Contrast-enhanced mammography (CEM) relies on visualizing the growth of new blood vessels (i.e. tumor angiogenesis) to provide sufficient materials for cell proliferation during the development of cancer. Since cancers will accumulate an injected contrast agent more than other tissues, it is possible to use one of several methods to enhance the area of lesions in the x-ray image and remove the contrast of normal tissue. Large area flat panel detectors may be used for CEM wherein the subtraction of two acquired images is used to create the resulting enhanced image. There exist several methods to acquire the images to be subtracted, which include temporal subtraction (pre- and post-contrast images) and dual-energy subtraction (low- and high-energy images), however these methods suffer from artifacts due to patient motion between image acquisitions. In this research the use of a multilayer flat panel detector is examined for CEM that is designed to acquire both (low- and high-energy) images simultaneously, thus avoiding motion artifacts in the resulting subtracted image. For comparison, a dual-energy technique prone to motion artifacts that uses a single-layer detector is also investigated. Both detectors are evaluated and optimized using amorphous selenium as the x-ray to charge conversion material, however the theoretical analysis could be extended to other conversion materials. Experimental results of single pixel prototypes of both multilayer and single-layer detectors are also discussed and compared to theoretical results. For a more comprehensive analysis, the motion artifacts present in dual-exposure techniques are modeled and the performance degradation due to motion artifacts is estimated. The effects of noise reduction techniques are also evaluated to determine potential image quality improvements in CEM images.

Contrast-enhanced mammography (CEM) relies on visualizing the growth of new blood vessels (i.e. tumor angiogenesis) to provide sufficient materials for cell proliferation during the development of cancer. Since cancers will accumulate an injected contrast agent more than other tissues, it is possible to use one of several methods to enhance the area of lesions in the x-ray image and remove the contrast of normal tissue. Large area flat panel detectors may be used for CEM wherein the subtraction of two acquired images is used to create the resulting enhanced image. There exist several methods to acquire the images to be subtracted, which include temporal subtraction (pre- and post-contrast images) and dual-energy subtraction (low- and high-energy images), however these methods suffer from artifacts due to patient motion between image acquisitions. In this research the use of a multilayer flat panel detector is examined for CEM that is designed to acquire both (low- and high-energy) images simultaneously, thus avoiding motion artifacts in the resulting subtracted image. For comparison, a dual-energy technique prone to motion artifacts that uses a single-layer detector is also investigated. Both detectors are evaluated and optimized using amorphous selenium as the x-ray to charge conversion material, however the theoretical analysis could be extended to other conversion materials. Experimental results of single pixel prototypes of both multilayer and single-layer detectors are also discussed and compared to theoretical results. For a more comprehensive analysis, the motion artifacts present in dual-exposure techniques are modeled and the performance degradation due to motion artifacts is estimated. The effects of noise reduction techniques are also evaluated to determine potential image quality improvements in CEM images.

For children with intractable seizures, surgical removal of epileptic foci, if identifiable and feasible, can be an effective way to reduce or eliminate seizures. The success of this type of surgery strongly hinges upon the ability to identify and demarcate those epileptic foci. The ultimate goal of this research project is to develop an effective technology for detection of unique in vivo pathophysiological characteristics of epileptic cortex and, subsequently, to use this technology to guide epilepsy surgery intraoperatively. In this PhD dissertation the feasibility of using optical spectroscopy to identify unique in vivo pathophysiological characteristics of epileptic cortex was evaluated and proven using the data collected from children undergoing epilepsy surgery. In this first in vivo human study, static diffuse reflectance and fluorescence spectra were measured from the epileptic cortex, defined by intraoperative ECoG, and its surrounding tissue from pediatric patients undergoing epilepsy surgery. When feasible, biopsy samples were taken from the investigated sites for the subsequent histological analysis. Using the histological data as the gold standard, spectral data was analyzed with statistical tools. The results of the analysis show that static diffuse reflectance spectroscopy and its combination with static fluorescence spectroscopy can be used to effectively differentiate between epileptic cortex with histopathological abnormalities and normal cortex in vivo with a high degree of accuracy. To maximize the efficiency of optical spectroscopy in detecting and localizing epileptic cortex intraoperatively, the static system was upgraded to investigate histopathological abnormalities deep within the epileptic cortex, as well as to detect unique temporal pathophysiological characteristics of epileptic cortex. Detection of deep abnormalities within the epileptic cortex prompted a redesign of the fiberoptic probe. A mechanical probe holder was also designed and constructed to maintain the probe contact pressure and contact point during the time dependent measurements. The dynamic diffuse reflectance spectroscopy system was used to characterize in vivo pediatric epileptic cortex. The results of the study show that some unique wavelength dependent temporal characteristics (e.g., multiple horizontal bands in the correlation coefficient map g(λref = 800 nm, λcomp,t)) can be found in the time dependent recordings of diffuse reflectance spectra from epileptic cortex defined by ECoG.

