Biomedical Engineering Electrophysiology Dipl.-Phys. Andreas Neubauer Sources of biological potentials and how to record them 1. How are signals transmitted along nerves? • Transmit velocity • Direction • Intensity • Frequency 2. How can measurements be standardized? • Electrode position • Data visualization Andreas Neubauer I Slide 2 I 18.11.2014 The nervous system Andreas Neubauer I Slide 3 I 18.11.2014 Organization of the nervous system • brain, nerves and muscles are the major components of the nervous system • sensory/afferent nerves deliver information to the brain • information is passed along motor/efferent nerves by the brain • the nervous system is highly Brown, Medical Physics parallel • synapses allow reflex loops via the spinal column ⇒ can be suppressed by the brain Andreas Neubauer I Slide 4 I 18.11.2014 Synapses Neurons • basic concept of nerves • dendrites can be considered as the means of information input • axons are the channels for output information • cell bodies may be considered to be located in the brain/spinal cord • axons supply muscles or carry information to the brain Brown, Medical Physics http://www.biotele.com/research.htm Andreas Neubauer I Slide 5 I 18.11.2014 Neural communication I • electrical signals in the body are constant in amplitude and vary in frequency ⇒ pain intensity is regulated by the frequency of the signals • normal frequency ≈ 1 (pulse per second) • relation of frequency and intensity is approx. logarithmic ⇒ ( ) = log( ( )) + Brown, Medical Physics Andreas Neubauer I Slide 6 I 18.11.2014 Neural communication II • Example: • Dynamic range of the ear: min 10 /1 ⇒ 120 ⇒ The eye is sensitive to a similarly wide range of intensities • Assume a linear relationship: = × ( ) • Maximum transmission frequency: 100 pps ⇒ min. sensory input would correspond to 10 ⇒ impractical! ⇒ with a logarithmic scale a dynamic range of 10 /1 is compressed to 25/1 ⇒ recognition of different amplitudes is much worse Andreas Neubauer I Slide 7 I 18.11.2014 Why is smooth movement possible? Brown, Medical Physics • increasing contraction is achieved be an increase in frequency • not all muscle fibers twitch simultaneously Andreas Neubauer I Slide 8 I 18.11.2014 The Nernst equation • consider a reservoir with de-ionized water • add a volume with saline solution ( ) enclosed by a semipermeabel (for ) membrane • diffusion will go on until equilibrium is established Nernst equation: = ! & log % ' "# $ &( ≈ diffusion gradient electrostatic force Brown, Medical Physics )* & log+, ' ("# &( ) valid at room temperature .: Gas constant; /: Temperature; 0: Faraday constant; 12 : Valence ⇒ transmembrane potential with respect to the outside of the membrane Andreas Neubauer I Slide 9 I 18.11.2014 Transmembrane potential 4 • ions can hardly diffuse through the membrane when the cell is in resting state 4 influx • generation of a nerve action potential leads to • normally negative when the nerve is in resting state Ion Intracellular concentration (56) 84 4 Extracellular concentration (56) Nernst potential inside wrt outside (57) 400 20 −75 50 450 +55 40 550 −66 Brown, Medical Physics Andreas Neubauer I Slide 10 I 18.11.2014 Membranes and nerve conduction • electrical impulses can travel along the nerve with a velocity of 50-/ • high/low intracellular potassium/sodium concentration is established by the membrane ⇒ polarization i.e. resting potential 4 >?4 = Brown, Medical Physics • stimulation leads to an efflux/influx of potassium/sodium ⇒ change in transmembrane potential ⇒ avalanche effect ⇒ DEPOLARIZATION! Andreas Neubauer I Slide 11 I 18.11.2014 Transmission of Nerve Action Potentials (NAPs) I • impulse of depolarization which travels along a nerve • muscle fibers can also transmit action potentials (MAPs) • ionic currents will flow from depolarized to polarized parts ⇒ source of bioelectric signals! • myelinated fibers transmit APs 10 times faster than non-myelinated fibers Brown, Medical Physics Andreas Neubauer I Slide 12 I 18.11.2014 Transmission of NAPs II • speed of transmission depends on: • Membrane capacitance • Myelin Brown, Medical Physics • Axon resistance • assume a cylindrical membrane with diameter @ and length A: BC ⇒ . = F; G: resistivity [Ωm] DE ⇒ = LMDL; L: dielectric constant of neural membrane ⇒ . = BV WDE DEF = GL DWF ; X RS TU time constant of the membrane [ ] YZ • typical values: Membrane capacitance: 1 F , @ = 10]-, A = [U 10--, ^ ≈ 1Ω⇒ ≈ 3 × 10 ` ]F, . ≈ 1.3 × 10* Ω,time constant ≈ 0.4 ⇒ .