Matching Items (4)
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- All Subjects: Cerebral Aneurysms
- All Subjects: Cochlear Implants
- Creators: Frakes, David
- Member of: Barrett, The Honors College Thesis/Creative Project Collection
- Resource Type: Text
Description
The ability of cochlear implants (CI) to restore auditory function has advanced significantly in the past decade. Approximately 96,000 people in the United States benefit from these devices, which by the generation and transmission of electrical impulses, enable the brain to perceive sound. But due to the predominantly Western cochlear implant market, current CI characterization primarily focuses on improving the quality of American English. Only recently has research begun to evaluate CI performance using other languages such as Mandarin Chinese, which rely on distinct spectral characteristics not present in English. Mandarin, a tonal language utilizes four, distinct pitch patterns, which when voiced a syllable, conveys different meanings for the same word. This presents a challenge to hearing research as spectral, or frequency based information like pitch is readily acknowledged to be significantly reduced by CI processing algorithms. Thus the present study sought to identify the intelligibility differences for English and Mandarin when processed using current CI strategies. The objective of the study was to pinpoint any notable discrepancies in speech recognition, using voice-coded (vocoded) audio that simulates a CI generated stimuli. This approach allowed 12 normal hearing English speakers, and 9 normal hearing Mandarin listeners to participate in the experiment. The number of frequency channels available and the carrier type of excitation were varied in order to compare their effects on two cases of Mandarin intelligibility: Case 1) word recognition and Case 2) combined word and tone recognition. The results indicated a statistically significant difference between English and Mandarin intelligibility for Condition 1 (8Ch-Sinewave Carrier, p=0.022) given Case 1 and Condition 1 (8Ch-Sinewave Carrier, p=0.001) and Condition 3 (16Ch-Sinewave Carrier, p=0.001) given Case 2. The data suggests that the nature of the carrier type does have an effect on tonal language intelligibility and warrants further research as a design consideration for future cochlear implants.
ContributorsSchiltz, Jessica Hammitt (Author) / Berisha, Visar (Thesis director) / Frakes, David (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor)
Created2015-05
Description
Cerebral aneurysms, also known as intracranial aneurysms, are sac-like lesions in the arteries of the brain that can rupture to cause subarachnoid hemorrhaging, damaging and killing brain cells. Metal coil embolization has been traditionally used to occlude and treat cerebral aneurysms to limited success, but polymer embolization has been suggested, because it can provide a greater fraction of occlusion. One such polymer with low cytotoxicity is poly(propylene glycol)diacrylate (PPODA) crosslinked via Michael-type addition with pentaerythritol tetrakis(3-mercaptopropionate) (QT). This study was performed to examine the behavior of PPODA-QT gel in vitro under pulsatile flow emulating physiological conditions. An idealized cerebral aneurysm flow model was designed based on geometries associated with an increase in rupture risk. Pressure was monitored at the apex of the aneurysm dome for varied flow rates and polymer filling fractions of 32.4, 78.2, and 100%. The results indicate that the amount of PPODA-QT deployed into the aneurysm decreases the peak-to-peak oscillation in pressure at the aneurysm wall by an inverse proportion. The 32.4 and 78.2% treatments did not significantly decrease the mean pressure applied to the aneurysm dome, but the 100% treatment greatly reduced it by diverting flow. This study indicates that the maximum filling fraction after swelling of PPODA-QT polymer should be deployed into the aneurysmal sac for treatment.