The aging population requires new and innovative approaches to monitor and supervise medical and physical conditions in residential environments. For this purpose, various sensor and hardware systems are being developed by researchers and industrial companies. One way to monitor health status is the electrocardiogram (ECG), which noninvasively measures heart activity on the body surface. These measurements provide a simple and easy way to monitor health on a continuous basis. However, the use of ECG measurements outside a confined clinical setting, beyond purely medical purposes, is associated with considerable disadvantages resulting from the given freedom of movement. In this work, a substantial noise source in mobile ECG is examined: Motion artifacts. We study the spectral characteristics of motion artifacts for a set of different motions representing everyday activities, namely: standing up, bending forward, walking, running, jumping, and climbing stairs. Furthermore, we investigate to what extent the reference sensors (accelerometer, gyroscope, and skin-electrode impedance) are able to characterize and remove the recorded motion artifacts from the measurements. Our results demonstrate that motion artifacts markedly change their characteristics with a change in motion. While lowintensity movements manifest in lower frequency bands, higher intensity exercises provoke motion artifacts that are much more complex in their composition. These characteristics are correspondingly reflected in the correlation between reference sensors and artifacts. To overcome the drawbacks of motion artifacts in mobile measurements, we propose the application of tensor decomposition using canonical polyadic decomposition (CPD) as an example. A significant advantage of tensor factorization is that it can decompose the data without artificial constraints, unlike matrix factorization. We use CPD along with measurements obtained from different reference sensors to remove the artifacts. Wavelet transformation is utilized to transform ECG and reference data from vector to matrix format. Subsequently, a tensor is constructed by combining the heterogeneous measurements into a three-dimensional tensor. In this way, it is possible to access temporal and spectral features within the data simultaneously. Subsequently, we propose a methodology to predict the decomposition rank based on statistical features in the ECG that quantify the signal quality. To evaluate the performance of the decomposition process, we combine isolated motion artifacts recorded at the back with ECG obtained in rest to generate artificially corrupted data. The results suggest that CPD successfully removes motion artifacts from the data for all reference sensors regarded.

The diploma thesis deals the cretion of the ECG signal and its potential morphology. A signal is generated using a program that is created in MATLAB. On the basis of these methods of describing the signal, was chosen method, based on the similarity of ECG with sinus respectively. triangular pattern. Generated by the program can draw the ECG signal by assignment of pulse rate, lenght of the signal, sampling rate and modifications of the waves and oscillations. One or more predefined noise can be added to the signal. Generated signal is possible to save to the format that supports program MATLAB.

