0:00:00.000,0:00:15.640 Music 0:00:18.160,0:00:24.940 Herald Angel: And now we come to the talk[br]entitled low-cost non-invasive biomedical 0:00:24.940,0:00:32.000 imaging. Current medical imaging has[br]problems: it is expensive, it is large, 0:00:32.000,0:00:39.940 rarely preventively used and maybe you've[br]heard of the story of a fMRI - this is the 0:00:39.940,0:00:45.960 magnet resonance tomography - they put in[br]a dead Salmon and they can get a signal 0:00:45.960,0:00:51.729 from brain activity from it. There's also[br]lots of problems in the software as well. 0:00:51.729,0:00:59.450 A little story, maybe you look it up. And[br]how this whole mess can be solved with the 0:00:59.450,0:01:06.769 technique called Open Electrical Impedance[br]Tomography - this will tell us Jean 0:01:06.769,0:01:10.509 Rintoul. Give a big round of applause for[br]Jean. 0:01:10.509,0:01:18.541 applause[br]Jean Rintoul: Thank you. 0:01:18.541,0:01:20.939 Hello everyone. Today I 0:01:20.939,0:01:28.159 will be talking about an open source route[br]for biomedical imaging using a technique 0:01:28.159,0:01:34.090 that's in R&D called Electrical Impedance[br]Tomography. Not many people have heard of 0:01:34.090,0:01:42.609 it, which is why it seems like it's[br]important to mention. First of all, I'll 0:01:42.609,0:01:48.789 just give you the vision of what it would[br]be like if everybody had access to cheap 0:01:48.789,0:01:56.210 biomedical imaging. Right now you only get[br]imaged when something's gone wrong. And, 0:01:56.210,0:02:02.189 moreover, you only actually get to use[br]these tools when something has gone wrong 0:02:02.189,0:02:08.780 in a first world country when you're lucky[br]enough to be close to a hospital and have 0:02:08.780,0:02:15.030 access to these technologies. That's a[br]very limited number of people. What's even 0:02:15.030,0:02:20.720 worse about it: is it's hard to hack! So,[br]if you wanted to improve this technology 0:02:20.720,0:02:28.260 yourself - medical physics is an amazing[br]field - but it would be very hard to do so 0:02:28.260,0:02:34.510 because you don't have a three million[br]dollar MRI scanner sitting in your garage. 0:02:34.510,0:02:40.360 Maybe you do, that's good for you, just[br]not many of us do. If we did have cheap 0:02:40.360,0:02:46.190 biomedical imaging we could do things like[br]do preventive scans so you would wake up 0:02:46.190,0:02:51.520 in the morning you'd like, take a shower,[br]the device would be quietly imaging your 0:02:51.520,0:02:55.750 body, would warn you if the slightest[br]little thing when went wrong. You'd do 0:02:55.750,0:03:02.290 machine learning over it, it'd be[br]wonderful wonderful for health care. So, 0:03:02.290,0:03:07.750 that's the vision of what biomedical[br]imaging could be. And the other point is 0:03:07.750,0:03:13.310 sometimes we move forward faster when we[br]share the information. I worked in defense 0:03:13.310,0:03:16.410 for a brief period and people didn't[br]really share information between each 0:03:16.410,0:03:21.440 other, and I think that inhibited science[br]from moving forward. So, sharing is 0:03:21.440,0:03:24.760 caring.[br]So today I'm going to go through a few 0:03:24.760,0:03:28.020 different things. I'm going to go through[br]the current biomedical imaging 0:03:28.020,0:03:31.020 technologies. I'll give you an[br]introduction to Electrical Impedance 0:03:31.020,0:03:35.590 Tomography. I'll go through the open[br]source Electrical Impedance Tomography 0:03:35.590,0:03:40.660 Project. Then I'll go through some[br]applications that we could apply it to. 0:03:40.660,0:03:45.040 And then I'll suggest a few different next[br]steps that we can go into because by no 0:03:45.040,0:03:52.980 means is it finished. Right now we have[br]four different main existing imaging 0:03:52.980,0:04:00.910 modalities. Your MRI scanner, which is a[br]wonderful tool, it's huge, very expensive. 0:04:00.910,0:04:06.320 The most commonly used imaging is actually[br]CAT scanner which sends our x-rays through 0:04:06.320,0:04:11.070 your body which is ionizing radiation,[br]which is bad for you because it causes 0:04:11.070,0:04:17.220 cancer in the long run if you get too many[br]of those scans and it's actually the first 0:04:17.220,0:04:21.460 first scan that you'll get when you go[br]into the emergency room. It's the most 0:04:21.460,0:04:24.650 commonly used. And as we all know we've[br]got those grainy images that come from the 0:04:24.650,0:04:32.400 ultrasound of fetuses, wonderful tool[br]except for the scattering due to the sound 0:04:32.400,0:04:36.299 gets scattered when you have different[br]density materials next to each other. And 0:04:36.299,0:04:45.160 not exactly an imaging modality but a very[br]important diagnostic technique is EEG. 0:04:45.160,0:04:50.980 So you might ask, how do we classify these[br]right now? we have 3 main types of 0:04:50.980,0:04:58.850 resolution. Spatial, contrast, and time.