Computed x-ray tomography is one of the most common medical imaging modalities andas such ways of improving the images are of high relevance. Applying deep learningmethods to denoise CT images has been of particular interest in recent years. In thisstudy, rather than using traditional denoising metrics such as MSE or PSNR for evaluation, we use a radiomic approach combined with 3D printed phantoms as a "groundtruth" to compare with. Our approach of having a ground truth ensures that we withabsolute certainty can say what a scanned tumor is supposed to look like and compareour results to a true value. This performance metric is better suited for evaluation thanMSE since we want to maintain structures and edges in tumors and MSE-evaluationrewards over-smoothing. Here we apply U-Net networks to images of 3D printed tumors. The 4 tumors and alung phantom were printed with PLA filament and 80% fill rate with a gyroidal patternto mimic soft tissue in a CT-scan while maintaining isotropicity. CT images of the 3Dprinted phantom and tumors were taken with a GE revolution DE scanner at KarolinskaUniversity Hospital. The networks were trained on the 2016 NIH-AAPM-Mayo ClinicLow Dose CT Grand Challenge dataset, mapping Low Dose CT images to Normal DoseCT images using three different loss functions, l1, vgg16, and vgg16_l1. Evaluating the networks on RadiomicsShape features from SlicerRadiomics® we findcompetitive performance with TrueFidelityTM Deep Learning Image Reconstruction (DLIR)by GE HealthCareTM. With one of our networks (UNet_alt, vgg16_l1 loss function with32 features, and batch size 16 in training.) outperforming TrueFidelity in 63% of caseswhen evaluated by counting if a radiomic feature has a lower relative error comparedto ground truth after our own denoising for four different kind of tumors. The samenetwork outperformed FBP in 84% of cases which in combination with the majority ofour networks performing substantially better against FBP than TrueFidelity shows theviability of DLIR compared to older methods such as FBP.

[ES] La constante evolución de la tecnología y la búsqueda de nuevas aplicaciones que mejoren la vida de las personas ha llevado a la incorporación de estas tecnologías en el organismo. Las redes inalámbricas de área corporal (WBAN) son un buen ejemplo de esto, que consisten en redes de comunicaciones ubicadas en el propio cuerpo, tanto en la superficie como implantadas en su interior mediante el uso de dispositivos inalámbricos. Estas redes utilizan el cuerpo humano como medio de transmisión, por lo que debe evaluarse la influencia del mismo sobre la propagación. Además, las nuevas generaciones de comunicaciones móviles se están moviendo hacia el uso de frecuencias cada vez más altas, como las ondas milimétricas, que son más sensibles a la presencia de cualquier objeto en el entorno, incluidos los humanos. La investigación y el diseño de antenas y dispositivos que tengan en cuenta el cuerpo humano requiere pruebas en el entorno donde se supone que deben usarse. Los fantomas se convierten en una herramienta para evaluar la transmisión de señales electromagnéticas en un medio equivalente al cuerpo para evitar la experimentación en humanos o animales. Además de eso, se puede estudiar la influencia de estas ondas electromagnéticas sobre los propios tejidos en cuanto a la tasa de absorción específica (SAR). / [CA] L'evolució constant de la tecnologia i la recerca de noves aplicacions que milloren la vida de les persones ha portat a la incorporació d'aquestes tecnologies en l'organisme. Les xarxes sense fils d'àrea corporal (WBAN) són un bon exemple d'açò, que consisteixen en xarxes de comunicacions ubicades al propi cos, tant en la superfície com implantades en el seu interior mitjançant l'ús de dispositius sense fils. Aquestes xarxes empren el cos humà com a medi de transmissió, per la qual cosa se n'ha d'avaluar la influència sobre la propagació. A més, les noves generacions de comunicacions mòbils s'estan movent cap a l'ús de freqüències cada vegada més altes, com les ones mil·limètriques, que són més sensibles a la presència de qualsevol objecte en l'entorn, incloent-hi els humans. La investigació i el disseny d'antenes i dispositius que tinguen en compte el cos humà requereix proves en l'entorn on se suposa que han d'usar-se. Els fantomes esdevenen una eina per a avaluar la transmissió de senyals electromagnètics en un medi equivalent al cos per tal d'evitar l'experimentació en humans o animals. A més d'això, es pot estudiar la influència d'aquestes ones electromagnètiques sobre els teixits mateixos en relació amb la taxa d'absorció específica (SAR). / [EN] The constant evolution of technology and the search for new applications that improve people's lives has led to the arrival of the incorporation of these technologies in the organism. Wireless body area networks (WBANs) are a good example of this, consisting of communications networks located in the body itself, both on the surface and implanted inside it through the use of wireless devices. These networks use the human body as the transmitting medium, so its influence over the propagation has to be assessed. Besides, new generations of mobile communications are moving towards the use of higher frequencies, as the millimetre waves, which are more sensitive to the presence of any object in the environment, including humans. The research and design of antennas and devices that take into account the human body requires testing in the environment where these are supposed to be used. Phantoms become a tool for evaluating the transmission of electromagnetic signals in a body-equivalent medium in order to avoid experimentation on humans or animals. In addition to that, the influence of these electromagnetic waves over the tissues themselves can be studied with regard to the specific absorption rate (SAR). / This thesis has been possible thanks to the funding contribution of the Universitat Polit`ecnica de Val`encia through the PAID-01-16 programme. This work was also supported by the UPV-IIS La Fe programme (STUDER, 2016 and EMOTE, 2017). The research stay was supported by the European Union’s Erasmus+ funding programme under a traineeship grant. / Castelló Palacios, S. (2019). Wideband Electromagnetic Body Phantoms for the Evaluation of Wireless Communications in the Microwave Spectrum [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/132182 / TESIS

