BME PROGRAMME

 

TOPICS


 

 


1st Semester - Common topics
 

   

Cluster Number

Title of Topic

Lectures (Hours)

Credits

1.1

Applications of Physics in Medicine: Mechanics

15

3

1.2

Applications of Physics in Medicine: Electricity

10

2.1

Biology and Biochemistry

18

4

2.2

Anatomy

24

3.1

Physiology and Pathophysiology

44

5

4.1

Quality Management

15

4

4.2

Research Methodology

15

5.1

Electronics in Medicine

16

4

5.2

Basics on Signal Processing

16

 


2nd Semester - Clinical Engineering
 

   

Cluster Number

Title of Topic

Lectures (Hours)

Credits

6.1

Tissue Mechanics

20

5

6.2

Biocompatible Materials

20

7.1

BMI / Biosensors

12

6

7.2

BMI / Ultrasounds

12

7.3

BMI / Life Support

8

7.4

BMI / Active Implantable Devices

8

8.1

Medical Imaging: Instrumentation & Measurements

15

5

8.2

Medical Imaging: Image Processing

15

9.1

Measurement of Non-Electrical Parameters in the Human Body

15

4

9.2

Non-linear Biomechanics

15

10.1

Biomedical Signal Processing

15

4

10.2

Pattern Recognition

15

11.1

Health Care Telematics

15

4

11.2

Neural Networks

15

12.1

Clinical Engineering

40

6

13.1

Health Care Technology Assessment

40

6

 

 

Title:

Applications of Physics in Medicine - Mechanics

Teaching Staff:

Ch. Provatidis

Institution:

National Technical University of Athens, Greece

 

TOPICS AIMS AND OBJECTIVES

Being one of the first topics of this Course, it is intended to provide a smooth introduction from Physics to the applications of Physics and Engineering in Medicine and particularly of Mechanics, to some functions of the human body, in order to familiarise the students with this multidisciplinary field.

 

CONTENT

Introduction to Mechanics: Physical Quantities and their Units Dimensional Analysis in Biology and Medicine

Kinematics: Definitions; Motion; Degrees of Kinematic Freedom Kinematics of Human Joints; the hip and the knee joints

Statics of Rigid Bodies: Definitions; Laws of Equilibrium; Friction; Medical Applications

Statics of Real Bodies: Definitions; Material Testing; Stress-strain Tensile and Compression of Bones Internal Pressure and Wall Tension in Vessels Bending and Shear Medical Applications; Bending and Twisting Fractures

Statics of Fluids: Definitions and Laws Pressure versus Depth in water; Physiology of sea Diving Pressure versus Height in air; Physiology of Ascending at High Altitudes Pressure Measurement; Pressures in the Blood, Brain, Eyes, Gastrointestinal System and Bladder; Surface Tension

Dynamics: Definitions; The Three Laws of Newton Fundamental and Derived Forces Applications in Medicine Effect of Body Posture and Motions on the Ear Physiological Effects of Vibrations and Accelerations; Free fall in Space, Momentum; Movement of Centre of Mass; Athletic Applications of Impulse and Impact; Falls; Car Accidents Conservation of Mechanical Energy; High Jumping

Dynamics of Fluids: Ideal Fluids; Law of continuity; Law of Bernoulli; Applications Newtonian Fluids; Law of Poiseuille; Reynold's Number Non-Newtonian Fluids; Blood: its components and its Flow in the Vessels; Blood Viscosity

 

PRACTICALS

Testing of Several Materials in Tension, Compression, Bending and Twisting, as well as in Fatigue Testing, Compound materials Thermal effects

 

EXAM REQUIREMENTS

Knowledge of the basic physical principles Applications to medical problems related to Orthopeadics, Athletics, Sports, Aviation etc.

 

ASSESSMENT

Written exam.

 

PREREQUISITES

Knowledge of basic Physics and Mathematics, Basic principles of Electricity

 

 

Title:

Applications of Physics in Medicine - Electronics

Teaching Staff:

Th. Deliyannis

Institution:

University of Patras, Greece

 

TOPICS AIMS AND OBJECTIVES

Starting from the familiar principles of Electricity, the student is introduced to the applications of electricity in Medicine Namely: the production, transmission, measurement and processing of biosignals as well as the external and internal applications of electricity to the human body

 

CONTENT

Nerve conduction: Nerve cells Resistance and capacitance of axon Ionic concentrations Resting potential Nernst equation Sodium - Potassium Pump Response to weak stimuli Action potential, Electromyogram, Electrocardiogram, Defibrillators Pacemakers, Electroencephalogram, Electroretinogram and Electrooculogram, Evoked Potentials, Magnetocardiogram, magneto-encephalogram.

 

PRACTICALS

Testing of Several Materials in Tension, Compression, Bending and Twisting, as well as in Fatigue Testing, Compound materials Thermal effects

Electricity: Demonstration in the Hospital of equipment and application on patients and/or students of ECG, EMG, EEG and Evoked Potentials

 

EXAM REQUIREMENTS

Understanding of the applications of Electricity in Medicine based on the content of the Notes given to the student

 

ASSESSMENT

Written exam. 

