Anton Kontunen

A survey on the feasibility of surface EMG in facial pacing

A survey on the feasibility of surface electromyography (EMG) measurements in facial pacing is presented. Pacing for unilateral facial paralysis consists of the measurement of activity from the healthy side of the face and functional electrical stimulation to reanimate the paralyzed one. The goal of this study is to evaluate the feasibility of surface EMG as a measurement method to detect muscle activations and to determine their intensities. Prior work is discussed, and results from experiments where 12 participants carried out a set of facial movements are presented. EMG was registered from zygomaticus major (smile), orbicularis oris (lip pucker), orbicularis oculi (eye blink), corrugator supercilii (frown), and masseter (chew). Most important facial functions that are limited due to the paralysis are blinking, smiling, and puckering. With majority of the participants, crosstalk between the measured EMG channels was found to be acceptably small to be able to pace smiling and puckering based on detecting their contraction intensities from the healthy side. However, pacing blinking based on orbicularis oculi EMG measurement does not seem possible due to crosstalk from other muscles, but the electro-oculographic (EOG) signals that couple to the same measurement channel could help to detect eye blinks and trigger stimuli. Futhermore, masseter greatly disturbs EMG measurement of most facial muscles, which needs to be addressed in the pacing system to avoid falsely interpreting its activity as the activity of another muscle.A survey on the feasibility of surface electromyography (EMG) measurements in facial pacing is presented. Pacing for unilateral facial paralysis consists of the measurement of activity from the healthy side of the face and functional electrical stimulation to reanimate the paralyzed one. The goal of this study is to evaluate the feasibility of surface EMG as a measurement method to detect muscle activations and to determine their intensities. Prior work is discussed, and results from experiments where 12 participants carried out a set of facial movements are presented. EMG was registered from zygomaticus major (smile), orbicularis oris (lip pucker), orbicularis oculi (eye blink), corrugator supercilii (frown), and masseter (chew). Most important facial functions that are limited due to the paralysis are blinking, smiling, and puckering. With majority of the participants, crosstalk between the measured EMG channels was found to be acceptably small to be able to pace smiling and puckering based on detecting their contraction intensities from the healthy side. However, pacing blinking based on orbicularis oculi EMG measurement does not seem possible due to crosstalk from other muscles, but the electro-oculographic (EOG) signals that couple to the same measurement channel could help to detect eye blinks and trigger stimuli. Futhermore, masseter greatly disturbs EMG measurement of most facial muscles, which needs to be addressed in the pacing system to avoid falsely interpreting its activity as the activity of another muscle.

Effects of sensor type and sensor location on signal quality in bed mounted ballistocardiographic heart rate and respiration monitoring

Sleeping is a crucial part of our circadian rhythm and the quality of sleep has substantial impact on the quality of life in general and the overall well-being of a person. That is why sleep related physiological measurements have been in the focus of many scientific studies along the years, and why a large number of different measurement methods have been developed for this purpose. The ability to monitor heart rate respiration without any sensors or electrodes being directly attached to the body is extremely useful especially in long-term monitoring and it allows automated daily measurements without any medical staff present. This is the reason why ballistocardiographic force sensors and accelerometers have been introduced alongside electrocardiography (ECG) and thermistors or respiration belts as a means to monitor the heart rate and respiration during sleep. While ECG remains as the most reliable and accurate method for heart rate monitoring, the development of unobtrusive monitoring methods has improved to the point where the commercialization of such sleep monitoring systems has been possible. In this paper, the signals of five sensors and sensor placement combinations for measuring physiological parameters from a sleeping person are evaluated and compared in terms of their measurement sensitivities and waveform quality. The sensors are accelerometer and film type force sensors made of PVDF and EMFi material placed under the mattress topper and PVDF and EMFi sensors placed under the bed posts.

