Estimation of bladder wall location in ultrasound images

A method of automatically estimating the location of the bladder wall in ultrasound images is proposed. Obtaining this estimate is intended to be the first stage in the development of an automatic bladder volume calculation system. The first step in the bladder wall estimation scheme involves globally processing the images using standard image processing techniques to highlight the bladder wall. Separate processing sequences are required to highlight the anterior bladder wall and the posterior bladder wall. The sequence to highlight the anterior bladder wall involves Gaussian smoothing and second differencing followed by zero-crossing detection. Median filtering followed by thresholding and gradient detection is used to highlight as much of the rest of the bladder wall as was visible in the original images. Then a ‘bladder wall follower’—a line follower with rules based on the characteristics of ultrasound imaging and the anatomy involved—is applied to the processed images to estimate the bladder wall location by following the portions of the bladder wall which are highlighted and filling in the missing segments. The results achieved using this scheme are presented.     

Design and evaluation of an ultrasound-based bladder volume monitor

Ultrasonic bladder volume monitors have successfully been used in the diagnosis and treatment of various urological disorders. Ultrasonic bladder monitors have been developed but they have either been too bulky or too simple and inaccurate. A new, wearable ultrasonic bladder volume monitor has been designed for urological patients. The instrument consists of seven phased-array ultrasonic transducers ergonomically arranged in a circular pattern to optimise detection of the bladder walls perpendicular to the abdominal wall. A Bluetooth radio link was used to transmit data to a laptop computer, where the main signal processing was performed. After detection of bladder surface points, a three-dimensional convex hull representing the bladder was generated, and the volume was estimated. Accuracy, precision, drift over time, temperature dependency and dynamic performance were evaluated using ultrasound phantoms. Furthermore, the system was tested on one volunteer using magnetic resonance imaging (MRI) as reference. The apparatus showed no significant drift, systematic error or temperature effects. Percentage error during static volume measurements had a 95% central prediction interval of ±7.5% and mean absolute percentage error of 2.9%. The dynamic performance analysis showed linearity in the analysed volume interval. The in vivo study showed a high degree of correlation (R²=0.99) between the volume measured using MRI and that measured with the apparatus.     

Resistive properties of the epithelial membranes of the urinary bladder of the toad,Bufo marinus,determined using the fluorescent dye,RH160

A technique is described for quantitative epifluorescence studies of the apical membrane of the epithelial cells of the urinary bladder of the toad, Bufo marinus, using the lipid-soluble dye, RH160. When the urinary bladder is appropriately mounted, fluorescence signals, in response to a transepithelial voltage pulse, can be recorded from the epithelium immediately after the addition of the dye to the mucosal bath, and for some hours subsequently. The optical signal, recorded as the change in fluorescence in response to a transepithelial voltage pulse, as a fraction of resting fluorescence, was found to be a linear function of the applied voltage over the range ±200 mV, and was approximately 3% for a 100 mV change in transepithelial potential. The signal was enhanced by amiloride (10 μmol · 1⁻¹), reduced by bretylium (5 mmol · 1⁻¹) and abolished in the presence of nystatin (730 U · ml⁻¹). Calculations based on these data permitted estimation of the fractional resistance of the apical membrane, which was found to be 0.85 under control conditions. Apical membrane resistance was 8.6 kΩ · μF, and the basolateral membrane resistance was 1.5 kΩ · μF. These findings support the conclusion that the apical membrane of toad urinary bladder epithelial cells is of high resistance, thus resembling other sodium-transporting epithelia.     