 

PREREQUISITES

Knowledge of basic Physics and Mathematics, Basic principles of Electricity

 

BIBLIOGRAPHY

-      B. Proimos, Mechanics in Medicine, University of Patras, 1997, distributed

-      B. Proimos, Electricity in Medicine, University of Patras, distributed

-      John R Cameron, Intermediate Physics Books; “Medical Physics”, A Wiley-Interscience, 1978

-      Kane and Sterheim,“Physics SI version”, J Wiley and Sons, Inc, 1980

 

 

 

Title:

Biology & Biochemistry

Teaching Staff:

D. Synetos

Institution:

University of Patras, Greece

 

CONTENT

Organization of the Cell, Structure and function of the plasma membrane and Cellular organelles Diversity of cell types, Differentiation, Cellular communication, Information flow in the cell, DNA-RNA protein, Structure and organization of the genetic material in eukaryotes, Mutations, genetic variability, DNA repair mechanisms, Mutagens and Carcinogenes Cell Cycle, Phases of cell cycle, chromosome structure and function, cell divisions, basic genetics, chromosome aberrations, cytogenetics

Protein structure and function

Introduction to Enzymes

Bioenergetics

Generation and Storage of Metabolic Energy

Glycolysis

Citric Acid Cycle

Oxidative Phosphorylation

Pentose Phosphate Pathway and Glyconeogenesis

Fatty acid Metabolism

Animoacid Degradation and the Urea Cycle

Genetic Information: Storage, Transmission and Expression

DNA structure and replication

RNA Synthesis

Protein Synthesis

 

PRACTICALS

The Electrophoretic separation of Serum Proteins

Enzymatic Determination of Blood Glucose and Urea

 

ASSESSMENT

Written exam.

 

BIBLIOGRAPHY

Lectures notes distributed

 

 

Title:

Anatomy

Teaching Staff:

K. Gyftopoulos

Institution:

University of Patras, Greece

 

OBJECTIVES

 

To acquire basic knowledge of human anatomy in order to facilitate communication with medical staff and better understanding of the technology used

 

CONTENT (TOPICS & AIMS)

·         Introduction and Terminology, Structural Plan of the Human Body, Form, structure, parts and posture Structure and function, Levels of structural organization Levels of functional organization (specialization at the cellular level, formation of organs and organ systems) Basic terminology

·          The Cellular and Tissue Level of Organization, Cell structure and function Embryological approach to differentiation, Tissue of the human body,

·         The Organ Systems, The integumentary system Basic structure and functions, Mechanical and electrical properties. Permeability, reaction to injury

·         The Skeletal System, Basic structure and function Bones and bone growth Articulations, Kinesiology Mechanical axis of a bone. Osteology and radiological anatomy, The Muscular System, Basic structure and function. Kinesiology - Myology

·         The Nervous System. Basic structure and function. The neuron. Receptors and effectors Neuronal circuits Reflexes The muscular tone Peripheral nerves, spinal cord brain Sensory, motor and integrative systems.

·         The endocrine system.

·         The heart and the cardiovascular system. Anatomy of the heart. The major vessels.  Principles of circulation. Regulation of blood pressure.

·         The vessels - blood and lymphatic. The immune system.

·         The respiratory system. The pleural cavity and the lungs. Mechanics of respiration.

·         The digestive system.  Anatomy of the oral cavity, the oesophagus, the stomach, the duodenum, the small and large intestine. Glands of the digestive system (liver, pancreas).

·         The urinary system. The kidneys. Physiology of urine production. The ureters. Disorders in peristalsis (eg colic). The lower urinary system (bladder, urethra, prostate).

·         The reproductive system. Male and female genital system. Functional anatomy –erectile function. The reproductive function. Hormonal influence on the genital system.

 

PRACTICALS

Practicals at the Laboratory of Anatomy on Microscopy and Topographical Anatomy, with the aid of plastic functional models and real anatomic material. (Depending on No of students).

  

ASSESSMENT

Written exam.

  

BIBLIOGRAPHY

Lecture notes distributed

 

 

 Title:

Physiology and Pathophysiology

Teaching Staff:

E. Kouvelas, G. Kostopoulos

Institution:

University of Patras, Greece

 

CONTENT

General Physiology: Properties of living systems Cell theory Energetics Biologic transport

Excitability and synaptic transmission in nerve and muscle cells: characteristics and molecular mechanisms Muscular contraction Automatic nervous system Blood

Heart and circulation: Cardiac cycle Electric conduction Electrocardiography

Heart and circulation: Blood vessels Fluid exchange across capillaries Blood pressure

Respiratory mechanics Respiratory volumes Gas exchange, the lung

O2 transport CO2 transport Control of respiration

Kidney, salt and water balance

Nutrition and Digestion Hormonal control

Neural coding of information Sensory and motor integration by the nervous system Spinal reflexes

Special senses Arousal

Neural basis of behaviour

Electroencephalography

 

PRACTICALS

Through computer simulations the students study the properties and ionic mechanisms underlying nerve action potent generation and conduction

Physiological basis and equipment used in electroencephalography and in electromyography

 

ASSESSMENT

Written exam.

 

PREREQUISITES

Basic knowledge of human anatomy

 

BIBLIOGRAPHY

Color Atlas of Physiology A. Despopoulos + S Silbernagl Thieme, 1986, 3rd Ed (or more recent), distributed

 

 

Title:

Quality Management

Teaching Staff:

F. Krokos

Institution:

Hellenic Organization for Standardization (ELOT), Greece

 

TOPICS AIMS AND OBJECTIVES

To develop skills in a broad base of activities that could be used in a future career.

