<abstract><title style='display:none'>Abstract</title>This paper is concerned with a physical model of an interdigitated sensor working in a frequency range from 100 Hz to 10 MHz. A theoretical approach is proposed to optimize the use of the sensor for bioimpedance spectroscopy. The correlation between design parameters and frequency behavior in coplanar impedance sensors are described. CoventorWare® software was used to model the biological medium loaded interdigital sensor in three dimensions to measure its electrical impedance. Complete system simulation by a finite element method (FEM) was used for sensor sensitivity optimization. The influence of geometrical parameters (number of fingers, width of the electrodes) on the impedance spectroscopy of the biological medium was studied. The simulation results are in agreement with the theoretical equations of optimization. Thus, it is possible to design <italic>a priori</italic> such sensor by taking into account the biological medium of interest that will load the sensor.</abstract>

Geometric parameters optimization of planar interdigitated electrodes for bioimpedance spectroscopy

<abstract><title style='display:none'>Abstract</title>Electrical impedance tomography (EIT) is a relatively new imaging technique. It has the advantages of low cost, portability, non-invasiveness and is free from radiation effects. So far, this imaging technique has shown satisfactory results in functional imaging. However, it is not yet fully suitable for anatomical imaging due to its poor spatial resolution. In this paper, we review the basic directions of research in the area of the spatial resolution of the EIT systems. The improvements to the hardware and the software developments are highlighted. Finally, possible techniques to enhance the spatial resolution of the EIT systems using array processing beamforming methods are discussed.</abstract>

Spatial resolution in electrical impedance tomography: A topical review

<abstract><title style='display:none'>Abstract</title>An electrical measurement is non-linear when it is affected by the applied stimulus, i.e. when the measured phenomenon changes with amplitude. If pinched hysteresis loops can be observed in the voltage current representation, the underlying tissue can be classified as a memristor. Several biological memristors have been published, like human skin and apples. However, changes in the polarization impedance of electrodes may also cause pinched hysteresis loops. The question whether the reported biological memristors are real or whether the results just reflect changes in the polarization impedance arises. If the impedance of the measured object is close to or smaller than the polarization impedance of the used electrodes, the latter may dominate the measurement.In this study, we investigated the non-linear electrical properties of silver/silver chloride electrodes in a sodium chloride solution that has a similar concentration as human sweat and compared these to results from human skin. First of all, we found that silver/silver chloride electrodes in sodium chloride solution can be classified as memristors. However, the currents obtained from the sodium chloride solution are much higher than the currents recorded from human skin and there is a qualitative difference in the pinched hysteresis loops in both cases. We can conclude that the non-linear electrical measurements with silver/silver chloride on human skin are actually dominated by the skin and we can confirm that the human skin memristor really exists.</abstract>

The non-linear electrical properties of silver/silver chloride electrodes in sodium chloride solution

<abstract><title style='display:none'>Abstract</title>Electrical impedance tomography (EIT) is relatively new. It is a verypromising technique to be developed especially in the medical field. The advantages of EIT are that it is non-ionizing, simple, and portable and that it produces a high contrast image. Unfortunately, this modality does not have the capability to generate a highresolution image. Almost all imaging modalities has both advantages and disadvantages. Combining one modality with another is hence expected to cover the weaknesses of each other. The problem is how to develop the concepts, measurement systems and algorithm of dual modalities, particularly electrical and acoustical. The electrical modality can produce high contrast and the acoustical modality can produce high resolution. Combination of these will enhance the image resolution of EIT. High image resolution from the ultrasound reflection tomography is used as the prior information to improve the image resolution of the EIT. Finite Element Model (FEM) can be arranged by non-uniform elements, which are adapted to the boundary. Element models with higher density are arranged at the boundaries to obtain improvements of resolution and the model elements with lower density arranged at other locations to reduce the computational cost. The dual modality EIT with Ultrasound Reflection (EIT-UR) can produce high resolution and contrast image. The resolution improvement can also accelerate the convergence of the Newton-Raphson reconstruction methods.</abstract>

