Jan Munck - Academia.edu (original) (raw)

Papers by Jan Munck

Biomedical Engineering, 2004

The standard procedure to determine the brain re- sponse from a multitrial evoked magnetoencephal... more The standard procedure to determine the brain re- sponse from a multitrial evoked magnetoencephalography (MEG) or electroencephalography (EEG) data set is to average the in- dividual trials of these data, time locked to the stimulus onset. When the brain responses vary from trial-to-trial this approach is false. In this paper, a maximum-likelihood estimator is derived for the case that the

NeuroImage, 2004

Often MEG/EEG is measured in a few slightly different conditions to investigate the functionality... more Often MEG/EEG is measured in a few slightly different conditions to investigate the functionality of the human brain. This kind of data sets show similarities, though are different for each condition. When solving the inverse problem (IP), performing the source localization, one encounters the problem that this IP is ill-posed: constraints are necessary to solve and stabilize the solution to the IP. Moreover, a substantial amount of data is needed to avoid a signal to noise ratio (SNR) that is too poor for source localizations. In the case of similar conditions, this common information can be exploited by analyzing the data sets simultaneously. The here proposed coupled dipole model (CDM) provides an integrated method in which these similarities between conditions are used to solve and stabilize the inverse problem. The coupled dipole model is applicable when data sets contain common sources or common source time functions. The coupled dipole model uses a set of common sources and a...

NeuroImage, 2003

The general spatiotemporal covariance matrix of the background noise in MEG/EEG signals is huge. ... more The general spatiotemporal covariance matrix of the background noise in MEG/EEG signals is huge. To reduce the dimensionality of this matrix it is modeled as a Kronecker product of a spatial and a temporal covariance matrix. When the number of time samples is larger than, say, J = 500, the iterative Maximum Likelihood estimation of these two matrices is still too time-consuming to be useful on a routine basis. In this study we looked for methods to circumvent this computationally expensive procedure by using a parametric model with subject-dependent parameters. Such a model would additionally help with interpreting MEG/EEG signals. For the spatial covariance, models have been derived already and it has been shown that measured MEG/EEG signals can be understood spatially as random processes, generated by random dipoles. The temporal covariance, however, has not been modeled yet, therefore we studied the temporal covariance matrix in several subjects. For all subjects the temporal cov...

Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft für Medizinische Physik and the European Federation of Organisations for Medical Physics, 1991

When a function is expressed as an infinite series of spherical harmonics the convergence can be ... more When a function is expressed as an infinite series of spherical harmonics the convergence can be accelerated by subtracting its asymptotic expansion and adding it in analytically closed form. In the present article this technique is applied to two biophysical cases: to the potential distribution in a spherically symmetric volume conductor and to the covariance matrix of biomagnetic measurements.

Biomedical Engineering, 2003

In vivo measurements of equivalent resistivities of skull ( skull ) and brain ( brain ) are perfo... more In vivo measurements of equivalent resistivities of skull ( skull ) and brain ( brain ) are performed for six subjects using an electric impedance tomography (EIT)-based method and realistic models for the head.

A 2-year randomized, controlled prospective study evaluated the clinical effectiveness of a one-s... more A 2-year randomized, controlled prospective study evaluated the clinical effectiveness of a one-step self-etch adhesive and a "gold-standard" three-step etch-and-rinse adhesive in non-carious Class-V lesions. The null hypothesis tested was that the one-step self-etch adhesive does perform clinically equally well as the three-step etch-and-rinse adhesive. A total of 161 lesions in 26 patients were restored with Clearfil AP-X (Kuraray). The restorations were bonded either with the "all-in-one" adhesive Clearfil S3 Bond (Kuraray) or with the three-step etch-and-rinse adhesive Optibond FL (Kerr). The restorations were evaluated at baseline and after 6 months, 1 and 2 years, regarding their retention, marginal adapation, marginal discoloration, caries occurrence, preservation of tooth vitality and post-operative sensivity. Retention loss, severe marginal defects and/or discoloration that needed intervention (repair or replacement) and the occurrence of caries were considered as clinical failures. The recall rate at 2 years was 93.8%. Only one Clearfil S3 Bond restoration was lost at the 2-year recall. All other restorations were clinically acceptable. The number of restorations with defect-free margins decreased severely during the 2-year study period (to 6.7% and 25.3% for Clearfil S3 Bond and Optibond FL, respectively). The Clearfil S3 Bond restorations presented significantly more small marginal defects at the enamel side than the Optibond FL restorations (Clearfil S3 Bond: 93.3%; Optibond FL: 73.3%; p=0.000). Superficial marginal discoloration increased in both groups (to 53.3% and 36% for Clearfil S3 Bond and Optibond FL, respectively) and was also more pronounced in the Clearfil S3 Bond group (p=0.007). After 2 years, the simplified one-step self-etch adhesive Clearfil S3 Bond and the three-step etch-and-rinse adhesive Optibond FL were clinically equally successful, even though both adhesives were characterized by progressive degradation in marginal integrity. Clearfil S3 Bond exhibited more small enamel marginal defects and superficial marginal discolorations.

Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2007

Co-registration of EEG (Electroencephalogram)- and fMRI (functional magnetic resonance imaging) r... more Co-registration of EEG (Electroencephalogram)- and fMRI (functional magnetic resonance imaging) remains a challenge due to the large artifacts induced on the EEG by the MR (magnetic resonance) sequence gradient and RF pulses. We present an algorithm, based on the average-subtraction method, which is able to correct EEG data for gradient and RF pulse artifacts. We optimized artifact reduction by correcting

2007 4th IEEE International Symposium on Biomedical Imaging: From Nano to Macro, 2007

The brain's resting state is studied with the ana... more The brain's resting state is studied with the analysis of co-registered fMRI/EEG/ECG. In particular, it was investigated whether spontaneous heart rate fluctuations are correlated to fMRI-signals. This might be the case because of a direct hemodynamic coupling, or due to an indirect coupling between heart rate and alpha band power, which are both hall marks of the resting state. It

2008 5th IEEE International Symposium on Biomedical Imaging: From Nano to Macro, 2008

In this paper, we use co-registered EEG-fMRI during rest to investigate inter-subject-variability... more In this paper, we use co-registered EEG-fMRI during rest to investigate inter-subject-variability of BOLD signals in comparison with alpha-BOLD statistical parametric maps. A hierarchical clustering algorithm is used to detect spatial patterns of voxels showing correlated activity. The generallinear model is used to determine which of the identified patterns correlates significantly to the spontaneous variations of the alpha rhythm. For all sixteen subjects except one, the clustering of BOLD signal yielded very consistent regions wich included areas belonging to the "default mode" network and the neuronal networks involved in the generation of the alpha and mu rhythms. Furthermore, the BOLD clusters showed more consistency amongst subjects than the Alpha-BOLD statistical parametric maps obtained on a voxel-by-voxel basis. It is suggested that the larger inter-subject variability observed in the Alpha-BOLD statistical parametric maps when compared to the BOLD clusters is related to the individual variations in the EEG.

IEEE International Symposium on Biomedical Imaging, 2006

Recording of EEG during fMRI scanning is a recent technique that provides new perspectives on the... more Recording of EEG during fMRI scanning is a recent technique that provides new perspectives on the underlying generators of classical EEG phenomena appearing in spontaneous brain activity, such as the alpha rhythm, interictal spikes and sleep spindles. The theoretical principle, on which the method is based, is quite simple. By making a statistical comparison between fMRI scans in which the

IEEE Transactions on Biomedical Engineering, 2003

In vivo measurements of equivalent resistivities of skull (ρskull) and brain (ρbrain) are perform... more In vivo measurements of equivalent resistivities of skull (ρskull) and brain (ρbrain) are performed for six subjects using an electric impedance tomography (EIT)-based method and realistic models for the head. The classical boundary element method (BEM) formulation for EIT is very time consuming. However, the application of the Sherman-Morrison formula reduces the computation time by a factor of 5. Using

Wear, 2006

The use of artificial materials to replace natural dental tissue is a common practice in dentistr... more The use of artificial materials to replace natural dental tissue is a common practice in dentistry. Due to health aspects one must be concerned about the risks that the corrosion and wear of these materials may induce. Vertical loss and the release of wear particles are especially of interest. The insight into corrosion-wear processes in that field is however still in its infancy. This paper gives an overview of the degradation processes that one may encounter on artificial materials commonly used in dentistry and more especially in restorative dentistry. Corrosion-wear as such is not yet well documented from in vivo data. Wear of restorative materials must mimic the wear behaviour of natural enamel and dentin under function. In vitro test results are presented elsewhere in this special issue of WEAR.

