, Desilets and Souquet theories. However, the

  5. The clinical value of apex beat and electrocardiography for the detection of left ventricular hypertrophy from the standpoint of the distance factors from the heart to the chest wall: a multislice CT study.

    PubMed

    Ehara, Shoichi; Shirai, Nobuyuki; Matsumoto, Kenji; Okuyama, Takuhiro; Matsumura, Yoshiki; Yoshikawa, Junichi; Yoshiyama, Minoru

    2011-09-01

    The aim of this study was to investigate the clinical value of the apex beat and two ECG voltage criteria in the detection of left ventricular hypertrophy (LVH) while considering two distances, from the heart to the inner chest wall and to the chest surface, measured by using multislice CT (MSCT). The study population consisted of 151 patients clinically judged as requiring MSCT angiography. The apex beat was palpated with patients in the supine. Sokolow-Lyon voltage and Cornell voltage to detect LVH were determined. The pattern of sustained or double apical impulse and Cornell voltage had higher specificity as an indicator of LVH than Sokolow-Lyon voltage. Furthermore, the distance to the inner chest wall was negatively correlated with left ventricular end-diastolic volume and mass. Contrarily, the distance to the chest surface was correlated with the body mass index. Multivariate analyses revealed that the pattern of sustained or double apical impulse showed a stronger association with the distance to the inner chest wall than to the chest surface, but Sokolow-Lyon voltage was associated with the distance to the chest surface. Among the screening tests for excluding patients with LVH, Cornell voltage or the apex beat would be better than Sokolow-Lyon voltage because these are less dependent on body size and have higher specificity.

  6. Efficacy and safety of human fibrinogen-thrombin patch (Tachosil®) in the management of diffuse bleeding after chest wall and spinal surgical resection for aggressive thoracic neoplasms

    PubMed Central

    Guerrera, Francesco; Sandri, Alberto; Zenga, Francesco; Lanza, Giovanni Vittorio; Ruffini, Enrico; Bora, Giulia; Lyberis, Paraskevas; Solidoro, Paolo; Oliaro, Alberto

    2016-01-01

    Diffuse bleeding after chest wall and spine resection represents a major problem in General Thoracic Surgery. Several fibrin sealants (FS) have been developed over the years and their use has been gradually increasing over time, becoming an important aid to the surgeons, justifying their use across numerous fields of surgery due to its valid haemostatic properties. Among the several FS available, TachoSil® (Takeda Austria GmbH, Linz, Austria) stands out for its haemostatic and aerostatic properties, the latter being demonstrated even in high-risk patients after pulmonary resections for primary lung cancers. Several papers available in literature demonstrated TachoSil®’s effectiveness in controlling intraoperative and postoperative bleeding in different surgical branches, including hepatic and pancreatic surgery, as well as cardiac and thoracic surgery. However, the use of TachoSil® to control diffuse bleeding following major resections for advanced lung cancers, with requirement of chest wall and vertebral body resection for oncological radicality, was never published so far. In this paper, we report three cases of pulmonary lobectomy associated to chest wall resection and haemivertebrectomy for primary malignant lung neoplasms and for a recurrence of malignant solitary fibrous tumour of the pleura in which we used TachoSil©, which demonstrated its efficacy in controlling diffuse bleeding following resection. PMID:26904247

  7. SU-E-T-583: Operated Left Breast and Chest Wall Radiotherapy: A Dosimetric Comparison Between 3DCRT, IMRT and VMAT

    SciTech Connect

    Sarkar, B; Roy, S; Munshi, A; Pradhan, A

    2015-06-15

    Purpose: To evaluate the comparative dosimetric efficacy between field and field 3DCRT(FnF), multiple field Intensity modulated radiotherapy (SnS IMRT) and, partial arc volumetric modulated arc therapy (VMAT) in case of post operative left side breast and chest wall irradiation. Methods: CT study set of fifteen post-operative left breast and chest wall patient was tested for a treatment plan of 50Gy in 25 fraction using partial arc VMAT, SnSIMRT and tangential beam 3DCRT . 3DCRT FnF gantry angle was ranging for left medial tangential 290±17{sup 0} and Lt lateral tangential l14°±12{sup 0}. For IMRT four fixed beam at gantry angle G130{sup 0} G110{sup 0} G300{sup 0} and G330{sup 0} was used, in case of insufficient dose another beam G150{sup 0} was added. In case of partial arc VMAT, lateral tangential arc G130{sup 0}-G100{sup 0} and medial tangential arc G280{sup 0}-G310{sup 0}. Inverse optimization was opted to cover at least 95%PTV by 95% prescription dose (RxD) and a strong weightage on reduction of heart and lung dose. PTV coverage was evaluated for it’s clinically acceptability depending on the tumor spatial location and its quadrant. Out of the three plans, any one was used for the actual patient treatment. Results: Dosimetric analysis done for breast PTV, left lung, heart and the opposite breast. PTV mean dose and maximum dose was 5129.8±214.8cGy, 4749.0±329.7cGy, 5024.6±73.4cGy and 5855.2±510.7cGy, 5340.7±146.1cGy, 5347.2±196.8cGy for FnF, VMAT and IMRT respectively. Ipsilateral lung volume receiving 20Gy and 5Gy was 23.6±9.5cGy and 32.7±10.3cGy for FnF, 18.6±8.7cGy and 38.8±15.2cGy for VMAT and 25.7±9.6cGy and 50.7±8.4cGy for IMRT respectively. Heart mean and 2cc dose was 867.9±456.7cGy and 5038.5±184.3cGy for FnF, 532.6±263cGy and 3632.1±990.6 for VMAT, 711±229.9cGy and 4421±463.7cGy for IMRT respectively. VMAT shows minimum contralateral breast dose 168±113.8cGy. Conclusion: VMAT shows a better tumor conformity, minimum heart

  8. Chest Wall Volume Receiving >30 Gy Predicts Risk of Severe Pain and/or Rib Fracture After Lung Stereotactic Body Radiotherapy

    SciTech Connect

    Dunlap, Neal E.; Cai, Jing; Biedermann, Gregory B.; Yang, Wensha; Benedict, Stanley H.; Sheng Ke; Schefter, Tracey E.; Kavanagh, Brian D.; Larner, James M.

    2010-03-01

    Purpose: To identify the dose-volume parameters that predict the risk of chest wall (CW) pain and/or rib fracture after lung stereotactic body radiotherapy. Methods and Materials: From a combined, larger multi-institution experience, 60 consecutive patients treated with three to five fractions of stereotactic body radiotherapy for primary or metastatic peripheral lung lesions were reviewed. CW pain was assessed using the Common Toxicity Criteria for pain. Peripheral lung lesions were defined as those located within 2.5 cm of the CW. A minimal point dose of 20 Gy to the CW was required. The CW volume receiving >=20, >=30, >=40, >=50, and >=60 Gy was determined and related to the risk of CW toxicity. Results: Of the 60 patients, 17 experienced Grade 3 CW pain and five rib fractures. The median interval to the onset of severe pain and/or fracture was 7.1 months. The risk of CW toxicity was fitted to the median effective concentration dose-response model. The CW volume receiving 30 Gy best predicted the risk of severe CW pain and/or rib fracture (R{sup 2} = 0.9552). A volume threshold of 30 cm{sup 3} was observed before severe pain and/or rib fracture was reported. A 30% risk of developing severe CW toxicity correlated with a CW volume of 35 cm{sup 3} receiving 30 Gy. Conclusion: The development of CW toxicity is clinically relevant, and the CW should be considered an organ at risk in treatment planning. The CW volume receiving 30 Gy in three to five fractions should be limited to <30 cm{sup 3}, if possible, to reduce the risk of toxicity without compromising tumor coverage.

  9. SPECT Analysis of Cardiac Perfusion Changes After Whole-Breast/Chest Wall Radiation Therapy With or Without Active Breathing Coordinator: Results of a Randomized Phase 3 Trial

    SciTech Connect

    Zellars, Richard; Bravo, Paco E.; Tryggestad, Erik; Hopfer, Kari; Myers, Lee; Tahari, Abdel; Asrari, Fariba; Ziessman, Harvey; Garrett-Mayer, Elizabeth

    2014-03-15

    Purpose: Cardiac muscle perfusion, as determined by single-photon emission computed tomography (SPECT), decreases after breast and/or chest wall (BCW) irradiation. The active breathing coordinator (ABC) enables radiation delivery when the BCW is farther from the heart, thereby decreasing cardiac exposure. We hypothesized that ABC would prevent radiation-induced cardiac toxicity and conducted a randomized controlled trial evaluating myocardial perfusion changes after radiation for left-sided breast cancer with or without ABC. Methods and Materials: Stages I to III left breast cancer patients requiring adjuvant radiation therapy (XRT) were randomized to ABC or No-ABC. Myocardial perfusion was evaluated by SPECT scans (before and 6 months after BCW radiation) using 2 methods: (1) fully automated quantitative polar mapping; and (2) semiquantitative visual assessment. The left ventricle was divided into 20 segments for the polar map and 17 segments for the visual method. Segments were grouped by anatomical rings (apical, mid, basal) or by coronary artery distribution. For the visual method, 2 nuclear medicine physicians, blinded to treatment groups, scored each segment's perfusion. Scores were analyzed with nonparametric tests and linear regression. Results: Between 2006 and 2010, 57 patients were enrolled and 43 were available for analysis. The cohorts were well matched. The apical and left anterior descending coronary artery segments had significant decreases in perfusion on SPECT scans in both ABC and No-ABC cohorts. In unadjusted and adjusted analyses, controlling for pretreatment perfusion score, age, and chemotherapy, ABC was not significantly associated with prevention of perfusion deficits. Conclusions: In this randomized controlled trial, ABC does not appear to prevent radiation-induced cardiac perfusion deficits.

  10. Short-term comparative study of high frequency chest wall oscillation and European airway clearance techniques in patients with cystic fibrosis

    PubMed Central

    Roughton, Michael; Hodson, Margaret E; Pryor, Jennifer A

    2009-01-01

    Background High frequency chest wall oscillation (HFCWO) is standard treatment for airway clearance in the USA and has recently been introduced in the UK and Europe. There is little published research comparing HFCWO with airway clearance techniques (ACTs) frequently used in the UK and Europe. The aim of this study was to compare the short-term effects of HFCWO with usual ACTs in patients with cystic fibrosis hospitalised with an infective pulmonary exacerbation. Methods A 4-day randomised crossover design was used. Patients received either HFCWO on days 1 and 3 and usual ACTs on days 2 and 4 or vice versa. Wet weight of sputum, spirometry and oxygen saturation were measured. Perceived efficacy, comfort, incidence of urinary leakage and preference were assessed. Data were analysed by mixed model analysis. Results 29 patients (72% male) of mean (SD) age 29.4 (8.4) years and mean (SD) forced expiratory volume in 1 s (FEV1) percentage predicted (FEV1%) 38 (16.7) completed the study. Significantly more sputum was expectorated during a single treatment session and over a 24 h period (mean difference 4.4 g and 6.9 g, respectively) with usual ACTs than with HFCWO (p<0.001). No statistically significant change in FEV1% or oxygen saturation was observed after either HFCWO or usual ACTs compared with baseline. 17 patients (55%) expressed a preference for their usual ACT. Conclusions During both a finite treatment period and over 24 h, less sputum was cleared using HFCWO than usual ACT. HFCWO does not appear to cause any adverse physiological effects and may influence adherence. PMID:19703826

  11. A pilot study of the impact of high-frequency chest wall oscillation in chronic obstructive pulmonary disease patients with mucus hypersecretion

    PubMed Central

    Chakravorty, Indranil; Chahal, Kamaljit; Austin, Gillian

    2011-01-01

    Introduction Chronic obstructive pulmonary disease (COPD) patients with mucus hypersecretion tend to demonstrate increased frequency of infective exacerbations and a steeper slope of decline in lung function. Enhanced mucociliary clearance with high-frequency chest wall oscillation (HFCWO) devices previously used in cystic fibrosis and bronchiectasis patients may offer the opportunity for community-based, self-managed therapy to improve quality of life and lung function. Study design and methods A randomized controlled crossover pilot study of HFCWO compared with conventional treatment was conducted in 22 patients with moderate to severe COPD and mucus hypersecretion. Patients spent 4 weeks using an HFCWO (SmartVest®) device and 4 weeks in a conventional phase with a 2-week washout. Eleven patients started with HFCWO and changed to conventional treatment, whereas the other eleven patients started conventional treatment and crossed over to HFCWO. Results The patients were elderly with a mean age of 71 (standard deviation [SD] 10) years and were at the upper end of the normal range of body mass index (25 [SD 4.2] kg/m2). The majority of patients had moderate to severe COPD with a mean percentage predicted forced expiratory volume in 1 second of 41 (SD 15.6) and percentage predicted forced vital capacity of 73 (SD 17.7). Baseline sputum production was negatively correlated to lung function and positively to St George’s Respiratory Questionnaire. Symptom scores and St George’s Respiratory Questionnaire symptom dimension improved significantly (−8, P < 0.05). Sputum production showed a declining trend in the HFCWO phase, although not reaching statistical significance. The HFCWO device was well tolerated with good reported compliance. Conclusion This pilot study demonstrated that patients with advanced COPD and mucus hypersecretion at increased risk of declining lung function tolerated the HFCWO treatment well, leading to improvement in quality of life and reduced

  12. Comparison of high-frequency chest wall oscillation and oscillating positive expiratory pressure in the home management of cystic fibrosis: a pilot study.

    PubMed

    Oermann, C M; Sockrider, M M; Giles, D; Sontag, M K; Accurso, F J; Castile, R G

    2001-11-01

    Enhanced airway clearance is thought to result in better-maintained pulmonary function in cystic fibrosis (CF). Postural drainage, percussion, and vibration (PDPV) have been the primary airway clearance technique (ACT) employed in CF for over 40 years. Two new airway clearance modalities are high-frequency chest wall oscillation (HFCWO) and oscillating positive expiratory pressure (OPEP). This pilot study was undertaken to evaluate the efficacy of these techniques during home use, assess patient satisfaction with them as compared to PDPV, and assess the feasibility of performing a definitive comparative trial. The prospective, randomized, multicenter crossover trial was conducted at three urban academic CF Care Centers. Twenty-nine CF patients, 9-39 years of age, participated. Subjects performed 4 weeks each of HFCWO and OPEP following 2-week lead-in/washout periods. Spirometry, lung volumes, National Institutes of Health and Petty Scores, and a satisfaction survey were performed at baseline and after each treatment period. An ACT preference survey was completed at the conclusion of the study. Twenty-four subjects completed both therapies. There were no statistically significant differences between therapies for spirometry, lung volumes, or clinical scores. No significant safety issues arose during the study period. Compliance between therapies was similar. Significant differences among therapies existed in patient satisfaction. Given a choice of therapy, 50% of subjects chose HFCWO, 37% OPEP, and 13% PDPV. This study suggests that HFCWO and OPEP are safe and as effective as patients' routine therapies when used for airway clearance in a home setting. Patient satisfaction and preference differ among ACTs and should be considered when prescribing home therapy. A definitive, multi-center, comparative study evaluating long-term efficacy of these techniques is feasible.

  13. Early Detection of Cervical Intraepitelial Neoplasia in a Heterogeneos Group of Colombian Women Using Electrical Impedance Spectroscopy and the Miranda-López Algorithm

    NASA Astrophysics Data System (ADS)

    Miranda, David A.; Corzo, Sandra P.; González-Correa, Carlos-A.

    2012-12-01

    Electrical Impedance Spectroscopy (EIS) allows the study of the electrical properties of materials and structures such as biological tissues. EIS can be used as a diagnostic tool for the identification of pathological conditions such as cervical cancer. We used EIS in combination with genetic algorithms to characterize cervical epithelial squamous tissue in a heterogeneous sample of 56 Colombian women. All volunteers had a cytology taken for Papanicolau test and biopsy taken for histopathological analysis from those with a positive result (9 subjects). ROC analysis of the results suggest a sensitivity and specificity in the order of 0.73 and 0.86, respectively.

  14. [Research on Electrical Impedance Tomography Technology].

    PubMed

    Chang, Feiba; Zhang, Hehua; Yan, Lexian; Yin, Jun

    2016-01-01

    This article reviews the principle of electrical impedance tomography imaging and measurement system; focuses on electrical impedance tomography imaging detection system of incentive mode and several typical image reconstruction algorithm of electrical impedance imaging; and objectively compares and effectively evaluates several image reconstruction algorithm.

  15. Diastolic timed Vibro-Percussion at 50 Hz delivered across a chest wall sized meat barrier enhances clot dissolution and remotely administered Streptokinase effectiveness in an in-vitro model of acute coronary thrombosis

    PubMed Central

    2012-01-01

    Background Low Frequency Vibro-Percussion (LFVP) assists clearance of thrombi in catheter systems and when applied to the heart and timed to diastole is known to enhance coronary flow. However LFVP on a clotted coronary like vessel given engagement over a chest wall sized barrier (to resemble non-invasive heart attack therapy) requires study. Methods One hour old clots (n=16) were dispensed within a flexible segment of Soft-Flo catheter (4 mm lumen), weighted, interfaced with Heparinized Saline (HS), secured atop a curved dampening base, and photographed. A ~4 cm meat slab was placed over the segment and randomized to receive intermittent LFVP (engaged, - disengaged at 1 second intervals), or no LFVP for 20 minutes. HS was pulsed (~120/80 mmHg), with the diastolic phase coordinated to match LFVP delivery. The segment was then re-photographed and aspirated of fluid to determine post clot weight. The trial was then repeated with 0.5 mls of Streptokinase (15,000 IU/100 microlitre) delivered ~ 2 cm upstream from the clot. Results LFVP - HS only samples (vs. controls) showed; a) development of clot length fluid channels absent in the control group (p < 0.0002); b) enhanced dissolved clot mixing scores ( 5.0 vs. 0.8, p < 2.8 E – 6); and c) increased percent clot dissolution (23.0% vs. 1.8% respectively, p < 8.5 E-6). LFVP - SK samples had a similar comparative clot disruptive profile, however fluid channels developed faster and percent clot dissolution more than doubled (51.0% vs. 3.0%, p< 9.8 E- 6). Conclusion Diastolic timed LFVP (50 Hz) engaged across a chest wall sized barrier enhances clot disruptive effects to an underlying coronary like system. PMID:23146079

  16. Electron Impedances

    SciTech Connect

    P Cameron

    2011-12-31

    It is only recently, and particularly with the quantum Hall effect and the development of nanoelectronics, that impedances on the scale of molecules, atoms and single electrons have gained attention. In what follows the possibility that characteristic impedances might be defined for the photon and the single free electron is explored is some detail, the premise being that the concepts of electrical and mechanical impedances are relevant to the elementary particle. The scale invariant quantum Hall impedance is pivotal in this exploration, as is the two body problem and Mach's principle.

  17. Multi-Electrode Impedance Method for Detection of Regional Ventilation

    NASA Astrophysics Data System (ADS)

    Furuya, Norio; Sakamoto, Katsuyuki

    2013-04-01

    By means of computer simulation and experiment, we investigated the feasibility of simultaneously measuring the transfer impedance changes in the right apex, left apex, right base and left base of the lungs using the multi-electrode impedance method. To obtain the transfer impedance in each region, while suppressing the effects of other regions, changing the amplitude and polarity of the applied current must localize the high sensitivity areas in the interest region. Twelve current and eight voltage electrodes were equidistantly arranged on the anterior and posterior chest walls. The amplitudes and polarities of the currents that were simultaneously applied to the current electrodes, and which provided the appropriate sensitivity distribution, were theoretically obtained. The effects of the localized sensitivity distribution were verified by comparing the simulation results of the investigated method with the results of the conventional four-electrode method. From the results of the computer simulation, we developed a multi-electrode impedance pneumography and applied it to healthy adult volunteers who were both in sitting position and in left decubitus. We found that the measurement results were physiologically reasonable.

  18. Impedance Scaling and Impedance Control

    NASA Astrophysics Data System (ADS)

    Chou, W.; Griffin, J.

    1997-05-01

    When a machine becomes really large, such as the Really Large Hadron Collider (RLHC),(G. W. Foster and E. Malamud, Fermilab-TM-1976 (June, 1996).) of which the circumference could reach the order of megameters, beam instability could be an essential bottleneck. This paper studies the scaling of the instability threshold vs. machine size when the coupling impedance scales in a ``normal'' way. It is shown that the beam would be intrinsically unstable for the RLHC. As a possible solution to this problem, it is proposed to introduce local impedance inserts for controlling the machine impedance. In the longitudinal plane, this could be done by using a heavily detuned rf cavity (e.g., a biconical structure), which could provide large imaginary impedance with the right sign (i.e., inductive or capacitive) while keeping the real part small. In the transverse direction, a carefully designed variation of the cross section of a beam pipe could generate negative impedance that would partially compensate the transverse impedance in one plane.

  19. Age and Chest-wall Physiology

    NASA Astrophysics Data System (ADS)

    Ferenc, Kovats

    1986-07-01

    The mechanisme of the breathing pump-system changes with age. Morphometrical informations are presented by means of Photogrammetry.The effectiveness of the diaphragm contraction in relation to the ribcage was observed with trunc-surface deforrnations.The thorax-wall of new-borns and sucklings are pliable:the diaphragm action sipps the ribcage. Growing childrens thorax can resist against this sipping effect, but practically they have no thoracal, only abdominal breathing.Later in childhood the thoracal breathing type developps individually. Introduction Since 1974 I have the honour to participate with my papers on several Biostereometrics Session. At that time I had 15 years of Photogrammetry study of the breathing movements behind me. Based on Photogrammetrical documentations I worked with manual geometry, constructing my designes,hoping, that I can elaborate a model-method and to grope around the photogrammetrical possibilities in the study of the mechanism of the human breathing pump-system. Using a ruler and a pair of compasses, with steady obstinacy I arrived to realise three abstractions:Spatial; spatiotemporal analysis informations and the velocity or the acceleration factors, this last one being the most sensitive. Recently I made the-first steps to study four dimensional information, with two time factors.

  20. Adaptive Impedance Control Of Redundant Manipulators

    NASA Technical Reports Server (NTRS)

    Seraji, Homayoun; Colbaugh, Richard D.; Glass, Kristin L.

    1994-01-01

    Improved method of controlling mechanical impedance of end effector of redundant robotic manipulator based on adaptive-control theory. Consists of two subsystems: adaptive impedance controller generating force-control inputs in Cartesian space of end effector to provide desired end-effector-impedance characteristics, and subsystem implementing algorithm that maps force-control inputs into torques applied to joints of manipulator. Accurate control of end effector and effective utilization of redundancy achieved simultaneously by use of method. Potential use to improve performance of such typical impedance-control tasks as deburring edges and accommodating transitions between unconstrained and constrained motions of end effectors.

  1. Control of pacemaker rate by impedance-based respiratory minute ventilation.

    PubMed

    Alt, E; Heinz, M; Hirgstetter, C; Emslander, H P; Daum, S; Blömer, H

    1987-08-01

    Several studies have shown that the capability for exercise can be increased in patients with pacemakers by means of adjusting the rate. Respiration is one of the parameters considered for rate control. The aim of our study was to determine how respiratory parameters such as ventilation, tidal volume, and respiratory rate are capable of controlling the pacemaker rate, especially when measured indirectly by means of impedance plethysmography. We examined four volunteers and eight patients with implanted cardiac pacemakers using bicycle ergometry at increasing work loads. We recorded heart rate, uptake of oxygen, and ventilation directly (by pneumotachygraphy) and indirectly (by chest wall impedance plethysmography). A good correlation of directly to indirectly measured ventilation (r = 0.8687) was found. Our study suggests that respiratory minute volume is more appropriate for rate control of physiologic pacemakers than tidal volume or respiratory rate alone. Measurement by means of impedance plethysmography is sufficiently precise to be used for this purpose. Further studies must be conducted as to the optimum realization within an implantable device.

  2. ADVANCES IN IMPEDANCE THEORY

    SciTech Connect

    Stupakov, G.; /SLAC

    2009-06-05

    We review recent progress in the following areas of the impedance theory: calculation of impedance of tapers and small angle collimators; optical approximation and parabolic equation for the high-frequency impedance; impedance due to resistive inserts in a perfectly conducting pipe.

  3. Rotor damage detection by using piezoelectric impedance

    NASA Astrophysics Data System (ADS)

    Qin, Y.; Tao, Y.; Mao, Y. F.

    2016-04-01

    Rotor is a core component of rotary machinery. Once the rotor has the damage, it may lead to a major accident. Thus the quantitative rotor damage detection method based on piezoelectric impedance is studied in this paper. With the governing equation of piezoelectric transducer (PZT) in a cylindrical coordinate, the displacement along the radius direction is derived. The charge of PZT is calculated by the electric displacement. Then, by the use of the obtained displacement and charge, an analytic piezoelectric impedance model of the rotor is built. Given the circular boundary condition of a rotor, annular elements are used as the analyzed objects and spectral element method is used to set up the damage detection model. The Electro-Mechanical (E/M) coupled impedance expression of an undamaged rotor is deduced with the application of a low-cost impedance test circuit. A Taylor expansion method is used to obtain the approximate E/M coupled impedance expression for the damaged rotor. After obtaining the difference between the undamaged and damaged rotor impedance, a rotor damage detection method is proposed. This method can directly calculate the change of bending stiffness of the structural elements, it follows that the rotor damage can be effectively detected. Finally, a preset damage configuration is used for the numerical simulation. The result shows that the quantitative damage detection algorithm based on spectral element method and piezoelectric impedance proposed in this paper can identify the location and the severity of the damaged rotor accurately.

  4. Wakefields and coupling impedances

    NASA Astrophysics Data System (ADS)

    Kurennoy, Sergey

    1995-02-01

    After a short introduction of the wake potentials and coupling impedances, a few new results in impedance calculations are discussed. The first example is a new analytical method for calculating impedances of axisymmetric structures in the low frequency range, below the cutoff frequency of the vacuum chamber. The second example demonstrates that even very small discontinuities on a smooth waveguide can result in appearance of trapped modes, with frequencies slightly below the waveguide cutoff frequency. The high-frequency (above the cutoff) behavior of the coupling impedance of many small discontinuities is discussed in the third example.

  5. Microfabricated AC impedance sensor

    DOEpatents

    Krulevitch, Peter; Ackler, Harold D.; Becker, Frederick; Boser, Bernhard E.; Eldredge, Adam B.; Fuller, Christopher K.; Gascoyne, Peter R. C.; Hamilton, Julie K.; Swierkowski, Stefan P.; Wang, Xiao-Bo

    2002-01-01

    A microfabricated instrument for detecting and identifying cells and other particles based on alternating current (AC) impedance measurements. The microfabricated AC impedance sensor includes two critical elements: 1) a microfluidic chip, preferably of glass substrates, having at least one microchannel therein and with electrodes patterned on both substrates, and 2) electrical circuits that connect to the electrodes on the microfluidic chip and detect signals associated with particles traveling down the microchannels. These circuits enable multiple AC impedance measurements of individual particles at high throughput rates with sufficient resolution to identify different particle and cell types as appropriate for environmental detection and clinical diagnostic applications.

  6. Numerical modelling errors in electrical impedance tomography.

    PubMed

    Dehghani, Hamid; Soleimani, Manuchehr

    2007-07-01

    Electrical impedance tomography (EIT) is a non-invasive technique that aims to reconstruct images of internal impedance values of a volume of interest, based on measurements taken on the external boundary. Since most reconstruction algorithms rely on model-based approximations, it is important to ensure numerical accuracy for the model being used. This work demonstrates and highlights the importance of accurate modelling in terms of model discretization (meshing) and shows that although the predicted boundary data from a forward model may be within an accepted error, the calculated internal field, which is often used for image reconstruction, may contain errors, based on the mesh quality that will result in image artefacts.

  7. Adaptive techniques in electrical impedance tomography reconstruction.

    PubMed

    Li, Taoran; Isaacson, David; Newell, Jonathan C; Saulnier, Gary J

    2014-06-01

    We present an adaptive algorithm for solving the inverse problem in electrical impedance tomography. To strike a balance between the accuracy of the reconstructed images and the computational efficiency of the forward and inverse solvers, we propose to combine an adaptive mesh refinement technique with the adaptive Kaczmarz method. The iterative algorithm adaptively generates the optimal current patterns and a locally-refined mesh given the conductivity estimate and solves for the unknown conductivity distribution with the block Kaczmarz update step. Simulation and experimental results with numerical analysis demonstrate the accuracy and the efficiency of the proposed algorithm.

  8. Wavelet analysis of the impedance cardiogram waveforms

    NASA Astrophysics Data System (ADS)

    Podtaev, S.; Stepanov, R.; Dumler, A.; Chugainov, S.; Tziberkin, K.

    2012-12-01

    Impedance cardiography has been used for diagnosing atrial and ventricular dysfunctions, valve disorders, aortic stenosis, and vascular diseases. Almost all the applications of impedance cardiography require determination of some of the characteristic points of the ICG waveform. The ICG waveform has a set of characteristic points known as A, B, E ((dZ/dt)max) X, Y, O and Z. These points are related to distinct physiological events in the cardiac cycle. Objective of this work is an approbation of a new method of processing and interpretation of the impedance cardiogram waveforms using wavelet analysis. A method of computer thoracic tetrapolar polyrheocardiography is used for hemodynamic registrations. Use of original wavelet differentiation algorithm allows combining filtration and calculation of the derivatives of rheocardiogram. The proposed approach can be used in clinical practice for early diagnostics of cardiovascular system remodelling in the course of different pathologies.

  9. Impedance modelling of pipes

    NASA Astrophysics Data System (ADS)

    Creasy, M. Austin

    2016-03-01

    Impedance models of pipes can be used to estimate resonant frequencies of standing waves and model acoustic pressure of closed and open ended pipes. Modelling a pipe with impedance methods allows additional variations to the pipe to be included in the overall model as a system. Therefore an actuator can be attached and used to drive the system and the impedance model is able to include the dynamics of the actuator. Exciting the pipe system with a chirp signal allows resonant frequencies to be measured in both the time and frequency domain. The measurements in the time domain are beneficial for introducing undergraduates to resonances without needing an understanding of fast Fourier transforms. This paper also discusses resonant frequencies in open ended pipes and how numerous texts incorrectly approximate the resonant frequencies for this specific pipe system.

  10. Superconducting active impedance converter

    DOEpatents

    Ginley, David S.; Hietala, Vincent M.; Martens, Jon S.

    1993-01-01

    A transimpedance amplifier for use with high temperature superconducting, other superconducting, and conventional semiconductor allows for appropriate signal amplification and impedance matching to processing electronics. The amplifier incorporates the superconducting flux flow transistor into a differential amplifier configuration which allows for operation over a wide temperature range, and is characterized by high gain, relatively low noise, and response times less than 200 picoseconds over at least a 10-80 K. temperature range. The invention is particularly useful when a signal derived from either far-IR focal plane detectors or from Josephson junctions is to be processed by higher signal/higher impedance electronics, such as conventional semiconductor technology.

  11. Superconducting active impedance converter

    DOEpatents

    Ginley, D.S.; Hietala, V.M.; Martens, J.S.

    1993-11-16

    A transimpedance amplifier for use with high temperature superconducting, other superconducting, and conventional semiconductors allows for appropriate signal amplification and impedance matching to processing electronics. The amplifier incorporates the superconducting flux flow transistor into a differential amplifier configuration which allows for operation over a wide temperature range, and is characterized by high gain, relatively low noise, and response times less than 200 picoseconds over at least a 10-80 K. temperature range. The invention is particularly useful when a signal derived from either far-IR focal plane detectors or from Josephson junctions is to be processed by higher signal/higher impedance electronics, such as conventional semiconductor technology. 12 figures.

  12. Adaptive mesh refinement techniques for electrical impedance tomography.

    PubMed

    Molinari, M; Cox, S J; Blott, B H; Daniell, G J

    2001-02-01

    Adaptive mesh refinement techniques can be applied to increase the efficiency of electrical impedance tomography reconstruction algorithms by reducing computational and storage cost as well as providing problem-dependent solution structures. A self-adaptive refinement algorithm based on an a posteriori error estimate has been developed and its results are shown in comparison with uniform mesh refinement for a simple head model.

  13. Validation of an Impedance Education Method in Flow

    NASA Technical Reports Server (NTRS)

    Watson, Willie R.; Jones, Michael G.; Parrott, Tony L.

    2004-01-01

    This paper reports results of a research effort to validate a method for educing the normal incidence impedance of a locally reacting liner, located in a grazing incidence, nonprogressive acoustic wave environment with flow. The results presented in this paper test the ability of the method to reproduce the measured normal incidence impedance of a solid steel plate and two soft test liners in a uniform flow. The test liners are known to be locally react- ing and exhibit no measurable amplitude-dependent impedance nonlinearities or flow effects. Baseline impedance spectra for these liners were therefore established from measurements in a conventional normal incidence impedance tube. A key feature of the method is the expansion of the unknown impedance function as a piecewise continuous polynomial with undetermined coefficients. Stewart's adaptation of the Davidon-Fletcher-Powell optimization algorithm is used to educe the normal incidence impedance at each Mach number by optimizing an objective function. The method is shown to reproduce the measured normal incidence impedance spectrum for each of the test liners, thus validating its usefulness for determining the normal incidence impedance of test liners for a broad range of source frequencies and flow Mach numbers. Nomenclature

  14. Impedances of Tevatron separators

    SciTech Connect

    K. Y. Ng

    2003-05-28

    The impedances of the Tevatron separators are revisited and are found to be negligibly small in the few hundred MHz region, except for resonances at 22.5 MHz. The later are contributions from the power cables which may drive head-tail instabilities if the bunch is long enough.

  15. Longitudinal impedance of RHIC

    SciTech Connect

    Blaskiewicz, M.; Brennan, J. M.; Mernick, K.

    2015-05-03

    The longitudinal impedance of the two RHIC rings has been measured using the effect of potential well distortion on longitudinal Schottky measurements. For the blue RHIC ring Im(Z/n) = 1.5±0.2Ω. For the yellow ring Im(Z/n) = 5.4±1Ω.

  16. Implantable Impedance Plethysmography

    PubMed Central

    Theodor, Michael; Ruh, Dominic; Ocker, Martin; Spether, Dominik; Förster, Katharina; Heilmann, Claudia; Beyersdorf, Friedhelm; Manoli, Yiannos; Zappe, Hans; Seifert, Andreas

    2014-01-01

    We demonstrate by theory, as well as by ex vivo and in vivo measurements that impedance plethysmography, applied extravascularly directly on large arteries, is a viable method for monitoring various cardiovascular parameters, such as blood pressure, with high accuracy. The sensor is designed as an implant to monitor cardiac events and arteriosclerotic progression over the long term. PMID:25123467

  17. Recycler short kicker beam impedance

    SciTech Connect

    Crisp, Jim; Fellenz, Brian; /Fermilab

    2009-07-01

    Measured longitudinal and calculated transverse beam impedance is presented for the short kicker magnets being installed in the Fermilab Recycler. Fermi drawing number ME-457159. The longitudinal impedance was measured with a stretched wire and the Panofsky equation was used to estimate the transverse impedance. The impedance of 3319 meters (the Recycler circumference) of stainless vacuum pipe is provided for comparison. Although measurements where done to 3GHz, impedance was negligible above 30MHz. The beam power lost to the kicker impedance is shown for a range of bunch lengths. The measurements are for one kicker assuming a rotation frequency of 90KHz. Seven of these kickers are being installed.

  18. Monitor unit calculations for breast or chest wall treatments.

    PubMed

    Cheng, P C; Ames, T; Howard-Ames, T; Kohut, H; Heleba, V; Krishnamoorthy, J

    1989-01-01

    Tangential breast fields always "flash" beyond the surface of the patient. Since the portion of the beam that is in air does not contribute scatter, external beam treatment planning computers that utilize stored beam data can lead to dose errors of up to 10%. These errors can be reduced by using an irregular field calculation program to adjust the monitor units to account for the loss of scatter.