Dual modality electrical impedance and ultrasound reflection tomography to improve image quality

<abstract><title style='display:none'>Abstract</title>Multifrequency Electrical Bioimpedance (MEB) has been widely used as a non-invasive technique for characterizing tissues. Most MEB systems use wideband current sources for injecting current and instrumentation amplifiers for measuring the resultant potential difference. To be viable current sources should have intrinsically high output impedance for a very wide frequency range. Most contemporary current sources in MEB systems are based on the Howland circuit. The objective of this work is to compare the Mirrored Modified Howland Current Source (MMHCS) with three Operational Transconductance Amplifier (OTA) based voltage controlled current sources (i.e., class-A, class-AB and current conveyor). The results show that both current conveyor and class-AB OTA-based current sources have a wider output current frequency response and an output impedance of 226% larger than the MMHCS circuit at 1 MHz. The presented class-AB OTA circuit has a power consumption of 4.6 mW whereas current conveyor consumed 1.6 mW. However, the MMHCS circuit had a maximum total harmonic distortion of 0.5% over the input voltage from -0.5 to +0.5 V. The OTA-based current sources are going to be integrated in a semiconductor process. The results might be useful for cell impedance measurements and for very low power bioimpedance applications.</abstract>

Low power current sources for bioimpedance measurements: a comparison between Howland and OTA-based CMOS circuits

<abstract><title style='display:none'>Abstract</title>Sixteen volunteers each drank 700 ml sugar-containing soft drink during two successive periods and the blood sugar was measured at 10 min intervals together with electrical impedance spectroscopy and near infrared spectroscopy (NIR). A maximum correlation of 0.46 was found for the electrical measurements but no clear separation between low and high blood glucose levels were found in the NIR measurements. The latter was attributed to the experimental design where the NIR probe was removed from the skin between each measurement.</abstract>

Bioimpedance and NIR for non-invasive assessment of blood glucose

<abstract>
<title style='display:none'>Abstract</title>
Gesture recognition is a crucial aspect in the advancement of virtual reality, healthcare, and human-computer interaction, and requires innovative methodologies to meet the increasing demands for precision. This paper presents a novel approach that combines Impedance Signal Spectrum Analysis (ISSA) with machine learning to improve gesture recognition precision. A diverse dataset that included participants from various demographic backgrounds (five individuals) who were each executing a range of predefined gestures. The predefined gestures were designed to encompass a broad spectrum of hand movements, including intricate and subtle variations, to challenge the robustness of the proposed methodology. The machine learning model using the K-Nearest Neighbors (KNN), Gradient Boosting Machine (GBM), Naive Bayes (NB), Logistic Regression (LR), Random Forest (RF), and Support Vector Machine (SVM) algorithms demonstrated notable precision in performance evaluations. The individual accuracy values for each algorithm are as follows: KNN, 86%; GBM, 86%; NB, 84%; LR, 89%; RF, 87%; and SVM, 87%. These results emphasize the importance of impedance features in the refinement of gesture recognition. The adaptability of the model was confirmed under different conditions, highlighting its broad applicability.
</abstract>