High-pass filtering of the electrogastrogram

The recording and processing of an electrogastrogram require adequate bandpass filtering, to suppress unwanted artefacts but preserve the original signal waveform. High-pass filtering of various types of different time constants τ, filter order, analogue and digital implementation, have been used to obtain higher baseline stability and faster signal recovery after strong artefacts. Special attention should be given to possible signal amplitude and phase distortions due to high-pass filtering, which can strongly influence accurate amplitude measurements or studies of signal propagation from multichannel recordings. Synthesised and original signals are used to demonstrate the effect of high-pass filtering. The use of a first-order filter with τ=5 s is recommended for EGG studies if not especially directed to investigation of bradygastria. In the opposite case, τ=15 s should be used, and with backward filtering a full restoration of the original signal can be obtained. The same is valid for recording the electrical activity of the colon. Lower time constants (τ=5 s or less) can be applied to acquire signals from the small intestines. A radical solution is the use of a DC amplifier with controllable subtraction of the DC component.     

Bladder cooling reflex and external urethral sphincter activity in the anesthetized and awake guinea pig

A spinal bladder cooling reflex, triggered by cold receptors of transient receptor potential melastatin type in the bladder wall, has been identified in several mammals, including man. This reflex and its influence on the external urethral sphincter were further characterized in the urethane anesthetized and awake guinea pigs. A total of 214 bladder infusions were performed in the 12 animals. Compared to controls, cold fluid induced a significant decrease in the threshold volume for reflex bladder contractions (median 82%, p < 0.01). Menthol induced a further decrease (median 50%), signifying a bladder cooling reflex. Detrusor–sphincter activities were dyssynergic during voidings triggered by cold or menthol infusions but were coordinated during control infusions. The bladder cooling reflex was suppressed and the sphincter activity synergic following cold infusions in the awake state. Thus, the bladder cooling reflex is under the active descending inhibitory control in intact, awake animals.     

Passive properties of the urinary bladder in the collection phase

A model is presented that describes the passive properties of the urinary bladder in the collection phase. A black-box approach is used. The system under investigation, which is defined in terms of a pressure-volume relationship, is divided into four subsystems or blocks, namely two geometry blocks, a block describing the time-dependent properties of the bladder wall, and a block describing its length-dependent properties. Models have been developed and tested for each block separately. With regard to geometry, the bladder is described as a thick-walled sphere of constant tissue volume. The time-dependence of the properties of the wall can be explained using a visco-elastic model, and the length dependence of the wall properties is shown to yield elastic moduli which depend biexponentially on strain. Estimates of the value of the parameters involved were obtained from experiments on strips of urinary bladder, obtained from the local slaughterhouse. Combination of the blocks yielded an overall model of the passive properties of the urinary bladder in the collection phase. The model contains 14 parameters. The classical way of investigating the urinary bladder, by filling it slowly and measuring the pressure produced, yields a pseudostatic pressure-volume relationship called a cystometrogram. The model predicts the form of the cystometrogram accurately. However, analysis of a classical cystometrogram enables us to determine only three parameters of our model. A better measurement method is based on stepwise (or almost stepwise) straining of the urinary bladder. One stepwise straining yields eight parameters, provided the initial volume of the bladder is known, and several measurements on one bladder at different strains enable us to determine ten parameters. The results obtained with stepwise straining are compatible with the model.     

Modulation of acute visceral nociception and bladder inflammation by plant triterpene, α, β-amyrin in a mouse model of cystitis: role of tachykinin NK<Subscript>1</Subscript>-receptors,and K<Superscript>+</Superscript><Subscript>ATP</Subscript> channels

Objective and design: We previously described the visceral antinociceptive property of α, β-amyrin in a mouse model of cystitis induced by cyclophosphamide (CPM). This study examined the contribution of vanilloid-1 (TRPV1), peripheral NK1 receptors to CPM-evoked nociceptive behaviors and bladder edema, and its possible modulation by α, β-amyrin. Methods: The effect of α, β-amyrin (10, 30, and 100 mg/kg, p. o.) and N-acetylcysteine (NAC) on CPM (400 mg/kg, i. p.)-induced cystitis was studied in mice. Sensory deafferentation was done by a high dose capsaicin. The parameters analysed were: CPM-evoked noxious behaviors, bladder edema, vascular permeability, and NK₁ immunoreactivity. To assess the role of K⁺ _ATP channels in α, β-amyrin effect, animals were pretreated with glibenclamide. Results: α, β-amyrin (30 and 100 mg/kg) and NAC significantly (p < 0.01) suppressed the visceral pain-related behaviors and NK₁ immunoreactivity, but bladder edema was reduced weakly. Glibenclamide reversed the effects of α, β-amyrin. Sensory deafferentation by capsaicin significantly reduced the nociceptive responses and the NK₁ immunoreactivity to noxious stimulation by CPM. Conclusions: α, β-amyrin attenuates CPM-induced visceral pain and bladder edema by mechanisms that involve, at least in part, a block either of Substance P release or its receptor function, and partly by opening K⁺ _ATP channels. Received 13 February 2007; returned for revision 13 April 2007; accepted by G. Geisslinger 14 May 2007     

