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L Leistritz

Publications and source records attributed to L Leistritz.

14 recordsLinked to original sources

Time-variant analysis of fast-fMRI and dynamic contrast agent MRI sequences as examples of 4-dimensional image analysis.

OBJECTIVES: Image sequences with time-varying information content need appropriate analysis strategies. The exploration of directed information transfer (interactions) between neuronal assemblies is one of the most important aims of current functional MRI (fMRI) analysis. Additionally, we examined perfusion maps in dynamic contrast agent MRI sequences of stroke patients. In this investigation, the focus centers on distinguishing between brain areas with normal and reduced perfusion on the basis of the dynamics of contrast agent inflow and washout. METHODS: Fast fMRI sequences were analyzed with time-variant Granger causality (tvGC). The tvGC is based on a time-variant autoregressive model and is used for the quantification of the directed information transfer between activated brain areas. Generalized Dynamic Neural Networks (GDNN) with time-variant weights were applied on dynamic contrast agent MRI sequences as a nonlinear operator in order to enhance differences in the signal courses of pixels of normal and injured tissues. RESULTS: A simple motor task (self-paced finger tapping) is used in an fMRI design to investigate directed interactions between defined brain areas. A significant information transfer can be determined for the direction primary motor cortex to supplementary motor area during a short time period of about five seconds after stimulus. The analysis of dynamic contrast agent MRI sequences demonstrates that the trained GDNN enables a reliable tissue classification. Three classes are of interest: normal tissue, tissue at risk for death, and dead tissue. CONCLUSIONS: The time-variant multivariate analysis of directed information transfer derived from fMRI sequences and the computation of perfusion maps by GDNN demonstrate that dynamic analysis methods are essential tools for 4D image analysis.

Cerebrovascular Circulation↗

Methods for parameter identification in oscillatory networks and application to cortical and thalamic 600 Hz activity.

Directed information transfer in the human brain occurs presumably by oscillations. As of yet, most approaches for the analysis of these oscillations are based on time-frequency or coherence analysis. The present work concerns the modeling of cortical 600 Hz oscillations, localized within the Brodmann Areas 3b and 1 after stimulation of the nervus medianus, by means of coupled differential equations. This approach leads to the so-called parameter identification problem, where based on a given data set, a set of unknown parameters of a system of ordinary differential equations is determined by special optimization procedures. Some suitable algorithms for this task are presented in this paper. Finally an oscillatory network model is optimally fitted to the data taken from ten volunteers.

Cerebral Cortex↗

[Fundus spectrometry in age-related maculopathy].

BACKGROUND: Spectroscopic methods permit the non-invasive detection of fundus pigments by the wavelength-dependent absorption of fluorescence as well as by the fluorescence lifetime. From the relative concentrations of haemoglobin and oxyhaemoglobin, the oxygen saturation can be calculated. The onset of age-related maculopathy might be delayed by a high optical density of xanthophyll. The detection of alterations in fundus autofluorescence points to age-related pathomechanisms (accumulation of lipofuscin, formation of connective tissue). The detection of autofluorescence of redox-pairs of coenzymes results in information about metabolic states at the cellular level, and might make possible an early detection of age-related changes when they are still reversible. METHOD: The evaluation of reflectance spectra, detected by imaging ophthalmo-spectrometry, results in the calculation of oxygen saturation or in the optical density of xanthophyll or of melanin. Fluorescence spectra can be measured also by this technique. For the 2-dimensional determination of the distribution of xanthophyll, a very simple method was developed, requiring fundus illumination by one wavelength only. In the detection of time-resolved autofluorescence, the fluorescence lifetime is used for the determination of endogenous fluorophores. RESULTS: As result of comparing studies between ARM patients and healthy subjects, the consumption of retinal oxygen was increased already in the children of ARM patients. An increasing optical density of xanthophyll was determined after lutein supplementation. Differences in fluorescence lifetime were determined between ARM patients and healthy subjects, but their interpretation requires investigations of cell or of organ model cultures. CONCLUSIONS: The described methods permit in vivo basic investigations of ARM and can be considered as impulses for the development of diagnostic devices.

Adult↗

[Determination of the concentration distribution of macular pigment from reflection and fluorescence images].