At the end of the course the student should be;

- Able to work effectively within project teams in a professional manner

- Aware of ethics and safety in biomedical practice

- Able to obtain, evaluate and utilize resource material

- Able to analyze, synthesize and communicate results

 

CONTENT

Quality management

- Basic principles of Quality management

- Tools and methods for quality improvement

- Teams and team work

- Basic principles of risk management

- Basic principles and role of standardization

- The technical infrastructure model (certification, accreditation, peer assessment)

Library Skills

- Information retrieval for both research and routine clinical work.

- Methods for critical review of large amounts of information.

- Electronic and manual methods of library searching

- Techniques and methods for oral presentations

- Structure of written reports

- Project planning

 

ASSESSMENT

Assessment is aimed at verifying acquisition of the above skills, by evaluating a project performed in teams.  This assessment is based on the written project report submitted by the project team, an oral presentation and an interview. 

 

 

Title:

Electronics in Medicine

Teaching Staff:

Th. Deliyannis

Institution:

University of Patras, Greece

 

TOPICS AIMS AND OBJECTIVES

To review the basic amplifier applications and in particular those of the operational amplifier in the design of instrumentation amplifiers, active filters etc. To review the generation and reduction of noise in electronic medical instrumentation. To introduce the basic combinatorial and sequential digital circuits.

 

CONTENT

Biomedical signals and their features Review of basic amplifier topologies: DC, differential and the operational amplifier Real world operational amplifiers Applications of the operational amplifiers, linear and nonlinear. Isolation amplifiers Instrumentation amplifiers Noise in Biomedical systems Noise reduction. Interfacing to digital systems. Introduction to digital Electronics, combinatorial and sequential.

 

PRACTICALS

Two 2-hour experimental work a) on Operational Amplifiers and b)on Basic Combinatorial and Sequential Circuits.

 

EXAM REQUIREMENTS

The students will be required to know to design simple electronic circuits using operational amplifiers useful in amplifying biomedical signals without excessive increase in their noise content. Also to simplify logic functions and implement them using logic gates.

 

ASSESSMENT

Written exam.

 

PREREQUISITES

Basic Electronics

 

BIBLIOGRAPHY

-      Norman: “Principles of Bioinstrumentation” J Wiley & Sons, 1988

-      Gayakwad: “Op-amps and Linear Integrated Circuits”, Prentice Hall, 1993

-      Millman and Grabel “Microelectronics” McGraw-Hill, 1989

-      Handout notes prepared by the teacher

 

 

Title:

Basics of Signal Processing

Teaching Staff:

V. Anastassopoulos

Institution:

University of Patras, Greece

 

TOPICS AIMS AND OBJECTIVES

Signal Processing, and more specifically Digital Signal Processing (DSP), has already moved from being a specialist research topic to one with practical applications in many disciplines. Biomedical engineering is one of them. The course aims to serve the needs of an introductory overview of the major DSP concepts. The approach does not assume any expertise in electronics, computing and data processing Heavy mathematical derivations are avoided. Instead, a reasonably practical account of DSP is given, pointing out some of the main problems and pitfalls and showing how to interpret the results of signal processing

 

CONTENT

-  Introduction: (The scope of DSP / Sampling / ADC / DAC/ Basic types of digital signals / Digital processors)

-  The Discrete Fourier Transform (DFT) and Fast Fourier Transform (FFT) Algorithms (Definition and properties of the DFT / FFT algorithms / Fast convolution / Windowing)

-  The z-Transform: (Definition and properties / z-plane poles and zeros / Transfer functions)

-  Digital Filter Design: (The graphical approach / FIR digital filter design / IIR digital filter design)

-  Additional concepts on DSP: (Adaptive digital filters / Random signals / General - and special - purpose hardware for DSP)

 

ASSESSMENT

Written exam.

 

PREREQUISITES

The primary prerequisites are a basic background in calculus and the ability to manipulate complex numbers

 

BIBLIOGRAPHY

-      D Strum and D E Kirk: “First Principles of Discrete Systems and Digital Signal Processing”, Addisson-Wesley Publishing Company, 1988

-      A Lynn and W Fuerst: “Introductory Digital Signal Processing with Computer Applications”, John Wiley and Sons Ltd, 1989

-      C Ifeachor and B W Jervis: “Digital Signal Processing: A Practical Approach”, Addisson-Wesley Publishing Company, 1993

 

Title:

Tissue Mechanics

Teaching Staff:

J.C. Barbenel

Institution:

University of Strathclyde, UK

 

TOPICS AIMS AND OBJECTIVES

To provide a descriptive overview of the mechanical properties of selected body tissues and the interrelationship between these properties and the composition and the structure of the tissues considered. Linear viscoelastic theory will be explored for applications to linear body tissues (eg bone), polymers and soft tissues

 

CONTENT

Viscoelasticity: Experimental behavior - stress relaxation, creep Modeling experimental behaviour; spring and dashpot models Quantitative description of viscoelastic parameters and their interrelation; dynamic behavior. Non-linearity.