Scent classification by K nearest neighbors using ion-mobility spectrometry measurements

Abstract Various classifiers for scent classification based on measurements using an electronic nose (eNose) have been studied recently. In general, classifiers rely on a static database containing reference eNose measurements for known scents. However, most of these approaches require retraining of the classifier every time a new scent needs to be added to the training database. In this paper, the potential of a K nearest neighbors (KNN) classifier is investigated to avoid the time-consuming retraining when updating the database. To speed up classification, a k-dimensional tree search in the KNN classifier and principal component analysis (PCA) are studied. The tests with scents presented to an eNose based on ion-mobility spectrometry (IMS) show that the KNN method classifies scents with high accuracy. Using a k-dimensional tree search instead of an exhaustive search has no significant influence on the misclassification rate but reduces the classification time considerably. The use of PCA-transformed data results in a higher misclassification rate than the use of IMS data when only the first principal components explaining 95% of the total variance are used but in a similar misclassification rate when the first principal components explaining 99% of the total variance are used. In conclusion, the proposed method can be recommended for classifying scents measured with IMS-based eNoses.

The characterization of surgical smoke from various tissues and its implications for occupational safety

Electrosurgery produces surgical smoke. Different tissues produce different quantities and types of smoke, so we studied the particle characteristics of this surgical smoke in order to analyze the implications for the occupational health of the operation room personnel. We estimated the deposition of particulate matter (PM) from surgical smoke on the respiratory tract of operation room personnel using clinically relevant tissues from Finnish landrace porcine tissues including skeletal muscle, liver, subcutaneous fat, renal pelvis, renal cortex, lung, bronchus, cerebral gray and white matter, and skin. In order to standardize the electrosurgical cuts and smoke concentrations, we built a customized computer-controlled platform. The smoke particles were analyzed with an electrical low pressure impactor (ELPI), which measures the concentration and aerodynamic size distribution of particles with a diameter between 7 nm and 10 μm. There were significant differences in the mass concentration and size distribution of the surgical smoke particles depending on the electrocauterized tissue. Of the various tissues tested, liver yielded the highest number of particles. In order to better estimate the health hazard, we propose that the tissues can be divided into three distinct classes according to their surgical smoke production: 1) high-PM tissue for liver; 2) medium-PM tissues for renal cortex, renal pelvis, and skeletal muscle; and 3) low-PM tissues for skin, gray matter, white matter, bronchus, and subcutaneous fat.

A compact olfactometer for IMS measurements and testing human perception

Production of easily controllable and measurable odor stimuli is needed when studying human olfaction, olfaction-related physiology and psychological reactions to odors. Controlled odor producing instruments are called olfactometers. For testing and calibrating new olfactometers or sensor arrays, a reliable input signal has to be produced to verify their accurate functionality. A common input signal in various olfactometers has been the use of volatile organic compounds (VOCs) in gaseous form. We present a compact olfactometer able to produce controlled continuous odor stimuli from three individual channels. For measuring the output gas flow, we used a ChemPro 100i (Environics, Finland) device that is based on aspiration ion mobility spectrometry (aIMS). IMS is a robust and sensitive method for measuring VOCs and is used especially in detecting toxic industrial chemicals and chemical warfare agents, but the technology is also suitable for other olfactory-related applications. The olfactometer was used to produce synthetic jasmine scent using three main odor components from jasmine oil and all the components were diluted using propylene glycol. The dilutions were supplied to the system using programmable syringe pumps, which guided the dilutions to individual evaporation units. We conducted experiments to verify the functionality of our olfactometer. Analysis of the ChemPro100i data showed that olfactometer can use different odor components to produce continuous, stable output flows with controlled concentrations.

In vitro detection of common rhinosinusitis bacteria by the eNose utilising differential mobility spectrometry

Acute rhinosinusitis (ARS) is a sudden, symptomatic inflammation of the nasal and paranasal mucosa. It is usually caused by respiratory virus infection, but bacteria complicate for a small number of ARS patients. The differential diagnostics between viral and bacterial pathogens is difficult and currently no rapid methodology exists, so antibiotics are overprescribed. The electronic nose (eNose) has shown the ability to detect diseases from gas mixtures. Differential mobility spectrometry (DMS) is a next-generation device that can separate ions based on their different mobility in high and low electric fields. Five common rhinosinusitis bacteria (Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus, and Pseudomonas aeruginosa) were analysed in vitro with DMS. Classification was done using linear discriminant analysis (LDA) and k-nearest neighbour (KNN). The results were validated using leave-one-out cross-validation and separate train and test sets. With the latter, 77% of the bacteria were classified correctly with LDA. The comparative figure with KNN was 79%. In one train-test set, P. aeruginosa was excluded and the four most common ARS bacteria were analysed with LDA and KNN; the correct classification rate was 83 and 85%, respectively. DMS has shown its potential in detecting rhinosinusitis bacteria in vitro. The applicability of DMS needs to be studied with rhinosinusitis patients.

