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Biopotentials & electrodes
21/07/1438 Dr. Ali Saad Prepared by Dr. Gohn Webster Univ. Wiscosin Biopotentials & electrodes Ali S. Saad Department of Biomedical Engineering College of applied medical Sciences King Saud University
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Recording of action potential of an invertebrate nerve axon (a) An electronic stimulator supplies a brief pulse of current to the axon, strong enough to excite the axon. A recording of this activity is made at a downstream site via a penetrating micropipet. (b) The movement artifact is recorded as the tip of the micropipet drives through the membrane to record resting potential. A short time later, an electrical stimulus is delivered to the axon; its field effect is recorded instantaneously at downstream measurement site as the stimulus artifact. The action potential proceeds along the axon at a constant propagation velocity. The time period L is the latent period or transmission time from stimulus to recording site.
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Dr. Ali Saad Prepared by Dr. Gohn Webster Univ. Wiscosin
21/07/1438 Dr. Ali Saad Prepared by Dr. Gohn Webster Univ. Wiscosin The role of voltage-gated ion channels in the action potential. The circled numbers on the action potential correspond to the four diagrams of voltage-gated sodium and potassium channels in a neuron's plasma membrane.
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Theoretical action potential u and membrane ionic conductance changes for sodium (gNa) and potassium (gK) are obtained by solving the differential equations developed by Hodgkin and Huxley for the giant axon of the squid at a bathing medium temperature of 18.5 ºC. ENa and EK are the Nernst equilibrium potentials for sodium and potassium across the membrane.
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Diagram of network equivalent circuit of a small length (Dz) of an unmyelinated nerve fiber or a skeletal muscle fiber The membrane proper is characterized by specific membrane capacitance Cm (mF/cm2) and specific membrane conductances gNa, gK, and gCl in mS/cm2 (millisiemens/cm2). Here an average specific leakage conductance is included that corresponds to ionic current from sources other than Na+ and K+ (for example, Cl-). This term is usually neglected. The cell cytoplasm is considered simply resistive, as is the external bathing medium; these media may thus be characterized by the resistance per unit length ri and ro (/cm), respectively. Here im is the transmembrane current per unit length (A/cm), and i and o are the internal and external potentials at point z, respectively.
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External medium Local closed (solenoidal) lines of current flow + + + + + + + + - - - - - - - + + + + + + + + - - - - - - - - + + + + + + + - - - - - - - - Active region Axon - - - - - - - - + + + + + + + - - - - - - - - + + + + + + + + - - - - - - - + + + + + + + + Resting membrane Repolarized membrane Direction of Depolarized propagation membrane (a) Myelin sheath Active node Periaxonal space Axon + - Cell Node of Ranvier (b) (a) Charge distribution in the vicinity of the active region of an ummyelinated fiber conducting an impulse. (b) Local circuit current flow in the myelinated nerve fiber.
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Extracellular field potentials (average of 128 responses) were recorded at the surface of an active (1-mm-diameter) frog sciatic nerve in an extensive volume conductor. The potential was recorded with (a) both motor and sensory components excited (Sm + Ss), (b) only motor nerve components excited (Sm), and (c) only sensory nerve components excited (Ss).
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Schematic diagram of a muscle-length control system for a peripheral muscle (biceps) (a) Anatomical diagram of limb system, showing interconnections. (b) Block diagram of control system.
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V°(t) S1 S2 + - + - R Reference D Muscle S2 V°(t) L2 t D Velocity = u = S1 L1- L2 V°(t) 1 mV L1 2 ms Measurement of neural conduction velocity via measurement of latency of evoked electrical response in muscle. The nerve was stimulated at two different sites a known distance D apart.
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Sensory nerve action potentials evoked from median nerve of a healthy subject at elbow and wrist after stimulation of index finger with ring electrodes. The potential at the wrist is triphasic and of much larger magnitude than the delayed potential recorded at the elbow. Considering the median nerve to be of the same size and shape at the elbow as at the wrist, we find that the difference in magnitude and waveshape of the potentials is due to the size of the volume conductor at each location and the radial distance of the measurement point from the neural source.
