Automated robust test framework for electrical impedance tomography.

An automated test system and procedure is proposed, designed to enable systematic testing of electrical impedance tomography (EIT) devices. The system is designed to calculate reliable, repeatable and accurate performance figures of merit of an EIT system using a saline phantom and an industrial robot arm. Applications of the test system are to compare EIT devices against requirements, or to help optimize a device for its operating parameters. A test methodology and sample test results are presented to illustrate its use. The system is used to compare image quality and contrast detection for a range of stimulation and measurement patterns, and results show the best images when the pair of current injection electrodes is spaced between 45 and 170 degrees on a tank. Finally, we propose a classification of the object detection errors, which can facilitate comparison of EIT instrument specifications.

Evaluation and real-time monitoring of data quality in electrical impedance tomography.

Electrical impedance tomography (EIT) is a noninvasive method to image conductivity distributions within a body. One promising application of EIT is to monitor ventilation in patients as a real-time bedside tool. Thus, it is essential that an EIT system reliably provide meaningful information, or alert clinicians when this is impossible. Because the reconstructed images are very sensitive to system instabilities (primarily from electrode connection variability and movement), EIT systems should continuously monitor and, if possible, correct for such errors. Motivated by this requirement, we describe a novel approach to quantitatively measure EIT data quality. Our goals are to define the requirements of a data quality metric, develop a metric q which meets these requirements, and an efficient way to calculate it. The developed metric q was validated using data from saline tank experiments and a retrospective clinical study. Additionally, we show that q may be used to compare the performance of EIT systems using phantom measurements. Results suggest that the calculated metric reflects well the quality of reconstructed EIT images for both phantom and clinical data. The proposed measure can thus be used for real-time assessment of EIT data quality and, hence, to indicate the reliability of any derived physiological information.

Electrical impedance tomography system based on active electrodes.

Electrical impedance tomography (EIT) can image the distribution of ventilated lung tissue, and is thus a promising technology to help monitor patient breathing to help selection of mechanical ventilation parameters. Two key difficulties in EIT instrumentation make such monitoring difficult: (1) EIT data quality depends on good electrode contact and is sensitive to changes in contact quality, and (2) EIT electrodes are difficult and time consuming to place on patients. This paper presents the design and initial tests of an active electrode-based system to address these difficulties. Our active electrode EIT system incorporates an active electrode belt, a central voltage-driven current source, central analog to digital converters and digital to analog converters, a central FPGA-based demodulator and controller. The electrode belt is designed incorporating 32 active electrodes, each of which contains the electronic amplifiers, switches and associated logic. Tests show stable device performance with a convenient ease of use and good imaging ability in volunteer tests.

Adjacent stimulation and measurement patterns considered harmful.

We characterize the ability of electrical impedance tomography (EIT) to distinguish changes in internal conductivity distributions, and analyze it as a function of stimulation and measurement patterns. A distinguishability measure, z, is proposed which is related to the signal-to-noise ratio of a medium and to the probability of detection of conductivity changes in a region of interest. z is a function of the number of electrodes, the EIT stimulation and measurement protocol, the stimulation amplitude, the measurement noise, and the size and location of the contrasts. Using this measure we analyze various choices of stimulation and measurement patterns under the constraint of medical electrical safety limits (maximum current into the body). Analysis is performed for a planar placement of 16 electrodes for simulated 3D tank and chest shapes, and measurements in a saline tank. Results show that the traditional (and still most common) adjacent stimulation and measurement patterns have by far the poorest performance (by 6.9 ×). Good results are obtained for trigonometric patterns and for pair drive and measurement patterns separated by over 90°. Since the possible improvement over adjacent patterns is so large, we present this result as a call to action: adjacent patterns are harmful, and should be abandoned. We recommend using pair drive and measurement patterns separated by one electrode less than 180°. We describe an approach to modify an adjacent pattern EIT system by adjusting electrode placement.

Evaluation of EIT system performance.

An electrical impedance tomography (EIT) system images internal conductivity from surface electrical stimulation and measurement. Such systems necessarily comprise multiple design choices from cables and hardware design to calibration and image reconstruction. In order to compare EIT systems and study the consequences of changes in system performance, this paper describes a systematic approach to evaluate the performance of the EIT systems. The system to be tested is connected to a saline phantom in which calibrated contrasting test objects are systematically positioned using a position controller. A set of evaluation parameters are proposed which characterize (i) data and image noise, (ii) data accuracy, (iii) detectability of single contrasts and distinguishability of multiple contrasts, and (iv) accuracy of reconstructed image (amplitude, resolution, position and ringing). Using this approach, we evaluate three different EIT systems and illustrate the use of these tools to evaluate and compare performance. In order to facilitate the use of this approach, all details of the phantom, test objects and position controller design are made publicly available including the source code of the evaluation and reporting software.