Η υπερθερμία αποτελεί μια επικουρική μέθοδο θεραπείας του καρκίνου και η βιοϊατρική έρευνα τις τελευταίες δεκαετίες, με σκοπό την εκμετάλλευση και την ανάδειξη των ιδιοτήτων της μεθόδου, στοχεύει στην εφαρμογή της στην κλινική πράξη. Μία προσπάθεια με παρόμοιο σκοπό γίνεται τα τελευταία χρόνια στο Εργαστήριο Μικροκυμάτων και Οπτικών Ινών (ΕΜΟΙ) της σχολής Ηλεκτρολόγων Μηχανικών και Μηχανικών Υπολογιστών (ΗΜΜΥ) του Εθνικού Μετσόβιου Πολυτεχνείου, όπου έχει σχεδιαστεί και κατασκευαστεί ένα σύστημα υπερθερμίας. Το προτεινόμενο σύστημα ενσωματώθηκε σε ένα τρισδιάστατο σύστημα παθητικής μικροκυματικής ραδιομετρικής απεικόνισης (ΜiRaIS) για διαγνωστικές εφαρμογές εγκεφάλου, το οποίο μελετήθηκε και κατασκευάστηκε στα πλαίσια διδακτορικής διατριβής στο ίδιο εργαστήριο της σχολής ΗΜΜΥ. Στην παρούσα διπλωματική εργασία γίνεται η θεωρητική και πειραματική μελέτη του προτεινόμενου συστήματος της υπερθερμίας. Η αρχή λειτουργίας του είναι όμοια με αυτή του MiRaIS και βασίζεται στη χρήση μια ελλειψοειδούς αγώγιμης κοιλότητας για εστίαση της ακτινοβολίας επιλεκτικά στους ιστούς που χρήζουν θεραπείας. Ο ανακλαστήρας για εστίαση, που κατασκευάστηκε και χρησιμοποιήθηκε στην πειραματική διαδικασία, βελτιώνει την εργονομία του συστήματος, διατηρώντας παράλληλα της ιδιότητες εστίασης του πρωτότυπου ελλειψοειδούς. Στα πλαίσια της παρούσας διπλωματικής εργασίας πραγματοποιήθηκε θεωρητική μελέτη και μοντελοποίηση της διάταξης με σκοπό τη βελτίωση των ιδιοτήτων εστίασής της, καθώς και πειραματικές μετρήσεις του συνολικού συστήματος υπερθερμίας-μικροκυματικής ραδιομετρίας. Στη θεωρητική μελέτη, με χρήση του λογισμικού xFDTD που βασίζεται στη μέθοδο των πεπερασμένων διαφορών στο πεδίο του χρόνου, ερευνώνται δυο μέθοδοι για τη βελτίωση των ιδιοτήτων εστίασης του συστήματος (βάθος διείσδυσης της ακτινοβολίας, χωρική διακριτική ικανότητα) με τη χρήση διηλεκτρικών υλικών. Τα υλικά αυτά τοποθετούνται στο εσωτερικό του ελλειψοειδούς καθώς και γύρω από το μοντέλο κεφαλιού ως στρώματα προσαρμογής για την επίτευξη βηματικής αλλαγής της διηλεκτρικής σταθεράς στη διεπιφάνεια αέρα-μοντέλο ανθρώπινου κεφαλιού. Στην πρώτη προσέγγιση, το εσωτερικό του ελλειψοειδούς ανακλαστήρα γεμίζει με διηλεκτρικό υλικό χαμηλών απωλειών, με τα αποτελέσματα να δείχνουν σημαντική βελτίωση της χωρικής διακριτικής ικανότητας του συστήματος. Στη δεύτερη προσέγγιση του προβλήματος, χρησιμοποιείται ένα ημισφαίριο από διηλεκτρικό γύρω από το μοντέλο κεφαλιού, με τα αποτελέσματα να δείχνουν την αντίστοιχη βελτίωση της χωρικής διακριτικής ικανότητας και παράλληλα σημαντική μείωση των ανεπιθύμητων περιοχών εστίασης της ενέργειας. Η πειραματική διάταξη τοποθετήθηκε σε ανηχοϊκό θάλαμο, όπου και πραγματοποιήθηκαν όλες οι μετρήσεις. Παράλληλα με τα πειράματα υπερθερμίας, μελετήθηκε η δυνατότητα εφαρμογής της μεθόδου της μικροκυματικής ραδιομετρίας με τη γεωμετρία του προτεινόμενου συστήματος. Η μέθοδος της μικροκυματικής ραδιομετρίας θα μπορούσε να παρέχει τον έλεγχο της θερμοκρασίας της ακτινοβολούμενης περιοχής κατά τη διάρκεια των συνεδριών της υπερθερμίας. Στις πειραματικές διαδικασίες που ακολουθήθηκαν, χρησιμοποιήθηκαν ομοιώματα νερού, τα οποία στη φάση της υπερθερμίας υπέδειξαν τις περιοχές εστίασης της ενέργειας για τη συχνότητα ακτινοβολίας, ενώ στη φάση της μικροκυματικής ραδιομετρίας βοήθησαν στη μελέτη της θερμοκρασιακής διακριτικής ικανότητας του συστήματος. Επίσης, διενεργήθηκαν μετρήσεις με στρώματα προσαρμογής από διηλεκτρικά υλικά, τα οποία τοποθετούνταν γύρω από το αντικείμενο ενδιαφέροντος, για την πληρέστερη κατανόηση της επίδρασης των υλικών αυτών στις ιδιότητες εστίασης του συστήματος και για την επιβεβαίωση των αντίστοιχων θεωρητικών αποτελεσμάτων. / The application of hyperthermia process has been widely used in clinical research and efforts are being made for its implementation in clinical practice, as many researchers have used this method as an adjunct treatment procedure for cancer. During the past two decades, a great deal of research has been carried out, with the aim of developing effective techniques for hyperthermia treatment, primarily using RF, microwave, and ultrasound energy. A similar effort is carried out in the Laboratory of Microwaves and Fiber Optics (MFOL), School of Electrical and Computer Engineering, National Technical University of Athens (NTUA), where a proposed hyperthermia system has been designed and constructed. A system for deep brain hyperthermia treatment, designed to also provide passive measurements of temperature and/or conductivity variations inside the human body, is presented in this paper. The proposed system comprises both therapeutic and diagnostic modules, operating in a totally contactless way, based on the use of an ellipsoidal beamformer to achieve focusing on the areas under treatment and monitoring. The radiometry monitoring module, the Three Dimensional Passive Microwave Radiometry Imaging System (MiRaIS), has been studied, designed and constructed in the framework of a PhD thesis in the same laboratory of MFOL. In the present thesis, the proposed system is theoretically and experimentally studied. The operation principal is based on the use of an ellipsoidal conductive wall cavity for focusing the emitted radiation on the tissues that should accept treatment. The ellipsoidal cavity, which was constructed and used in the experimentation procedure, is newly developed and improves the system’s ergonomy retaining at the same time the focusing properties of the prototype system. In the framework of the present study, theoretical modelling and experimentation of the proposed system was carried out in order to examine and improve its focusing attributes. In the theoretical study, two methods for the improvement of the system’s focusing properties (e.g. penetration depth of the electromagnetic field, spatial sensitivity) using dielectric materials are tested with the use of a commercially available software tool, xFDTD (x-Finite Difference Time Domain). The materials are placed inside the ellipsoidal or used as matching layers around the head model for the achievement of a stepped change of the refraction index on the air-human head model interface. In the first approach, the ellipsoidal volume is filled with a low loss dielectric material in order to improve the system’s spatial sensitivity. In the second approach, a hemi-sphere also filled with a dielectric material is placed around the human head model and the results revealed the improvement of the system’s spatial sensitivity and the reduction of the undesirable auxiliary energy-absorbing areas. The experiments were performed inside an anechoic chamber providing maximum accuracy by avoiding any external interference. Along with the hyperthermia experiments, the implementation of the microwave radiometry process was also tested with the proposed system. Microwave radiometry could provide the temperature monitoring of the radiated area during the hyperthermia sessions. In the experimental procedures water phantoms were used, which during hyperthermia indicated the energy-absorbing areas at the irradiation frequency, and during microwave radiometry revealed the system’s temperature sensitivity. Also, measurements were conducted using dielectric matching layers, placed around the medium of interest, in order to fully understand the effect of those materials on the system’s focusing properties as well as to confirm the respective theoretical results. Taking into consideration the present study and the advantage of the non invasive character of the proposed brain hyperthermia system, it is concluded that further research is required in order to explore its potentials at becoming a part of the standard treatment protocol of brain malignancy in the future.