  19. Impedance calculation for ferrite inserts

    SciTech Connect

    Breitzmann, S.C.; Lee, S.Y.; Ng, K.Y.; /Fermilab

    2005-01-01

    Passive ferrite inserts were used to compensate the space charge impedance in high intensity space charge dominated accelerators. They study the narrowband longitudinal impedance of these ferrite inserts. they find that the shunt impedance and the quality factor for ferrite inserts are inversely proportional to the imaginary part of the permeability of ferrite materials. They also provide a recipe for attaining a truly passive space charge impedance compensation and avoiding narrowband microwave instabilities.

  20. Acoustic ground impedance meter

    NASA Technical Reports Server (NTRS)

    Zuckerwar, A. J. (Inventor)

    1984-01-01

    A method and apparatus are presented for measuring the acoustic impedance of a surface in which the surface is used to enclose one end of the chamber of a Helmholz resonator. Acoustic waves are generated in the neck of the resonator by a piston driven by a variable speed motor through a cam assembly. The acoustic waves are measured in the chamber and the frequency of the generated acoustic waves is measured by an optical device. These measurements are used to compute the compliance and conductance of the chamber and surface combined. The same procedure is followed with a calibration plate having infinite acoustic impedance enclosing the chamber of the resonator to compute the compliance and conductance of the chamber alone. Then by subtracting, the compliance and conductance for the surface is obtained.

  1. Superconducting active impedance converter

    SciTech Connect

    Ginley, D.S.; Hietala, V.M.; Martens, J.S.

    1992-12-31

    This invention is comprised of a transimpedance amplifier for use with high temperature superconducting, other superconducting, and conventional semiconductor allows for appropriate signal amplification and impedance matching to processing electronics. The amplifier incorporates the superconducting flux flow transistor into a differential amplifier configuration which allows for operation over a wide temperature range, and is characterized by high gain, relatively low noise, and response times less than 200 picoseconds over at least a 10--80 K temperature range. The invention is particularly useful when a signal derived from either far-IR focal plane detectors or from Josephson junctions is to be processed by higher signal/higher impedance electronics, such as conventional semiconductor technology.

  2. Impedance Measurement Box

    ScienceCinema

    Christophersen, Jon

    2016-07-12

    Energy storage devices, primarily batteries, are now more important to consumers, industries and the military. With increasing technical complexity and higher user expectations, there is also a demand for highly accurate state-of-health battery assessment techniques. IMB incorporates patented, proprietary, and tested capabilities using control software and hardware that can be part of an embedded monitoring system. IMB directly measures the wideband impedance spectrum in seconds during battery operation with no significant impact on service life. It also can be applied to batteries prior to installation, confirming health before entering active service, as well as during regular maintenance. For more information about this project, visit http://www.inl.gov/rd100/2011/impedance-measurement-box/

  3. Impedance Measurement Box

    SciTech Connect

    Christophersen, Jon

    2011-01-01

    Energy storage devices, primarily batteries, are now more important to consumers, industries and the military. With increasing technical complexity and higher user expectations, there is also a demand for highly accurate state-of-health battery assessment techniques. IMB incorporates patented, proprietary, and tested capabilities using control software and hardware that can be part of an embedded monitoring system. IMB directly measures the wideband impedance spectrum in seconds during battery operation with no significant impact on service life. It also can be applied to batteries prior to installation, confirming health before entering active service, as well as during regular maintenance. For more information about this project, visit http://www.inl.gov/rd100/2011/impedance-measurement-box/

  4. Impedance Measurement Box

    SciTech Connect

    Morrison, William

    2014-11-20

    The IMB 50V software provides functionality for design of impedance measurement tests or sequences of tests, execution of these tests or sequences, processing measured responses and displaying and saving of the results. The software consists of a Graphical User Interface that allows configuration of measurement parameters and test sequencing, a core engine that controls test sequencing, execution of measurements, processing and storage of results and a hardware/software data acquisition interface with the IMB hardware system.

  5. Gynecologic electrical impedance tomograph

    NASA Astrophysics Data System (ADS)

    Korjenevsky, A.; Cherepenin, V.; Trokhanova, O.; Tuykin, T.

    2010-04-01

    Electrical impedance tomography extends to the new and new areas of the medical diagnostics: lungs, breast, prostate, etc. The feedback from the doctors who use our breast EIT diagnostic system has induced us to develop the 3D electrical impedance imaging device for diagnostics of the cervix of the uterus - gynecologic impedance tomograph (GIT). The device uses the same measuring approach as the breast imaging system: 2D flat array of the electrodes arranged on the probe with handle is placed against the body. Each of the 32 electrodes of the array is connected in turn to the current source while the rest electrodes acquire the potentials on the surface. The current flows through the electrode of the array and returns through the remote electrode placed on the patient's limb. The voltages are measured relative to another remote electrode. The 3D backprojection along equipotential surfaces is used to reconstruct conductivity distribution up to approximately 1 cm in depth. Small number of electrodes enables us to implement real time imaging with a few frames per sec. rate. The device is under initial testing and evaluation of the imaging capabilities and suitability of usage.

  6. Acoustic ground impedance meter

    NASA Technical Reports Server (NTRS)

    Zuckerwar, A. J.

    1981-01-01

    A compact, portable instrument was developed to measure the acoustic impedance of the ground, or other surfaces, by direct pressure-volume velocity measurement. A Helmholz resonator, constructed of heavy-walled stainless steel but open at the bottom, is positioned over the surface having the unknown impedance. The sound source, a cam-driven piston of known stroke and thus known volume velocity, is located in the neck of the resonator. The cam speed is a variable up to a maximum 3600 rpm. The sound pressure at the test surface is measured by means of a microphone flush-mounted in the wall of the chamber. An optical monitor of the piston displacement permits measurement of the phase angle between the volume velocity and the sound pressure, from which the real and imaginary parts of the impedance can be evaluated. Measurements using a 5-lobed cam can be made up to 300 Hz. Detailed design criteria and results on a soil sample are presented.

  7. Impedance group summary

    NASA Astrophysics Data System (ADS)

    Blaskiewicz, M.; Dooling, J.; Dyachkov, M.; Fedotov, A.; Gluckstern, R.; Hahn, H.; Huang, H.; Kurennoy, S.; Linnecar, T.; Shaposhnikova, E.; Stupakov, G.; Toyama, T.; Wang, J. G.; Weng, W. T.; Zhang, S. Y.; Zotter, B.

    1999-12-01

    The impedance working group was charged to reply to the following 8 questions relevant to the design of high-intensity proton machines such as the SNS or the FNAL driver. These questions were first discussed one by one in the whole group, then each ne of them assigned to one member to summarize. On the lst morning these contributions were publicly read, re-discussed and re-written where required—hence they are not the opinion of a particular person, but rather the averaged opinion of all members of the working group. (AIP)

  8. Quantitative rotor damage detection based on piezoelectric impedance

    NASA Astrophysics Data System (ADS)

    Qin, Yi; Tao, Yi; Mao, Yongfang; Tang, Baoping

    2015-12-01

    To realize the quantitative damage detection of a rotor, firstly an impedance analytic model is built. Then the change of bending stiffness is introduced as the damage index. Given the circular boundary condition of a rotor, annular elements are used as the analyzed objects and spectral element method is used. The electro-mechanical (E/M) coupled impedance expression of an undamaged rotor is derived with the application of a low-cost impedance test circuit. A Taylor expansion method is used to obtain the approximate E/M coupled impedance expression for the damaged rotor. After obtaining the difference between the undamaged and damaged rotor impedance, a rotor damage detection algorithm is proposed. In this paper, a preset damage configuration is used for the numerical simulation and experiment validation. The detection results have shown that the quantitative damage detection algorithm based on spectral element method and piezoelectric impedance proposed in this paper can identify the location and the severity of the damaged rotor accurately.

  9. Ionospheric effects to antenna impedance

    NASA Technical Reports Server (NTRS)

    Bethke, K. H.

    1986-01-01

    The reciprocity between high power satellite antennas and the surrounding plasma are examined. The relevant plasma states for antenna impedance calculations are presented and plasma models, and hydrodynamic and kinetic theory, are discussed. A theory from which a variation in antenna impedance with regard to the radiated power can be calculated for a frequency range well above the plasma resonance frequency is give. The theory can include photo and secondary emission effects in antenna impedance calculations.

  10. A quantitative skin impedance test to diagnose spinal cord injury

    PubMed Central

    Ugur, Mukden; Arslan, Yunus Ziya; Palamar, Deniz

    2009-01-01

    The purpose of this study was to develop a quantitative skin impedance test that could be used to diagnose spinal cord injury (SCI) if any, especially in unconscious and/or non-cooperative SCI patients. To achieve this goal, initially skin impedance of the sensory key points of the dermatomes (between C3 and S1 bilaterally) was measured in 15 traumatic SCI patients (13 paraplegics and 2 tetraplegics) and 15 control subjects. In order to classify impedance values and to observe whether there would be a significant difference between patient and subject impedances, an artificial neural network (ANN) with back-propagation algorithm was employed. Validation results of the ANN showed promising performance. It could classify traumatic SCI patients with a success rate of 73%. By assessing the experimental protocols and the validation results, the proposed method seemed to be a simple, objective, quantitative, non-invasive and non-expensive way of assessing SCI in such patients. PMID:19301045

  11. Optically stimulated differential impedance spectroscopy

    DOEpatents

    Maxey, Lonnie C; Parks, II, James E; Lewis, Sr., Samuel A; Partridge, Jr., William P

    2014-02-18

    Methods and apparatuses for evaluating a material are described. Embodiments typically involve use of an impedance measurement sensor to measure the impedance of a sample of the material under at least two different states of illumination. The states of illumination may include (a) substantially no optical stimulation, (b) substantial optical stimulation, (c) optical stimulation at a first wavelength of light, (d) optical stimulation at a second wavelength of light, (e) a first level of light intensity, and (f) a second level of light intensity. Typically a difference in impedance between the impedance of the sample at the two states of illumination is measured to determine a characteristic of the material.

  12. IMPEDANCE OF FINITE LENGTH RESISTOR

    SciTech Connect

    KRINSKY, S.; PODOBEDOV, B.; GLUCKSTERN, R.L.

    2005-05-15

    We determine the impedance of a cylindrical metal tube (resistor) of radius a, length g, and conductivity {sigma}, attached at each end to perfect conductors of semi-infinite length. Our main interest is in the asymptotic behavior of the impedance at high frequency, k >> 1/a. In the equilibrium regime, , the impedance per unit length is accurately described by the well-known result for an infinite length tube with conductivity {sigma}. In the transient regime, ka{sup 2} >> g, we derive analytic expressions for the impedance and wakefield.

  13. Some boundary problems in electrical impedance tomography.

    PubMed

    Pidcock, M; Ciulli, S; Ispas, S

    1996-11-01

    Accurate mathematical modelling is important in the development of iterative image reconstruction algorithms for electrical impedance tomography (EIT). In such schemes the forward problem of calculating the electric potential from Neumann boundary data is solved many times. One aspect of this problem which has received some attention is the mathematical modelling of the electrodes used in the technique. In this paper we describe an integral equation formulation of a boundary value problem associated with this tissue and we indicate some of the ways in which this formulation can be used to obtain numerical and analytic results.

  14. Monolithically compatible impedance measurement

    DOEpatents

    Ericson, Milton Nance; Holcomb, David Eugene

    2002-01-01

    A monolithic sensor includes a reference channel and at least one sensing channel. Each sensing channel has an oscillator and a counter driven by the oscillator. The reference channel and the at least one sensing channel being formed integrally with a substrate and intimately nested with one another on the substrate. Thus, the oscillator and the counter have matched component values and temperature coefficients. A frequency determining component of the sensing oscillator is formed integrally with the substrate and has an impedance parameter which varies with an environmental parameter to be measured by the sensor. A gating control is responsive to an output signal generated by the reference channel, for terminating counting in the at least one sensing channel at an output count, whereby the output count is indicative of the environmental parameter, and successive ones of the output counts are indicative of changes in the environmental parameter.

  15. Impedance in School Screening Programs.

    ERIC Educational Resources Information Center

    Robarts, John T.

    1985-01-01

    This paper examines the controversy over use of impedance screening in public schools to identify students with hearing problems, including otitis media, a common ear condition in infants and young children. It cites research that questions the value of pure tone screening as a single test and raises critics' objections to the use of impedance,…

  16. Ultra-wideband impedance sensor

    DOEpatents

    McEwan, T.E.

    1999-03-16

    The ultra-wideband impedance sensor (UWBZ sensor, or Z-sensor) is implemented in differential and single-ended configurations. The differential UWBZ sensor employs a sub-nanosecond impulse to determine the balance of an impedance bridge. The bridge is configured as a differential sample-and-hold circuit that has a reference impedance side and an unknown impedance side. The unknown impedance side includes a short transmission line whose impedance is a function of the near proximity of objects. The single-ended UWBZ sensor eliminates the reference side of the bridge and is formed of a sample and hold circuit having a transmission line whose impedance is a function of the near proximity of objects. The sensing range of the transmission line is bounded by the two-way travel time of the impulse, thereby eliminating spurious Doppler modes from large distant objects that would occur in a microwave CW impedance bridge. Thus, the UWBZ sensor is a range-gated proximity sensor. The Z-sensor senses the near proximity of various materials such as metal, plastic, wood, petroleum products, and living tissue. It is much like a capacitance sensor, yet it is impervious to moisture. One broad application area is the general replacement of magnetic sensors, particularly where nonferrous materials need to be sensed. Another broad application area is sensing full/empty levels in tanks, vats and silos, e.g., a full/empty switch in water or petroleum tanks. 2 figs.

  17. Ultra-wideband impedance sensor

    DOEpatents

    McEwan, Thomas E.

    1999-01-01

    The ultra-wideband impedance sensor (UWBZ sensor, or Z-sensor) is implemented in differential and single-ended configurations. The differential UWBZ sensor employs a sub-nanosecond impulse to determine the balance of an impedance bridge. The bridge is configured as a differential sample-and-hold circuit that has a reference impedance side and an unknown impedance side. The unknown impedance side includes a short transmission line whose impedance is a function of the near proximity of objects. The single-ended UWBZ sensor eliminates the reference side of the bridge and is formed of a sample and hold circuit having a transmission line whose impedance is a function of the near proximity of objects. The sensing range of the transmission line is bounded by the two-way travel time of the impulse, thereby eliminating spurious Doppler modes from large distant objects that would occur in a microwave CW impedance bridge. Thus, the UWBZ sensor is a range-gated proximity sensor. The Z-sensor senses the near proximity of various materials such as metal, plastic, wood, petroleum products, and living tissue. It is much like a capacitance sensor, yet it is impervious to moisture. One broad application area is the general replacement of magnetic sensors, particularly where nonferrous materials need to be sensed. Another broad application area is sensing full/empty levels in tanks, vats and silos, e.g., a full/empty switch in water or petroleum tanks.

  18. Impedance-estimation methods, modeling methods, articles of manufacture, impedance-modeling devices, and estimated-impedance monitoring systems

    DOEpatents

    Richardson, John G.

    2009-11-17

    An impedance estimation method includes measuring three or more impedances of an object having a periphery using three or more probes coupled to the periphery. The three or more impedance measurements are made at a first frequency. Three or more additional impedance measurements of the object are made using the three or more probes. The three or more additional impedance measurements are made at a second frequency different from the first frequency. An impedance of the object at a point within the periphery is estimated based on the impedance measurements and the additional impedance measurements.

  19. I/O impedance controller

    DOEpatents

    Ruesch, Rodney; Jenkins, Philip N.; Ma, Nan

    2004-03-09

    There is disclosed apparatus and apparatus for impedance control to provide for controlling the impedance of a communication circuit using an all-digital impedance control circuit wherein one or more control bits are used to tune the output impedance. In one example embodiment, the impedance control circuit is fabricated using circuit components found in a standard macro library of a computer aided design system. According to another example embodiment, there is provided a control for an output driver on an integrated circuit ("IC") device to provide for forming a resistor divider network with the output driver and a resistor off the IC device so that the divider network produces an output voltage, comparing the output voltage of the divider network with a reference voltage, and adjusting the output impedance of the output driver to attempt to match the output voltage of the divider network and the reference voltage. Also disclosed is over-sampling the divider network voltage, storing the results of the over sampling, repeating the over-sampling and storing, averaging the results of multiple over sampling operations, controlling the impedance with a plurality of bits forming a word, and updating the value of the word by only one least significant bit at a time.

  20. Input impedance of microstrip antennas

    NASA Technical Reports Server (NTRS)

    Deshpande, M. D.; Bailey, M. C.

    1982-01-01

    Using Richmond's reaction integral equation, an expression is derived for the input impedance of microstrip patch antennas excited by either a microstrip line or a coaxial probe. The effects of the finite substrate thickness, a dielectric protective cover, and associated surface waves are properly included by the use of the exact dyadic Green's function. Using the present formulation the input impedance of a rectangular microstrip antenna is determined and compared with experimental and earlier calculated results.

  1. Bayesian identification of acoustic impedance in treated ducts.

    PubMed

    Buot de l'Épine, Y; Chazot, J-D; Ville, J-M

    2015-07-01

    The noise reduction of a liner placed in the nacelle of a turbofan engine is still difficult to predict due to the lack of knowledge of its acoustic impedance that depends on grazing flow profile, mode order, and sound pressure level. An eduction method, based on a Bayesian approach, is presented here to adjust an impedance model of the liner from sound pressures measured in a rectangular treated duct under multimodal propagation and flow. The cost function is regularized with prior information provided by Guess's [J. Sound Vib. 40, 119-137 (1975)] impedance of a perforated plate. The multi-parameter optimization is achieved with an Evolutionary-Markov-Chain-Monte-Carlo algorithm. PMID:26233052

  2. Impedance matching for broadband piezoelectric energy harvesting

    NASA Astrophysics Data System (ADS)

    Hagedorn, F.; Leicht, J.; Sanchez, D.; Hehn, T.; Manoli, Y.

    2013-12-01

    This paper presents a system design for broadband piezoelectric energy harvesting by means of impedance matching. An inductive load impedance is emulated by controlling the output current of the piezoelectric harvester with a bipolar boost converter. The reference current is derived from the low pass filtered voltage measured at the harvester terminals. In order to maximize the harvested power especially for nonresonant frequencies the filter parameters are adjusted by a simple optimization algorithm. However the amount of harvested power is limited by the efficiency of the bipolar boost converter. Therefore an additional switch in the bipolar boost converter is proposed to reduce the capacitive switching losses. The proposed system is simulated using numerical parameters of available discrete components. Using the additional switch, the harvested power is increased by 20%. The proposed system constantly harvests 80% of the theoretically available power over frequency. The usable frequency range of ±4Hz around the resonance frequency of the piezoelectric harvester is mainly limited due to the boost converter topology. This comparison does not include the power dissipation of the control circuit.

  3. Arts of electrical impedance tomographic sensing

    PubMed Central

    Wang, Mi; Wang, Qiang; Karki, Bishal

    2016-01-01

    This paper reviews governing theorems in electrical impedance sensing for analysing the relationships of boundary voltages obtained from different sensing strategies. It reports that both the boundary voltage values and the associated sensitivity matrix of an alternative sensing strategy can be derived from a set of full independent measurements and sensitivity matrix obtained from other sensing strategy. A new sensing method for regional imaging with limited measurements is reported. It also proves that the sensitivity coefficient back-projection algorithm does not always work for all sensing strategies, unless the diagonal elements of the transformed matrix, ATA, have significant values and can be approximate to a diagonal matrix. Imaging capabilities of few sensing strategies were verified with static set-ups, which suggest the adjacent electrode pair sensing strategy displays better performance compared with the diametrically opposite protocol, with both the back-projection and multi-step image reconstruction methods. An application of electrical impedance tomography for sensing gas in water two-phase flows is demonstrated. This article is part of the themed issue ‘Supersensing through industrial process tomography’. PMID:27185968

  4. Report of the SSC impedance workshop

    SciTech Connect

    1985-10-28

    This workshop focused attention on the transverse, single-bunch instability and the detailed analysis of the broadband impedance which would drive it. Issues discussed included: (1) single bunch stability -- impact of impedance frequency shape, coupled-mode vs. fast blowup regimes, possible stopband structure; (2) numerical estimates of transverse impedance of inner bellows and sliding contact shielded bellows; (3) analytic estimates of pickup and kicker impedance contributions; and (4) feasibility studies of wire and beam measurements of component impedance.

  5. Impedance spectra classification for determining the state of charge on a lithium iron phosphate cell using a support vector machine

    NASA Astrophysics Data System (ADS)

    Jansen, P.; Vergossen, D.; Renner, D.; John, W.; Götze, J.

    2015-11-01

    An alternative method for determining the state of charge (SOC) on lithium iron phosphate cells by impedance spectra classification is given. Methods based on the electric equivalent circuit diagram (ECD), such as the Kalman Filter, the extended Kalman Filter and the state space observer, for instance, have reached their limits for this cell chemistry. The new method resigns on the open circuit voltage curve and the parameters for the electric ECD. Impedance spectra classification is implemented by a Support Vector Machine (SVM). The classes for the SVM-algorithm are represented by all the impedance spectra that correspond to the SOC (the SOC classes) for defined temperature and aging states. A divide and conquer based search algorithm on a binary search tree makes it possible to grade measured impedances using the SVM method. Statistical analysis is used to verify the concept by grading every single impedance from each impedance spectrum corresponding to the SOC by class with different magnitudes of charged error.

  6. Intracardiac impedance response during acute AF internal cardioversion using novel rectilinear and capacitor-discharge waveforms.

    PubMed

    Rababah, A S; Walsh, S J; Manoharan, G; Walsh, P R; Escalona, O J

    2016-07-01

    Intracardiac impedance (ICI) is a major determinant of success during internal cardioversion of atrial fibrillation (AF). However, there have been few studies that have examined the dynamic behaviour of atrial impedance during internal cardioversion in relation to clinical outcome. In this study, voltage and current waveforms captured during internal cardioversion of acute AF in ovine models using novel radiofrequency (RF) generated low-tilt rectilinear and conventional capacitor-discharge based shock waveforms were retrospectively analysed using a digital signal processing algorithm to investigate the dynamic behaviour of atrial impedance during cardioversion. The algorithm was specifically designed to facilitate the simultaneous analysis of multiple impedance parameters, including: mean intracardiac impedance (Z M), intracardiac impedance variance (ICIV) and impedance amplitude spectrum area (IAMSA) for each cardioversion event. A significant reduction in ICI was observed when comparing two successive shocks of increasing energy where cardioversion outcome was successful. In addition, ICIV and IAMSA variables were found to inversely correlate to the magnitude of energy delivered; with a stronger correlation found to the former parameter. In conclusion, ICIV and IAMSA have been evidenced as two key dynamic intracardiac impedance variables that may prove useful in better understanding of the cardioversion process and that could potentially act as prognostic markers with respect to clinical outcome. PMID:27328164

  7. Impedances of Laminated Vacuum Chambers

    SciTech Connect

    Burov, A.; Lebedev, V.; /Fermilab

    2011-06-22

    First publications on impedance of laminated vacuum chambers are related to early 70s: those are of S. C. Snowdon [1] and of A. G. Ruggiero [2]; fifteen years later, a revision paper of R. Gluckstern appeared [3]. All the publications were presented as Fermilab preprints, and there is no surprise in that: the Fermilab Booster has its laminated magnets open to the beam. Being in a reasonable mutual agreement, these publications were all devoted to the longitudinal impedance of round vacuum chambers. The transverse impedance and the flat geometry case were addressed in more recent paper of K. Y. Ng [4]. The latest calculations of A. Macridin et al. [5] revealed some disagreement with Ref. [4]; this fact stimulated us to get our own results on that matter. Longitudinal and transverse impendances are derived for round and flat laminated vacuum chambers. Results of this paper agree with Ref. [5].

  8. Algorithms and Algorithmic Languages.

    ERIC Educational Resources Information Center

    Veselov, V. M.; Koprov, V. M.

    This paper is intended as an introduction to a number of problems connected with the description of algorithms and algorithmic languages, particularly the syntaxes and semantics of algorithmic languages. The terms "letter, word, alphabet" are defined and described. The concept of the algorithm is defined and the relation between the algorithm and…

  9. Respiratory rate detection algorithm based on RGB-D camera: theoretical background and experimental results

    PubMed Central

    Freddi, Alessandro; Monteriù, Andrea; Longhi, Sauro

    2014-01-01

    Both the theoretical background and the experimental results of an algorithm developed to perform human respiratory rate measurements without any physical contact are presented. Based on depth image sensing techniques, the respiratory rate is derived by measuring morphological changes of the chest wall. The algorithm identifies the human chest, computes its distance from the camera and compares this value with the instantaneous distance, discerning if it is due to the respiratory act or due to a limited movement of the person being monitored. To experimentally validate the proposed algorithm, the respiratory rate measurements coming from a spirometer were taken as a benchmark and compared with those estimated by the algorithm. Five tests were performed, with five different persons sat in front of the camera. The first test aimed to choose the suitable sampling frequency. The second test was conducted to compare the performances of the proposed system with respect to the gold standard in ideal conditions of light, orientation and clothing. The third, fourth and fifth tests evaluated the algorithm performances under different operating conditions. The experimental results showed that the system can correctly measure the respiratory rate, and it is a viable alternative to monitor the respiratory activity of a person without using invasive sensors. PMID:26609383

  10. Detection of high impedance arcing faults using a multi-layer perceptron

    SciTech Connect

    Sultan, F.F.; Swift, G.W. ); Fedirchuk, D.J. )

    1992-10-01

    A feed-forward three-layer perceptron was trained by high impedance fault, fault-like load, and normal load current patterns, using the back-propagation training algorithm. This paper reports that the neural network parameters were embodied in a high impedance arcing faults detection algorithm, which uses a simple preprocessing technique to prepare the information input to the network. The algorithm was tested by traces of normal load current disturbed by currents of faults on dry and wet soil, an arc welder, computers, and fluorescent lights.

  11. Impedance of the amphibian lens.

    PubMed

    Duncan, G; Patmore, L; Pynsent, P B

    1981-03-01

    1. The electrical resistance of the perfused frog lens was measured using separate internal current passing and voltage measuring electrodes. 2. The resistance values obtained using voltage clamp and direct and alternating current techniques were in good agreement. 3. The voltage transients induced in response to current steps were multi-exponential in form. Increasing the external K concentration reduced both the amplitude of the voltage response and the rise time. 4. The impedance characteristics were investigated in more detail using alternating current analysis techniques. 5. In an equivalent-circuit modelling study it was assumed that there were two major pathways for current flow in the lens. The first through the surface membranes and the second through the inner fibre membranes via the narrow extracellular spaces. 6. The experimental impedance loci could not be adequately fitted by a simple two time constant model and a third time constant was introduced which may represent diffusion polarization effects in the extracellular spaces. 7. The three time constant model gave good and consistent fits to impedance data from a number of preparations. 8. The form of the impedance loci was also dependent on the external K concentration, but the only fitted parameter which changed consistently with external K was the surface membrane resistance (Rs).

  12. Characteristic impedance of microstrip lines

    NASA Technical Reports Server (NTRS)

    Bailey, M. C.; Deshpande, M. D.

    1989-01-01

    The dyadic Green's function for a current embedded in a grounded dielectric slab is used to analyze microstrip lines at millimeter wave frequencies. The dyadic Green's function accounts accurately for fringing fields and dielectric cover over the microstrip line. Using Rumsey's reaction concept, an expression for the characteristic impedance is obtained. The numerical results are compared with other reported results.

  13. Impedance of the amphibian lens.

    PubMed Central

    Duncan, G; Patmore, L; Pynsent, P B

    1981-01-01

    1. The electrical resistance of the perfused frog lens was measured using separate internal current passing and voltage measuring electrodes. 2. The resistance values obtained using voltage clamp and direct and alternating current techniques were in good agreement. 3. The voltage transients induced in response to current steps were multi-exponential in form. Increasing the external K concentration reduced both the amplitude of the voltage response and the rise time. 4. The impedance characteristics were investigated in more detail using alternating current analysis techniques. 5. In an equivalent-circuit modelling study it was assumed that there were two major pathways for current flow in the lens. The first through the surface membranes and the second through the inner fibre membranes via the narrow extracellular spaces. 6. The experimental impedance loci could not be adequately fitted by a simple two time constant model and a third time constant was introduced which may represent diffusion polarization effects in the extracellular spaces. 7. The three time constant model gave good and consistent fits to impedance data from a number of preparations. 8. The form of the impedance loci was also dependent on the external K concentration, but the only fitted parameter which changed consistently with external K was the surface membrane resistance (Rs). PMID:6973626

  14. Calibration of electrical impedance tomography

    SciTech Connect

    Daily, W; Ramirez, A

    2000-05-01

    Over the past 10 years we have developed methods for imaging the electrical resistivity of soil and rock formations. These technologies have been called electrical resistance tomography of ERT (e.g. Daily and Owen, 1991). Recently we have been striving to extend this capability to include images of electric impedance--with a new nomenclature of electrical impedance tomography or EIT (Ramirez et al., 1999). Electrical impedance is simply a generalization of resistance. Whereas resistance is the zero frequency ratio of voltage and current, impedance includes both the magnitude and phase relationship between voltage and current at frequency. This phase and its frequency behavior is closely related to what in geophysics is called induced polarization or (Sumner, 1976). Why is this phase or IP important? IP is known to be related to many physical phenomena of importance so that image of IP will be maps of such things as mineralization and cation exchange IP (Marshall and Madden, 1959). Also, it is likely that IP, used in conjunction with resistivity, will yield information about the subsurface that can not be obtained by either piece of information separately. In order to define the accuracy of our technologies to image impedance we have constructed a physical model of known impedance that can be used as a calibration standard. It consists of 616 resistors, along with some capacitors to provide the reactive response, arranged in a three dimensional structure as in figure 1. Figure 2 shows the construction of the network and defines the coordinate system used to describe it. This network of components is a bounded and discrete version of the unbounded and continuous medium with which we normally work (the subsurface). The network has several desirable qualities: (1) The impedance values are known (to the accuracy of the component values). (2) The component values and their 3D distribution is easily controlled. (3) Error associated with electrode noise is eliminated. (4

  15. Development of an electrical impedance tomography system for an air-water vertical bubble column

    SciTech Connect

    O`Hern, T.J.; Torczynski, J.R.; Ceccio, S.L.; Tassin, A.L.; Chahine, G.L.; Duraiswami, R.; Sarkar, K.

    1995-09-01

    Because the components of a multiphase flow often exhibit different electrical properties, a variety of probes have been developed to study such flows by measuring impedance in the region of interest. Researchers are now using electric fields to reconstruct the impedance distribution within a measurement volume via Electrical Impedance Tomography (EIT). EIT systems employ voltage and current measurements on the boundary of a domain to create a representation of the impedance distribution within the domain. The development of the Sandia EIT system (S-EIT) is reviewed The construction of the projection acquisition system is discussed and two specific EIT inversion algorithms are detailed. The first reconstruction algorithm employs boundary element methods, and the second utilizes finite elements. The benefits and limitations of EIT systems are also discussed. Preliminary results are provided.

  16. Journal and Wave Bearing Impedance Calculation Software

    NASA Technical Reports Server (NTRS)

    Hanford, Amanda; Campbell, Robert

    2012-01-01

    The wave bearing software suite is a MALTA application that computes bearing properties for user-specified wave bearing conditions, as well as plain journal bearings. Wave bearings are fluid film journal bearings with multi-lobed wave patterns around the circumference of the bearing surface. In this software suite, the dynamic coefficients are outputted in a way for easy implementation in a finite element model used in rotor dynamics analysis. The software has a graphical user interface (GUI) for inputting bearing geometry parameters, and uses MATLAB s structure interface for ease of interpreting data. This innovation was developed to provide the stiffness and damping components of wave bearing impedances. The computational method for computing bearing coefficients was originally designed for plain journal bearings and tilting pad bearings. Modifications to include a wave bearing profile consisted of changing the film thickness profile given by an equation, and writing an algorithm to locate the integration limits for each fluid region. Careful consideration was needed to implement the correct integration limits while computing the dynamic coefficients, depending on the form of the input/output variables specified in the algorithm.

  17. Instrumental noise estimates stabilize and quantify endothelial cell micro-impedance barrier function parameter estimates

    SciTech Connect

    English, Anthony E; Moy, Alan B; Kruse, Kara L; Ward, Richard C; Kirkpatrick, Stacy S; GoldmanM.D., Mitchell H

    2009-04-01

    A novel transcellular micro-impedance biosensor, referred to as the electric cell-substrate impedance sensor or ECIS, has become increasingly applied to the study and quantification of endothelial cell physiology. In principle, frequency dependent impedance measurements obtained from this sensor can be used to estimate the cell cell and cell matrix impedance components of endothelial cell barrier function based on simple geometric models. Few studies, however, have examined the numerical optimization of these barrier function parameters and established their error bounds. This study, therefore, illustrates the implementation of a multi-response Levenberg Marquardt algorithm that includes instrumental noise estimates and applies it to frequency dependent porcine pulmonary artery endothelial cell impedance measurements. The stability of cell cell, cell matrix and membrane impedance parameter estimates based on this approach is carefully examined, and several forms of parameter instability and refinement illustrated. Including frequency dependent noise variance estimates in the numerical optimization reduced the parameter value dependence on the frequency range of measured impedances. The increased stability provided by a multi-response non-linear fit over one-dimensional algorithms indicated that both real and imaginary data should be used in the parameter optimization. Error estimates based on single fits and Monte Carlo simulations showed that the model barrier parameters were often highly correlated with each other. Independently resolving the different parameters can, therefore, present a challenge to the experimentalist and demand the use of non-linear multivariate statistical methods when comparing different sets of parameters.

  18. The quantum Hall impedance standard

    NASA Astrophysics Data System (ADS)

    Schurr, J.; Kučera, J.; Pierz, K.; Kibble, B. P.

    2011-02-01

    Alternating current measurements of double-shielded quantum Hall devices have revealed a fascinating property of which only a quantum effect is capable: it can detect its own frequency dependence and convert it to a current dependence which can be used to eliminate both of them. According to an experimentally verified model, the residual frequency dependence is smaller than the measuring uncertainty of 1.3 × 10-9 kHz-1. In this way, a highly precise quantum standard of impedance can be established, without having to correct for any calculated frequency dependence and without the need for any artefact with a calculated frequency dependence. Nothing else like that is known to us and we hope that our results encourage other national metrology institutes to also apply it to impedance metrology and further explore its beautiful properties.

  19. 21 CFR 870.2750 - Impedance phlebograph.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Impedance phlebograph. 870.2750 Section 870.2750...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2750 Impedance phlebograph. (a) Identification. An impedance phlebograph is a device used to provide a visual display of...

  20. 21 CFR 870.2750 - Impedance phlebograph.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Impedance phlebograph. 870.2750 Section 870.2750...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2750 Impedance phlebograph. (a) Identification. An impedance phlebograph is a device used to provide a visual display of...

  1. 21 CFR 870.2770 - Impedance plethysmograph.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Impedance plethysmograph. 870.2770 Section 870...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2770 Impedance plethysmograph. (a) Identification. An impedance plethysmograph is a device used to estimate peripheral...

  2. 21 CFR 870.2770 - Impedance plethysmograph.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Impedance plethysmograph. 870.2770 Section 870...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2770 Impedance plethysmograph. (a) Identification. An impedance plethysmograph is a device used to estimate peripheral...

  3. 21 CFR 870.2750 - Impedance phlebograph.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Impedance phlebograph. 870.2750 Section 870.2750...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2750 Impedance phlebograph. (a) Identification. An impedance phlebograph is a device used to provide a visual display of...

  4. 21 CFR 870.2750 - Impedance phlebograph.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Impedance phlebograph. 870.2750 Section 870.2750...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2750 Impedance phlebograph. (a) Identification. An impedance phlebograph is a device used to provide a visual display of...

  5. 21 CFR 870.2770 - Impedance plethysmograph.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Impedance plethysmograph. 870.2770 Section 870...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2770 Impedance plethysmograph. (a) Identification. An impedance plethysmograph is a device used to estimate peripheral...

