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Biomedical subjects

L Alan Bradshaw

Publications and source records attributed to L Alan Bradshaw.

9 recordsLinked to original sources

Biomagnetic investigation of injury currents in rabbit intestinal smooth muscle during mesenteric ischemia and reperfusion.

A noninvasive, sensitive, and specific method of detecting mesenteric ischemia would be of great use in reducing the morbidity and mortality with which it is associated. Acute lesions in polarized electrically coupled tissues lead to injury currents driven by the transmembrane resting potential gradient. These injury currents are an effective indicator of pathophysiology. The presence of near-DC injury currents in rabbit intestinal smooth muscle has already been demonstrated using a Superconducting quantum interference device (SQUID), and the aim of this study was to evaluate the effect of arterial reperfusion upon these currents. We exteriorized the small bowel of 14 New Zealand white rabbits and placed a remotely operated vascular occluder around the distal most artery supplying a 3-in segment of the jejunum. Experiments were conducted in three groups, i.e., control (n=3), ischemia (n=6), and reperfusion following ischemia (n=5). The subject's position was modulated in and out of the biological field detection range of a SQUID magnetometer using a lift constructed of nonmagnetic material. The changes in magnetic field amplitude were 9.3 and 31.01% for the control and ischemia groups, respectively. The reperfusion group first exhibited a decrease of 17.35% from the pre-ischemic to the ischemic period, followed by an increase of 13.88% of the ischemic value after reestablishing perfusion. In conclusion, injury currents in GI smooth muscle that appear during ischemia are reduced to near-pre-ischemic levels during reperfusion.

Animals↗

An integrative software package for gastrointestinal biomagnetic data acquisition and analysis using SQUID magnetometers.

The study of bioelectric and biomagnetic activity in the human gastrointestinal (GI) tract is of great interest in clinical research due to the proven possibility to detect pathological conditions thereof from electric and magnetic field recordings. The magnetogastrogram (MGG) and magnetoenterogram (MENG) can be recorded using superconducting quantum interference device (SQUID) magnetometers, which are the most sensitive magnetic flux-to-voltage converters currently available. To address the urgent need for powerful acquisition and analysis software tools faced by many researchers and clinicians in this important area of investigation, an integrative and modular computer program was developed for the acquisition, processing and analysis of GI SQUID signals. In addition to a robust hardware implementation for efficient data acquisition, a number of signal processing and analysis modules were developed to serve in a variety of both clinical procedures and scientific investigations. Implemented software features include data processing and visualization, waterfall plots of signal frequency spectra as well as spatial maps of GI signal frequencies. Moreover, a software tool providing powerful 3D visualizations of GI signals was created using realistic models of the human torso and internal organs.

Gastrointestinal Diseases↗

Magnetogastrographic detection of gastric electrical response activity in humans.

The detection and characterization of gastric electrical activity has important clinical applications, including the early diagnosis of gastric diseases in humans. In mammals, this phenomenon has two important features: an electrical control activity (ECA) that manifests itself as an electric slow wave (with a frequency of 3 cycles per minute in humans) and an electrical response activity (ERA) that is characterized by spiking potentials during the plateau phase of the ECA. Whereas the ECA has been recorded in humans both invasively and non-invasively (magnetogastrography-MGG), the ERA has never been detected non-invasively in humans before. In this paper, we report on our progress towards the non-invasive detection of ERA from the human stomach using a procedure that involves the application of principal component analysis to MGG recordings, which were acquired in our case from ten normal human patients using a Superconducting QUantum Interference Device (SQUID) magnetometer. Both pre- and post-prandial recordings were acquired for each patient and 20 min of recordings (10 min of pre-prandial and 10 min of post-prandial data) were analysed for each patient. The mean percentage of ECA slow waves that were found to exhibit spikes of suspected ERA origin was 41% and 61% for pre- and post-prandial recordings, respectively, implying a 47% ERA increase post-prandially (P < 0.0001 at a 95% confidence level). The detection of ERA in humans is highly encouraging and points to the possible use of non-invasive ERA recordings as a valuable tool for the study of human gastric disorders.

Action Potentials↗

Artifact reduction in magnetogastrography using fast independent component analysis.

The analysis of magnetogastrographic (MGG) signals has been limited to epochs of data with limited interference from extraneous signal components that are often present and may even dominate MGG data. Such artifacts can be of both biological (cardiac, intestinal and muscular activities, motion artifacts, etc) and non-biological (environmental noise) origin. Conventional methods-such as Butterworth and Tchebyshev filters-can be of great use, but there are many disadvantages associated with them as well as with other typical filtering methods because a large amount of useful biological information can be lost, and there are many trade-offs between various filtering methods. Moreover, conventional filtering cannot always fully address the physicality of the signal-processing problem in terms of extracting specific signals due to particular biological sources of interest such as the stomach, heart and bowel. In this paper, we demonstrate the use of fast independent component analysis (FICA) for the removal of both biological and non-biological artifacts from multi-channel MGG recordings acquired using a superconducting quantum intereference device (SQUID) magnetometer. Specifically, we show that the signal of gastric electrical control activity (ECA) can be isolated from SQUID data as an independent component even in the presence of severe motion, cardiac and respiratory artifacts. The accuracy of the method is analyzed by comparing FICA-extracted versus electrode-measured respiratory signals. It is concluded that, with this method, reliable results may be obtained for a wide array of magnetic recording scenarios.