OBJECTIVE: The macular pigment xanthophyll protects the macula in two ways: firstly, it absorbs hazardous blue light and secondly, it acts as a radical scavenger. A low concentration of xanthophyll may be regarded as a risk factor for age-related macular degeneration (AMD). Therefore, we investigated a simple method to determine the xanthophyll concentration at the fundus which is suitable for patient screening. METHOD: The local distribution of xanthophyll density was determined from monochromatic blue reflection images and autofluorescence images of the fundus in 18 healthy volunteers (mean age: 23.9 years). The significance of the parameters maximal, global, and mean concentration were compared. RESULTS: The maximal optical density of xanthophyll determined from reflection images was found to be 0.29+/-0.08 (mean for all test persons) which is in good agreement with literature data. The total xanthophyll concentration which is proportional to the maximal density, appeared to be appropriate to describe a person's overall xanthophyll status. Because of the low intensity of autofluorescence images, these are less useful for the determination of the xanthophyll concentration. CONCLUSIONS: Because of it's simplicity, the determination of xanthophyll concentration as described here can be performed by every ophthalmologist using a fundus camera and is, therefore, suitable as a screening method.

Adolescent↗

Prediction of movement following noxious stimulation during 1 minimum alveolar anesthetic concentration isoflurane/nitrous oxide anesthesia by means of middle latency auditory evoked responses.

This paper investigates the applicability of generalized dynamic neural networks for the design of a two-valued anesthetic depth indicator during isoflurane/nitrous oxide anesthesia. The indicator construction is based on the processing of middle latency auditory evoked responses (MLAER) in combination with the observation of the patient's movement reaction to skin incision. The framework of generalized dynamic neural networks does not require any data preprocessing, visual data inspection or subjective feature extraction. The study is based on a data set of 106 patients scheduled for elective surgery under isoflurane/nitrous oxide anesthesia. The processing of the measured MLAER is performed by a recurrent neural network that transforms the MLAER signals into signals having a very uncomplex structure. The evaluation of these signals is self-evident, and yields to a simple threshold classifier. Using only evoked potentials before the pain stimulus, the patient's reaction could be predicted with a probability of 81.5%. The MLAER is closely associated to the patient's reaction to skin incision following noxious stimulation during 1 minimum alveolar anesthetic concentration isoflurane/nitrous oxide anesthesia. In combination with other parameters, MLAER could contribute to an objective and trustworthy movement prediction to noxious stimulation.

Anesthetics, Inhalation↗

Identification of the stimulated hemiretina in primary school children and adults based on left and right hemifield pattern reversal visual evoked potentials--a comparative study.

OBJECTIVES: The analysis of left and right hemifield pattern-reversal visual evoked potentials (PVEPs) in children and the identification of the stimulated hemiretina testing different identification procedures previously applied to adults. METHODS: Lateral hemifield PVEPs were recorded in 40 children (6-11 years) and 27 adults (25-40 years) from, at least, 19 standard electrodes. Two procedures were tested for the determination of the stimulated hemifield: firstly, the evaluation of the values of instantaneous frequency at the occipital electrodes at P100 latency (determined by the global field power), and secondly, the application of a generalised dynamic neural network (GDNN) using the PVEP time course at selected electrode positions as the external input. RESULTS: P100 latency as well as P100 amplitude over the contralateral occiput in children were significantly greater than in adults. Contrary to the behaviour in adults, instantaneous frequency is not a robust identifier of left and right hemiretina stimulation in children. The best identification performances were achieved when using group trained GDNNs with the bipolar difference signals of electrodes P3/P4 or T5/T6 as the external input. CONCLUSIONS: The PVEPs at electrodes P3/P4 and T5/T6 contain essential information for the determination of the stimulated hemifield. This should be further considered during the development of on-line procedures for automatic PVEP detection in future studies.

Adult↗

Light paths in retinal vessel oxymetry.

The oxygen utilization and, therefore, the metabolic state, of a distinctive area of the retina may be calculated from the diameter of the supplying artery and vein, the haemoglobin oxygenation, and the velocity of the blood. The first two parameters can be determined by imaging spectrometry at the patients ocular fundus. However, the reflected light emerging from a vessel followed different pathways through the ocular fundus layers and the vessel embedded in the retina. The contribution of the single pathways to the vessel reflection profile is investigated by a Monte Carlo simulation. Considering retinal vessels with diameters of 25-200 microm we found the reflection from a thin vessel to be determined by the single and double transmission of light at 560 nm. The backscattering from the blood column determines the reflectance in the case of a thick vessel. However, both components are in the same order of magnitude. This has to be considered in the calculation of the oxygen saturation of blood in retinal vessels from their reflection spectra.

