Home Studying the extracellular contribution to the double wave vector diffusion-weighted signal
Article Open Access

Studying the extracellular contribution to the double wave vector diffusion-weighted signal

  • Patricia Ulloa EMAIL logo , Viktor Wottschel and Martin A. Koch EMAIL logo
Published/Copyright: September 12, 2015

Abstract

The use of two independent diffusion periods between excitation and acquisition, known as double wave vector (DWV) diffusion-weighting or double diffusion encoding, was proven to yield structural information that it is otherwise not easily available in vivo. Comparing the signal difference between relative diffusion gradient orientations, the antiparallel-parallel and the parallel-perpendicular differences yield information on pore size and shape, respectively. However, results in vivo provided larger pore sizes than expected for axons in the corticospinal tract. This study exploits DWV sensitivity to pore shape and aims to obtain information on the extracellular contributions to the DWV pore size results presented here. The in vivo DWV experiments resulted in a positive parallel-perpendicular difference which is consistent with an irregularly shaped pore dominating the origin of the signal.

1 Introduction

Double diffusion encoding, also known as double wave vector (DWV) or double-pulsed field-gradient spin-echo (d-PFG), is an extension of conventional diffusion-weighted magnetic resonance imaging (MRI). Here, two pairs of diffusion gradients are applied between excitation and acquisition, separated by a mixing time fi m (see Figure 1). Using this technique, it is possible to acquire micro-structure information [1], such as size and shape of pores, for which no other non-invasive technique exists.

Figure 1 Pulse sequence used for DWV experiments. Spin-echo echo planar imaging with double diffusion encoding (not scaled, z: slice selection, x: readout, y: phase encode direction, spir: spectral presaturation with inversion recovery), crusher gradients in grey. All diffusion gradients (G1 and G2) have equal duration and amplitude, trapezoidal in shape with constant part duration of δ (total duration of the gradient pulse is δ + tr, which is the minimum duration for τm). The diffusion gradients shown correspond to an experiment with θ = 0 (parallel).
Figure 1

Pulse sequence used for DWV experiments. Spin-echo echo planar imaging with double diffusion encoding (not scaled, z: slice selection, x: readout, y: phase encode direction, spir: spectral presaturation with inversion recovery), crusher gradients in grey. All diffusion gradients (G1 and G2) have equal duration and amplitude, trapezoidal in shape with constant part duration of δ (total duration of the gradient pulse is δ + tr, which is the minimum duration for τm). The diffusion gradients shown correspond to an experiment with θ = 0 (parallel).

Previous experiments have estimated the cell (or pore) size using the signal difference between antiparallel and parallel diffusion gradient orientation in vivo [2]. However, these results, which assumed cylindrical pore shape, reported pore size estimates well above the size expected in axons in the corticospinal tract (CST). This discrepancy could be explained by a contribution of the extracellular space to the pore size estimate, which can be considerably larger than the intra-axonal compartment.

Measurement of the signal difference between parallel and perpendicular gradient orientations may gather further information about the pore shape [35]. In this paper, the DWV’s unique sensitivity to pore shape is used to acquire information on the contribution of the extracellular space to the DWV signal and hence also the pore size results.

2 Theory

A perpendicular cross section through densely packed circular cylinders consists of circles, whereas the space between the cylinders resembles an equilateral triangle (Figure 2 A and B). In this particular case we observe a high degree of symmetry of the compartments. Simulations have shown that such an arrangement will not induce a signal difference between parallel and perpendicular gradient orientations in DWV experiments [6]. However, when the cylinders are different in size and not too densely packed, the cross section contains circular pores and the space between the cylinders is irregularly shaped (Figure 2 C). This irregularity can be detected by DWV experiments comparing parallel and perpendicular diffusion gradient directions. Since the space inside the cylinders is regular, the contribution arising from the pores with circular cross section will not exhibit a parallel-perpendicular signal difference in a DWV experiment. Hence, it can be assumed that the parallel-perpendicular signal difference yields information about the shape of the extracellular compartments dominating the DWV pore size estimate in the CST.