Physiological Measurement, 1999

The electric resistivity of various human tissues has been reported in many studies, but on compa... more The electric resistivity of various human tissues has been reported in many studies, but on comparison large differences appear between these studies. The aim of this study was to investigate systematically the resistivities of human tissues as published in review studies (100 Hz-10 MHz). A data set of 103 resistivities for 21 different human tissues was compiled from six review studies. For each kind of tissue the mean and its 95% confidence interval were calculated. Moreover, an analysis of covariance showed that the calculated means were not statistically different for most tissues, namely skeletal (171 omega cm) and cardiac (175 omega cm) muscle, kidney (211 omega cm), liver (342 omega cm), lung (157 omega cm) and spleen (405 omega cm), with bone (> 17,583 omega cm), fat (3,850 omega cm) and, most likely, the stratum corneum of the skin having higher resistivities. The insignificance of differences between various tissue means could imply an equality of their resistivities, or, alternatively, could be the result of the large confidence intervals which obscured real existing differences. In either case, however, the large 95% confidence intervals reflected large uncertainties in our knowledge of resistivities of human tissues. Applications based on these resistivities in bioimpedance methods, EEG and EKG, should be developed and evaluated with these uncertainties in mind.

Operative Dentistry, 2008

The current trend towards minimum-intervention dentistry has introduced laser technology as an al... more The current trend towards minimum-intervention dentistry has introduced laser technology as an alternative technique for cavity preparation. This study assessed the null hypothesis that enamel prepared either by Er,Cr:YSGG laser or conventional diamond bur is equally receptive to adhesive procedures. The buccal and lingual surfaces of 35 sound human molars were prepared with Er,Cr:YSGG laser or a medium-grit diamond bur. One etch&rinse (OptiBond FL) and three self-etch adhesives (Adper Prompt L-Pop, Clearfil SE Bond and Clearfil S3 Bond) were applied on laser-irradiated and bur-cut enamel, followed by the application of a 5-6 mm build-up of Z100. The micro-tensile bond strength (microTBS) was determined after 24 hours of storage in water at 37 degrees C. Prepared enamel surfaces and failure patterns were evaluated using a stereomicroscope and a field-emission-gun scanning electron microscope (Feg-SEM). The pTBS to laser-irradiated enamel was significantly lower than to bur-cut enamel (p<0.05), with the exception of Clearfil S3 Bond, which bonded equally effectively to both substrates. The latter presented the highest microTBS on laser-irradiated enamel, though it was not statistically different from the microTBS of OptiBond FL. SEM analysis revealed significant morphological alterations of the laser-irradiated enamel surface, such as areas of melted and recrystalized hydroxyapatite and deep extensive micro-cracks. In conclusion, the bonding effectiveness of adhesives to laser-irradiated enamel depends not only on the structural substrate alterations induced by the laser, but also on the characteristics of the adhesive employed.

NeuroImage, 2006

Simultaneous recording of electroencephalogram/functional magnetic resonance images (EEG/fMRI) wa... more Simultaneous recording of electroencephalogram/functional magnetic resonance images (EEG/fMRI) was applied to identify blood oxygenation level-dependent (BOLD) changes associated with spontaneous variations of the alpha rhythm, which is considered the hallmark of the brain resting state. The analysis was focused on inter-subject variability associated with the resting state. Data from 7 normal subjects are presented. Confirming earlier findings, three subjects showed a negative correlation between the BOLD signal and the average power time series within the alpha band (8 -12 Hz) in extensive areas of the occipital, parietal and frontal lobes. In small thalamic areas, the BOLD signal was positively correlated with the alpha power. For subjects 3 and 4, who displayed two different states during the data acquisition time, it was shown that the corresponding correlation patterns were different, thus demonstrating the state dependency of the results. In subject 5, the changes in BOLD were observed mainly in the frontal and temporal lobes. Subject 6 only showed positive correlations, thus contradicting the negative BOLD alpha power cortical correlations that were found in most subjects.