[br]Spatial resolution is, basically, what 0:04:58.850,0:05:04.010 space you can determine 2 different[br]objects from each other. Contrast 0:05:04.010,0:05:09.000 resolution is soft tissue or subtle[br]differences in tissues. And time 0:05:09.000,0:05:13.540 resolution, as it sounds, is how things[br]change over time and how quickly you can 0:05:13.540,0:05:19.400 do these images together. Your CAT scan,[br]your basic machine in a hospital, 0:05:19.400,0:05:24.210 costs 1 to 2.5 million dollars.[br]You probably didn't get one for Christmas 0:05:24.210,0:05:30.020 to play around with. Oh well. It's also[br]got this ionizing radiation, you've got 0:05:30.020,0:05:32.710 a lot of maintenance, and [br]dedicated technicians. 0:05:32.710,0:05:35.240 An MRI, say, your average 3 Tesla magnet 0:05:35.240,0:05:41.060 with its own helium quenching chamber[br]no less, as well as dedicated technicians 0:05:41.060,0:05:50.710 and experts who can actually read[br]the images. Again $3,000,000. An amazing 0:05:50.710,0:05:55.950 and beautiful technology, but really[br]expensive. Amazing spatial resolution, the 0:05:55.950,0:06:01.010 best. When it does something at this very[br]high spatial resolution, it actually takes 0:06:01.010,0:06:06.490 4 minutes and 16 seconds. Which is a[br]really long time to take to do this 0:06:06.490,0:06:11.200 wonderful spatial resolution image.[br]Ultrasound, it's a bit grainy due to 0:06:11.200,0:06:18.560 scattering. On average it costs about[br]1$115k, not too bad. It's a pretty minimal 0:06:18.560,0:06:25.460 health risk. EEG. EEG doesn't do any image[br]reconstruction. In fact it does very 0:06:25.460,0:06:33.040 little in many ways. But it is still very[br]useful. Your average medical grade by EEG 0:06:33.040,0:06:37.920 system is $40k. You might also know of[br]some open source EEG projects which are 0:06:37.920,0:06:45.070 pretty cool. So just a note on the[br]radiation of CAT-scans. It's actually the 0:06:45.070,0:06:53.700 biggest contributing cause of radiation in[br]the United States. So here I just put 0:06:53.700,0:06:58.550 those biomedical imaging modalities onto a[br]graph so that you can kind of think of 0:06:58.550,0:07:03.120 them in terms of spatial resolution and[br]time resolution, and where they fall in 0:07:03.120,0:07:09.240 the picture of common things that go wrong[br]with people. Like, X-rays or CAT scans are 0:07:09.240,0:07:15.430 great for for looking at bone and bone[br]breaks; pulmonary edema, that's water on 0:07:15.430,0:07:20.760 the lung ,tuberculosis, huge in third-[br]world countries, massive problem. You 0:07:20.760,0:07:25.380 don't actually need super high spatial[br]resolution to be able to detect it. And 0:07:25.380,0:07:29.610 it's important to sort of understand what[br]you can do at different spatial and time 0:07:29.610,0:07:35.430 resolutions. Under like, the optimal goal[br]of all of this, I put non-invasive 0:07:35.430,0:07:40.370 electrophysiology. What that is, is high[br]spatial resolution and high time 0:07:40.370,0:07:46.820 resolution. That's where you can measure[br]ion activation, or basically what cells 0:07:46.820,0:07:51.460 are doing when they communicate with each[br]other, which is right now only done in an 0:07:51.460,0:07:55.850 invasive manner.[br]Today I'm gonna talk about this new 0:07:55.850,0:08:00.870 technique called Electrical Impedance[br]Tomography and describe where it will fit 0:08:00.870,0:08:09.650 in amongst what already exists. So what is[br]it. Okay yeah basically you send AC 0:08:09.650,0:08:17.130 currents through the body, say a 50[br]kilohertz current. And that will take 0:08:17.130,0:08:23.360 different routes based on what tissue[br]there is. So it might go around some cells 0:08:23.360,0:08:29.620 and straight through others. And that's[br]really important because differentiating, 0:08:29.620,0:08:34.869 say, fat from muscle is one thing that you[br]could do. But you can go further and 0:08:34.869,0:08:41.969 differentiate, say, tumors from healthy[br]tissue. Because tumors have different 0:08:41.969,0:08:47.960 impedance spectra to the healthy tissue.