Figure 2 A) Packed circular cylinders, B) cross section of A, C) possible cross section with looser packing, D) tilted circular cylinders and E) cross section of D and of ellipse-based cylinders.
Figure 2

A) Packed circular cylinders, B) cross section of A, C) possible cross section with looser packing, D) tilted circular cylinders and E) cross section of D and of ellipse-based cylinders.

The difference between parallel and perpendicular gradient orientations arises from the following reasoning.

In a voxel containing identical eccentric 2 D pores perpendicular to each other, the signal attenuation E = S/S0 for parallel and perpendicular gradient orientation is in general not equal

(1)E=ebD1ebD1+ebD2ebD2E=ebD1ebD2+ebD2ebD1,

where D1 and D2 are the effective diffusion coefficients along the two perpendicular diffusion gradient directions involved and b = y2G2δ2(Δδ/3). Eq. 1 is the basis for eccentricity estimation in DWV experiments.

However, in measurements of the CST, the plane containing the diffusion gradients is not perfectly perpendicular to the fibres. In this case, the cross section of a circular cylinder will be represented as a ellipse (Figure 2 D and E). This eccentric shape also leads to differences between parallel and perpendicular gradient direction in the DWV signal [7]. Nevertheless, the difference arising from this situation can be removed by specific averaging of the signal for different gradient vectors. In a scenario where a voxel contains only a single orientation of eccentric 2 D pores,

(2)E=ebD1ebD1ebD1ebD2=E

can occur. Rotating all gradients by π/2 will then yield

(3)E=ebD2ebD2ebD2ebD1=E.

Calculating the geometric mean of the signals given in equations (2) and (3), the signal difference between parallel and perpendicular gradient orientations should vanish. This reasoning would apply for both elliptic and tilted circular cylinders. If the difference remains, however, it can be inferred that the signal arises from either eccentric cylinders with more than one orientation or circular cylinders with more than one direction of inclination. Considering the homogeneous structure of the CST, different inclinations in a single voxel are unlikely. It can thus be concluded that the space dominating the signal is irregularly shaped. This would point to the extracellular space as the origin of the DWV signal.

3 Methods

Double wave vector experiments were performed on seven healthy volunteers, with no known history of neurological disease. Written informed consent was given prior to the scan. Experiments were performed with a clinical whole body system operating at 3 T magnetic field strength (Ingenia, Philips, Amsterdam), using an 8-channel head coil array (receive only). An in-house implementation of a spin-echo echo planar imaging (EPI) sequence that incorporates two diffusion encoding periods was used (Figure 1). Both refocusing pulses were slice selective and crusher gradients were positioned immediately before and after the refocusing pulses.

Diffusion gradients were applied in the transversal plane (xy) perpendicular to the subjects’ body axes (z) such that the x and y components are equal. Thus, sixteen diffusion gradient directions were used as shown in Figure 3.

Figure 3 Scheme of diffusion gradient directions in the xy plane. Sixteen different diffusion gradient orientations were used, where G(1) (bold line) is fixed and G(2) (dashed line) is rotated about an angle θ.
Figure 3

Scheme of diffusion gradient directions in the xy plane. Sixteen different diffusion gradient orientations were used, where G(1) (bold line) is fixed and G(2) (dashed line) is rotated about an angle θ.

Twenty transversal slices of 3 mm thickness were acquired using 3 x 3 mm2 nominal in-plane resolution, fat suppression using Spectral Presaturation with Inversion Recovery (SPIR), repetition time TR = 4.4 s for the first volunteer and TR = 6.5 s for the other six, echo time TE = 180 ms for the first six volunteers and TE = 200 ms on volunteer number 7 to allow variation of mixing time. Gradient duration = 10 ms, gradient amplitudes G = 44 mT m−1, diffusion time Δ = 62 ms, gradient rise time tr = 900 µs, mixing time τm = δ + tr for all seven volunteers, corresponding to a total diffusion weighting of b = 2 x 812 s mm−2 and 15 repetitions. An extra experiment was performed on volunteer number 7 using τm = δr+15 ms, so that a decrease of the modulation amplitude is expected.

