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1.
Article in English | MEDLINE | ID: mdl-22256325

ABSTRACT

Previous studies have demonstrated that the stiffness of cancerous cells reflects their pathological stage and progression rates, with increased cancerous cell stiffness associated with increased aggressiveness. Therefore, the elasticity of the cancerous cells has the potential to be used as an indicator of the cancer's aggressiveness. However, the sensitivity and resolution of current palpation and imaging techniques are not sufficient to detect small cancerous tissues. In previous studies, we developed a tactile-based device to map with high resolution the stiffness of a tissue section. The purpose of this study is to evaluate this device using different tissues (BPH, Cancer and PZ) collected from human prostates. The preliminary results show that the tactile device is sensitive enough to tell the differences of the stiffness of different tissues. The results also disclosed the factors (humidity, temperature and tissue degradation) which could dramatically affect the results of stiffness mapping. The tactile technology described in this paper has the potential to help disclose the underlying mechanical mechanisms that lead to increased stiffness in prostate tumors.


Subject(s)
Elasticity Imaging Techniques/instrumentation , Elasticity Imaging Techniques/methods , Elasticity , Prostate/diagnostic imaging , Prostate/pathology , Touch , Biomechanical Phenomena/physiology , Biopsy , Desiccation , Humans , Male , Prostatic Hyperplasia/diagnostic imaging , Prostatic Hyperplasia/pathology , Prostatic Neoplasms/diagnostic imaging , Prostatic Neoplasms/pathology , Temperature
3.
Ann N Y Acad Sci ; 1101: 297-315, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17416919

ABSTRACT

The female pelvic floor (PF) provides anatomical support to many visceral organs, such as uterus, bladder, urethra, vagina, and rectum. Physiologically, the PF is made up of a number of highly coordinated muscle groups organized to respond to postural and abdominal stresses to maintain continence. In this article, we describe a new methodology for the evaluation of PF strength using a novel vaginal probe design, having force and displacement sensors. This design was derived on the basis of imaging data showing that force/displacement characteristics are important determinants of the integrity of the PF function. The prototype probe used was constructed to evaluate the dynamic responses to slow voluntary contractions as well as reflex stress contractions. Initial clinical experiments were performed on nine healthy female subjects. The probe recorded the force and displacement signals on the anterior and posterior sides of the subjects' middle vaginal wall in voluntary PF muscle contraction and cough. The time domain and frequency domain characteristics of the dynamic responses, including the force and displacement responses, of the vaginal wall were measured and the power and energy associated with the dynamic responses of the PF were analyzed showing the differences between the dynamic characteristics of the voluntary PF muscle contraction and cough. Results show that voluntary PF muscle contractions have higher amplitudes, longer duration, and higher power than reflex contractions. The design of this probe enables the measurement of force and displacement during rapidly occurring events.


Subject(s)
Palpation/instrumentation , Pelvic Floor/physiology , Vagina/physiology , Female , Humans , Middle Aged , Pilot Projects , Urodynamics/physiology
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