[br]So as you can see, that would be very 0:08:47.960,0:08:53.470 useful to do. This set up here is a called[br]a phantom. What it is, it's like a 0:08:53.470,0:08:58.650 simulated human body. You get some[br]saltwater - the body is 80% water as you 0:08:58.650,0:09:03.369 might know -you get some meat or[br]vegetables. You put it inside and then you 0:09:03.369,0:09:07.249 use that to image. So we have current[br]flowing through all these different 0:09:07.249,0:09:13.120 directions and we recreate an image. Right[br]now it's used for lung volume 0:09:13.120,0:09:18.399 measurements. This is a baby with an EIT[br]setup. Muscle and fat mass, there's a 0:09:18.399,0:09:22.180 paper on gestural recognition that just[br]came out this year, you can look at 0:09:22.180,0:09:27.260 bladder and stomach fullness. There's some[br]research papers on breast and kidney 0:09:27.260,0:09:33.860 cancer detection. There's another research[br]paper on hemorrhage detection for stroke. 0:09:33.860,0:09:39.110 You can also look at the ... there's more[br]R&D on the depth of anesthesia in in 0:09:39.110,0:09:42.820 surgery as well, which would be another[br]interesting use for it. So all of these 0:09:42.820,0:09:50.649 are sort of in the works and you might[br]ask, "Great, that sounds amazing, why 0:09:50.649,0:09:55.589 isn't everybody using it already?" Well[br]yeah it's really an R&D technique right 0:09:55.589,0:10:03.029 now and it has a big problem: its spatial[br]resolution seems pretty limited. So it's 0:10:03.029,0:10:06.990 limited by the number of electrodes. But I[br]will discuss some potential ways to get 0:10:06.990,0:10:12.929 around that. As we go, it might not ever[br]get to the spatial resolution of MRI. 0:10:12.929,0:10:16.740 But maybe we don't need it to to be[br]useful. Because it's so compact. It's so 0:10:16.740,0:10:23.810 cheap, nothing about it is expensive. It's[br]got better source localization than EEG. 0:10:23.810,0:10:27.759 It does not ionize,[br]it's not harmful to human tissue. It's 0:10:27.759,0:10:33.589 also got great time resolution, so it has[br]advantages and disadvantages. I'll just 0:10:33.589,0:10:39.240 remind you of what the first MRI scan[br]looked like at this point in time. As you 0:10:39.240,0:10:45.599 can see it looks pretty crappy in 1977.[br]And now it looks pretty awesome. That's a 0:10:45.599,0:10:51.230 slice of my head by the way in a 3 Tesla[br]MRI scanner. This is what early EIT looks 0:10:51.230,0:10:59.429 like. That's with 16 electrodes only. What[br]will it look like in a few years time I 0:10:59.429,0:11:06.899 don't know. I hope that MRI gives you a[br]pathway that it will take take too. 0:11:06.899,0:11:13.110 Now I'll introduce you to the OpenEIT[br]project. The OpenEIT project is obviously 0:11:13.110,0:11:20.449 open source. It has a PCB design done in[br]Eagle CAD. It has firmware written in C. 0:11:20.449,0:11:24.919 It has a Python dashboard that lets you[br]see the reconstruction in real time. It 0:11:24.919,0:11:29.300 also has a reconstruction algorithm which[br]I'll go into. And you can get it from 0:11:29.300,0:11:36.540 github right there. So how does it[br]reconstruct an image? OpenEIT right now 0:11:36.540,0:11:43.059 has 8 electrodes and what you do is, you[br]send this 50 kHz current through every 0:11:43.059,0:11:48.920 combination of those 8 electrodes and you[br]get a different impedance value for each 0:11:48.920,0:11:55.519 of those measurements. On the left you can[br]see basically what you're doing. You know where the 0:11:55.519,0:12:01.269 electrodes are positioned and you get one[br]value going horizontally. You add it to 0:12:01.269,0:12:06.099 another value coming from another[br]direction. And again, you can sort of see 0:12:06.099,0:12:11.240 it's getting a low resolution image as it[br]goes around adding those values together. 0:12:11.240,0:12:18.370 If you use many, many views you bring the[br]image back. This is the radon transform, 0:12:18.370,0:12:23.749 that's what it's called, and you [br]basically just send lots of current 0:12:23.749,0:12:26.900 through these different slightly different[br]angles and you build up something called a 0:12:26.900,0:12:33.580 sinogram which is over there. And then you[br]invert it to get the image back. I used 0:12:33.580,0:12:37.209 OpenCV which is a really common image[br]processing library to do this. You can 0:12:37.209,0:12:43.360 just do it with a regular image yourself[br]and try it out. But what I did is exactly 0:12:43.360,0:12:49.069 the same as what you do with a regular[br]image, except I use current to be the 0:12:49.069,0:12:57.810 input data. So this is the PCB design [br]in Eagle. Basically it has a 0:12:57.810,0:13:02.830 few different features. A connector for[br]your 8 electrodes. It's running an ARM 0:13:02.830,0:13:11.339 Cortex M3, which is quite nice. It has a[br]dedicated DFT engine for doing your direct 0:13:11.339,0:13:16.829 Fourier transform in real, time which is[br]also quite nice. A JTAG debugger to easily 0:13:16.829,0:13:22.619 reprogram it. It's got coin cell or[br]external battery options. It has UART to 0:13:22.619,0:13:28.660 get the serial data off. And you can also[br]flip it to Bluetooth mode and get the data 0:13:28.660,0:13:32.040 off by Bluetooth if you felt like going[br]Wireless. 