In addition, T1-weighted and diffusion tensor images (b = 800 s mm−2 and 32 gradient directions) were acquired for radiology control and fibre direction estimation, respectively. The acquisition time for the DWV experiment measurement was approximately 30 min, total measurement was not longer than 2 hours.

The pore sizes were calculated using the mean squared radius of gyration 〈R2

(4)R2est=32S(q,π)S(q,0)q2S0,

which allows comparison of in vivo results with [2]. For a region-of-interest (ROI) analysis both left and right corticospinal tracts (CST) were delineated manually from a thresholded diffusion-weighted image.

The images were realigned to the first non-diffusion weighted image (b = 0 s mm−2) to correct for subject motion, using the Diffusion toolbox extension (http://sourceforge.net/projects/spmtools) for SPM8 in Matlab R2012b (The MathWorks, Inc., Natick, Massachusetts), and then averaged over all repetitions and directions independently. First, the geometric mean is calculated over equivalent gradient orientations (θ = 0, π/2, π and 3π/2) separately. Then, the difference between parallel and perpendicular gradient orientation is given by

(5)S(q,0)S(q,π/2)=(S(q,0)+S(q,π))¯(S(q,π/2)+S(q,3π/2))¯¯2

4 Results

After calculating the geometric mean over the four different orientations of the gradient vectors in the laboratory system (i.e. over a column in Figure 3), signal intensities from parallel orientations are significantly larger than those from perpendicular ones (p < 0.05, Wilcoxon signed-rank test). The differences between parallel and perpendicular diffusion gradient orientations yielded positive results ((S(q, 0) − S(q, π/2)) > 0) in the ROI covering both CSTs. Figure 4 shows a coloured map of this difference in volunteer no. 2. Table 1 shows the mean difference between parallel and perpendicular gradient orientations for all seven volunteers.

Figure 4 Colour-coded map of the signal difference between parallel and perpendicular gradient orientations for subject no. 2 (values normalized by the non-diffusion weighted scan and overlaid on T1-weighted image).
Figure 4

Colour-coded map of the signal difference between parallel and perpendicular gradient orientations for subject no. 2 (values normalized by the non-diffusion weighted scan and overlaid on T1-weighted image).

Table 1

Parallel-perpendicular signal attenuation difference for all volunteers. Mean over the ROIs covering both CSTs ± standard deviation in the same region. Experiment using TE = 200 ms for volunteer 7.

SubjectParallel - perpendicular
10.0403 ± 0.013
20.0469 ± 0.020
30.0371 ± 0.013
40.0474 ±0.017
50.0466 ±0.016
60.0403 ± 0.013
(7)0.0427 ±0.021
mean0.0430 ±0.016

Experiment on volunteer no. 7, where a longer τm = 25.9 ms was used did not a show significant difference with the acquisition at short τm = 10.9 ms (p < 0.05, Wilcoxon rank-sum test)

The mean 〈R2est derived from the antiparallel-parallel signal difference in vivo was (4.11 ± 14.5 %)µm2, which corresponds to an average pore diameter of 2rav ≈ 5.23 µm for ellipsoidal pores. These results are in the same order of magnitude as in previous published results [2].

5 Discussion and conclusion

Here, we proposed the geometric mean between four different gradient vectors in the laboratory coordinate system as a method to obtain the signal difference between parallel and perpendicular gradient orientations in a DVW experiment. We obtained consistent results in seven volunteers showing that this signal difference bears information on the shape of the extracellular compartments dominating the DWV pore size estimate in the CST.

In one volunteer, two experiments using different mixing times have been performed. The difference between parallal and antiparallel orientations should vanish for long τm if it is due to restriction effects. Here, no signifi-cant difference was found between short τm and long τm acquisition. However, this may be explained by the chosen mixing time, that might be not long enough to detect a difference between experiments.

In conclusion, it has been shown that the difference between parallel and perpendicular DWV diffusion-weighted signals yields positive results in vivo in the CST. This can be attributed to an irregularly shaped compartment contributing considerably to the DWV diffusion-weighted signal.