Lien vers le GitHub contenant tous les outils programmés dans le cadre du mémoire : https://github.com/neurok8050/eda-optimisation-processing-tool / L’activité électrodermale (EDA), particulièrement la skin conductance response (SCR), est un signal psychophysiologique fréquemment utilisé en recherche en psychologie et en neuroscience cognitive. L’utilisation de l’EDA entraîne son lot de défis particulièrement son prétraitement. En effet, encore très peu de recherches effectuent un prétraitement adéquat. Notre objectif est donc de promouvoir l’utilisation du prétraitement du signal SCR et de proposer des recommandations pour les chercheurs en fournissant des données sur l’impact du prétraitement sur la capacité à discriminer les SCR entre deux conditions expérimentales. En utilisant des travaux similaires, nous avons testé les effets de combinaisons de prétraitement utilisant différentes méthodes de filtrage, différentes méthodes de remise à l’échelle, l’inclusion d’une étape de détection automatique des artefacts de mouvement et en utilisant différentes métriques opérationnalistes (le peak-scoring (PS) et l’aire sous la courbe (AUC)) et d’approches par modèle. Enfin, nous avons testé si une seule combinaison de filtrage pourrait être utilisée avec différents jeux de données ou si le prétraitement devrait plutôt être ajusté individuellement à chaque jeu de données. Nos résultats suggèrent que 1) l’inclusion d’une étape de détection automatique des artefacts de mouvements n’affecte pas significativement la capacité à discriminer entre deux conditions expérimentales, 2) l’approche par modèle semble être un peu meilleure à discriminer entre deux conditions expérimentales et 3) la meilleure combinaison de prétraitement semble variée en fonction du jeu de données utilisé. Les données et outils présentés dans ce mémoire devraient permettre de promouvoir et faciliter le prétraitement du signal SCR. / Electrodermal activity (EDA), particularly the skin conductance response (SCR) is a psychophysiological signal frequently used in research in psychology and in cognitive neuroscience. Nevertheless, using EDA comes with some challenges notably in regard to its preprocessing. Indeed, very few research teams adequately preprocess their data. Our objective is to promote the implementation of SCR preprocessing and to offer some recommendations to researchers by providing some data on the effect of preprocessing on the SCR ability to discriminate between two experimental conditions. Based on similar work, we have tested the effect of preprocessing combinations using different filtering methods, different rescaling methods, the inclusion of an automatic motion detection step while using different operationalist metrics (peak-scoring (PS) and area under the curve (AUC)) and different model-based approach metrics. Finally, we tested if only one combination could be used across different datasets or if the preprocessing should be optimized individually to each dataset. Our results show that 1) the inclusion of the automatic motion detection step did not significantly impact the ability to discriminate between two experimental conditions, 2) the model-based approach seems to be slightly better at discriminating between two experimental conditions and 3) the best combination of preprocessing seems to vary between different datasets. The data and tools presented in this master thesis should promote and facilitate SCR signal preprocessing.

L’objectif de cette thèse a été d’analyser l’effet de l’exercice physique réalisé sur plateforme vibrante (whole-body vibration, WBV) sur l’activité musculaire des membres inférieurs, de développer des outils d’analyse méthodologiques et de proposer des recommandations pratiques d’utilisation. Deux études méthodologiques ont été menées pour identifier la méthode optimale permettant de traiter les signaux d'électromyographie de surface (sEMG) recueillis pendant la vibration et d'analyser l'influence de la méthode de normalisation de l'activité sEMG. Une troisième étude visait à mieux comprendre si les pics sEMG observés dans le spectre de puissance du signal contiennent des artéfacts de mouvement et/ou de l'activité musculaire réflexe. Les trois études suivantes avaient pour but de quantifier l’effet de la WBV sur l’activité musculaire en fonction de différents paramètres tels que, la fréquence de vibration, l'amplitude de la plateforme, une charge supplémentaire, le type de plateforme, l'angle articulaire du genou, et la condition physique du sujet. En outre, l'objectif a été de déterminer l'accélération verticale minimale permettant de stimuler au mieux l'activité musculaire des membres inférieurs. En résumé, les recherches menées au cours de cette thèse fournissent des solutions pour de futures études sur : i) comment supprimer les pics dans le spectre du signal sEMG et, ii) comment normaliser l'activité musculaire pendant un exercice WBV. Enfin, les résultats de cette thèse apportent à la littérature scientifique de nouvelles recommandations pratiques liées à l’utilisation des plateformes vibrantes à des fins d’exercice physique. / The aim of this thesis was to analyze the effect of whole-body vibration (WBV) exercise on lower limb muscle activity and to give methodological implications and practical applications. Two methodological studies were conducted that served to evaluate the optimal method to process the surface electromyography (sEMG) signals during WBV exercise and to analyze the influence of the normalization method on the sEMG activity. A third study aimed to gain insight whether the isolated spikes in the sEMG spectrum contain motion artifacts and/or reflex activity. The subsequent three investigations aimed to explore how the muscle activity is affected by WBV exercise, with a particular focus on the vibration frequency, platform amplitude, additional loading, platform type, knee flexion angle, and the fitness status of the WBV user. The final goal was to evaluate the minimal required vertical acceleration to stimulate the muscle activity of the lower limbs. In summary, the research conducted for this thesis provides implication for future investigations on how to delete the excessive spikes in the sEMG spectrum and how to normalize the sEMG during WBV. The outcomes of this thesis add to the current literature in providing practical applications for exercising on a WBV platform.