Machine learning-enhanced gesture recognition through impedance signal analysis

<abstract>
<title style='display:none'>Abstract</title>
<sec>
<title style='display:none'>Objective</title>
The goal of this study was to explore the development and implementation of a protocol for real-time fMRI neurofeedback (rtfMRI-nf) and to assess the potential for enhancing the selective brain activation using stimuli from Virtual Reality (VR). In this study we focused on two specific brain regions, supplementary motor area (SMA) and right inferior frontal gyrus (rIFG). Publications by other study groups have suggested impaired function in these specific brain regions in patients with the diagnoses Attention Deficit Hyperactivity Disorder (ADHD) and Tourette’s Syndrome (TS). This study explored the development of a protocol to investigate if attention and contextual memory may be used to systematically strengthen the procedure of rtfMRI-nf.
</sec>
<sec>
<title style='display:none'>Methods</title>
We used open-science software and platforms for rtfMRI-nf and for developing a simulated repetition of the rtfMRI-nf brain training in VR. We conducted seven exploratory tests in which we updated the protocol at each step. During rtfMRI-nf, MRI images are analyzed live while a person is undergoing an MRI scan, and the results are simultaneously shown to the person in the MRI-scanner. By focusing the analysis on specific regions of the brain, this procedure can be used to help the person strengthen conscious control of these regions. The VR simulation of the same experience involved a walk through the hospital toward the MRI scanner where the training sessions were conducted, as well as a subsequent simulated repetition of the MRI training. The VR simulation was a 2D projection of the experience.
The seven exploratory tests involved 19 volunteers. Through this exploration, methods for aiming within the brain (e.g. masks/algorithms for coordinate-system control) and calculations for the analyses (e.g. calculations based on connectivity versus activity) were updated by the project team throughout the project. The final procedure involved three initial rounds of rtfMRI-nf for learning brain strategies. Then, the volunteers were provided with VR headsets and given instructions for one week of use. Afterward, a new session with three rounds of rtfMRI-nf was conducted.
</sec>
<sec>
<title style='display:none'>Results</title>
Through our exploration of the indirect effect parameters – brain region activity (directed oxygenated blood flow), connectivity (degree of correlated activity in different regions), and neurofeedback score – the volunteers tended to increase activity in the reinforced brain regions through our seven tests. Updates of procedures and analyses were always conducted between pilots, and never within. The VR simulated repetition was tested in pilot 7, but the role of the VR contribution in this setting is unclear due to underpowered testing.
</sec>
<sec>
<title style='display:none'>Conclusion</title>
This proof-of-concept protocol implies how rtfMRI-nf may be used to selectively train two brain regions (SMA and rIFG). The method may likely be adapted to train any given region in the brain, but readers are advised to update and adapt the procedure to experimental needs.
</sec>
</abstract>

Exploring protocol development: Implementing systematic contextual memory to enhance real-time fMRI neurofeedback

<abstract>
<title style='display:none'>Abstract</title>
The Focused Impedance Method (FIM) is a new technique of electrical bioimpedance measurements in the human body. The idea originated in Bangladesh and provides an opportunity for localized measurement of bioimpedance down to reasonable depths from the body surface using skin surface electrodes. This has potential applications for physiological studies of targeted organs in the body and in detecting or diagnosing diseases and disorders. FIM is based on the age-old Tetra-Polar Impedance Measurement (TPIM) but provides a few significant improvements.
Technology must be developed indigenously to obtain long-term benefits, particularly in Low and Medium Income countries (LMIC). This paper presents an experimental sensitivity study of the six-electrode version of the Focused Impedance method (FIM-6) with the circuit and phantom indigenously designed in Nepal. The work involved sensitivity studies of both FIM-6 and TPIM with the necessary circuit blocks developed through experimental validation. The sensitivity studies were performed on a simple 2D phantom with different electrode arrangements for FIM-6 and linear TPIM. A cylindrical object was placed at different positions for this study. The FIM-6 gave a high sensitivity in the central part, which remained almost constant within a small region that may be termed as the focused region. On the other hand, TPIM results fell off sharply away from the central point, making it unsuitable for practical measurements on target organs. Besides, there were areas with large negative sensitivities in TPIM, which were much smaller in FIM. The results obtained through this work clearly show the improvement offered by FIM over TPIM.
</abstract>