0:13:32.040,0:13:37.131 At this point you might be asking "Is this[br]safe for me to play around with?", which 0:13:37.131,0:13:42.879 is a really great question because the[br]answer is actually "Yeah! it is". There's 0:13:42.879,0:13:51.050 some guidelines called the IEC60601-1[br]guidelines for safer use in humans. And 0:13:51.050,0:13:56.949 basically which says it should be, and[br]openEIT is less than 10 micro amps which 0:13:56.949,0:14:02.959 is great because that's well within their[br]guidelines. If you want to compare it to 0:14:02.959,0:14:06.220 other things that are completely legal,[br]say I don't know if you've seen there's 0:14:06.220,0:14:10.629 like late-night TV ads for those abs[br]stimulators that stimulate your muscles, 0:14:10.629,0:14:17.269 there are about 15 to 20 milliamps just[br]for reference and as a scale to look at 0:14:17.269,0:14:23.749 the 10 micro amps. So some of you might[br]have used them already and that's hugely 0:14:23.749,0:14:27.890 more current than what we're putting[br]through to image the body here. This is 0:14:27.890,0:14:33.480 what the dashboard looks like. It does the[br]reconstruction. You can connect to serial 0:14:33.480,0:14:37.850 at baseline. You can obviously adjust[br]sliders to look at the area that you want 0:14:37.850,0:14:43.849 to look at. You can read from a file and[br]fiddle around however you would like to. 0:14:43.849,0:14:49.169 This is what it looks like when you[br]reconstruct something. I have a phantom up 0:14:49.169,0:14:54.079 there which is a part of water with a cup[br]in it. I moved the cup around anti- 0:14:54.079,0:14:58.900 clockwise so you can see in each of the[br]pictures I move it around a little bit 0:14:58.900,0:15:04.400 more. And you can see the reconstruction[br]there with me moving the cup around again. 0:15:04.400,0:15:07.969 This might not be wow-ing you with the[br]resolution, with only 8 electrodes. It's a 0:15:07.969,0:15:14.800 proof of concept but that's okay. Let's[br]see if we can make this I make this go. 0:15:14.800,0:15:20.720 Here's a real-time video demonstration of[br]it. Here's me with a shot glass. I'm 0:15:20.720,0:15:24.639 moving around anti-clockwise. Hopefully[br]you can see on the left the image being 0:15:24.639,0:15:33.920 reconstructed in real time. And there we[br]go, move to the bottom. You can see it 0:15:33.920,0:15:41.030 over there and again up to the top. you[br]can see it over there. So that's a basic 0:15:41.030,0:15:44.739 proof of principle version of it running. 0:15:49.129,0:15:55.079 So the first MRI scan of human [br]lungs wasn't that amazing. 0:15:55.079,0:15:57.634 Early EIT scan wasn't either. 0:15:57.634,0:16:02.824 applause[br]Something else that you can use it 0:16:02.824,0:16:08.590 that for is differentiating objects.[br]Multi-frequency. This is what they're 0:16:08.590,0:16:13.969 doing the breast cancer and kidney cancer[br]scans on. Basically you send different 0:16:13.969,0:16:17.920 frequencies through these times, called[br]multi-frequency Electrical Impedance 0:16:17.920,0:16:23.180 Tomography and you build up a spectrum.[br]Here I've got an apple, a pear oh no a 0:16:23.180,0:16:27.660 sweet potato and and some water. And I've[br]sent through these different frequencies 0:16:27.660,0:16:32.309 and I get these different spectrums.[br]They're different, you can see that 0:16:32.309,0:16:35.829 they're different. They're quite obviously[br]different but yeah you can also just 0:16:35.829,0:16:39.680 simply classify. And on the left you can[br]see where the water is, the apple is, the 0:16:39.680,0:16:44.769 sweet potato is. Or, the sweet potato and[br]the apple a little bit harder that one. 0:16:44.769,0:16:53.800 But that's basically what you do when you[br]detect cancer. So that's what I did. But 0:16:53.800,0:16:57.760 maybe we should look at the other papers[br]and see what they did because they did 0:16:57.760,0:17:04.589 better than me. So there's this guy called[br]Aristovich, 2014 he published spatial and 0:17:04.589,0:17:07.569 temporal resolution, and using this[br]technique 200 micro meters less than 2 0:17:07.569,0:17:14.230 milliseconds which covers most of the[br]applications that I listed on that graph 0:17:14.230,0:17:19.260 at the start of the talk. The downside[br]here is that it was an intracranial array, 0:17:19.260,0:17:24.190 so it was under the skull. So very dense[br]electrodes, a lot more electrodes. I only 0:17:24.190,0:17:32.089 used 8 he used like 256 so you can see[br]that it can be, like, the potential is 0:17:32.089,0:17:36.859 there.