Diffusion magnetic resonance imaging (dMRI) proved promising in patients with non-myelopathic degenerative cervical cord compression (NMDCCC), i.e., without clinically manifested myelopathy. Aim of the study is to present a fast multi-shell HARDI-ZOOMit dMRI protocol and validate its usability to detect microstructural myelopathy in NMDCCC patients. In 7 young healthy volunteers, 13 age-comparable healthy controls, 18 patients with mild NMDCCC and 15 patients with severe NMDCCC, the protocol provided higher signal-to-noise ratio, enhanced visualization of white/gray matter structures in microstructural maps, improved dMRI metric reproducibility, preserved sensitivity (SE = 87.88%) and increased specificity (SP = 92.31%) of control-patient group differences when compared to DTI-RESOLVE protocol (SE = 87.88%, SP = 76.92%). Of the 56 tested microstructural parameters, HARDI-ZOOMit yielded significant patient-control differences in 19 parameters, whereas in DTI-RESOLVE data, differences were observed in 10 parameters, with mostly lower robustness. Novel marker the white-gray matter diffusivity gradient demonstrated the highest separation. HARDI-ZOOMit protocol detected larger number of crossing fibers (5-15% of voxels) with physiologically plausible orientations than DTI-RESOLVE protocol (0-8% of voxels). Crossings were detected in areas of dorsal horns and anterior white commissure. HARDI-ZOOMit protocol proved to be a sensitive and practical tool for clinical quantitative spinal cord imaging.
- MeSH
- biomedicínské inženýrství MeSH
- difuzní magnetická rezonance * MeSH
- dospělí MeSH
- komprese míchy diagnostické zobrazování patologie MeSH
- krční obratle patologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemoci míchy diagnostické zobrazování patologie MeSH
- poměr signál - šum MeSH
- reprodukovatelnost výsledků MeSH
- senzitivita a specificita MeSH
- shluková analýza MeSH
- studie případů a kontrol MeSH
- zobrazování difuzních tenzorů MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
The aim of this article is to offer a view of the current status of women in medical physics and biomedical engineering, while focusing on solutions towards gender balance and providing examples of current activities carried out at national and international levels. The International Union of Physical and Engineering Scientists in Medicine is committed to advancing women in science and health and has several initiatives overseen by the Women in Medical Physics and Biomedical Engineering Task Group. Some of the main strategies proposed by the Task Group to attain gender balance are: (a) identify and promote female role models that achieve successful work-life balance, (b) establish programs to develop female leaders, (c) create opportunities for females to increase the international visibility within the scientific community, and (d) establish archives and databases of women in STEM.
- Klíčová slova
- Archives, Mentoring, Women in health, Women in science and engineering, leadership,
- MeSH
- biomedicínské inženýrství organizace a řízení MeSH
- fyzika organizace a řízení MeSH
- genderová rovnost * MeSH
- internacionalita MeSH
- lidé MeSH
- mentoring * MeSH
- poradní výbory MeSH
- vůdcovství * MeSH
- výzkumná zpráva MeSH
- ženy * MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Identification of active electrodes that record task-relevant neurophysiological activity is needed for clinical and industrial applications as well as for investigating brain functions. We developed an unsupervised, fully automated approach to classify active electrodes showing event-related intracranial EEG (iEEG) responses from 115 patients performing a free recall verbal memory task. Our approach employed new interpretable metrics that quantify spectral characteristics of the normalized iEEG signal based on power-in-band and synchrony measures. Unsupervised clustering of the metrics identified distinct sets of active electrodes across different subjects. In the total population of 11,869 electrodes, our method achieved 97% sensitivity and 92.9% specificity with the most efficient metric. We validated our results with anatomical localization revealing significantly greater distribution of active electrodes in brain regions that support verbal memory processing. We propose our machine-learning framework for objective and efficient classification and interpretation of electrophysiological signals of brain activities supporting memory and cognition.