NeuroImage, 2003

The goal of the MEG study was to investigate the influence of tumor treatment on pathological del... more The goal of the MEG study was to investigate the influence of tumor treatment on pathological delta activity (1-4 Hz). The treatment consisted of neurosurgery, and in some of the patients, additional radiotherapy. MEG and MR recordings were made both before and after the treatment in 17 patients. The signal power in the delta frequency band was determined for each recording. The malignant tumors were associated with large tumor volumes. Furthermore, both malignant tumors and tumor volume were associated with high signal powers in the delta band, indicating a correlation of delta power with the severity of the lesions. In all patients with high grade tumors, the delta power was lower after the treatment. The sources underlying the delta signals were estimated with an automatic single dipole analysis method. Estimated sources were projected onto MR scans. Preoperatively 14 clusters of equivalent sources describing focal activity were found in 12 out of 17 patients. Thirteen of these clusters were located near the tumor, and one cluster near an edema border. The locations near tumors are plausible and suggest that in general the source estimation was reliable. After the operation, 13 such clusters were found in 12 patients. Eleven clusters were located near the lesion border and one cluster near the edema border. Furthermore a cluster contralateral to the lesion in the other hemisphere indicated that brain lesions can affect the functioning of more distant brain areas than just the peritumoral brain tissue. Of the 12 patients who had preoperatively peritumoral clusters, 11 patients had postoperatively perilesional sources. In these cases the shift in source locations was in general considerably smaller than the dimension of the preoperative tumors. This finding indicates that similar areas generate the pre-and postoperative delta activity. Furthermore, focal delta sources were found in a case without tumor recurrence, and also in cases that most tumor tissue was removed. These findings suggest that the pathology underlying the slow waves is not the presence of the tumor bulk but the structural damage done by the tumors on the surrounding white/gray matter.

NeuroImage, 2006

Statistical interdependencies between magnetoencephalographic signals recorded over different bra... more Statistical interdependencies between magnetoencephalographic signals recorded over different brain regions may reflect the functional connectivity of the resting-state networks. We investigated topographic characteristics of disturbed resting-state networks in Alzheimer's disease patients in different frequency bands. Whole-head 151channel MEG was recorded in 18 Alzheimer patients (mean age 72.1 years, SD 5.6; 11 males) and 18 healthy controls (mean age 69.1 years, SD 6.8; 7 males) during a no-task eyes-closed resting state. Pair-wise interdependencies of MEG signals were computed in six frequency bands (delta, theta, alpha1, alpha2, beta and gamma) with the synchronization likelihood (a nonlinear measure) and coherence and grouped into long distance (intra-and interhemispheric) and short distance interactions. In the alpha1 and beta band, Alzheimer patients showed a loss of long distance intrahemispheric interactions, with a focus on left fronto-temporal/parietal connections. Functional connectivity was increased in Alzheimer patients locally in the theta band (centro-parietal regions) and the beta and gamma band (occipito-parietal regions). In the Alzheimer group, positive correlations were found between alpha1, alpha2 and beta band synchronization likelihood and MMSE score. Resting-state functional connectivity in Alzheimer's disease is characterized by specific changes of long and short distance interactions in the theta, alpha1, beta and gamma bands. These changes may reflect loss of anatomical connections and/or reduced central cholinergic activity and could underlie part of the cognitive impairment. D

NeuroImage, 2006

Simultaneous acquisition of EEG and fMRI data enables the investigation of the hemodynamic correl... more Simultaneous acquisition of EEG and fMRI data enables the investigation of the hemodynamic correlates of interictal epileptiform discharges (IEDs) during the resting state in patients with epilepsy. This paper addresses two issues: (1) the semi-automation of IED classification in statistical modelling for fMRI analysis and (2) the improvement of IED detection to increase experimental fMRI efficiency. For patients with multiple IED generators, sensitivity to IED-correlated BOLD signal changes can be improved when the fMRI analysis model distinguishes between IEDs of differing morphology and field. In an attempt to reduce the subjectivity of visual IED classification, we implemented a semi-automated system, based on the spatio-temporal clustering of EEG events. We illustrate the technique's usefulness using EEG -fMRI data from a subject with focal epilepsy in whom 202 IEDs were visually identified and then clustered semi-automatically into four clusters. Each cluster of IEDs was modelled separately for the purpose of fMRI analysis. This revealed IED-correlated BOLD activations in distinct regions corresponding to three different IED categories. In a second step, Signal Space Projection (SSP) was used to project the scalp EEG onto the dipoles corresponding to each IED cluster. This resulted in 123 previously unrecognised IEDs, the inclusion of which, in the General Linear Model (GLM), increased the experimental efficiency as reflected by significant BOLD activations. We have also shown that the detection of extra IEDs is robust in the face of fluctuations in the set of visually detected IEDs. We conclude that automated IED classification can result in more objective fMRI models of IEDs and significantly increased sensitivity. D