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The H reflex The four traces show potentials evoked by stimulation of the medial popliteal nerve with pulses of increasing magnitude (the stimulus artifact increases with stimulus magnitude). The later potential or H wave is a low-threshold response, maximally evoked by a stimulus too weak to evoke the muscular response (M wave). As the M wave increases in magnitude, the H wave diminishes.
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Diagram of a single motor unit (SMU), which consists of a single motoneuron and the group of skeletal muscle fibers that it innervates. Length transducers in the muscle activate sensory nerve fibers whose cell bodies are located in the dorsal root ganglion. These bipolar neurons send axonal projections to the spinal cord that divide into a descending and an ascending branch. The descending branch enters into a simple reflex arc with the motor neuron, while the ascending branch conveys information regarding current muscle length to higher centers in the CNS via ascending nerve fiber tracts in the spinal cord and brain stem.
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Motor unit action potentials from normal dorsal interosseus muscle during progressively more powerful contractions. In the interference pattern (c ), individual units can no longer be clearly distinguished. (d) Interference pattern during very strong muscular contraction. Time scale is 10 ms per dot.
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Distribution of specialized conductive tissues in the atria and ventricles, showing the impulse-forming and conduction system of the heart. The rhythmic cardiac impulse originates in pacemaking cells in the sinoatrial (SA) node, located at the junction of the superior vena cava and the right atrium. Note the three specialized pathways (anterior, middle, and posterior internodal tracts) between the Sa and atrioventricular (AV) nodes. Bachmann's bundle (interatrial tract) comes off the anterior internodal tract leading to the left atrium. The impulse passes from the SA node in an organized manner through specialized conducting tracts in the atria to activate first the right and then the left atrium. Passage of the impulse is delayed at the AV node before it continues into the bundle of His, the right bundle branch, the common left bundle branch, the anterior and posterior divisions of the left bundle branch, and the Purkinje network. The right bundle branch runs along the right side of the interventricular septum to the apex of the right ventricle before it gives off significant branches. The left common bundle crosses to the left side of the septum and splits into the anterior division (which is thin and long and goes under the aortic valve in the outflow tract to the anterolateral papillary muscle) and the posterior division (which is wide and short and goes to the posterior papillary muscle lying in the inflow tract).
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Figure 4.13 Representative electric activity from various regions of the heart. The bottom trace is a scalar ECG, which has a typical QRS amplitude of 1-3 mV. (© Copyright 1969 CIBA Pharmaceutical Company, Division of CIBAGEIGY Corp. Reproduced, with permission, from The Ciba Collection of Medical Illustrations, by Frank H. Netter, M. D. All rights reserved.)
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Figure 4.14 The cellular architecture of myocardial fibers Note the centroid nuclei and transverse intercalated disks between cells.
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Figure 4.15 Isochronous lines of ventricular activation of the human heart Note the nearly closed activation surface at 30 ms into the QRS complex. (Modified from "The Biophysical Basis for Electrocardiography," by R. Plonsey, in CRC Critical Reviews in Bioengineering, 1, 1, p.5, 1971, © The Chemical Rubber Co., Used by permission of The Chemical Rubber Co. Based on data by D. Durrer et al., "Total excitation of the Isolated Human Heart, "1970, Circulation, 41, , by permission of the American Heart Association, Inc.)
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Figure 4. 17 Atrioventricular block (a) Complete heart block
Figure 4.17 Atrioventricular block (a) Complete heart block. Cells in the AV node are dead and activity cannot pass from atria to ventricles. Atria and ventricles beat independently, ventricles being driven by an ectopic (other-than-normal) pacemaker. (B) AV block wherein the node is diseased (examples include rheumatic heart disease and viral infections of the heart). Although each wave from the atria reaches the ventricles, the AV nodal delay is greatly increased. This is first-degree heart block. (Adapted from Brendan Phibbs, The Human Heart, 3rd ed., St. Louis: The C. V. Mosby Company, 1975.)