[c22%d ≈ 2.14Ω Andreas Neubauer I Slide 13 I 18.11.2014 Muscle Action Potentials (MAPs) Brown, Medical Physics Smooth muscle Striated/voluntary muscle intestines and blood vessels skeletal muscle intrinsically active voluntarily active Andreas Neubauer I Slide 14 I 18.11.2014 Volume conductor effects I hi + g Df d • electrical potential: Φ = • assumptions: • Potential at infinity equal zero • Tissue is homogeneous l j = k gd ⇒ B Dd F j = Bh Dd • cylindrical nerve fiber: ⇒ j = Bmn op Dq Brown, Medical Physics • contribution made to the potential field at r(s‘, u‘, v‘) ⇒ j = s– s‘ x ⇒ Φ s, u, v = g + u − u‘ x + v − v‘ Bhn p y D p p z F 4{ zF 4| zF F x y F s Andreas Neubauer I Slide 15 I 18.11.2014 Volume conductor effects II • connection of kU to the transmembrane potential ⇒ kU s = k} –kc = [T p T p op ~ Bop − [T p4op T p ~ Bop Brown, Medical Physics = x~ o F T B op F FT Brown, Medical Physics Brown, Medical Physics Andreas Neubauer I Slide 16 I 18.11.2014 Detection and analysis of ECG/EKG Andreas Neubauer I Slide 17 I 18.11.2014 ECG/EKG characteristics • electrical events can be recorded from the body surface ⇒ complex relation to the source • lighthouse analogy • recording is only possible when potentials are changing ⇒ record of the changing activity of the heart Brown, Medical Physics Andreas Neubauer I Slide 18 I 18.11.2014 Electrocardiographic planes • standardization of recorded signals is needed Brown, Medical Physics Andreas Neubauer I Slide 19 I 18.11.2014 The frontal plane ECG/EKG – lead configurations • electrical activity of the heart can be described as movement of an electrical dipole ⇒ cardiac vector is the line joining the charges of the dipole • Einthoven‘s triangle: triangle between RA, LA and LL ⇒ lead configurations: ⇒ Lead I: RA (−) to LA (+) ⇒ Lead II: RA (−) to LL (+) ⇒ Lead III: LA (−) to LL(+) • plotting the measured signal in the three leads at any time of the cardiac cycle on Einthoven‘s triangle leads to the cardiac vector • body build and age influence the cardiac vector Andreas Neubauer I Slide 20 I 18.11.2014 The transverse plane ECG/EKG Brown, Medical Physics • recorded unipolarly wrt an indifferent electrode (LA + RA + LL) • usually with six electrodes in a line round the chest Andreas Neubauer I Slide 21 I 18.11.2014 The sagittal plane ECG/EKG • also recorded with an indifferent electrode • catheter with electrode is placed down the oesophagus • rarely used in practice http://www.cardiocommand.com/research_cathinsert.html Andreas Neubauer I Slide 22 I 18.11.2014 Electrodes and amplifiers • good skin preparation leads to an electrode impedance < 10 Ω ⇒ amplifier input impedance of 1€Ω is adequate ⇒ electrodes do not have the same impedances ⇒ common-mode voltage is produced ⇒ 80 common-mode rejection with 10 Ω difference impedance between electrodes requires a common-mode input impedance of 100€Ω • normally the majority of EMG spectra lies above the ECG spectra ⇒ apply bandpass filter Andreas Neubauer I Slide 23 I 18.11.2014 Detection of EEG signals Andreas Neubauer I Slide 24 I 18.11.2014 Sources of the EEG signal • electroencephalographic signals were first recorded in 1929 (ECG/EKG in 1895) • electroencephalograph means graph of electrical changes from the enkephalos (Greek for brain) • sources of the EEG signals are the neuronal potentials of the brain ⇒ attenuation by bone, muscle and skin ⇒ electrocorticography (ECoG) records signals directly from the cortex • EEG signals are between 10 and 300]V • Ag-AgCl discs are best to record an EEG ⇒ time consuming ⇒ skullcaps are much more convenient in use Brown, Medical Physics Andreas Neubauer I Slide 25 I 18.11.2014 EEG equipment and settings • differential amplifiers are used for signal amplification • min. eight channels at the recorder • assume 16 differential amplifiers ⇒ 32 input connections plus one earth connection • „standard“ EEG settings: • Chart speed 30--/ • Gain setting: 100]V/ƒ• Time constant: 0.3 (corresponds to a −3 point of 0.531/ ) • Filters: High frequency response is a -3 at 751/ • electrode impedance < 10 Ω Andreas Neubauer I Slide 26 I 18.11.2014 Normal EEG signals • a quiet environment is required • only one person should be in the room with the patient • wide-awake „normal“ persons produce an unsynchronized highfrequency EEG • rhythmic activity at8– 131/ is produced if a „normal“ person closes the eyes Brown, Medical Physics Andreas Neubauer I Slide 27 I 18.11.2014 Artifacts • electrode artifacts ⇒ electrode impedances ⇒ interference ⇒ movement of the cables ⇒ perspiring of the patient • potential difference of several between the back and front of the eyes • ECG may be seen if recording electrodes are spaced a long way • dental fillings may produce artifacts http://www.psychologie.uzh.ch/fachrichtungen/plasti/Lab or.html http://bipolaraspiemom.wordpress.com/20 11/07/15/are-you-still-awake-our-eegstory/ Andreas Neubauer I Slide 28 I 18.11.2014