  6. 21 CFR 870.2770 - Impedance plethysmograph.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Impedance plethysmograph. 870.2770 Section 870...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2770 Impedance plethysmograph. (a) Identification. An impedance plethysmograph is a device used to estimate peripheral...

  7. Impedance analysis of acupuncture points and pathways

    NASA Astrophysics Data System (ADS)

    Teplan, Michal; Kukučka, Marek; Ondrejkovičová, Alena

    2011-12-01

    Investigation of impedance characteristics of acupuncture points from acoustic to radio frequency range is addressed. Discernment and localization of acupuncture points in initial single subject study was unsuccessfully attempted by impedance map technique. Vector impedance analyses determined possible resonant zones in MHz region.

  8. Transition metal oxide as anode interface buffer for impedance spectroscopy

    NASA Astrophysics Data System (ADS)

    Xu, Hui; Tang, Chao; Wang, Xu-Liang; Zhai, Wen-Juan; Liu, Rui-Lan; Rong, Zhou; Pang, Zong-Qiang; Jiang, Bing; Fan, Qu-Li; Huang, Wei

    2015-12-01

    Impedance spectroscopy is a strong method in electric measurement, which also shows powerful function in research of carrier dynamics in organic semiconductors when suitable mathematical physical models are used. Apart from this, another requirement is that the contact interface between the electrode and materials should at least be quasi-ohmic contact. So in this report, three different transitional metal oxides, V2O5, MoO3 and WO3 were used as hole injection buffer for interface of ITO/NPB. Through the impedance spectroscopy and PSO algorithm, the carrier mobilities and I-V characteristics of the NPB in different devices were measured. Then the data curves were compared with the single layer device without the interface layer in order to investigate the influence of transitional metal oxides on the carrier mobility. The careful research showed that when the work function (WF) of the buffer material was just between the work function of anode and the HOMO of the organic material, such interface material could work as a good bridge for carrier injection. Under such condition, the carrier mobility measured through impedance spectroscopy should be close to the intrinsic value. Considering that the HOMO (or LUMO) of most organic semiconductors did not match with the work function of the electrode, this report also provides a method for wide application of impedance spectroscopy to the research of carrier dynamics.

  9. On-chip electrical impedance tomography for imaging biological cells.

    PubMed

    Sun, Tao; Tsuda, Soichiro; Zauner, Klaus-Peter; Morgan, Hywel

    2010-01-15

    Electrical impedance tomography is an imaging technology that spatially characterizes the electrical properties of an object. We present a miniaturized electrical impedance tomography system that can image the electrical conductivity distribution within a two-dimensional cell culture. A chip containing a circular 16-electrode array was fabricated using printed circuit board developing technology and used to inject current and to measure spatial voltage across the object. The signal stimulation and voltage data acquisition were performed using an impedance analyzer, operating in four-electrode mode. An open source software, EIDORS was used for image reconstruction. Finite element modelling was used to simulate the image reconstruction process by imaging two ellipsoidal phantoms in the circular 16-electrode array. The effect of the regularization parameter in the reconstruction algorithm and the influence from noise on the fidelity of the images has been numerically analyzed. Experimentally, we show reconstructed images of a multi-nuclear single cellular organism, Physarum Polycephalum, demonstrating the first step towards impedance imaging of single cells in culture. Our system provides a non-invasive lab-on-a-chip technology for spatially mapping the electrical properties of single cells, which would be significant and useful for diagnostic and clinical applications.

  10. Constant current loop impedance measuring system that is immune to the effects of parasitic impedances

    NASA Technical Reports Server (NTRS)

    Anderson, Karl F. (Inventor)

    1994-01-01

    A constant current loop measuring system is provided for measuring a characteristic of an environment. The system comprises a first impedance positionable in the environment, a second impedance coupled in series with said first impedance and a parasitic impedance electrically coupled to the first and second impedances. A current generating device, electrically coupled in series with the first and second impedances, provides a constant current through the first and second impedances to produce first and second voltages across the first and second impedances, respectively, and a parasitic voltage across the parasitic impedance. A high impedance voltage measuring device measures a voltage difference between the first and second voltages independent of the parasitic voltage to produce a characteristic voltage representative of the characteristic of the environment.

  11. Sound propagation in a refracting atmosphere above an impedance discontinuity

    NASA Astrophysics Data System (ADS)

    Taherzadeh, Shahram; Harrop, Nick

    2002-11-01

    de Jongs formulation of sound propagation above a ground with a single impedance change has been extended to include effects of a refracting atmosphere and atmospheric turbulence. The theory is compared with a numerical algorithm based on a hybrid Boundary Integral Equation/Fast Field Program developed for predicting the propagation of sound in a refracting atmosphere above an uneven, discontinuous terrain. By using the analogy of sound diffraction over curved surfaces to atmospheric refraction over flat ground surfaces, the effect of temperature and wind velocity gradients in the presence of flat ground surfaces can be studied. Measurements of the excess attenuation of sound from a point source over a mixed impedance curved surface are carried out in an anechoic chamber as well as outdoor measurements over a tarmac-grass discontinuity. These measurements are compared with predictions based on the extended de Jong theory and the hybrid BIE/FFP algorithm in the nonturbulent case. Results show that where there is a single discontinuity between acoustically hard and finite impedance surfaces both models are found to give satisfactory agreement with measured data except when the discontinuity is midway between the source and the detector.

  12. Electrical impedance tomography method for reconstruction of biological tissues with continuous plane-stratification.

    PubMed

    Dolgin, M; Einziger, P D

    2006-01-01

    A novel electrical impedance tomography method is introduced for reconstruction of layered biological tissues with continuous plane-stratification. The algorithm implements the recently proposed reconstruction scheme for piecewise constant conductivity profiles, based on an improved Prony method in conjunction with Legendre polynomial expansion (LPE). It is shown that the proposed algorithm is capable of successfully reconstructing continuous conductivity profiles with moderate (WKB) slop. Features of the presented reconstruction scheme include, an inherent linearity, achieved by the linear LPE transform, a locality feature, assigning analytically to each spectral component a local electrical impedance associated with a unique location, and effective performance even in the presence of noisy measurements.

  13. Impedance spectroscopy of food mycotoxins

    NASA Astrophysics Data System (ADS)

    Bilyy, Oleksandr I.; Yaremyk, Roman Ya.; Kotsyumbas, Ihor Ya.; Kotsyumbas, Halyna I.

    2012-01-01

    A new analytical method of high-selective detection of mycotoxins in food and feed are considered. A method is based on optical registration the changes of conduct of the electric polarized bacterial agents in solution at the action of the external gradient electric fields. Measuring are conducted in integrated electrode-optical cuvette of the special construction, which provides the photometric analysis of forward motion of the objects registration in liquid solution under act of the enclosed electric field and simultaneous registration of kinetics of change of electrical impedance parameters solution and electrode system.

  14. DIFFERENTIAL SOIL IMPEDANCE OBSTACLE DETECTION

    SciTech Connect

    Maximillian J. Kieba; Christopher J. Ziolkowski

    2004-06-30

    This project develops a new and unique obstacle detection sensor for horizontal directional drilling (HDD) equipment. The development of this new technology will greatly improve the reliability and safety of natural gas HDD construction practices. This sensor utilizes a differential soil impedance measurement technique that will be sensitive to the presence of plastic and ceramic, as well as metallic obstacles. The use of HDD equipment has risen significantly in the gas industry because HDD provides a much more cost-effective and less disruptive method for gas pipe installation than older, trenching methods. However, there have been isolated strikes of underground utilities by HDD equipment, which may have been avoided if methods were available to detect other underground obstacles when using HDD systems. GTI advisors from the gas industry have ranked the value of solving the obstacle detection problem as the most important research and development project for GTI to pursue using Federal Energy Regulatory Commission (FERC) funds available through its industry partner, GRI. GTI proposes to develop a prototype down-hole sensor system that is simple and compact. The sensor utilizes an impedance measurement technique that is sensitive to the presence of metallic or nonmetallic objects in the proximity of the HDD head. The system will use a simple sensor incorporated into the drill head. The impedance of the soil will be measured with a low frequency signal injected through the drill head itself. A pair of bridge type impedance sensors, mounted orthogonal to one another, is coupled to the soil. Inclusions in the soil will cause changes to the sensor balance distinguishable from homogeneous soil. The sensor will provide range and direction data for obstacles near the HDD head. The goal is to provide a simple, robust system that provides the information required to avoid obstacles. This must be done within the size and ruggedness constraints of the HDD equipment. Imaging

  15. DIFFERENTIAL SOIL IMPEDANCE OBSTACLE DETECTION

    SciTech Connect

    Maximillian J. Kieba

    2003-10-01

    This project develops a new and unique obstacle detection sensor for horizontal directional drilling (HDD) equipment. The development of this new technology will greatly improve the reliability and safety of natural gas HDD construction practices. This sensor utilizes a differential soil impedance measurement technique that will be sensitive to the presence of plastic and ceramic, as well as metallic obstacles. The use of HDD equipment has risen significantly in the gas industry because HDD provides a much more cost-effective and less disruptive method for gas pipe installation than older, trenching methods. However, there have been isolated strikes of underground utilities by HDD equipment, which may have been avoided if methods were available to detect other underground obstacles when using HDD systems. GTI advisors from the gas industry have ranked the value of solving the obstacle detection problem as the most important research and development project for GTI to pursue using Federal Energy Regulatory Commission (FERC) funds available through its industry partner, GRI. GTI proposes to develop a prototype down-hole sensor system that is simple and compact. The sensor utilizes an impedance measurement technique that is sensitive to the presence of metallic or nonmetallic objects in the proximity of the HDD head. The system will use a simple sensor incorporated into the drill head. The impedance of the soil will be measured with a low frequency signal injected through the drill head itself. A pair of bridge type impedance sensors, mounted orthogonal to one another, is coupled to the soil. Inclusions in the soil will cause changes to the sensor balance distinguishable from homogeneous soil. The sensor will provide range and direction data for obstacles near the HDD head. The goal is to provide a simple, robust system that provides the information required to avoid obstacles. This must be done within the size and ruggedness constraints of the HDD equipment. Imaging

  16. DIFFERENTIAL SOIL IMPEDANCE OBSTACLE DETECTION

    SciTech Connect

    Maximillian J. Kieba

    2003-04-01

    This project develops a new and unique obstacle detection sensor for horizontal directional drilling (HDD) equipment. The development of this new technology will greatly improve the reliability and safety of natural gas HDD construction practices. This sensor utilizes a differential soil impedance measurement technique that will be sensitive to the presence of plastic and ceramic, as well as metallic obstacles. The use of HDD equipment has risen significantly in the gas industry because HDD provides a much more cost-effective and less disruptive method for gas pipe installation than older, trenching methods. However, there have been isolated strikes of underground utilities by HDD equipment, which may have been avoided if methods were available to detect other underground obstacles when using HDD systems. GTI advisors from the gas industry have ranked the value of solving the obstacle detection problem as the most important research and development project for GTI to pursue using Federal Energy Regulatory Commission (FERC) funds available through its industry partner, GRI. GTI proposes to develop a prototype down-hole sensor system that is simple and compact. The sensor utilizes an impedance measurement technique that is sensitive to the presence of metallic or nonmetallic objects in the proximity of the HDD head. The system will use a thin film sensor conformal with the drill head. The impedance of the soil will be measured with a low frequency signal injected through the drill head itself. A pair of bridge type impedance sensors, mounted orthogonal to one another, is capacitively coupled to the soil. Inclusions in the soil will cause changes to the sensor balance distinguishable from homogeneous soil. The sensor will provide range and direction data for obstacles near the HDD head. The goal is to provide a simple, robust system that provides the information required to avoid obstacles. This must be done within the size and ruggedness constraints of the HDD

  17. DIFFERENTIAL SOIL IMPEDANCE OBSTACLE DETECTION

    SciTech Connect

    Maximillian J. Kieba

    2003-01-30

    This project develops a new and unique obstacle detection sensor for horizontal directional drilling (HDD) equipment. The development of this new technology will greatly improve the reliability and safety of natural gas HDD construction practices. This sensor utilizes a differential soil impedance measurement technique that will be sensitive to the presence of plastic and ceramic, as well as metallic obstacles. The use of HDD equipment has risen significantly in the gas industry because HDD provides a much more cost-effective and less disruptive method for gas pipe installation than older, trenching methods. However, there have been isolated strikes of underground utilities by HDD equipment, which may have been avoided if methods were available to detect other underground obstacles when using HDD systems. GTI advisors from the gas industry have ranked the value of solving the obstacle detection problem as the most important research and development project for GTI to pursue using Federal Energy Regulatory Commission (FERC) funds available through its industry partner, GRI. GTI proposes to develop a prototype down-hole sensor system that is simple and compact. The sensor utilizes an impedance measurement technique that is sensitive to the presence of metallic or nonmetallic objects in the proximity of the HDD head. The system will use a thin film sensor conformal with the drill head. The impedance of the soil will be measured with a low frequency signal injected through the drill head itself. A pair of bridge type impedance sensors, mounted orthogonal to one another, is capacitively coupled to the soil. Inclusions in the soil will cause changes to the sensor balance distinguishable from homogeneous soil. The sensor will provide range and direction data for obstacles near the HDD head. The goal is to provide a simple, robust system that provides the information required to avoid obstacles. This must be done within the size and ruggedness constraints of the HDD

  18. DIFFERENTIAL SOIL IMPEDANCE OBSTACLE DETECTION

    SciTech Connect

    Maximillian J. Kieba

    2002-08-30

    This project develops a new and unique obstacle detection sensor for horizontal directional drilling (HDD) equipment. The development of this new technology will greatly improve the reliability and safety of natural gas HDD construction practices. This sensor utilizes a differential soil impedance measurement technique that will be sensitive to the presence of plastic and ceramic, as well as metallic obstacles. The use of HDD equipment has risen significantly in the gas industry because HDD provides a much more cost-effective and less disruptive method for gas pipe installation than older, trenching methods. However, there have been isolated strikes of underground utilities by HDD equipment, which may have been avoided if methods were available to detect other underground obstacles when using HDD systems. GTI advisors from the gas industry have ranked the value of solving the obstacle detection problem as the most important research and development project for GTI to pursue using Federal Energy Regulatory Commission (FERC) funds available through its industry partner, GRI. GTI proposes to develop a prototype down-hole sensor system that is simple and compact. The sensor utilizes an impedance measurement technique that is sensitive to the presence of metallic or nonmetallic objects in the proximity of the HDD head. The system will use a thin film sensor conformal with the drill head. The impedance of the soil will be measured with a low frequency signal injected through the drill head itself. A pair of bridge type impedance sensors, mounted orthogonal to one another, is capacitively coupled to the soil. Inclusions in the soil will cause changes to the sensor balance distinguishable from homogeneous soil. The sensor will provide range and direction data for obstacles near the HDD head. The goal is to provide a simple, robust system that provides the information required to avoid obstacles. This must be done within the size and ruggedness constraints of the HDD

  19. DIFFERENTIAL SOIL IMPEDANCE OBSTACLE DETECTION

    SciTech Connect

    Maximillian J. Kieba

    2002-11-27

    This project develops a new and unique obstacle detection sensor for horizontal directional drilling (HDD) equipment. The development of this new technology will greatly improve the reliability and safety of natural gas HDD construction practices. This sensor utilizes a differential soil impedance measurement technique that will be sensitive to the presence of plastic and ceramic, as well as metallic obstacles. The use of HDD equipment has risen significantly in the gas industry because HDD provides a much more cost-effective and less disruptive method for gas pipe installation than older, trenching methods. However, there have been isolated strikes of underground utilities by HDD equipment, which may have been avoided if methods were available to detect other underground obstacles when using HDD systems. GTI advisors from the gas industry have ranked the value of solving the obstacle detection problem as the most important research and development project for GTI to pursue using Federal Energy Regulatory Commission (FERC) funds available through its industry partner, GRI. GTI proposes to develop a prototype down-hole sensor system that is simple and compact. The sensor utilizes an impedance measurement technique that is sensitive to the presence of metallic or nonmetallic objects in the proximity of the HDD head. The system will use a thin film sensor conformal with the drill head. The impedance of the soil will be measured with a low frequency signal injected through the drill head itself. A pair of bridge type impedance sensors, mounted orthogonal to one another, is capacitively coupled to the soil. Inclusions in the soil will cause changes to the sensor balance distinguishable from homogeneous soil. The sensor will provide range and direction data for obstacles near the HDD head. The goal is to provide a simple, robust system that provides the information required to avoid obstacles. This must be done within the size and ruggedness constraints of the HDD

  20. Journal bearing impedance descriptions for rotordynamic applications

    NASA Technical Reports Server (NTRS)

    Childs, D.; Moes, H.; Van Leeuwen, H.

    1976-01-01

    The paper deals with the development of analytic descriptions for plain circumferentially-symmetric fluid journal bearings, which are suitable for use in rotor dynamic analysis. The bearing impedance vector is introduced, which defines the bearing reaction force components as a function of the bearing motion. Impedances are derived directly for the Ocvirk (short) and Sommerfeld (long) bearings, and the relationships between the impedance vector and the more familiar mobility vector are developed and used to derive analytic impedance for finite-length bearings. The static correctness of the finite-length cavitating impedance is verified. Analytic stiffness and damping coefficient definitions are derived in terms of an impedance vector for small motion around an equilibrium position and demonstrated for the finite-length cavitating impedance. Nonlinear transient rotordynamic simulations are presented for the short pi and 2-pi impedances and the finite-length cavitating impedance. It is shown that finite-length impedance yields more accurate results for substantially less computer time than the short-bearing numerical-pressure-integration approach.

  1. Modified sparse regularization for electrical impedance tomography.

    PubMed

    Fan, Wenru; Wang, Huaxiang; Xue, Qian; Cui, Ziqiang; Sun, Benyuan; Wang, Qi

    2016-03-01

    Electrical impedance tomography (EIT) aims to estimate the electrical properties at the interior of an object from current-voltage measurements on its boundary. It has been widely investigated due to its advantages of low cost, non-radiation, non-invasiveness, and high speed. Image reconstruction of EIT is a nonlinear and ill-posed inverse problem. Therefore, regularization techniques like Tikhonov regularization are used to solve the inverse problem. A sparse regularization based on L1 norm exhibits superiority in preserving boundary information at sharp changes or discontinuous areas in the image. However, the limitation of sparse regularization lies in the time consumption for solving the problem. In order to further improve the calculation speed of sparse regularization, a modified method based on separable approximation algorithm is proposed by using adaptive step-size and preconditioning technique. Both simulation and experimental results show the effectiveness of the proposed method in improving the image quality and real-time performance in the presence of different noise intensities and conductivity contrasts. PMID:27036798

  2. Modified sparse regularization for electrical impedance tomography.

    PubMed

    Fan, Wenru; Wang, Huaxiang; Xue, Qian; Cui, Ziqiang; Sun, Benyuan; Wang, Qi

    2016-03-01

    Electrical impedance tomography (EIT) aims to estimate the electrical properties at the interior of an object from current-voltage measurements on its boundary. It has been widely investigated due to its advantages of low cost, non-radiation, non-invasiveness, and high speed. Image reconstruction of EIT is a nonlinear and ill-posed inverse problem. Therefore, regularization techniques like Tikhonov regularization are used to solve the inverse problem. A sparse regularization based on L1 norm exhibits superiority in preserving boundary information at sharp changes or discontinuous areas in the image. However, the limitation of sparse regularization lies in the time consumption for solving the problem. In order to further improve the calculation speed of sparse regularization, a modified method based on separable approximation algorithm is proposed by using adaptive step-size and preconditioning technique. Both simulation and experimental results show the effectiveness of the proposed method in improving the image quality and real-time performance in the presence of different noise intensities and conductivity contrasts.

  3. Spheromak Impedance and Current Amplification

    SciTech Connect

    Fowler, T K; Hua, D D; Stallard, B W

    2002-01-31

    It is shown that high current amplification can be achieved only by injecting helicity on the timescale for reconnection, {tau}{sub REC}, which determines the effective impedance of the spheromak. An approximate equation for current amplification is: dI{sub TOR}{sup 2}/dt {approx} I{sup 2}/{tau}{sub REC} - I{sub TOR}{sup 2}/{tau}{sub closed} where I is the gun current, I{sub TOR} is the spheromak toroidal current and {tau}{sub CLOSED} is the ohmic decay time of the spheromak. Achieving high current amplification, I{sub TOR} >> I, requires {tau}{sub REC} <<{tau}{sub CLOSED}. For resistive reconnection, this requires reconnection in a cold zone feeding helicity into a hot zone. Here we propose an impedance model based on these ideas in a form that can be implemented in the Corsica-based helicity transport code. The most important feature of the model is the possibility that {tau}{sub REC} actually increases as the spheromak temperature increases, perhaps accounting for the ''voltage sag'' observed in some experiments, and a tendency toward a constant ratio of field to current, B {proportional_to} I, or I{sub TOR} {approx} I. Program implications are discussed.

  4. TRANSVERSE IMPEDANCE MEASUREMENT AT THE RHIC.

    SciTech Connect

    ZHANG,S.Y.; HUANG,H.; CAMERON,P.; DREES,A.; FLILLER,R.; SATOGATA,T.

    2002-06-02

    The RHIC transverse impedance was measured during the last operation run. Measurement of the imaginary part of the broadband impedance was the main goal. No large difference between the two rings was found nor in either plane. The measured tune shift is larger than the expected by a factor of 2.5 to 3. Several other issues such as the real part impedance measurement are also presented.

  5. Effects of Liner Length and Attenuation on NASA Langley Impedance Eduction

    NASA Technical Reports Server (NTRS)

    Jones, M. G.; Watson, W. R.

    2016-01-01

    This study explores the effects of liner length and attenuation on the CHE (convected Helmholtz equation) impedance eduction method, in which the surface impedance of an acoustic liner is inferred through an iterative process based on repeated solutions to the convected Helmholtz equation. Wire mesh-over-honeycomb and perforate-over-honeycomb acoustic liners are tested in the NASA Langley Grazing Flow Impedance Tube, and the resultant data are processed using two impedance eduction methods. The first is the CHE method, and the second is a direct method (labeled the KT method) that uses the Kumaresan and Tufts algorithm to compute the impedance directly. The CHE method has been extensively used for acoustic liner evaluation, but experiences anomalous behavior under some test conditions. It is postulated that the anomalies are related to the liner length and/or attenuation. Since the KT method only employs data measured over the length of the liner, it is expected to be unaffected by liner length. A comparison of results achieved with the two impedance eduction methods is used to explore the interactive effects of liner length and attenuation on the CHE impedance eduction method.

  6. Factors affecting bioelectrical impedance measurements in humans.

    PubMed

    Deurenberg, P; Weststrate, J A; Paymans, I; van der Kooy, K

    1988-12-01

    In several groups of young healthy subjects the effect of the ingestion of a meal, of drinking normal tea or beef tea, of exercise and of the menstrual cycle on body impedance was assessed. The day-to-day reproducibility of the method was also investigated under standardized conditions. Two to four hours after ingestion of a meal, body impedance had decreased by about 13-17 Ohms in comparison with body impedance in the fasting state. Drinking 200 ml of normal tea did not result in a change of body impedance, but drinking 200 ml beef tea lowered the body impedance significantly by 4 +/- 4 Ohms. Moderate exercise on a bicycle ergometer (90 min, 100 W) did not influence body impedance, but strenuous exercise (90 min, 175 W) resulted in a decrease of 9 +/- 11 Ohms in body impedance. In general, changes in body impedance during the menstrual cycle were small, and only the difference between measurements of body impedance 1 week before the onset of the menstruation and again 1 week after menstruation (8 +/- 9 Ohms) was statistically significant. Under standardized conditions (in the morning, in the fasting state after emptying the bladder) the within-person between-day variation was found to be 2.8 per cent (13 Ohms).

  7. Magnetoacoustic tomographic imaging of electrical impedance with magnetic induction

    NASA Astrophysics Data System (ADS)

    Xia, Rongmin; Li, Xu; He, Bin

    2007-08-01

    Magnetoacoustic tomography with magnetic induction (MAT-MI) is a recently introduced method for imaging tissue electrical impedance properties by integrating magnetic induction and ultrasound measurements. In the present study, the authors have developed a focused cylindrical scanning mode MAT-MI system and the corresponding reconstruction algorithms. Using this system, they demonstrated a three-dimensional MAT-MI imaging approach in a physical phantom, with cylindrical scanning combined with ultrasound focusing, and the ability of MAT-MI in imaging electrical conductivity properties of biological tissue.

  8. Singularities of mixed boundary value problems in electrical impedance tomography.

    PubMed

    Pidcock, M; Ciulli, S; Ispas, S

    1995-08-01

    The importance of accurate mathematical modelling in the development of image reconstruction algorithms for electrical impedance tomography (EIT) has been discussed in a number of recent papers. It is particularly important in iterative reconstruction schemes where the forward problem of calculating the electric potential from Neumann boundary data is solved many times. One area which needs to be considered it the mathematical modelling of the electrodes used in the technique. In this paper we discuss one of the more sophisticated models which has been proposed and present the results of a number of numerical and analytic calculations which we have made as a contribution to the understanding of this question.

  9. Design and performance evaluation of the NIST digital impedance bridge

    SciTech Connect

    Waltrip, B.C.; Oldham, N.M.

    1994-12-31

    An impedance bridge that compares two-terminal standard inductors to characterized resistors is described. A dual-channel digitally synthesized source and sampling digital multimeter are used to generate and measure relevant bridge signals. A linear interpolation algorithm is used to autocalibrate the bridge to a 1 nF air-dielectric capacitor An intercomparison of the new bridge with existing measurement standards in the low audio frequency range for inductors from 1 mH to 10 H will be reported.

  10. Impedance Spectroscopy of Human Blood

    NASA Astrophysics Data System (ADS)

    Mesa, Francisco; Bernal, José J.; Sosa, Modesto A.; Villagómez, Julio C.; Palomares, Pascual

    2004-09-01

    The blood is one of the corporal fluids more used with analytical purposes. When the blood is extracted, immediately it is affected by agents that act on it, producing transformations in its elements. Among the effects of these transformations the hemolysis phenomenon stands out, which consists of the membrane rupture and possible death of the red blood cells. The main purpose of this investigation was the quantification of this phenomenon. A Solartron SI-1260 Impedance Spectrometer was used, which covers a frequency range of work from 1 μHz to 10 MHz, and its accuracy has been tested in the accomplishment of several applications. Measurements were performed on 3 mL human blood samples, from healthy donors. Reactive strips for sugar test of 2 μL, from Bayer, were used as electrodes, which allow gathering a portion of the sample, to be analyzed by the spectrometer. Preliminary results of these measurements are presented.

  11. Electrical Impedance Tomography of Electrolysis

    PubMed Central

    Meir, Arie; Rubinsky, Boris

    2015-01-01

    The primary goal of this study is to explore the hypothesis that changes in pH during electrolysis can be detected with Electrical Impedance Tomography (EIT). The study has relevance to real time control of minimally invasive surgery with electrolytic ablation. To investigate the hypothesis, we compare EIT reconstructed images to optical images acquired using pH-sensitive dyes embedded in a physiological saline agar gel phantom treated with electrolysis. We further demonstrate the biological relevance of our work using a bacterial E.Coli model, grown on the phantom. The results demonstrate the ability of EIT to image pH changes in a physiological saline phantom and show that these changes correlate with cell death in the E.coli model. The results are promising, and invite further experimental explorations. PMID:26039686

  12. Method, system and computer-readable media for measuring impedance of an energy storage device

    DOEpatents

    Morrison, John L.; Morrison, William H.; Christophersen, Jon P.; Motloch, Chester G.

    2016-01-26

    Real-time battery impedance spectrum is acquired using a one-time record. Fast Summation Transformation (FST) is a parallel method of acquiring a real-time battery impedance spectrum using a one-time record that enables battery diagnostics. An excitation current to a battery is a sum of equal amplitude sine waves of frequencies that are octave harmonics spread over a range of interest. A sample frequency is also octave and harmonically related to all frequencies in the sum. A time profile of this sampled signal has a duration that is a few periods of the lowest frequency. A voltage response of the battery, average deleted, is an impedance of the battery in a time domain. Since the excitation frequencies are known and octave and harmonically related, a simple algorithm, FST, processes the time profile by rectifying relative to sine and cosine of each frequency. Another algorithm yields real and imaginary components for each frequency.

  13. Development of electrical impedance tomography of microwave ablation

    NASA Astrophysics Data System (ADS)

    McEwan, A.; Wi, H.; Nguyen, D. T.; Jones, P.; Lam, V.; Hawthorne, W. J.; Barry, M. A.; Oh, T. I.

    2014-04-01

    In this study we assess the feasibility of electrical impedance tomography (EIT) to track the temperature changes during ablation in an ex-vivo ovine liver and in-vivo porcine model. 208 tetrapolar electrical impedance measurements were obtained at 30 frame/s from a 16 electrode EIT system. In the porcine model ventilation artefact was removed by low pass filtering and successful ablation related impedance change image sequences were reconstructed from four of nine liver ablations. This study indicates feasibility of the technique but was limited in the porcine model due to electrode difficulties and the difficulty in positioning the microwave applicator under ultrasound. EIT is more convenient and lower cost than other temperature monitoring methods such as MRI but spatial resolution is constrained by the relatively low number of independent measurements and ill posed reconstruction problem. Future improvements include the use of an internal electrode that could be in practice located on the microwave applicator to provide the reconstruction algorithm with improved prior information and local information of conductivity changes due to ablation.

  14. PREFACE: XV International Conference on Electrical Bio-Impedance (ICEBI) & XIV Conference on Electrical Impedance Tomography (EIT)

    NASA Astrophysics Data System (ADS)

    Pliquett, Uwe

    2013-04-01

    . Structures down to sub-micrometer range and complex impedance measurements tools integrated at single chips are now affordable. Moreover, the introduction of alternative signals and data processing algorithms focuses on very fast and parallel electrical characterization which in turn pushes this technique to new applications and markets. Electrical impedance tomography today yields pictures in real time with a resolution that was impossible 10 years ago. The XVth International Conference on Electrical Bio-Impedance in conjunction with the XIVth Electrical Impedance Tomography ICEBI/EIT 2013 organized by the Institute for Bioprocessing and Analytical Measurement Techniques, Heilbad Heiligenstadt, Germany, together with the EIT-group at the University of Göttingen, Germany, brings world leading scientists in these fields together. It is a platform to present the latest developments in instrumentation and signal processing but also points to new applications, especially in the field of biosensors and non-linear phenomena. Two Keynote lectures will extend the view of the participants above the mainstream of bio-impedance measurement. Friederich Kremer (University of Leipzig) delivers the plenary lecture on broad bandwidth dielectric spectroscopy. New achievements in the research of ligand gated ionic channels will be presented by Klaus Benndorf (University of Jena). Leading scientists in the field of bio-impedance measurement, such as, Sverre Grimnes, Orjan Martinsen, Andrea Robitzki, Richard Bayford, Jan Gimsa and Mart Min will give lectures for students but also more experienced scientists in a pre-conference tutorial which is a good opportunity to learn or refresh the basics. List of committees Conference Chair Dr Uwe Pliquett Professor Dieter Beckmann Institut für Bioprozess- und Analysenmesstechnik eV, Rosenhof, Heilbad Heiligenstadt, Germany Technical Program Chair Maik Hiller Conventus Congressmanagement & Marketing GmbH, Carl-Pulfrich-Str. 1 - 07745 Jena Pre

  15. Noninvasive imaging of bioimpedance distribution by means of current reconstruction magnetic resonance electrical impedance tomography.

    PubMed

    Gao, Nuo; He, Bin

    2008-05-01

    We have developed a novel magnetic resonance electrical impedance tomography (MREIT) algorithm-current reconstruction MREIT algorithm-for noninvasive imaging of electrical impedance distribution of a biological system using only one component of magnetic flux density. The newly proposed algorithm uses the inverse of Biot-Savart Law to reconstruct the current density distribution, and then, uses a modified J-substitution algorithm to reconstruct the conductivity image. A series of computer simulations has been conducted to evaluate the performance of the proposed current reconstruction MREIT algorithm with simulation settings for breast cancer imaging applications, with consideration of measurement noise, current injection strength, size of simulated tumors, spatial resolution, and position dependency. The present simulation results are highly promising, demonstrating the high spatial resolution, high accuracy in conductivity reconstruction, and robustness against noise of the proposed algorithm for imaging electrical impedance of a biological system. The present MREIT method may have potential applications to breast cancer imaging and imaging of other organs. PMID:18440899

  16. Active impedance matching of complex structural systems

    NASA Technical Reports Server (NTRS)

    Macmartin, Douglas G.; Miller, David W.; Hall, Steven R.

    1991-01-01

    Viewgraphs on active impedance matching of complex structural systems are presented. Topics covered include: traveling wave model; dereverberated mobility model; computation of dereverberated mobility; control problem: optimal impedance matching; H2 optimal solution; statistical energy analysis (SEA) solution; experimental transfer functions; interferometer actuator and sensor locations; active strut configurations; power dual variables; dereverberation of complex structure; dereverberated transfer function; compensators; and relative power flow.

  17. 21 CFR 870.2750 - Impedance phlebograph.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Impedance phlebograph. 870.2750 Section 870.2750 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2750 Impedance...

  18. Esophageal Impedance Monitoring: Clinical Pearls and Pitfalls.

    PubMed

    Ravi, Karthik; Katzka, David A

    2016-09-01

    The development of intraluminal esophageal impedance monitoring has improved our ability to detect and measure gastroesophageal reflux without dependence on acid content. This ability to detect previously unrecognized weak or nonacid reflux episodes has had important clinical implications in the diagnosis and management of gastroesophageal reflux disease (GERD). In addition, with the ability to assess bolus transit within the esophageal lumen, impedance monitoring has enhanced the recognition and characterization of esophageal motility disorders in patients with nonobstructive dysphagia. The assessment of the intraluminal movement of gas and liquid has also been proven to be of diagnostic value in conditions such as rumination syndrome and excessive belching. Further, alternative applications of impedance monitoring, such as the measurement of mucosal impedance, have provided novel insights into assessing esophageal mucosal integrity changes as a consequence of inflammatory change. Future applications for esophageal impedance monitoring also hold promise in esophageal conditions other than GERD. However, despite all of the clinical benefits afforded by esophageal impedance monitoring, important clinical and technical shortcomings limit its diagnostic value and must be considered when interpreting study results. Overinterpretation of studies or application of impedance monitoring in patients can have deleterious clinical implications. This review will highlight the clinical benefits and limitations of esophageal impedance monitoring and provide clinical pearls and pitfalls associated with this technology.

  19. Esophageal Impedance Monitoring: Clinical Pearls and Pitfalls.

    PubMed

    Ravi, Karthik; Katzka, David A

    2016-09-01

    The development of intraluminal esophageal impedance monitoring has improved our ability to detect and measure gastroesophageal reflux without dependence on acid content. This ability to detect previously unrecognized weak or nonacid reflux episodes has had important clinical implications in the diagnosis and management of gastroesophageal reflux disease (GERD). In addition, with the ability to assess bolus transit within the esophageal lumen, impedance monitoring has enhanced the recognition and characterization of esophageal motility disorders in patients with nonobstructive dysphagia. The assessment of the intraluminal movement of gas and liquid has also been proven to be of diagnostic value in conditions such as rumination syndrome and excessive belching. Further, alternative applications of impedance monitoring, such as the measurement of mucosal impedance, have provided novel insights into assessing esophageal mucosal integrity changes as a consequence of inflammatory change. Future applications for esophageal impedance monitoring also hold promise in esophageal conditions other than GERD. However, despite all of the clinical benefits afforded by esophageal impedance monitoring, important clinical and technical shortcomings limit its diagnostic value and must be considered when interpreting study results. Overinterpretation of studies or application of impedance monitoring in patients can have deleterious clinical implications. This review will highlight the clinical benefits and limitations of esophageal impedance monitoring and provide clinical pearls and pitfalls associated with this technology. PMID:27325223

  20. Possibilities of electrical impedance tomography in gynecology

    NASA Astrophysics Data System (ADS)

    V, Trokhanova O.; A, Chijova Y.; B, Okhapkin M.; V, Korjenevsky A.; S, Tuykin T.

