EE6408 : Non-invasive Sensing & Signal Processing for Human Health (July-Nov 2024)

Course Content: The course will discuss sensing methods, hardware details and  signal processing techniques in multiple non-invasive sensing and instrumentation systems designed for quantification of structural and functional health, such as  assessment of vascular ageing, blood pressure measurement and non-invasive non contact vitals assessment. We will also look at typical protocols needed for functional verification & clinical validation of a few medical devices, and touch on some relevant standards also.

Topics :

1.      Cardiovascular physiology and engineering system analogy:  Relation between blood flow, blood pressure and arterial wall dynamics. interplay of pulsatile flow and compliant arteries, clinical significance of arterial elasticity

2.      Vessel wall properties - elastic and hyper-elastic arteries, stress-strain relation, P-D loop, elastin/collagen ratio, structure of artery

3.      Vascular ageing markers - Definitions of local and regional vascular stiffness markers, non-linear properties and linear approximations, clinical significance

4.   Local stiffness assessment: Imaging methods : B-mode imaging, Wall tracking (Image processing vs RF tracking), intima-media thickness measurement, RF tracking, eTracking system, Carotid studio. Image free methods: A-scan ultrasound, Pulse echo modality, transducer selection and beam chara, hardware requirements, RF echo signal processing algorithms, Functional verification, Clinical validation overview. 

5.   Regional stiffness assessment :  Regional and Local PWV, Clinical applications of PWV, B-H Equation and assumptions, Sequential vs simultaneous methods, Invasive reference methods. Non-invasive methods - ECG gating, Dual pulse waves. Tonometry, PPG, Loop based methods

6.   BP Measurement: Invasive catheters, A-line systems, Auscultation, Oscillometry, PAT & PTT derived BP, Calibration methods & issues, Calibration-free cuff less BP, AI methods, Challenges and opportunities in cuff less BP.

7.   System design of medical devices : Case examples illustrating hardware & signal processing elements

a.       Case # 1 : Image free ultrasound for vascular assessment

b.       Case #2:  Oscillometry based BP device

c.       Case #3 : Impedance plethysmography / BallistoCardioGraphy / Camera based vitals

d.       We will discuss any 2 of the above devices in class

Text Books:

1.   W. W. Nichols, M. F. O’Rourke, and C. Vlachopoulos, Mcdonald’s blood flow in arteries: theoretical, experimental and clinical principles, 6th ed. London: Hodder Arnold, 2011.

2.   J. Sola and R. Delgado-Gonzalo, The Handbook of Cuffless Blood Pressure Monitoring, 1st ed. Switzerland AG: Springer Nature,2019.3. Wenjin Wang, Xuyu Wang, Contactless Vital Signs Monitoring, 1st Edition - September 20, 2021,Elsevier, ISBN: 9780128222829

Reference Books:

1.   J. A. Chirinos, Ed., Textbook of Arterial Stiffness and Pulsatile Hemodynamics in Health and Disease, 1st ed. London: AcademicPress, 2022.

2.   P. M. Nilsson, M. H. Olsen, and S. Laurent, Early vascular aging (EVA): New directions in cardiovascular protection, 1st ed.Oxford: Elsevier, 2015

3.   M. E. Safar, M. F. O’Rourke, and Edward D. Frohlich, Blood Pressure and Arterial Wall Mechanics in Cardiovascular Diseases, 1sted. London: Springer-Verlag, 2014.

4.   T. L. Szabo, Diagnostic ultrasound imaging: inside out, 2nd ed. Boston: Academic Press, 2014.5. J. L. Zamorano et al., The ESC Textbook of Cardiovascular Imaging, 3rd ed. Oxford: Oxford University Press, 2021

Prerequisite: Undergraduate level skills in electronics, analog circuits, signal processing in Matlab/Lab VIEW Exposure to biomedical instrumentation / engineering (preferred)

Teaching plan : The course consists of around 30 theory lectures + 5 Lab demonstrations + 5 graded coding assignments

Moodle Link : https://courses.iitm.ac.in/course/view.php?id=5313