Estimating the Shape of the Fetal Pulse Curve for Transabdominal Pulse Oximetry using Synchronous Averaging.

A sufficient oxygen supply of the fetus is necessary for a proper development of the organs. Transabdominal fetal pulse oximetry is a method that allows to measure the oxygenation of the fetal blood non-invasively by placing the light sources and photodetectors on the belly of the pregnant woman. The shape of the measured fetal pulse wave is needed to extract parameters for the estimation of the oxygen saturation. This work presents an extension of our previously presented signal processing strategy that allows to extract an average shape of the fetal pulse wave from noisy mixed photoplethysmograms (PPG) with dominating maternal and very weak fetal signal components. An adaptive noise canceller and a comb filter are used to suppress the maternal component. The quality of the resulting fetal signal is sufficient to identify single pulse waves in time domain. Further processing demonstrates the extraction of the mean shape of a single fetal pulse wave by synchronous averaging of several detected pulses. The method is evaluated with different datasets of several simulated and synthetic signals measured with a tissue mimicking phantom. The feasibility of the approach is demonstrated by preparing the mixed PPGs to perform fetal pulse oximetry in future studies. However, clinical measurements are needed to finally evaluate the proposed system beyond synthetic datasets.

Extraction of the Fetal Pulse Curve for Transabdominal Pulse Oximetry using Adaptive and Comb Filters.

The fetal pulse curve can be captured by placing light sources and detectors on the belly of a pregnant woman. Following the principle of reflection pulse oximetry, the light emitted into the abdomen is modulated by pulsing maternal and fetal arteries. The acquired signal is a mixture of a weak fetal and a dominating maternal photoplethysmogram (PPG). A first step towards estimation of the fetal oxygen level is the reconstruction of the purely fetal signal in time domain. As already shown in a former work, comb filters are well suited for the task, in case the fetal heart rate is known. In this work we extend the method by utilizing an adaptive noise canceller (ANC) to estimate the fetal pulse rate for comb filter design. Synthetic test signals with constant and time variable pulse rates are generated in order to achieve reproducible conditions. The ANC is fed by the mixed PPG and the maternal reference signal to reduce the dominant maternal components. The fetal pulse rate is computed by evaluating peaks in the resulting signal in time and frequency domain. The findings are used for comb filter design. It is shown that the extraction of the fetal pulse curve from the synthetic mixed PPGs by using the proposed strategy is promising. Clinical test measurements are the next step for evaluation.

Signal Separation for Transabdominal Non-invasive Fetal Pulse Oximetry using Comb Filters.

Non-invasive fetal pulse oximetry is the application of reflection pulse oximetry to the abdomen of a pregnant woman. Light sources and detectors areplaced on the belly. Emitted photons travel through maternal and fetal tissue and back to the detectors. The captured photoplethysmogram (PPG) is a complex mixture of the maternal and fetal pulse curve. A purely fetal PPG in time domain is needed to estimate the oxygen level of the unborn child. In this work we describe the application of comb filters to separate the fetalfrom the maternal signal. Finite element simulations and phantom measurements are utilized to generate and measure synthetic signals at different heart rates and noise levels. Comb filters with peak frequencies matched to the fetal heart rate are applied to the mixed PPGs. The filtered signals prove that the extraction of the fetal signal is sufficient even at a distance between the maternal and the fetal signal magnitudes of around 80 dB. The resulting signal quality is sufficient for beat to beat analysis and feature extraction in the time domain. We conclude that comb filtering is a suitable signal separation method for non-invasive fetal pulse oximetry.

Simulation study on the effect of tissue geometries to fluence composition for non-invasive fetal pulse oximetry.

Transabdominal fetal pulse oximetry is a method to estimate the state of oxygenation of a fetus in-utero, utilizing the principle of reflection pulse oximetry. The extraction of fetal related information from a mixed fetal-maternal signal is elementary. Minimizing the ratio of purely maternal components of the signal at the detector side obviously facilitates signal separation. In this paper we analyze the influence of tissue geometries to the fluence composition at the surface of the abdomen. Monte-Carlo method is used to compute photon propagation in spherical layered tissue models. Spatial fluence distributions at the surface of the models are visualized and discussed. Our results show the characteristic effects of the distance between the fetus and the surface and the radius of the abdomen to the fluence composition at the detector. Further, the simulations indicate suitable source-detector configurations considering various anatomical conditions. We conclude that an adoption of the source-detector configuration to the individual tissue geometry at hand is necessary to achieve a proper signal composition and quality. Utilizing simulations for sensor design enhances the understanding of photon distributions in complex tissue geometries and supports a successful implementation of transabdominal fetal pulse oximetry.