[br]So how should we use it first? what's a 0:17:36.859,0:17:41.230 nice low hanging through fruit? What about[br]medical imaging in the developing world 0:17:41.230,0:17:46.649 where I believe 4 billion people don't[br]have access to medical imaging. No MRI, no 0:17:46.649,0:17:51.519 CAT scans. Why is the EIT good for that?[br]It's cheap to mass-produce, super 0:17:51.519,0:17:58.089 portable, super low power. So that would[br]be a great place to start. What could we 0:17:58.089,0:18:05.330 do first? I'm going to go back to this[br]image again and have a look. Tuberculosis 0:18:05.330,0:18:09.110 affects a lot of people in the developing[br]world and you don't need amazing spatial 0:18:09.110,0:18:14.901 resolution to detect it. That would be a[br]good one. Or what about a pulmonary edema? 0:18:14.901,0:18:21.660 Pulmonary edema is water on the lung. It's[br]actually already used for that. You can 0:18:21.660,0:18:26.640 quite easily see the different volume[br]present, or the different conductivity 0:18:26.640,0:18:33.590 maps it's called, of a working lung and a[br]not so working lung right there. 0:18:33.590,0:18:41.410 Next steps. So what should we do to make[br]this technique better? What should we do 0:18:41.410,0:18:48.200 for OpenEIT to make it better? If you want[br]to innovate again, that's the github 0:18:48.200,0:18:53.460 project. Just go ahead. Oh that's an[br]avocado, it has a seat in the middle. Who 0:18:53.460,0:19:05.519 knew? I do. So I see the two main routes forward[br]as: One would be this low-cost biomedical 0:19:05.519,0:19:10.690 imaging for the developing world. You[br]could just stick with the static imaging 0:19:10.690,0:19:16.270 reconstruction because why not. you'd need[br]a few more electrodes than it currently 0:19:16.270,0:19:22.240 has. One of the main problems with the[br]technique is how you stick it to the skin. 0:19:22.240,0:19:25.730 So my suggestion for that is why don't you[br]just use a water bath and stick the body 0:19:25.730,0:19:31.929 part of interest in a body of water,[br]because water gets rid of a lot of the, 0:19:31.929,0:19:38.390 it's called the contact impedance problem.[br]Or, on the kind of exciting science front, 0:19:38.390,0:19:47.230 you've got the advancing neuroscience[br]option. Which would be measuring both high 0:19:47.230,0:19:50.340 spatial resolution and high time[br]resolution. So that's the non-invasive 0:19:50.340,0:19:57.710 electrophysiology solution. Or, and that[br]would be super awesome, there's a couple 0:19:57.710,0:20:03.629 of ways forward to do that and I'm going[br]to sort of discuss each of those. 0:20:03.629,0:20:10.169 So roughly there's physical configuration[br]improvements that could be done. There's 0:20:10.169,0:20:14.480 things that you can do to improve the[br]spatial resolution. There's things you can 0:20:14.480,0:20:19.480 do to improve the time resolution. And[br]this is interesting tack on at the end 0:20:19.480,0:20:25.210 that I thought I'd mentioned, which is[br]'write' functionality. So we're using very 0:20:25.210,0:20:33.090 small currents to read an image. What if[br]we pumped the current up a little before 0:20:33.090,0:20:38.939 you know it you're writing. I think not[br]invasive deep brain stimulation in a 0:20:38.939,0:20:48.670 focused way, that would be very very cool.[br]So, contact impedance. Major problem right 0:20:48.670,0:20:54.059 now, there is a well-known solution I[br]haven't done it yet you do this thing 0:20:54.059,0:21:00.909 called differential referencing, common[br]mode rejection should be done I haven't 0:21:00.909,0:21:05.069 done it that's the next step. That means[br]that it will work when you just attach it 0:21:05.069,0:21:10.630 with electrodes on the body. What happens[br]is, electrodes have a like some 0:21:10.630,0:21:16.620 capacitance and different amounts which[br]kind of interfere with the the measurement 0:21:16.620,0:21:19.690 that you want to make which you want to be[br]very accurate and just of your body. You 0:21:19.690,0:21:24.529 don't want to include the electrode[br]information in there that's changing. 