Action Potentials↗

Ellipsoidal electrogastrographic forward modelling.

The theoretical and computational study of the electromagnetic forward and inverse problems in ellipsoidal geometry is important in electrogastrography because the geometry of the human stomach can be well approximated using this idealized body. Moreover, the anisotropies inherent to this organ can be highlighted by the characteristics of the electric potential associated with current dipoles in an ellipsoid. In this paper, we present a forward simulation for the stomach using an analytic expression of the gastric electric potential that employs a truncated expansion of ellipsoidal harmonics; we then demonstrate that an activation front of dipoles propagating along the body of an ellipsoid can simulate gastric electrical activity. In addition to the usefulness of our model, we also discuss its limitations and accuracy.

Algorithms↗

Biomagnetic detection of injury currents in rabbit ischemic intestine.

The presence of direct current (DC) injury currents in ischemic tissue is an important diagnostic indicator of pathophysiology in cortical spreading depression and particularly in myocardial infarction. To date, no measurements of DC injury currents in the alimentary tract have been reported. We used a SQUID magnetometer to measure changes in the baseline of the magnetic field of intestinal electrical activity during induced segmental ischemia. We computed the magnetic field DC baseline by subtracting sequential recordings made while the bowel segment was first directly beneath the SQUID and then pulled away. We observed a significant baseline decrease of 38% +/- 4% in experimental animals, while the control group decreased by only 1% +/- 6%. This magnetic field baseline decrease is consistent with the flow of injury currents between normally perfused and hypoxic tissue regions. This study is the first report of DC injury currents in ischemic smooth muscle of the alimentary tract.

Animals↗

Theoretical and computational methods for the noninvasive detection of gastric electrical source coupling.

The ability to study the pathology of the stomach noninvasively from magnetic field measurements is important due to the significant practical advantages offered by noninvasive methods over other techniques of investigation. The inverse biomagnetic problem can play a central role in this process due to the information that inverse solutions can yield concerning the characteristics of the gastric electrical activity (GEA). To analyze gastrointestinal (GI) magnetic fields noninvasively, we have developed a computer implementation of a least-squares minimization algorithm that obtains numerical solutions to the biomagnetic inverse problem for the stomach. In this paper, we show how electric current propagation and the mechanical coupling of gastric smooth muscle cells during electrical control activity can be studied using such solutions. To validate our model, two types of numerical simulations of the GEA were developed and successfully used to demonstrate the ability of our computer algorithm to detect and accurately analyze these two phenomena. We also describe our analysis of experimental, noninvasively acquired gastric biomagnetic data as well as the information of interest that our numerical method can yield in clinical studies. Most importantly, we present experimental evidence that the coupling of gastric electrical sources can be observed using noninvasive techniques of measurement, in our case with the use of a superconducting quantum interference device magnetometer. We discuss the relevance and implications of our achievement to the future of GI research.

Algorithms↗

Theoretical ellipsoidal model of gastric electrical control activity propagation.

A theoretical model of electric current propagation in the human stomach is developed using an approach in which the shape of the organ is assumed to be a truncated ellipsoid whose dimensions can be determined from anatomic measurements. The gastric electrical activity is simulated using a ring of isopotential electric current dipoles that are generated by a pacemaker situated in the gastric corpus. The dipoles propagate in the direction of the pylorus at a frequency of three cycles per minute. The advantages of employing ellipsoids in the analytical formulation of this gastric model are discussed in addition to the realism and usefulness of the approach.

Computer Simulation↗

A spatio-temporal dipole simulation of gastrointestinal magnetic fields.

We have developed a simulation of magnetic fields from gastrointestinal (GI) smooth muscle. Current sources are modeled as depolarization dipoles at the leading edge of the isopotential ring of electrical control activity (ECA) that is driven by coupled cells in the GI musculature. The dipole moment resulting from the known transmembrane potential distribution varies in frequency and phase depending on location in the GI tract. Magnetic fields in a homogeneous volume conductor are computed using the law of Biot-Savart and characterized by their spatial and temporal variation. The model predicts that the natural ECA frequency gradient may be detected by magnetic field detectors outside the abdomen. It also shows that propagation of the ECA in the gastric musculature results in propagating magnetic field patterns. Uncoupling of gastric smooth muscle cells disrupts the normal magnetic field propagation pattern. Intestinal ischemia, which has been experimentally characterized by lower-than-normal ECA frequencies, also produces external magnetic fields with lower ECA frequencies.

Action Potentials↗