Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Neurol Res and Elmer Press Inc
Journal website http://www.neurores.org

Original Article

Volume 5, Number 1-2, April 2015, pages 167-180


A Non-Invasive Detection and Monitoring of Intracranial Pressure Using Ultrasound Sensors

Figures

Figure 1.
Figure 1. Proposed model for ICP monitoring device.
Figure 2.
Figure 2. Proposed ICP monitoring device system components breakdown.
Figure 3.
Figure 3. SIMULINK model of biological system-ultrasound device interaction.
Figure 4.
Figure 4. Biological system SIMULINK model.
Figure 5.
Figure 5. Ultrasound system SIMULINK model.
Figure 6.
Figure 6. Inner structure of neck region showing various tissue levels.
Figure 7.
Figure 7. Sub-structure for each neck region tissue.
Figure 8.
Figure 8. Basic unit for representing each tissue.
Figure 9.
Figure 9. Ultrasound system sensor circuit inner structure.
Figure 10.
Figure 10. Ultrasound system sensor circuit transducer circuit.
Figure 11.
Figure 11. Signal generation SIMULINK model.
Figure 12.
Figure 12. Signal processing circuit SIMULINK model.
Figure 13.
Figure 13. Analogue to digital convertor circuit.
Figure 14.
Figure 14. Graphical representation of appropriate ultrasound penetration frequencies for each dataset.
Figure 15.
Figure 15. Ultrasound propagation time plot for various datasets considered.
Figure 16.
Figure 16. Graph showing CSF content and ultrasound pulse interaction received amplitude.
Figure 17.
Figure 17. (a) Part of ultrasound pulses received from the SIMULINK biological system model. (b) Amplified received ultrasound pulse from CSF cells reflections. (c) The multiplexed signal of the original ultrasound pulse and the received amplified ultrasound pulse. (d) The filtered shifted ultrasound pulse (shift frequency) to remove high frequencies.
Figure 18.
Figure 18. ICP pulses used for simulations for (a) an abnormal ICP pulse, (b) an abnormal challenging ICP pulse, (c) a normal ICP pulse, and (d) a normal challenging ICP pulse.
Figure 19.
Figure 19. Example of results from the used of normal pulse in simulation.

Tables

Table 1. Properties of Various Tissue Regions Used in MATLAB Simulation of Ultrasound Propagation Within the Neck Region
 
RegionsProperties
Density (kg/m3)Speed of sound (m/s)Attenuation (Np/m/MHz)Tissue thickness (mm)
Transducer7,6605200--
Skin1,010 - 1,0201,720 - 1,5403.3001.4 - 4
Neck muscle1,040 - 1,0701,580 - 1,56620.00014 - 27.5, 10 - 14.5
Vertebra column1,400 - 1,8103,299 - 4,0801.00010 - 13.0
Dura mater1,010 - 1,0201,720 - 1,5400.0250.4 - 0.9
Cerebrospinal fluid990 - 1,0001,527 - 1,5191.0000.3 - 0.5
Spinal cord1,010 - 1,0201,720 - 1,5400.0252 - 3.51

 