Bone: The structure and mechanical properties of cortical and cancerous bone, anisotropy, plastic and viscoelastic properties of bone, age variations, site variations, osteoporosis

Soft Connective Tissues: an overview of the non linear and time dependent mechanical properties of the soft connective tissues as exemplified by skin, pericardium, tendon, ligament and articular cartilage Structure and composition of the tissues Structure and mechanical properties of the tissue components - collagen, elastin, GAG. The relationship between tissue structure and compositions and gross mechanical properties. Mathematical description of mechanical properties, quasi linear behavior and applications to the description of stress and relaxation. Clinical applications.

  

ASSESSMENT

Written exam. The topic will be examined with Biocompatible Materials (See below).

 

PREREQUISITES

Knowledge of the mechanics of deformable bodies

 

BIBLIOGRAPHY

-      Lecture notes by JC Barbenel,

-      Fung Y C “Biomechanics - Mechanical properties of living tissue” Springer Verlag

 

 

Title:

Biocompatible Materials

Teaching Staff:

JC Barbenel

Institution:

University of Strathclyde, UK

 

TOPICS AIMS AND OBJECTIVES

An introduction to the materials currently used as implants or biomedical devices. The emphasis is on physical properties, fabrication of devices and biocompatibility.

An introduction to their applications in surgery and medicine and the problems experienced in their use

 

CONTENT

Materials used in biomedical devices: metals, ceramics, polymers/plastics and composites.

Stiffness and strength: Stress-strain response, plasticity. Structure and mechanical properties of composites. Fracture mechanics.

Metals: Mechanical properties of Stainless steel, cobalt-chromium and titanium. 

Clinical applications and fabrication of devices. Friction. Corrosion.

Ceramics: Mechanical properties of alumina and zirconia. Clinical applications and fabrication of devices. Resorbable ceramics, bioceramics and bioglasses.

Polymers and plastics: Outline of chemistry of polymers and polymerization.

Examples of clinical applications as external and implanted devices. 

Bio- and haemo-compatibility: Importance and introduction of methods of Assessment and measurement.

Clinical examples: Hip replacement will be discussed in detail. Development of the Charnley hip based on Metal/plastic/bone cement; expected performance, limitations alternatives eg cementless prostheses. Case study of failure, 3M Capital system.  Other devices.

Tissue engineering: Introduction to concepts, including hybrid organs.

 

PRACTICALS

None, but students will research a specified topic and make a group presentation.

 

ASSESSMENT

There will be a 2.5 hour open book written examination for the cluster consisting of Tissue mechanics and Biocompatible materials. 

 

BIBLIOGRAPHY

- Lecture notes by JC Barbenel,

- Park, J.B and Lakes, R.S. “Biomaterials: an introduction” Plenum Press.

 

 

Title:

BMI / Biosensors                                 

Teaching Staff:

R. Puers

Institution:

University of Leuven, Belgium

 

TOPICS AIM AND OBJECTIVES

The course focuses on the typical aspects of biomedical sensing and stimulation and its instrumentation. A major part of the course is dedicated to the sensors and their specific requirements for use in biomedical applications, especially implants. It aims at giving the students an insight in what sensors are best suited to particular applications and how to deal with the data

 

CONTENT
Sensors for biomedical applications: Sensor principles and transducers phenomena, Mechanical sensors, strain sensing, pressure sensors, accelerometers, Silicon micromachining techniques, Temperature, photo and magnetic sensors, Biochemical sensors: dissolved oxygen, glucose, ureum.  

Signal processing techniques: TCO, TCS and its compensation
Bioelectric potentials and stimulation techniques: Biopotentials: ECG, EMG, EEG, Measurement techniques, the right leg drive, Stimulation principles, Biomedical stimulation: nerves, muscles, cochlea, heart, Safety: norms for current limits in the human body, isolation aspects
Implantable electronic systems: Biotelemetry: specific requirements, Examples of active and passive telemetry systems, The intelligent biomedical implants: adding programmability

  

PRACTICALS
Some of the circuits are being discussed in detail Basic knowledge on amplifiers is given additionally to fulfill the needs of the students. Several biotelemetry systems are being developed in the sessions, with the emphasis on using the course material to build the systems together (theoretically). The systems have been realized in the past, so students can verify how close their design comes to what is actually developed and used

 

EXAM REQUIREMENTS


Understanding the basic ideas of the course and to be able to make a comparison between the different principles discussed No formulas or expressions must be known by heart, but the more they should be understood Students must be able to explain the working principles of the systems and to point to the rationale behind them

 

ASSESSMENT
Written examination, usually with an open book (closed book if students decide so unanimously). The questions aim to judge for the student’s insight in the material and to check for his capability to situate the material in a broader perspective

 

PREREQUISITES

Basic knowledge on physics and chemistry Elementary knowledge on analog and digital circuits


BIBLIOGRAPHY
- Lecture notes on Microelectronics and Biosensors, distributed

- Puers and Sansen, Medical Instrumentation, Webster, Houghton Mifflin Co, 1978 

  

 

Title:

BMI / Ultrasounds

Teaching Staff:

Th. Misaridis

Institution:

National Technical University of Athens (NTUA)

 

TOPICS AIMS AND OBJECTIVES

To introduce the students to the basics of medical ultrasound

 

CONTENT

Ultrasound Imaging: Description of current ultrasound systems,  transducer technology, instrument’ s block diagrams; array imaging concepts; ultrasonic scanning modes (A, B, M); Doppler methods (CW, PW); duplex/triplex scanning; color Doppler methods – to grasp basic operation procedures for anatomical and blood flow imaging. Background concepts of imaging parameters; axial and lateral resolution

Physics of Ultrasound: Ultrasound waves, physical laws, ultrasound-tissue interaction, acoustic wave equations, spherical wave solution, propagation as a linear spatio-temporal fiter, point spread function, diffraction theory.