Η υπερθερμία αποτελεί μια επικουρική μέθοδο θεραπείας του καρκίνου και η βιοϊατρική έρευνα τις τελευταίες δεκαετίες, με σκοπό την εκμετάλλευση και την ανάδειξη των ιδιοτήτων της μεθόδου, στοχεύει στην εφαρμογή της στην κλινική πράξη. Μια προσπάθεια με παρόμοιο σκοπό γίνεται τα τελευταία χρόνια στο Εργαστήριο Μικροκυμάτων και Οπτικών Ινών (ΕΜΟΙ) της σχολής Ηλεκτρολόγων Μηχανικών και Μηχανικών Υπολογιστών (ΗΜΜΥ) του Εθνικού Μετσόβιου Πολυτεχνείου, όπου έχει σχεδιαστεί και κατασκευαστεί ένα μικροκυματικό σύστημα υπερθερμίας. Το προτεινόμενο σύστημα ενσωματώθηκε σε ένα τρισδιάστατο σύστημα παθητικής μικροκυματικής ραδιομετρικής απεικόνισης (ΜiRaIS), το οποίο παρέχει τη δυνατότητα παρακολούθησης των μεταβολών της θερμοκρασίας και της αγωγιμότητας της υπό εξέταση περιοχής σε πραγματικό χρόνο και μελετήθηκε και κατασκευάστηκε στα πλαίσια παλαιότερης διδακτορικής διατριβής στο ίδιο εργαστήριο της σχολής ΗΜΜΥ. Στην παρούσα διδακτορική διατριβή γίνεται η θεωρητική και πειραματική μελέτη του προτεινόμενου συστήματος υπερθερμίας. Η αρχή λειτουργίας του συστήματος είναι όμοια με εκείνη του MiRaIS και βασίζεται στη χρήση μιας ελλειψοειδούς αγώγιμης κοιλότητας για εστίαση της ακτινοβολίας επιλεκτικά στους ιστούς που χρήζουν θεραπείας. Ο ανακλαστήρας για εστίαση που κατασκευάστηκε και χρησιμοποιήθηκε στην πειραματική διαδικασία, βελτιώνει την εργονομία του συστήματος, διατηρώντας παράλληλα της ιδιότητες εστίασης του πρωτότυπου ελλειψοειδούς. Στα πλαίσια της παρούσας διατριβής πραγματοποιήθηκε αρχικά η θεωρητική μελέτη και μοντελοποίηση της διάταξης με σκοπό την εξακρίβωση των ιδιοτήτων εστίασης του συστήματος και στη συνέχεια επιχειρήθηκε η βελτίωση των ιδιοτήτων αυτών με χρήση διατάξεων διηελκτρικών υλικών, καθώς και πειραματικές μετρήσεις του συνολικού συστήματος υπερθερμίας-μικροκυματικής ραδιομετρίας. Η θεωρητική ηλεκτρομαγνητική μελέτη του συστήματος έγινε με τη χρήση ενός εμπορικά διαθέσιμου υπολογιστικού πακέτου προσομοίωσης (XFdtd, Remcom Inc.), το οποίο χρησιμοποιεί τη μέθοδο των πεπερασμένων διαφορών στο πεδίο του χρόνου για την επίλυση ηλεκτρομαγνητικών προβλημάτων. Ερευνώνται τρεις διατάξεις διηλεκτρικών υλικών με σκοπό τη βελτίωση των ιδιοτήτων εστίασης του συστήματος, οι οποίες επικεντρώνονται στη μελέτη του βάθους διείσδυσης της ακτινοβολίας και της χωρικής διακριτικής ικανότητας. Τα υλικά τοποθετούνται είτε στο εσωτερικό του ελλειψοειδούς είτε γύρω από το μοντέλο κεφαλιού ως στρώματα προσαρμογής, με σκοπό την επίτευξη βηματικής αλλαγής της διηλεκτρικής σταθεράς στη διεπιφάνεια αέρα-μοντέλο ανθρώπινου κεφαλιού. Τα αποτελέσματα καταδεικνύουν τα πλεονεκτήματα από τη χρήση των διηλεκτρικών υλικών, καθώς παρουσιάζεται βελτίωση και στις δυο παραμέτρους των ιδιοτήτων εστίασης, ανάλογα με τη διάταξη που χρησιμοποιείται, τη θέση του μοντέλου κεφαλιού στο εσωτερικό του συστήματος και τη συχνότητα λειτουργίας. Για τη διενέργεια των πειραμάτων, η πειραματική διάταξη τοποθετήθηκε σε ανηχοϊκό θάλαμο, ο οποίος εξασφαλίζει την απομόνωσή της από τον περιβάλλοντα χώρο. Στις πειραματικές διαδικασίες που ακολουθήθηκαν, χρησιμοποιήθηκαν ομοιώματα, τα οποία στη φάση της υπερθερμίας υπέδειξαν τις περιοχές εστίασης της ενέργειας για την εκάστοτε συχνότητα ακτινοβολίας, ενώ στη φάση της μικροκυματικής ραδιομετρίας βοήθησαν στη μελέτη της θερμοκρασιακής διακριτικής ικανότητας του συστήματος. Η μέθοδος της μικροκυματικής ραδιομετρίας χρησιμοποιήθηκε για την παρακολούθηση των μεταβολών της θερμοκρασίας της ακτινοβολούμενης περιοχής κατά τη διάρκεια των συνεδριών της υπερθερμίας. Επίσης, κατά τη διάρκεια των πειραμάτων πραγματοποιήθηκαν μετρήσεις με στρώματα προσαρμογής από διηλεκτρικά υλικά, τα οποία τοποθετήθηκαν γύρω από το αντικείμενο ενδιαφέροντος και βοήθησαν στην πληρέστερη κατανόηση της επίδρασης της παρουσίας τους στις ιδιότητες εστίασης του συστήματος και στην επιβεβαίωση των αντίστοιχων θεωρητικών αποτελεσμάτων. / The application of hyperthermia process has been widely used in clinical research and efforts are being made for its implementation in clinical practice, as many researchers have used this method as an adjunct treatment procedure for cancer. During the past two decades, a great deal of research has been carried out, with the aim of developing effective techniques for hyperthermia treatment, primarily using RF, microwave and ultrasound energy. A similar effort is carried out in the Laboratory of Microwaves and Fiber Optics (MFOL), School of Electrical and Computer Engineering, National Technical University of Athens (NTUA), where a proposed hyperthermia system has been designed and constructed. A system for deep brain hyperthermia treatment, designed to also provide passive measurements of temperature and/or conductivity variations inside the human body, is presented in the present PhD thesis. The proposed system comprises both therapeutic and diagnostic modules, operating in a totally contactless way, based on the use of an ellipsoidal beamformer to achieve focusing on the areas under treatment and monitoring. The radiometry monitoring module, the Three Dimensional Passive Microwave Radiometry Imaging System (MiRaIS), has been studied, designed and constructed in the framework of a previous PhD thesis in the same laboratory of MFOL. In the present thesis, the proposed system is theoretically and experimentally studied. The operation principal is based on the use of an ellipsoidal conductive wall cavity for focusing the emitted radiation on the tissues that should accept treatment. The ellipsoidal cavity, which was constructed and used in the experimentation procedure, is newly developed and improves the system’s ergonomics retaining at the same time the focusing properties of the prototype system. In the framework of the present work, theoretical modeling and experimentation of the proposed system is carried out in order to examine and improve its focusing attributes. In the theoretical study, three setups are investigated for the improvement of the system’s focusing properties (e.g. penetration depth of the electromagnetic field, spatial sensitivity) using dielectric materials. The research is carried out with the use of a commercially available software tool, XFdtd (Remcom Inc.). The materials are placed inside the ellipsoidal or used as matching layers around the head model for the achievement of a stepped change of the refraction index on the air-human head model interface. The results revealed the possible advantages of using matching dielectric materials, as improvement on the focusing properties of the system is clearly observed, depending on the setup used, the position of the head model inside the system and the operating frequency. The experiments were performed inside an anechoic chamber providing maximum accuracy by avoiding all possible EMC/EMI issues. Along with the hyperthermia experiments, the implementation of the microwave radiometry process was also tested with the proposed system. Microwave radiometry could provide the temperature monitoring of the radiated area during the hyperthermia sessions. In the experimental procedures water phantoms were used, which during hyperthermia indicated the energy absorbing areas at the irradiation frequency, while during microwave radiometry revealed the system’s temperature sensitivity. Also, measurements were conducted using dielectric matching layers, placed around the medium of interest, in order to fully understand the effect of those materials on the system’s focusing properties as well as to confirm the respective theoretical results. Taking into consideration the present study and the advantage of the non invasive character of the proposed brain hyperthermia system, it is concluded that further research is required in order to explore its potentials at becoming a part of the standard treatment protocol of brain malignancy in the future.