- MeSH
- algoritmy MeSH
- biomedicínské inženýrství metody trendy MeSH
- datové soubory jako téma MeSH
- elektroencefalografie metody MeSH
- elektrofyziologické jevy MeSH
- elektrokortikografie * metody MeSH
- epilepsie diagnóza patofyziologie psychologie MeSH
- evokované potenciály fyziologie MeSH
- implantované elektrody * MeSH
- kognice fyziologie MeSH
- krátkodobá paměť fyziologie MeSH
- lidé MeSH
- mapování mozku metody MeSH
- mozek diagnostické zobrazování fyziologie MeSH
- plnění a analýza úkolů * MeSH
- retrospektivní studie MeSH
- senzitivita a specificita MeSH
- strojové učení bez učitele * MeSH
- verbální chování fyziologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, U.S. Gov't, Non-P.H.S. MeSH
- validační studie MeSH
Practically all experimental measurements related to the response of nonlinear bodies that are made within a purely mechanical context are concerned with inhomogeneous deformations, though, in many experiments, much effort is taken to engender homogeneous deformation fields. However, in experiments that are carried out in vivo, one cannot control the nature of the deformation. The quantity of interest is the deformation gradient and/or its invariants. The deformation gradient is estimated by tracking positions of a finite number of markers placed in the body. Any experimental data-reduction procedure based on tracking a finite number of markers will, for a general inhomogeneous deformation, introduce an error in the determination of the deformation gradient, even in the idealized case, when the positions of the markers are measured with no error. In our study, we are interested in a quantitative description of the difference between the true gradient and its estimate obtained by tracking the markers, that is, in the quantitative description of the induced error due to the data reduction. We derive a rigorous upper bound on the error, and we discuss what factors influence the error bound and the actual error itself. Finally, we illustrate the results by studying a practically interesting model problem. We show that different choices of the tracked markers can lead to substantially different estimates of the deformation gradient and its invariants. It is alarming that even qualitative features of the material under consideration, such as the incompressibility of the body, can be evaluated differently with different choices of the tracked markers. We also demonstrate that the derived error estimate can be used as a tool for choosing the appropriate marker set that leads to the deformation gradient estimate with the least guaranteed error.
The objective of this paper is to briefly review the engineering biotribology of total hip arthroplasty (THA). At present the issue of lubrication, wear and friction within a THA is being studied in detail and the results have been published in a number of papers. The reason is obvious since the rate at which the articulating surfaces wear off affects the longevity of a THA to a great extent. Seeking an optimal biotribological configuration remains an important task for both the researchers and orthopaedic surgeons. In order to enable the orthopaedic community to think over THA biotribology and, at the same time, communicate with the representatives of technical professions, knowledge of the basic principles of biotribology and their understanding is necessary.
- MeSH
- biomedicínské inženýrství metody MeSH
- kyčelní protézy * klasifikace normy MeSH
- lidé MeSH
- mezioborová komunikace MeSH
- náhrada kyčelního kloubu * přístrojové vybavení metody MeSH
- povrchové vlastnosti * MeSH
- selhání protézy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- přehledy MeSH
Osteoporosis-related vertebral body fractures involve large compressive strains of trabecular bone. The small strain mechanical properties of the trabecular bone such as the elastic modulus or ultimate strength can be estimated using the volume fraction and a second order fabric tensor, but it remains unclear if similar estimations may be extended to large strain properties. Accordingly, the aim of this work is to identify the role of volume fraction and especially fabric in the large strain compressive behavior of human trabecular bone from various anatomical locations. Trabecular bone biopsies were extracted from human T12 vertebrae (n=31), distal radii (n=43), femoral head (n=44), and calcanei (n=30), scanned using microcomputed tomography to quantify bone volume fraction (BV/TV) and the fabric tensor (M), and tested either in unconfined or confined compression up to very large strains (∼70%). The mechanical parameters of the resulting stress-strain curves were analyzed using regression models to examine the respective influence of BV/TV and fabric eigenvalues. The compressive stress-strain curves demonstrated linear elasticity, yielding with hardening up to an ultimate stress, softening toward a minimum stress, and a steady rehardening followed by a rapid densification. For the pooled experiments, the average minimum stress was 1.89 ± 1.77 MPa, while the corresponding mean strain was 7.15 ± 1.84%. The minimum stress showed a weaker dependence with fabric as the elastic modulus or ultimate strength. For the confined experiments, the stress at a logarithmic strain of 1.2 was 8.08 ± 7.91 MPa, and the dissipated energy density was 5.67 ± 4.42 MPa. The latter variable was strongly related to the volume fraction (R(2)=0.83) but the correlation improved only marginally with the inclusion of fabric (R(2)=0.84). The influence of fabric on the mechanical properties of human trabecular bone decreases with increasing strain, while the role of volume fraction remains important. In particular, the ratio of the minimum versus the maximum stress, i.e., the relative amount of softening, decreases strongly with fabric, while the dissipated energy density is dominated by the volume fraction. The collected results will prove to be useful for modeling the softening and densification of the trabecular bone using the finite element method.