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Figure 4.18 Normal ECG followed by an ectopic beat An irritable focus, or ectopic pacemaker, within the ventricle or specialized conduction system may discharge, producing an extra beat, or extrasystole, that interrupts the normal rhythm. This extrasystole is also referred to as a premature ventricular contraction (PVC). (Adapted from Brendan Phibbs, The Human Heart, 3rd ed., St. Louis: The C. V. Mosby Company, 1975.)
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Figure 4. 19 (a) Paroxysmal tachycardia
Figure (a) Paroxysmal tachycardia. An ectopic focus may repetitively discharge at a rapid regular rate for minutes, hours, or even days. (B) Atrial flutter. The atria begin a very rapid, perfectly regular "flapping" movement, beating at rates of 200 to 300 beats/min. (Adapted from Brendan Phibbs, The Human Heart, 3rd ed., St. Louis: The C. V. Mosby Company, 1975.)
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Figure 4. 20 (a) Atrial fibrillation
Figure (a) Atrial fibrillation. The atria stop their regular beat and begin a feeble, uncoordinated twitching. Concomitantly, low-amplitude, irregular waves appear in the ECG, as shown. This type of recording can be clearly distinguished from the very regular ECG waveform containing atrial flutter. (b) Ventricular fibrillation. Mechanically the ventricles twitch in a feeble, uncoordinated fashion with no blood being pumped from the heart. The ECG is likewise very uncoordinated, as shown (Adapted from Brendan Phibbs, The Human Heart, 3rd ed., St. Louis: The C. V. Mosby Company, 1975.)
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Figure 4.22 The transparent contact lens contains one electrode, shown here on horizontal section of the right eye. Reference electrode is placed on the right temple.
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Figure 4.23 Vertebrate electroretinogram
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The human corneal electroretinogram
The human corneal electroretinogram. A 10 ms flash in quanta/deg2 yields scotopic threshold respone (STR), the postphotoreceptoral b-wave, and the inner layer a-wave.
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Figure 4. 27 (a) Different types of normal EEG waves
Figure (a) Different types of normal EEG waves. (b) Replacement of alpha rhythm by an asynchronous discharge when patient opens eyes. (c) Representative abnormal EEG waveforms in different types of epilepsy. (From A. C. Guyton, Structure and Function of the Nervous System, 2nd ed., Philadelphia: W.B. Saunders, 1972; used with permission.)
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Figure The electrode system This system is recommended by the International Federation of EEG Societies. (From H. H. Jasper, "The Ten-Twenty Electrode System of the International Federation in Electroencephalography and Clinical Neurophysiology," EEG Journal, 1958, 10 (Appendix), )
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Figure 4.29 The electroencephalographic changes that occur as a human subject goes to sleep The calibration marks on the right represent 50 mV. (From H. H. Jasper, "Electrocephalography," in Epilepsy and Cerebral Localization, edited by W. G. Penfield and T. C. Erickson. Springfield, IL: Charles C. Thomas, 1941.)
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Figure 5.1 Electrode-electrolyte interface The current crosses it from left to right. The electrode consists of metallic atoms C. The electrolyte is an aqueous solution containing cations of the electrode metal C+ and anions A-.
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Figure 5.2 A silver/silver chloride electrode, shown in cross section.
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Figure 5.3 Sintered Ag/AgCl electrode.
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Figure 5.4 Equivalent circuit for a biopotential electrode in contact with an electrolyte Ehc is the half-cell potential, Rd and Cd make up the impedance associated with the electrode-electrolyte interface and polarization effects, and Rs is the series resistance associated with interface effects and due to resistance in the electrolyte.