This new technique may become very helpful in the field of neuroscience. Investigating subtle changes in the pore size and shape in white matter, the characterization of brain development and disease would be improved.

Acknowledgment

P.U. was supported by the Graduate School for Computing in Medicine and Life Sciences funded by Germany’s Excellence Initiative [DFG GSC 235/1].

Funding

German Research Foundation, grant KO3389/2-1.

Author's Statement

  1. Conflict of interest: Authors state no conflict of interest. Material and Methods: Informed consent: Informed consent has been obtained from all individuals included in this study. Ethical approval: The research related to human use has been complied with all the relevant national regulations, institutional policies and in accordance the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

References

[1] Mitra PP. Multiple wavevector extensions of the NMR pulsed field gradient spinecho diffusion measurement. Phys Rev B 1995; 51:15074-15078.10.1103/PhysRevB.51.15074Search in Google Scholar

[2] Koch MA, Finsterbusch J. Towards compartment size estimation in vivo based on double wave vector diffusion weighting. NMR Biomed 2011; 24: 422-143210.1002/nbm.1711Search in Google Scholar PubMed

[3] Callaghan PT, Komlosh ME. Locally anisotropic motion in a macroscopically isotropic system: displacement correlations measured using double pulsed gradient spinecho NMR. Magn Reson Chem 2002; 40:15-1910.1002/mrc.1122Search in Google Scholar

[4] Özarslan E. Compartment shape anisotropy (CSA) revealed by double pulsed field gradient MR. J Magn Reson 2009; 199: 56-67.10.1016/j.jmr.2009.04.002Search in Google Scholar PubMed PubMed Central

[5] Shemesh N, Adiri T, Cohen Y. Probing microscopic architecture of opaque heterogeneous systems using double-pulsed-field-gradient NMR. J Am Chem Soc 2011; 133: 6028-603510.1021/ja200303hSearch in Google Scholar PubMed

[6] Kreutzburg L. Numerical investigation of double wave vector diffusion-weighting experiments on the pyramidal tracts. Master’s Thesis, Universität zu Lübeck. 2012.Search in Google Scholar

[7] Özarslan E., Basser PJ. Microscopic anisotropy revealed by NMR double pulsed field gradient experiments with arbitrary timing parameters. J Chem Phys 2008; 128: 15451110.1063/1.2905765Search in Google Scholar PubMed PubMed Central

Published Online: 2015-9-12
Published in Print: 2015-9-1

© 2015 by Walter de Gruyter GmbH, Berlin/Boston

This article is distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Articles in the same Issue