Image formation: Fresnel and Fraunhofer appproxiations; far-field of array transducers; beam focusing and steering; delay and sum beamforming; pulsed wave fields;

Advanced topics: blood flow estimation algorithms, compound imaging, coded excitation.

Demonstrations: simulations of acoustic propagation, clinical 3D fetal imaging, presentation of a commercial system and its operating software, movies

 

PRACTICALS

Demonstration of clinical diagnostic ultrasound at the Radiology Department of the University Hospital. Abdominal and cardiac ultrasound procedures.

 

ASSESSMENT

Written examination with open books, 1 ½ hour.

 

PREREQUISITES

Knowledge of signal processing and basic physics

 

BIBLIOGRAPHY

Full lecture notes, containing bibliography of most important and recent books, distributed

 

 

Title:

BMI / Life Support

Teaching Staff:

K. Filos

Institution:

University of Patras, Greece

 

TOPICS AIMS AND OBJECTIVES

 

CONTENT

What is patient monitoring? Monitoring as a closed loop process

Measurement errors Measurement risk Influence of the therapy

Monitoring in the Coronary Care Unit, Intensive Care Unit and in Operating Room

Measuring as a problem Errors and risks in monitoring. The optimal set

Measurement disturbance caused by equipment Artifacts Signal validation

Measurement systems Transducers Signal Processing Display methods

Interpretation of the measurements required medical knowledge Alarms

Monitoring the circulation monitoring the respiration

 

PRACTICALS

Subject: selection/design of a monitoring system

1 Selection of a physiological function to be monitored in a patient in an intensive care unit or operating room Signs and symptoms of adequate and inadequate function Inventory of measurement methods and techniques

2 Selection of problems to monitor and best set of measurements Inventory of measurement problems, risks and disturbances by other equipment Construction and analysis of a monitoring system for the selected function

 

ASSESSMENT

Written exam.

 

PREREQUISITES

Basic knowledge of Biology, Anatomy, Physiology, Human Disease, Measurement of Electrical Parameters and Measurements of Non-electrical Parameters as provided by the corresponding topics of this course

 

BIBLIOGRAPHY

Lecture notes distributed

 

 

Title:

Medical Imaging: Instrumentation & Measurements

Teaching Staff:

J. Cornelis

Institution:

Vrije Universiteit Brussel, Belgium

 

TOPICS AIMS AND OBJECTIVES

Starting from general physical concepts and digital signal processing principles, the medical imaging instrumentation used in radiology, nuclear medicine and magnetic resonance imaging is explained. The main emphasis of the course goes towards tomographic imaging and image formation models. Understanding the origin of the typical image artifacts due to the model imperfections, learning the intrinsic properties and limitations of medical imaging modalities and getting an insight in the factors affecting image quality are some main objectives of the course.

 

CONTENT

Medical Imaging Techniques: physical principles, image formation, instrumentation.

 

Nuclear medicine: Physical principles (mechanisms of photon production, interactions photon-material); Instrumentation (collimators, detectors, gamma camera, PET image reconstruction, SPECT).

 

Radiology: Image formation in conventional radiology (basic model); Production of X-rays; Spectrum of X-rays, CT scanners, Reconstruction of images (mathematical framework, reconstruction algorithms, reconstruction artifacts), 3D Imaging: Spiral CT, Visualisation of CT-scans.

 

Magnetic Resonance - MRI: Physical principles, Image formation (spatial encoding, slice selection, frequency and phase encoding, signal detection, Fourier reconstruction).

 

EXAM REQUIREMENTS

Understanding the working principles behind the medical image formation systems, understanding the trade-offs in performance in the various instruments.

 

ASSESSMENT

Written examination. Questions about the course, no exercises. Exam duration: 2h. Mainly the understanding of concepts will be tested. The relative importance of the technical and mathematical derivations will be pointed out during the lectures.

 

PREREQUISITES

Basics of signal theory; one dimensional digital signal processing; general physics; linear algebra; notions of numerical analysis

 

BIBLIOGRAPHY

- Zangh-Hee Cho, Manbir Singh, Joie P Jones, Foundations of Medical Imaging, John Wiley and Sons, 1993

- Perry Sprawls, Jr., Physical Principles of Medical Imaging, Second Edition,  Medical Physics Publishing Madison, Wisconsin, 1995

- A. Rosenfeld and A. Kak, Digital Picture Processing (2nd Ed), Vol 1 and 2, 1982

- Jan Cornelis, An Introduction to Medical Magnetic Resonance Imaging (Second Edition), VUB Press, 1998

- Zhi-Pei Liang, P. C. Lauterbur, Principles of Magnetic Resonance Imaging, A Signal Processing Perspective, IEEE Press, 2000

- Hong Yan, Signal Processing for Magnetic Resonance Imaging and Spectroscopy, Marcel Dekker, Inc., New York, 2002

 

 

Title:

Medical Imaging: Image Processing and Analysis

Teaching Staff:

I. Buliev

Institution:

University of Varna, Bulgaria

 

TOPIC AIMS AND OBJECTIVES

Revealing the main aspects of the Digital Image Processing.  Introducing MATLAB for image processing.  Provoking the students to solve practical problems.  Attention is focused on application to medical images.