    2013-04-01

    The paper describes results of comprehensive EIT diagnostics of mammary glands and cervix. The data were obtained from examinations of 170 patients by EIT system MEM (multi-frequency electrical impedance mammograph) and EIT system GIT (gynecological impedance tomograph). Mutual dependence is discussed.

  1. A novel data calibration scheme for electrical impedance tomography.

    PubMed

    Soni, Nirmal K; Dehghani, Hamid; Hartov, Alex; Paulsen, Keith D

    2003-05-01

    In electrical impedance tomography surface measurements of voltages and currents are recorded and the image reconstruction algorithm uses this set of boundary data to estimate internal electrical properties of the region under investigation. Therefore correct and accurate modelling of the current and voltage distributions (forward model) is an essential part of any reconstruction method. In this paper, we explored the root cause of a boundary layer effect in the reconstructed conductivity map and found it to be an artefact arising from 2D to 3D data-model mismatch within the imaging algorithm. We propose a data calibration scheme that improves the reconstruction results by removing these boundary or edge effects. We present both two-dimensional and three-dimensional images for agar phantoms using this data calibration scheme which are markedly better than their counterparts recovered when the measurement data are not calibrated with the procedure outlined herein.

  2. Estimates of Acausal Joint Impedance Models

    PubMed Central

    Perreault, Eric J.

    2013-01-01

    Estimates of joint or limb impedance are commonly used in the study of how the nervous system controls posture and movement, and how that control is altered by injury to the neural or musculoskeletal systems. Impedance characterizes the dynamic relationship between an imposed perturbation of joint position and the torques generated in response. While there are many practical reasons for estimating impedance rather than its inverse, admittance, it is an acausal representation of the limb mechanics that can lead to difficulties in interpretation or use. The purpose of this study was to explore the acausal nature of nonparametric estimates of joint impedance representations to determine how they are influenced by common experimental and computational choices. This was accomplished by deriving discrete-time realizations of first-and second-order derivatives to illustrate two key difficulties in the physical interpretation of impedance impulse response functions. These illustrations were provided using both simulated and experimental data. It was found that the shape of the impedance impulse response depends critically on the selected sampling rate, and on the bandwidth and noise characteristics of the position perturbation used during the estimation process. These results provide important guidelines for designing experiments in which nonparametric estimates of impedance will be obtained, especially when those estimates are to be used in a multistep identification process. PMID:22907963

  3. Tracking of electrochemical impedance of batteries

    NASA Astrophysics Data System (ADS)

    Piret, H.; Granjon, P.; Guillet, N.; Cattin, V.

    2016-04-01

    This paper presents an evolutionary battery impedance estimation method, which can be easily embedded in vehicles or nomad devices. The proposed method not only allows an accurate frequency impedance estimation, but also a tracking of its temporal evolution contrary to classical electrochemical impedance spectroscopy methods. Taking into account constraints of cost and complexity, we propose to use the existing electronics of current control to perform a frequency evolutionary estimation of the electrochemical impedance. The developed method uses a simple wideband input signal, and relies on a recursive local average of Fourier transforms. The averaging is controlled by a single parameter, managing a trade-off between tracking and estimation performance. This normalized parameter allows to correctly adapt the behavior of the proposed estimator to the variations of the impedance. The advantage of the proposed method is twofold: the method is easy to embed into a simple electronic circuit, and the battery impedance estimator is evolutionary. The ability of the method to monitor the impedance over time is demonstrated on a simulator, and on a real Lithium ion battery, on which a repeatability study is carried out. The experiments reveal good tracking results, and estimation performance as accurate as the usual laboratory approaches.

  4. Summary of the impedance working group

    SciTech Connect

    Chao, A.W.

    1995-05-01

    The impedance working group concentrated on the LHC design during the workshop. They look at the impedance contributions of liner, beam position monitors, shielded bellows, experimental chambers, superconducting cavities, recombination chambers, space charge, kickers, and the resistive wall. The group concluded that the impedance budgeting and the conceptual designs of the vacuum chamber components looked basically sound. It also noted, not surprisingly, that a large amount of studies are to be carried out further, and it ventured to give a partial list of these studies.

  5. Linearly tapered slot antenna impedance characteristics

    NASA Technical Reports Server (NTRS)

    Simons, Rainee N.; Lee, Richard Q.

    1995-01-01

    The paper presents for the first time an experimental technique to de-embed the input impedance of a LTSA from the measured reflection coefficient. The results show that the input impedance is dependent on the semi-flare angle and the length of the LTSA. The Re(Z(sub in)) is large when the electrical length of the LTSA is small and is on the order of few thousand ohms. However for an electrically large LTSA the Re(Z(sub in)) is in the range of 55 to 130 ohms. These results have potential applications in the design of broad band impedance matching networks for LTSA.

  6. Universal impedance fluctuations in wave chaotic systems.

    PubMed

    Hemmady, Sameer; Zheng, Xing; Ott, Edward; Antonsen, Thomas M; Anlage, Steven M

    2005-01-14

    We experimentally investigate theoretical predictions of universal impedance fluctuations in wave chaotic systems using a microwave analog of a quantum chaotic infinite square well potential. We emphasize the use of the radiation impedance to remove the nonuniversal effects of the particular coupling between the outside world and the scatterer. Specific predictions that we test include the probability density functions (PDFs) of the real and imaginary parts of the universal impedance, the equality of the variances of these PDFs, and the dependence of these PDFs on a single loss parameter.

  7. A dynamic oppositional biogeography-based optimization approach for time-varying electrical impedance tomography.

    PubMed

    Rashid, A; Kim, S; Liu, D; Kim, K Y

    2016-06-01

    Dynamic electrical impedance tomography-based image reconstruction using conventional algorithms such as the extended Kalman filter often exhibits inferior performance due to the presence of measurement noise, the inherent ill-posed nature of the problem and its critical dependence on the selection of the initial guess as well as the state evolution model. Moreover, many of these conventional algorithms require the calculation of a Jacobian matrix. This paper proposes a dynamic oppositional biogeography-based optimization (OBBO) technique to estimate the shape, size and location of the non-stationary region boundaries, expressed as coefficients of truncated Fourier series, inside an object domain using electrical impedance tomography. The conductivity of the object domain is assumed to be known a priori. Dynamic OBBO is a novel addition to the family of dynamic evolutionary algorithms. Moreover, it is the first such study on the application of dynamic evolutionary algorithms for dynamic electrical impedance tomography-based image reconstruction. The performance of the algorithm is tested through numerical simulations and experimental study and is compared with state-of-the-art gradient-based extended Kalman filter. The dynamic OBBO is shown to be far superior compared to the extended Kalman filter. It is found to be robust to measurement noise as well as the initial guess, and does not rely on a priori knowledge of the state evolution model. PMID:27203482

  8. Determination of Cole-Cole parameters using only the real part of electrical impedivity measurements.

    PubMed

    Miranda, David A; Rivera, S A López

    2008-05-01

    An algorithm is presented to determine the Cole-Cole parameters of electrical impedivity using only measurements of its real part. The algorithm is based on two multi-fold direct inversion methods for the Cole-Cole and Debye equations, respectively, and a genetic algorithm for the optimization of the mean square error between experimental and calculated data. The algorithm has been developed to obtain the Cole-Cole parameters from experimental data, which were used to screen cervical intra-epithelial neoplasia. The proposed algorithm was compared with different numerical integrations of the Kramers-Kronig relation and the result shows that this algorithm is the best. A high immunity to noise was obtained.

  9. Stable reconstruction of piecewise continuous plane stratified biological tissues via electrical impedance tomography.

    PubMed

    Dolgin, Madlena; Einziger, Pinchas D

    2010-05-01

    Image reconstruction in electrical impedance tomography is, generally, an ill-posed nonlinear inverse problem. Regularization methods are widely used to ensure a stable solution. Herein, we present a case study, which uses a novel electrical impedance tomography method for reconstruction of layered biological tissues with piecewise continuous plane-stratified profiles. The algorithm implements the recently proposed reconstruction scheme for piecewise constant conductivity profiles, utilizing Legendre expansion in conjunction with improved Prony method. It is shown that the proposed algorithm is capable of successfully reconstructing piecewise continuous conductivity profiles with moderate slop. This reconstruction procedure, which calculates both the locations and the conductivities, repetitively provides inhomogeneous depth discretization, i.e., the depths grid is not equispaced. Incorporation of this specific inhomogeneous grid in the widely used mean least square reconstruction procedure results in a stable and accurate reconstruction, whereas, the commonly selected equispaced depth grid leads to unstable reconstruction. This observation establishes the main result of our investigation, highlighting the impact of physical phenomenon (the image series expansion) on electrical impedance tomography, leading to a physically motivated stabilization of the inverse problem, i.e., an inhomogeneous depth discretization renders an inherent regularization of the mean least square algorithm. The effectiveness and the significance of inhomogeneous discretization in electrical impedance tomography reconstruction procedure is further demonstrated and verified via numerical simulations.

  10. Three-dimensional image reconstruction for electrical impedance tomography.

    PubMed

    Kleinermann, F; Avis, N J; Judah, S K; Barber, D C

    1996-11-01

    Very little work has been conducted on three-dimensional aspects of electrical impedance tomography (EIT), partly due to the increased computational complexity over the two-dimensional aspects of EIT. Nevertheless, extending EIT to three-dimensional data acquisition and image reconstruction may afford significant advantages such as an increase in the size of the independent data set and improved spatial resolution. However, considerable challenges are associated with the software aspects of three-dimensional EIT systems due to the requirement for accurate three-dimensional forward problem modelling and the derivation of three-dimensional image reconstruction algorithms. This paper outlines the work performed to date to derive a three-dimensional image reconstruction algorithm for EIT based on the inversion of the sensitivity matrix approach for a finite right circular cylinder. A comparison in terms of the singular-value spectra and the singular vectors between the sensitivity matrices for a three-dimensional cylinder and a two-dimensional disc has been performed. This comparison shows that the three-dimensional image reconstruction algorithm recruits more central information at lower condition numbers than the two-dimensional image reconstruction algorithm.

  11. Antenna pattern control using impedance surfaces

    NASA Technical Reports Server (NTRS)

    Balanis, Constantine A.; Liu, Kefeng; Tirkas, Panayiotis A.

    1993-01-01

    During the period of this research project, a comprehensive study of pyramidal horn antennas was conducted. Full-wave analytical and numerical techniques were developed to analyze horn antennas with or without impedance surfaces. Based on these full-wave analytic techniques, research was conducted on the use of impedance surfaces on the walls of the horn antennas to control the antenna radiation patterns without a substantial loss of antenna gain. It was found that the use of impedance surfaces could modify the antenna radiation patterns. In addition to the analytical and numerical models, experimental models were also constructed and they were used to validate the predictions. Excellent agreement between theoretical predictions and the measured data was obtained for pyramidal horns with perfectly conducting surfaces. Very good comparisons between numerical and experimental models were also obtained for horns with impedance surfaces.

  12. Acoustic input impedance measurements on brass instruments

    NASA Astrophysics Data System (ADS)

    Pyle, Robert W., Jr.

    2002-11-01

    Measurement of the acoustic input impedance of a brass instrument can reveal something about the instrument's intonation, its reasonable playing range, its tone color, and perhaps whether the mouthpiece used for the impedance measurement is appropriate for the instrument. Such measurements are made at sound-presssure levels much lower than those encountered under playing conditions. Thus, impedance measurements may offer the only feasible way to infer something about the playing characteristics of instruments, typically museum specimens, that are too rare or too fragile to be played. In this paper the effects of some of the available choices of sound source and stimulus signal on measurement accuracy will be explored. Driver-transducer nonlinearity, source impedance, signal-to-noise ratio, and any necessary signal processing will be discussed.

  13. Increases in cerebrovascular impedance in older adults.

    PubMed

    Zhu, Yong-Sheng; Tseng, Benjamin Y; Shibata, Shigeki; Levine, Benjamin D; Zhang, Rong

    2011-08-01

    This study explored a novel method for measuring cerebrovascular impedance to quantify the relationship between pulsatile changes in cerebral blood flow (CBF) and arterial pressure. Arterial pressure in the internal or common carotid artery (applanation tonometry), CBF velocity in the middle cerebral artery (transcranial Doppler), and end-tidal CO(2) (capnography) were measured in six young (28 ± 4 yr) and nine elderly subjects (70 ± 6 yr). Transfer function method was used to estimate cerebrovascular impedance. Under supine resting conditions, CBF velocity was reduced in the elderly despite the fact that they had higher arterial pressure than young subjects. As expected, cerebrovascular resistance index was increased in the elderly. In both young and elderly subjects, impedance modulus was reduced gradually in the frequency range of 0.78-8 Hz. Phase was negative in the range of 0.78-4.3 Hz and fluctuated at high frequencies. Compared with the young, impedance modulus increased by 38% in the elderly in the range of 0.78-2 Hz and by 39% in the range of 2-4 Hz (P < 0.05). Moreover, increases in impedance were correlated with reductions in CBF velocity. Collectively, these findings demonstrate the feasibility of assessing cerebrovascular impedance using the noninvasive method developed in this study. The estimated impedance modulus and phase are similar to those observed in the systemic circulation and other vascular beds. Moreover, increases in impedance in the elderly suggest that arterial stiffening, besides changes in cerebrovascular resistance, contributes to reduction in CBF with age.

  14. Inversion of elastic impedance for unconsolidated sediments

    USGS Publications Warehouse

    Lee, Myung W.

    2006-01-01

    Elastic properties of gas-hydrate-bearing sediments are important for quantifying gas hydrate amounts as well as discriminating the gas hydrate effect on velocity from free gas or pore pressure. This paper presents an elastic inversion method for estimating elastic properties of gas-hydrate-bearing sediments from angle stacks using sequential inversion of P-wave impedance from the zero-offset stack and S-wave impedance from the far-offset stack without assuming velocity ratio.

  15. CSR Impedance for Non-Ultrarelativistic Beams

    SciTech Connect

    Li, Rui; Tsai, Cheng Y.

    2015-09-01

    For the analysis of the coherent synchrotron radiation (CSR)-induced microbunching gain in the low energy regime, such as when a high-brightness electron beam is transported through a low-energy merger in an energy-recovery linac (ERL) design, it is necessary to extend the CSR impedance expression in the ultrarelativistic limit to the non-ultrarelativistic regime. This paper presents our analysis of CSR impedance for general beam energies.

  16. Modeling magnetically insulated devices using flow impedance

    SciTech Connect

    Mendel, C.W. Jr.; Rosenthal, S.E. )

    1995-04-01

    In modern pulsed power systems the electric field stresses at metal surfaces in vacuum transmission lines are so high that negative surfaces are space-charge-limited electron emitters. These electrons do not cause unacceptable losses because magnetic fields due to system currents result in net motion parallel to the electrodes. It has been known for several years that a parameter known as flow impedance is useful for describing these flows. Flow impedance is a measure of the separation between the anode and the mean position of the electron cloud, and it will be shown in this paper that in many situations flow impedance depends upon the geometry of the transmission line upstream of the point of interest. It can be remarkably independent of other considerations such as line currents and voltage. For this reason flow impedance is a valuable design parameter. Models of impedance transitions and voltage adders using flow impedance will be developed. Results of these models will be compared to two-dimensional, time-dependent, particle-in-cell simulations.

  17. Comparative Study of Impedance Eduction Methods. Part 1; DLR Tests and Methodology

    NASA Technical Reports Server (NTRS)

    Busse-Gerstengarbe, Stefan; Bake, Friedrich; Enghardt, Lars; Jones, Michael G.

    2013-01-01

    The absorption efficiency of acoustic liners used in aircraft engines is characterized by the acoustic impedance. World wide, many grazing ow test rigs and eduction methods are available that provide values for that impedance. However, a direct comparison and assessment of the data of the di erent rigs and methods is often not possible because test objects and test conditions are quite di erent. Only a few papers provide a direct comparison. Therefore, this paper together with a companion paper, present data measured with a reference test object under similar conditions in the DLR and NASA grazing ow test rigs. Additionally, by applying the in-house methods Liner Impedance Non-Uniform ow Solving algorithm (LINUS, DLR) and Convected Helmhholtz Equation approach (CHE, NASA) on the data sets, similarities and differences due to underlying theory are identi ed and discussed.

  18. Optimization of Microphone Locations for Acoustic Liner Impedance Eduction

    NASA Technical Reports Server (NTRS)

    Jones, M. G.; Watson, W. R.; June, J. C.

    2015-01-01

    Two impedance eduction methods are explored for use with data acquired in the NASA Langley Grazing Flow Impedance Tube. The first is an indirect method based on the convected Helmholtz equation, and the second is a direct method based on the Kumaresan and Tufts algorithm. Synthesized no-flow data, with random jitter to represent measurement error, are used to evaluate a number of possible microphone locations. Statistical approaches are used to evaluate the suitability of each set of microphone locations. Given the computational resources required, small sample statistics are employed for the indirect method. Since the direct method is much less computationally intensive, a Monte Carlo approach is employed to gather its statistics. A comparison of results achieved with full and reduced sets of microphone locations is used to determine which sets of microphone locations are acceptable. For the indirect method, each array that includes microphones in all three regions (upstream and downstream hard wall sections, and liner test section) provides acceptable results, even when as few as eight microphones are employed. The best arrays employ microphones well away from the leading and trailing edges of the liner. The direct method is constrained to use microphones opposite the liner. Although a number of arrays are acceptable, the optimum set employs 14 microphones positioned well away from the leading and trailing edges of the liner. The selected sets of microphone locations are also evaluated with data measured for ceramic tubular and perforate-over-honeycomb liners at three flow conditions (Mach 0.0, 0.3, and 0.5). They compare favorably with results attained using all 53 microphone locations. Although different optimum microphone locations are selected for the two impedance eduction methods, there is significant overlap. Thus, the union of these two microphone arrays is preferred, as it supports usage of both methods. This array contains 3 microphones in the upstream

  19. An Electrochemical Impedance Spectroscopy System for Monitoring Pineapple Waste Saccharification.

    PubMed

    Conesa, Claudia; Ibáñez Civera, Javier; Seguí, Lucía; Fito, Pedro; Laguarda-Miró, Nicolás

    2016-02-04

    Electrochemical impedance spectroscopy (EIS) has been used for monitoring the enzymatic pineapple waste hydrolysis process. The system employed consists of a device called Advanced Voltammetry, Impedance Spectroscopy & Potentiometry Analyzer (AVISPA) equipped with a specific software application and a stainless steel double needle electrode. EIS measurements were conducted at different saccharification time intervals: 0, 0.75, 1.5, 6, 12 and 24 h. Partial least squares (PLS) were used to model the relationship between the EIS measurements and the sugar determination by HPAEC-PAD. On the other hand, artificial neural networks: (multilayer feed forward architecture with quick propagation training algorithm and logistic-type transfer functions) gave the best results as predictive models for glucose, fructose, sucrose and total sugars. Coefficients of determination (R²) and root mean square errors of prediction (RMSEP) were determined as R² > 0.944 and RMSEP < 1.782 for PLS and R² > 0.973 and RMSEP < 0.486 for artificial neural networks (ANNs), respectively. Therefore, a combination of both an EIS-based technique and ANN models is suggested as a promising alternative to the traditional laboratory techniques for monitoring the pineapple waste saccharification step.

  20. An Electrochemical Impedance Spectroscopy System for Monitoring Pineapple Waste Saccharification

    PubMed Central

    Conesa, Claudia; Ibáñez Civera, Javier; Seguí, Lucía; Fito, Pedro; Laguarda-Miró, Nicolás

    2016-01-01

    Electrochemical impedance spectroscopy (EIS) has been used for monitoring the enzymatic pineapple waste hydrolysis process. The system employed consists of a device called Advanced Voltammetry, Impedance Spectroscopy & Potentiometry Analyzer (AVISPA) equipped with a specific software application and a stainless steel double needle electrode. EIS measurements were conducted at different saccharification time intervals: 0, 0.75, 1.5, 6, 12 and 24 h. Partial least squares (PLS) were used to model the relationship between the EIS measurements and the sugar determination by HPAEC-PAD. On the other hand, artificial neural networks: (multilayer feed forward architecture with quick propagation training algorithm and logistic-type transfer functions) gave the best results as predictive models for glucose, fructose, sucrose and total sugars. Coefficients of determination (R2) and root mean square errors of prediction (RMSEP) were determined as R2 > 0.944 and RMSEP < 1.782 for PLS and R2 > 0.973 and RMSEP < 0.486 for artificial neural networks (ANNs), respectively. Therefore, a combination of both an EIS-based technique and ANN models is suggested as a promising alternative to the traditional laboratory techniques for monitoring the pineapple waste saccharification step. PMID:26861317

  1. An Electrochemical Impedance Spectroscopy System for Monitoring Pineapple Waste Saccharification.

    PubMed

    Conesa, Claudia; Ibáñez Civera, Javier; Seguí, Lucía; Fito, Pedro; Laguarda-Miró, Nicolás

    2016-01-01

    Electrochemical impedance spectroscopy (EIS) has been used for monitoring the enzymatic pineapple waste hydrolysis process. The system employed consists of a device called Advanced Voltammetry, Impedance Spectroscopy & Potentiometry Analyzer (AVISPA) equipped with a specific software application and a stainless steel double needle electrode. EIS measurements were conducted at different saccharification time intervals: 0, 0.75, 1.5, 6, 12 and 24 h. Partial least squares (PLS) were used to model the relationship between the EIS measurements and the sugar determination by HPAEC-PAD. On the other hand, artificial neural networks: (multilayer feed forward architecture with quick propagation training algorithm and logistic-type transfer functions) gave the best results as predictive models for glucose, fructose, sucrose and total sugars. Coefficients of determination (R²) and root mean square errors of prediction (RMSEP) were determined as R² > 0.944 and RMSEP < 1.782 for PLS and R² > 0.973 and RMSEP < 0.486 for artificial neural networks (ANNs), respectively. Therefore, a combination of both an EIS-based technique and ANN models is suggested as a promising alternative to the traditional laboratory techniques for monitoring the pineapple waste saccharification step. PMID:26861317

  2. System for simultaneous measurements of bilaterally symmetrical acupoints multifrequency impedances

    PubMed Central

    Su, Mi-Yong; Tan, Yong-Hong; Wang, Zi-Min; Gan, Cai-Jun; Chen, Shou-Hong

    2013-01-01

    Devices which can obtain comparable bilaterally symmetrical acupoints (BSA) multifrequency impedances (MFI) are often needed in the detection of the energy balance states of acupoints in traditional Chinese medicine. To satisfy these needs, a two-channel impedance measurement system has been introduced which is capable of accurately and simultaneously measuring BSA MFI. The system includes a set of five electrodes, two of which are injected with exciting current signal to synchronously and equally excite BSA; the other three electrodes are used as sensors to simultaneously sense the response signal from both sides. The system also includes a PC-based time-domain signal testing platform with arbitrary current waveform generation and three channels (one exciting current and two response voltages) simultaneously sampling, and a set of MFI simultaneously unbiased computing algorithms based on special odd multisine current signal input. Preliminary validating experiments suggest that the system allows accurate and synchronous measurement of BSA MFI at least in the frequency range of 10 Hz to 60 kHz, and the obtained BSA MFI are well comparable. PMID:24348077

  3. Genetic algorithms

    NASA Technical Reports Server (NTRS)

    Wang, Lui; Bayer, Steven E.

    1991-01-01

    Genetic algorithms are mathematical, highly parallel, adaptive search procedures (i.e., problem solving methods) based loosely on the processes of natural genetics and Darwinian survival of the fittest. Basic genetic algorithms concepts are introduced, genetic algorithm applications are introduced, and results are presented from a project to develop a software tool that will enable the widespread use of genetic algorithm technology.

  4. Chest wall shrapnel-induced beryllium-sensitization and associated pulmonary disease.

    PubMed

    Fireman, E; Shai, A Bar; Lerman, Y; Topilsky, M; Blanc, P D; Maier, L; Li, L; Chandra, S; Abraham, J M; Fomin, I; Aviram, G; Abraham, J L

    2012-10-01

    Chronic beryllium disease (CBD) is an exposure-related granulomatous disease mimicking sarcoidosis. Beryllium exposure-associated disease occurs mainly via inhalation, but skin may also be a source of sensitization. A 65-year-old male with a history of war-related shrapnel wounds was initially diagnosed with pulmonary sarcoidosis. Twenty years later, the possibility of a metal-related etiology for the lung disease was raised. A beryllium lymphocyte proliferation test, elemental analysis of removed shrapnel, and genetic studies were consistent with a diagnosis of CBD. This case demonstrates that retained beryllium-containing foreign bodies can be linked to a pathophysiologic response in the lung consistent with CBD.

  5. The effect of intermittent positive-pressure hyperinflation in restrictive chest wall disease.

    PubMed

    Simonds, A K; Parker, R A; Branthwaite, M A

    1989-01-01

    The effects of intermittent positive-pressure hyperinflation on lung volumes, arterial blood gas tensions and respiratory muscle performance have been assessed in 10 patients with severe scoliosis (vital capacity 22-43% predicted). Hyperinflation was carried out 2-3 times a day for 5 min aiming to double the spontaneous tidal volume with each delivered breath. A volume-preset, time-cycled device was used in 6 patients and a pressure-cycled, patient-triggered machine in 4 cases. Progressive reduction in lung volume was reversed by the volume-preset device which increased the mean vital capacity from 29 to 33% predicted after 3 months (p less than 0.05) with improvement maintained after 9 months. This machine offered a significant advantage over the pressure-cycled device which at maximum or near maximum inflation pressures produced less hyperinflation and had no beneficial effect on lung volumes. The improvement in vital capacity was correlated with the degree of hyperinflation (r = 0.65; p less than 0.05). The effect of hyperinflation on arterial blood gas tensions was transient and not accompanied by an increase in accessible alveolar volume.

  6. Biceps sternalis: a Y-shaped muscle on the anterior chest wall

    PubMed Central

    2013-01-01

    The sternalis muscle is an accessory muscle located in the anterior thoracic region, which is relatively unfamiliar to clinicians and surgeons. To date, no data from the Iranian population have been published. Here, a rare case of a sternalis muscle is presented. In addition, this anomalous muscle was observed along with other visceral and vascular anomalies. This case is unique and provides significant information to radiologists, angiologists and surgeons seeking to apply safer interventions. It is also imperative for better interpretation of mammographic images and in reconstructive surgery. PMID:23497563

  7. Effects of Liner Geometry on Acoustic Impedance

    NASA Technical Reports Server (NTRS)

    Jones, Michael G.; Tracy, Maureen B.; Watson, Willie R.; Parrott, Tony L.

    2002-01-01

    Current aircraft engine nacelles typically contain acoustic liners consisting of perforated sheets bonded onto honeycomb cavities. Numerous models have been developed to predict the acoustic impedance of these liners in the presence of grazing flow, and to use that information with aeroacoustic propagation codes to assess nacelle liner noise suppression. Recent efforts have provided advances in impedance education methodologies that offer more accurate determinations of acoustic liner properties in the presence of grazing flow. The current report provides the results of a parametric study, in which a finite element method was used to assess the effects of variations of the following geometric parameters on liner impedance, with and without the presence of grazing flow: percent open area, sheet thickness, sheet thickness-to-hole diameter ratio and cavity depth. Normal incidence acoustic impedances were determined for eight acoustic liners, consisting of punched aluminum facesheets bonded to hexcell honeycomb cavities. Similar liners were tested in the NASA Langley Research Center grazing incidence tube to determine their response in the presence of grazing flow. The resultant data provide a quantitative assessment of the effects of these perforate, single-layer liner parameters on the acoustic impedance of the liner.

  8. Vascular impedance analysis in human pulmonary circulation.

    PubMed

    Zhou, Qinlian; Gao, Jian; Huang, Wei; Yen, Michael

    2006-01-01

    Vascular impedance is determined by morphometry and mechanical properties of the vascular system, as well as the rheology of the blood. The interactions between all these factors are complicated and difficult to investigate solely by experiments. A mathematical model representing the entire system of human pulmonary circulation was constructed based on experimentally measured morphometric and elasticity data of the vessels. The model consisted of 16 orders of arteries and 15 orders of veins. The pulmonary arteries and veins were considered as elastic tubes and their impedance was calculated based on Womersley's theory. The flow in capillaries was described by the "sheet-flow" theory. The model yielded an impedance modulus spectrum that fell steeply from a high value at 0 Hz to a minimum around 1.5 Hz. At about 4 Hz, it reached a second high and then oscillated around a relatively small value at higher frequencies. Characteristic impedance was 27.9 dyn-sec/cm5. Influence of variations in vessel geometry and elasticity on impedance spectra was analyzed. Simulation results showed good agreement with experimental measurements. PMID:16817653

  9. Impedance of silver oxide-zinc cells

    NASA Technical Reports Server (NTRS)

    Frank, H. A.; Long, W. L.; Uchiyama, A. A.

    1976-01-01

    Over 100 sealed AgO-Zn cells were subjected to prolonged periods of storage over a range of temperatures and storage modes including open circuit, trickle charge, and float charge. Impedances of these cells were monitored throughout, and at the end of the storage period their transient voltage characteristics were observed at the onset of discharge. Results revealed that the impedances of these cells tended to increase with storage time; the magnitude of the impedance rise was dependent primarily on temperature and to a lesser degree on storage mode. Typical values for 50 A-hr cells were usually less than 100 mohm immediately after activation and from 1 to 30 ohm after 6-10 months of storage. Transient voltages of these cells droped sharply during the first msec of discharge and then rose to a stablized value during the following few seconds. The magnitude of the initial drop and the stabilized voltage values were found to be related to impedance but not in a linear manner. The magnitude and duration of the low transient voltages may be unacceptable in some applications of these cells. The impedance variations are attributed to changes occurring at the positive electrode.

  10. Comparison of a Convected Helmholtz and Euler Model for Impedance Eduction in Flow

    NASA Technical Reports Server (NTRS)

    Watson, Willie R.; Jones, Michael G.

    2006-01-01

    Impedances educed from a well-tested convected Helmholtz model are compared to that of a recently developed linearized Euler model using two ceramic test liners under the assumed conditions or uniform flow and a plane wave source. The convected Helmholtz model is restricted to uniform mean flow whereas the linearized Euler model can account for the effect or the shear layer. Test data to educe the impedance is acquired from measurements obtained in the NASA Langley Research Center Grazing Incidence Tube for mean flow Mach numbers ranging from 0.0 to 0.5 and source frequencies ranging from 0.5 kHz to 3.0 kHz. The unknown impedance of the liner b educed by judiciously chooingth e impedance via an optimization method to match the measured acoustic pressure on the wall opposite the test liner. Results are presented on four spatial grids using three different optimization methods (contour deformation, Davidon-Fletcher Powell, and the Genetic Algorithm). All three optimization methods converge to the same impedance when used with the same model and to nearly identical impedances when used on different models. h anomaly was observed only at 0.5 kHz for high mean flow speeds. The anomaly is likely due to the use of measured data in a flow regime where shear layer effects are important but are neglected in the math models. Consistency between the impedances educed using the two models provides confidence that the linearized Euler model is ready For application to more realistic flows, such as those containing shear layers.

  11. Tunable microwave impedance matching to a high impedance source using a Josephson metamaterial

    SciTech Connect

    Altimiras, Carles Parlavecchio, Olivier; Joyez, Philippe; Vion, Denis; Roche, Patrice; Esteve, Daniel; Portier, Fabien

    2013-11-18

    We report the efficient coupling of a 50  Ω microwave circuit to a high impedance conductor. We use an impedance transformer consisting of a λ/4 co-planar resonator whose inner conductor contains an array of superconducting quantum interference devices (SQUIDs), providing it with a tunable lineic inductance L∼80 μ{sub 0}, resulting in a characteristic impedance Z{sub C}∼1 kΩ. The impedance matching efficiency is characterized by measuring the shot noise power emitted by a dc biased tunnel junction connected to the resonator. We demonstrate matching to impedances in the 15 to 35 kΩ range with bandwidths above 100 MHz around a resonant frequency tunable between 4 and 6 GHz.

  12. Design of a wearable perturbator for human knee impedance estimation during gait.

    PubMed

    Tucker, Michael R; Moser, Adrian; Lambercy, Olivier; Sulzer, James; Gassert, Roger

    2013-06-01

    Mechanical impedance modulation is the key to natural, stable and efficient human locomotion. An improved understanding of this mechanism is necessary for the development of the next generation of intelligent prosthetic and orthotic devices. This paper documents the design methodologies that were employed to realize a knee perturbator that can experimentally estimate human knee impedance during gait through the application of angular velocity perturbations. The proposed experiment requires a light, transparent, wearable, and remotely actuated device that closely follows the movement of the biological joint. A genetic algorithm was used to design a polycentric hinge whose instantaneous center of rotation is optimized to be kinematically compatible with the human knee. A wafer disc clutch was designed to switch between a high transparency passive mode and a high impedance actuated mode. A remote actuation and transmission scheme was designed to enable high power output perturbations while minimizing the device's mass. Position and torque sensors were designed for device control and to provide data for post-processing and joint impedance estimation. Pending the fabrication and mechanical testing of the device, we expect this knee perturbator to be a valuable tool for experimental investigation of locomotive joint impedance modulation.

  13. Evaluation of a multi-point method for determining acoustic impedance

    NASA Technical Reports Server (NTRS)

    Jones, Michael G.; Parrott, Tony L.

    1988-01-01

    An investigation was conducted to explore potential improvements provided by a Multi-Point Method (MPM) over the Standing Wave Method (SWM) and Two-Microphone Method (TMM) for determining acoustic impedance. A wave propagation model was developed to model the standing wave pattern in an impedance tube. The acoustic impedance of a test specimen was calculated from a best fit of this standing wave pattern to pressure measurements obtained along the impedance tube centerline. Three measurement spacing distributions were examined: uniform, random, and selective. Calculated standing wave patterns match the point pressure measurement distributions with good agreement for a reflection factor magnitude range of 0.004 to 0.999. Comparisons of results using 2, 3, 6, and 18 measurement points showed that the most consistent results are obtained when using at least 6 evenly spaced pressure measurements per half-wavelength. Also, data were acquired with broadband noise added to the discrete frequency noise and impedances were calculated using the MPM and TMM algorithms. The results indicate that the MPM will be superior to the TMM in the presence of significant broadband noise levels associated with mean flow.

  14. Ferrofluid Microwave Devices With Magnetically Controlled Impedances

    NASA Astrophysics Data System (ADS)

    Fannin, P. C.; Stefu, N.; Marin, C. N.; Malaescu, I.; Totoreanu, R.

    2010-08-01

    Ferrofluid filled transmission lines are microwave electronic devices. The complex dielectric permittivity and the complex magnetic permeability of a kerosene based ferrofluid with magnetite nanoparticles, in the frequency range (0.5-6) GHz were measured, for several values of polarising field, H. Afterwards, the input impedance of a short-circuited transmission line filled with this ferrofluid was computed using the equation Z = Zc tanh(γl). Here Zc and l are the characteristic impedance and the length of the coaxial line and γ is the propagation constant, depending on the dielectric and magnetic parameters of the material within the line. It is demonstrated how the impedance displays a frequency and polarizing field dependence, which has application in the design of magnetically controlled microwave devices.

  15. Propagation of waves along an impedance boundary

    NASA Technical Reports Server (NTRS)

    Wenzel, A. R.

    1974-01-01

    A theoretical analysis of the scalar wave field due to a point source above a plane impedance boundary is presented. A surface wave is found to be an essential component of the total wave field. It is shown that, as a result of ducting of energy by the surface wave, the amplitude of the total wave near the boundary can be greater than it would be if the boundary were perfectly reflecting. Asymptotic results, valid near the boundary, are obtained both for the case of finite impedance (the soft-boundary case) and for the limiting case in which the impedance becomes infinite (the hard-boundary case). In the latter, the wave amplitude in the farfield decreases essentially inversely as the horizontal propagation distance; in the former (if the surface-wave term is neglected), it decreases inversely as the square of the horizontal propagation distance.