Submitted by PPG Engenharia El?trica (engenharia.pg.eletrica@pucrs.br) on 2018-10-29T13:30:23Z No. of bitstreams: 1 TIAGO BENETTI_DIS.pdf: 5038519 bytes, checksum: 95fa8d1b367b574eee27e772a55a9a49 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-10-30T17:21:55Z (GMT) No. of bitstreams: 1 TIAGO BENETTI_DIS.pdf: 5038519 bytes, checksum: 95fa8d1b367b574eee27e772a55a9a49 (MD5) / Made available in DSpace on 2018-10-30T17:27:25Z (GMT). No. of bitstreams: 1 TIAGO BENETTI_DIS.pdf: 5038519 bytes, checksum: 95fa8d1b367b574eee27e772a55a9a49 (MD5) Previous issue date: 2018-08-31 / Heart rate monitoring using Photoplethysmography (PPG) signals acquired from the individuals pulse has become popular due to emergence of numerous low cost wearable devices. However, monitoring during physical activities has obstacles because of the influence of motion artifacts in PPG signals. The objective of this work is to introduce a new algorithm capable of removing motion artifacts and estimating heart rate from pulse PPG signals. Normalized Least Mean Square (NLMS) and Recursive Least Squares (RLS) algorithms are proposed for an adaptive filtering structure that uses acceleration signals as reference to remove motion artifacts. The algorithm uses the Periodogram of the filtered signals to extract their heart rates, which will be used together with a PPG Signal Quality Index to feed the input of a Kalman Filter. Specific heuristics and the Quality Index collaborate so that the Kalman filter provides a heart rate estimate with high accuracy and robustness to measurement uncertainties. The algorithm was validated from the heart rate obtained from Electrocardiography signals and the proposed method with the RLS algorithm presented the best results with an absolute mean error of 1.54 beats per minute (bpm) and standard deviation of 0.62 bpm, recorded for 12 individuals performing a running activity on a treadmill with varying speeds. The results make the performance of the algorithm comparable and even better than several recently developed methods in this field. In addition, the algorithm presented a low computational cost and suitable to the time interval in which the heart rate estimate is performed. Thus, it is expected that this algorithm will improve the obtaining of heart rate in currently available wearable devices. / O monitoramento da frequ?ncia card?aca utilizando sinais de Fotopletismografia ou PPG (do ingl?s, Photopletismography) adquiridos do pulso de indiv?duos tem se popularizado devido ao surgimento de in?meros dispositivos wearable de baixo custo. No entanto, o monitoramento durante atividades f?sicas tem dificuldades em raz?o da influ?ncia de artefatos de movimento nos sinais de PPG. O objetivo deste trabalho ? introduzir um novo algoritmo capaz de remover artefatos de movimento e estimar a frequ?ncia card?aca de sinais de PPG de pulso. Os algoritmos do M?nimo Quadrado M?dio Normalizado ou NLMS (do ingl?s, Normalized Least Mean Square) e de M?nimos Quadrados Recursivos ou RLS (do ingl?s, Recursive Least Squares) s?o propostos para uma estrutura de filtragem adaptativa que utiliza sinais de acelera??o como refer?ncia para remover os artefatos de movimento. O algoritmo utiliza o Periodograma dos sinais filtrados para extrair suas frequ?ncias card?acas, que ser?o utilizadas juntamente com um ?ndice de Qualidade do Sinal de PPG para alimentar a entrada de um Filtro de Kalman. Heur?sticas espec?ficas e o ?ndice de Qualidade colaboram para que filtro de Kalman forne?a uma estimativa da frequ?ncia card?aca com alta acur?cia e robustez a incertezas de medi??o. O algoritmo foi validado a partir da frequ?ncia card?aca obtida de sinais de Eletrocardiografia e o m?todo proposto com o algoritmo RLS apresentou os melhores resultados com um erro m?dio absoluto de 1,54 batimentos por minuto (bpm) e desvio padr?o de 0,62 bpm, registrados para 12 indiv?duos realizando uma atividade de corrida em uma esteira com velocidades variadas. Os resultados tornam o desempenho do algoritmo compar?vel e at? mesmo melhor que v?rios m?todos desenvolvidos recentemente neste campo. Al?m disso, o algoritmo apresentou um custo computacional baixo e adequado ao intervalo de tempo em que a estimativa da frequ?ncia card?aca ? realizada. Dessa forma, espera-se que este algoritmo melhore a obten??o da frequ?ncia card?aca em dispositivos wearable atualmente dispon?veis.