Table 2. Dataset Generated Table From Initial Parameters
 
RegionRange
12345678910
Density (kg/m3)
  Skin1,0101,0111,0121,0131,0141,0151,0161,0171,0181,020
  Muscle1,0401,0431,0461,0501,0531,0561,0601,0631,0661,070
  Vertebra1,4001,4451,4911,5361,5821,6271,6731,7181,7641,810
  Dura1,0101,0111,0121,0131,0141,0151,0161,0171,0181,020
  CSF9909919929939949959969979981,000
  Spine1,0101,0111,0121,0131,0141,0151,0161,0171,0181,020
Speed of sound (m/s)
  Skin1,7201,7001,6801,6601,6401,6201,6001,5801,5601,540
  Muscle1,5801,5781,5771,5751,5741,5721,5711,5691,5681,566
  Vertebra3,2993,3863,4723,5593,6463,7333,8203,9063,9934,080
  Dura1,7201,7001,6801,6601,6401,6201,6001,5801,5601,540
  CSF1,5271,5261,5251,5241,523.41,5231,5221,5211,5201,519
  Spine1,7201,7001,6801,6601,6401,6201,6001,5801,5601,540
Thickness (mm)
  Skin1.401.702.002.302.602.803.103.403.704.00
  Muscle27.50, 14.5026.00, 14.0024.50, 13.5023.00, 13.0021.50, 12.5020.00, 12.0018.50, 11.5017.00, 11.0015.50, 10.5014.00, 10.00
  Vertebra10.0010.3010.7011.0011.3011.7012.0012.3012.7013.00
  Dura0.400.460.510.570.620.700.730.800.840.90
  CSF0.300.320.340.370.390.410.430.450.480.50
  Spine2.002.202.302.502.702.803.003.203.303.50

 

Table 3. Fresnel Length for a Range of Speed of Sound for Various Tissue Regions
 
Speed of sound (m/s)Fresnel length (mm)Region thickness (mm)
2 MHz3 MHz5 MHz8 MHz10 MHz12 MHz15 MHz18 MHz20 MHz
Skin region
  1,7204.6516.97611.62718.60423.25527.90634.88241.86046.5111.40
  1,7004.7057.05811.76418.82323.52928.23535.29442.35247.0581.70
  1,6804.7617.14211.90419.04723.80928.57135.71442.85747.6192.00
  1,6604.8197.22812.04819.27724.39028.91536.14443.37348.1922.30
  1,6404.8787.31712.19519.51224.39129.26836.58543.90248.7802.60
  1,6204.9387.40712.34519.75324.69129.62937.03744.44449.3822.80
  1,6005.0007.50012.50020.00025.00030.00037.50045.00050.0003.10
  1,5805.0637.59412.65820.25325.31630.37937.97445.56950.6323.40
  1,5605.1287.69212.82020.51225.64130.76938.46146.15351.2823.70
  1,5405.1947.79212.98720.77925.97431.16838.96146.75351.9484.00
Muscle region
  1,5805.0637.59412.65820.25325.31630.37937.97445.56950.63214.0, 10.0
  1,5785.0687.60212.67020.27325.34130.40938.01245.61450.68215.5, 10.5
  1,5775.0737.60912.68320.29325.36630.43938.04945.65950.73217.0, 11.0
  1,5755.0787.61712.69520.31325.39130.46930.08745.70450.78218.5, 11.5
  1,5745.0837.62412.70820.33325.41630.49938.12445.74950.83320.0, 12.0
  1,5725.0887.63212.72020.35325.44130.53038.16245.79550.88321.5, 12.5
  1,5715.0937.64012.73320.37325.46630.56038.20045.84050.93323.0, 13.0
  1,5695.0987.64712.74620.39325.49230.59038.23845.88550.98424.5, 13.5
  1,5685.1037.65512.75820.41325.51730.62038.27645.93151.03426.0, 14.0