  16. Impedance properties of circular microstrip antenna

    NASA Technical Reports Server (NTRS)

    Deshpande, M. D.; Bailey, M. C.

    1983-01-01

    A moment method solution to the input impedance of a circular microstrip antenna excited by either a microstrip feed or a coaxial probe is presented. Using the exact dyadic Green's function and the Fourier transform the problem is formulated in terms of Richmond's reaction integral equation from which the unknown patch current can be solved for. The patch current is expanded in terms of regular surface patch modes and an attachment mode (for probe excited case) which insures continuity of the current at probe/patch junction, proper polarization and p-dependance of patch current in the vicinity of the probe. The input impedance of a circular microstrip antenna is computed and compared with earlier results. Effect of attachment mode on the input impedance is also discussed.

  17. Impedance Scaling for Small Angle Transitions

    SciTech Connect

    Stupakov, G.; Bane, Karl; Zagorodnov, I.; /DESY

    2010-10-27

    Based on the parabolic equation approach to Maxwell's equations we have derived scaling properties of the high frequency impedance/short bunch wakefields of structures. For the special case of small angle transitions we have shown the scaling properties are valid for all frequencies. Using these scaling properties one can greatly reduce the calculation time of the wakefield/impedance of long, small angle, beam pipe transitions, like one often finds in insertion regions of storage rings. We have tested the scaling with wakefield simulations of 2D and 3D models of such transitions, and found that the scaling works well. In modern ring-based light sources one often finds insertion devices having extremely small vertical apertures (on the order of millimeters) to allow for maximal undulator fields reaching the beam. Such insertion devices require that there be beam pipe transitions from these small apertures to the larger cross-sections (normally on the order of centimeters) found in the rest of the ring. The fact that there may be many such transitions, and that these transitions introduce beam pipe discontinuities very close to the beam path, means that their impedance will be large and, in fact, may dominate the impedance budget of the entire ring. To reduce their impact on impedance, the transitions are normally tapered gradually over a long distance. The accurate calculation of the impedance or wakefield of these long transitions, which are typically 3D objects (i.e. they do not have cylindrical symmetry), can be quite a challenging numerical task. In this report we present a method of obtaining the impedance of a long, small angle transition from the calculation of a scaled, shorter one. Normally, the actual calculation is obtained from a time domain simulation of the wakefield in the structure, where the impedance can be obtained by performing a Fourier transform. We shall see that the scaled calculation reduces the computer time and memory requirements

  18. Protein Aggregation Measurement through Electrical Impedance Spectroscopy

    NASA Astrophysics Data System (ADS)

    Affanni, A.; Corazza, A.; Esposito, G.; Fogolari, F.; Polano, M.

    2013-09-01

    The paper presents a novel methodology to measure the fibril formation in protein solutions. We designed a bench consisting of a sensor having interdigitated electrodes, a PDMS hermetic reservoir and an impedance meter automatically driven by calculator. The impedance data are interpolated with a lumped elements model and their change over time can provide information on the aggregation process. Encouraging results have been obtained by testing the methodology on K-casein, a protein of milk, with and without the addition of a drug inhibiting the aggregation. The amount of sample needed to perform this measurement is by far lower than the amount needed by fluorescence analysis.

  19. Acoustic impedance of curved multilayered duct liners

    NASA Technical Reports Server (NTRS)

    Zorumski, W. E.

    1973-01-01

    The effect of curvature of annular duct liners on the liner acoustic impedance is examined. Exact equations are derived for the impedance of point reacting liners which are made from an arbitrary number of thin cylindrical layers of porous material separated by small radially oriented cells. Equations are given for liners with convex curvature and for liners with concave curvature. For ducts with small curvature, it is shown that these equations reduce to the equations for a flat liner. It is shown, by analytical and numerical examples, that the effect of liner curvature is significant in practical noise reduction problems.

  20. Adaptive Impedance Analysis of Grooved Surface using the Finite Element Method

    SciTech Connect

    Wang, L; /SLAC

    2007-07-06

    Grooved surface is proposed to reduce the secondary emission yield in a dipole and wiggler magnet of International Linear Collider. An analysis of the impedance of the grooved surface based on adaptive finite element is presented in this paper. The performance of the adaptive algorithms, based on an element-element h refinement technique, is assessed. The features of the refinement indicators, adaptation criteria and error estimation parameters are discussed.

  1. Electrical impedance tomography problem with inaccurately known boundary and contact impedances.

    PubMed

    Kolehmainen, Ville; Lassas, Matti; Ola, Petri

    2008-10-01

    In electrical impedance tomography (EIT) electric currents are injected into a body with unknown electromagnetic properties through a set of contact electrodes at the boundary of the body. The resulting voltages are measured on the same electrodes and the objective is to reconstruct the unknown conductivity function inside the body based on these data. All the traditional approaches to the reconstruction problem assume that the boundary of the body and the electrode-skin contact impedances are known a priori. However, in clinical experiments one usually lacks the exact knowledge of the boundary and contact impedances, and therefore, approximate model domain and contact impedances have to be used in the image reconstruction. However, it has been noticed that even small errors in the shape of the computation domain or contact impedances can cause large systematic artefacts in the reconstructed images, leading to loss of diagnostically relevant information. In a recent paper (Kolehmainen , 2006), we showed how in the 2-D case the errors induced by the inaccurately known boundary can be eliminated as part of the image reconstruction and introduced a novel method for finding a deformed image of the original isotropic conductivity using the theory of TeichmUller mappings. In this paper, the theory and reconstruction method are extended to include the estimation of unknown contact impedances. The method is implemented numerically and tested with experimental EIT data. The results show that the systematic errors caused by inaccurately known boundary and contact impedances can efficiently be eliminated by the reconstruction method.

  2. Conductivity interface modelling with dipoles by means of optimal control and boundary element methods in impedance tomography.

    PubMed

    Marsili, P M; Mounié, G; Granié, M; Morucci, J P

    1992-01-01

    Optimal control techniques have been combined with Alessandrini's singular perturbation method and Wexler's algorithm to reconstruct images in impedance imaging. We have also considered an integral formulation of the potential problem, which has led us to introduce an array of dipoles whose position, orientation and length can be optimised to model the conductivity discontinuities.

  3. Impedance-matched drilling telemetry system

    DOEpatents

    Normann, Randy A.; Mansure, Arthur J.

    2008-04-22

    A downhole telemetry system that uses inductance or capacitance as a mode through which signal is communicated across joints between assembled lengths of pipe wherein efficiency of signal propagation through a drill string, for example, over multiple successive pipe segments is enhanced through matching impedances associated with the various telemetry system components.

  4. Explicit expressions of impedances and wake functions

    SciTech Connect

    Ng, K.Y.; Bane, K,; /SLAC

    2010-10-01

    Sections 3.2.4 and 3.2.5 of the Handbook of Accelerator Physics and Engineering on Landau damping are combined and updated. The new addition includes impedances and wakes for multi-layer beam pipe, optical model, diffraction model, and cross-sectional transition.

  5. Bioelectrical Impedance and Body Composition Assessment

    ERIC Educational Resources Information Center

    Martino, Mike

    2006-01-01

    This article discusses field tests that can be used in physical education programs. The most common field tests are anthropometric measurements, which include body mass index (BMI), girth measurements, and skinfold testing. Another field test that is gaining popularity is bioelectrical impedance analysis (BIA). Each method has particular strengths…

  6. 21 CFR 870.2770 - Impedance plethysmograph.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Impedance plethysmograph. 870.2770 Section 870.2770 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Monitoring Devices § 870.2770...

  7. Impedance matching between ventricle and load.

    PubMed

    Piene, H

    1984-01-01

    Impedance matching in the cardiovascular system is discussed in light of two models of ventricle and load: a Thevenin equivalent consisting of a hydromotive pressure source and an internal, source resistance and compliance in parallel; and a time-varying compliance filled from a constant pressure source and ejecting into a load of three components, a central resistor, a compliance, and a peripheral resistance. According to the Thevenin analog, the energy source and the load are matched when the load resistance is T/t times the internal source resistance (T is total cycle length, t is systolic time interval). Both from this model and from the variable compliance model it appears that optimum matching between source and load depends on the compliance of the Windkessel, as low compliance shifts the matching load resistance to a low value. Animal experiments (isolated cat hearts) indicated that both left and right ventricles at normal loads work close to their maxima of output hydraulic power, and, according to experiments in the right ventricle, maximum power output is related to load resistance and compliance as predicted by the above models. From an experimentally determined relationship among instantaneous ventricular pressure and volume (right ventricle of isolated cat hearts), an optimum load impedance was calculated on the basis of the assumption that the ratio between stroke work and static, potential energy developed in the ventricular cavity is maximum. The optimum load impedance found by this procedure closely resembles the normal input impedance of the cat lung vessel bed. PMID:6507966

  8. Electrical Impedance Tomography Technology (EITT) Project

    NASA Technical Reports Server (NTRS)

    Oliva-Buisson, Yvette J.

    2014-01-01

    Development of a portable, lightweight device providing two-dimensional tomographic imaging of the human body using impedance mapping. This technology can be developed to evaluate health risks and provide appropriate medical care on the ISS, during space travel and on the ground.

  9. Explicit Expressions of Impedances and Wake Functions

    SciTech Connect

    Ng, K.Y.; Bane, K,; /SLAC

    2012-06-11

    Sections 3.2.4 and 3.2.5 of the Handbook of Accelerator Physics and Engineering on Landau damping are combined and updated. The new addition includes impedances and wakes for multi-layer beam pipe, optical model, diffraction model, and cross-sectional transition.

  10. High Impedance Comparator for Monitoring Water Resistivity.

    ERIC Educational Resources Information Center

    Holewinski, Paul K.

    1984-01-01

    A high-impedance comparator suitable for monitoring the resistivity of a deionized or distilled water line supplying water in the 50 Kohm/cm-2 Mohm/cm range is described. Includes information on required circuits (with diagrams), sensor probe assembly, and calibration techniques. (JN)

  11. Aortic Input Impedance during Nitroprusside Infusion

    PubMed Central

    Pepine, Carl J.; Nichols, W. W.; Curry, R. C.; Conti, C. Richard

    1979-01-01

    Beneficial effects of nitroprusside infusion in heart failure are purportedly a result of decreased afterload through “impedance” reduction. To study the effect of nitroprusside on vascular factors that determine the total load opposing left ventricular ejection, the total aortic input impedance spectrum was examined in 12 patients with heart failure (cardiac index <2.0 liters/min per m2 and left ventricular end diastolic pressure >20 mm Hg). This input impedance spectrum expresses both mean flow (resistance) and pulsatile flow (compliance and wave reflections) components of vascular load. Aortic root blood flow velocity and pressure were recorded continuously with a catheter-tip electromagnetic velocity probe in addition to left ventricular pressure. Small doses of nitroprusside (9-19 μg/min) altered the total aortic input impedance spectrum as significant (P < 0.05) reductions in both mean and pulsatile components were observed within 60-90 s. With these acute changes in vascular load, left ventricular end diastolic pressure declined (44%) and stroke volume increased (20%, both P < 0.05). Larger nitroprusside doses (20-38 μg/min) caused additional alteration in the aortic input impedance spectrum with further reduction in left ventricular end diastolic pressure and increase in stroke volume but no additional changes in the impedance spectrum or stroke volume occurred with 39-77 μg/min. Improved ventricular function persisted when aortic pressure was restored to control values with simultaneous phenylephrine infusion in three patients. These data indicate that nitroprusside acutely alters both the mean and pulsatile components of vascular load to effect improvement in ventricular function in patients with heart failure. The evidence presented suggests that it may be possible to reduce vascular load and improve ventricular function independent of aortic pressure reduction. PMID:457874

  12. Dynamic electrochemical impedance spectroscopy reconstructed from continuous impedance measurement of single frequency during charging/discharging

    NASA Astrophysics Data System (ADS)

    Huang, Jun; Li, Zhe; Zhang, Jianbo

    2015-01-01

    In this study, a novel implementation of dynamic electrochemical impedance spectroscopy (DEIS) is proposed. The method first measures the impedance continuously at a single frequency during one charging/discharging cycle, then repeats the measurement at a number of other selected frequencies. The impedance spectrum at a specific SOC is obtained by interpolating and collecting the impedance at all of the selected frequencies. The charge transfer resistance, Rct, from the DEIS is smaller than that from the steady EIS in a wide state-of-charge (SOC) range from 0.4 to 1.0, the Rct during charging is generally smaller than that during discharging for the battery chemistry used in this study.

  13. Frequency-difference electrical impedance tomography: Phantom imaging experiments

    NASA Astrophysics Data System (ADS)

    Ahn, Sujin; Jun, Sung Chan; Seo, Jin Keun; Lee, Jeehyun; Woo, Eung Je; Holder, David

    2010-04-01

    Frequency-difference electrical impedance tomography (fdEIT) using a weighted voltage difference has been proposed as a means to provide images of admittivity changes at different frequencies. This weighted difference method is an effective way to extract anomaly information while eliminating background effects by unknown boundary geometry, uncertainty in electrode positions and other systematic measurement artefacts. It also properly handles the interplay between conductivity and permittivity in measured boundary voltage data. Though the proposed fdEIT algorithm is promising for applications such as detection of hemorrhagic stroke and breast cancer, more validation studies are needed. In this paper, we performed two-and three-dimensional numerical simulations and phantom experiments. Backgrounds of imaging objects were either saline or carrot pieces suspended in saline. We used carrot pieces to simulate a more realistic frequency-dependent admittivity distribution. Test objects were banana, potato or conductive gel with known admittivity spectra. When the background was saline, both simple and weighted difference approaches produced reasonably accurate images. The weighted difference method yielded better images from two-dimensional imaging objects with background of carrot pieces. For the three-dimensional head-shaped phantom, the advantage of the weighted frequency difference method over the simple difference method is not as obvious as in the case of the two-dimensional phantom. It is unclear if this is due to measurement errors or limitations in the linear algorithm. Further refinement and validation of the frequency difference image reconstructions are currently in progress.

  14. Tuning electrode impedance for the electrical recording of biopotentials.

    PubMed

    Fontes, M A; de Beeck, M; Van Hoof, C; Neves, H P

    2010-01-01

    Tuning the electrode impedance through the DC biasing of iridium oxide is presented. Impedance reduction of up to two orders of magnitude was reproducibly observed in 20 microm diameter microelectrodes at a biasing of 1V.

  15. Scattering by a groove in an impedance plane

    NASA Technical Reports Server (NTRS)

    Bindiganavale, Sunil; Volakis, John L.

    1993-01-01

    An analysis of two-dimensional scattering from a narrow groove in an impedance plane is presented. The groove is represented by a impedance surface and the problem reduces to that of scattering from an impedance strip in an otherwise uniform impedance plane. On the basis of this model, appropriate integral equations are constructed using a form of the impedance plane Green's functions involving rapidly convergent integrals. The integral equations are solved by introducing a single basis representation of the equivalent current on the narrow impedance insert. Both transverse electric (TE) and transverse magnetic (TM) polarizations are treated. The resulting solution is validated by comparison with results from the standard boundary integral method (BIM) and a high frequency solution. It is found that the presented solution for narrow impedance inserts can be used in conjunction with the high frequency solution for the characterization of impedance inserts of any given width.

  16. Enhanced Method for Cavity Impedance Calculations

    SciTech Connect

    Frank Marhauser, Robert Rimmer, Kai Tian, Haipeng Wang

    2009-05-01

    With the proposal of medium to high average current accelerator facilities the demand for cavities with extremely low Higher Order Mode (HOM) impedances is increasing. Modern numerical tools are still under development to more thoroughly predict impedances that need to take into account complex absorbing boundaries and lossy materials. With the usually large problem size it is preferable to utilize massive parallel computing when applicable and available. Apart from such computational issues, we have developed methods using available computer resources to enhance the information that can be extracted from a cavities? wakefield computed in time domain. In particular this is helpful for a careful assessment of the extracted RF power and the mitigation of potential beam break-up or emittance diluting effects, a figure of merit for the cavity performance. The method is described as well as an example of its implementation.

  17. Stimuli dependent impedance of conductive magnetorheological elastomers

    NASA Astrophysics Data System (ADS)

    Wang, Yu; Xuan, Shouhu; Dong, Bo; Xu, Feng; Gong, Xinglong

    2016-02-01

    The structure dependent impedance of conductive magnetorheological elastomers (MREs) under different loads and magnetic fields has been studied in this work. By increasing the weight fraction of iron particles, the conductivity of the MREs increased. Dynamic mechanical measurements and synchrotron radiation x-ray computed tomography (SR-CT) were used and they provided reasons for the electrical properties changing significantly under pressure and magnetic field stimulation. The high sensitivity of MREs to external stimuli renders them suitable for application in force or magnetic field sensors. The equivalent circuit model was proposed to analyze the impedance response of MREs and it fits the experimental results very well. Each circuit component reflected the change of the inner interface under different conditions, thus relative changes in the microstructure could be distinguished. This method could be used not only to detect the structural changes in the MRE but also to provide a great deal of valuable information for the further understanding of the MR mechanism.

  18. Automatic digital-analog impedance plethysmograph

    NASA Astrophysics Data System (ADS)

    Goy, C. B.; Mauro, K. A.; Yanicelli, L. M.; Parodi, N. F.; Gómez López, M. A.; Herrera, M. C.

    2016-04-01

    Venous occlusion plethysmography (VOP) is a traditional method widely used to assess limb blood circulation. One common mode to record VOP is by means of evaluating limb volume changes using impedance plethysmography (IP). In this paper the design and implementation of an automatic digital-analog impedance plethysmograph (ADAIP) for VOP is presented. The system is tested using precision resistances in order to calculate its repeatability. Then its global performance is assessed by means of VOP recordings on the upper and me lower limb of a healthy volunteer. The obtained repeatability was very high (95%), and the VOP recordings where the expected ones. It can be concluded that the whole system performs well and that it is suitable for automatic VOP recording.

  19. Nonlinear acoustic impedance of thermoacoustic stack

    NASA Astrophysics Data System (ADS)

    Ge, Huan; Fan, Li; Xiao, Shu-yu; Tao, Sha; Qiu, Mei-chen; Zhang, Shu-yi; Zhang, Hui

    2012-09-01

    In order to optimize the performances of the thermoacoustic refrigerator working with the high sound pressure level, the nonlinear acoustic characteristics of the thermoacoustic stack in the resonant pipe are studied. The acoustic fluid impedance of the stack made of copper mesh and set up in a resonant pipe is measured in the acoustic fields with different intensities. It is found that when the sound pressure level in the pipe increases to a critical value, the resistance of the stack increases nonlinearly with the sound pressure, while the reactance of the stack keeps constant. Based on the experimental results, a theory model is set up to describe the acoustic characteristics of the stack, according to the rigid frame theory and Forchheimmer equation. Furthermore, the influences of the sound pressure level, operating frequency, volume porosity, and length of the stack on the nonlinear impedance of the stack are evaluated.

  20. Impedance issues in the CERN SPS

    NASA Astrophysics Data System (ADS)

    Linnecar, T.

    1999-12-01

    The future use of the CERN SPS accelerator as injector for the Large Hadron Collider, LHC, and the possible use of the SPS as a neutrino source for the Gran Sasso experiment are pushing the maximum intensity requirements of the accelerator much higher than achieved up to now. At the same time the requirements on beam quality are becoming far more stringent. The SPS machine, built in the 70's, is not a "smooth" machine. It contains many discontinuities in vacuum chamber cross-section and many cavity-like objects, as well as the 5 separate RF systems at present installed. All these lead to a high impedance, seen by the beam, spread over a wide frequency range. As a result there is a constant fight against instabilities, both single and multi bunch, as the intensity increases. A program of studies is under way in the SPS to identify, reduce, and remove where possible the sources of these impedances.

  1. Impedance of a beam tube with antechamber

    SciTech Connect

    Barry, W.; Lambertson, G.R.; Voelker, F.

    1986-08-01

    A beam vacuum chamber was proposed to allow synchrotron light to radiate from a circulating electron beam into an antechamber containing photon targets, pumps, etc. To determine the impedance such a geometry would present to the beam, electromagnetic measurements were carried out on a section of chamber using for low frequencies a current-carrying wire and for up to 16 GHz, a resonance perturbation method. Because the response of such a chamber would depend on upstream and downstream restrictions of aperture yet to be determined, the resonance studies were analyzed in some generality. The favorable conclusion of these studies is that the antechamber makes practically no contribution to either the longitudinal or the transverse impedances.

  2. Impedance characteristics of terawatt ion diodes

    NASA Astrophysics Data System (ADS)

    Mendel, C. W., Jr.; Desjarlais, M. P.; Pointon, T. D.; Quintenz, J. P.; Rosenthal, S. E.; Seidel, D. B.; Slutz, S. A.

    Light ion fusion research has developed ion diodes that have unique properties when compared to other ion diodes. These diodes involve relativistic electrons, ion beam stagnation pressures that compress the magnetic field to the order of 10 Tesla, and large space charge and particle current effects throughout the accelerating region. These diodes have required new theories and models to account for effects that previously were unimportant. One of the most important effects of the magnetic field compression and large space charge has been impedance collapse. The impedance collapse can lead to poor energy transfer efficiency, beam debunching, and rapid change of the beam focus. The current understanding of these effects is discussed including some of the methods used to ameliorate them, and the future directions the theory and modeling will take.

  3. Signal conditioning circuit apparatus. [with constant input impedance

    NASA Technical Reports Server (NTRS)

    Holland, V. B. (Inventor)

    1975-01-01

    A signal conditioning circuit is described including operational amplifier, a variable source of offset potential, and four resistive impedance. The circuit has constant input impedance independent of gain and offset adjustments. Gain change is effected by varying one of the impedances in an amplifier feedback circuit; offset adjustment is effected through variation of the offset potential source.

  4. Impedance Matched Absorptive Thermal Blocking Filters

    NASA Technical Reports Server (NTRS)

    Wollack, E. J.; Chuss, D. T.; U-Yen, K.; Rostem, K.

    2014-01-01

    We have designed, fabricated and characterized absorptive thermal blocking filters for cryogenic microwave applications. The transmission line filter's input characteristic impedance is designed to match 50 Omega and its response has been validated from 0-to-50GHz. The observed return loss in the 0-to-20GHz design band is greater than 20 dB and shows graceful degradation with frequency. Design considerations and equations are provided that enable this approach to be scaled and modified for use in other applications.

  5. Impedance Matched Absorptive Thermal Blocking Filters

    NASA Technical Reports Server (NTRS)

    Wollack, E. J.; Chuss, D. T.; Rostem, K.; U-Yen, K.

    2014-01-01

    We have designed, fabricated and characterized absorptive thermal blocking filters for cryogenic microwave applications. The transmission line filter's input characteristic impedance is designed to match 50O and its response has been validated from 0-to-50GHz. The observed return loss in the 0-to-20GHz design band is greater than 20 dB and shows graceful degradation with frequency. Design considerations and equations are provided that enable this approach to be scaled and modified for use in other applications.

  6. Measurement of shear impedances of viscoelastic fluids

    SciTech Connect

    Sheen, Shuh-Haw; Chien, Hual-Te; Raptis, A.C.

    1996-12-31

    Shear-wave reflection coefficients from a solid/fluid interface are derived for non-Newtonian fluids that can be described by Maxwell, Voigt, and power-law fluid models. Based on model calculations, we have identified the measurable effects on the reflection coefficients due to fluid non-Newtonian behavior. The models are used to interpret the viscosity data obtained by a technique based on shear impedance measurement.

  7. Superconducting surface impedance under radiofrequency field

    DOE PAGES

    Xiao, Binping P.; Reece, Charles E.; Kelley, Michael J.

    2013-04-26

    Based on BCS theory with moving Cooper pairs, the electron states distribution at 0K and the probability of electron occupation with finite temperature have been derived and applied to anomalous skin effect theory to obtain the surface impedance of a superconductor under radiofrequency (RF) field. We present the numerical results for Nb and compare these with representative RF field-dependent effective surface resistance measurements from a 1.5 GHz resonant structure.

  8. Imaging and characterizing root systems using electrical impedance tomography

    NASA Astrophysics Data System (ADS)

    Kemna, A.; Weigand, M.; Kelter, M.; Pfeifer, J.; Zimmermann, E.; Walter, A.

    2011-12-01

    Root architecture, growth, and activity play an essential role regarding the nutrient uptake of roots in soils. While in recent years advances could be achieved concerning the modeling of root systems, measurement methods capable of imaging, characterizing, and monitoring root structure and dynamics in a non-destructive manner are still lacking, in particular at the field scale. We here propose electrical impedance tomography (EIT) for the imaging of root systems. The approach takes advantage of the low-frequency capacitive electrical properties of the soil-root interface and the root tissue. These properties are based on the induced migration of ions in an externally applied electric field and give rise to characteristic impedance spectra which can be measured by means of electrical impedance spectroscopy. The latter technique was already successfully applied in the 10 Hz to 1 MHz range by Ozier-Lafontaine and Bajazet (2005) to monitor root growth of tomato. We here apply the method in the 1 mHz to 45 kHz range, requiring four-electrode measurements, and demonstrate its implementation and potential in an imaging framework. Images of real and imaginary components of complex electrical conductivity are computed using a finite-element based inversion algorithm with smoothness-constraint regularization. Results from laboratory measurements on rhizotrons with different root systems (barley, rape) show that images of imaginary conductivity delineate the spatial extent of the root system under investigation, while images of real conductivity show a less clear response. As confirmed by numerical simulations, the latter could be explained by the partly compensating electrical conduction properties of epidermis (resistive) and inner root cells (conductive), indicating the limitations of conventional electrical resistivity tomography. The captured spectral behavior exhibits two distinct relaxation processes with Cole-Cole type signatures, which we interpret as the responses

  9. Pulse wave detection method based on the bio-impedance of the wrist

    NASA Astrophysics Data System (ADS)

    He, Jianman; Wang, Mengjun; Li, Xiaoxia; Li, Gang; Lin, Ling

    2016-05-01

    The real-time monitoring of pulse rate can evaluate the heart health to some extent, and the measurement of bio-impedance has the potential in wearable health monitoring system. In this paper, an effective method, which contains self-balancing bridge, flexible electrode, and high-speed digital lock-in algorithm (DLIA) with over-sampling, was designed to detect the impedance pulse wave at the wrist. By applying the self-balancing bridge, the basic impedance can be compensated as much as possible, and the low amplitude of impedance variation related to heart pulse can be obtained more easily. And the flexible conductive rubber electrode used in our experiment is human-friendly. Besides, the over-sampling method and high-speed DLIA are used to enhance the effective resolution of the existing data sampled by analog to digital converter. With the high-speed data process and simple circuit above, this proposed method has the potential in wrist-band wearable systems and it can satisfy quests of small volume and low power consumption.

  10. Dynamic Impedance Model of the Skin-Electrode Interface for Transcutaneous Electrical Stimulation

    PubMed Central

    Vargas Luna, José Luis; Krenn, Matthias; Cortés Ramírez, Jorge Armando; Mayr, Winfried

    2015-01-01

    Transcutaneous electrical stimulation can depolarize nerve or muscle cells applying impulses through electrodes attached on the skin. For these applications, the electrode-skin impedance is an important factor which influences effectiveness. Various models describe the interface using constant or current-depending resistive-capacitive equivalent circuit. Here, we develop a dynamic impedance model valid for a wide range stimulation intensities. The model considers electroporation and charge-dependent effects to describe the impedance variation, which allows to describe high-charge pulses. The parameters were adjusted based on rectangular, biphasic stimulation pulses generated by a stimulator, providing optionally current or voltage-controlled impulses, and applied through electrodes of different sizes. Both control methods deliver a different electrical field to the tissue, which is constant throughout the impulse duration for current-controlled mode or have a very current peak for voltage-controlled. The results show a predominant dependence in the current intensity in the case of both stimulation techniques that allows to keep a simple model. A verification simulation using the proposed dynamic model shows coefficient of determination of around 0.99 in both stimulation types. The presented method for fitting electrode-skin impedance can be simple extended to other stimulation waveforms and electrode configuration. Therefore, it can be embedded in optimization algorithms for designing electrical stimulation applications even for pulses with high charges and high current spikes. PMID:25942010

  11. Impedance monitoring at tendon-anchorage via mountable PZT interface and temperature-effect compensation

    NASA Astrophysics Data System (ADS)

    Huynh, Thanh-Canh; Nguyen, Tuan-Cuong; Choi, Sang-Hoon; Kim, Jeong-Tae

    2016-04-01

    In this study, the pre-stress force in pre-stressed concrete (PSC) girders is monitored via mountable PZT interface under varying temperature. Firstly, an impedance-based technique using mountable PZT interface is proposed for pre-stress-loss monitoring in tendon-anchorage systems. A cross correlation-based temperature-effect compensation algorithm using an effective frequency shift (EFS) of impedance signatures is visited. Secondly, lab-scale experiments are performed on a PSC girder instrumented with a mountable PZT interface at tendon-anchorage. A series of temperature variation and pre-stress-loss events are simulated for the lab-scale PSC girder. Thirdly, the feasibility of the mountable PZT interface for pre-stress-loss monitoring in tendon-anchorage is experimentally verified under constant temperature conditions. Finally, the PZT interface device is examined for pre-stress-loss monitoring under temperature changes to validate its applicability. The temperature effect on impedance signatures is compensated by minimizing cross-correlation deviation between impedance patterns of the mountable PZT interface.

  12. Pulse wave detection method based on the bio-impedance of the wrist.

    PubMed

    He, Jianman; Wang, Mengjun; Li, Xiaoxia; Li, Gang; Lin, Ling

    2016-05-01

    The real-time monitoring of pulse rate can evaluate the heart health to some extent, and the measurement of bio-impedance has the potential in wearable health monitoring system. In this paper, an effective method, which contains self-balancing bridge, flexible electrode, and high-speed digital lock-in algorithm (DLIA) with over-sampling, was designed to detect the impedance pulse wave at the wrist. By applying the self-balancing bridge, the basic impedance can be compensated as much as possible, and the low amplitude of impedance variation related to heart pulse can be obtained more easily. And the flexible conductive rubber electrode used in our experiment is human-friendly. Besides, the over-sampling method and high-speed DLIA are used to enhance the effective resolution of the existing data sampled by analog to digital converter. With the high-speed data process and simple circuit above, this proposed method has the potential in wrist-band wearable systems and it can satisfy quests of small volume and low power consumption.

  13. Dynamic impedance model of the skin-electrode interface for transcutaneous electrical stimulation.

    PubMed

    Vargas Luna, José Luis; Krenn, Matthias; Cortés Ramírez, Jorge Armando; Mayr, Winfried

    2015-01-01

    Transcutaneous electrical stimulation can depolarize nerve or muscle cells applying impulses through electrodes attached on the skin. For these applications, the electrode-skin impedance is an important factor which influences effectiveness. Various models describe the interface using constant or current-depending resistive-capacitive equivalent circuit. Here, we develop a dynamic impedance model valid for a wide range stimulation intensities. The model considers electroporation and charge-dependent effects to describe the impedance variation, which allows to describe high-charge pulses. The parameters were adjusted based on rectangular, biphasic stimulation pulses generated by a stimulator, providing optionally current or voltage-controlled impulses, and applied through electrodes of different sizes. Both control methods deliver a different electrical field to the tissue, which is constant throughout the impulse duration for current-controlled mode or have a very current peak for voltage-controlled. The results show a predominant dependence in the current intensity in the case of both stimulation techniques that allows to keep a simple model. A verification simulation using the proposed dynamic model shows coefficient of determination of around 0.99 in both stimulation types. The presented method for fitting electrode-skin impedance can be simple extended to other stimulation waveforms and electrode configuration. Therefore, it can be embedded in optimization algorithms for designing electrical stimulation applications even for pulses with high charges and high current spikes. PMID:25942010

  14. Dynamic assessment of Amyloid oligomers - cell membrane interaction by advanced impedance spectroscopy

    NASA Astrophysics Data System (ADS)

    Gheorghiu, M.; David, S.; Polonschii, C.; Bratu, D.; Gheorghiu, E.

    2013-04-01

    The amyloid β (Aβ) peptides are believed to be pivotal in Alzheimer's disease (AD) pathogenesis and onset of vascular dysfunction. Recent studies indicate that Aβ1-42 treatment influences the expression of tight junction protein complexes, stress fibre formation, disruption and aggregation of actin filaments and cellular gap formation. Aiming for functional characterization of model cells upon Aβ1-42 treatment, we deployed an advanced Electric Cell-substrate Impedance Sensing for monitoring cell evolution. A precision Impedance Analyzer with a multiplexing module developed in house was used for recording individual electrode sets in the 40 Hz - 100 KHz frequency range. In a step forward from the classical ECIS assays, we report on a novel data analysis algorithm that enables access to cellular and paracellular electrical parameters and cell surface interaction with fully developed cell monolayers. The evolution of the impedance at selected frequencies provides evidence for a dual effect of Aβ42 exposure, at both paracellular permeability and cell adherence level, with intricate dynamics that open up new perspectives on Aβ1-42 oligomers - cell membrane interaction. Validation of electrical impedance assays of the amyloid fibrils effect on cell membrane structure is achieved by both AFM analysis and Surface Plasmon Resonance studies. The capabilities of this noninvasive, real time platform for cell analysis in a wider applicative context are outlined.

  15. PEP-X IMPEDANCE AND INSTABILITY CALCULATIONS

    SciTech Connect

    Bane, K.L.F.; Lee, L.-Q.; Ng, C.; Stupakov, G.; au Wang, L.; Xiao, L.; /SLAC

    2010-08-25

    PEP-X, a next generation, ring-based light source is designed to run with beams of high current and low emittance. Important parameters are: energy 4.5 GeV, circumference 2.2 km, beam current 1.5 A, and horizontal and vertical emittances, 185 pm by 8 pm. In such a machine it is important that impedance driven instabilities not degrade the beam quality. In this report they study the strength of the impedance and its effects in PEP-X. For the present, lacking a detailed knowledge of the vacuum chamber shape, they create a straw man design comprising important vacuum chamber objects to be found in the ring, for which they then compute the wake functions. From the wake functions they generate an impedance budget and a pseudo-Green function wake representing the entire ring, which they, in turn, use for performing microwave instability calculations. In this report they, in addition, consider in PEP-X the transverse mode-coupling, multi-bunch transverse, and beam-ion instabilities.

  16. Interior impedance wedge diffraction with surface waves

    NASA Technical Reports Server (NTRS)

    Balanis, Constantine A.; Griesser, Timothy

    1988-01-01

    The exact impedance wedge solution is evaluated asymptotically using the method of steepest descents for plane wave illumination at normal incidence. Uniform but different impedances on each face are considered for both soft and hard polarizations. The asymptotic solution isolates the incident, singly reflected, multiply reflected, diffracted, and surface wave fields. Multiply reflected fields of any order are permitted. The multiply reflected fields from the exact solution are written as ratios of auxiliary Maliuzhinets functions, whereas a geometrical analysis gives the reflected fields as products of reflection coefficients. These two representations are shown to be identical in magnitude, phase and the angular range over which they exist. The diffracted field includes four Fresnel transition functions as in the perfect conductor case, and the expressions for the appropriate discontinuities at the shadow boundaries are presented. The surface wave exists over a finite angular range and only for certain surface impedances. A surface wave transition field is included to retain continuity. Computations are presented for interior wedge diffractions although the formulation is valid for both exterior and interior wedges.

  17. Bioelectrical impedance analysis of bovine milk fat

    NASA Astrophysics Data System (ADS)

    Veiga, E. A.; Bertemes-Filho, P.