  1. Research Article
  2. Development and characterization of superparamagnetic coatings
  3. Research Article
  4. The development of an experimental setup to measure acousto-electric interaction signal
  5. Research Article
  6. Stability analysis of ferrofluids
  7. Research Article
  8. Investigation of endothelial growth using a sensors-integrated microfluidic system to simulate physiological barriers
  9. Research Article
  10. Energy harvesting for active implants: powering a ruminal pH-monitoring system
  11. Research Article
  12. New type of fluxgate magnetometer for the heart’s magnetic fields detection
  13. Research Article
  14. Field mapping of ballistic pressure pulse sources
  15. Research Article
  16. Development of a new homecare sleep monitor using body sounds and motion tracking
  17. Research Article
  18. Noise properties of textile, capacitive EEG electrodes
  19. Research Article
  20. Detecting phase singularities and rotor center trajectories based on the Hilbert transform of intraatrial electrograms in an atrial voxel model
  21. Research Article
  22. Spike sorting: the overlapping spikes challenge
  23. Research Article
  24. Separating the effect of respiration from the heart rate variability for cases of constant harmonic breathing
  25. Research Article
  26. Locating regions of arrhythmogenic substrate by analyzing the duration of triggered atrial activities
  27. Research Article
  28. Combining different ECG derived respiration tracking methods to create an optimal reconstruction of the breathing pattern
  29. Research Article
  30. Atrial and ventricular signal averaging electrocardiography in pacemaker and cardiac resynchronization therapy
  31. Research Article
  32. Estimation of a respiratory signal from a single-lead ECG using the 4th order central moments
  33. Research Article
  34. Compressed sensing of multi-lead ECG signals by compressive multiplexing
  35. Research Article
  36. Heart rate monitoring in ultra-high-field MRI using frequency information obtained from video signals of the human skin compared to electrocardiography and pulse oximetry
  37. Research Article
  38. Synchronization in wireless biomedical-sensor networks with Bluetooth Low Energy
  39. Research Article
  40. Automated classification of stages of anaesthesia by populations of evolutionary optimized fuzzy rules
  41. Research Article
  42. Effects of sampling rate on automated fatigue recognition in surface EMG signals
  43. Research Article
  44. Closed-loop transcranial alternating current stimulation of slow oscillations
  45. Research Article
  46. Cardiac index in atrio- and interventricular delay optimized cardiac resynchronization therapy and cardiac contractility modulation
  47. Research Article
  48. The role of expert evaluation for microsleep detection
  49. Research Article
  50. The impact of baseline wander removal techniques on the ST segment in simulated ischemic 12-lead ECGs
  51. Research Article
  52. Metal artifact reduction by projection replacements and non-local prior image integration
  53. Research Article
  54. A novel coaxial nozzle for in-process adjustment of electrospun scaffolds’ fiber diameter
  55. Research Article
  56. Processing of membranes for oxygenation using the Bellhouse-effect
  57. Research Article
  58. Inkjet printing of viable human dental follicle stem cells
  59. Research Article
  60. The use of an icebindingprotein out of the snowflea Hypogastrura harveyi as a cryoprotectant in the cryopreservation of mesenchymal stem cells
  61. Research Article
  62. New NIR spectroscopy based method to determine ischemia in vivo in liver – a first study on rats
  63. Research Article
  64. QRS and QT ventricular conduction times and permanent pacemaker therapy after transcatheter aortic valve implantation
  65. Research Article
  66. Adopting oculopressure tonometry as a transient in vivo rabbit glaucoma model
  67. Research Article
  68. Next-generation vision testing: the quick CSF
  69. Research Article
  70. Improving tactile sensation in laparoscopic surgery by overcoming size restrictions
  71. Research Article
  72. Design and control of a 3-DOF hydraulic driven surgical instrument
  73. Research Article
  74. Evaluation of endourological tools to improve the diagnosis and therapy of ureteral tumors – from model development to clinical application
  75. Research Article
  76. Frequency based assessment of surgical activities
  77. Research Article
  78. “Hands free for intervention”, a new approach for transoral endoscopic surgery
  79. Research Article
  80. Pseudo-haptic feedback in medical teleoperation
  81. Research Article
  82. Feasibility of interactive gesture control of a robotic microscope
  83. Research Article
  84. Towards structuring contextual information for workflow-driven surgical assistance functionalities
  85. Research Article
  86. Towards a framework for standardized semantic workflow modeling and management in the surgical domain
  87. Research Article
  88. Closed-loop approach for situation awareness of medical devices and operating room infrastructure
  89. Research Article
  90. Kinect based physiotherapy system for home use
  91. Research Article