 

CONTENT

Introduction

Image formation: Acquisition, Resolution, Distortions, Noise

Spatial Transformations: Interpolation, Affine transformations, Image Registration

Image Transforms: Fourier, DCT, Wavelets, Hough, Radon

Image Enhancement: Intensity adjustment, Filtering, Noise removal

Image Analysis: Detecting edges, Detecting lines, Quad tree decomposition Morphology

 

PRACTICALS

Implementation of a number of image processing techniques applied to medical images: Affine transformations, Fourier transform, Linear filtering (in the spatial and the frequency domain), Median filtering, Histogram equalization, Lookup Tables, Edge detection and morphological operations.

 

EXAM REQUIREMENTS

Good knowledge of the discussed topics

 

ASSESMENT

Written examination without access to the course notes

 

PREREQUISITES

Knowledge of 1D digital signal processing, vector spaces, matrix algebra is compulsory

 

BIBLIOGRAPHY

1. RE Gonzalez, Woods, Digital Image Processing, Addison-Wesley 1993

2. Fundamentals of Digital Image Processing, Anil K. Jain, Prentice Hall, 1989

3. C.T. Badea, Lecture notes

 

 

Title:

Measurement of Non-Electrical Parameters

in the Human Body

Teaching Staff:

N. Pallikarakis, Z. Bliznakov

Institution:

University of Patras, Greece

 

TOPICS AIMS AND OBJECTIVES

 

CONTENT

 

Part I THE CIRCULATORY SYSTEM

·         An outline of the circulatory system

·         Hemodynamics

·         Measurement of blood pressure

·         Measurement of blood flow and blow velocity 

 
Part II – THE RESPIRATORY SYSTEM
·         An introduction to the respiratory system 
·         Models of the respiratory system 
·         Measurement of lung volumes and air flow
·         Measurement of concentration of respiratory gases 
·         Measurement of oxygen and carbon dioxide in blood

 

ASSESSMENT

Written exam.

 

BIBLIOGRAPHY

CD-ROM and book

 

 

Title:

Dynamic Modeling of Biomechanical Systems

Teaching Staff:

R. Stagni

Institution:

University of Bologna, Italy

 

 

CONTENT

Dynamic multi-link modelling: Basic principles for the essential modelling of total body dynamics during the execution of daily living motor tasks.

Skeletal muscle: Structure and function Activation mechanisms. Force-length-velocity relationship.

Hemodynamic in large vessels: A number of central results obtained by sophisticated models of hemodynamics in both large arteries and microvessels are discussed by a combination of a little rigor and a lot of intuition. Between these: fluid-vessel interaction, convective accelerations, propagation phenomena, velocity profiles, vascular grafts, stenosis hemodynamics

Non linear system dynamics: Basic principles Equilibrium and stability. Linearization Phase plane and trajectory Hysteresis cycle. Autooscillations. Examples of modelling of some physiological reflex by active non-linear feedback

 

PRACTICALS

Computer simulation

 

EXAM REQUIREMENTS

The expected gain for the students is to acquire sensitivity in modelling biomechanical systems starting from basic knowledge and measured data. Understanding the basic methods to analyse the dynamic behaviour of a simple non-linear model of a given biological system Insight the basic principles on skeletal muscle. The use of computer simulation is a necessary complement to the theoretical part of the course

 

TOPICS AIMS AND OBJECTIVES

To give some basic concepts of the theory and practice of mathematical modelling of biomechanical systems. To introduce the student to the notions of feedback, equilibrium and stability as well as of hysteresis cycle and auto-oscillation. To give a short description and significant references of the modelling approaches used. To give some examples on biomechanical system behaviour developed either theoretically or by computer simulation

 

ASSESSMENT

Written exam.

 

PREREQUISITES

The student should understand the basic elements of deferential equations and matrix theory at an undergraduate calculus course level. Biological modelling requires knowledge of first-year concepts. Basic knowledge on frequency response and Laplace transform would help

 

BIBLIOGRAPHY

- Handouts

- Mathematics for dynamic modelling Edward Beltrami, Academic Press, Inc, London, 1987

- Biomechanics of the muscolo-skeletal system BM Niggo, W Herzog, Wiley, 1995

- Bio-fluid mechanics, H Power, Computational Mechanics Publications, Southampton, UK, 1995

 

 

Title:

BMI / Biomedical Signal Processing

Teaching Staff:

A. Santos

Institution:

Universidad Politecnica de Madrid, Spain

 

TOPICS AIMS AND OBJECTIVES

This course presents the application of the main signal processing tools to the analysis of biomedical signals. It shows how clinically relevant information can be extracted from these signals. The processing techniques will be illustrated with examples of their application in the analysis of the electrocardiogram (ECG), electroencephalogram (EEG), evoked potentials (EP), heart rate variability (HRV) and other signals.

 

CONTENT

-     Introduction: Objectives of biomedical signal analysis.

-      ECG processing and time-domain analysis.