    2012-12-01

    Three samples of 250ml at home temperature of 20°C were obtained from whole, low fat and fat free bovine UHT milk. They were analysed by measuring both impedance spectra and dc conductivity in order to establish the relationship between samples related to fat content. An impedance measuring system was developed, which is based on digital oscilloscope, a current source and a FPGA. Data was measured by the oscilloscope in the frequency 1 kHz to 100 kHz. It was showed that there is approximately 7.9% difference in the conductivity between whole and low fat milk whereas 15.9% between low fat and free fat one. The change of fatness in the milk can be significantly sensed by both impedance spectra measurements and dc conductivity. This result might be useful for detecting fat content of milk in a very simple way and also may help the development of sensors for measuring milk quality, as for example the detection of mastitis.

  18. A vector impedance meter digitally controlled

    NASA Astrophysics Data System (ADS)

    Caranti, Giorgio M.; Ré, Miguel A.

    1991-12-01

    As with most similar equipment, the method consists in applying a sinusoidal voltage to an unknown impedance and measuring the current through it. The advantage of the developed equipment is that it allows independent and simultaneous measurement of the resistive and reactive components of the current through the sample impedance, thus making possible the determination of impedances in magnitude and phase. The measurements can be controlled with a computer using a digital interface. The instrument may also be controlled with a computer using a digital interface. The instrument may also be controlled manually from a front panel. The apparatus was designed to operate in the audio range 1 Hz-100 kHz for currents even below 1 μA. The analog outputs may either be connected to an X-Y recorder or the data can be acquired with a computer through an analog-to-digital converter. The laboratory tests have shown a good performance according to the design specifications. These tests have been carried out using discrete circuits made of calibrated components.

  19. Application of impedance spectroscopy to SOFC research

    SciTech Connect

    Hsieh, G.; Mason, T.O.; Pederson, L.R.

    1996-12-31

    With the resurgence of interest in solid oxide fuel cells and other solid state electrochemical devices, techniques originally developed for characterizing aqueous systems are being adapted and applied to solid state systems. One of these techniques, three-electrode impedance spectroscopy, is particularly powerful as it allows characterization of subcomponent and interfacial properties. Obtaining accurate impedance spectra, however, is difficult as reference electrode impedance is usually non-negligible and solid electrolytes typically have much lower conductance than aqueous solutions. Faidi et al and Chechirlian et al have both identified problems associated with low conductivity media. Other sources of error are still being uncovered. Ford et al identified resistive contacts with large time constants as a possibility, while Me et al showed that the small contact capacitance of the reference electrode was at fault. Still others show that instrument limitations play a role. Using the voltage divider concept, a simplified model that demonstrates the interplay of these various factors, predicts the form of possible distortions, and offers means to minimize errors is presented.

  20. On the directional symmetry of the impedance

    SciTech Connect

    Heifets, S.A.

    1990-03-01

    The independence of the impedance on the beam direction is an important feature of an accelerator structure, in particular, for the electron-positron storage rings where bunches of opposite charges travel through the same vacuum chamber in opposite directions. Recently Gluckstern and Zotter considered a cylindrically symmetric but longitudinally asymmetric cavity with side pipes of equal radii. They were able to prove that for a relativistic particle the longitudinal impedance of the cavity with an arbitrary shape is independent of the direction in which the beam travels through it. Their result corroborates numerical observations of the independence of the wakefield obtained with the code TBCI. Bisognano gave an elegant proof of the same statement. His approach is based on a reciprocity relation applied to the tensor Green's function. I follow here his idea in a somewhat simpler way to obtain more general and physically transparent proof of this property for both longitudinal and transverse impedances. The result is valid for a cavity with no azimuthal symmetry and for arbitrary particle velocity, as soon as it may be considered constant. At the same time the limits of its validity are shown.

  1. Electrical impedance measurements of root canal length.

    PubMed

    Meredith, N; Gulabivala, K

    1997-06-01

    Electronic methods are now widely used during endodontic treatment for the assessment of root canal length. These commonly measure the electrical resistance or impedance between the root canal and the buccal mucosa. A number of studies have been undertaken to determine the accuracy of commercially available instruments. The aims of this investigation were to determine the electrical impedance characteristics of the root canal and periapical tissues in vivo, measure the changes relative to the distance of an endodontic instrument from the apical constriction and propose an equivalent circuit modelling the periapical tissues. The length of the root canals of 20 previously untreated teeth were determined using radiographic and electronic methods. Minimal canal preparation was carried out and measurements were made with a size 10 K-Flex file. A microprocessor-controlled LCR analyser was used to measure the electrical impedance characteristics of each root canal. The instrument measured the series and parallel resistive (RS, RP) and capacitance (CS, CP) component of the tissues at two test frequencies, 100 Hz and 1 kHz. Measurements were made for each root canal when the diagnostic file was placed at the apical constriction and repeated when the file was withdrawn to -0.5, -1.0, -1.5, -2.0 and -5.0 mm from the foramen. Readings were taken for each canal after the canal had been dried with paper points, and flooded first with deionised water and then with sodium hypochlorite. The root canals were then prepared, cleaned and obturated using standard endodontic procedures. The LCR analyser selected the series resistance component as the major measurement parameter. There was a clear increase in series resistance (RS) with increasing distance from the radiographic apex for dry canals and those containing deionised water and sodium hypochlorite. The mean resistance for dry canals was markedly higher than for those containing fluid, ranging from 22.19 k omega to 92.07 k omega

  2. A method for modelling and optimizing an electrical impedance tomography system.

    PubMed

    Hartinger, Alzbeta Elizabeth; Gagnon, Hervé; Guardo, Robert

    2006-05-01

    Electrical impedance tomography (EIT) image reconstruction is an ill-posed problem requiring maximum measurement precision. Recent EIT systems claim 60 to 80 dB precision. Achieving higher values is hard in practice since measurements must be performed at relatively high frequency, on a living subject, while using components whose tolerance is usually higher than 0.1%. To circumvent this difficulty, a method for modelling the electronic circuits of an EIT system was developed in order to optimize the circuits and incorporate the model in the reconstruction algorithms. The proposed approach is based on a matrix method for solving electrical circuits and has been applied to the scan-head which contains the front-end electronic circuits of our system. The method is used to simulate the system characteristic curves which are then optimized with the Levenberg-Marquardt method to find optimal component values. A scan-head was built with the new component values and its simulated performance curves were compared with network analyser measurements. As a result of the optimization, the impedance at the operating frequency was increased to minimize the effects of variations in skin/electrode contact impedance. The transconductance and gain frequency responses were also reshaped to reduce noise sensitivity and unintended signal modulation. Integrating the model in the reconstruction algorithms should further improve overall performance of an EIT system.

  3. Impedance adaptation for optimal robot-environment interaction

    NASA Astrophysics Data System (ADS)

    Ge, Shuzhi Sam; Li, Yanan; Wang, Chen

    2014-02-01

    In this paper, impedance adaptation is investigated for robots interacting with unknown environments. Impedance control is employed for the physical interaction between robots and environments, subject to unknown and uncertain environments dynamics. The unknown environments are described as linear systems with unknown dynamics, based on which the desired impedance model is obtained. A cost function that measures the tracking error and interaction force is defined, and the critical impedance parameters are found to minimise it. Without requiring the information of the environments dynamics, the proposed impedance adaptation is feasible in a large number of applications where robots physically interact with unknown environments. The validity of the proposed method is verified through simulation studies.

  4. Label-Free Impedance Biosensors: Opportunities and Challenges

    PubMed Central

    Daniels, Jonathan S.; Pourmand, Nader

    2007-01-01

    Impedance biosensors are a class of electrical biosensors that show promise for point-of-care and other applications due to low cost, ease of miniaturization, and label-free operation. Unlabeled DNA and protein targets can be detected by monitoring changes in surface impedance when a target molecule binds to an immobilized probe. The affinity capture step leads to challenges shared by all label-free affinity biosensors; these challenges are discussed along with others unique to impedance readout. Various possible mechanisms for impedance change upon target binding are discussed. We critically summarize accomplishments of past label-free impedance biosensors and identify areas for future research. PMID:18176631

  5. Oblique impacts into low impedance layers

    NASA Astrophysics Data System (ADS)

    Stickle, A. M.; Schultz, P. H.

    2009-12-01

    Planetary impacts occur indiscriminately, in all locations and materials. Varied geologic settings can have significant effects on the impact process, including the coupling between the projectile and target, the final damage patterns and modes of deformation that occur. For example, marine impact craters are not identical to impacts directly into bedrock or into sedimentary materials, though many of the same fundamental processes occur. It is therefore important, especially when considering terrestrial impacts, to understand how a low impedance sedimentary layer over bedrock affects the deformation process during and after a hypervelocity impact. As a first step, detailed comparisons between impacts and hydrocode models were performed. Experiments performed at the NASA Ames Vertical Gun Range of oblique impacts into polymethylmethacrylate (PMMA) targets with low impedance layers were performed and compared to experiments of targets without low impedance layers, as well as to hydrocode models under identical conditions. Impact velocities ranged from 5 km/s to 5.6 km/s, with trajectories from 30 degrees to 90 degrees above the horizontal. High-speed imaging provided documentation of the sequence and location of failure due to impact, which was compared to theoretical models. Plasticine and ice were used to construct the low impedance layers. The combination of experiments and models reveals the modes of failure due to a hypervelocity impact. How such failure is manifested at large scales can present a challenge for hydrocodes. CTH models tend to overestimate the amount of damage occurring within the targets and have difficulties perfectly reproducing morphologies; nevertheless, they provide significant and useful information about the failure modes and style within the material. CTH models corresponding to the experiments allow interpretation of the underlying processes involved as well as provide a benchmark for the experimental analysis. The transparency of PMMA

  6. Mechanism of the formation for thoracic impedance change.

    PubMed

    Kuang, Ming-Xing; Xiao, Qiu-Jin; Cui, Chao-Ying; Kuang, Nan-Zhen; Hong, Wen-Qin; Hu, Ai-Rong

    2010-03-01

    The purpose of this study is to investigate the mechanism of the formation for thoracic impedance change. On the basis of Ohm's law and the electrical field distribution in the cylindrical volume conductor, the formula about the thoracic impedance change are deduced, and they are demonstrated with the model experiment. The results indicate that the thoracic impedance change caused by single blood vessel is directly proportional to the ratio of the impedance change to the basal impedance of the blood vessel itself, to the length of the blood vessel appearing between the current electrodes, and to the basal impedance between two detective electrodes on the chest surface, while it is inversely proportional to the distance between the blood vessel and the line joining two detective electrodes. The thoracic impedance change caused by multiple blood vessels together is equal to the algebraic addition of all thoracic impedance changes resulting from the individual blood vessels. That is, the impedance changes obey the principle of adding scalars in the measurement of the electrical impedance graph. The present study can offer the theoretical basis for the waveform reconstruction of Impedance cardiography (ICG).

  7. Bioelectrical Impedance Methods for Noninvasive Health Monitoring: A Review

    PubMed Central

    Bera, Tushar Kanti

    2014-01-01

    Under the alternating electrical excitation, biological tissues produce a complex electrical impedance which depends on tissue composition, structures, health status, and applied signal frequency, and hence the bioelectrical impedance methods can be utilized for noninvasive tissue characterization. As the impedance responses of these tissue parameters vary with frequencies of the applied signal, the impedance analysis conducted over a wide frequency band provides more information about the tissue interiors which help us to better understand the biological tissues anatomy, physiology, and pathology. Over past few decades, a number of impedance based noninvasive tissue characterization techniques such as bioelectrical impedance analysis (BIA), electrical impedance spectroscopy (EIS), electrical impedance plethysmography (IPG), impedance cardiography (ICG), and electrical impedance tomography (EIT) have been proposed and a lot of research works have been conducted on these methods for noninvasive tissue characterization and disease diagnosis. In this paper BIA, EIS, IPG, ICG, and EIT techniques and their applications in different fields have been reviewed and technical perspective of these impedance methods has been presented. The working principles, applications, merits, and demerits of these methods has been discussed in detail along with their other technical issues followed by present status and future trends. PMID:27006932

  8. Superconducting fault current-limiter with variable shunt impedance

    SciTech Connect

    Llambes, Juan Carlos H; Xiong, Xuming

    2013-11-19

    A superconducting fault current-limiter is provided, including a superconducting element configured to resistively or inductively limit a fault current, and one or more variable-impedance shunts electrically coupled in parallel with the superconducting element. The variable-impedance shunt(s) is configured to present a first impedance during a superconducting state of the superconducting element and a second impedance during a normal resistive state of the superconducting element. The superconducting element transitions from the superconducting state to the normal resistive state responsive to the fault current, and responsive thereto, the variable-impedance shunt(s) transitions from the first to the second impedance. The second impedance of the variable-impedance shunt(s) is a lower impedance than the first impedance, which facilitates current flow through the variable-impedance shunt(s) during a recovery transition of the superconducting element from the normal resistive state to the superconducting state, and thus, facilitates recovery of the superconducting element under load.

  9. Characterization of protein-immobilized polystyrene nanoparticles using impedance spectroscopy.

    PubMed

    Park, Soo-In; Lee, Sang-Yup

    2014-10-01

    A novel approach for characterization of non-conductive protein-immobilized nanoparticles using AC impedance spectroscopy combined with conductive atomic force microscopy was examined. As AC impedance spectroscopy can provide information on diverse electrical properties such as capacitance and inductance, it is applicable to the characterization of non-conductive substances. Several non-conductive protein-immobilized polystyrene nanoparticles were analyzed using AC impedance spectroscopy, and their impedance spectra were used as markers for nanoparticle identification. Analyses of impedance signals using an electrical circuit model established that the capacitance and inductance of each nanoparticle changed with the adsorbed protein and that impedance spectral differences were characteristic properties of the proteins. From this study, AC impedance spectroscopy was shown to be a useful tool for characterization of non-conductive nanoparticles and is expected to be applicable to the development of sensors for nanomaterials. PMID:25942903

  10. Impedance Noise Identification for State-of-Health Prognostics

    SciTech Connect

    Jon P. Christophersen; Chester G. Motloch; John L. Morrison; Ian B. Donnellan; William H. Morrison

    2008-07-01

    Impedance Noise Identification is an in-situ method of measuring battery impedance as a function of frequency using a random small signal noise excitation source. Through a series of auto- and cross-correlations and Fast Fourier Transforms, the battery complex impedance as a function of frequency can be determined. The results are similar to those measured under a lab-scale electrochemical impedance spectroscopy measurement. The lab-scale measurements have been shown to correlate well with resistance and power data that are typically used to ascertain the remaining life of a battery. To this end, the Impedance Noise Identification system is designed to acquire the same type of data as an on-board tool. A prototype system is now under development, and results are being compared to standardized measurement techniques such as electrochemical impedance spectroscopy. A brief description of the Impedance Noise Identification hardware system and representative test results are presented.

  11. Voltage Based Detection Method for High Impedance Fault in a Distribution System

    NASA Astrophysics Data System (ADS)

    Thomas, Mini Shaji; Bhaskar, Namrata; Prakash, Anupama

    2016-09-01

    High-impedance faults (HIFs) on distribution feeders cannot be detected by conventional protection schemes, as HIFs are characterized by their low fault current level and waveform distortion due to the nonlinearity of the ground return path. This paper proposes a method to identify the HIFs in distribution system and isolate the faulty section, to reduce downtime. This method is based on voltage measurements along the distribution feeder and utilizes the sequence components of the voltages. Three models of high impedance faults have been considered and source side and load side breaking of the conductor have been studied in this work to capture a wide range of scenarios. The effect of neutral grounding of the source side transformer is also accounted in this study. The results show that the algorithm detects the HIFs accurately and rapidly. Thus, the faulty section can be isolated and service can be restored to the rest of the consumers.

  12. Voltage Based Detection Method for High Impedance Fault in a Distribution System

    NASA Astrophysics Data System (ADS)

    Thomas, Mini Shaji; Bhaskar, Namrata; Prakash, Anupama

    2015-06-01

    High-impedance faults (HIFs) on distribution feeders cannot be detected by conventional protection schemes, as HIFs are characterized by their low fault current level and waveform distortion due to the nonlinearity of the ground return path. This paper proposes a method to identify the HIFs in distribution system and isolate the faulty section, to reduce downtime. This method is based on voltage measurements along the distribution feeder and utilizes the sequence components of the voltages. Three models of high impedance faults have been considered and source side and load side breaking of the conductor have been studied in this work to capture a wide range of scenarios. The effect of neutral grounding of the source side transformer is also accounted in this study. The results show that the algorithm detects the HIFs accurately and rapidly. Thus, the faulty section can be isolated and service can be restored to the rest of the consumers.

  13. Determination of in vivo mechanical properties of long bones from their impedance response curves

    NASA Technical Reports Server (NTRS)

    Borders, S. G.

    1981-01-01

    A mathematical model consisting of a uniform, linear, visco-elastic, Euler-Bernoulli beam to represent the ulna or tibia of the vibrating forearm or leg system is developed. The skin and tissue compressed between the probe and bone is represented by a spring in series with the beam. The remaining skin and tissue surrounding the bone is represented by a visco-elastic foundation with mass. An extensive parametric study is carried out to determine the effect of each parameter of the mathematical model on its impedance response. A system identification algorithm is developed and programmed on a digital computer to determine the parametric values of the model which best simulate the data obtained from an impedance test.

  14. Noninvasive Imaging of Head-Brain Conductivity Profiles Using Magnetic Resonance Electrical Impedance Imaging

    PubMed Central

    Zhang, Xiaotong; Yan, Dandan; Zhu, Shanan; He, Bin

    2008-01-01

    Magnetic resonance electrical impedance tomography (MREIT) is a recently introduced non-invasive conductivity imaging modality, which combines the magnetic resonance current density imaging (CDI) and the traditional electrical impedance tomography (EIT) techniques. MREIT is aimed at providing high spatial resolution images of electrical conductivity, by avoiding solving the well-known ill-posed problem in the traditional EIT. In this paper, we review our research activities in MREIT imaging of head-brain tissue conductivity profiles. We have developed several imaging algorithms and conducted a series of computer simulations for MREIT imaging of the head and brain tissues. Our work suggests MREIT brain imaging may become a useful tool in imaging conductivity distributions of the brain and head. PMID:18799394

  15. Impedance analysis of an enhanced piezoelectric biosensor

    NASA Astrophysics Data System (ADS)

    Kim, Gi-Ho

    This study investigated the usefulness and characteristics of a five-megahertz quartz crystal resonator oscillating in a thickness-shear mode as a sensor of biological pathogens such as Salmonella typhimurium . An impedance analyzer measured the impedance of the oscillating quartz crystal, which determined all mechanical properties of the oscillating quartz and its immediate environment. In this study, the impedance behavior of the bare crystal was characterized in air and in potassium phosphate buffer solution. The potassium phosphate buffer was a Newtonian liquid. The resonance frequency of the oscillating quartz shifted down about 900 Hz by contacting with the buffer. An immobilized-antibody layer on the quartz surface behaved like a rigid mass when immersed in the buffer solution. The quartz crystal with immobilized antibodies was characterized in various solutions containing antibody- coated paramagnetic microspheres and varying concentrations of Salmonella typhimurium (102 - 108 cells/ml). The Salmonella cells were captured by antibody- coated paramagnetic microspheres, and then these complexes were moved magnetically to the oscillating quartz and were captured by antibodies immobilized on the crystal surface. The response of the crystal was expressed in terms of equivalent circuit parameters. The motional inductance and the motional resistance increased as a function of the concentration of Salmonella. The viscous damping was the main contribution to the resistance and the inductance in a liquid environment. The load resistance was the most effective and sensitive circuit parameter. A magnetic force was a useful method to collect the complexes of Salmonella-microspheres on the crystal surface and enhance the response sensor. In this system, the detection limit, based on resistance monitoring, was about 103 cells/ml.

  16. Method for conducting nonlinear electrochemical impedance spectroscopy

    DOEpatents

    Adler, Stuart B.; Wilson, Jamie R.; Huff, Shawn L.; Schwartz, Daniel T.

    2015-06-02

    A method for conducting nonlinear electrochemical impedance spectroscopy. The method includes quantifying the nonlinear response of an electrochemical system by measuring higher-order current or voltage harmonics generated by moderate-amplitude sinusoidal current or voltage perturbations. The method involves acquisition of the response signal followed by time apodization and fast Fourier transformation of the data into the frequency domain, where the magnitude and phase of each harmonic signal can be readily quantified. The method can be implemented on a computer as a software program.

  17. Bioelectrical impedance modelling of gentamicin pharmacokinetic parameters.

    PubMed

    Zarowitz, B J; Pilla, A M; Peterson, E L

    1989-10-01

    1. Bioelectrical impedance analysis was used to develop descriptive models of gentamicin pharmacokinetic parameters in 30 adult in-patients receiving therapy with gentamicin. 2. Serial blood samples obtained from each subject at steady state were analyzed and used to derive gentamicin pharmacokinetic parameters. 3. Multiple regression equations were developed for clearance, elimination rate constant and volume of distribution at steady state and were all statistically significant at P less than 0.05. 4. Clinical validation of this innovative technique is warranted before clinical use is recommended.

  18. Broadband Planar 5:1 Impedence Transformer

    NASA Technical Reports Server (NTRS)

    Ehsan, Negar; Hsieh, Wen-Ting; Moseley, Samuel H.; Wollack, Edward J.

    2015-01-01

    This paper presents a broadband Guanella-type planar impedance transformer that transforms so 50 omega to 10 omega with a 10 dB bandwidth of 1-14GHz. The transformer is designed on a flexible 50 micrometer thick polyimide substrate in microstrip and parallel-plate transmission line topologies, and is Inspired by the traditional 4:1 Guanella transformer. Back-to-back transformers were designed and fabricated for characterization in a 50 omega system. Simulated and measured results are in excellent agreement.

  19. Electrical impedance characterization of normal and cancerous human hepatic tissue.

    PubMed

    Laufer, Shlomi; Ivorra, Antoni; Reuter, Victor E; Rubinsky, Boris; Solomon, Stephen B

    2010-07-01

    The four-electrode method was used to measure the ex vivo complex electrical impedance of tissues from 14 hepatic tumors and the surrounding normal liver from six patients. Measurements were done in the frequency range 1-400 kHz. It was found that the conductivity of the tumor tissue was much higher than that of the normal liver tissue in this frequency range (from 0.14 +/- 0.06 S m(-1) versus 0.03 +/- 0.01 S m(-1) at 1 kHz to 0.25 +/- 0.06 S m(-1) versus 0.15 +/- 0.03 S m(-1) at 400 kHz). The Cole-Cole models were estimated from the experimental data and the four parameters (rho(0), rho(infinity), alpha, f(c)) were obtained using a least-squares fit algorithm. The Cole-Cole parameters for the cancerous and normal liver are 9 +/- 4 Omega m(-1), 2.2 +/- 0.7 Omega m(-1), 0.5 +/- 0.2, 140 +/- 103 kHz and 50 +/- 28 Omega m(-1), 3.2 +/- 0.6 Omega m(-1), 0.64 +/- 0.04, 10 +/- 7 kHz, respectively. These data can contribute to developing bioelectric applications for tissue diagnostics and in tissue treatment planning with electrical fields such as radiofrequency tissue ablation, electrochemotherapy and gene therapy with reversible electroporation, nanoscale pulsing and irreversible electroporation.

  20. Pacing impedance variability in tined steroid eluting leads.

    PubMed

    Danilovic, D; Ohm, O J

    1998-07-01

    The aim of the study was to investigate pacing impedance (PI) behavior in ambulatory patients. Eighteen atrial and 18 ventricular tined steroid eluting leads with 1.2-mm2 and 5.6-mm2 electrodes were implanted in 20 patients. At 9-27 months after implantation PI was measured automatically by means of additional algorithms downloaded via telemetry links into implanted Thera pulse generators. PI was determined based on the voltage drop on the output capacitor during the 5 V-1 ms pacing impulse, at the programmable sampling rates from 1 second to 30 minutes. The study examined in particular: (1) PI trends and variations associated with different breathing patterns, body postures, provocative maneuvers, bike exercise, and during 24 hours; (2) impact of pacing rate and AV-delay on PI; (3) correlation between PI variability and pacing threshold, lead configuration, absolute PI value, age, gender, disease, and cardiac chamber. The most important findings were: (1) large PI variations of up to 450 omega were observed in properly functioning leads, (2) PI variability exhibited a weak negative correlation with pacing thresholds as if electrode positional stability was not a major factor underlying PI variations, (3) unipolar and bipolar PI variations were equivalent to each other (correlation factor = 0.93) implying that PI was mostly dependent on the circumstances around the lead tip.

  1. Pacing impedance variability in tined steroid eluting leads.

    PubMed

    Danilovic, D; Ohm, O J

    1998-07-01

    The aim of the study was to investigate pacing impedance (PI) behavior in ambulatory patients. Eighteen atrial and 18 ventricular tined steroid eluting leads with 1.2-mm2 and 5.6-mm2 electrodes were implanted in 20 patients. At 9-27 months after implantation PI was measured automatically by means of additional algorithms downloaded via telemetry links into implanted Thera pulse generators. PI was determined based on the voltage drop on the output capacitor during the 5 V-1 ms pacing impulse, at the programmable sampling rates from 1 second to 30 minutes. The study examined in particular: (1) PI trends and variations associated with different breathing patterns, body postures, provocative maneuvers, bike exercise, and during 24 hours; (2) impact of pacing rate and AV-delay on PI; (3) correlation between PI variability and pacing threshold, lead configuration, absolute PI value, age, gender, disease, and cardiac chamber. The most important findings were: (1) large PI variations of up to 450 omega were observed in properly functioning leads, (2) PI variability exhibited a weak negative correlation with pacing thresholds as if electrode positional stability was not a major factor underlying PI variations, (3) unipolar and bipolar PI variations were equivalent to each other (correlation factor = 0.93) implying that PI was mostly dependent on the circumstances around the lead tip. PMID:9670178

  2. Reduction of the impedance of a contactless conductivity detector for microchip capillary electrophoresis: compensation of the electrode impedance by addition of a series inductance from a piezoelectric quartz crystal.

    PubMed

    Kang, Qi; Shen, Dazhong; Li, Qingling; Hu, Qiang; Dong, Jianfeng; Du, Junguo; Tang, Bo

    2008-10-15

    A low-impedance capacitively coupled contactless conductivity detector (LIC (4)D) for microchip capillary electrophoresis was reported. The LIC (4)D was the series combination of a piezoelectric quartz crystal (PQC) resonator with a capacitively coupled contactless conductivity detector (C (4)D) outside on the microchip lid. The electrode impedance in the LIC (4)D was reduced because the capacitive impedance from the wall capacitance was compensated by the inductive impedance from the PQC. The operation frequency of the LIC (4)D was set at the resonant frequency of the series combination of a PQC with a C (4)D, wherein a minimum in the total impedance was obtained. It was shown that the sensitivity of LIC (4)D was much higher than that of C (4)D itself, especially in the microchip with a thick lid. Under the experimental conditions, the signal-to-noise ratios of the LIC (4)D were improved by approximately 20-50 times over those of the C (4)D. Reproducible separations of a mixture of inorganic cations (K (+), Na (+), Li (+)) were demonstrated. After a digital filter treatment by the fast Fourier transform algorithm, the detection limits were 0.38, 0.49, and 1.6 microM for K (+) in the LI C (4)D with the microchip lid thickness of 0.20, 0.40, and 1.0 mm, respectively.

  3. Method of Adjusting Acoustic Impedances for Impedance-Tunable Acoustic Segments

    NASA Technical Reports Server (NTRS)

    Jones, Kennie H (Inventor); Nark, Douglas M. (Inventor); Jones, Michael G. (Inventor); Parrott, Tony L. (Inventor); Lodding, Kenneth N. (Inventor)

    2012-01-01

    A method is provided for making localized decisions and taking localized actions to achieve a global solution. In an embodiment of the present invention, acoustic impedances for impedance-tunable acoustic segments are adjusted. A first acoustic segment through an N-th acoustic segment are defined. To start the process, the first acoustic segment is designated as a leader and a noise-reducing impedance is determined therefor. This is accomplished using (i) one or more metrics associated with the acoustic wave at the leader, and (ii) the metric(s) associated with the acoustic wave at the N-th acoustic segment. The leader, the N-th acoustic segment, and each of the acoustic segments exclusive of the leader and the N-th acoustic segment, are tuned to the noise-reducing impedance. The current leader is then excluded from subsequent processing steps. The designation of leader is then given one of the remaining acoustic segments, and the process is repeated for each of the acoustic segments through an (N-1)-th one of the acoustic segments.

  4. Electrochemical Impedance Spectroscopy of Conductive Polymer Coatings

    NASA Technical Reports Server (NTRS)

    Calle, Luz Marina; MacDowell, Louis G.

    1996-01-01

    Electrochemical impedance spectroscopy (EIS) was used to investigate the corrosion protection performance of twenty nine proprietary conductive polymer coatings for cold rolled steel under immersion in 3.55 percent NaCl. Corrosion potential as well as Bode plots of the data were obtained for each coating after one hour immersion, All coatings, with the exception of one, have a corrosion potential that is higher in the positive direction than the corrosion potential of bare steel under the same conditions. Group A consisted of twenty one coatings with Bode plots indicative of the capacitive behavior characteristic of barrier coatings. An equivalent circuit consisting of a capacitor in series with a resistor simulated the experimental EIS data for these coatings very well. Group B consisted of eight coatings that exhibited EIS spectra showing an inflection point which indicates that two time constants are present. This may be caused by an electrochemical process taking place which could be indicitive of coating failing. These coatings have a lower impedance that those in Group A.

  5. AC impedance analysis of polypyrrole thin films

    NASA Technical Reports Server (NTRS)

    Penner, Reginald M.; Martin, Charles R.

    1987-01-01

    The AC impedance spectra of thin polypyrrole films were obtained at open circuit potentials from -0.4 to 0.4 V vs SCE. Two limiting cases are discussed for which simplified equivalent circuits are applicable. At very positive potentials, the predominantly nonfaradaic AC impedance of polypyrrole is very similar to that observed previously for finite porous metallic films. Modeling of the data with the appropriate equivalent circuit permits effective pore diameter and pore number densities of the oxidized film to be estimated. At potentials from -0.4 to -0.3 V, the polypyrrole film is essentially nonelectronically conductive and diffusion of polymer oxidized sites with their associated counterions can be assumed to be linear from the film/substrate electrode interface. The equivalent circuit for the polypyrrole film at these potentials is that previously described for metal oxide, lithium intercalation thin films. Using this model, counterion diffusion coefficients are determined for both semi-infinite and finite diffusion domains. In addition, the limiting low frequency resistance and capacitance of the polypyrrole thin fims was determined and compared to that obtained previously for thicker films of the polymer. The origin of the observed potential dependence of these low frequency circuit components is discussed.

  6. A high frequency electromagnetic impedance imaging system

    SciTech Connect

    Tseng, Hung-Wen; Lee, Ki Ha; Becker, Alex

    2003-01-15

    Non-invasive, high resolution geophysical mapping of the shallow subsurface is necessary for delineation of buried hazardous wastes, detecting unexploded ordinance, verifying and monitoring of containment or moisture contents, and other environmental applications. Electromagnetic (EM) techniques can be used for this purpose since electrical conductivity and dielectric permittivity are representative of the subsurface media. Measurements in the EM frequency band between 1 and 100 MHz are very important for such applications, because the induction number of many targets is small and the ability to determine the subsurface distribution of both electrical properties is required. Earlier workers were successful in developing systems for detecting anomalous areas, but quantitative interpretation of the data was difficult. Accurate measurements are necessary, but difficult to achieve for high-resolution imaging of the subsurface. We are developing a broadband non-invasive method for accurately mapping the electrical conductivity and dielectric permittivity of the shallow subsurface using an EM impedance approach similar to the MT exploration technique. Electric and magnetic sensors were tested to ensure that stray EM scattering is minimized and the quality of the data collected with the high-frequency impedance (HFI) system is good enough to allow high-resolution, multi-dimensional imaging of hidden targets. Additional efforts are being made to modify and further develop existing sensors and transmitters to improve the imaging capability and data acquisition efficiency.

  7. Impedance analysis of the PEP-II vacuum chamber

    SciTech Connect

    Ng, C.K.; Weiland, T.

    1995-05-01

    The PEP-II high energy ring (HER) vacuum chamber consists of a copper tube with periodically spaced pumping slots. The impedance of the vacuum chamber due to the slots is analyzed. Both narrow-band and broadband impedances are considered as well as longitudinal and transverse components thereof. It is found that although the broad-band impedance is tolerable, the narrow-band impedance may exceed the instability limit given by the natural damping with no feedback system on. Traveling wave modes in the chamber are the major source of this high value narrow-band impedance. We also study the dependences of the impedance on the slot length and the geometrical cross section.

  8. Breathing detection with a portable impedance measurement system: first measurements.

    PubMed

    Cordes, Axel; Foussier, Jerome; Leonhardt, Steffen

    2009-01-01

    For monitoring the health status of individuals, detection of breathing and heart activity is important. From an electrical point of view, it is known that breathing and heart activity change the electrical impedance distribution in the human body over the time due to ventilation (high impedance) and blood shifts (low impedance). Thus, it is possible to detect both important vital parameters by measuring the impedance of the thorax or the region around lung and heart. For some measurement scenarios it is also essential to detect these parameters contactless. For instance, monitoring bus drivers health could help to limit accidents, but directly connected systems limit the drivers free moving space. One measurement technology for measuring the impedance changes in the chest without cables is the magnetic impedance tomography (MIT). This article describes a portable measurement system we developed for this scenario that allows to measure breathing contactless. Furthermore, first measurements with five volunteers were performed and analyzed.

  9. Transverse impedance measurement in RHIC and the AGS

    SciTech Connect

    Biancacci, Nicolo; Blaskiewicz, M.; Dutheil, Y.; Liu, C.; Mernick, M.; Minty, M.; White, S. M.

    2014-05-12

    The RHIC luminosity upgrade program aims for an increase of the polarized proton luminosity by a factor 2. To achieve this goal a significant increase in the beam intensity is foreseen. The beam coupling impedance could therefore represent a source of detrimental effects for beam quality and stability at high bunch intensities. For this reason it is essential to quantify the accelerator impedance budget and the major impedance sources, and possibly cure them. In this MD note we summarize the results of the 2013 transverse impedance measurements in the AGS and RHIC. The studies have been performed measuring the tune shift as a function of bunch intensity and deriving the total accelerator machine transverse impedance. For RHIC, we could obtain first promising results of impedance localization measurements as well.

  10. Transverse beam coupling impedance of the CERN Proton Synchrotron

    NASA Astrophysics Data System (ADS)

    Persichelli, S.; Migliorati, M.; Biancacci, N.; Gilardoni, S.; Metral, E.; Salvant, B.

    2016-04-01

    Beam coupling impedance is a fundamental parameter to characterize the electromagnetic interaction of a particle beam with the surrounding environment. Synchrotron machine performances are critically affected by instabilities and collective effects triggered by beam coupling impedance. In particular, transverse beam coupling impedance is expected to impact beam dynamics of the CERN Proton Synchrotron (PS), since a significant increase in beam intensity is foreseen within the framework of the LHC Injectors Upgrade (LIU) project. In this paper we describe the study of the transverse beam coupling impedance of the PS, taking into account the main sources of geometrical impedance and the contribution of indirect space charge at different energies. The total machine impedance budget, determined from beam-based dedicated machine measurement sessions, is also discussed and compared with the theoretical model.