Medical Physics, 2002

Positron emission tomography (PET) provides important information on tumor biology, but lacks det... more Positron emission tomography (PET) provides important information on tumor biology, but lacks detailed anatomical information. Our aim in the present study was to develop and validate an automatic registration method for matching PET and CT scans of the head and neck. Three difficulties in achieving this goal are (1) nonrigid motions of the neck can hamper the use of automatic ridged body transformations; (2) emission scans contain too little anatomical information to apply standard image fusion methods; and (3) no objective way exists to quantify the quality of the match results. These problems are solved as follows: accurate and reproducible positioning of the patient was achieved by using a radiotherapy treatment mask. The proposed method makes use of the transmission rather than the emission scan. To obtain sufficient (anatomical) information for matching, two bed positions for the transmission scan were included in the protocol. A mutual information-based algorithm was used as a registration technique. PET and CT data were obtained in seven patients. Each patient had two CT scans and one PET scan. The datasets were used to estimate the consistency by matching PET to CT1, CT1 to CT2, and CT2 to PET using the full circle consistency test. It was found that using our method, consistency could be obtained of 4 mm and 1.3 degrees on average. The PET voxels used for registration were 5.15 mm, so the errors compared quite favorably with the voxel size. Cropping the images (removing the scanner bed from images) did not improve the consistency of the algorithm. The transmission scan, however, could potentially be reduced to a single position using this approach. In conclusion, the represented algorithm and validation technique has several features that are attractive from both theoretical and practical point of view, it is a user-independent, automatic validation technique for matching CT and PET scans of the head and neck, which gives the opportunity to compare different image enhancements.

Biomedical Engineering, 2004

The standard procedure to determine the brain re- sponse from a multitrial evoked magnetoencephal... more The standard procedure to determine the brain re- sponse from a multitrial evoked magnetoencephalography (MEG) or electroencephalography (EEG) data set is to average the in- dividual trials of these data, time locked to the stimulus onset. When the brain responses vary from trial-to-trial this approach is false. In this paper, a maximum-likelihood estimator is derived for the case that the

NeuroImage, 2004

Often MEG/EEG is measured in a few slightly different conditions to investigate the functionality... more Often MEG/EEG is measured in a few slightly different conditions to investigate the functionality of the human brain. This kind of data sets show similarities, though are different for each condition. When solving the inverse problem (IP), performing the source localization, one encounters the problem that this IP is ill-posed: constraints are necessary to solve and stabilize the solution to the IP. Moreover, a substantial amount of data is needed to avoid a signal to noise ratio (SNR) that is too poor for source localizations. In the case of similar conditions, this common information can be exploited by analyzing the data sets simultaneously. The here proposed coupled dipole model (CDM) provides an integrated method in which these similarities between conditions are used to solve and stabilize the inverse problem. The coupled dipole model is applicable when data sets contain common sources or common source time functions. The coupled dipole model uses a set of common sources and a...

NeuroImage, 2003

The general spatiotemporal covariance matrix of the background noise in MEG/EEG signals is huge. ... more The general spatiotemporal covariance matrix of the background noise in MEG/EEG signals is huge. To reduce the dimensionality of this matrix it is modeled as a Kronecker product of a spatial and a temporal covariance matrix. When the number of time samples is larger than, say, J = 500, the iterative Maximum Likelihood estimation of these two matrices is still too time-consuming to be useful on a routine basis. In this study we looked for methods to circumvent this computationally expensive procedure by using a parametric model with subject-dependent parameters. Such a model would additionally help with interpreting MEG/EEG signals. For the spatial covariance, models have been derived already and it has been shown that measured MEG/EEG signals can be understood spatially as random processes, generated by random dipoles. The temporal covariance, however, has not been modeled yet, therefore we studied the temporal covariance matrix in several subjects. For all subjects the temporal cov...

Clinical physics and physiological measurement : an official journal of the Hospital Physicists' Association, Deutsche Gesellschaft für Medizinische Physik and the European Federation of Organisations for Medical Physics, 1991

When a function is expressed as an infinite series of spherical harmonics the convergence can be ... more When a function is expressed as an infinite series of spherical harmonics the convergence can be accelerated by subtracting its asymptotic expansion and adding it in analytically closed form. In the present article this technique is applied to two biophysical cases: to the potential distribution in a spherically symmetric volume conductor and to the covariance matrix of biomagnetic measurements.