ContributorsWorkman, Christopher David (Author) / Vernon, Brent (Thesis director) / Frakes, David (Committee member) / Barrett, The Honors College (Contributor) / Department of Chemistry and Biochemistry (Contributor) / Harrington Bioengineering Program (Contributor)
Created2014-05
Customized Endovascular Treatment Fixture Construction for Patient-Specific Cerebral Aneurysm Repair
Description
Cerebral aneurysms are pathological bulges in blood vessels of the brain that can rupture and cause brain damage or death. Treating aneurysms by isolating them from circulation can prevent aneurysm rupture. Endovascular techniques for cerebral aneurysm treatment are preferred because they are minimally invasive and have a shorter recovery time, and endovascular coiling is considered the gold standard as a result. The coils used in endovascular treatment come in standard shapes and sizes, mass-manufactured by medical device companies. Clinicians select the coils for treatment based on the aneurysm volume. However, cerebral aneurysms have unique shapes and dimensions, and vary on a patient-specific basis. Therefore, customizing the coils to fit a unique aneurysm morphology by using shape memory alloys could potentially improve endovascular treatment outcomes. In order to shape set a shape memory alloy into a customized coil configuration a fixture based on the aneurysm morphology must first be developed. Digital surface models of aneurysm patient cases were collected from an online repository and isolated from surrounding vasculature. Anchors used to assist in winding coils around these models were then added to create a computational fixture model. These fixtures were 3D printed in stainless steel, and tested on their ability to maintain their shape after being exposed to high temperatures needed in shape setting processes. The study demonstrated that customized fixtures can be created from patient-specific images or models, and manufactured with high levels of accuracy without deformation at high temperatures. The results suggest that 3D printed stainless steel fixtures could be used to develop customized endovascular coils for cerebral aneurysm treatment.
ContributorsHess, Ryan Ambrose (Author) / Kleim, Jeff (Thesis director) / Nair, Priya (Committee member) / Frakes, David (Committee member) / Barrett, The Honors College (Contributor)
Created2017-05
Description
Cochlear implant (CI) successfully restores hearing sensation to profoundly deaf patients, but its
performance is limited by poor spectral resolution. Acoustic CI simulation has been widely used
in normal-hearing (NH) listeners to study the effect of spectral resolution on speech perception,
while avoiding patient-related confounds. It is unclear how speech production may change with
the degree of spectral degradation of auditory feedback as experience by CI users. In this study,
a real-time sinewave CI simulation was developed to provide NH subjects with auditory
feedback of different spectral resolution (1, 2, 4, and 8 channels). NH subjects were asked to
produce and identify vowels, as well as recognize sentences while listening to the real-time CI
simulation. The results showed that sentence recognition scores with the real-time CI simulation
improved with more channels, similar to those with the traditional off-line CI simulation.
Perception of a vowel continuum “HEAD”- “HAD” was near chance with 1, 2, and 4 channels,
and greatly improved with 8 channels and full spectrum. The spectral resolution of auditory
feedback did not significantly affect any acoustic feature of vowel production (e.g., vowel space
area, mean amplitude, mean and variability of fundamental and formant frequencies). There
was no correlation between vowel production and perception. The lack of effect of auditory
feedback spectral resolution on vowel production was likely due to the limited exposure of NH
subjects to CI simulation and the limited frequency ranges covered by the sinewave carriers of
CI simulation. Future studies should investigate the effects of various CI processing parameters
on speech production using a noise-band CI simulation.
performance is limited by poor spectral resolution. Acoustic CI simulation has been widely used
in normal-hearing (NH) listeners to study the effect of spectral resolution on speech perception,
while avoiding patient-related confounds. It is unclear how speech production may change with
the degree of spectral degradation of auditory feedback as experience by CI users. In this study,
a real-time sinewave CI simulation was developed to provide NH subjects with auditory
feedback of different spectral resolution (1, 2, 4, and 8 channels). NH subjects were asked to
produce and identify vowels, as well as recognize sentences while listening to the real-time CI
simulation. The results showed that sentence recognition scores with the real-time CI simulation
improved with more channels, similar to those with the traditional off-line CI simulation.
Perception of a vowel continuum “HEAD”- “HAD” was near chance with 1, 2, and 4 channels,
and greatly improved with 8 channels and full spectrum. The spectral resolution of auditory
feedback did not significantly affect any acoustic feature of vowel production (e.g., vowel space
area, mean amplitude, mean and variability of fundamental and formant frequencies). There
was no correlation between vowel production and perception. The lack of effect of auditory
feedback spectral resolution on vowel production was likely due to the limited exposure of NH
subjects to CI simulation and the limited frequency ranges covered by the sinewave carriers of
CI simulation. Future studies should investigate the effects of various CI processing parameters
on speech production using a noise-band CI simulation.
ContributorsPerez Lustre, Sarahi (Author) / Luo, Xin (Thesis director) / Daliri, Ayoub (Committee member) / Division of Teacher Preparation (Contributor) / College of Health Solutions (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05