Sensitivity study of a locally developed six electrode focused impedance method

<abstract>
<title style='display:none'>Abstract</title>
In the last decades there is a growing interest in the evaluation of human body composition for being an important part of the integral assessment of individuals. Its use has been extended to different disciplines associated with health care (medicine, nutrition, physiotherapy), and to sports and population fields. Specifically, fat percentage can be related to innumerable diseases. However, there are discrepancies in the results of fat percentage measurement measured by different methods.
<sec>
<title style='display:none'>Objective</title>
To evaluate the concordance between two low-cost and easily accessible double indirect methods, which have been used indistinctly in different studies where access to more accurate methods is not available, and to determine fat percentage and its relationship with age, sex, body mass index (BMI), waist circumference, level of physical activity and sedentary hours.
</sec>
<sec>
<title style='display:none'>Materials and Method</title>
Twenty-four persons between 18 and 38 years and 28 between 39 and 59 years from a university community were evaluated. Calculations were made: BMI, fat % was estimated by anthropometry with a digital adipometer (Skyndex System I USA) and by Electrical Bioimpedance Analysis – BIA (Biody Expert ZM II FRA), physical activity level and sedentary hours were determined with the short IPAQ questionnaire. Pearson's correlation coefficient, Bland &amp; Altman's graphical method and Lin's concordance correlation index were calculated. The significance level p&lt;0.05 was estimated.
</sec>
<sec>
<title style='display:none'>Results</title>
The fat percentage by anthropometry was: 30.5% ±8.5 (18–38 years) 35.0% ±6.7 (39–59 years); by BIA 27.0% ±7.3 (18–38 years) and 29.2% ±7.0 (39–59 years). Both techniques showed good correlation, but low degree of concordance (Lin index less than 0.9) except for the group of young persons with moderate level of physical activity (0.95).
</sec>
<sec>
<title style='display:none'>Conclusions</title>
The doubly indirect methods used in the study showed strong correlation, but low concordance, so their use is not recommended indistinctly for the follow-up of a particular case. According to the study data for this specific population in young people with moderate physical activity, follow-up could be performed with either of the two methods.
</sec>
</abstract>

Concordance between dual indirect methods for assessing fat percentage

<abstract>
<title style='display:none'>Abstract</title>
In neurocritical care, the gold standard method is intracranial pressure (ICP) monitoring for the patient's lifesaving. Since it is an invasive method, it is desirable to use an alternative, noninvasive technique. The computerized real-time invasive cerebral blood flow (CBF) autoregulation (AR) monitoring calculates the status of CBF AR, called the pressure reactivity index (PRx). Studies documented that the electrical impedance of the head (Rheoencephalography – REG) can detect the status of CBF AR (REGx) and ICP noninvasively. We aimed to test REG to reflect ICP and CBF AR.
For nineteen healthy subjects we recorded bipolar bifrontal and bitemporal REG derivations and arm bioimpedance pulses with a 200 Hz sampling rate. The challenges were a 30-second breath-holding and head-down-tilt (HDT – Trendelenburg) position. Data were stored and processed offline. REG pulse wave morphology and REGx were calculated.
The most relevant finding was the significant morphological change of the REG pulse waveform (2nd peak increase) during the HDT position. Breath-holding caused REG amplitude increase, but it was not significant. REGx in male and female group averages have similar trends during HDT by indicating the active status of CBF AR.
The morphological change of REG pulse wave during HDT position was identical to ICP waveform change during increased ICP, reflecting decreased intracranial compliance. A correlation study between ICP and REG was initiated in neurocritical care patients. The noninvasive REG monitoring would also be useful in space research as well as in military medicine during the transport of wounded service members as well as for fighter pilots to indicate the loss of CBF and consciousness.
</abstract>

Rheoencephalography: A non-invasive method for neuromonitoring

<abstract>
<title style='display:none'>Abstract</title>
Moisturizers are cosmetic compounds designed to increase the moisture content of the skin. There are many types of these products in the market making it difficult for consumers to select the most effective moisturizer according to their age and gender. Hence, the aim of this study was to evaluate the effects of different moisturizers on skin hydration as well as to figure out any dependencies of the effects of these products on age or gender-related differences. We investigated the short-term moisturizing effects of five different skin moisturizers on 60 participants by using a low frequency electrical instrument. Skin surface susceptance was recorded and compared before and after the application of moisturizers. Statistically significant differences were observed in the moisturizing effect among different types of products. However, with respect to gender and age differences, there were insignificant differences in the effects of the moisturizers. Results of this study suggest that some types of moisturizers that exist in the markets are not as effective as required, which calls for a further evaluation of the moisturizers before entering markets and offering them for sale. In addition, findings suggest that gender or age differences are perhaps not important to consider in the application of moisturizers.
</abstract>