-      EEG processing and frequency-domain analysis.

-      EP processing and time-scale analysis.

-      HRV processing and advanced processing techniques

-      Brain activity maps

 

PRACTICALS

An important part of the course will be the exercises with a personal computer. Using a signal processing tool (like Matlab), the students can apply the concepts seen in the theory to real signals, having the opportunity to explore by themselves the potentials and limitations of the methods proposed.

 

EXAM REQUIREMENT

Understanding of the basic methods presented in the course and their possibilities and limitations 

 

ASSESSMENT

Written examination without books or notes. Several questions to assess the understanding of the general principles behind biomedical signal processing: aims and objectives, methods, trade-offs, etc

 

PREREQUISITES

Basics on Signal Processing

Biomedical Signals

 

BIBLIOGRAPHY

-      Lecture notes, distributed

-    E. C. Ifeachor, B.W. Jervis. Digital Signal Processing. A Practical Approach. Addison-Wesley, 1993

-    E. N. Bruce. Biomedical Signal Processing and Signal Modeling. Wiley. 2001.

-    R.B. Northrop. Noninvasive Instrumentation and Measurement in Medical Diagnosis. CRC Press, 2002.

-    L. Sörnmo, P. Laguna. Bioelectrical Signal Processing in Cardiac and Neurological Applications. Elsevier, 2005.

 

 

Title:

Pattern Recognition

Teaching Staff:

E. Nyssen

Institution:

Vrije Universiteit Brussel, Belgium

 

TOPICS AIMS AND OBJECTIVES

This course is conceived as a compact introduction to the concepts and techniques of Pattern Recognition. It introduces and illustrates the main problems of feature extraction and the design of pattern classifiers and their evaluation. The techniques, discussed during the lectures illustrate the notions of supervised and non-supervised design and the deterministic and statistical approaches (emphasizing the latter).

 

CONTENT

Basic statistical concepts used in Pattern Recognition, introduction, deterministic techniques for the design of decision functions, Bayesian classification, linear and quadratic discriminant analysis, Fisher's two-class discriminant function, non-parametric techniques based on the approximation of probability density functions, feature extraction based on the Karhunen-Loeve transform, evaluation of pattern classifiers including testing the significance of classification efficiency.

 

PRACTICALS

The practicals illustrate the application of pattern recognition techniques, discussed during the lectures.

 

EXAM REQUIREMENTS

Understanding of the course material and capability to solve problems on basis of it.

 

ASSESSMENT

Written examination, Duration: 1:30h for answering 5 questions; 2 points per question There is no restriction on the use of course material, notes, tables, calculators and supplementary documentation (eg books).

 

PREREQUISITES

Linear algebra: vector and matrix manipulations (including solving linear equations, matrix inversion and solving eigenvalue problems), calculus of integration, probability theory, statistics (including the estimation of population parameters and testing of statistical hypotheses).

 

BIBLIOGRAPHY

-      Richard O. Duda and C Peter E. Hart, Pattern classification and scene analysis, Wiley, New York, 1973;

-      T Tou Julius and C Raphael Gonzales, Pattern Recognition Principles, Addison Wesley Publishing Company, 1979;

-      Sidney Siegel, Nonparametric Statistics for the Behavioural Sciences, Intl Student Edition, 1956.

 

 

Title:

Health Care Telematics

Teaching Staff:

D. Koutsouris

Institution:

National Technical University of Athens, Greece

 

 

TOPICS AIMS AND OBJECTIVES

To introduce to biomedical engineers the basics concepts related to medical informatics, health informatics and telemedicine applications.  Health care delivery systems all around the world are under reforms taking into account the population demographics, financial possibilities and the desire for active participation in the process of care/prevention by the patients/citizens. The emerging scenarios focus at ensuring a “continuity for care” for the citizens by establishing a health information infrastructure. In other words, linking the traditional centres of care (hospitals, primary care centres, labs pharmacies) as well as homes of people. The enabling technologies and systems mechanisms for scenarios of continuity of care are the electronic health record systems, regional health networks and telemedicine applications such as homecare monitoring and support systems. The course focuses on issues related to these technologies and applications, namely development, standardization, and implementation and user acceptance.

 

CONTENT

Introduction to medical informatics and health telematics; research, development and standardization issues related to electronic health records; implementation challenges to health information systems; telemedicine technologies and applications for doctor to doctor scenarios as well as home monitoring; introduction to human computer interaction technologies and concepts and explanation of the critical role these  technologies play in user acceptance and user friendliness of the health information systems.

  

EXAM REQUIREMENTS

Overview of the medical informatics and health telematics area, understanding of the basic concepts related to computer science and telecommunications, understanding of the structure and functions of health information systems.

 

ASSESSMENT

Written exam.

 

PREREQUISITES

Depending on the preselected topic (e.g. ultrasound technologies, speech recognition technologies, biosignal processing, security, HER architecture etc)

 

BIBLIOGRAPHY

Lecture notes distributed in electronic format.

 

 

Title:

Neural Networks

Teaching Staff:

P. Cristea

Institution:

"Politehnica" University of Bucharest, Romania

 

TOPICS AIMS AND OBJECTIVES

Introduction to the connectionist approach at the engineering level in comparison with the conventional software. Presentation of the training paradigm as a way to storing data and knowledge in neural networks Illustration with examples of applications. New trends in research.