Identification of breast tumors from diathermy smoke by differential ion mobility spectrometry

INTRODUCTION Breast cancer is the most frequent cancer in women worldwide. The primary treatment is breast-conserving surgery or mastectomy with an adequate clearance margin. Diathermy blade is used extensively in breast-conserving surgery. Surgical smoke produced as a side product has cancer-specific molecular features. Differential mobility spectrometry (DMS) is a rapid and affordable technology for analysis of complex gas mixtures. In our study we examined surgical smoke from malignant and benign breast tissue created with a diathermy blade using DMS. MATERIAL AND METHODS Punch biopsies of 4 mm diameter from breast cancer surgical specimens were taken during gross dissection of fresh surgical specimen and placed in a well plate. The measurement system is a custom-built device called automatic tissue analysis system (ATAS) based on a DMS sensor. Each specimen was incised with a diathermy blade and the surgical smoke was analyzed. RESULTS We examined 106 carcinoma samples from 21 malignant breast tumors. Benign samples (n = 198) included macroscopically normal mammary gland (n = 82), adipose tissue (n = 88) and vascular tissue (n = 28). The classification accuracy when comparing malignant samples to all benign samples was 87%. The sensitivity was 80% and the specificity was 90%. The classification accuracy of carcinomas to ductal and lobular was 94%, 47%, respectively. CONCLUSIONS Benign and malignant breast tissue can be identified with ATAS. These results lay foundation for intraoperative margin assessment with DMS from surgical smoke.

Tissue Identification in a Porcine Model by Differential Ion Mobility Spectrometry Analysis of Surgical Smoke

Electrosurgery is widely used in various surgical operations. When tissue is cut with high-frequency current, the cell contents at the incision area evaporate and together with water and possible soot particles, form surgical smoke. The smoke contains cell metabolites, and therefore, possible biomarkers for cancer or bacterial infection. Thus, the analysis of surgical smoke could be used in intraoperative medical diagnostics. We present a method that can be used to detect the characteristics of various tissue types by means of differential ion mobility spectrometry (DMS) analysis of surgical smoke. We used our method to test tissue identification with ten different porcine tissues. We classified the DMS responses with cross-validated linear discriminant analysis models. The classification accuracy in a measurement set with ten tissue types was 95%. The presented tissue identification by DMS analysis of surgical smoke is a proof-of-concept, which opens the possibility to research the method in diagnosing human tissues and diseases in the future.

Low-latency EMG Onset and Termination Detection for Facial Pacing

An adaptive method for reliable and fast detection of muscle activity from surface electromyographic (sEMG) signals is introduced. The aim of this research was to minimize the delay of the onset and termination detection, while still retaining the reliability and simplicity of the detection algorithm. The proposed algorithm is based on a double-threshold detector. The algorithm applies the same principles as a constant false alarm rate (CFAR) processor that is often used to distinguish events from noisy environments with dynamic noise characteristics. The algorithm was tested with different noise conditions and frequencies. For each condition, a set of 1000 computer-simulated EMG signals were processed multiple times with different processing parameters in order to find the optimal settings for reliable muscle activity detection. The results for the detection delays were comparable to previously published results, and for low-noise conditions the detection worked without errors. The performance of the algorithm was verified using real sEMG signals. Performance in termination detection that has often been neglected in prior studies, is also reported. The results show that the method could be applied in the targeted real-time application: facial pacing.

Design and simulation of a thermal flow sensor for gravity-driven microfluidic applications

Gravity-driven flow is an attractive approach to develop simpler microfluidic systems. Because clogged microchannels could easily lead to fatal operational failures, it is crucial to monitor flow rate in these systems. Therefore, we propose here for the first time a numerical model that combines a calorimetric flow sensor and a gravity-driven system. With the validated model, we studied the flow behavior in a gravity-driven system. Furthermore, we were able to improve the sensitivity of the measurement based on simulation results. This demonstrates, how the model could be used as an effective optimization tool in the gravity-driven system including calorimetric flow measurement.