Evaluation of the effect of several moisturizing creams using the low frequency electrical susceptance approach

<abstract><title style='display:none'>Abstract</title>Impedance cardiography (ICG) is a branch of bioimpedance primarily concerned with the determination of left ventricular stroke volume (SV). As implemented, using the transthoracic approach, the technique involves applying a current field longitudinally across a segment of thorax by means of a constant magnitude, high frequency, low amplitude alternating current (AC). By Ohm’s Law, the voltage difference measured within the current field is proportional to the electrical impedance Z (Ω). Without ventilatory or cardiac activity, Z is known as the transthoracic, static base impedance Z0. Upon ventricular ejection, a characteristic time dependent cardiac-synchronous pulsatile impedance change is obtained, ΔZ(t), which, when placed electrically in parallel with Z0, constitutes the time-variable total transthoracic impedance Z(t). ΔZ(t) represents a dual-element composite waveform, which comprises both the radially-oriented volumetric expansion of and axially-directed forward blood flow within both great thoracic arteries. In its majority, however, ΔZ(t) is known to primarily emanate from the ascending aorta. Conceptually, commonly implemented methods assume a volumetric origin for the peak systolic upslope of ΔZ(t), (i.e. dZ/dtmax), with the presumed units of Ω·s–1. A recently introduced method assumes the rapid ejection of forward flowing blood in earliest systole causes significant changes in the velocity-induced blood resistivity variation (Δρb(t), Ωcm·s–1), and it is the peak rate of change of the blood resistivity variation dρb(t)/dtmax (Ωcm·s–2) that is the origin of dZ/dtmax. As a consequence of dZ/dtmax peaking in the time domain of peak aortic blood acceleration, d<italic>v</italic>/dtmax (cm·s–2), it is suggested that dZ/dtmax is an ohmic mean acceleration analog (Ω·s–2) and not a mean flow or velocity surrogate as generally assumed. As conceptualized, the normalized value, dZ/dtmax/Z0, is a dimensionless ohmic mean acceleration equivalent (s–2), and more precisely, the electrodynamic equivalent of peak aortic reduced average blood acceleration (PARABA, d&lt;v&gt;/dtmax/R, s–2). As necessary for stroke volume calculation, dZ/dtmax/Z0 must undergo square root transformation to yield an ohmic mean flow velocity equivalent. To compute SV, the square root of the dimensionless ohmic mean acceleration equivalent ([dZ/dtmax/Z0]0.5, s–1) is multiplied by a volume of electrically participating thoracic tissue (VEPT, mL) and left ventricular ejection time (TLVE, s). To find the bulk volume of the thoracic contents (i.e. VEPT), established methods implement exponential functions of measured thoracic length (L(cm)n) or height-based thoracic length equivalents (0.01×%H(cm)n). The new method conceptualizes VEPT as the intrathoracic blood volume (ITBV, mL), which is approximated through allometric equivalents of body mass (aMb). In contrast to the classical two-element parallel conduction model, the new method comprises a three-compartment model, which incorporates excess extra-vascular lung water (EVLW) as a component of both Z0 and VEPT. To fully appreciate the evolution and analytical justification for impedance-derived SV equations, a review of the basics of pulsatile blood flow is in order.</abstract>

Impedance cardiography: Pulsatile blood flow and the biophysical and electrodynamic basis for the stroke volume equations

<abstract><title style='display:none'>Abstract</title>Rapid development in the field of tissue engineering necessitates implementation of monitoring methods for evaluation of the viability and characteristics of the cell cultures in a real-time, non-invasive and non-destructive manner. Current monitoring techniques are mainly histological and require labeling and involve destructive tests to characterize cell cultures. Bioimpedance measurement technique which benefits from measurement of electrical properties of the biological tissues, offers a non-invasive, label-free and real-time solution for monitoring tissue engineered constructs. This review outlines the fundamentals of bioimpedance, as well as electrical properties of the biological tissues, different types of cell culture constructs and possible electrode configuration set ups for performing bioimpedance measurements on these cell cultures. In addition, various bioimpedance measurement techniques and their applications in the field of tissue engineering are discussed.</abstract>