- MeSH
- biologické modely MeSH
- biomechanika MeSH
- biomedicínské inženýrství MeSH
- hlavice femuru fyziologie MeSH
- hrudní obratle fyziologie MeSH
- kosti a kostní tkáň anatomie a histologie diagnostické zobrazování fyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mechanický stres MeSH
- modul pružnosti MeSH
- patní kost fyziologie MeSH
- pevnost v tlaku MeSH
- radius fyziologie MeSH
- regresní analýza MeSH
- rentgenová mikrotomografie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- techniky in vitro MeSH
- zobrazování trojrozměrné MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
EU project OLDES (Older People's e-services at home) develops easy to use and low cost ICT platform in order to offer a better quality of life to elderly people directly in their homes through innovative systems of tele-accompany, tele-assistance and tele-medicine. The elderly are able to access the services and send relevant medical data from their home by being connected to the central server via a low cost PC which is based on Negroponte paradigm. The OLDES platform interface uses television screens controlled through a remote control customized for the elderly. The feasibility of OLDES project is evaluated by the pilot study concentrating on compensation of diabetic patients. Compensation of diabetes is achieved by monitoring glucose glycemia level, blood pressure and weight. Moreover, the patient feeds into OLDES system daily consumption of food using interactive food scales and obtains advice if necessary.
- MeSH
- biomedicínské inženýrství MeSH
- diabetes mellitus terapie MeSH
- Evropská unie MeSH
- lidé MeSH
- mikropočítače MeSH
- pilotní projekty MeSH
- senioři MeSH
- služby domácí péče * MeSH
- telemedicína metody MeSH
- uživatelské rozhraní počítače MeSH
- zdravotní služby pro seniory * MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
The aim of the paper is to inform about the requirements laid on education in the fields of Biomedical Technology and Biomedical Engineering in the connection with legal provisions on non-medical health service occupations in the Czech Republic and its compliance with the working documents on harmonization of biomedical engineering education in Europe (BIOMEDEA project). The legal provisions define completely new position of technical personnel in the health care service system. We show how the legal regulations and European recommendations are reflected in Master study at the Czech Technical University in Prague, Faculty of Electrical Engineering.
Elastic properties of single parts of a human skeleton are necessary to know for modelling bone tissue-implants interactions as well as for diagnostic purposes. This paper contributes to the methodology of the evaluation of elastic properties of bones by the ultrasonic wave inversion. The method was developed on composite structures such as plates and cylindrical shells. Final results are then demonstrated on the bovine cortical bone specimen. Properties are supposed to exhibit an orthotropic or a transversally isotropic symmetry. Quasi-longitudinal and quasi-transversal waves are generated from the wave diffraction on the liquid/specimen interface. Wave velocity fields obtained by the ultrasonic scanning technique are used as an input to the inversion procedure for all elastic constants determination. Experimental results are confronted with the numerical modelling of the wave propagation and the stability of resulting data is evaluated by the statistical method based on the Monte-Carlo simulation. The suggested approach has a potential for the qualify of such measurements performed on fresh bones and also for improvement in-situ ultrasonic techniques.
- MeSH
- akustika * MeSH
- biomechanika MeSH
- biomedicínské inženýrství * MeSH
- femur diagnostické zobrazování fyziologie MeSH
- kosti a kostní tkáň diagnostické zobrazování fyziologie MeSH
- kostní denzita fyziologie MeSH
- lidé MeSH
- metoda Monte Carlo MeSH
- pevnost v tahu MeSH
- pevnost v tlaku MeSH
- ponoření * MeSH
- pružnost * MeSH
- skot MeSH
- tkáňové inženýrství * MeSH
- ultrasonografie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- skot MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
This paper presents results of blood pressure dynamicity analysis aimed at vessel stiffness detection and subsequent cardiac risk stratification. We analyzed ECG and BP parameters from 12 normotensive young healthy volunteers, 10 old healthy volunteers, and two groups of hypertensive patients -- 12 young non-medicated hypertensive subjects with no other known complications and 16 hypertensive non-medicated subjects with confirmed obesity (according to waist circumference), hyperlipidemia or diabetes mellitus. The dynamic parameters obtained from a derivative continuous blood pressure signal provide additional information about vessel compliance. They can differentiate hypertensive subjects according to the level of cardiovascular risk.
- MeSH
- ambulantní monitorování krevního tlaku metody statistika a číselné údaje MeSH
- biomedicínské inženýrství MeSH
- cévní rezistence fyziologie MeSH
- dospělí MeSH
- fotopletysmografie metody statistika a číselné údaje MeSH
- hypertenze patofyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- studie případů a kontrol MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