CAPES / Em vista do grande número de casos de câncer de mama e sua crescente taxa de incidência, novas técnicas de imagem estão sendo estudadas. No intuito de proporcionar melhores condições de visualização e detecção dessa doença, em complemento às informações obtidas por mamografia, as técnicas de imagem por contraste de fase vêm sendo investigadas. Assim, o objetivo do presente estudo, foi desenvolver um phantom de mama para aplicação em imagens por contraste de fase. Este phantom, é um cilindro com algumas inserções preenchidas por materiais equivalentes a tecidos mamários normais e patológicos, como: polimetilmetacrilato (PMMA), água, etanol, dimetilformamida e glicerol. Estes materiais foram escolhidos pela similaridade nas propriedades de atenuação e espalhamento dos tecidos mamários. Dentre as técnicas para evidenciar contraste de fase, foi utilizada a técnica de propagação. O arranjo experimental foi elaborado levando em consideração os cálculos para obtenção do contraste de fase utilizando a instrumentação para microtomografia de raios X do Instituto Lactec. Imagens radiográficas e microtomográficas foram adquiridas por transmissão e por contraste de fase e posteriormente comparadas. A comparação entre as imagens analisadas apresentaram significativas melhoras no contraste, principalmente nas bordas dos cilindros presentes no phantom. Portanto, o phantom desenvolvido neste trabalho pode ser utilizado para otimizar os parâmetros de aquisição e tratamento de imagens por contraste de fase para aplicação na detecção do câncer de mama. / Because of the large number of cases of breast cancer and its increasing incidence rate, new techniques of imaging are being studied. With the aim to provide better conditions for visualization and detection of this disease, in complement of the information obtained by mammography, the techniques of phase contrast imaging have been studied. Thus, the objective of the present study was to develop a breast phantom for application in phase contrast images. This phantom is a cylinder with some inserts filled with equivalent materials to normal and pathological breast tissues, such as: polymethylmethacrylate (PMMA), ethanol, dimethylformamide and glycerol. These materials were chosen due to the similarity in the attenuation and scattering properties of breast tissues. Among the techniques to demonstrate phase contrast, it was used the propagation technique. The experimental arrangement was elaborated taking into account the calculations to obtain the phase contrast using the instrumentation for X-ray microtomography of the Lactec Institute. Radiographic and microtomographic images were acquired by transmission and by phase contrast and then compared. The comparison between the analyzed images showed significant improvements in the contrast, mainly in the edges of the cylinders present in the phantom. Therefore, the phantom developed in this work can be used to optimize the acquisition and treatment parameters of phase contrast images for application in the detection of breast cancer.

A terapia com prótons está presente em 16 países e até 2015 tratou mais de 130 mil pacientes. No entanto, no Brasil essa terapia ainda não está presente por diversos motivos, sendo o principal o alto custo. Antes de realizar tratamentos, é necessário fazer alguns testes para verificação da entrega de energia dos feixes de prótons. Como as medidas de microdosimetria são muito caras, a principal alternativa é a realização de simulações em programas computacionais, como o GEANT4 e SRIM. O GEANT4 é um programa que permite simular geometrias complexas, enquanto que o SRIM realiza simulações mais simples e ambas trabalham com o método de Monte Carlo. Neste trabalho foram utilizadas estas duas ferramentas para realizar simulações de feixes de prótons em fantomas com três diferentes composições (água, água e tecido ósseo, tecido ósseo e cerebral). Para realizar a análise da entrega de energia dos feixes de prótons ao longo destes fantomas, tornou-se necessário criar um programa denominada “Programa de Processamento de Dados em Próton Terapia Simulada”, que proporcionou criar matrizes, além dos cálculos dos picos de Bragg para avaliação da interação. Além disso, foi analisada a homogeneidade da interação de um feixe de prótons em um detector, em que foi verificado que as simulações em GEANT4 são homogêneas, não tendo uma tendência do feixe em se localizar em uma determinada região, assim como as energias depositadas são iguais nas regiões do fantoma. Também foram avaliados os valores do alcance de profundidade dos picos de Bragg em fantomas cilíndricos com três diferentes densidades: 1,03 g/cm³, 1,53 g/cm³ e 2,03 g/cm³, sendo a primeira, a densidade fornecida pelo GEANT4 para tecido cerebral. Foi verificado que as distâncias do alcance de profundidade dos picos de Bragg são iguais nestas três diferentes densidades. / Proton therapy is present in 16 countries and by 2015 has treated more than 130,000 Patients. However, in Brazil this therapy is not yet present for several reasons, Being the main the high cost. Before performing treatments, it is necessary to do some tests to verify the energy delivery of the proton bundles. As the Microdosimetry are very expensive, the main alternative is to carry out simulations in Programs such as GEANT4 and SRIM. GEANT4 is a program that Allows you to simulate complex geometries, while SRIM performs more complex simulations. Simple and both work with the Monte Carlo method. On this work were used these twain tools to perform a proton beam simulation in phantom with three different compositions (water, bones and water, brain and bones). To perform the energy delivery analysis of the proton beams along these phantoms, has become necessary create a program denominated “Data Processing Program Proton Therapy Simulated”, which allowed to create matrices, beyond the calculations of the Bragg peaks for interaction evaluation. Besides that, it was analyzing the homogeneity of the integration of a proton beam into a detector, in which it was verified that the simulations on GEANT4 are homogeneous, not having a tendency of the beam in locating in a certain region, just as the energies deposited are equal. The value of the depth range of the Bragg peaks were also evaluated in cylindrical phantoms with three different densities: 1,03 g/cm³, 1,53g/cm³ and 2,03 g/cm³, the first being the density provided by GEANT4 for brain tissue. It has been found that the depth range distances of the Bragg peaks are the same at these three different densities.

