ABSTRACT
This paper reports on a novel system architecture for measuring impedance spectra of a biological tissue close to the tip of a hollow needle. The measurement is performed online using fast broadband chirp signals. The time domain measurement raw data are transformed into the transfer function of the tissue in frequency domain. Correlation technique is used to analyze the characteristic shape of the derived tissue transfer function with respect to known "library functions" for different types of tissue derived in earlier experiments. Based on the resulting correlation coefficients the exact type of tissue is determined. A bipolar coaxial needle is constructed, simulated by finite element method and tested during various in vitro and in vivo experiments. The results show a good spatial resolution of approximately 1.0 mm for a needle with a diameter of 2.0 mm. The correlation coefficients for the three tested tissue types muscle, fat, and blood allow for a clear tissue classification. Best results have been obtained using the characteristic phase diagrams for each tissue. Correlated to the corresponding library transfer function the coefficients are in the range of +0.96 to +0.99 for the matching tissue. In return, the resulting coefficients for correlation with nonmatching tissues are in the range of -0.93 to +0.81.
Subject(s)
Adipose Tissue/physiology , Dielectric Spectroscopy/methods , Muscles/physiology , Signal Processing, Computer-Assisted , Animals , Blood , Computer Simulation , Dielectric Spectroscopy/instrumentation , Finite Element Analysis , Needles , Surgery, Computer-Assisted/methods , SwineABSTRACT
Extracorporeal life support (ECLS) is one of the recent fields in cardiac surgery which has improved significantly the quality of patient care in acute or chronic end-stage heart disease. The safe use of this new technology requires many different prerequisites which are summarized in this position article. It includes the necessary personnel and their qualifications, the structural assumptions, the required equipment, and the parameters which have to be monitored for the safe usage of these devices. In addition, indications and contraindications for ECLS, the management and control of a wide range of parameters related to the extracorporeal circulation, as well as the necessary equipment are described. Quality assurance and education are also described in this position article.