Analysis of eyes open, eye closed EEG signals using second-order difference plot

An assistive technology developed for “hands free” control of electrical devices to be used by severely impaired people within their environment, relies upon using signal processing techniques for analyzing eyes closed (EC) and eyes open (EO) states in the electroencephalography (EEG) signal. Here, we apply a signal processing technique used in continuous chaotic modeling to investigate differences in the EEG time series between EC and EO states. This method is used to detect the degree of variability from a second-order difference plot, and quantifying this using a central tendency measures. The study used EEG time series of EO and EC states from 33 able-bodied and 17 spinal cord injured participants. The results found an increased EEG variability in brain activity during EC compared to EO. This increased EEG variability occurred in the O2 electrode, which overlays the primary visual cortex V1, and could be a result of the replacement of the coherent information obtained during EO by noise. A continuous measure of the variability was then used to demonstrate that this technique has the potential to be used as a switching mechanism for assistive technologies.     

Expression of Robo protein in bladder cancer tissues and its effect on the growth of cancer cells by blocking Robo protein

This study aimed to detect the expression of Slit signaling protein ligand Robo protein in human bladder cancer and para-carcinoma tissue, and observe the tumor cell survival and growth by inoculating the bladder cancer cells with the blocked signaling protein into the subcutaneous tissue of nude mice. The expression of Robo protein was detected in T24 cells in human bladder uroepithelium carcinoma and cultivated human bladder uroepithelium carcinoma confirmed by pathological diagnosis. The cultivated T24 cells were coated by the protein antibody and human bladder uroepithelium carcinoma T24 tumor-bearing mice model was established. The tumor cell survival and growth were observed in the antibody coating group and non-coating group. The tumor body size was measured. The immunohistochemical detection showed that Robo protein isoforms Robo1 and Robo 4 were expressed in T24 cells of cancer tissues, paracarcinoma tissues and cultured human uroepithelium carcinoma. The expression of Robo1 was significantly higher than that of Robo4 (P<0.05). The cancer cells could be detected in nodular tumor of mice in each group. The volume of the tumor-bearing mice in the nodular tumor of the non-coating group was larger than that of anti-Robol antibody coating group and the difference was statistically significant (P<0.01). There was no significant difference in tumor volume between anti-Robo4 antibody coating group and non-coating group (P>0.05); The difference was statistically significant compared with the anti-Robo1 antibody coating group (P<0.01). In conclusion, Robo protein isoforms Robo1 and Robo4 were expressed in human bladder cancer T24 cells. To block Robo4 signal protein had little effect on the survival and growth of the transplantation tumor and to block Robo1 signal protein would seriously affect the survival and growth of the transplantation tumor, suggesting that Robo1 might play an important role in the growth and metastasis of bladder cancer, and might become a new target for the treatment of human bladder cancer and drug research.     

A Method for Increasing the Sensitivity and Resolution of NMR Spectroscopy

A method for increasing the sensitivity and resolution of NMR spectroscopy based on Fourier transform is suggested. Power Graph software was used to develop a digital algorithm of the NMR signal. This algorithm decreases the noise/signal ratio (U_n/U_s). The efficiency of the signal processing procedure is demonstrated in the case of ³¹P–NMR spectroscopy.     