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Figure 5.5 Impedance as a function of frequency for Ag electrodes coated with an electrolytically deposited AgCl layer. The electrode area is 0.25 cm2. Numbers attached to curves indicate the number of mAs for each deposit. (From L. A. Gedders, L. E. Baker, and A. G. Moore, "Optimum Electrolytic Chloriding of Silver Electrodes," Medical and Biological Engineering, 1969, 7, pp )
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Figure 5.6 Experimentally determined magnitude of impedance as a function of frequency for electrodes.
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Figure 5.7 Magnified section of skin, showing the various layers (Copyright © 1977 by The Institute of Electrical and Electronics Engineers. Reprinted with permission, from IEEE Trans. Biomed. Eng., March 1977, vol. BME-24, no. 2, pp )
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Ehe Electrode Cd Rd Sweat glands Gel Rs and ducts Ese EP Epidermis Ce Re CP RP Dermis and subcutaneous layer Ru Figure 5.8 A body-surface electrode is placed against skin, showing the total electrical equivalent circuit obtained in this situation. Each circuit element on the right is at approximately the same level at which the physical process that it represents would be in the left-hand diagram.
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Figure 5.9 Body-surface biopotential electrodes (a) Metal-plate electrode used for application to limbs. (b) Metal-disk electrode applied with surgical tape. (c) Disposable foam-pad electrodes, often used with electrocardiograph monitoring apparatus.
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Figure A metallic suction electrode is often used as a precordial electrode on clinical electrocardiographs.
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Metal disk Insulating package Double-sided Adhesive-tape ring Electrolyte gel in recess (a) (b) Snap coated with Ag-AgCl External snap Gel-coated sponge Plastic cup Plastic disk Tack Foam pad Dead cellular material Capillary loops Germinating layer (c) Figure 5.11 Examples of floating metal body-surface electrodes (a) Recessed electrode with top-hat structure. (b) Cross-sectional view of the electrode in (a). (c) Cross-sectional view of a disposable recessed electrode of the same general structure shown in Figure 5.9(c). The recess in this electrode is formed from an open foam disk, saturated with electrolyte gel and placed over the metal electrode.
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Figure 5.12 Flexible body-surface electrodes (a) Carbon-filled silicone rubber electrode. (b) Flexible thin-film neonatal electrode (after Neuman, 1973). (c) Cross-sectional view of the thin-film electrode in (b). [Parts (b) and (c) are from International Federation for Medical and Biological Engineering. Digest of the 10th ICMBE, 1973.]
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Figure Needle and wire electrodes for percutaneous measurement of biopotentials (a) Insulated needle electrode. (b) Coaxial needle electrode. (c) Bipolar coaxial electrode. (d) Fine-wire electrode connected to hypodermic needle, before being inserted. (e) Cross-sectional view of skin and muscle, showing coiled fine-wire electrode in place.
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Figure 5.14 Electrodes for detecting fetal electrocardiogram during labor, by means of intracutaneous needles (a) Suction electrode. (b) Cross-sectional view of suction electrode in place, showing penetration of probe through epidermis. (c) Helical electrode, which is attached to fetal skin by corkscrew type action.
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Figure 5.15 Implantable electrodes for detecting biopotentials (a) Wire-loop electrode. (b) Silver-sphere cortical-surface potential electrode. (c) Multielement depth electrode.
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Insulated leads Contacts Ag/AgCl electrodes Ag/AgCl electrodes Contacts Base (b) Insulated leads Base (a) Tines Exposed tip Figure 5.16 Examples of microfabricated electrode arrays. (a) One-dimensional plunge electrode array (after Mastrototaro et al., 1992), (b) Two-dimensional array, and (c) Three-dimensional array (after Campbell et al., 1991). Base (c)
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Figure 5.17 The structure of a metal microelectrode for intracellular recordings.
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Figure 5.18 Structures of two supported metal microelectrodes (a) Metal-filled glass micropipet. (b) Glass micropipet or probe, coated with metal film.