 

CONTENT

Learning Systems: Expert Systems vs. Learning Systems, The Connectionist Approach, Conventional Software vs. Artificial Neural Networks, Comparative view: Statistics-Applied Mathematics-ANN, Biological Neurons and Artificial Neural Networks: Neuron Models, Mc Culloch-Pitts Neuron Model, Rosenblatt and Bipolar Sigmoids, Fukushima Model.

Artificial Neural Networks Architecture: Feedforward Networks, Recursive Networks, Locally Connected Networks, Cellular Neural Networks, Implementation of Logical Functions with the Perceptron, Linear Separability Hidden Layers Feature Extraction.

Methods of Establishing the Weights of the Connections in an ANN: Direct Analysis of the Error Functions, Computational Approach, Learning Paradigms: Hebb’s Law, Organization of the Behaviour, Convergence, Stability, Supervised and Unsupervised Training.

Training Procedures-Learning Rules Amari General Rule, Hebbian Rule, Rosenblatt Rule, Delta Learning Rule (Mc Clelland and Rumelhart), Adaline Learning Rule (Windrow and Hoff), Convergence of Learning Procedures, Optimum Learning Factor.

Back propagation Training Algorithm: Single Layer Network, Three Layers Feedforward Network, “On the flow” vs. Batch Training, Momentum Updating (Rumelhart and Mc Clelland), Non Euclidean Error Measures (Logistic, Huber’s, Talvar’s, Hampel’s Functions), Speeding up of BP Algorithm.

Computing Weights:  Penrose-Moore Generalized Inverse, Using NN for Solving Linear and Non Linear Sets of Equations, Constraints Optimization Problems. Cascade Correlation Networks.

Hopfield Networks: Content Addressable Memories, Dynamics of NN, Establishing the weights by Problem Analysis, The Queens Problem, Traveling Salesman Problem, Bi-directional Associative Memoirs, Boltzman Machine.

Unsupervised Learning for Classifiers: Self Organizing Maps, Concurential Learning, Kohonen NN, Applications in Phoneme Recognition, Belief Networks.

Third generation NN, Spiking neurons.

Knowledge eliciting.

 

EXAM REQUIREMENTS

Working, Understanding of the principles of Neural Networks as an alternative approach to conventional software

 

ASSESSMENT

Written examination of one hour duration Questions about theoretical aspects of the course and short problems

 

PREREQUISITES

Linear Algebra, Fundaments of Programming Languages, Elementary Electronics

 

BIBLIOGRAPHY

-      Simon Haykin-Neural Networks A Comprehensive Foundation - Mac Millan College Publishing Company, 1994

-      Martin T-Hagan, Howard B Demuth, Mark Beale, Neural Network Design, International Thomson Publishing Company, Boston 1996

 

 

Title:

Clinical Engineering

Teaching Staff:

N Pallikarakis, Z. Bliznakov, E. Valchinov

Institution:

University of Patras, Greece

 

TOPICS AIMS AND OBJECTIVES

Ôo introduce biomedical engineers in the branch of clinical engineering. Clinical Engineering departments in modern hospitals are playing a very important role concerning safe and cost effective use of medical equipment. Tasks covered by clinical engineers today include, maintenance, quality control, safety and risk management, contacts follow-up, user training for a comprehensive management of biomedical technology from procurement to replacement. The objective is students to learn what clinical engineering is dealing with, tools and methods applied for effective management of medical equipment’s and be aware of related activities world-wide such as: normalisation, assessment communication and access to information certification, quality assurance and accreditation

 

CONTENT

Introduction to biomedical technology, Clinical Engineering Tasks, Management of Biomedical Equipment, Regulations and Standards, Risk Management and Vigilance Systems, Quality Assurance, Information sources

 

PRACTICALS

-      Demonstration and hand on experience to modern telematic tools for management of medical equipment by clinical engineering departments

-      Information exchange

-      Retrieval of legal and technical texts

-      Quality assurance team work

 

EXAM REQUIREMENTS

Overview knowledge of the activities, tasks and responsibilities of clinical engineers and their role in today’s hospital Understanding of the methods and tools applied to fulfil this job requirements. Understanding of safety and risk management principles and practices. Understanding the basics of Quality systems and its application in the clinical engineering departments

 

ASSESSMENT

Written exam and project.

 

PREREQUISITES

General knowledge on the organization structure of the hospitals Electricity, basic electronics

 

BIBLIOGRAPHY

-      J Bronzino (ed) Management of Medical Technology, Butterworth - Heinemann, 1992

-      Feinberg, Applied Clinical Engineering, Prentice-Hall, 1986

-      Webster, A Cook (eds) Clinical Engineering Principles and Practices, Prentice-Hall, 1979

 

 

Title:

Health Care Technology Assessment

Teaching Staff:

M. Kekomaki

Institution:

Helsinki University Hospital, Finland

 

TOPICS AIMS AND OBJECTIVES

 

CONTENT

·   Economic evaluation in health care

·   Health care technology: why evaluate?

·   Basic determinants of a good health care system

·   Estimation of efficiency in health care

·   Assumptions behind all evaluation

·   Efficacy and Effectiveness

·   Quality-of-life

 

ASSESSMENT

Project

 

BIBLIOGRAPHY

Lecture notes distributed.

 

 

 

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