Phantom materials mimicking the optical properties in the near infrared range for non-invasive fetal pulse oximetry.

An optical phantom of the maternal abdomen during pregnancy is an appropriate test environment to evaluate a non-invasive system for fetal pulse oximetry. To recreate the optical properties of maternal tissue, fetal tissue and blood suitable substitutes are required. For this purpose, phantom materials are used, which consist of transparent silicone or water as host material. Cosmetic powder and India ink are investigated as absorbing materials, whereas titanium dioxide particles are examined as scattering medium. Transmittance and reflectance measurements of the samples were performed in the spectral range from 600 nm to 900 nm using integrating sphere technique. The scattering and absorption coefficients and the anisotropy factor were determined using Kubelka-Munk theory. The results were used to compute the required mixture ratios of the respective components to replicate the optical properties of maternal tissue, fetal tissue and blood, and corresponding samples were produced. Their optical properties were investigated in the same manner as mentioned above. The results conform to the values of various types of tissues and blood given in the scientific literature.

A phantom with pulsating artificial vessels for non-invasive fetal pulse oximetry.

Arterial oxygen saturation of the fetus is an important parameter for monitoring its physical condition. During labor and delivery the transabdominal non-invasive fetal pulse oximetry could minimize the risk for mother and fetus, compared to other existing invasive examination methods. In this contribution, we developed a physical-like phantom to investigate new sensor circuits and algorithms of a non-invasive diagnostic method for fetal pulse oximetry. Hence, the developed artificial vascular system consists of two independent tube systems representing the maternal and fetal vessel system. The arterial blood pressure is reproduced with a pre-pressure and an artificial vascular system. Each pulse wave can be reproduced, by digital control of a proportional valve, adjustable viscoelastic elements, and resistances. The measurements are performed by pressure transducers, optical sensor units, and a coplanar capacitive sensor. Transmission and reflection measurements have shown that the fetal and maternal pulse waves can be reproduced qualitatively. The measured light represents the transabdominal modulated signal on an abdomen of a pregnant woman.

Synaptic behavior and STDP of asymmetric nanoscale memristors in biohybrid systems.

We fabricate and characterize asymmetric memristors which show a very strong single-sided hysteresis. When biased in one direction there is hysteresis and in the opposite direction there is a lack of hysteresis. We demonstrate that this apparent lack is actually hysteresis on a much faster time-scale. We further demonstrate that this form of asymmetric behavior correlates very well to the asymmetric structure and function of an actual synapse. The asymmetric memristor device presented here is necessary to correctly implement spike-timing-dependent-plasticity STDP in mixed memristor/neuron hybrid systems as an artificial synapse. These devices show the required characteristics for implementing the asymmetric form of long-term potentiation (LTP) and long-term depression (LTD) of a synapse between two neurons, where symmetric memristor devices do not. Signals from a presynaptic neuron are sent via its axon across the synapse to the dendrite of a postsynaptic neuron. Postsynaptic neuron signals sent to subsequent neurons have an influence on the strength of any further presynaptic neuron signals received by the postsynaptic neuron across the synapse. These signals are grouped into spike triplets within the framework of STDP and, as we experimentally show here, can be implemented with asymmetric memristors, not standard symmetric memristors.

Making use of auditory models for better mimicking of normal hearing processes with cochlear implants: the SAM coding strategy.

Mimicking the human ear on the basis of auditory models has become a viable approach in many applications by now. However, only a few attempts have been made to extend the scope of physiological ear models to be employed in cochlear implants (CI). Contemporary CI systems rely on much simpler filter banks and simulate the natural signal processing of a healthy cochlea to only a very limited extent. When looking at rehabilitation outcomes, current systems seem to have reached their peak potential, which signals the need for better algorithms and/or technologies. In this paper, we present a novel sound processing strategy, SAM (Stimulation based on Auditory Modeling), that is based on neurophysiological models of the human ear and can be employed in auditory prostheses. It incorporates active cochlear filtering (basilar membrane and outer hair cells) along with the mechanoelectrical transduction of the inner hair cells, so that several psychoacoustic phenomena are accounted for inherently. Although possible, current implementation does not make use of parallel stimulation of the electrodes, which matches state-of-the-art CI hardware. This paper elaborates on SAM's signal processing and provides a computational evaluation of the strategy. Results show that aspects of normal cochlear processing that are missing in common strategies can be replicated by SAM. This is supposed to improve overall CI user performance, which we have at least partly proven in a pilot study with implantees.