Biomedical Engineering, 2003

In vivo measurements of equivalent resistivities of skull ( skull ) and brain ( brain ) are perfo... more In vivo measurements of equivalent resistivities of skull ( skull ) and brain ( brain ) are performed for six subjects using an electric impedance tomography (EIT)-based method and realistic models for the head.

A 2-year randomized, controlled prospective study evaluated the clinical effectiveness of a one-s... more A 2-year randomized, controlled prospective study evaluated the clinical effectiveness of a one-step self-etch adhesive and a "gold-standard" three-step etch-and-rinse adhesive in non-carious Class-V lesions. The null hypothesis tested was that the one-step self-etch adhesive does perform clinically equally well as the three-step etch-and-rinse adhesive. A total of 161 lesions in 26 patients were restored with Clearfil AP-X (Kuraray). The restorations were bonded either with the "all-in-one" adhesive Clearfil S3 Bond (Kuraray) or with the three-step etch-and-rinse adhesive Optibond FL (Kerr). The restorations were evaluated at baseline and after 6 months, 1 and 2 years, regarding their retention, marginal adapation, marginal discoloration, caries occurrence, preservation of tooth vitality and post-operative sensivity. Retention loss, severe marginal defects and/or discoloration that needed intervention (repair or replacement) and the occurrence of caries were considered as clinical failures. The recall rate at 2 years was 93.8%. Only one Clearfil S3 Bond restoration was lost at the 2-year recall. All other restorations were clinically acceptable. The number of restorations with defect-free margins decreased severely during the 2-year study period (to 6.7% and 25.3% for Clearfil S3 Bond and Optibond FL, respectively). The Clearfil S3 Bond restorations presented significantly more small marginal defects at the enamel side than the Optibond FL restorations (Clearfil S3 Bond: 93.3%; Optibond FL: 73.3%; p=0.000). Superficial marginal discoloration increased in both groups (to 53.3% and 36% for Clearfil S3 Bond and Optibond FL, respectively) and was also more pronounced in the Clearfil S3 Bond group (p=0.007). After 2 years, the simplified one-step self-etch adhesive Clearfil S3 Bond and the three-step etch-and-rinse adhesive Optibond FL were clinically equally successful, even though both adhesives were characterized by progressive degradation in marginal integrity. Clearfil S3 Bond exhibited more small enamel marginal defects and superficial marginal discolorations.

Annual International Conference of the IEEE Engineering in Medicine and Biology Society, 2007

Co-registration of EEG (Electroencephalogram)- and fMRI (functional magnetic resonance imaging) r... more Co-registration of EEG (Electroencephalogram)- and fMRI (functional magnetic resonance imaging) remains a challenge due to the large artifacts induced on the EEG by the MR (magnetic resonance) sequence gradient and RF pulses. We present an algorithm, based on the average-subtraction method, which is able to correct EEG data for gradient and RF pulse artifacts. We optimized artifact reduction by correcting

2007 4th IEEE International Symposium on Biomedical Imaging: From Nano to Macro, 2007

The brain's resting state is studied with the ana... more The brain's resting state is studied with the analysis of co-registered fMRI/EEG/ECG. In particular, it was investigated whether spontaneous heart rate fluctuations are correlated to fMRI-signals. This might be the case because of a direct hemodynamic coupling, or due to an indirect coupling between heart rate and alpha band power, which are both hall marks of the resting state. It

2008 5th IEEE International Symposium on Biomedical Imaging: From Nano to Macro, 2008

In this paper, we use co-registered EEG-fMRI during rest to investigate inter-subject-variability... more In this paper, we use co-registered EEG-fMRI during rest to investigate inter-subject-variability of BOLD signals in comparison with alpha-BOLD statistical parametric maps. A hierarchical clustering algorithm is used to detect spatial patterns of voxels showing correlated activity. The generallinear model is used to determine which of the identified patterns correlates significantly to the spontaneous variations of the alpha rhythm. For all sixteen subjects except one, the clustering of BOLD signal yielded very consistent regions wich included areas belonging to the "default mode" network and the neuronal networks involved in the generation of the alpha and mu rhythms. Furthermore, the BOLD clusters showed more consistency amongst subjects than the Alpha-BOLD statistical parametric maps obtained on a voxel-by-voxel basis. It is suggested that the larger inter-subject variability observed in the Alpha-BOLD statistical parametric maps when compared to the BOLD clusters is related to the individual variations in the EEG.