This dissertation deals with new approaches in cardiac optical mapping. The principle of cardiac optical mapping as well as the current research in this field was described. The new measurement system was developed and its characteristics presented. The system design allows epicardial and endocardial mapping, employing new ratiometric techniques in 2D acquisition and simultaneous electrical and optical mapping. The measured characteristics of fluorescent dye di-4-ANEPPSS were presented. The relation between movement and consequent motion artifacts is well described. Several new approaches in signal processing were proposed, including new ratiometry technique and using image registration to suppress motion artifacts. The algorithm for elastic image registration of optical signals and innovative method for verification of registration process were presented. Application of all proposed approaches and its results are included and discussed.

Laser speckle contrast imaging (LSCI) and its extension, multi-exposure laser speckle contrast imaging (MELSCI) are non-invasive techniques to monitor peripheral blood perfusion. One of the main drawbacks of LSCI and MELSCI in clinical use is that the techniques are sensitive to tissue movement. Moreover, the image background contributes to unnecessary data. The aim of this project was to develop and evaluate different methods to detect local motion artifacts and image backgrounds in LSCI and MELSCI. In this project, three different methods were developed: one using statistical analysis and two using machine learning. The method based on classical statistics was developed in MATLAB with a dataset made up of 1797 frames of 256 x 320 images taken from a recording of a hand where the thumb and middle finger were taking turns making small movements while the middle finger was the subject of three different states made by an occlusion cuff (baseline, occlusion, and reperfusion). The main filter that was used in the first method was the Hampel filter. Furthermore, networks for the machine learning method were developed in Python using the same dataset but with 20,000 small patches extracted from the dataset of sizes 3 x 3 to 21 x 21 pixels. The first machine learning method was based on two-dimensional data patches, hence no time dimension was included, while the second machine learning method used three-dimensional data patches where the time dimension was included (from 1s to 10s). The generation of ground truth for the dataset was manually created frame by frame in a ground truth generation graphical user interface (GUI) in MATLAB. To assess the three methods, the Dice coefficient was used. The statistical method resulted in a Dice coefficient of 0.7557. The highest Dice coefficient for the machine learning method with a 2D dataset was 0.2902 (patch size 13 x 13) and the lowest was 0.2372 (patch size 7 x 7). For the machine learning method with 3D datasets, the patch size of 21 x 21 x 4 resulted in the highest Dice coefficient (0.5173), and the 21 x 21 x 40 model had the lowest Dice coefficient (0.1782). Since the two methods based on temporal data proved to be performing best in this project, one conclusion for further development of an improved model is the usage of temporal data in the training of a model. However, one important difference between the statistical method and the three-dimensional machine learning method is that the statistical method does not handle fast perfusion changes as well as the machine learning method and can not detect image background and static tissue. Therefore, the overall most useful method to further develop is the three-dimensional machine learning method.