  1,5665.1087.66212.77120,43425,54230.65138.31445.97751.08527.5, 14.5
Vertebra region
  3,2992.4243.6376.0629.69912.12414.55918.18721.82424.24910.0
  3,3862.3623.5445.9079.45111.81414.17617.72121.26523.62810.3
  3,4722.3033.4555.7599.21511.51813.82217.27820.73423.03710.7
  3,5592.2473.3715.6198.99011.23813.48516.87520.22822.47611.0
  3,6462.1943.2915.4858.77610.97013.16416.45519.74721.94111.3
  3,7332.1433.2145.3578.57210.71512.85816.07319.28821.43111.7
  3,8202.0943.1415.2368.37710.47212.56615.70818.84920.94412.0
  3,9062.0473.0715.1198.19110.23912.28717.35918.43120.47812.3
  3,9932.0033.0055.0088.01310.01612.02015.02518.03020.03312.7
  4,0801.9602.9414.9017.8439.80311.76414.70517.64719.60713.0
Dura region
  1,7204.6516.97611.62718.60423.25527.90634.88241.86046.5110.40
  1,7004.7057.05811.76418.82323.52928.23535.29442.35247.0580.46
  1,6804.7617.14211.90419.04723.80928.57135.71442.85747.6190.51
  1,6604.8197.22812.04819.27724.39028.91536.14443.37348.1920.57
  1,6404.8787.31712.19519.51224.39129.26836.58543.90248.7800.62
  1,6204.9387.40712.34519.75324.69129.62937.03744.44449.3820.70
  1,6005.0007.50012.50020.00025.00030.00037.50045.00050.0000.73
  1,5805.0637.59412.65820.25325.31630.37937.97445.56950.6320.80
  1,5605.1287.69212.82020.51225.64130.76938.46146.15351.2820.84
  1,5405.1947.79212.98720.77925.97431.16838.96146.75351.9480.90
CSF region
  1,5275.2397.85813.09720.95626.19531.43439.29247.15152.3900.30
  1,5265.2427.86313.10520.96826.21031.45239.31547.18752.4200.32
  1,5255.2457.86713.11220.98026.22531.47039.33847.20652.4510.34
  1,5245.2487.87213.12020.99226.24031.48939.63147.23352.4810.37
  1,523.45.2517.87613.12821.00526.25631.50739.38447.26152.5120.39
  1,5235.2547.88113.13521.01726.27131.52539.40747.28852.5430.41
  1,5225.2577.88613.14321.02926.28631.54439.43047.31652,5730.43
  1,5215.2607.89013.15121.04126.30231.56239.45347.34452.6040.45
  1,5205.2637.89513.15821.05426.31731.58139.47647.37152.6350.48
  1,5195.2667.89913.16621.06626.33331.59939.49947.39952.6660.50
Spinal region
  1,7204.6516.97611.62718.60423.25527.90634.88241.86046.5112.00
  1,7004.7057.05811.76418.82323.52928.23535.29442.35247.0582.20
  1,6804.7617.14211.90419.04723.80928.57135.71442.85747.6192.30
  1,6604.8197.22812.04819.27724.39028.91536.14443.37348.1922.50
  1,6404.8787.31712.19519.51224.39129.26836.58543.90248.7802.70
  1,6204.9387.40712.34519.75324.69129.62937.03744.44449.3822.80
  1,6005.0007.50012.50020.00025.00030.00037.50045.00050.0003.00
  1,5805.0637.59412.65820.25325.31630.37937.97445.56950.6323.20
  1,5605.1287.69212.82020.51225.64130.76938.46146.15351.2823.30
  1,5405.1947.79212.98720.77925.97431.16838.96146.75351.9483.50