  92. Evaluating the microsoft kinect skeleton joint tracking as a tool for home-based physiotherapy
  93. Research Article
  94. Integrating multimodal information for intraoperative assistance in neurosurgery
  95. Research Article
  96. Respiratory motion tracking using Microsoft’s Kinect v2 camera
  97. Research Article
  98. Using smart glasses for ultrasound diagnostics
  99. Research Article
  100. Measurement of needle susceptibility artifacts in magnetic resonance images
  101. Research Article
  102. Dimensionality reduction of medical image descriptors for multimodal image registration
  103. Research Article
  104. Experimental evaluation of different weighting schemes in magnetic particle imaging reconstruction
  105. Research Article
  106. Evaluation of CT capability for the detection of thin bone structures
  107. Research Article
  108. Towards contactless optical coherence elastography with acoustic tissue excitation
  109. Research Article
  110. Development and implementation of algorithms for automatic and robust measurement of the 2D:4D digit ratio using image data
  111. Research Article
  112. Automated high-throughput analysis of B cell spreading on immobilized antibodies with whole slide imaging
  113. Research Article
  114. Tissue segmentation from head MRI: a ground truth validation for feature-enhanced tracking
  115. Research Article
  116. Video tracking of swimming rodents on a reflective water surface
  117. Research Article
  118. MR imaging of model drug distribution in simulated vitreous
  119. Research Article
  120. Studying the extracellular contribution to the double wave vector diffusion-weighted signal
  121. Research Article
  122. Artifacts in field free line magnetic particle imaging in the presence of inhomogeneous and nonlinear magnetic fields
  123. Research Article
  124. Introducing a frequency-tunable magnetic particle spectrometer
  125. Research Article
  126. Imaging of aortic valve dynamics in 4D OCT
  127. Research Article
  128. Intravascular optical coherence tomography (OCT) as an additional tool for the assessment of stent structures
  129. Research Article
  130. Simple concept for a wide-field lensless digital holographic microscope using a laser diode
  131. Research Article
  132. Intraoperative identification of somato-sensory brain areas using optical imaging and standard RGB camera equipment – a feasibility study
  133. Research Article
  134. Respiratory surface motion measurement by Microsoft Kinect
  135. Research Article
  136. Improving image quality in EIT imaging by measurement of thorax excursion
  137. Research Article
  138. A clustering based dual model framework for EIT imaging: first experimental results
  139. Research Article
  140. Three-dimensional anisotropic regularization for limited angle tomography
  141. Research Article
  142. GPU-based real-time generation of large ultrasound volumes from freehand 3D sweeps
  143. Research Article
  144. Experimental computer tomograph
  145. Research Article
  146. US-tracked steered FUS in a respiratory ex vivo ovine liver phantom
  147. Research Article
  148. Contribution of brownian rotation and particle assembly polarisation to the particle response in magnetic particle spectrometry
  149. Research Article
  150. Preliminary investigations of magnetic modulated nanoparticles for microwave breast cancer detection
  151. Research Article
  152. Construction of a device for magnetic separation of superparamagnetic iron oxide nanoparticles
  153. Research Article
  154. An IHE-conform telecooperation platform supporting the treatment of dementia patients
  155. Research Article
  156. Automated respiratory therapy system based on the ARDSNet protocol with systemic perfusion control
  157. Research Article
  158. Identification of surgical instruments using UHF-RFID technology
  159. Research Article
  160. A generic concept for the development of model-guided clinical decision support systems
  161. Research Article
  162. Evaluation of local alterations in femoral bone mineral density measured via quantitative CT
  163. Research Article
  164. Creating 3D gelatin phantoms for experimental evaluation in biomedicine
  165. Research Article
  166. Influence of short-term fixation with mixed formalin or ethanol solution on the mechanical properties of human cortical bone
  167. Research Article
  168. Analysis of the release kinetics of surface-bound proteins via laser-induced fluorescence
  169. Research Article
  170. Tomographic particle image velocimetry of a water-jet for low volume harvesting of fat tissue for regenerative medicine
  171. Research Article
  172. Wireless medical sensors – context, robustness and safety
  173. Research Article
  174. Sequences for real-time magnetic particle imaging
  175. Research Article
  176. Speckle-based off-axis holographic detection for non-contact photoacoustic tomography
  177. Research Article
  178. A machine learning approach for planning valve-sparing aortic root reconstruction
  179. Research Article
  180. An in-ear pulse wave velocity measurement system using heart sounds as time reference
  181. Research Article