0:21:24.529,0:21:30.110 There's a way to remove that that's well[br]known already. Another physical 0:21:30.110,0:21:34.870 configuration improvements: just increase[br]the number of electrodes. Wonderful, now 0:21:34.870,0:21:41.640 you've just improved the resolution. Or[br]the placing the part in water. Another set 0:21:41.640,0:21:46.700 of next steps would be on the mathematical[br]side. I mentioned that I use linear back 0:21:46.700,0:21:55.759 projection which is a wonderful technique,[br]that's how they do CAT scans. With X-rays 0:21:55.759,0:21:59.310 that's exactly what they do.[br]However, it makes some appalling 0:21:59.310,0:22:06.649 assumptions, like parent moves and[br]straight lines. That is not true. What you 0:22:06.649,0:22:11.209 should do is get a finite element model[br]and solve Maxwell's equations because 0:22:11.209,0:22:18.630 current bends around objects. Actually it[br]works in three dimensions too which might 0:22:18.630,0:22:23.639 not be all that surprising but it needs to[br]be solved for those three dimensions which 0:22:23.639,0:22:26.810 is why you just need to solve[br]Maxwell's equations and 0:22:26.810,0:22:30.899 create a finite element model.[br]And there's a quite a bit of work on 0:22:30.899,0:22:34.610 mathematical solutions that get higher[br]resolution. 0:22:34.610,0:22:42.189 That's another improvement area. And now[br]as I mentioned this awesome new technique. 0:22:42.189,0:22:44.649 Which, actualy there's a paper on[br]this year called 0:22:44.649,0:22:50.990 magneto-acoustic electical tomography.[br]You might remember 0:22:50.990,0:22:55.580 the FBI rule from high school.[br]When you have a current flowing, 0:22:55.580,0:23:02.429 perpendicular to that there will be a[br]force. Now that force, say it's vibrating 0:23:02.429,0:23:07.309 with 50 kilohertz. that's the AC signal[br]that you're sending through. Now you have 0:23:07.309,0:23:11.460 a vibrating compression wave. That's[br]sound. You can pick that up with a little 0:23:11.460,0:23:19.580 piezoelectric element. And that's actually[br]a focus of work. From that you can get 0:23:19.580,0:23:27.070 really good edge information, because as I[br]mentioned earlier, sound scatters at 0:23:27.070,0:23:31.460 edges. So you would also get the[br]electrical impedance tomography 0:23:31.460,0:23:38.549 information for the tissue sensitivity.[br]Why not combine those results together and 0:23:38.549,0:23:43.259 you would have a better tool. It currently[br]gets lesser resolution in the middle 0:23:43.259,0:23:50.180 simply from how you every combination of[br]electrodes just ends up having a less 0:23:50.180,0:23:56.799 dense number in the middle. You can also[br]do something as simple as increasing the 0:23:56.799,0:24:02.049 power that you send through if you're game[br]to do that. This is a kind of gory 0:24:02.049,0:24:07.961 picture. Right now epileptics, if they're[br]really troubled by their problem, which 0:24:07.961,0:24:13.460 they are often, they go into a hospital[br]have their brains opened up and they 0:24:13.460,0:24:18.580 stick this array on their head through[br]their skull. And they leave it open 0:24:18.580,0:24:24.340 for a week. And they try to induce[br]seizures through sleep deprivation. 0:24:24.340,0:24:30.440 And then they measure the activation[br]potentials that way to locate the foci or 0:24:30.440,0:24:36.200 where they going to do surgery to stop you[br]from having seizures. But it would be much 0:24:36.200,0:24:40.260 better and nicer if you could do it not[br]invasively and you probably can if you 0:24:40.260,0:24:43.600 improve the time resolution of EIT.[br]there's nothing stopping you from doing 0:24:43.600,0:24:50.360 that by the way. You just have to, like,[br]it's just a next step really. 0:24:50.360,0:24:56.919 And then I'll also mention write-[br]functionality. So there was a paper that 0:24:56.919,0:25:02.700 came out halfway through this year by a[br]guy called Neil Grossman (?) and what he 0:25:02.700,0:25:09.170 did is, he showed that you can stimulate[br]neurons by sending current through the 0:25:09.170,0:25:18.739 skull and in a focused way. Now why that's[br]interesting is, you can non-invasively 0:25:18.739,0:25:23.190 stimulate neurons. So that's the write-[br]functionality. It's unknown what 0:25:23.190,0:25:27.950 resolution is or how well you could[br]control the the focal point here. But it 0:25:27.950,0:25:34.220 works in the principle of beat frequencies[br]so he sent through two kilohertz and 2.05 0:25:34.220,0:25:42.379 kilohertz and basically had a beat[br]frequency of 10 Hertz arise from that and 0:25:42.379,0:25:50.279 basically stimulated neurons in this area[br]that he can control via an x- and y-axis 0:25:50.279,0:25:59.940 