A terapia com prótons está presente em 16 países e até 2015 tratou mais de 130 mil pacientes. No entanto, no Brasil essa terapia ainda não está presente por diversos motivos, sendo o principal o alto custo. Antes de realizar tratamentos, é necessário fazer alguns testes para verificação da entrega de energia dos feixes de prótons. Como as medidas de microdosimetria são muito caras, a principal alternativa é a realização de simulações em programas computacionais, como o GEANT4 e SRIM. O GEANT4 é um programa que permite simular geometrias complexas, enquanto que o SRIM realiza simulações mais simples e ambas trabalham com o método de Monte Carlo. Neste trabalho foram utilizadas estas duas ferramentas para realizar simulações de feixes de prótons em fantomas com três diferentes composições (água, água e tecido ósseo, tecido ósseo e cerebral). Para realizar a análise da entrega de energia dos feixes de prótons ao longo destes fantomas, tornou-se necessário criar um programa denominada “Programa de Processamento de Dados em Próton Terapia Simulada”, que proporcionou criar matrizes, além dos cálculos dos picos de Bragg para avaliação da interação. Além disso, foi analisada a homogeneidade da interação de um feixe de prótons em um detector, em que foi verificado que as simulações em GEANT4 são homogêneas, não tendo uma tendência do feixe em se localizar em uma determinada região, assim como as energias depositadas são iguais nas regiões do fantoma. Também foram avaliados os valores do alcance de profundidade dos picos de Bragg em fantomas cilíndricos com três diferentes densidades: 1,03 g/cm³, 1,53 g/cm³ e 2,03 g/cm³, sendo a primeira, a densidade fornecida pelo GEANT4 para tecido cerebral. Foi verificado que as distâncias do alcance de profundidade dos picos de Bragg são iguais nestas três diferentes densidades. / Proton therapy is present in 16 countries and by 2015 has treated more than 130,000 Patients. However, in Brazil this therapy is not yet present for several reasons, Being the main the high cost. Before performing treatments, it is necessary to do some tests to verify the energy delivery of the proton bundles. As the Microdosimetry are very expensive, the main alternative is to carry out simulations in Programs such as GEANT4 and SRIM. GEANT4 is a program that Allows you to simulate complex geometries, while SRIM performs more complex simulations. Simple and both work with the Monte Carlo method. On this work were used these twain tools to perform a proton beam simulation in phantom with three different compositions (water, bones and water, brain and bones). To perform the energy delivery analysis of the proton beams along these phantoms, has become necessary create a program denominated “Data Processing Program Proton Therapy Simulated”, which allowed to create matrices, beyond the calculations of the Bragg peaks for interaction evaluation. Besides that, it was analyzing the homogeneity of the integration of a proton beam into a detector, in which it was verified that the simulations on GEANT4 are homogeneous, not having a tendency of the beam in locating in a certain region, just as the energies deposited are equal. The value of the depth range of the Bragg peaks were also evaluated in cylindrical phantoms with three different densities: 1,03 g/cm³, 1,53g/cm³ and 2,03 g/cm³, the first being the density provided by GEANT4 for brain tissue. It has been found that the depth range distances of the Bragg peaks are the same at these three different densities.

Electrical Impedance Tomography (EIT) is a non linear inverse problem in which the electrical conductivity or resistivity distribution across a closed domain of interest is reconstructed from the surface potentials measured at the domain boundary by injecting a constant sinusoidal current through an array of surface electrodes. Being a non-invasive, non-radiating, non-ionizing, portable and inexpensive methodology, EIT has been extensively studied in medical diagnosis, biomedical engineering, biotechnology, chemical engineering, industrial and process engineering, civil and material engineering, soil and rock science, electronic industry, defense field, nano-technology and many other fields of applied physics. The reconstructed image quality in EIT depends mainly on the boundary data quality and the performance of the reconstruction algorithm used. The boundary data accuracy depends on the design of the practical phantoms, current injection method and boundary data measurement process and precision. On the other hand, the reconstruction algorithm performance is highly influenced by the mathematical modeling of the system, performance of the forward solver and Jacobian computation, inverse solver and the regularization techniques. Hence, for improving the EIT system performance, it is essential to improve the design of practical phantom, instrumentation and image reconstruction algorithm. As the electrical impedance of biological materials is a function of tissue composition and the frequency of applied ac signal, the better assessment of impedance distribution of biological tissues needs multifrequency EIT imaging. In medical EIT, to obtain a better image quality for a complex organ or a body part, accurate domain modelling with a large 3D finite element mesh is preferred and hence, the computation speed becomes very expensive and time consuming. But, the high speed reconstruction with improved image quality at low cost is always preferred in medical EIT. In this direction, a complete multifrequency multifunction EIT (MfMf-EIT) system is developed and multifrequency impedance reconstruction is studied to improve the bioimpedance imaging. The MfMf-EIT system consists of an MfMf-EIT instrumentation (MfMf-EITI), high speed impedance image reconstruction algorithms (IIRA), a Personal Computer (PC) and a number of practical phantoms with EIT sensors or electrodes. MfMf-EIT system and high speed IIRA are studied tested and evaluated with the practical phantoms and the multifrequency impedance imaging is improved with better image quality as well as fast image reconstruction. The MfMf-EIT system is also applied to the human subjects and the impedance imaging is studied for human body imaging and the system is evaluated. MfMf-EIT instrumentation (MfMf-EITI) consists of a multifrequency multifunction constant current injector (MfMf-CCI), multifrequency multifunction data acquisition system (MfMf DAS), a programmable electrode switching module (P-ESM) and a modified signal conditioner blocks (M-SCB) or data processing unit (DPU). MfMf-CCI, MfMf-DAS, P-ESM and M-SCBs are interfaced with a LabVIEW based data acquisition program (LV-DAP) controlled by a LabVIEW based graphical user interface (LV-GUI). LV-GUI controls the current injection and data acquisition with a user friendly, fast, reliable, efficient measurement process. The data acquisition system performance is improved by the high resolution NIDAQ card providing high precision measurement and high signal to noise ratio (SNR). MfMf-EIT system is developed as a versatile data acquisition system with a lot of flexibilities in EIT parameter selection that allows studying the image reconstruction more effectively. MfMf-EIT instrumentation controls the multifrequency and multifunctioned EIT experimentation with a number of system variables such as signal frequency, current amplitude, current signal wave forms and current injection patterns. It also works with either grounded load CCI or floating load CCI and collects the boundary data either in grounded potential form or differential form. The MfMf-EITI is futher modified to a battery based MfMf-EIT (BbMfMf-EIT) system to obtain a better patient safety and also to improve the SNR of the boundary data. MfMf-EIT system is having a facility of injecting voltage signal to the objects under test for conducting the applied potential tomography (APT). All the electronic circuit blocks in MfMf-EIT instrumentation are tested, evaluated and calibrated. The frequency response, load response, Fast Fourier Transform (FFT) studies and DSO analysis are conducted for studying the electronic performance and the signal quality of all the circuit blocks. They are