Nerve conduction block utilising high-frequency alternating current

High-frequency alternating current (AC) waveforms have been shown to produce a quickly reversible nerve block in animal models, but the parameters and mechanism of this block are not well understood. A frog sciatic nerve/gastrocnemius muscle preparation was used to examine the parameters for nerve conduction block in vivo, and a computer simulation of the nerve membrane was used to identify the mechanism for block. The results indicated that a 100% block of motor activity can be accomplished with a variety of waveform parameters, including sinusoidal and rectangular waveforms at frequencies from 2 kHz to 20 kHz. A complete and reversible block was achieved in 34 out of 34 nerve preparations tested. The most efficient waveform for conduction block was a 3–5 kHz constant-current biphasic sinusoid, where block could be achieved with stimulus levels as low as 0.01 μC phase⁻¹. It was demonstrated that the block was not produced indirectly through fatigue. Computer simulation of high-frequency AC demonstrated a steady-state depolarisation of the nerve membrane, and it is hypothesised that the conduction block was due to this tonic depolarisation. The precise relationship between the steady-state depolarisation and the conduction block requires further analysis. The results of this study demonstrated that high-frequency AC can be used to produce a fast-acting, and quickly reversible nerve conduction block that may have multiple applications in the treatment of unwanted neural activity.     

Evaluation of Decoding Algorithms for Estimating Bladder Pressure from Dorsal Root Ganglia Neural Recordings

A closed-loop device for bladder control may offer greater clinical benefit compared to current open-loop stimulation devices. Previous studies have demonstrated the feasibility of using single-unit recordings from sacral-level dorsal root ganglia (DRG) for decoding bladder pressure. Automatic online sorting, to differentiate single units, can be computationally heavy and unreliable, in contrast to simple multi-unit thresholded activity. In this study, the feasibility of using DRG multi-unit recordings to decode bladder pressure was examined. A broad range of feature selection methods and three algorithms (multivariate linear regression, basic Kalman filter, and a nonlinear autoregressive moving average model) were used to create training models and provide validation fits to bladder pressure for data collected in seven anesthetized feline experiments. A non-linear autoregressive moving average (NARMA) model with regularization provided the most accurate bladder pressure estimate, based on normalized root-mean-squared error, NRMSE, (17 ± 7%). A basic Kalman filter yielded the highest similarity to the bladder pressure with an average correlation coefficient, CC, of 0.81 ± 0.13. The best algorithm set (based on NRMSE) was further evaluated on data obtained from a chronic feline experiment. Testing results yielded a NRMSE and CC of 10.7% and 0.61, respectively from a model that was trained on data recorded 2 weeks prior. From offline analysis, implementation of NARMA in a closed-loop scheme for detecting bladder contractions would provide a robust control signal. Ultimate integration of closed-loop algorithms in bladder neuroprostheses will require evaluations of parameter and signal stability over time.     

Excitatory signal flow and connectivity in a cortical column: focus on barrel cortex

A basic feature of the neocortex is its organization in functional, vertically oriented columns, recurring modules of signal processing and a system of transcolumnar long-range horizontal connections. These columns, together with their network of neurons, present in all sensory cortices, are the cellular substrate for sensory perception in the brain. Cortical columns contain thousands of neurons and span all cortical layers. They receive input from other cortical areas and subcortical brain regions and in turn their neurons provide output to various areas of the brain. The modular concept presumes that the neuronal network in a cortical column performs basic signal transformations, which are then integrated with the activity in other networks and more extended brain areas. To understand how sensory signals from the periphery are transformed into electrical activity in the neocortex it is essential to elucidate the spatial-temporal dynamics of cortical signal processing and the underlying neuronal ‘microcircuits’. In the last decade the ‘barrel’ field in the rodent somatosensory cortex, which processes sensory information arriving from the mysticial vibrissae, has become a quite attractive model system because here the columnar structure is clearly visible. In the neocortex and in particular the barrel cortex, numerous neuronal connections within or between cortical layers have been studied both at the functional and structural level. Besides similarities, clear differences with respect to both physiology and morphology of synaptic transmission and connectivity were found. It is therefore necessary to investigate each neuronal connection individually, in order to develop a realistic model of neuronal connectivity and organization of a cortical column. This review attempts to summarize recent advances in the study of individual microcircuits and their functional relevance within the framework of a cortical column, with emphasis on excitatory signal flow.     