which is very impressive. Leaves a lot of[br]questions open. Those are some possible 0:25:59.940,0:26:06.309 next steps that it could go in. Obviously[br]I think this is interesting. I hope that 0:26:06.309,0:26:11.340 you do too. I'd love it if you would want[br]to sign up to a mailing list I'll give a 0:26:11.340,0:26:17.049 link on the next page. If you want to[br]collaborate email me. If you know any 0:26:17.049,0:26:22.070 funding bodies that might be interested in[br]the developing medical imaging for 0:26:22.070,0:26:26.330 the third world I'd love to be put in[br]contact. If you wanted a kit and, if there 0:26:26.330,0:26:30.230 were enough people that wanted a kit,[br]probably of the next version which would 0:26:30.230,0:26:36.200 have 32 electrodes sign up to the mailing[br]list, talk to me. Thanks. 0:26:36.200,0:26:46.820 applause[br]Rintoul: Thank you 0:26:46.820,0:26:49.690 applause Herald Angel: Thank you[br]very much. We have a little bit 0:26:49.690,0:26:57.610 time for Q&A. And please if you have to[br]leave the room make it in a very quiet 0:26:57.610,0:27:05.730 way. So is there ... there are some[br]questions I've seen microphone 4 first. 0:27:05.730,0:27:08.970 Please go ahead.[br]Audience member: So, a great thing 0:27:08.970,0:27:15.649 thinking about developing countries and[br]getting them medical tech. But at the very 0:27:15.649,0:27:20.889 first beginning you said imagine a world[br]where this imaging would be all available 0:27:20.889,0:27:26.610 like every day and it creeped me out a[br]little bit. Do you really think that it's 0:27:26.610,0:27:33.740 a good idea to go in the shower in the[br]morning and have your I don't know your 0:27:33.740,0:27:40.019 bathtub telling you that there is a small[br]mass inside your lungs. 0:27:40.019,0:27:46.889 Rintoul: That's a good question. Basically[br]the question was: There's a privacy 0:27:46.889,0:27:52.360 concern with looking inside your body. It[br]doesn't sound that great to some people. 0:27:52.360,0:27:56.200 To those people I would say you should[br]turn off I know that sounds a little 0:27:56.200,0:28:05.179 harsh. But please just turn it off, don't[br]use it. And with all scientific movements 0:28:05.179,0:28:12.080 forward comes great risk, I also say. And[br]it can be used for good or evil and it's 0:28:12.080,0:28:17.769 up to us as a society how we want to[br]choose to use it. And how we structure 0:28:17.769,0:28:24.510 ourselves and potentially motivate and[br]incentivize corporations to use it in a 0:28:24.510,0:28:31.919 responsible way. Part of making this open[br]is I hope that, basically if people have 0:28:31.919,0:28:36.470 access to it you can choose for yourself[br]how you'd want to use it. 0:28:36.470,0:28:40.809 Herald Angel: And next question would be[br]from the Signal Angel please. 0:28:40.809,0:28:45.070 Signal Angel: Yes I have a couple of[br]questions from the internet. First of all, 0:28:45.070,0:28:51.439 what type of AC frequencies in use? the[br]asker assumes sinusoidal but he wonders if 0:28:51.439,0:28:54.779 you also tried square wave, triangular and[br]other shapes. 0:28:54.779,0:29:00.360 Rintoul: That's also a really interesting[br]question. It's about what kinds of waves 0:29:00.360,0:29:08.580 are used, what kinds of AC signals.[br]Typically it's done with AC sine waves 0:29:08.580,0:29:14.500 ranging all over the place, depending on[br]what application you want to use up for. I 0:29:14.500,0:29:19.980 mentioned multi frequency EIT for cancer[br]detection. That uses a lot of different 0:29:19.980,0:29:26.090 frequencies so if you wanted to use other[br]waveforms I think that would be really 0:29:26.090,0:29:32.840 interesting. Nobody's tried, you can, that[br]should be done. 0:29:32.840,0:29:38.740 Herald: So since there's a big queue on[br]microphone 3 I would go there please. 0:29:38.740,0:29:44.630 Audience member: Yes I have a technical[br]question. Assuming that you won't use this 0:29:44.630,0:29:50.590 techniques on humans or organic matter at[br]all and what are the limitations for the 0:29:50.590,0:29:56.190 resolution. The spatial resolution. And is[br]there a possibility to reduce the spatial 0:29:56.190,0:29:59.100 resolution.[br]Rintoul: You mean increase the spatial 0:29:59.100,0:30:06.179 resolution or reduce it?