Ultra-wearable capacitive coupled and common electrode-free ECG monitoring system.

Nowadays, transfer of the health care from ambulance to patient's home needs higher demand on patient's mobility, comfort and acceptance of the system. Therefore, the goal of this study is to proof the concept of a system which is ultra-wearable, less constraining and more suitable for long term measurements than conventional ECG monitoring systems which use conductive electrolytic gels for low impedance electrical contact with skin. The developed system is based on isolated capacitive coupled electrodes without any galvanic contact to patient's body and does not require the common right leg electrode. Measurements performed under real conditions show that it is possible to acquire well known ECG waveforms without the common electrode when the patient is sitting and even during walking. Results of the validation process demonstrate that the system performance is comparable to the conventional ECG system while the wearability is increased.

Radio Frequency Identification (RFID) in medical environment: Gaussian Derivative Frequency Modulation (GDFM) as a novel modulation technique with minimal interference properties.

Radio Frequency Identification (RFID) systems in healthcare facilitate the possibility of contact-free identification and tracking of patients, medical equipment and medication. Thereby, patient safety will be improved and costs as well as medication errors will be reduced considerably. However, the application of RFID and other wireless communication systems has the potential to cause harmful electromagnetic disturbances on sensitive medical devices. This risk mainly depends on the transmission power and the method of data communication. In this contribution we point out the reasons for such incidents and give proposals to overcome these problems. Therefore a novel modulation and transmission technique called Gaussian Derivative Frequency Modulation (GDFM) is developed. Moreover, we carry out measurements to show the inteference properties of different modulation schemes in comparison to our GDFM.

Multi-dimensional PARAFAC2 component analysis of multi-channel EEG data including temporal tracking.

The identification of signal components in electroencephalographic (EEG) data originating from neural activities is a long standing problem in neuroscience. This area has regained new attention due to the possibilities of multi-dimensional signal processing. In this work we analyze measured visual-evoked potentials on the basis of the time-varying spectrum for each channel. Recently, parallel factor (PARAFAC) analysis has been used to identify the signal components in the space-time-frequency domain. However, the PARAFAC decomposition is not able to cope with components appearing time-shifted over the different channels. Furthermore, it is not possible to track PARAFAC components over time. In this contribution we derive how to overcome these problems by using the PARAFAC2 model, which renders it an attractive approach for processing EEG data with highly dynamic (moving) sources.

Measuring the attenuation characteristics of biological tissues enabling for low power in vivo RF transmission.

In clinical routine there is a need of periodical recording of vital parameters in high risk groups, for example the intraocular pressure. A solution for this could be an intracorporeal sensor using a wireless radio frequency (RF) transmitter. Thereby the risk of an infection is reduced, because a percutaneous connection is not necessary. A limiting factor for some organs is the size of implants. For designing an energy efficient low power RF transmitter, the dielectric parameters of representative biological tissues have to be determined. In this article two methods of measurement are presented, the coaxial probe and transmission line method. With this information about the dielectric parameters a miniaturized RF transmitter was built for proofing tests on phantoms with equal properties like biological tissue.

Modeling of electromagnetic stimulation of the human brain.

The World Health Organization estimates depression as a serious threat to the health of millions of people worldwide. The purpose of this paper is to introduce the ongoing research devoted to the investigation of a possibility to use low-field electromagnetic stimulation of the human brain in the treatment of depressive disorder. In the course of the work the 3D models of transcranial magnetic stimulation and low-field magnetic stimulation based upon the use of a layered sphere head model have been developed. An initial approach towards the realistic human head reconstruction has been made. The revealed order of the stimulating electromagnetic field suitable for operation makes it possible to draft a technical specification for the stimulation device.

Phase estimation of visual evoked responses.

The phase of visual evoked responses (VERs) is one of the basic parameters in functional diagnostics of the visual system. A new method for phase estimation of VERs based on the observer model in system identification is introduced. Simulated data show significantly less variance of estimation than actual estimators do. By means of the new estimator, the dynamics of the visual system according to selected optical stimuli has been analyzed.