Applications of bioimpedance measurement techniques in tissue engineering

<abstract><title style='display:none'>Abstract</title>Using the fractional calculus approach, we present the Laplace analysis of an equivalent electrical circuit for a multilayered system, which includes distributed elements of the Cole model type. The Bode graphs are obtained from the numerical simulation of the corresponding transfer functions using arbitrary electrical parameters in order to illustrate the methodology. A numerical Laplace transform is used with respect to the simulation of the fractional differential equations. From the results shown in the analysis, we obtain the formula for the equivalent electrical circuit of a simple spectrum, such as that generated by a real sample of blood tissue, and the corresponding Nyquist diagrams. In addition to maintaining consistency in adjusted electrical parameters, the advantage of using fractional differential equations in the study of the impedance spectra is made clear in the analysis used to determine a compact formula for the equivalent electrical circuit, which includes the Cole model and a simple RC model as special cases.</abstract>

Modeling and Simulation of Equivalent Circuits in Description of Biological Systems - A Fractional Calculus Approach

<abstract><title style='display:none'>Abstract</title>Lab-on-chip systems (LOCs) can be used as <italic>in vitro</italic> systems for cell culture or manipulation in order to analyze or monitor physiological cell parameters. LOCs may combine microfluidic structures with integrated elements such as piezo-transducers, optical tweezers or electrodes for AC-electrokinetic cell and media manipulations. The wide frequency band (&lt;1 kHz to &gt;1 GHz) usable for AC-electrokinetic manipulation and characterization permits avoiding electrochemical electrode processes, undesired cell damage, and provides a choice between different polarization effects that permit a high electric contrast between the cells and the external medium as well as the differentiation between cellular subpopulations according to a variety of parameters. It has been shown that structural polarization effects do not only determine the impedance of cell suspensions and the force effects in AC-electrokinetics but can also be used for the manipulation of media with inhomogeneous temperature distributions. This manuscript considers the interrelations of the impedance of suspensions of cells and AC-electrokinetic single cell effects, such as electroorientation, electrodeformation, dielectrophoresis, electrorotation, and travelling wave (TW) dielectrophoresis. Unified models have allowed us to derive new characteristic equations for the impedance of a suspension of spherical cells, TW dielectrophoresis, and TW pumping. A critical review of the working principles of electro-osmotic, TW and electrothermal micropumps shows the superiority of the electrothermal pumps. Finally, examples are shown for LOC elements that can be produced as metallic structures on glass chips, which may form the bottom plate for self-sealing microfluidic systems. The structures can be used for cell characterization and manipulation but also to realize micropumps or sensors for pH, metabolites, cell-adhesion, etc.</abstract>

A short tutorial contribution to impedance and AC-electrokinetic characterization and manipulation of cells and media: Are electric methods more versatile than acoustic and laser methods?

<abstract><title style='display:none'>Abstract</title>A Projection Error Propagation-based Regularization (PEPR) method is proposed and the reconstructed image quality is improved in Electrical Impedance Tomography (EIT). A projection error is produced due to the misfit of the calculated and measured data in the reconstruction process. The variation of the projection error is integrated with response matrix in each iteration and the reconstruction is carried out in EIDORS. The PEPR method is studied with the simulated boundary data for different inhomogeneity geometries. Simulated results demonstrate that the PEPR technique improves image reconstruction precision in EIDORS and hence it can be successfully implemented to increase the reconstruction accuracy in EIT.</abstract>

Improving Image Quality in Electrical Impedance Tomography (EIT) Using Projection Error Propagation-Based Regularization (PEPR) Technique: A Simulation Study

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Journal of Electrical Bioimpedance

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 The Journal of Electrical Bioimpedance (JoEB) is an international, single blind peer reviewed, fast publication, non-commercial, open access journal....