 

Table 4. Ultrasound Characteristics for Various Tissue Lengths From Simulation
 
Region thickness (mm)Wavelength (mm)Travel time (µs)Attenuation (Gain)Coefficients
ReflectionTransmission
ABABABAB
Test set 1 - 10 MHz
  1.400.17200.810.810.99990.99990.83980.83980.16020.1602
  14.0, 10.00.15808.9017.330.99350.99670.00080.00080.99990.9992
  10.00.32993.03-0.9801-0.2257-0.7742-
  0.400.17200.230.230.99990.99990.20550.20550.79450.7945
  0.300.15270.200.200.99990.99990.00480.00480.99520.9952
  2.000.17201.201.200.99990.99990.00480.00480.99520.9952
Test set 2 - 10 MHz
  1.700.17001.001.000.99990.99990.84000.84000.16000.1600
  15.5, 10.50.15788.8716.50.99360.97790.00050.00050.99950.9995
  10.30.33863.04-0.9790-0.2466-0.7534-
  0.460.17000.270.270.99990.99990.31450.31450.68550.6854
  0.320.15260.210.210.99990.99990.70560.70560.29440.2944
  2.200.17001.291.290.99990.99990.00410.00410.99590.9959
Test set 3 - 12 MHz
  2.000.16801.201.200.99990.99990.84300.84300.15700.1570
  17.0, 11.00.15778.5615.530.97650.97650.00020.00020.99980.9998
  10.70.34723.08-0.9730-0.2670-0.7330-
  0.510.16400.300.300.99990.99990.25560.00020.74440.9998
  0.340.15250.230.230.99990.99990.00340.00340.99660.9966
  2.300.17001.371.370.99990.99990.00340.00340.99660.9966
Test set 4 - 12 MHz
  2.300.16601.401.400.99990.99990.84450.84450.15540.1554
  18.5, 11.50.15758.3014.60.99330.97930.00010.00010.99990.9999
  11.00.35593.10-0.9714-0.2867-0.7133-
  0.570.16600.340.340.99990.99990.28040.00010.71960.9999
  0.370.15240.240.240.99990.99990.00280.00280.99720.9972
  2.500.16601.561.560.99990.99990.00280.00280.99720.9972
Test set 5 - 12 MHz
  2.600.16401.601.600.99990.99990.84610.84610.15390.1539
  20.0, 12.00.15747.9014.00.99380.98190.00010.00010.99990.9999
  11.30.36463.10-0.9698-0.3064-0.6935-
  0.620.16400.380.380.99990.99990.30510.00010.69480.9999
  0.390.152340.260.260.99990.99990.00210.00210.99780.9978
  2.700.16401.651.650.99990.99990.00210.00210.99780.9978
Test set 6 - 12 MHz
  2.800.16201.731.730.99990.99990.84770.84770.15230.1523
  21.5, 12.50.15727.6312.720.99430.98430.00010.00010.99990.9999
  11.70.37333.13-0.9676-0.3257-0.6743-
  0.700.16200.430.430.99990.99990.32930.00010.67060.9999
  0.410.15230.270.270.99990.99990.00160.00160.99830.9983
  2.800.16201.731.730.99990.99990.00160.00160.99830.9983
Test set 7 - 15 MHz
  3.100.16001.941.940.99980.99980.84930.84930.15100.1510
  23.0, 13.00.15717.3211.800.99480.98650.00010.00020.99980.9998
  12.00.38203.14-0.9660-0.3441-0.6560-
  0.730.16000.460.460.99990.99990.35330.00020.64660.9998
  0.430.15220.280.280.99990.99990.00120.00120.99880.9988
  3.000.16001.901.900.99980.99980.00120.00120.99880.9988
Test set 8 - 15 MHz
  3.400.15802.152.150.99980.99980.85100.85100.14910.1491
  24.5, 13.50.15697.0110.830.99520.98860.00030.00030.99970.9997
  12.30.39063.15-0.9643-0.3622-0.6377-
  0.800.15800.510.510.99990.99990.37650.00030.62340.9997
  0.450.15210.300.300.99990.99990.00080.00080.99910.9991
  3.200.15802.022.020.99980.99980.00080.00080.99910.9991
Test set 9 - 15 MHz
  3.700.15602.372.370.99980.99980.85250.85250.14750.1475
  26.0, 14.00.15686.709.880.99560.99050.00070.00070.99930.9993
  12.70.39933.18-0.9620-0.3799-0.6200-
  0.840.15600.540.540.99990.99990.39940.00070.60050.9993
  0.480.15200.320.320.99990.99990.00050.00050.99950.9995
  3.300.15602.122.120.99980.99980.00050.00050.99950.9995
Test set 10 - 15 MHz
  4.000.15402.602.600.99980.99980.85390.85390.14600.1460
  27.5, 14.50.15666.408.940.99600.99230.00100.00100.99890.9989
  13.00.40803.20-0.9602-0.3971-0.6029-
  0.900.15400.580.580.99990.99990.42150.42150.57850.9989
  0.500.15190.330.330.99990.99990.00030.00030.99970.9997
  3.500.15402.272.270.99980.99980.00030.00030.99970.9997