Bioinstrumentation Curriculum Workshop Whitaker Foundation Biomedical Engineering Educational Summit December 9, 2000 Rebecca Richards-Kortum, PhD The University of Texas at Austin John G. Webster, PhD The University of Wisconsin Goals: Bioinstrumentation Curriculum • Discuss and Generate Consensus Report: – Current Status and Best Practices – Critical Incoming Knowledge Base Needed – Role of Experiential Learning – Intellectual Trends for the Future – Recommendations for Future Curriculum Whitaker Foundation Philosophy 1. A thorough understanding of life sciences, with life sciences a critical component of the curriculum. 2. Mastery of advanced engineering tools/approaches. 3. Familiarity with problems of making and interpreting quantitative measurements in living systems. 4. The ability to use modeling techniques as a tool for integrating knowledge. 5. The ability to formulate and solve problems with medical relevance, including the design of devices, systems, and processes to improve human health. Current Status: Courses at Top 12 Institutions Number of Courses 3 2 1 0 CWRU Penn UCSD Duke JHU Berkeley Rice NWU Current Status Institution Required Courses Year Taken Pre-Requisites UCSD Principles of Bio-inst. Design Junior Linear Circuits, Exptl. Techs. Biomedical Electronics Senior Biomedical Electronics and Measurements I Soph. Biosystems and Control, Princ. of Bioinst. Design Introduction to Electric Circuits Duke University Biomedical Electronics and Measurements II Junior Biomedical Electronics and Measurements I Current Status Institution Required Courses Year Taken Pre-Requisites Case Western Reserve Principles of Biomedical Instrum. Junior Physiol./Biophys. I/II, Circuits, Signals/Sys. I BME Instrumentation Lab Junior Principles of Biomedical Instrum. Biomedical Engineering Lab I Univ. of Penn. Bioengineering Laboratory I Bioengineering Laboratory IV Junior Soph. Junior Physiol./Biophys. I/II, Circuits, Signals/Sys. I 1 year of calculus, physics Bioengineering Lab III Current Status Institution Required Courses Johns Hopkins None UC–Berkeley None Rice None Northwestern None Year Taken PreRequisites Current Status: Review of Syllabi Institution Course UCSD BE186B: Principles of Bio-inst. Design UCSD BE122B: Biomedical Electronics Duke BME163L: Biomed. Elec./Measurements I Duke BME164L: Biomed. Elec./Measurements II CWRU EBME310: Principles of Biomedical Inst. CWRU EBME313: Biomedical Eng. Lab I CWRU EBME360: BME Instrumentation Lab Penn BE209: Bioengineering Laboratory I Penn BE 310: Bioengineering Laboratory IV CWRU EBME310: Biomedical Instrum. • Topics: – – – – – – – – – – Biopotential Electrodes Electrochemical Transducers of Biochemical Variables Temperature Transducers Measuring Flow Mechanical Transducers Optical Sensing Imaging in Single Cells Single Cell Electrophysiological Measurements Piezoelectric Transducers and Instruments Analytical Instruments for Biomaterials Research CWRU EBME360: Biomedical Instrum. Lab • Topics: – – – – – – Body Surface Electrochemistry Multi-electrode ECG EMG Transduction LED pulse Plethysmograph Circuit Patch Lamp Technique Ultrasound Image Formation CWRU EBME313: BME Lab I • Topics: – Errors and Error Analysis – Ethics – Computer Presentation • Lab (63% of grade) – choose three from: – – – – – – – – – 3D landmark coordinates from bi-orthogonal film x-rays Ultrasound measurements of flow Measuring neurotransmitters with microelectrode Quantitative Properties of the Neuromuscular system Evaluation of bone/implant interface using radiography Patch clamp recording from retinal cells Measurement of blood flow using PET Compare mammographic image registration algos Measuring the compliance of heart valves UCSD BE122B: Biomedical Electronics • Topics: – – – – – – – – – Analog to Digital Conversion Digital Ckt Building Blocks Convolution Sampling Theorem Fourier Transforms Image Processing Ultrasound Computed Tomography Electrokinetic Phenomena • Lab: No • Project: 25% UCSD BE 186B: Principles of Bioinst. Design • Topics: – – – – – – – – – – Biopotentials Electronics Review Amplifiers Electrical Safety Biopotential Electrodes Chemical Sensors Light Based Instrumentation Video Systems Flow Measurements Ultrasound • Lab: No • Project: No Duke 163L: BME Elec. and Meas. I • Topics: Duke BME164L: BME Elec. and Meas. II • Topics: – – – – – Transducers and Sensors Op Amps, Filter, Differential and Instrument Amplifiers Digital Devices and Circuits Recording and Display Devices Fourier Transforms, Series and Sampling • Lab (20% of grade) • Project (50% of grade) – Sensor, signal processing unit, A/D converter, Display Penn BE209: Bioengineering Lab I • Topics: – Biomedical Electronics – Mechanical Testing of Biological Specimens • Lab: (50% of grade) – – – – – – – – Electronic thermometer Building the electronic scale Building the electronic exercise evaluation device Building the electronic signal generator Uniaxial Load testing of biological specimens Tensile properties of chicken skin Three point bending of chicken bones Impact strength of chicken bone • Uses Discovery Learning Penn BE310: Bioengineering Lab IV • Topics: – Fluid Mechanics – Signal Analysis • Lab: – – – – – – Fluid Mechanical Simulation of Coughing Measurement of Pressure and Flow in Straight Tube Steady Flow through a Sacular Aneurysm Model Conservation of Energy - Thermodilution Signal Analysis: The Electrocardiogram Signal analysis: Vibration Analysis • Project: – Several weeks duration Wisconsin BME310: Bioinstrumentation • Topics: – – – – – – – Measurement systems Signal Processing Molecules in Clinical Chemistry Mol. Measurements in Biomaterials and Tissue Eng. Hematology Cell. Measurements in Biomaterials and Tissue Eng. Nervous System, Heart and Circulation, Lungs, Kidney, Bone and Skin • Labs (20% of grade): – 1. Blood Pressure, 2. Circuits, 3. Pressure Sensor, 4. Pulse Oximeter, 5. ECG, 6. Ultrasonic Flowmeter, 7. Spirometery, 8. Temperature, 9. Spectrophotometer, 10. Electrophoresis, 11. Dynamic Light Scattering, 12. Microscopes UT EE374k: Biomedical Instrumentation • Topics: – – – – – – – – – – – – Transducers Light sources, Photodetectors Signal conditioning and amplification Biopotentials EMG, ECG Electrodes Microeelctrodes Blood Pressure Flow Ultrasound Pacemakers, Defribrillators Electrical Safety Comparison of Courses CWRU Electronics A to D and D to A Amplifiers Recording and Display Devices Error Analysis Biopotentials Biopotential Electrodes ECG EMG Convolution Sampling Fourier Transforms Image Processing Video UCSD x x x Duke x x x x Penn x x x x x x x x x x x x x x Comparison of Courses Ultrasound CT Temperature Transducers Mechanical Transducers Piezoelectric transducers CWRU x UCSD x x x x x Chemical Sensors Light Based Instrumentation x x x x Flow x x Electrophysiology x Biomaterials Instruments x Electrical Safety Duke Penn x x x x x x x x Current Status: Exercise Number One • Introductions • Describe Bioinstrumentation Curriculum at Your Institution Best Practices • Issues to Consider: – Course Subject Matter • General Course Outcomes • Specific Course Learning Objectives – Course Outline – Prerequisites – Course Level – Textbooks – Laboratories Best Practices: Industrial Survey • Please list the 5 most important technical topics that a BME who graduates with a BS in the next 5-10 years will need to know. • 1. PSI, 2. Sulzer Carbomedics, 3. Sulzer Biologics, 4. Sulzer Orthopedics, 5. Sulzer Carbomedics, 6. GE, 7. Zeiss Company #: Top 5 Skills 1 DSP Analog ckts, electronics Chemistry (thru Organic) Programming/ Basic Software biology/human design physiology 2 Blood-mat. Bio-compat. Experiment Design Eng. Prop. of Materials Tissue Engineering Molecular biology Tissue Const. Prin. of tissue eng. Molecular biology Intro. to Med. Indus. Report writing, technical pres. Informatics Statistical Analysis Pharmacology inter. 3 Delivery of agents 4 One eng. field well 5 Protein ads. cell interac. 6 Imaging Molecular Technologies Function 7 Good found. in physics Matls. Sci. and Inter-, intra- Gene, protein combo chem cell. Proc. func. Molecular Biology Course Subject Matter: Overall Goal • Prepare students to design and utilize biomedical instrumentation for measurements on humans and animals. – Sensors – Diagnostic Devices – Therapeutic Devices – New Fields: Molecular engineering, cell and tissue engineering, biotechnology General Course Outcomes • Recall bioinstrumentation vocabulary • Analyze measurement specifications • Choose the best method of making a measurement of performing therapy • Perform open-ended design of a measurement or therapeutic device • Analyze data resulting from a measurement of therapeutic device • Search internet, medical, engineering and patent databases • Communicate effectively • Pass nationally-normed subject content exams Specific Course Learning Objectives • Behaviorally observable objectives that illustrate concepts, relationships and skills to be gained • Examples: – Draw circuit / amplifier design for a pO2 electrode – Draw block diagrams for A-mode, B-mode and TM ultrasonic image scanners – Design grounding system for an ICU – Explain how DNA is automatically sequenced and and how fluorescence assists signal processing Course Outline: Exercise #2 • Rank the ten most important topics to cover Specific Course Learning Objectives • Pre-requisites • Should include: – One year of calculus and physics – One semester of chemistry – Differential equations – Cell and molecular