Differential inhibitory control of semicircular canal nerve afferent-evoked inputs in second-order vestibular neurons by glycinergic and GABAergic circuits

Labyrinthine nerve-evoked monosynaptic excitatory postsynaptic potentials (EPSPs) in second-order vestibular neurons (2°VN) sum with disynaptic inhibitory postsynaptic potentials (IPSPs) that originate from the thickest afferent fibers of the same nerve branch and are mediated by neurons in the ipsilateral vestibular nucleus. Pharmacological properties of the inhibition and the interaction with the afferent excitation were studied by recording monosynaptic responses of phasic and tonic 2°VN in an isolated frog brain after electrical stimulation of individual semicircular canal nerves. Specific transmitter antagonists revealed glycine and GABA_A receptor-mediated IPSPs with a disynaptic onset only in phasic but not in tonic 2°VN. Compared with GABAergic IPSPs, glycinergic responses in phasic 2°VN have larger amplitudes and a longer duration and reduce early and late components of the afferent nerve-evoked subthreshold activation and spike discharge. The difference in profile of the disynaptic glycinergic and GABAergic inhibition is compatible with the larger number of glycinergic as opposed to GABAergic terminal-like structures on 2°VN. The increase in monosynaptic excitation after a block of the disynaptic inhibition in phasic 2°VN is in part mediated by a N-methyl-D-aspartate receptor-activated component. Although inhibitory inputs were superimposed on monosynaptic EPSPs in tonic 2°VN as well, the much longer latency of these IPSPs excludes a control by short-latency inhibitory feed-forward side-loops as observed in phasic 2°VN. The differential synaptic organization of the inhibitory control of labyrinthine afferent signals in phasic and tonic 2°VN is consistent with the different intrinsic signal processing modes of the two neuronal types and suggests a co-adaptation of intrinsic membrane properties and emerging network properties.     

Analysis of macro- and microstructures of normal and pathological tissues by ultrasonic backscattering techniques

A technique to obtain the spacing distribution of macro- and microstructures of hypercholestrolemic liver, lymphoidlucosed liver, rhinosporidium of man and ethmoidal tumour of bovine is presented. The method uses signal processing of spatially averaged spectra of ultrasonic backscattering from tissues in the frequency range 2–8 MHz. The macrostructure is obtained from signal processing of spectral modulation amplitude and the microstructure from the frequency dependence of backscattering coefficient. The results obtained show good correlation with tissue histologies.     

Adaptive processing bandwidth adjustment for laser Doppler flowmetry

A novel laser Doppler flowmetry scheme is reported that adjusts the processing bandwidth adaptively to optimise the estimation of flow. To obtain an adequate processing bandwidth, the Doppler spectra is first fitted to the Lorentzian function, and the bandwidth at half the maximum of the Lorentzian function is used as an indicator of the major frequency range of the signal. The processing bandwidth is then tuned accordingly, and a frequency-weighted algorithm is applied to compute the fluid velocity. To investigate the influence of the processing bandwidth, an in vitro experiment was performed. In the experiment, the flow rate was controlled at constant velocity in the range from 0 to 18.52 mm s⁻¹, and the fluid velocity indices were calculated using adaptive and fixed processing bandwidths, respectively. The results showed that the adaptive processing bandwidth adjustment, not only significantly reduced the biological zero (9.6% of the case using 100 kHz bandwidth), but also enhanced the sensitivity of the laser Doppler measurement (over 20%) and linearly responded to a wider velocity range (R²=0.979 for velocity from 0 to 18.52 mms⁻¹).     