  11. Semi-active control of piezoelectric coating's underwater sound absorption by combining design of the shunt impedances

    NASA Astrophysics Data System (ADS)

    Sun, Yang; Li, Zhaohui; Huang, Aigen; Li, Qihu

    2015-10-01

    Piezoelectric shunt damping technology has been applied in the field of underwater sound absorption in recent years. In order to achieve broadband echo reduction, semi-active control of sound absorption of multi-layered piezoelectric coating by shunt damping is significant. In this paper, a practical method is proposed to control the underwater sound absorption coefficients of piezoelectric coating layers by combining design of the shunt impedance that allows certain sound absorption coefficients at setting frequencies. A one-dimensional electro-acoustic model of the piezoelectric coating and the backing is established based on the Mason equivalent circuit theory. First, the shunt impedance of the coating is derived under the constraint of sound absorption coefficient at one frequency. Then, taking the 1-3 piezoelectric composite coating as an example, the sound absorption properties of the coating shunted to the designed shunt impedance are investigated. Next, on the basis of that, an iterative method for two constrained frequencies and an optimizing algorithm for multiple constrained frequencies are provided for combining design of the shunt impedances. At last, an experimental sample with four piezoelectric material layers is manufactured, of which the sound absorption coefficients are measured in an impedance tube. The experimental results show good agreement with the finite element simulation results. It is proved that a serial R-L circuit can control the peak frequency, maximum and bandwidth of the sound absorption coefficient and the combining R-L circuits shunted to multiple layers can control the sound absorption coefficients at multiple frequencies.

  12. Online tuning of impedance matching circuit for long pulse inductively coupled plasma source operation—An alternate approach

    SciTech Connect

    Sudhir, Dass; Bandyopadhyay, M. Chakraborty, A.; Kraus, W.; Gahlaut, A.; Bansal, G.

    2014-01-15

    Impedance matching circuit between radio frequency (RF) generator and the plasma load, placed between them, determines the RF power transfer from RF generator to the plasma load. The impedance of plasma load depends on the plasma parameters through skin depth and plasma conductivity or resistivity. Therefore, for long pulse operation of inductively coupled plasmas, particularly for high power (∼100 kW or more) where plasma load condition may vary due to different reasons (e.g., pressure, power, and thermal), online tuning of impedance matching circuit is necessary through feedback. In fusion grade ion source operation, such online methodology through feedback is not present but offline remote tuning by adjusting the matching circuit capacitors and tuning the driving frequency of the RF generator between the ion source operation pulses is envisaged. The present model is an approach for remote impedance tuning methodology for long pulse operation and corresponding online impedance matching algorithm based on RF coil antenna current measurement or coil antenna calorimetric measurement may be useful in this regard.

  13. Impedance Matched to Vacuum, Invisible Edge, Diffraction Suppressed Mirror

    NASA Technical Reports Server (NTRS)

    Hagopian, John G. (Inventor); Roman, Patrick A. (Inventor); Shiri, Sharham (Inventor); Wollack, Edward J. (Inventor)

    2015-01-01

    Diffraction suppressed mirrors having an invisible edge are disclosed for incident light at both targeted wavelengths and broadband incident light. The mirrors have a first having at least one discontiguous portion having a plurality of nanostructured apertures. The discontiguous mirror portion impedance matches a relatively high impedance portion of the mirror to a relatively low impedance portion of the mirror, thereby reducing the diffraction edge effect otherwise present in a conventional mirror.

  14. Application of alternating current impedance to fuel cell modeling

    SciTech Connect

    Springer, T.E.

    1999-05-02

    AC impedance has provided a useful diagnostic tool in the Los Alamos polymer electrolyte fuel cell (PEFC) program. The author reviews the techniques he has used in ac impedance modeling. These techniques include equation implementation, model simplification and verification, least squares fitting, application of two-dimensional Laplace equation solvers handling complex interfacial boundary conditions, and interpretation of impedance features. The separate features of the complete electrode model are explained by analytic examples.

  15. Impedance measurements on lead-acid batteries for state-of-charge, state-of-health and cranking capability prognosis in electric and hybrid electric vehicles

    NASA Astrophysics Data System (ADS)

    Blanke, Holger; Bohlen, Oliver; Buller, Stephan; De Doncker, Rik W.; Fricke, Birger; Hammouche, Abderrezak; Linzen, Dirk; Thele, Marc; Sauer, Dirk Uwe

    Various attempts have been made to use impedance measurements for online analysis and offline modelling of lead-acid batteries. This presentation gives an overview on the latest and successful approaches based on impedance measurements to assess state-of-charge (SoC), state-of-health (SoH) and cranking capability of lead-acid batteries. Furthermore, it is shown that impedance data can serve as a basis for dynamic battery models for the simulation of vehicle power-supply systems. The methods and procedures aim for a reliable prediction of battery performance in electric vehicles, hybrid cars and classical automotive applications. Although, it will become obvious that impedance measurements give valuable information on the battery state, typically the information needs to be combined with other conventional algorithms or self-learning tools to achieve reliable and stable results for real-world applications.

  16. [Cardiac output monitoring by impedance cardiography in cardiac surgery].

    PubMed

    Shimizu, H; Seki, S; Mizuguchi, A; Tsuchida, H; Watanabe, H; Namiki, A

    1990-04-01

    The cardiac output monitoring by impedance cardiography, NCCOM3, was evaluated in adult patients (n = 12) who were subjected to coronary artery bypass grafting. Values of cardiac output measured by impedance cardiography were compared to those by the thermodilution method. Changes of base impedance level used as an index of thoracic fluid volume were also investigated before and after cardiopulmonary bypass (CPB). Correlation coefficient (r) of the values obtained by thermodilution with impedance cardiography was 0.79 and the mean difference was 1.29 +/- 16.9 (SD)% during induction of anesthesia. During the operation, r was 0.83 and the mean difference was -14.6 +/- 18.7%. The measurement by impedance cardiography could be carried out through the operation except when electro-cautery was used. Base impedance level before CPB was significantly lower as compared with that after CPB. There was a negative correlation between the base impedance level and central venous pressure (CVP). No patients showed any signs suggesting lung edema and all the values of CVP, pulmonary artery pressure and blood gas analysis were within normal ranges. From the result of this study, it was concluded that cardiac output monitoring by impedance cardiography was useful in cardiac surgery, but further detailed examinations will be necessary on the relationship between the numerical values of base impedance and the clinical state of the patients. PMID:2362347

  17. In vivo impedance spectroscopy of deep brain stimulation electrodes

    NASA Astrophysics Data System (ADS)

    Lempka, Scott F.; Miocinovic, Svjetlana; Johnson, Matthew D.; Vitek, Jerrold L.; McIntyre, Cameron C.

    2009-08-01

    Deep brain stimulation (DBS) represents a powerful clinical technology, but a systematic characterization of the electrical interactions between the electrode and the brain is lacking. The goal of this study was to examine the in vivo changes in the DBS electrode impedance that occur after implantation and during clinically relevant stimulation. Clinical DBS devices typically apply high-frequency voltage-controlled stimulation, and as a result, the injected current is directly regulated by the impedance of the electrode-tissue interface. We monitored the impedance of scaled-down clinical DBS electrodes implanted in the thalamus and subthalamic nucleus of a rhesus macaque using electrode impedance spectroscopy (EIS) measurements ranging from 0.5 Hz to 10 kHz. To further characterize our measurements, equivalent circuit models of the electrode-tissue interface were used to quantify the role of various interface components in producing the observed electrode impedance. Following implantation, the DBS electrode impedance increased and a semicircular arc was observed in the high-frequency range of the EIS measurements, commonly referred to as the tissue component of the impedance. Clinically relevant stimulation produced a rapid decrease in electrode impedance with extensive changes in the tissue component. These post-operative and stimulation-induced changes in impedance could play an important role in the observed functional effects of voltage-controlled DBS and should be considered during clinical stimulation parameter selection and chronic animal research studies.

  18. Multi-gap high impedance plasma opening switch

    DOEpatents

    Mason, R.J.

    1996-10-22

    A high impedance plasma opening switch having an anode and a cathode and at least one additional electrode placed between the anode and cathode is disclosed. The presence of the additional electrodes leads to the creation of additional plasma gaps which are in series, increasing the net impedance of the switch. An equivalent effect can be obtained by using two or more conventional plasma switches with their plasma gaps wired in series. Higher impedance switches can provide high current and voltage to higher impedance loads such as plasma radiation sources. 12 figs.

  19. Multi-gap high impedance plasma opening switch

    DOEpatents

    Mason, Rodney J.

    1996-01-01

    A high impedance plasma opening switch having an anode and a cathode and at least one additional electrode placed between the anode and cathode. The presence of the additional electrodes leads to the creation of additional plasma gaps which are in series, increasing the net impedance of the switch. An equivalent effect can be obtained by using two or more conventional plasma switches with their plasma gaps wired in series. Higher impedance switches can provide high current and voltage to higher impedance loads such as plasma radiation sources.

  20. Time-Domain Impedance Boundary Conditions for Computational Aeroacoustics

    NASA Technical Reports Server (NTRS)

    Tam, Christopher K. W.; Auriault, Laurent

    1996-01-01

    It is an accepted practice in aeroacoustics to characterize the properties of an acoustically treated surface by a quantity known as impedance. Impedance is a complex quantity. As such, it is designed primarily for frequency-domain analysis. Time-domain boundary conditions that are the equivalent of the frequency-domain impedance boundary condition are proposed. Both single frequency and model broadband time-domain impedance boundary conditions are provided. It is shown that the proposed boundary conditions, together with the linearized Euler equations, form well-posed initial boundary value problems. Unlike ill-posed problems, they are free from spurious instabilities that would render time-marching computational solutions impossible.

  1. Impedance generalization for plasmonic waveguides beyond the lumped circuit model

    NASA Astrophysics Data System (ADS)

    Kaiser, Thomas; Hasan, Shakeeb Bin; Paul, Thomas; Pertsch, Thomas; Rockstuhl, Carsten

    2013-07-01

    We analytically derive a rigorous expression for the relative impedance ratio between two photonic structures based on their electromagnetic interaction. Our approach generalizes the physical meaning of the impedance to a measure for the reciprocity-based overlap of eigenmodes. The consistency with known cases in the radio-frequency and optical domain is shown. The analysis reveals where the applicability of simple circuit parameters ends and how the impedance can be interpreted beyond this point. We illustrate our approach by successfully describing a Bragg reflector that terminates an insulator-metal-insulator plasmonic waveguide in the near infrared by our impedance concept.

  2. Impedance measurements for detecting pathogens attached to antibodies

    DOEpatents

    Miles, Robin R.; Venkateswaran, Kodumudi S.; Fuller, Christopher K.

    2004-12-28

    The use of impedance measurements to detect the presence of pathogens attached to antibody-coated beads. In a fluidic device antibodies are immobilized on a surface of a patterned interdigitated electrode. Pathogens in a sample fluid streaming past the electrode attach to the immobilized antibodies, which produces a change in impedance between two adjacent electrodes, which impedance change is measured and used to detect the presence of a pathogen. To amplify the signal, beads coated with antibodies are introduced and the beads would stick to the pathogen causing a greater change in impedance between the two adjacent electrodes.

  3. Proceedings of the impedance and bunch instability workshop

    SciTech Connect

    Not Available

    1990-04-01

    This report discusses the following topics: impedance and bunch lengthening; single bunch stability in the ESRF; a longitudinal mode-coupling instability model for bunch lengthening; high-frequency behavior of longitudinal coupling impedance; beam-induced energy spreads at beam-pipe transitions; on the calculation of wake functions using MAFIA-T3 code; preliminary measurements of the bunch length and the impedance of LEP; measurements and simulations of collective effects in the CERN SPS; bunch lengthening in the SLC damping rings; and status of impedance measurements for the spring-8 storage ring.

  4. Static imaging of the electrical impedance tomography on cylinder physical phantom.

    PubMed

    Liu, Ruigang; Fu, Feng; You, Fusheng; Shi, Xuetao; Dong, Xiuzhen

    2015-01-01

    Static imaging of the electrical impedance tomography can obtain the absolute electrical conductivity distribution at one section of the subject. The test is performed on a cylinder physical phantom in which slim rectangle, hollow cylinder, small rectangle or three cylinders are selected to simulate complex conductivity perturbation objects. The measurement data is obtained by a data acquisition system with 32 compound electrodes. A group of static images of conductivity distribution in the cylinder phantom are reconstructed by the modified Newton-Raphson algorithm with two kinds of regularization methods. The results show correct position, size, conductivity difference, and similar shape of the perturbation objects in the images.

  5. Efficient reference-free adaptive artifact cancellers for impedance cardiography based remote health care monitoring systems.

    PubMed

    Mallam, Madhavi; Rao, K Chandra Bhutan

    2016-01-01

    In this paper, a new model for adaptive artifact cancelation in impedance cardiography (ICG) signals is presented. It is a hybrid model based on wavelet decomposition and an adaptive filter. A novel feature of this model is the implementation of reference-free adaptive artifact cancellers (AAC). For this implementation, the reference signal is constructed using a wavelet transformation. During critical conditions the filter weights may be negative and cause an imbalance in the convergence. To overcome this problem, we introduce non-negative adaptive algorithms in the proposed artifact canceller. To accelerate the performance of the AAC, we propose exponential non-negative and normalized non-negative algorithms to update the filter coefficients. The computational complexity of the filtering section in a remote health care system is important to avoid inter-symbol interference of the incoming samples. This can be achieved by combining sign-based algorithms with the adaptive filtering section. Finally, several AACs are developed using variants of the non-negative algorithms and performance measures are computed and compared. All of the proposed AACs are tested on actual ICG signals. Among the AACs evaluated, sign regressor normalized non-negative LMS (SRN(3)LMS) based adaptive artifact canceller achieves highest signal to noise ratio (SNR). The SNR achieved by this algorithm in baseline wander artifact elimination is 8.5312 dBs, in electrode muscle artifact elimination is 7.5908 dBs and in impedance measurement artifact elimination is 8.4231 dBs. PMID:27386256

  6. Quartz tuning fork based microwave impedance microscopy

    NASA Astrophysics Data System (ADS)

    Cui, Yong-Tao; Ma, Eric Yue; Shen, Zhi-Xun

    2016-06-01

    Microwave impedance microscopy (MIM), a near-field microwave scanning probe technique, has become a powerful tool to characterize local electrical responses in solid state samples. We present the design of a new type of MIM sensor based on quartz tuning fork and electrochemically etched thin metal wires. Due to a higher aspect ratio tip and integration with tuning fork, such design achieves comparable MIM performance and enables easy self-sensing topography feedback in situations where the conventional optical feedback mechanism is not available, thus is complementary to microfabricated shielded stripline-type probes. The new design also enables stable differential mode MIM detection and multiple-frequency MIM measurements with a single sensor.

  7. Corrosion Study Using Electrochemical Impedance Spectroscopy

    NASA Technical Reports Server (NTRS)

    Farooq, Muhammad Umar

    2003-01-01

    Corrosion is a common phenomenon. It is the destructive result of chemical reaction between a metal or metal alloy and its environment. Stainless steel tubing is used at Kennedy Space Center for various supply lines which service the orbiter. The launch pads are also made of stainless steel. The environment at the launch site has very high chloride content due to the proximity to the Atlantic Ocean. Also, during a launch, the exhaust products in the solid rocket boosters include concentrated hydrogen chloride. The purpose of this project was to study various alloys by Electrochemical Impedance Spectroscopy in corrosive environments similar to the launch sites. This report includes data and analysis of the measurements for 304L, 254SMO and AL-6XN in primarily neutral 3.55% NaCl. One set of data for 304L in neutral 3.55%NaCl + 0.1N HCl is also included.

  8. Bioelectrical impedance analysis. What does it measure?

    NASA Technical Reports Server (NTRS)

    Schoeller, D. A.

    2000-01-01

    Bioelectrical impedance analysis (BIA) has been proposed for measuring fat-free mass, total body water, percent fat, body cell mass, intracellular water, and extracellular water: a veritable laboratory in a box. Although it is unlikely that BIA is quite this versatile, correlations have been demonstrated between BIA and all of these body compartments. At the same time, it is known that all of the compartments are correlated among themselves. Because of this, it is difficult to determine whether BIA is specific for any or all of these compartments. To investigate this question, we induced acute changes in total body water and its compartments over a 3-h period. Using this approach, we demonstrated that multifrequency BIA, using the Cole-Cole model to calculate the zero frequency and infinite frequency resistance, measures extracellular and intracellular water.

  9. Wave guide impedance matching method and apparatus

    DOEpatents

    Kronberg, James W.

    1990-01-01

    A technique for modifying the end portion of a wave guide, whether hollow or solid, carrying electromagnetic, acoustic or optical energy, to produce a gradual impedance change over the length of the end portion, comprising the cutting of longitudinal, V-shaped grooves that increase in width and depth from beginning of the end portion of the wave guide to the end of the guide so that, at the end of the guide, no guide material remains and no surfaces of the guide as modified are perpendicular to the direction of energy flow. For hollow guides, the grooves are cut beginning on the interior surface; for solid guides, the grooves are cut beginning on the exterior surface. One or more resistive, partially conductive or nonconductive sleeves can be placed over the exterior of the guide and through which the grooves are cut to smooth the transition to free space.

  10. Sensing Estrogen with Electrochemical Impedance Spectroscopy

    PubMed Central

    Li, Jing; Kim, Byung Kun; Im, Ji-Eun; Choi, Han Nim; Kim, Dong-Hwan; Cho, Seong In

    2016-01-01

    This study demonstrates the application feasibility of electrochemical impedance spectroscopy (EIS) in measuring estrogen (17β-estradiol) in gas phase. The present biosensor gives a linear response (R2 = 0.999) for 17β-estradiol vapor concentration from 3.7 ng/L to 3.7 × 10−4 ng/L with a limit of detection (3.7 × 10−4 ng/L). The results show that the fabricated biosensor demonstrates better detection limit of 17β-estradiol in gas phase than the previous report with GC-MS method. This estrogen biosensor has many potential applications for on-site detection of a variety of endocrine disrupting compounds (EDCs) in the gas phase. PMID:27803838

  11. Impedance matched thin metamaterials make metals absorbing

    PubMed Central

    Mattiucci, N.; Bloemer, M. J.; Aközbek, N.; D'Aguanno, G.

    2013-01-01

    Metals are generally considered good reflectors over the entire electromagnetic spectrum up to their plasma frequency. Here we demonstrate an approach to tailor their absorbing characteristics based on the effective metamaterial properties of thin, periodic metallo-dielectric multilayers by exploiting a broadband, inherently non-resonant, surface impedance matching mechanism. Based on this mechanism, we design, fabricate and test omnidirectional, thin (<1 micron), polarization independent, extremely efficient absorbers (in principle being capable to reach A > 99%) over a frequency range spanning from the UV to the IR. Our approach opens new venues to design cost effective materials for many applications such as thermo-photovoltaic energy conversion devices, light harvesting for solar cells, flat panel display, infrared detectors, stray light reduction, stealth and others. PMID:24220284

  12. Impedance matched thin metamaterials make metals absorbing.

    PubMed

    Mattiucci, N; Bloemer, M J; Aközbek, N; D'Aguanno, G

    2013-01-01

    Metals are generally considered good reflectors over the entire electromagnetic spectrum up to their plasma frequency. Here we demonstrate an approach to tailor their absorbing characteristics based on the effective metamaterial properties of thin, periodic metallo-dielectric multilayers by exploiting a broadband, inherently non-resonant, surface impedance matching mechanism. Based on this mechanism, we design, fabricate and test omnidirectional, thin (<1 micron), polarization independent, extremely efficient absorbers (in principle being capable to reach A > 99%) over a frequency range spanning from the UV to the IR. Our approach opens new venues to design cost effective materials for many applications such as thermo-photovoltaic energy conversion devices, light harvesting for solar cells, flat panel display, infrared detectors, stray light reduction, stealth and others. PMID:24220284

  13. Impedance matched thin metamaterials make metals absorbing.

    PubMed

    Mattiucci, N; Bloemer, M J; Aközbek, N; D'Aguanno, G

    2013-11-13

    Metals are generally considered good reflectors over the entire electromagnetic spectrum up to their plasma frequency. Here we demonstrate an approach to tailor their absorbing characteristics based on the effective metamaterial properties of thin, periodic metallo-dielectric multilayers by exploiting a broadband, inherently non-resonant, surface impedance matching mechanism. Based on this mechanism, we design, fabricate and test omnidirectional, thin (<1 micron), polarization independent, extremely efficient absorbers (in principle being capable to reach A > 99%) over a frequency range spanning from the UV to the IR. Our approach opens new venues to design cost effective materials for many applications such as thermo-photovoltaic energy conversion devices, light harvesting for solar cells, flat panel display, infrared detectors, stray light reduction, stealth and others.

  14. Scheme for rapid adjustment of network impedance

    DOEpatents

    Vithayathil, John J.

    1991-01-01

    A static controlled reactance device is inserted in series with an AC electric power transmission line to adjust its transfer impedance. An inductor (reactor) is serially connected with two back-to-back connected thyristors which control the conduction period and hence the effective reactance of the inductor. Additional reactive elements are provided in parallel with the thyristor controlled reactor to filter harmonics and to obtain required range of variable reactance. Alternatively, the static controlled reactance device discussed above may be connected to the secondary winding of a series transformer having its primary winding connected in series to the transmission line. In a three phase transmission system, the controlled reactance device may be connected in delta configuration on the secondary side of the series transformer to eliminate triplen harmonics.

  15. Sources and effects of electrode impedance during deep brain stimulation

    PubMed Central

    Butson, Christopher R.; Maks, Christopher B.; McIntyre, Cameron C.

    2013-01-01

    Objective Clinical impedance measurements for deep brain stimulation (DBS) electrodes in human patients are normally in the range 500–1500 Ω. DBS devices utilize voltage-controlled stimulation; therefore, the current delivered to the tissue is inversely proportional to the impedance. The goals of this study were to evaluate the effects of various electrical properties of the tissue medium and electrode-tissue interface on the impedance and to determine the impact of clinically relevant impedance variability on the volume of tissue activated (VTA) during DBS. Methods Axisymmetric finite-element models (FEM) of the DBS system were constructed with explicit representation of encapsulation layers around the electrode and implanted pulse generator. Impedance was calculated by dividing the stimulation voltage by the integrated current density along the active electrode contact. The models utilized a Fourier FEM solver that accounted for the capacitive components of the electrode-tissue interface during voltage-controlled stimulation. The resulting time- and space-dependent voltage waveforms generated in the tissue medium were superimposed onto cable model axons to calculate the VTA. Results The primary determinants of electrode impedance were the thickness and conductivity of the encapsulation layer around the electrode contact and the conductivity of the bulk tissue medium. The difference in the VTA between our low (790 Ω) and high (1244 Ω) impedance models with typical DBS settings (−3 V, 90 μs, 130 Hz pulse train) was 121 mm3, representing a 52% volume reduction. Conclusions Electrode impedance has a substantial effect on the VTA and accurate representation of electrode impedance should be an explicit component of computational models of voltage-controlled DBS. Significance Impedance is often used to identify broken leads (for values >2000 Ω) or short circuits in the hardware (for values <50 Ω); however, clinical impedance values also represent an important

  16. Detection of High-impedance Arcing Faults in Radial Distribution DC Systems

    NASA Technical Reports Server (NTRS)

    Gonzalez, Marcelo C.; Button, Robert M.

    2003-01-01

    High voltage, low current arcing faults in DC power systems have been researched at the NASA Glenn Research Center in order to develop a method for detecting these 'hidden faults', in-situ, before damage to cables and components from localized heating can occur. A simple arc generator was built and high-speed and low-speed monitoring of the voltage and current waveforms, respectively, has shown that these high impedance faults produce a significant increase in high frequency content in the DC bus voltage and low frequency content in the DC system current. Based on these observations, an algorithm was developed using a high-speed data acquisition system that was able to accurately detect high impedance arcing events induced in a single-line system based on the frequency content of the DC bus voltage or the system current. Next, a multi-line, radial distribution system was researched to see if the arc location could be determined through the voltage information when multiple 'detectors' are present in the system. It was shown that a small, passive LC filter was sufficient to reliably isolate the fault to a single line in a multi-line distribution system. Of course, no modification is necessary if only the current information is used to locate the arc. However, data shows that it might be necessary to monitor both the system current and bus voltage to improve the chances of detecting and locating high impedance arcing faults

  17. A Monte Carlo simulation of range for an invasive impedance respiration monitor.

    PubMed

    Valenta, H L; Fischer, S K

    1990-01-01

    One method of rate responsive pacing utilizes an analog of minute ventilation as the input to the rate control algorithm. A measure of the intravenous impedance along the pacing catheter is a convenient means of determining minute ventilation. Design of the impedance converter requires a knowledge of the range of DC and AC impedance signals. During normal and deep breathing, 116 AC measurements were taken from 34 Electrophysiology (EP) patients and 31 DC measurements were taken from 13 EP patients. The patient data produced skewed distributions with a normal AC mean of 0.45 +/- 0.40 ohms p-p, a deep AC mean of 2.0 +/- 1.6 ohms and a DC mean of 44 +/- 13 ohms. An eight variable static model was derived from prior work. Five of the physiological variables were chosen from established clinical ranges, one geometrical variable was chosen from prior work and two were selected by matching the statistics of a Monte Carlo analysis of the model with the statistics of the patient data. The blood resistivity was obtained from prior work. A simulation of 1000 measurements produced a normal breathing range of 0 to 2.24 ohms, a deep breathing range of 0 to 9.6 ohms and a DC range of 19 to 100 ohms. PMID:2334765

  18. Adaptive impedance control of a hydraulic suspension system using particle swarm optimisation

    NASA Astrophysics Data System (ADS)

    Fateh, Mohammad Mehdi; Moradi Zirkohi, Majid

    2011-12-01

    This paper presents a novel active control approach for a hydraulic suspension system subject to road disturbances. A novel impedance model is used as a model reference in a particular robust adaptive control which is applied for the first time to the hydraulic suspension system. A scheme is introduced for selecting the impedance parameters. The impedance model prescribes a desired behaviour of the active suspension system in a wide range of different road conditions. Moreover, performance of the control system is improved by applying a particle swarm optimisation algorithm for optimising control design parameters. Design of the control system consists of two interior loops. The inner loop is a force control of the hydraulic actuator, while the outer loop is a robust model reference adaptive control (MRAC). This type of MRAC has been applied for uncertain linear systems. As another novelty, despite nonlinearity of the hydraulic actuator, the suspension system and the force loop together are presented as an uncertain linear system to the MRAC. The proposed control method is simulated on a quarter-car model. Simulation results show effectiveness of the method.

  19. Clinical application of Electrical Impedance Tomography in the Present Health Scenario of India

    NASA Astrophysics Data System (ADS)

    Chakraborti, K. L., Dr; Selvamurthy, W., Dr

    2010-04-01

    Early detection of Breast Cancer is currently emerging as a big clinical entity requiring a non invasive, radiation less, harmless, cost effective diagnostic technique. Survival is improved if detected early. Breast Cancer is the second most common cancer in India. Health corporate system of India is urgently requiring a cost effective, noninvasive novel technique like "Electrical Impedance Tomography (EIT)" for screening large poor rural population of India for early diagnosis of Breast Cancer. EIT is the technique to visualize spatial distribution of Electro-impedance (or conductivity) inside the object, such as human body. A medical device which allows imaging of the distribution of conductivity in 3D in regions below the skin surface has been developed and tested. Its purpose is to enable early detection and preliminary diagnosis of breast tumors. The system uses a planar array consisting of 256 electrodes and enables obtaining images of the three-dimensional conductivity distribution in regions below the skin's surface up to several centimeters deep. The developed measuring system and image reconstruction algorithm can be used for breast tissue imaging and diagnostic, in particular for malignant tumor detection. Initially ten patients as control and ten patients with breast lesions have been studied with this new technique. It was found that electrical impedance mammograms from different groups has clear visual distinctions and statistically significant difference in breast glands conductivity. The results are quiet encouraging. EIT may emerge as the first line noninvasive imaging method of choice for screening large population for early detection of breast cancer.

  20. Preliminary Results on Different Impedance Contrast Agents for Pulmonary Perfusion Imaging with Electrical Impedance Tomography

    NASA Astrophysics Data System (ADS)

    Nguyen, D. T.; Kosobrodov, R.; Barry, M. A.; Chik, W.; Pouliopoulos, J.; Oh, T. I.; Thiagalingam, A.; McEwan, A.

    2013-04-01

    Recent studies in animal models suggest that the use of small volume boluses of NaCl as an impedance contrast agent can significantly improve pulmonary perfusion imaging by Electrical Impedance Tomography (EIT). However, these studies used highly concentrated NaCl solution (20%) which may have adverse effects on the patients. In a pilot experiment, we address this problem by comparing a number of different Impedance Contrast Boluses (ICBs). Conductivity changes in the lungs of a sheep after the injection of four different ICBs were compared, including three NaCl-based ICBs and one glucose-based ICB. The following procedure was followed for each ICB. Firstly, ventilation was turned off to provide an apneic window of approximately 40s to image the conductivity changes due to the ICB. Each ICB was then injected through a pig-tail catheter directly into the right atrium. EIT images were acquired throughout the apnea to capture the conductivity change. For each ICB, the experiment was repeated three times. The three NaCl-based ICB exhibited similar behaviour in which following the injection of each of these ICBs, the conductivity of each lung predictably increased. The effect of the ICB of 5% glucose solution was inconclusive. A small decrease in conductivity in the left lung was observed in two out of three cases and none was discernible in the right lung.

  1. Transthoracic defibrillation: effect of sternotomy on chest impedance.

    PubMed

    Kerber, R E; Vance, S; Schomer, S J; Mariano, D J; Charbonnier, F

    1992-07-01

    The purpose of this study was to determine the effect of sternotomy on transthoracic impedance, a major determinant of current flow and defibrillation success. Transthoracic impedance was determined by using a validated test-pulse technique that does not require actual shocks. Seventeen patients undergoing median sternotomy were studied prospectively. Transthoracic impedance was determined before operation, 3 to 5 days after operation and (in eight patients) greater than or equal to 1 month after operation. When measured using paddle electrodes placed in the standard apex-right parasternal defibrillating position, transthoracic impedance declined after sternotomy in all patients, from 77 +/- 18 to 59 +/- 17 omega (p less than 0.01); smaller declines were demonstrated by using other electrode positions. Transthoracic impedance remained below the preoperative level in the eight patients who underwent a second set of measurements at least 1 month after operation. Six normal subjects not undergoing sternotomy underwent serial transthoracic impedance measurements at least 5 days apart; mean transthoracic impedance did not change. It is concluded that transthoracic impedance declines after sternotomy. At any operator-selected energy level a higher current flow will result after sternotomy; this may facilitate postoperative defibrillation.

  2. The Impedance Response of Semiconductors: An Electrochemical Engineering Perspective.

    ERIC Educational Resources Information Center

    Orazem, Mark E.

    1990-01-01

    Shows that the principles learned in the study of mass transport, thermodynamics, and kinetics associated with electrochemical systems can be applied to the transport and reaction processes taking place within a semiconductor. Describes impedance techniques and provides several graphs illustrating impedance data for diverse circuit systems. (YP)

  3. An Inexpensive, Very High Impedance Digital Voltmeter for Selective Electrodes.

    ERIC Educational Resources Information Center

    Caceci, Marco S.

    1984-01-01

    Describes a compact, digital voltmeter which exceeds, both in accuracy and input impedance, most commercial pH meters and potentiometers. The instrument consists of two parts: a very high impedance hybrid operational amplifier used as a voltage follower (ICH8500/A, Intersil) and a four and one-half digits LED display panel meter (RP-4500,…

  4. Induced optical metric in the non-impedance-matched media

    NASA Astrophysics Data System (ADS)

    Mousavi, S. A.; Roknizadeh, R.; Sahebdivan, S.

    2016-11-01

    In non-magnetic anisotropic media, the behavior of electromagnetic waves depends on the polarization and direction of the incident light. Therefore, to tame the unwanted wave responses such as polarization dependent reflections, the artificial impedance-matched media are suggested to be used in optical devices like invisibility cloak or super lenses. Nevertheless, developing the impedance-matched media is far from trivial in practice. In this paper, we are comparing the samples of both impedance-matched and non-impedance-matched (non-magnetic) media regarding their electromagnetic response in constructing a well-defined optical metric. In the case of similar anisotropic patterns, we show that the optical metric in an impedance-matched medium for unpolarized light is the same as the optical metric of an electrical birefringent medium when the extraordinary mode is concerned. By comparing the eikonal equation in an empty curved space-time and its counterparts in the medium, we have shown that a non-impedance-matched medium can resemble an optical metric for a particular polarization. As an example of non-impedance-matched materials, we are studying a medium with varying optical axis profile. We show that such a medium can be an alternative to impedance-matched materials in various optical devices.

  5. An Alternative to Impedance Screening: Unoccluded Frontal Bone Conduction Screening.

    ERIC Educational Resources Information Center

    Square, Regina; And Others

    1985-01-01

    A bone conduction hearing screening test using frontal bone oscillator placement was compared with pure-tone air-conduction screening and impedance audiometry with 114 preschoolers. Unoccluded frontal bone conduction testing produced screening results not significantly different from results obtained by impedance audiometry. (CL)!

  6. Impedance Matching of Tapered Slot Antenna using a Dielectric Transformer

    NASA Technical Reports Server (NTRS)

    Simons, R. N.; Lee, R. Q.

    1998-01-01

    A new impedance matching technique for tapered slot antennas using a dielectric transformer is presented. The technique is demonstrated by measuring the input impedance, Voltage Standing Wave Ratio (VSWR) and the gain of a Vivaldi antenna (VA). Measured results at Ka-Band frequencies are presented and discussed.

  7. Modifying the acoustic impedance of polyurea-based composites

    NASA Astrophysics Data System (ADS)

    Nantasetphong, Wiroj; Amirkhizi, Alireza V.; Jia, Zhanzhan; Nemat-Nasser, Sia

    2013-04-01

    Acoustic impedance is a material property that depends on mass density and acoustic wave speed. An impedance mismatch between two media leads to the partial reflection of an acoustic wave sent from one medium to another. Active sonar is one example of a useful application of this phenomenon, where reflected and scattered acoustic waves enable the detection of objects. If the impedance of an object is matched to that of the surrounding medium, however, the object may be hidden from observation (at least directly) by sonar. In this study, polyurea composites are developed to facilitate such impedance matching. Polyurea is used due to its excellent blast-mitigating properties, easy casting, corrosion protection, abrasion resistance, and various uses in current military technology. Since pure polyurea has impedance higher than that of water (the current medium of interest), low mass density phenolic microballoon particles are added to create composite materials with reduced effective impedances. The volume fraction of particles is varied to study the effect of filler quantity on the acoustic impedance of the resulting composite. The composites are experimentally characterized via ultrasonic measurements. Computational models based on the method of dilute-randomly-distributed inclusions are developed and compared with the experimental results. These experiments and models will facilitate the design of new elastomeric composites with desirable acoustic impedances.

  8. Flip-Chip Carrier Would Match Microwave FET Impedances

    NASA Technical Reports Server (NTRS)

    Huang, H. C.

    1982-01-01

    Proposed field-effect transistor consists of three cells which make up one complete FET pellet. Pellet is flip-chip mounted on carrier with source grounded gate and drain posts connected directly to impedance-matching transmission-line segments. Impedance transformers are part of mounting and contact strips.

  9. Development of impedance matching technologies for ICRF antenna arrays

    SciTech Connect

    Pinsker, R.I.

    1998-03-01

    All high power ICRF heating systems include devices for matching the input impedance of the antenna array to the generator output impedance. For most types of antennas used, the input impedance is strongly time-dependent on timescales as rapid as 10-4 s, while the rf generators used are capable of producing full power only into a stationary load impedance. Hence, the dynamic response of the matching method is of great practical importance. In this paper, world-wide developments in this field over the past decade are reviewed. These techniques may be divided into several classes. The edge plasma parameters that determine the antenna array`s input impedance may be controlled to maintain a fixed load impedance. The frequency of the rf source can be feedback controlled to compensate for changes in the edge plasma conditions, or fast variable tuning elements in the transmission line between the generator output and the antenna input connections can provide the necessary time-varying impedance transformation. In lossy passive schemes, reflected power due to the time-varying impedance of the antenna array is diverted to a dummy load. Each of these techniques can be applied to a pre-existing antenna system. If a new antenna is to be designed, recent advances allow the antenna array to have the intrinsic property of presenting a constant load to the feeding transmission lines despite the varying load seen by each antenna in the array.