all evaluated with both the transformer based power supply (TBPS) and battery based power supply (BBPS). MfMf-DAS, P-ESM and LV-DAP are tested and evaluated with digital data testing module (DDTM) and practical phantoms. A MatLAB-based Virtual Phantom for 2D EIT (MatVP2DEIT) is developed to generate accurate 2D boundary data for assessing the 2D EIT inverse solvers and its image reconstruction accuracy. It is a MATLAB-based computer program which defines a phantom domain and its inhomogeneities to generate the boundary potential data by changing its geometric parameters. In MatVP2DEIT, the phantom diameter, domain discretization, inhomogeneity number, inhomogeneity geometry (shape, size and position), electrode geometry, applied current magnitude, current injection pattern, background medium conductivity, inhomogeneity conductivity all are set as the phantom variables and are chosen indipendently for simulating different phantom configurations. A constant current injection is simulated at the phantom boundary with different current injection protocols and boundary potential data are calculated. A number of boundary data sets are generated with different phantom configurations and the resistivity images are reconstructed using EIDORS (Electrical Impedance Tomography and Diffuse Optical Tomography Reconstruction Software). Resistivity images are evaluated with the resistivity parameters and contrast parameters estimated from the elemental resistivity profiles of the reconstructed impedance images. MfMf-EIT system is studied, tested, evaluated with a number of practical phantoms eveloped with non-biological and biological materials and the multifrequency impedance imaging is improved. A number of saline phantoms with single and multiple inhomogeneities are developed and the boundary data profiles are studied and the phantom geometry is modified. NaCl-insulator phantoms and the NaCl-vegetable phantoms with different inhomogeneity configurations are developed and the multifrequency EIT reconstruction is studied with different current patterns, different current amplitudes and different frequencies using EIDORS as well as the developed IIRAs developed in MATLAB to evaluate the phantoms and MfMf-EIT system. Real tissue phantoms are developed with different chicken tissue backgrounds and high resistive inhomogeneities and the resistivity image reconstruction is studied using MfMf-EIT system. Chicken tissue phantoms are developed with chicken muscle tissue (CMTP) paste or chicken tissue blocks (CMTB) as the background mediums and chicken fat tissue, chicken bone, air hole and nylon cylinders are used as the inhomogeneity to obtained different phantom configurations. Resistivity imaging of all the real tissue phantoms is reconstructed in EIDORS and developed IIRAs with different current patterns, different frequencies and the images are evaluated by the image parameters to assess the phantoms as well as the MfMf-EIT system. Gold electrode phantoms are developed with thin film based flexible gold electrode arrays for improved bioimpedance and biomedical imaging. The thin film based gold electrode arrays of high geometric precision are developed on flexible FR4 sheet using electro-deposition process and used as the EIT sensors. The NaCl phantoms and real tissue phantoms are developed with gold electrode arrays and studied with MfMf-EIT system and and the resiulsts are compared with identical stainless steel electrode phantoms. NaCl phantoms are developed with 0.9% NaCl solution with single and multiple insulator or vegetable tissues as inhomogeneity. Gold electrode real tissue phantoms are also developed with chicken muscle tissues and fat tissues or other high resistive objects. The EIT images are reconstructed for the gold electrode NaCl phantoms and the gold electrode real tissue phantoms with different phantom geometries, different inhomogeneity configurations and different current patterns and the results are compared with identical SS electrode phantoms. High speed IIRAs called High Speed Model Based Iterative Image Reconstruction (HSMoBIIR) algorithms are developed in MATLAB for impedance image reconstruction in Electrical Impedance Tomography (EIT) by implementing high speed Jacobian calculation techniques using “Broyden’s Method (BM)” and “Adjoint Broyden’s Method (ABM)”. Gauss Newton method based EIT inverse solvers repeatitively evaluate the Jacobian (J) which consumes a lot of computation time for reconstruction, whereas, the HSMoBIIR with Broyden’s Methods (BM)-based accelerated Jacobian Matrix Calculators (JMCs) provides the high speed schemes for Jacobian (J) computation which is integrated with conjugate gradient scheme (CGS) for fast impedance reconstruction. The Broyden’s method based HSMoBIIR (BM-HSMoBIIR) and Adjoint Broyden’s method based HSMoBIIR (ABM-HSMoBIIR) algorithm are developed for high speed improved impedance imaging using BM based JMC (BM-JMC) and ABM-based JMC (ABM-JMC) respectively. Broyden’s Method based HSMoBIIR algorithms make explicit use of secant and adjoint information that can be obtained from the forward solution of the EIT governing equation and hence both the BM-HSMoBIIR and ABM-HSMoBIIR algorithms reduce the computational time remarkably by approximating the system Jacobian (J) successively through low-rank updates. The impedance image reconstruction is studied with BM-HSMoBIIR and ABM-HSMoBIIR algorithms using the simulated and practical phantom data and results are compared with a Gauss-Newton method based MoBIIR (GNMoBIIR) algorithm. The GNMoBIIR algorithm is developed with a Finite Element Method (FEM) based flexible forward solver (FFS) and Gauss-Newton method based inverse solver (GNIS) working with a modified Newton-Raphson iterative technique (NRIT). FFS solves the forward problem (FP) to obtain the computer estimated boundary potential data (Vc) data and NRIT based GNIS solve the inverse problem (IP) and the conductivity update vector [Δσ] is calculated by conjugate gradient search by comparing Vc measured boundary potential data (Vm) and using the Jacobian (J) matrix computed by the adjoint method. The conductivity reconstruction is studied with GNMoBIIR, BM-HSMoBIIR and ABM-HSMoBIIR algorithms using simulated data a practical phantom data and the results are compared. The reconstruction time, projection error norm (EV) and the solution error norm (Eσ) produced in HSMoBIIR algorithms are calculated and compared with GNMoBIIR algorithm. Results show that both the BM-HSMoBIIR and ABM-HSMoBIIR algorithms successfully reconstructs the conductivity distribution of the domain under test with its proper inhomogeneity and background conductivities for simulation as well as experimental studies. Simulated and practical phantom studies demonstrate that both the BM-HSMoBIIR and ABM-HSMoBIIR algorithms accelerate the impedance reconstruction by more than five times. It is also observed that EV and Eσ are reduced in both the HSMoBIIR algorithms and hence the image quality is improved. Noise analysis and convergence studies show that both the BM-HSMoBIIR and ABM-HSMoBIIR algorithms works faster and better in noisy conditions compared to GNMoBIIR. In low noise conditions, BM-HSMoBIIR is faster than to ABM-HSMoBIIR algorithm. But, in higher noisy environment, the ABM-HSMoBIIR is found faster and better than BM-HSMoBIIR. Two novel regularization methods called Projection Error Propagation-based Regularization (PEPR) and Block Matrix based Multiple Regularization (BMMR) are proposed to improve the image quality in Electrical Impedance Tomography (EIT). PEPR method defines the regularization parameter as a function of the projection error contributed by the mismatch (difference) between the data obtained from the experimental measurements (Vm) and calculated data (Vc). The regularization parameter in the reconstruction algorithm gets modified automatically according to the noise level in measured data and ill-posedness of the Hessian matrix. The L-2 norm of the projection error is calculated using the voltage difference and it is used to find the regularization parameter in each iteration in the reconstruction algorithm. In BMMR method, the response matrix (JTJ) obtained