Implantable stimulation system dedicated for neural selective stimulation

A functional electrical stimulation system is presented, which is dedicated for the selective neural stimulation of the bladder. The proposed system is composed of an internal stimulator (implant) and an external controller. The system is used to produce low-pressure voiding of the bladder in spinal cord injured patients. The implant is powered and operated by the external controller via radio-frequency electromagnetic coupling. All stimulation parameters are chosen externally using the controller and are sent to the implant, which produces the desired stimuli. These stimuli are applied directly to the S₂ nerve which is linked to the sphincter and bladder muscles. A high-frequency signal is used to inhibit the contraction of the sphincter muscle, and low-frequency pulses stimulate the bladder muscle (the detrusor). Dedicated computer software is used by the physician to select the optimal parameters for each patient and to activate the implant through a parallel port interface with built-in transmitter. The parameters are then transferred to a hand-held controller which is used by the technical staff and by the patients themselves. Acute studies have been performed to validate the selective stimulation strategy, and chronic experimentation is currently underway in dogs.     

Aurora-A/STK-15 is a predictive factor for <Emphasis Type="Italic">recurrent</Emphasis> behaviour in non-invasive bladder carcinoma: a study of 128 cases of non-invasive neoplasms

Aurora-A, a member of serine/threonine kinase, is implied in mitosis and centrosome maturation. Increasing levels of Aurora-A have been shown to be present in several malignancies and especially in bladder cancer. No immunohistochemical marker has shown to be able to predict the clinical outcome of patients with superficial bladder cancer, except MIB-1, as a predictive marker of relapse and progression. The aim was to investigate the expression of Aurora-A and MIB-1 in tissue micro arrays of superficial bladder cancer representative of pTa papillary urothelial neoplasm with different degrees of aggressiveness (low malignant potential [PUNLMP], non-invasive papillary urothelial carcinoma low grade [NILGC], non-invasive papillary urothelial carcinoma high grade [NIHGC] and carcinoma in situ). We analysed predictive values of both markers, their specificity and sensitivity in tumor recurrence. Aurora-A was a sensitive marker to predict tumor recurrence especially for pTa (PUNLMP, NILGC; PUNLMP p < 0.001, NILGC p < 0.001) with statistical significant correlation between immunohistochemical staining and clinical outcome. MIB-1 expression displayed statistical difference p = 0.002 in the PUNLMP group and p = 0.03 in the NILGC group. Aurora-A is a more sensitive marker than MIB-1 to predict relapse in pTa bladder neoplasias. The combination of both markers seems to have a very powerful predictive value of recurrence (p < 0.001).     

Optimization of single electrode tactile codes

The effects of a frequency modulated electrocutaneous signal's (code's) characteristics on the interpretability of the signal were investigated using an electrocutaneous tracking approach. The characteristics investigated include the functional relationship (exponential and hybrid) between an informational signal and the stimulation frequency, the range of stimulation (2–50 Hz and 2–100 Hz), and the impact of pulse width compensation on a code's efficacy. The interpretability of six different single bipolar electrode codes was examined by 30 subjects using a balanced incomplete block experimental design. Codes with exponentially shaped transfer functions resulted in generally lower electrocutaneous tracking errors than codes utilizing hybridshaped transfer functions. Hybrid codes had a transfer function that was linear in the lower frequency range and exponential in the higher frequency range. Codes with a 2–100 Hz frequency range were interpreted better than codes with a 2–50 Hz frequency range. The use of pulse width compensation to maintain a more even level of stimulation intensity had a slightly negative effect on the subjects' abilities to cutaneously track the information signal.     

Fore-period effect and stop-signal reaction time

The effect of response readiness on the stop-signal reaction time (SSRT) in a stop-signal task was examined, with the stop-signal delay updated following a staircase procedure. We computed SSRT on the basis of a horse race model. A fore-period effect was computed, which described subjects’ readiness to respond to the GO signal. The results showed that the fore-period effect correlated positively with SSRT, providing evidence of the effect of response prepotency on stop signal processing. This finding suggests that response readiness needs to be accounted for in examining response inhibition in a stop-signal task.