  182. Measuring different oxygenation levels in a blood perfusion model simulating the human head using NIRS
  183. Research Article
  184. Multisegmental fusion of the lumbar spine a curse or a blessing?
  185. Research Article
  186. Numerical analysis of the biomechanical complications accompanying the total hip replacement with NANOS-Prosthetic: bone remodelling and prosthesis migration
  187. Research Article
  188. A muscle model for hybrid muscle activation
  189. Research Article
  190. Mathematical, numerical and in-vitro investigation of cooling performance of an intra-carotid catheter for selective brain hypothermia
  191. Research Article
  192. An ideally parameterized unscented Kalman filter for the inverse problem of electrocardiography
  193. Research Article
  194. Interactive visualization of cardiac anatomy and atrial excitation for medical diagnosis and research
  195. Research Article
  196. Virtualizing clinical cases of atrial flutter in a fast marching simulation including conduction velocity and ablation scars
  197. Research Article
  198. Mesh structure-independent modeling of patient-specific atrial fiber orientation
  199. Research Article
  200. Accelerating mono-domain cardiac electrophysiology simulations using OpenCL
  201. Research Article
  202. Understanding the cellular mode of action of vernakalant using a computational model: answers and new questions
  203. Research Article
  204. A java based simulator with user interface to simulate ventilated patients
  205. Research Article
  206. Evaluation of an algorithm to choose between competing models of respiratory mechanics
  207. Research Article
  208. Numerical simulation of low-pulsation gerotor pumps for use in the pharmaceutical industry and in biomedicine
  209. Research Article
  210. Numerical and experimental flow analysis in centifluidic systems for rapid allergy screening tests
  211. Research Article
  212. Biomechanical parameter determination of scaffold-free cartilage constructs (SFCCs) with the hyperelastic material models Yeoh, Ogden and Demiray
  213. Research Article
  214. FPGA controlled artificial vascular system
  215. Research Article
  216. Simulation based investigation of source-detector configurations for non-invasive fetal pulse oximetry
  217. Research Article
  218. Test setup for characterizing the efficacy of embolic protection devices
  219. Research Article
  220. Impact of electrode geometry on force generation during functional electrical stimulation
  221. Research Article
  222. 3D-based visual physical activity assessment of children
  223. Research Article
  224. Realtime assessment of foot orientation by Accelerometers and Gyroscopes
  225. Research Article
  226. Image based reconstruction for cystoscopy
  227. Research Article
  228. Image guided surgery innovation with graduate students - a new lecture format
  229. Research Article
  230. Multichannel FES parameterization for controlling foot motion in paretic gait
  231. Research Article
  232. Smartphone supported upper limb prosthesis
  233. Research Article
  234. Use of quantitative tremor evaluation to enhance target selection during deep brain stimulation surgery for essential tremor
  235. Research Article
  236. Evaluation of adhesion promoters for Parylene C on gold metallization
  237. Research Article
  238. The influence of metallic ions from CoCr28Mo6 on the osteogenic differentiation and cytokine release of human osteoblasts
  239. Research Article
  240. Increasing the visibility of thin NITINOL vascular implants
  241. Research Article
  242. Possible reasons for early artificial bone failure in biomechanical tests of ankle arthrodesis systems
  243. Research Article
  244. Development of a bending test procedure for the characterization of flexible ECoG electrode arrays
  245. Research Article
  246. Tubular manipulators: a new concept for intracochlear positioning of an auditory prosthesis
  247. Research Article
  248. Investigation of the dynamic diameter deformation of vascular stents during fatigue testing with radial loading
  249. Research Article
  250. Electrospun vascular grafts with anti-kinking properties
  251. Research Article
  252. Integration of temperature sensors in polyimide-based thin-film electrode arrays
  253. Research Article
  254. Use cases and usability challenges for head-mounted displays in healthcare
  255. Research Article
  256. Device- and service profiles for integrated or systems based on open standards
  257. Research Article
  258. Risk management for medical devices in research projects
  259. Research Article
  260. Simulation of varying femoral attachment sites of medial patellofemoral ligament using a musculoskeletal multi-body model
  261. Research Article
  262. Does enhancing consciousness for strategic planning processes support the effectiveness of problem-based learning concepts in biomedical education?
  263. Research Article
  264. SPIO processing in macrophages for MPI: The breast cancer MPI-SNLB-concept
  265. Research Article
  266. Numerical simulations of airflow in the human pharynx of OSAHS patients
Downloaded on 16.9.2025 from https://www.degruyterbrill.com/document/doi/10.1515/cdbme-2015-0060/html
Scroll to top button