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Novel Electrode Placement in Electrical Bioimpedance-Based Stroke Detection: Effects on Current Penetration and Injury Characterization in a Finite Element Model
- Source :
- IEEE Trans Biomed Eng
- Publication Year :
- 2023
-
Abstract
- OBJECTIVE: Reducing time-to-treatment and providing acute management in stroke are essential for patient recovery. Electrical bioimpedance (EBI) is an inexpensive and non-invasive tissue measurement approach that has the potential to provide novel continuous intracranial monitoring—something not possible in current standard-of-care. While extensive previous work has evaluated the feasibility of EBI in diagnosing stroke, high-impedance anatomical features in the head have limited clinical translation. METHODS: The present study introduces novel electrode placements near highly-conductive cerebral spinal fluid (CSF) pathways to enhance electrical current penetration through the skull and increase detection accuracy of neurologic damage. Simulations were conducted on a realistic finite element model (FEM). Novel electrode placements at the tear ducts, soft palate and base of neck were evaluated. Classification accuracy was assessed in the presence of signal noise, patient variability, and electrode positioning. RESULTS: Algorithms were developed to successfully determine stroke etiology, location, and size relative to impedance measurements from a baseline scan. Novel electrode placements significantly increased stroke classification accuracy at various levels of signal noise (e.g. p < 0.001 at 40 dB). Novel electrodes also amplified current penetration, with up to 30% increase in current density and 57% increased sensitivity in central intracranial regions (p
- Subjects :
- business.industry
Noise (signal processing)
Finite Element Analysis
Biomedical Engineering
Penetration (firestop)
medicine.disease
Signal
Finite element method
Article
Stroke
Electric Impedance
Medicine
Humans
Current (fluid)
business
Electrical impedance
Electrode placement
Electrodes
Algorithms
Biomedical engineering
Subjects
Details
- ISSN :
- 15582531
- Volume :
- 69
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- IEEE transactions on bio-medical engineering
- Accession number :
- edsair.doi.dedup.....7968cd903477ab0e1a8a5db38ce31aea