[br]Audience member: Reduce the voxel size 0:30:06.179,0:30:12.470 Rintoul: So increase the spatial[br]resolution. Yes absolutely. So I was 0:30:12.470,0:30:16.240 trying to go through a few of the next[br]steps that could get to that. One of them 0:30:16.240,0:30:21.259 is magneto-acousto electrical tomography[br]because you get two different types of 0:30:21.259,0:30:27.580 information which you could put together[br]to form a higher resolution image. So 0:30:27.580,0:30:33.320 that's one way and if you didn't need to[br]worry about human safety I recommend you 0:30:33.320,0:30:39.240 just turn the power up, that will also[br]work. 0:30:39.240,0:30:46.389 Herald: Okay I think we go back to the[br]signal angel for one short one please. 0:30:46.389,0:30:49.890 Signal Angel: Yes I have another question[br]from the internet. from a doctor this 0:30:49.890,0:30:54.340 time. He wonders if there are any clinical[br]studies that compare pulmonary edema 0:30:54.340,0:30:59.919 diagnostics with EIT to ultrasound and why[br]don't we just work on cheap ultrasound 0:30:59.919,0:31:03.139 instead.[br]Rintoul: That's a good question. People 0:31:03.139,0:31:08.289 are working on cheap ultrasounds.[br]Ultrasound gives different information to 0:31:08.289,0:31:14.360 EIT. It has a problem of the sound[br]scattering. So it's a different type of 0:31:14.360,0:31:21.289 information which has different pros and[br]cons. And and I think people should make 0:31:21.289,0:31:27.169 cheap ultrasound. And I would like to see[br]the hybrid modality come together. You can 0:31:27.169,0:31:31.769 get really good tissue distinction with[br]EIT so there's pros and cons. 0:31:31.769,0:31:36.680 Herald: Okay then, microphone 2 please.[br]Audience member: You had a really good 0:31:36.680,0:31:44.649 talk my question so far you always need[br]direct contact to the electrode, right? So 0:31:44.649,0:31:50.519 it has to be direct contact or in water.[br]Is there way to detect or measure the 0:31:50.519,0:31:56.659 signal without direct contact? So maybe in[br]if the if the object is in air or any 0:31:56.659,0:32:01.419 other gas?[br]Rintoul: Right. I wish there was. No is 0:32:01.419,0:32:07.570 the short answer. Unless ...[br]Audience member: Any research on making it 0:32:07.570,0:32:11.129 happen?[br]Rintoul: Well yeah you can you can use 0:32:11.129,0:32:20.129 X-rays. They work wonderfully to to go[br]through the air. But if you use them I 0:32:20.129,0:32:24.220 mean you do increase your chance of cancer[br]so don't use them all the time on 0:32:24.220,0:32:29.499 yourself. Again CAT scanners are a little[br]bit expensive. 0:32:29.499,0:32:35.529 Herald: Thank you and I think we have time[br]for one more from microphone 3 0:32:35.529,0:32:41.970 Audience member: My question would be[br]what, so maybe I've missed it, but what's 0:32:41.970,0:32:47.009 the order of magnitude for cost so would[br]this be feasible at like a hackerspace for 0:32:47.009,0:32:53.749 this to implement. And does the industry[br]see the possibility to make money. 0:32:53.749,0:33:00.779 Rintoul: Yes a lot of those sort of these[br]early like R&D papers yeah they should be 0:33:00.779,0:33:06.870 applied and you could make money with it[br]absolutely. And there's no component in 0:33:06.870,0:33:14.960 there that costs more than a couple of[br]cents. I suppose a cortex m3 like costs a 0:33:14.960,0:33:19.570 couple of dollars. And I mean I don't know[br]what your budget is but yes you I think 0:33:19.570,0:33:24.309 you could do this in a hackerspace without[br]any problems. There's nothing stopping 0:33:24.309,0:33:29.590 anyone from doing this and as we know[br]microcontrollers are becoming cheaper and 0:33:29.590,0:33:36.460 cheaper. So why not.[br]Herald: I don't get Hasty's signs from the 0:33:36.460,0:33:40.059 sideline so I think I can take another[br]question from 2 please. 0:33:40.059,0:33:46.600 Audience member: So far you have showed us[br]images of 2d planes. What about volumes 0:33:46.600,0:33:52.369 Rintoul: Yes so there's work on solving[br]for volumes using finite element models 0:33:52.369,0:34:02.759 and solving Maxwell's equations. Basically[br]I just did the shortest route to reach 0:34:02.759,0:34:07.670 image reconstruction that was available[br]which was linear back projection which is 0:34:07.670,0:34:12.280 typically done in a 2d plane. So[br]absolutely, you can do it in three 0:34:12.280,0:34:16.370 dimensions.[br]Herald: So I'm very sorry we are out of 0:34:16.370,0:34:23.550 time the queue back there you can have the[br]chance to chat with our speaker just right 0:34:23.550,0:34:31.880 now. The next talk coming up is in about[br]15 minutes and it's I think also in 0:34:31.880,0:34:36.920 English. See you then and a big round of[br]applause for our speaker, excuse me. 0:34:36.920,0:34:42.460 applause 0:34:42.460,0:34:47.725 music 0:34:47.725,0:35:04.000 subtitles created by c3subtitles.de[br]in the year 2017. Join, and help us!