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Figure 5.19 A glass micropipet electrode filled with an electrolytic solution (a) Section of fine-bore glass capillary. (b) Capillary narrowed through heating and stretching. (c) Final structure of glass-pipet microelectrode.
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Bonding pads SiO2 insulated Au probes Insulated lead vias Exposed electrodes Silicon probe Si substrate Exposed tips (a) (b) Miniature insulating chamber Hole Channels Silicon chip Lead via Silicon probe Contact metal film Electrode (c) (d) Figure 5.20 Different types of microelectrodes fabricated using microelectronic technology (a) Beam-lead multiple electrode. (Based on Figure 7 in K. D. Wise, J.B. Angell, and A. Starr, "An Integrated Circuit Approach to Extracellular Microelectrodes." Reprinted with permission from IEEE Trans. Biomed. Eng., 1970, BME-17, pp Copyright (C) 1970 by the institute of Electrical and Electronics Engineers.) (b) Multielectrode silicon probe after Drake et al. (c) Multiple-chamber electrode after Prohaska et al. (d) Peripheral-nerve electrode based on the design of Edell.
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N = Nucleus C = Cytoplasm A Insulation Metal rod B Rs A Cw Cell membrane Cd Tissue fluid B + + Cd2 + - - - Membrane potential Reference electrode + - + + - C - - + Rma Cma Cmb Rmb + - - + N Cdi + - - - + + Ema Emb - - - + + - - - - - + - - + + + + + + + Ri Emp Re (a) (b) Figure 5.21 Equivalent circuit of metal microelectrode (a) Electrode with tip placed within a cell, showing origin of distributed capacitance. (b) Equivalent circuit for the situation in (a). (c) Simplified equivalent circuit. (From L. A. Geddes, Electrodes and the Measurement of Bioelectric Events, Wiley-Interscience, Used with permission of John Wiley and Sons, New York.) Rma Emp Membrane and action potential A Cma Cd + Cw E B Ema - Emb (c)
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A To amplifier B A B Electrolyte in micropipet Glass Rma Cma Stem Ema Internal electrode Environmental fluid Rt Cd Cmb Rmb Taper Cd Reference electrode Ej Cell membrane Tip Emb + + Et + + - - + + - + - - - - + - N - + Ri Re + - - + (b) Cytoplasm N = Nucleus - + Emp + - - - + + - - + - - - - (a) + + + + + Cell membrane Figure 5.22 Equivalent circuit of glass micropipet microelectrode (a) Electrode with its tip placed within a cell, showing the origin of distributed capacitance. (b) Equivalent circuit for the situation in (a). (c) Simplified equivalent circuit. (From L. A. Geddes, Electrodes and the Measurement of Bioelectric Events, Wiley-Interscience, Used with permission of John Wiley and Sons, New York.) Rt A Membrane and action potential Cd = Ct Emp Em B (c) Em = Ej + Et + Ema- Emb
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i Figure 5.23 Current and voltage waveforms seen with electrodes used for electric stimulation (a) Constant-current stimulation. (b) Constant-voltage stimulation. t u Polarization potential Ohmic potential Polarization potential t (a) u t i Polarization Polarization t (b)
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Dr. Ali Saad Prepared by Dr. Gohn Webster Univ. Wiscosin
21/07/1438 Dr. Ali Saad Prepared by Dr. Gohn Webster Univ. Wiscosin Questions for Biopotentials & electrodes. You should be able to: Explain the origin of biopotentials Explain nerve propagation Explain cardiac excitation Explain cardiac arrhythmias Describe brain waves Explain electrode offset voltages Explain electrode polarization Model electrode impedance versus frequency Minimize skin-electrode motion artifacts Describe good electrode construction Describe microelectrodes Sketch electrode voltages during current flow J. G. Webster (ed.), Medical instrumentation: application and design, 3rd ed., John Wiley & Sons, 1998.
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