Abstract-Analytic techniques that have been successfully employed in materials science, and to a lesser extent in the study of biologic systems, have potential for improving the application of bioelectric impedance provided that both real and imaginary impedance components can be measured with sufficient accuracy over a given frequency range. Since biologic tissue, particularly animal tissue, is typically highly conductive, phase angles are small, making accurate measurements difficult. A practical four-terminal system employing commercial lock-in amplifiers is described and error sources and corrective techniques are discussed.
The specific impedance of canine erythrocytes suspended in plasma was measured in the frequency range from 5 kHz to 1 MHz in samples from three animals in the hematocrit range from zero to packed cells at a temperature of 39 degrees C; measurements were made with a conductivity cell using four electrodes and a current density of 21 microA/cm2. With the use of impedance spectroscopy, data were fitted to an equivalent circuit model; model parameters in turn were fitted as functions of hematocrit. The resultant model can be used to predict specific impedance (real and reactive components) as a function of hematocrit and frequency over a frequency range from 5 kHz to 1 MHz and a hematocrit range from 0 to 80. Over a normal range of hematocrits and at frequencies less than 100 kHz, the current is almost exclusively confined to the plasma, and the specific impedance is nearly equal to the real component; however, at higher frequencies, the complex nature of specific impedance becomes important.
This investigation examined the feasibility of applying the conductance catheter technique for measurement of absolute aortic segmental volume. Aortic segment volume was estimated simultaneously in vitro by using the conductance catheter technique and sonomicrometer crystals. Experiments were performed in five isolated canine aortas. Vessel diameter and pressure were altered, as were the conductive properties of the surrounding medium. In addition, a three-dimensional finite-element model of the vessel and apparatus was developed to examine the electric field and parallel conductance volume under different experimental conditions. The results indicated that in the absence of parallel conductance volume, the conductance catheter technique predicted absolute changes in segmental volumes and segmental pressure-volume relationships that agreed closely with those determined by sonomicrometry. The introduction of parallel conductance volume added a significant offset error to measurements of volume made with the conductance catheter that were nonlinearly related to the conductive properties of the surrounding medium. The finite-element model was able to predict measured resistance and parallel conductance volume, which correlated strongly with those measured in vitro. The results imply that absolute segmental volume and distensibility may be determined only if the parallel conductance volume is known. If the offset volume is not known precisely, the conductance catheter technique may still be applied to measure absolute changes in aortic segmental volume and compliance.
The role of the dentate ligaments in the pathogenesis of myelopathy secondary to disease conditions that alter the normal biomechanics of the spinal canal was studied in 14 dogs. The effects of posterior cord elevation on somatosensory evoked potentials (SSEP's) and tension requirements were compared before and after dentate ligaments section in acute experiments. At levels of posterior elevation usually within the confines of the canine canal, the dentate ligaments were the most significant element increasing tension requirements and SSEP alternations. Human cadaver studies also showed an approximate 50% reduction of force after dentatotomy. These findings suggests that after dentate ligaments section the applied tension is distributed over a longer segments of the cord with a reduction in tension and disruption of axonal conduction at the level at which the force was applied.
Despite its undisputed utility for determining changes in ventricular pressure-volume relationships, the conductance catheter technique has not been proven reliable for measuring absolute volume. This limitation is due to violations of the assumptions inherent in the cylindrical model on which the method is based (i.e., homogeneous electric field and no leakage current). The purpose of this investigation was to relate cylindrical model correction factors to the physical environment of the catheter and to the cylindrical equation. Physical measurements of saline-filled, nonconductive cylinders using a four-electrode conductance catheter were compared with a three-dimensional finite element model of the physical apparatus. These measurements were incorporated into a parallel conductance model to relate physical parameters to corrections in the cylindrical equation for volume measurement. Excellent agreement between measured and modeled data was found. Results demonstrated a nonlinear relationship between the field nonhomogeneity correction factor (alpha) and cylinder diameter. The relationship between alpha and diameter was consistent with a theoretical extrapolation of cylinder diameter toward infinity. An inverse relationship between alpha and the parallel conductance volume (Vp) was also clarified. The parallel conductance model was able to demonstrate opposite effects of the physical presence of the catheter body and electrodes, which tended to cancel out any net effect on measured conductance. Results of this investigation and the developed finite element model clarify the nature of the correction terms in the cylindrical model and may lead to greater application of the conductance technique.
The goal of this investigation was to determine if the conductance catheter technique for chamber volume measurement could be applied in vivo to determine real-time phasic aortic segmental volume. A four-electrode conductance catheter was used to measure time-varying resistance of the descending thoracic aorta in open-chest, anesthetized dogs. Resistance was converted to segmental volume and the slope correction factor (alpha) and parallel conductance volume (Vp) were determined. The results showed excellent linear correlation between conductance and sonomicrometric segmental volume. The correction factors alpha and Vp were found to be empirically related to average vessel diameter. The relatively high values for the slope correction factor (alpha=4.59+/-0.17 SEM) were found to be primarily related to low-resistivity shunt paths probably originating in the periadventitial aortic wall and to a lesser extent to changes in flow-induced increases in blood resistivity, hematocrit, catheter position, and other adjacent tissue resistivity. The results demonstrate that correction factors empirically derived from measurements of mean aortic diameter could be used to determine absolute real-time phasic segmental volume, cross-sectional area, or diameter. The conductance technique may possess the same potential for determining aortic mechanical properties which has already been demonstrated for determining ventricular mechanical properties.
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