Light↗

Interrelations between EEG frequency components in sedated intensive care patients during burst-suppression period.

The EEG during basic sedation and burst patterns during electroencephalic burst-suppression patterns (BSP) were analyzed. The aim of EEG analysis was the characterization and quantification of the interrelations between distinct frequency components in both states of sedation. The data for the investigations were derived from the routine EEG derivations of 12 patients with various neurosurgical diseases. It can be demonstrated that the degree of interrelation (amplitude modulation) between a low-frequency component (0-2.5 Hz) and oscillations with higher frequency (3-7.5 and 8-12 Hz) is increased in burst patterns during BSP compared with the EEG during basic sedation. It can be concluded that the degree of interrelations depends on the sedation depth induced by hypnotic drugs.

Adolescent↗

Identification of hemifield single trial PVEP on the basis of generalized dynamic neural network classifiers.

This paper is concerned with the application of generalized dynamic neural networks for the identification of hemifield pattern-reversal visual evoked potentials. The identification process is performed by different networks with time-varying weights using signals from different electrode positions as external inputs. Since dynamic neural networks are able to process time-varying signals, the identification of the stimulated hemiretinae is performed without feature extraction. The performance of the method presented is compared with a reference method based on the values of instantaneous frequency at the occipital electrode positions at P100 latency.

Adult↗

New approaches for the detection and analysis of electroencephalographic burst-suppression patterns in patients under sedation.

An automatic EEG pattern detection unit was developed and tested for the recognition of burst-suppression periods and for the separation of burst from suppression patterns. The median, standard deviation and the 95% edge frequency were computed from single channels of the EEG within a moving window and completed by the continuous computation of frequency band power via an adapted Hilbert resonance filter. These parameters were given to the inputs of two hierarchically arranged artificial neural networks (NNs). The output signals of NNs indicate the suppression and burst phases. The burst recognition was focused on the precise recognition of the burst onset. In subsequent processing steps the time course of percentages of burst patterns within their corresponding burst-suppression-phases was calculated and the time locations of burst onsets can be used to trigger an averaging for a burst-related analysis. The data for our investigations were derived from the routine EEG derivations of 12 patients with various neurosurgical diseases. A group-related training of the NNs was realized. For the group-related trained NNs EEG data for 6 patients were used for training and the data of 6 other patients for testing the classification performance of the pattern recognition units. Additionally, the reliability of the detection algorithm was tested with data of two patients with convulsive state, resistant to treatment, and burst-suppression like pattern EEC.

Adolescent↗

Multimodal time-variant signal analysis of neonatal EEG burst patterns.

It can be shown that dominant rhythmic signal components of neonatal EEG burst patterns (discontinuous EEG in quiet sleep) are characterized by a quadratic phase coupling (bispectral analysis), i.e. a multiplicative interaction (connection) between the underlying electrophysiological processes can be assumed. By means of pattern recognition algorithms as well as time-variant spectral and coherence analysis, a so-called "initial wave" (narrow band rhythm within a frequency range of 3-12 Hz) can be demonstrated within the first part of the burst pattern. The detection of this signal component and of the quadratic phase coupling is more successful in the frontal region. By means of amplitude demodulation of the "initial wave" the phase coupling can be attributed to an amplitude modulation. The results were derived from 6 neonates (20 burst patterns for each neonate; 8-channel recordings). A 16-channel EEG-recording was analyzed for one neonate.

Electroencephalography↗

[An experimental study on the use of the Hilbert operator as a method of signal preprocessing for the determination of oxygen saturation in retinal vessels].

For the non-invasive measurement of the oxygen saturation in human retinal vessels, the light reflected by a vessel and its surroundings is evaluated. Differences in the absorption and scattering properties of the optical media provide so-called vessel profiles, but the central vessel section is often disturbed by a regular reflex. In order to eliminate this reflex, a method based on the Hilbert transform is presented, which can be used for the determination of logarithmic differences between the reflected light on and that beside the vessel. The data for our investigations were produced by simulation of the radiation transport in multi-layered tissue. A linear regression between expected and measured values based on 40 pairs was used for the evaluation of the proposed method. A linear relationship was shown to exist.

Anisotropy↗