  10. Equivalent Circuits For AC-Impedance Analysis Of Corrosion

    NASA Technical Reports Server (NTRS)

    Danford, M. D.

    1992-01-01

    Report presents investigation of equivalent circuits for ac-impedance analysis of corrosion. Impedance between specimen and electrolyte measured as function of frequency. Data used to characterize corrosion electrochemical system in terms of equivalent circuit. Eleven resistor/capacitor equivalent-circuit models were analyzed.

  11. Equivalent circuit models for ac impedance data analysis

    NASA Technical Reports Server (NTRS)

    Danford, M. D.

    1990-01-01

    A least-squares fitting routine has been developed for the analysis of ac impedance data. It has been determined that the checking of the derived equations for a particular circuit with a commercially available electronics circuit program is essential. As a result of the investigation described, three equivalent circuit models were selected for use in the analysis of ac impedance data.

  12. 21 CFR 874.1090 - Auditory impedance tester.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Diagnostic Devices § 874.1090 Auditory impedance tester. (a) Identification. An auditory impedance tester is a device that is intended to change the air pressure in the... evaluate the functional condition of the middle ear. The device is used to determine abnormalities in...

  13. 21 CFR 874.1090 - Auditory impedance tester.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Diagnostic Devices § 874.1090 Auditory impedance tester. (a) Identification. An auditory impedance tester is a device that is intended to change the air pressure in the... evaluate the functional condition of the middle ear. The device is used to determine abnormalities in...

  14. Development of a field-portable small-size impedance analyzer for structural health monitoring using the electromechanical impedance technique

    NASA Astrophysics Data System (ADS)

    Giurgiutiu, Victor; Xu, Buli

    2004-07-01

    Electromechanical (E/M) impedance method is emerging as an effective and powerful technique for structural health monitoring. The E/M impedance method utilizes as its main apparatus an impedance analyzer that reads the in-situ E/M impedance of piezoelectric wafer active sensors (PWAS) attached to the monitored structure. Laboratory-type impedance analyzers (e.g. HP4194) are bulky, heavy, and expensive. They cannot be easily carried into the field for on-site structural health monitoring. To address this issue, means of to reduce the size of the impedance analyzer making the impedance analyzer more compact and field-portable are explored. In this paper, we present a systematic approach to the development of a field-portable small-size impedance analyzer for structural health monitoring using the electromechanical impedance technique. Our approach consists of several developmental stages. First, we perform a simulation of the E/M Impedance technique and develop the software tools for analyzing the signal in a fast and efficient way while maintaining the desired accuracy. The objective of this signal processing part is to obtain the complex impedance, ZR+iZI)=|Z| angle arg Z, at a number of frequencies in a predetermined range. Several signal processing methods were explored such as: (a) integration method; (b) correlation method; (c) Discrete Fourier transform (DFT) method. Second, we discuss the hardware issues associated with the implementation of this approach. The hardware system architecture consists of several blocks: (a) reference signal generation; (b) voltage and current measurements; and (c) digital signal acquisition and processing. Practical results obtained during proof-of-concept experiments are presented and comparatively examined.

  15. Development on electromagnetic impedance function modeling and its estimation

    SciTech Connect

    Sutarno, D.

    2015-09-30

    Today the Electromagnetic methods such as magnetotellurics (MT) and controlled sources audio MT (CSAMT) is used in a broad variety of applications. Its usefulness in poor seismic areas and its negligible environmental impact are integral parts of effective exploration at minimum cost. As exploration was forced into more difficult areas, the importance of MT and CSAMT, in conjunction with other techniques, has tended to grow continuously. However, there are obviously important and difficult problems remaining to be solved concerning our ability to collect process and interpret MT as well as CSAMT in complex 3D structural environments. This talk aim at reviewing and discussing the recent development on MT as well as CSAMT impedance functions modeling, and also some improvements on estimation procedures for the corresponding impedance functions. In MT impedance modeling, research efforts focus on developing numerical method for computing the impedance functions of three dimensionally (3-D) earth resistivity models. On that reason, 3-D finite elements numerical modeling for the impedances is developed based on edge element method. Whereas, in the CSAMT case, the efforts were focused to accomplish the non-plane wave problem in the corresponding impedance functions. Concerning estimation of MT and CSAMT impedance functions, researches were focused on improving quality of the estimates. On that objective, non-linear regression approach based on the robust M-estimators and the Hilbert transform operating on the causal transfer functions, were used to dealing with outliers (abnormal data) which are frequently superimposed on a normal ambient MT as well as CSAMT noise fields. As validated, the proposed MT impedance modeling method gives acceptable results for standard three dimensional resistivity models. Whilst, the full solution based modeling that accommodate the non-plane wave effect for CSAMT impedances is applied for all measurement zones, including near-, transition

  16. Development on electromagnetic impedance function modeling and its estimation

    NASA Astrophysics Data System (ADS)

    Sutarno, D.

    2015-09-01

    Today the Electromagnetic methods such as magnetotellurics (MT) and controlled sources audio MT (CSAMT) is used in a broad variety of applications. Its usefulness in poor seismic areas and its negligible environmental impact are integral parts of effective exploration at minimum cost. As exploration was forced into more difficult areas, the importance of MT and CSAMT, in conjunction with other techniques, has tended to grow continuously. However, there are obviously important and difficult problems remaining to be solved concerning our ability to collect process and interpret MT as well as CSAMT in complex 3D structural environments. This talk aim at reviewing and discussing the recent development on MT as well as CSAMT impedance functions modeling, and also some improvements on estimation procedures for the corresponding impedance functions. In MT impedance modeling, research efforts focus on developing numerical method for computing the impedance functions of three dimensionally (3-D) earth resistivity models. On that reason, 3-D finite elements numerical modeling for the impedances is developed based on edge element method. Whereas, in the CSAMT case, the efforts were focused to accomplish the non-plane wave problem in the corresponding impedance functions. Concerning estimation of MT and CSAMT impedance functions, researches were focused on improving quality of the estimates. On that objective, non-linear regression approach based on the robust M-estimators and the Hilbert transform operating on the causal transfer functions, were used to dealing with outliers (abnormal data) which are frequently superimposed on a normal ambient MT as well as CSAMT noise fields. As validated, the proposed MT impedance modeling method gives acceptable results for standard three dimensional resistivity models. Whilst, the full solution based modeling that accommodate the non-plane wave effect for CSAMT impedances is applied for all measurement zones, including near-, transition

  17. Algorithm development

    NASA Technical Reports Server (NTRS)

    Barth, Timothy J.; Lomax, Harvard

    1987-01-01

    The past decade has seen considerable activity in algorithm development for the Navier-Stokes equations. This has resulted in a wide variety of useful new techniques. Some examples for the numerical solution of the Navier-Stokes equations are presented, divided into two parts. One is devoted to the incompressible Navier-Stokes equations, and the other to the compressible form.

  18. Plasmonic-Based Electrochemical Impedance Spectroscopy: Application to Molecular Binding

    PubMed Central

    Lu, Jin; Wang, Wei; Wang, Shaopeng; Shan, Xiaonan; Li, Jinghong; Tao, Nongjian

    2012-01-01

    Plasmonic-based electrochemical impedance spectroscopy (P-EIS) is developed to investigate molecular binding on surfaces. Its basic principle relies on the sensitive dependence of surface plasmon resonance (SPR) signal on surface charge density, which is modulated by applying an AC potential to a SPR chip surface. The AC component of the SPR response gives the electrochemical impedance, and the DC component provides the conventional SPR detection. The plasmonic-based impedance measured over a range of frequency is in quantitative agreement with the conventional electrochemical impedance. Compared to the conventional SPR detection, P-EIS is sensitive to molecular binding taking place on the chip surface, and less sensitive to bulk refractive index changes or non-specific binding. Moreover, this new approach allows for simultaneous SPR and surface impedance analysis of molecular binding processes. PMID:22122514

  19. [Effects of different electrodes on bioelectrical impedance values].

    PubMed

    Nakadomo, F; Tanaka, K; Yokoyama, T; Maeda, K

    1990-01-01

    Effects of different electrodes on bioelectrical impedance values measured by the Selco bioelectrical impedance plethysmograph (SIF-881, Japan) were investigated using 8 adult females (age: 35.3 +/- 7.6 yr, Ht: 156.9 +/- 3.8 cm, Wt: 57.1 +/- 9.9 kg, and hydrodensitometrically determined body fat: 29.4 +/- 6.0%). The Lectec MP3000 electrode (Liberty Carton, USA) and the Bipolar electrode (Sanwa, Japan) produced significantly higher impedance values when compared to the Disposable electrode (Adovance, Japan) and the ECG electrode (Nihon Kohden, Japan). The coefficient of variation was significantly lower for the Disposable electrode (0.8%) and the ECG electrode (0.2%) than that for the Lectec MP3000 electrode (2.3%) and the Bipolar electrode (4.9%). In conclusion, the ECG electrode provides higher bioelectrical impedance values with the highest reproducibility in the assessment of human body composition by the bioelectrical impedance plethysmography.

  20. Twelve years evolution of skin as seen by electrical impedance

    NASA Astrophysics Data System (ADS)

    Nicander, Ingrid; Emtestam, Lennart; Åberg, Peter; Ollmar, Stig

    2010-04-01

    Twelve years ago we reported an electrical impedance baseline study related to age, sex and body locations. The results showed significant differences between different anatomical locations and ages. In this study, the same participants were recalled to explore how the skin had evolved at the individual level over time. A total of 50 subjects, divided into an older and a younger group, were recalled for measurements of electrical impedance at eight anatomical locations. Readings were taken with an electrical impedance spectrometer. Information was extracted from the impedance spectra using indices based on magnitude and phase at two frequencies as in the earlier study. All included body sites had undergone alterations over time, and the size of the changes varied at different locations. The results also showed that changes in the younger group were different over time compared with the older group. In conclusion: Electrical impedance can be used to monitor skin evolution over time and baseline characteristics differ between various locations.

  1. AC impedance study of degradation of porous nickel battery electrodes

    NASA Technical Reports Server (NTRS)

    Lenhart, Stephen J.; Macdonald, D. D.; Pound, B. G.

    1987-01-01

    AC impedance spectra of porous nickel battery electrodes were recorded periodically during charge/discharge cycling in concentrated KOH solution at various temperatures. A transmission line model (TLM) was adopted to represent the impedance of the porous electrodes, and various model parameters were adjusted in a curve fitting routine to reproduce the experimental impedances. Degradation processes were deduced from changes in model parameters with electrode cycling time. In developing the TLM, impedance spectra of planar (nonporous) electrodes were used to represent the pore wall and backing plate interfacial impedances. These data were measured over a range of potentials and temperatures, and an equivalent circuit model was adopted to represent the planar electrode data. Cyclic voltammetry was used to study the characteristics of the oxygen evolution reaction on planar nickel electrodes during charging, since oxygen evolution can affect battery electrode charging efficiency and ultimately electrode cycle life if the overpotential for oxygen evolution is sufficiently low.

  2. Method of estimating pulse response using an impedance spectrum

    DOEpatents

    Morrison, John L; Morrison, William H; Christophersen, Jon P; Motloch, Chester G

    2014-10-21

    Electrochemical Impedance Spectrum data are used to predict pulse performance of an energy storage device. The impedance spectrum may be obtained in-situ. A simulation waveform includes a pulse wave with a period greater than or equal to the lowest frequency used in the impedance measurement. Fourier series coefficients of the pulse train can be obtained. The number of harmonic constituents in the Fourier series are selected so as to appropriately resolve the response, but the maximum frequency should be less than or equal to the highest frequency used in the impedance measurement. Using a current pulse as an example, the Fourier coefficients of the pulse are multiplied by the impedance spectrum at corresponding frequencies to obtain Fourier coefficients of the voltage response to the desired pulse. The Fourier coefficients of the response are then summed and reassembled to obtain the overall time domain estimate of the voltage using the Fourier series analysis.

  3. Impedances of Nickel Electrodes Cycled in Various KOH Concentrations

    NASA Technical Reports Server (NTRS)

    Reid, Margaret A.; Loyselle, Patricia L.

    1991-01-01

    Impedances were measured of electrodes from boiler-plate cells cycled i n KOH concentrations from 21% to 36%. These cells under accelerated conditions at 80% DOD to failure, defined discharge voltage. Cell life ranged from about 1,000 t o 40 impedances were measured at five voltages corresponding to charge. The results were analyzed using a standard circuit model including a Warburg impedance term. The kinetic resistances and Warburg slopes were greater for those electrodes which had failed earliest. Other circuit models have also been examined. The results are considered indicative but not conclusive, since the cells had been stored after failure for varying lengths of time which is known to affect the impedance. In order to minimize the effects of storage, the electrodes were cycled 10 times before the impedance measurements were taken.

  4. A transcutaneous energy transmission system for artificial heart adapting to changing impedance.

    PubMed

    Fu, Yang; Hu, Liang; Ruan, Xiaodong; Fu, Xin

    2015-04-01

    This article presents a coil-coupling-based transcutaneous energy transmission system (TETS) for wirelessly powering an implanted artificial heart. Keeping high efficiency is especially important for TETS, which is usually difficult due to transmission impedance changes in practice, which are commonly caused by power requirement variation for different body movements and coil-couple malposition accompanying skin peristalsis. The TETS introduced in this article is designed based on a class-E power amplifier (E-PA), of which efficiency is over 95% when its load is kept in a certain range. A resonance matching and impedance compressing functions coupled network based on parallel-series capacitors is proposed in the design, to enhance the energy transmission efficiency and capacity of the coil-couple through resonating, and meanwhile compress the changing range of the transmission impedance to meet the load requirements of the E-PA and thus keep the high efficiency of TETS. An analytical model of the designed TETS is built to analyze the effect of the network and also provide bases for following parameters determination. Then, according algorithms are provided to determine the optimal parameters required in the TETS for good performance both in resonance matching and impedance compressing. The design is tested by a series of experiments, which validate that the TETS can transmit a wide range of power with a total efficiency of at least 70% and commonly beyond 80%, even when the coil-couple is seriously malpositioned. The design methodology proposed in this article can be applied to any existing TETS based on E-PA to improve their performance in actual applications.

  5. A transcutaneous energy transmission system for artificial heart adapting to changing impedance.

    PubMed

    Fu, Yang; Hu, Liang; Ruan, Xiaodong; Fu, Xin

    2015-04-01

    This article presents a coil-coupling-based transcutaneous energy transmission system (TETS) for wirelessly powering an implanted artificial heart. Keeping high efficiency is especially important for TETS, which is usually difficult due to transmission impedance changes in practice, which are commonly caused by power requirement variation for different body movements and coil-couple malposition accompanying skin peristalsis. The TETS introduced in this article is designed based on a class-E power amplifier (E-PA), of which efficiency is over 95% when its load is kept in a certain range. A resonance matching and impedance compressing functions coupled network based on parallel-series capacitors is proposed in the design, to enhance the energy transmission efficiency and capacity of the coil-couple through resonating, and meanwhile compress the changing range of the transmission impedance to meet the load requirements of the E-PA and thus keep the high efficiency of TETS. An analytical model of the designed TETS is built to analyze the effect of the network and also provide bases for following parameters determination. Then, according algorithms are provided to determine the optimal parameters required in the TETS for good performance both in resonance matching and impedance compressing. The design is tested by a series of experiments, which validate that the TETS can transmit a wide range of power with a total efficiency of at least 70% and commonly beyond 80%, even when the coil-couple is seriously malpositioned. The design methodology proposed in this article can be applied to any existing TETS based on E-PA to improve their performance in actual applications. PMID:25349072

  6. Electrochemical impedance spectroscopy based MEMS sensors for phthalates detection in water and juices

    NASA Astrophysics Data System (ADS)

    Zia, Asif I.; Mohd Syaifudin, A. R.; Mukhopadhyay, S. C.; Yu, P. L.; Al-Bahadly, I. H.; Gooneratne, Chinthaka P.; Kosel, Jǘrgen; Liao, Tai-Shan

    2013-06-01

    Phthalate esters are ubiquitous environmental and food pollutants well known as endocrine disrupting compounds (EDCs). These developmental and reproductive toxicants pose a grave risk to the human health due to their unlimited use in consumer plastic industry. Detection of phthalates is strictly laboratory based time consuming and expensive process and requires expertise of highly qualified and skilled professionals. We present a real time, non-invasive, label free rapid detection technique to quantify phthalates' presence in deionized water and fruit juices. Electrochemical impedance spectroscopy (EIS) technique applied to a novel planar inter-digital (ID) capacitive sensor plays a vital role to explore the presence of phthalate esters in bulk fluid media. The ID sensor with multiple sensing gold electrodes was fabricated on silicon substrate using micro-electromechanical system (MEMS) device fabrication technology. A thin film of parylene C polymer was coated as a passivation layer to enhance the capacitive sensing capabilities of the sensor and to reduce the magnitude of Faradic current flowing through the sensor. Various concentrations, 0.002ppm through to 2ppm of di (2-ethylhexyl) phthalate (DEHP) in deionized water, were exposed to the sensing system by dip testing method. Impedance spectra obtained was analysed to determine sample conductance which led to consequent evaluation of its dielectric properties. Electro-chemical impedance spectrum analyser algorithm was employed to model the experimentally obtained impedance spectra. Curve fitting technique was applied to deduce constant phase element (CPE) equivalent circuit based on Randle's equivalent circuit model. The sensing system was tested to detect different concentrations of DEHP in orange juice as a real world application. The result analysis indicated that our rapid testing technique is able to detect the presence of DEHP in all test samples distinctively.

  7. Development of CSAMT impedance modeling and its estimation

    NASA Astrophysics Data System (ADS)

    Sutarno, D.

    2015-04-01

    Accurate modeling and estimation of impedance functions is essential for the correct interpretation of Controlled Source Audio Magnetotelluric (CSAMT) measurements. Non plane wave effect of CSAMT source and noises are inevitably encountered when CSAMT observations are conducted and, consequently, impedance estimates are usually based on least-squares (LS) approximation, and the resulting estimates need to be corrected for the non plane wave field fraction. However, estimation procedure based on LS would not be statistically optimal, as outliers (abnormal data) are frequently superimposed on a normal ambient CSAMT noise field. In this situation, the estimation can be seriously misleading, while plane wave correction has also limited application, as the non plane wave field fraction is reasonably strong. This paper briefly discus the recent development of alternative methods for the CSAMT impedance modeling and its estimation, those are efficient in nature. The means for accomplishing the non plane wave problem is based on full solution numerical modeling of CSAMT impedance function that accommodates the non plane wave effect in the function. Whilst, one appealing approach to dealing with outliers is to make the estimation procedure robust. This is based on the M-estimation and the Hilbert transform operating on the causal CSAMT impedance functions. As demonstrated, the full solution based modeling for CSAMT impedance function is applied for all measurement zones, including near-, transition- as well as the far-field zones, and suitably, the plane wave correction is no longer needed for the impedance function. In the resulting impedance estimates, outlier contamination is removed and the self consistency between the real and imaginary parts of the impedance estimates is guaranteed. Using synthetic data, it is shown that the proposed methods can produce usable CSAMT impedance functions for all measurement zones, even under condition of severe noise contamination.

  8. Kinetic Description of the Impedance Probe

    NASA Astrophysics Data System (ADS)

    Oberrath, Jens; Lapke, Martin; Mussenbrock, Thomas; Brinkmann, Ralf

    2011-10-01

    Active plasma resonance spectroscopy is a well known diagnostic method. Many concepts of this method are theoretically investigated and realized as a diagnostic tool, one of which is the impedance probe (IP). The application of such a probe in plasmas with pressures of a few Pa raises the question whether kinetic effects have to be taken into account or not. To address this question a kinetic model is necessary. A general kinetic model for an electrostatic concept of active plasma spectroscopy was presented by R.P. Brinkmann and can be used to describe the multipole resonance probe (MRP). In principle the IP is interpretable as a special case of the MRP in lower order. Thus, we are able to describe the IP by the kinetic model of the MRP. Based on this model we derive a solution to investigate the influence of kinetic effects to the resonance behavior of the IP. Active plasma resonance spectroscopy is a well known diagnostic method. Many concepts of this method are theoretically investigated and realized as a diagnostic tool, one of which is the impedance probe (IP). The application of such a probe in plasmas with pressures of a few Pa raises the question whether kinetic effects have to be taken into account or not. To address this question a kinetic model is necessary. A general kinetic model for an electrostatic concept of active plasma spectroscopy was presented by R.P. Brinkmann and can be used to describe the multipole resonance probe (MRP). In principle the IP is interpretable as a special case of the MRP in lower order. Thus, we are able to describe the IP by the kinetic model of the MRP. Based on this model we derive a solution to investigate the influence of kinetic effects to the resonance behavior of the IP. The authors acknowledge the support by the Deutsche Forschungsgemeinschaft (DFG) via the Ruhr University Research School and the Federal Ministry of Education and Research in frame of the PluTO project.

  9. Correlation of capacity fading processes and electrochemical impedance spectra in lithium/sulfur cells

    NASA Astrophysics Data System (ADS)

    Risse, Sebastian; Cañas, Natalia A.; Wagner, Norbert; Härk, Eneli; Ballauff, Matthias; Friedrich, K. Andreas

    2016-08-01

    The capacity fading of lithium/sulfur (Li/S) cells is one major challenge that has to be overcome for a successful commercialization of this electrochemical storage system. Therefore it is essential to detect the major fading mechanisms for further improvements of this system. In this work, the processes leading to fading are analyzed in terms of a linear four state model and correlated to the distribution of relaxation times calculated with a modified Levenberg-Marquardt algorithm. Additionally, the Warburg impedance and the solution resistance are also obtained by the same algorithm. The detailed analysis of intermediate states during the first cycle gives the distinction between relaxation processes at the sulfur cathode and at the lithium anode. The influence of the polysulfides on the impedance parameters was evaluated using symmetric cells; this yields a good correlation with the results obtained from the first discharge/charge experiment. A fast and a slow capacity fading process are observed for the charge and the discharge during 50 cycles. The fast fading process can be assigned to Faradaic reactions at the lithium anode.

  10. Impedance spectroscopy of reduced monoclinic zirconia.

    PubMed

    Eder, Dominik; Kramer, Reinhard

    2006-10-14

    Zirconia doped with low-valent cations (e.g. Y3+ or Ca2+) exhibits an exceptionally high ionic conductivity, making them ideal candidates for various electrochemical applications including solid oxide fuel cells (SOFC) and oxygen sensors. It is nevertheless important to study the undoped, monoclinic ZrO2 as a model system to construct a comprehensive picture of the electrical behaviour. In pure zirconia a residual number of anion vacancies remains because of contaminants in the material as well as the thermodynamic disorder equilibrium, but electronic conduction may also contribute to the observed conductivity. Reduction of zirconia in hydrogen leads to the adsorption of hydrogen and to the formation of oxygen vacancies, with their concentration affected by various parameters (e.g. reduction temperature and time, surface area, and water vapour pressure). However, there is still little known about the reactivities of defect species and their effect on the ionic and electronic conduction. Thus, we applied electrochemical impedance spectroscopy to investigate the electric performance of pure monoclinic zirconia with different surface areas in both oxidizing and reducing atmospheres. A novel equivalent circuit model including parallel ionic and electronic conduction has previously been developed for titania and is used herein to decouple the conduction processes. The concentration of defects and their formation energies were measured using volumetric oxygen titration and temperature programmed oxidation/desorption.

  11. Calculating the impedance of a grounding system

    SciTech Connect

    Nekhoul, B.; Labie, P.; Zgainski, F.X.; Meunier, G.; Morillon, F.; Bourg, S.

    1996-05-01

    Following up previous research, concerning low frequency electromagnetic emission from a grounding system, the authors suggest methodology which allows a complete electromagnetic study by Finite Element Method (FEM) of a grounding system in the significant frequential spectrum of a stroke of lightning or a short circuit (f{le}1MHz). In this study, as well as calculating the electromagnetic field at any point in space (ground and air), the authors shall pay particular attention to variation with frequency of the impedance of a grounding system. Suggested modelling will take into account eddy currents in buried conductors and ground and nonlinear phenomena (ionization of the ground) around the buried conductors when high currents flow via the earth. It will also deal with displacement currents when their effect becomes noticeable in the earth for high frequency. The interest of this work lies in providing data needed to implement an optimal grounding system in nonhomogeneous medium. All the results of calculations will be compared with measurements made by the French Electricity Board (E.D.F., France).

  12. Electrical Impedance Tomography During Mechanical Ventilation.

    PubMed

    Walsh, Brian K; Smallwood, Craig D

    2016-10-01

    Electrical impedance tomography (EIT) is a noninvasive, non-radiologic imaging modality that may be useful for the quantification of lung disorders and titration of mechanical ventilation. The principle of operation is based on changes in electrical conductivity that occur as a function of changes in lung volume during ventilation. EIT offers potentially important benefits over standard imaging modalities because the system is portable and non-radiologic and can be applied to patients for long periods of time. Rather than providing a technical dissection of the methods utilized to gather, compile, reconstruct, and display EIT images, the present article seeks to provide an overview of the clinical application of this technology as it relates to monitoring mechanical ventilation and providing decision support at the bedside. EIT has been shown to be useful in the detection of pneumothoraces, quantification of pulmonary edema and comparison of distribution of ventilation between different modes of ventilation and may offer superior individual titration of PEEP and other ventilator parameters compared with existing approaches. Although application of EIT is still primarily done within a research context, it may prove to be a useful bedside tool in the future. However, head-to-head comparisons with existing methods of mechanical ventilation titration in humans need to be conducted before its application in general ICUs can be recommended. PMID:27682815

  13. Low impedance printed circuit radiating element

    NASA Technical Reports Server (NTRS)

    Rahm, James K. (Inventor); Frankievich, Robert H. (Inventor); Martinko, John D. (Inventor)

    1993-01-01

    A printed circuit radiating element comprises a geometrically symmetric planar area of a conducting material separated from a ground plane by a dielectric medium. The driving point of the radiating element is at the base of a notch in one side thereof so that the driving impedance is reduced from that obtained when the element is driven at its edge. Symmetrically disposed on opposite sides of an axis of symmetry of the element along which the driving point lies are two notches which restore the electrical symmetry of the radiating element thereby to suppress higher order modes. The suppression of these higher order modes results in a radiation pattern with minimal cross-polarized energy in the principal planes and high port-to-port isolation which could not be achieved with an asymmetrical element. Two driving points may be employed with the radiating element to produce a dual linearly polarized antenna and a reactive combiner or hybrid may be employed to obtain circularly-polarized radiations. The shape of the radiating element may be square, rectangular or circular, for example, in accordance with the desired characteristics. A plurality of radiating elements may be interconnected via appropriate transmission paths to form an antenna array.

  14. A Batteryless Sensor ASIC for Implantable Bio-Impedance Applications.

    PubMed

    Rodriguez, Saul; Ollmar, Stig; Waqar, Muhammad; Rusu, Ana

    2016-06-01

    The measurement of the biological tissue's electrical impedance is an active research field that has attracted a lot of attention during the last decades. Bio-impedances are closely related to a large variety of physiological conditions; therefore, they are useful for diagnosis and monitoring in many medical applications. Measuring living tissues, however, is a challenging task that poses countless technical and practical problems, in particular if the tissues need to be measured under the skin. This paper presents a bio-impedance sensor ASIC targeting a battery-free, miniature size, implantable device, which performs accurate 4-point complex impedance extraction in the frequency range from 2 kHz to 2 MHz. The ASIC is fabricated in 150 nm CMOS, has a size of 1.22 mm × 1.22 mm and consumes 165 μA from a 1.8 V power supply. The ASIC is embedded in a prototype which communicates with, and is powered by an external reader device through inductive coupling. The prototype is validated by measuring the impedances of different combinations of discrete components, measuring the electrochemical impedance of physiological solution, and performing ex vivo measurements on animal organs. The proposed ASIC is able to extract complex impedances with around 1 Ω resolution; therefore enabling accurate wireless tissue measurements. PMID:26372646

  15. Analysis of left ventricular impedance in comparison with ultrasound images.

    PubMed

    Choi, Seong Wook; Park, Sung Min

    2012-05-01

    Cardiac monitoring of ventricular assist devices (VADs) is important for detecting heart failure risks, such as critical arrhythmia and ventricular fibrillation, and for supplying data that are useful for hemodynamic control. Specifically, impedance cardiograms (ICGs) are especially beneficial because they have no effect on the tissue or organs and can monitor various parameters simultaneously, including the heart rate and heart contractions. In this article, we measured impedance changes in porcine left ventricles using electrodes placed around the inlet and outlet cannulae of the VAD. The measured left ventricular impedance (LVI) waveform changes are caused by heart movements, such as cardiac muscle contraction and changes in blood volume as a result of heart filling and emptying. In contrast to other impedance measurements, LVI is less affected by the movement of other organs. Using a porcine model, LVIs were measured and compared with blood flow data measured with an ultrasound blood flowmeter. The ICG showed the same frequency as the animal's heart rate, and their amplitudes were closely related to cardiac output (CO). However, the waveform differed from other vital signs, such as CO, electrocardiogram, and blood pressure. Ultrasound images were used to explain the impedance waveform. In the ultrasound images, we obtained the shape and size of the animal's heart and calculated the predicted impedance data. We then compared these to the actual measured data. These results show that the impedance signal contains detailed information on heart rate and CO; these results were unaffected by the cannulae or VAD perfusion. PMID:22188560

  16. Frequency dependent elastic impedance inversion for interstratified dispersive elastic parameters

    NASA Astrophysics Data System (ADS)

    Zong, Zhaoyun; Yin, Xingyao; Wu, Guochen

    2016-08-01

    The elastic impedance equation is extended to frequency dependent elastic impedance equation by taking partial derivative to frequency. With this equation as the forward solver, a practical frequency dependent elastic impedance inversion approach is presented to implement the estimation of the interstratified dispersive elastic parameters which makes full use of the frequency information of elastic impedances. Three main steps are included in this approach. Firstly, the elastic Bayesian inversion is implemented for the estimation of elastic impedances from different incident angle. Secondly, with those estimated elastic impedances, their variations are used to estimate P-wave velocity and S-wave velocity. Finally, with the prior elastic impedance and P-wave and S-wave velocity information, the frequency dependent elastic variation with incident angle inversion is presented for the estimation of the interstratified elastic parameters. With this approach, the interstratified elastic parameters rather than the interface information can be estimated, making easier the interpretation of frequency dependent seismic attributes. The model examples illustrate the feasibility and stability of the proposed method in P-wave velocity dispersion and S-wave velocity dispersion estimation. The field data example validates the possibility and efficiency in hydrocarbon indication of the estimated P-wave velocity dispersion and S-wave velocity dispersion.

  17. Summary of Human Ankle Mechanical Impedance During Walking

    PubMed Central

    Rouse, Elliott J.; Krebs, Hermano Igo

    2016-01-01

    The human ankle joint plays a critical role during walking and understanding the biomechanical factors that govern ankle behavior and provides fundamental insight into normal and pathologically altered gait. Previous researchers have comprehensively studied ankle joint kinetics and kinematics during many biomechanical tasks, including locomotion; however, only recently have researchers been able to quantify how the mechanical impedance of the ankle varies during walking. The mechanical impedance describes the dynamic relationship between the joint position and the joint torque during perturbation, and is often represented in terms of stiffness, damping, and inertia. The purpose of this short communication is to unify the results of the first two studies measuring ankle mechanical impedance in the sagittal plane during walking, where each study investigated differing regions of the gait cycle. Rouse et al. measured ankle impedance from late loading response to terminal stance, where Lee et al. quantified ankle impedance from pre-swing to early loading response. While stiffness component of impedance increases significantly as the stance phase of walking progressed, the change in damping during the gait cycle is much less than the changes observed in stiffness. In addition, both stiffness and damping remained low during the swing phase of walking. Future work will focus on quantifying impedance during the “push off” region of stance phase, as well as measurement of these properties in the coronal plane. PMID:27766187

  18. Impedance spectroscopy for the detection and identification of unknown toxins

    NASA Astrophysics Data System (ADS)

    Riggs, B. C.; Plopper, G. E.; Paluh, J. L.; Phamduy, T. B.; Corr, D. T.; Chrisey, D. B.

    2012-06-01

    Advancements in biological and chemical warfare has allowed for the creation of novel toxins necessitating a universal, real-time sensor. We have used a function-based biosensor employing impedance spectroscopy using a low current density AC signal over a range of frequencies (62.5 Hz-64 kHz) to measure the electrical impedance of a confluent epithelial cell monolayer at 120 sec intervals. Madin Darby canine kidney (MDCK) epithelial cells were grown to confluence on thin film interdigitated gold electrodes. A stable impedance measurement of 2200 Ω was found after 24 hrs of growth. After exposure to cytotoxins anthrax lethal toxin and etoposide, the impedance decreased in a linear fashion resulting in a 50% drop in impedance over 50hrs showing significant difference from the control sample (~20% decrease). Immunofluorescent imaging showed that apoptosis was induced through the addition of toxins. Similarities of the impedance signal shows that the mechanism of cellular death was the same between ALT and etoposide. A revised equivalent circuit model was employed in order to quantify morphological changes in the cell monolayer such as tight junction integrity and cell surface area coverage. This model showed a faster response to cytotoxin (2 hrs) compared to raw measurements (20 hrs). We demonstrate that herein that impedance spectroscopy of epithelial monolayers serves as a real-time non-destructive sensor for unknown pathogens.

  19. Measurement and simulation of the RHIC abort kicker longitudinal impedence

    SciTech Connect

    Abreu,N.P.; Hahn,H.; Choi, E.

    2009-09-01

    In face of the new upgrades for RHIC the longitudinal impedance of the machine plays an important role in setting the threshold for instabilities and the efficacy of some systems. In this paper we describe the measurement of the longitudinal impedance of the abort kicker for RHIC as well as computer simulations of the structure. The impedance measurement was done by the S{sub 21} wire method covering the frequency range from 9 kHz to 2.5 GHz. We observed a sharp resonance peak around 10 MHz and a broader peak around 20 MHz in both, the real and imaginary part, of the Z/n. These two peaks account for a maximum imaginary longitudinal impedance of j15 {Omega}, a value an order of magnitude larger than the estimated value of j0.2 {Omega}, which indicates that the kicker is one of the main sources of longitudinal impedance in the machine. A computer model was constructed for simulations in the CST MWS program. Results for the magnet input and the also the beam impedance are compared to the measurements. A more detail study of the system properties and possible changes to reduce the coupling impedance are presented.

  20. Very long period magnetotellurics at Tucson Observatory: Estimation of impedances

    SciTech Connect

    Egbert, G.D.; Booker, J.R.; Schultz, A.

    1992-10-10

    Eleven years (1932-1942) of electric potential and magnetic measurements at the Tucson observatory represent a unique very long period magnetotelluric (MT) data set. The authors report on a careful reanalysis of this data using modern processing techniques. They have developed and used novel methods for separating out the quasi-periodic daily variation fields and for cleaning up outliers and filling in missing data in the time domain. MT impedance tensors, estimated using the cleaned and filled data and using robust frequency domain methods, are well determined and smoothly varying for periods between 4 hours and 10 days. At longer periods the electric field data are swamped by large-amplitude incoherent noise, particularly after the third year of the experiment. Although they find no evidence for contamination of any field components by oceanic motional induction at tidal periods, the MT impedance estimates do show evidence of small systematic biases due to finite spatial scale geomagnetic sources at harmonics of the daily variation period. These periods are thus removed from the time series and not used in further analysis. They show that the resulting impedance tensor is well modeled by a real, frequency-independent distortion of a scalar impedance, which is consistent with non-inductive distortion of the electric fields by local surface geology. To estimate the undetermined static shift of the MT impedance, the authors compare the long-period MT results to equivalent MT impedances determined from 46 years of geomagnetic data. Combining the geomagnetic and undistorted MT impedances results in scalar impedance estimates for periods 0.17 < T < 91 days of unprecedented precision. However, for periods less than one day, the phase and amplitude of this impedance, while individually consistent, are not mutually consistent with any one-dimensional conductivity distribution. 51 refs., 19 figs., 4 tabs.