biology – Electric circuits – Electronics – Background in programming, statistics, signal analysis Course Level • Junior year Textbooks Author/Editor Title Comments Webster, J. G. (ed.) Medical instrumentation: application and design, 3rd. ed systems, sensors, circuits, hospital instrumentation, therapeutic devices, safety, but omits the new fields. Togawa, T., T. Tamura, P. A. Oberg Biomedical transducers and instruments short descriptions of very many biomedical transducers, but omits the new fields Northrop, R.B. Introduction to instrument. and measurements physical sensors, electrical measurements, digital interfaces and signal conditioning, but lacks biomedical instrumentation Welkowitz, W., S, Deutsch, M. Akay Biomedical physical sensors, analog and digital instruments: theory circuits, 12 biomedical instrumentation and design, 2nd. ed. designs, medical imaging. Textbooks Author/Editor Title Comments Aston, R. Principles of descriptive, lacks equations, and omits biomedical the new fields instrumentation and measurement Geddes, L. A. and L. E. Baker Principles of many sensors for biomedicine, applied biomedical therapeutic devices, but omits the new instrumentation, 3rd fields Normann, R. A. Principles of bioinstrumentation circuits, sensors for biomedicine, computers, signal processing, safety, but omit the new fields Bronzino, J. D. Biomedical engineering and instrumentation many sensors for biomedicine, therapeutic devices, but omits the new fields Textbooks Author/Editor Title Comments Cromwell, L., F. Biomedical descriptive lacks equations, and omits J. Weibell, E. A. instrumentation and the new fields Pfeiffer measurements, 2nd ed Cobbold, R. S. C. Transducers for biomedical measurements systems, many sensors for biomedicine, but omits the new fields Webster, J. G. (ed.), Bioinstrumentation introduces 4th semester student to measurements. Covers necessary electronics, then measurements in the new fields of molecular engineering, cellular engineering, tissue engineering, biotechnology plus hospital instrumentation. No therapy. Role of Experiential Learning • Knowledge taught in a single context is less likely to support flexible transfer of knowledge. • Laboratory modules: – – – – – – – – Develop intuition and deepen understanding of concepts Apply concepts learned in class to new situations Experience basic phenomena Develop critical, quantitative thinking Develop experimental and data analysis skills Learn to use scientific apparatus Learn to estimate statistical errors, recognize systematic errors Develop reporting skills Science Teaching Reconsidered: A Handbook; National Research Council Laboratories • Exercise #3: Rank the top 5 most important laboratory experiences Laboratories • Role of Technology in Learning • Bring real world problems into classrooms • Provide scaffolding to augment what learners can do and reason about on their path to understanding • Increase opportunities for learners to receive feedback; to reflect on their learning process; to receive guidance toward progressive revisions that improve learning • Build local, global communities of teachers and learners • Expand opportunities for teacher learning Bransford et al; How People Learn Web Based Instructional Materials • http://utwired.engr.utexas.edu • http://utwired.engr.utexas.edu/swpm/ • http://www.utwired.engr.utexas.edu/ee302videos/ ERC • NSF ERC: Bioengineering Educational Tech. – Modular, multimedia learning tools – Collaboration of bioengineering educators and learning scientists – $10 Million over 5 years http:www.vanth.org Recommendations for Future Curriculum • Past: emphasized measurements in traditional areas such as biomedical instrumentation and imaging • Future: Expand these areas to include measurements in biosensors, molecular, cell and tissue engineering and biotechnology The UT Electronic Taste Chip salts, sugars, acids, alkaloids, small molecules, proteins, antibodies, DNA, redox species, solvents John T. McDevitt / UT Chem. Biochem. Dept. sour bitter salt sweet sour The Bead Array Chip Mass Production of Customized Chips 106 Beads per Gram John T. McDevitt / UT Chem. Biochem. Dept. Science Demonstration #1 Ca(2+) Flow Dynamics Visualized (OCP Beads) John T. McDevitt / UT Chem. Biochem. Dept. Science Demonstration #4 Beads conjugated to monoclonal antibody to HIV p24 Blank control beads John T. McDevitt / UT Chem. Biochem. Dept. Areas for the Future: Exercise #5 • What new areas of bioinstrumentation will be important to emphasize in the next 5 – 10 years? Questions for Discussion: Should all BME students take a bioinstrumentation course? Questions for Discussion: What role can technologyenhanced learning play in bioinstrumentation courses and laboratories?