from the Jacobian matrix (J) has been partitioned into several sub-block matrices and the highest eigenvalue of each sub-block matrices has been chosen as regularization parameter for the nodes contained by that sub-block. The BMMR method preserved the local physiological information through the multiple regularization process which is then integrated to the ill-posed inverse problem to make the regularization more effective and optimum for all over the domain. Impedance imaging with simulated data and the practical phantom data is studied with PEPR and BMMR techniques in GNMoBIIR and EIDORS and the reconstructed images are compared with the single step regularization (STR) and Modified Levenberg Regularization (LMR). The projection error and the solution error norms are estimated in the reconstructions processes with PEPR and the BMMR methods and the results are compared with the errors estimated in STR and modified LMR techniques. Reconstructed images obtained with PEPR and BMMR are also studied with image parameters and contrast parameters and the reconstruction performance with PEPR and BMMR are evaluated by comparing the results with STR and modified LMR. PEPR and BMMR techniques are successfully implemented in the GNMoBIIR and EIDORS algorithms to improve the impedance image reconstruction by regularizing the solution domain in EIT reconstruction process. As the multifrequency EIT is always preferred in biological object imaging for better assessments of the frequency dependent bioimpedance response, multifrequency impedance imaging is studied with MfMf-EIT system developed for biomedical applications. MfMf-EIT system is studied, tested and evaluated with practical phantoms suitably developed for multifrequency impedance imaging within a wide range of frequency. Different biological materials are studied with electrical impedance spectroscopy (EIS) and a number of practical biological phantoms suitable for multifrequency EIT imaging are developed. The MfMf-EIT system is studied, tested and evaluated at different frequency levels with different current patterns using a number of NaCl phantoms with single, multiple and hybrid vegetable tissue phantoms as well as with chicken tissue phantoms. BbMfMf-EIT system is also studied and evaluated with the multifrequency EIT imaging using the developed biological phantoms. The developed MfMf-EIT system is applied on human body for impedance imaging of human anatomy. Impedance imaging of human leg and thigh is studied to visualize the muscle and bone tissues using different current patterns and different relative electrode positions. Ag/AgCl electrodes are attached to the leg and thigh using ECG gel and the boundary data are collected with MfMf-EIT EIT system by injecting a 1 mA and 50 kHz sinusoidal constant current with neighbouring and opposite current injection patterns. Impedance images of the femur bone of the human thigh and the tibia and fibula bones of the human leg along with the muscle tissue backgrounds are reconstructed in EIDORS and GNMoBIIR algorithms. Reconstructed resistivity profiles of bone and muscles are compared with the resistivity data profiles reported in the published literature. Impedance imaging of leg and thigh is studied with MfMf-EIT system for different current patterns, relative electrode positions and the images are evaluated to assess the system reliability. Battery based MfMf-EIT system (BbMfMf-EIT) is also studied for human leg and thigh imaging and it is observed that MfMf-EIT system and BbMfMf-EIT system are suitable for impedance imaging of human body imaging though the BbMfMf-EIT system increases the patiet safety. Therefore, the developed MfMf-EIT and BbMfMf-EIT systems are found quite suitable to improve the bio-impedance imaging in medical, biomedical and clinical applications as well as to study the anatomical and physiological status of the human body to diagnose, detect and monitor the tumors, lesions and a number of diseases or anatomical abnormalities in human subjects.

[ES] La población mundial en países desarrollados está envejeciendo y con ello existe un aumento de enfermedades en gran medida causadas por la edad. Las nuevas tecnologías médicas pueden ayudar a detectar, diagnosticar y tratar estas enfermedades y con ello ahorrar dinero, tiempo y recursos de los sistemas sanitarios. Las tecnologías inalámbricas implantables han abierto un nuevo panorama para la próxima generación de tecnologías médicas. Frecuencias como la Ultra Wide-Band (UWB) de 3.1 a 10.6 GHz están siendo consideradas para la nueva generación de dispositivos inalámbricos para dentro del cuerpo humano. Las características como el reducido tamaño de las antenas, la baja potencia de transmisión y la alta velocidad de datos son las más buscadas en este tipo de dispositivos. El problema surge porque el cuerpo humano depende de la frecuencia de modo que a mayores frecuencias, mayores son las pérdidas por propagación. Conociendo el canal de transmisión se puede solventar el problema de las altas pérdidas. Esta tesis tiene como objetivo caracterizar el canal de radio frecuencia (RF) para la nueva generación de dispositivos médicos implantables. Para caracterizar el canal se han empleado tres diferentes metodologías: simulaciones numéricas, medidas en phantom y experimentos en animales vivos. Las medidas en phantom fueron realizadas en un nuevo sistema de medidas expresamente disen¿ados para medidas de dentro a fuera del cuerpo humano en la banda de frecuencias UWB. Además, se utilizó un novedoso recipiente con dos capas de phantom imitando la zona gastrointestinal del cuerpo. Estos phantoms fueron creados para este tipo de medidas y son extremadamente precisos a las frecuencias UWB. Para los experimentos en animales se utilizaron cerdos y se intentó reproducir en ellos las medidas previamente realizadas en phantom. Las simulaciones software se realizaron con la intención de replicar ambas metodologías. Una vez realizados los experimentos se realizó un extensivo estudio del canal en dominio frecuencial y temporal. Mas en detalle, se compararon las antenas usadas en la recepción y transmisión, el efecto de la grasa en el canal, la formas del recipiente contenedor de phantom y las componentesmulticamino. Como resultado se ha propuesto un modelo de propagación del canal para la banda baja de las frecuencias UWB (3.1 -5.1 GHz) para la zona gastrointestinal del cuerpo humano. Este modelo de propagación ha sido validado utilizando las tres metodologías previamente descritas y comparada con otros estudios existentes en literatura. Finalmente, se midió el canal de propagación para una determinada aplicación a bajas frecuencias con señales UWB. También se realizaron medidas del canal de propagación en la zona cardíaca del cuerpo humano desde un punto de vista de seguridad de datos. Los resultados obtenidos en esta tesis confirman los beneficios que tendría la utilización de frecuencias UWB para las futuras generaciones de dispositivos médicos implantables. / [CA] La població mundial a països desenvolupats està envellint-se i enfrontant-se a un augment d'infermetats principalment causades per la edat. Les noves tecnologies mèdiques poden ajudar a detectar, diagnosticar i tractar aquestes malalties, estalviant diners, temps i recursos sanitaris. Els dispositius implantables sense fils han generat un nou panorama per a les noves generacions de dispositius mèdics. Les freqüències com la banda de UWB estan sent considerades per a les futures tecnologies implantables. La reduïda grandària de les antenes, la baixa potència de transmissió i les altes velocitats de dades son característiques buscades per als dispositius implantables. Per contra, els éssers humans depenen de la freqüència en el sentit que a majors freqüències, majors les pèrdues per propagació quan el senyal travessa el cos humà d'interior a exterior. Per solventar aquestes pèrdues el canal de propagació s'ha d'entendre i conèixer de la millor manera possible. Aquesta tesi doctoral te com a objectiu caracteritzar el canal de radio freqüència (RF) per a la nova generació de dispositius mèdics implantables. S'han emprat tres metodologies diferents per a realitzar aquesta caracterització: simulacions software, mesures amb fantomes i experiments amb animals vius. Els experiments amb fantomes es van realitzar a un sistema de mesures dissenyat expressament per a les transmissions de dins a fora del cos humà a les freqüències UWB. També es van utilitzar un contenidor per als fantomes de dues capes, imitant l'area gastrointestinal dels humans. Per als experiments a animals es van emprar porcs, replicant els experiments al laboratori en fantomes de la forma més semblant possible. Les simulacions software foren dissenyades per a imitar les experiments amb fantomes i animals. Després dels experiments el canal de propagació es va investigar exhaustivament des del domini freqüèncial i temporal. S'ha observat com les antenes en transmissió i recepció afecten al senyal, la influència de la grassa, la forma del contenidor de fantoma i les possibles contribucions multicamí. Finalment es proposa un nou model de propagació per a les baixes freqüències UWB (3.1 a 5.1 GHz) per a la zona GI del cos humà. El model es va validar utilitzant les tres metodologies abans esmentades i també foren comparades amb model ja existents a la literature. Finalment des d'un punt de vista aplicat, el canal es va avaluar per al senyal UWB a baixes freqüències (60 MHz). A més a més, per a la nova generació de marcapassos sense fil es va investigar el canal des d'un punt de vista de seguretat de dades. Els resultats obtinguts a aquesta tesi confirmen els avantatges d'emprar la banda de freqüències UWB per a la nova generació de dispositius médics implantables. / [EN] The current global population in developed countries is becoming older and facing an increase in diseases mainly caused by age. New medical technologies can help to detect, diagnose and treat illness, saving money, time, and resources of physicians. Wireless in-body devices opened a new scenario for the next generation of medical devices. Frequencies like the Ultra Wide-band (UWB) frequency band (3.1 - 10.6 GHz) are being considered for the next generation of in-body wireless devices. The small size of the antennas, the low power transmission, and the higher data rate are desirable characteristics for in-body devices. However, the human body is frequency ependent, which means higher losses of the radio frequency (RF) signal from in- to out-side the body as the frequency increases. To overcome this, the propagation channel has to be understood and known as much possible to process the signal accordingly. This dissertation aims to characterize the (RF) channel for the future of in-body medical devices. Three different methodologies have been used to characterize the channel: numerical simulations, phantom measurements, and living animals experiments. The phantom measurements were performed in a novel testbed designed for the purpose of in-body measurements at the UWB frequency band. Moreover, multi-layer high accurate phantoms mimicking the gastrointesintal (GI) area were employed. The animal experiments were conducted in living pigs, replicating in the fairest way as possible the phantom measurement campaigns. Lastly, the software simulations were designed to replicate the experimental measurements. An in-depth and detail analysis of the channel was performed in both, frequency and time domain. Concretely, the performance of the receiving and transmitting antennas, the effect of the fat, the shape of the phantom container, and the multipath components were evaluated. Finally, a novel path loss model was obtained for the low UWB frequency band (3.1 - 5.1 GHz) at GI scenarios. The model was validated using the three methodologies and compared with previous models in literature. Finally, from a practical case point of view, the channel was also evaluated for UWB signals at lower frequencies (60 MHz) for the GI area. In addition, for the next generation of leadless pacemakers the security link between the heart and an external device was also evaluated. The results obtained in this dissertation reaffirm the benefits of using the UWB frequency band for the next generation of wireless in-body medical devices. / Pérez Simbor, S. (2019). In-body to On-body Experimental UWB Channel Characterization for the Human Gastrointestinal Area [Tesis doctoral no publicada]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/133034 / TESIS

Die vorliegende Arbeit untersucht die grundsätzliche Machbarkeit, Radiofrequenzimpulse (RF) der Ultrahochfeld (UHF) Magnetresonanztomographie (MRT) (B0≥7.0T) für therapeutische Verfahren wie die RF Hyperthermie oder die lokalisierte Freigabe von Wirkstoffträgern und Markern zu nutzen. Im Rahmen der Arbeit wurde ein 8-Kanal Sened/Empfangsapplikator entwickelt, der bei einer Protonenfrequenz von 298MHz operiert. Mit diesem weltweit ersten System konnte in der Arbeit experimentell bewiesen werden, dass die entwickelte Hardware sowohl zielgerichtete lokalisierte RF Erwärmung als auch MR Bildgebung und MR Thermometrie (MRTh) realisiert. Mit den zusätzlichen Freiheitsgraden (Phase, Amplitude) eines mehrkanaligen Sendesystems konnte aufgezeigt werden, dass der Ort der thermischen Dosierung gezielt verändert bzw. festgelegt werden kann. In realitätsnahen Temperatursimulationen mit numerischen Modellen des Menschen, wird in der Arbeit aufgezeigt, dass mittels des entwickelten Hybridaufbaus eine kontrollierte und lokalisierte thermische Dosierung im Zentrum des menschlichen Kopfes erzeugt werden kann. Nach der erfolgreichen Durchführung dieser Machbarkeitsstudie wurden in theoretischen Überlegungen, numerischen Simulationen und in ersten grundlegenden experimentellen Versuchen die elektromagnetischen Gegebenheiten von MRT und lokal induzierter RF Hyperthermie für Frequenzen größer als 298MHz untersucht. In einem Frequenzbereich bis zu 1.44GHz konnte der Energiefokus mit Hilfe spezialisierter RF Antennenkonfigurationen entscheidend weiter verkleinert werden, sodass Temperaturkegeldurchmesser von wenigen Millimetern erreicht wurden. Gleichzeitig konnte gezeigt werden, dass die vorgestellten Konzepte ausreichende Signalstärke der zirkular polarisierten Spinanregungsfelder bei akzeptabler oberflächlicher Energieabsorption erzeugen, um eine potentielle Machbarkeit von in vivo MRT bei B0=33.8T oder in vivo Elektronenspinresonanz (ESR) im L-Band zu demonstrieren. / The presented work details the basic feasibility of using radiofrequency (RF) fields generated by ultrahigh field (UHF) magnetic resonance (MR) (B0≥7.0T) systems for therapeutic applications such as RF hyperthermia and targeted drug delivery. A truly hybrid 8-channel transmit/receive applicator operating at the 7.0T proton MR frequency of 298MHz has been developed. Experimental verification conducted in this work demonstrated that the hybrid applicator supports targeted RF heating, MR imaging and MR thermometry (MRTh). The approach offers extra degrees of freedom (RF phase, RF amplitude) that afford deliberate changes in the location and thermal dose of targeted RF induced heating. High spatial and temporal MR temperature mapping can be achieved due to intrinsic signal-to-noise ratio (SNR) gain of UHF MR together with the enhanced parallel imaging performance inherent to the multi-channel receive architecture used. Temperature simulations in human voxel models revealed that the proposed hybrid setup is capable to deposit a controlled and localized RF induced thermal dose in the center of the human brain. After demonstrating basic feasibility, theoretical considerations and proof-of-principle experiments were conducted for RF frequencies of up to 1.44GHz to explore electrodynamic constraints for MRI and targeted RF heating applications for a frequency range larger than 298MHz. For this frequency regime a significant reduction in the effective area of energy absorption was observed when using dedicated RF antenna arrays proposed and developed in this work. Based upon this initial experience it is safe to conclude that the presented concepts generate sufficient signal strength for the circular polarized spin excitation fields with acceptable specific absorption rate (SAR) on the surface, to render in vivo MRI at B0=33.8T or in vivo electron paramagnetic resonance (EPR) at L-Band feasible.