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In vivo Detection and Imaging of Intraventricular Hemorrhage in Neonatal Piglets Using Electrical Impedance Tomography |
LI Yan-dong1, SHI Xue-tao1, DAI Meng1, YOU Fu-sheng1, XU Can-hua1, FU Feng1, LIU Rui-gang1, WANG Liang2, GAO Guo-dong2, DONG Xiu-zhen1 |
1. School of Biomedical Engineering, Fourth Military Medical University, Shanxi Province Xi'an 710032, China 2. Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University,Shanxi Province Xi'an 710038, China |
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Abstract Intraventricular hemorrhage (IVH) is one of the most severe medical emergencies in neurosurgery. Early detection or diagnosis would significantly reduce the rate of disability and mortality, and improve the prognosis of the patients. Although present medical imaging techniques have high sensitivity to identify bleeding, the use of an additional, non-invasive imaging technique capable of continuously monitoring IVH is required to prevent contingent bleeding or re-bleeding. In this study, electrical impedance tomography (EIT) was applied to detect the onset of IVH modeled on 6 piglets in real time, with the subsequent process being monitored continuously. The experimental IVH model was introduced by one-time injection of 2 ml fresh autologous arterial blood into the ventricles of piglets. Results showed that resistivity variations within the brain caused by the added blood could be detected and imaged in vivo using the EIT method, and the magnitude and the size of region of interest on EIT images may be linearly associated with the volume of the blood. In conclusion, EIT has unique potential for use in clinical practice to provide invaluable real-time neuroimaging data for IVH after the improvement of electrode design, anisotropic realistic modeling, and instrumentation.
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Received: 20 April 2018
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Fund:the National Natural Science Foundation of China; grant number: 61571445 and 61071033; grant sponsor: Key Technologies R&D Program of China; grant number: 2012BAI19B01; grant sponsor: Major Basic Research Program of Shanxi Province of China; grant number: 2016ZDJC-14 |
Corresponding Authors:
DONG Xiu-zhen. E-mail: dongxiuzhen@fmmu.edu.cn
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[1] York J, DeVoe M. Health issues in survivors of prematurity[J]. Southern Medical Journal, 2002, 95(9): 969-976. [2] LeRoux PD, Haglund M, Newell DW, et al. Intraventricular hemorrhage in blunt head trauma: an analysis of 43 cases[J]. Neurosurgery, 1992, 31: 678-685. [3] Yadav YR, Mukerji G, Shenoy R, et al.Endoscopic management of hypertensive intraventricular haemorrhage with obstructive hydrocephalus[J]. BMC Neurology, 2007, 7(1): 1-9. [4] Sadleir RJ, Tang T. Electrode configurations for detection of intraventricular haemorrhage in the premature neonate[J]. Physiological Measurement, 2009, 30(10: 63-79. [5] Hintz SR, O'Shea M. Neuroimaging and neurodevelopmental outcomes in preterm infants[J]. Seminars in Perinatology, 2008, 32: 11-19. [6] Holder DS.Detection of cortical spreading depression in the anaesthetised rat by impedance measurement with scalp electrodes: implications for non-invasive imaging of the brain with electrical impedance tomography[J]. Clinical Physics and Physiological Measurement, 1992, 13(1): 77-86. [7] Holder DS, Rao A, Hanquan Y.Imaging of physiologically evoked responses by electrical impedance tomography with cortical electrodes in the anaesthetized rabbit[J]. Physiological Measurement,1996, 17(Suppl 4A): A179-186. [8] Lindgren S, Odenstedt H, Olegard C, et al.Regional lung derecruitment after endotracheal suction during volume- or pressure-controlled ventilation: a study using electric impedance tomography[J]. Intensive Care Medicine, 2007, 33(1): 172-180. [9] Grant CA, Pham T, Hough J, et al.Measurement of ventilation and cardiac related impedance changes with electrical impedance tomography[J]. Critical Care, 2011, 15: R37. [10] Sadleir RJ, Fox RA. Detection and quantification of intraperitoneal fluid using electrical impedance tomography[J]. IEEE Transactions Biomedical on Engineering, 2001, 4894): 484-491. [11] Hansen TW.Prophylaxis of intraventricular hemorrhage in premature infants: new potential tools, new potential challenges[J]. Pediatric Critical Care Medisine, 2006, 7: 90-92. [12] Murphy D, Burton P, Coombs R, et al.Impedance imaging in the newborn[J]. Clinical Physics and Physiological Measurement, 1987, 8(Suppl A): 131-140. [13] Tidswell AT, Bagshaw AP, Holder DS, et al.A comparison of headnet electrode arrays for electrical impedance tomography of the human head[J]. Physiological Measurement, 2003, 24(2): 527-544. [14] Tidswell AT, Gibson A, Bayford RH, et al.Electrical impedance tomography of human brain activity with a two-dimensional ring of scalp electrodes[J]. Physiological Measurement, 2001, 22(1): 167-175. [15] Tidswell AT, Gibson A, Bayford RH, et al.Validation of a 3D reconstruction algorithm for EIT of human brain function in a realistic head-shaped tank[J]. Physiological Measurement, 2001, 22(1): 177-185. [16] Tidswell T, Gibson A, Bayford RH, et al.Three-dimensional electrical impedance tomography of human brain activity[J]. Neuroimage, 2001, 13(2): 283-294. [17] Liston AD, Bayford RH, Holder DS.The effect of layers in imaging brain function using electrical impedance tomograghy[J]. Physiological Measurement, 2004, 25(1): 143-158. [18] Dai M, Wang L, Xu C, et al.Real-time imaging of subarachnoid hemorrhage in piglets with electrical impedance tomography[J]. Physiological Measurement, 2010, 31: 1229-1239. [19] Xu CH, Wang L, Shi XT, et al.Real-time imaging and detection of intracranial haemorrhage by electrical impedance tomography in a piglet model[J]. Journal of International Medical Research, 2010, 38(5): 1596-1604. [20] Xuetao S, Fusheng Y, Feng F, et al.High precision multifrequency electrical impedance tomography system and preliminary imaging results on saline tank[J]. International Conference of the Engineering in Medicine & Biology Society, 2005, 2(2): 1492-1495. [21] Oh S, Tang T, Tucker AS, et al.Normalization of a spatially variant image reconstruction problem in electrical impedance tomography using system blurring properties[J]. Physiological Measurement, 2009, 30(3): 275-289. [22] Dai M, Li B, Hu S, et al.In vivo imaging of twist drill drainage for subdural hematoma: a clinical feasibility study on electrical impedance tomography for measuring intracranial bleeding in humans[J]. PLoS One, 2013, 8: e55020. [23] Fabrizi L, Sparkes M, Horesh L, et al.Factors limiting the application of electrical impedance tomography for identification of regional conductivity changes using scalp electrodes during epileptic seizures in humans[J]. Physiological Measurement, 2006, 27: S163-174. [24] Soleimani M, Gomez-Laberge C, Adler A.Imaging of conductivity changes and electrode movement in EIT[J]. Physiological Measurement, 2006, 27(5): S103-113. [25] Tang T, Oh S, Sadleir RJ.A robust current pattern for the detection of intraventricular hemorrhage in neonates using electrical impedance tomography[J]. Annals of Biomedical Engineering, 2010, 38(8): 2733-2747. [26] Abascal JF, Arridge SR, Atkinson D, et al.Use of anisotropic modelling in electrical impedance tomography: description of method and preliminary assessment of utility in imaging brain function in the adult human head[J]. Neuroimage, 2008, 43: 258-268. |
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