IEEE International Symposium on Biomedical Imaging, 2006

Recording of EEG during fMRI scanning is a recent technique that provides new perspectives on the... more Recording of EEG during fMRI scanning is a recent technique that provides new perspectives on the underlying generators of classical EEG phenomena appearing in spontaneous brain activity, such as the alpha rhythm, interictal spikes and sleep spindles. The theoretical principle, on which the method is based, is quite simple. By making a statistical comparison between fMRI scans in which the

IEEE Transactions on Biomedical Engineering, 2003

In vivo measurements of equivalent resistivities of skull (ρskull) and brain (ρbrain) are perform... more In vivo measurements of equivalent resistivities of skull (ρskull) and brain (ρbrain) are performed for six subjects using an electric impedance tomography (EIT)-based method and realistic models for the head. The classical boundary element method (BEM) formulation for EIT is very time consuming. However, the application of the Sherman-Morrison formula reduces the computation time by a factor of 5. Using

Wear, 2006

The use of artificial materials to replace natural dental tissue is a common practice in dentistr... more The use of artificial materials to replace natural dental tissue is a common practice in dentistry. Due to health aspects one must be concerned about the risks that the corrosion and wear of these materials may induce. Vertical loss and the release of wear particles are especially of interest. The insight into corrosion-wear processes in that field is however still in its infancy. This paper gives an overview of the degradation processes that one may encounter on artificial materials commonly used in dentistry and more especially in restorative dentistry. Corrosion-wear as such is not yet well documented from in vivo data. Wear of restorative materials must mimic the wear behaviour of natural enamel and dentin under function. In vitro test results are presented elsewhere in this special issue of WEAR.

Physiological Measurement, 1999

The electric resistivity of various human tissues has been reported in many studies, but on compa... more The electric resistivity of various human tissues has been reported in many studies, but on comparison large differences appear between these studies. The aim of this study was to investigate systematically the resistivities of human tissues as published in review studies (100 Hz-10 MHz). A data set of 103 resistivities for 21 different human tissues was compiled from six review studies. For each kind of tissue the mean and its 95% confidence interval were calculated. Moreover, an analysis of covariance showed that the calculated means were not statistically different for most tissues, namely skeletal (171 omega cm) and cardiac (175 omega cm) muscle, kidney (211 omega cm), liver (342 omega cm), lung (157 omega cm) and spleen (405 omega cm), with bone (> 17,583 omega cm), fat (3,850 omega cm) and, most likely, the stratum corneum of the skin having higher resistivities. The insignificance of differences between various tissue means could imply an equality of their resistivities, or, alternatively, could be the result of the large confidence intervals which obscured real existing differences. In either case, however, the large 95% confidence intervals reflected large uncertainties in our knowledge of resistivities of human tissues. Applications based on these resistivities in bioimpedance methods, EEG and EKG, should be developed and evaluated with these uncertainties in mind.

Operative Dentistry, 2008

The current trend towards minimum-intervention dentistry has introduced laser technology as an al... more The current trend towards minimum-intervention dentistry has introduced laser technology as an alternative technique for cavity preparation. This study assessed the null hypothesis that enamel prepared either by Er,Cr:YSGG laser or conventional diamond bur is equally receptive to adhesive procedures. The buccal and lingual surfaces of 35 sound human molars were prepared with Er,Cr:YSGG laser or a medium-grit diamond bur. One etch&rinse (OptiBond FL) and three self-etch adhesives (Adper Prompt L-Pop, Clearfil SE Bond and Clearfil S3 Bond) were applied on laser-irradiated and bur-cut enamel, followed by the application of a 5-6 mm build-up of Z100. The micro-tensile bond strength (microTBS) was determined after 24 hours of storage in water at 37 degrees C. Prepared enamel surfaces and failure patterns were evaluated using a stereomicroscope and a field-emission-gun scanning electron microscope (Feg-SEM). The pTBS to laser-irradiated enamel was significantly lower than to bur-cut enamel (p<0.05), with the exception of Clearfil S3 Bond, which bonded equally effectively to both substrates. The latter presented the highest microTBS on laser-irradiated enamel, though it was not statistically different from the microTBS of OptiBond FL. SEM analysis revealed significant morphological alterations of the laser-irradiated enamel surface, such as areas of melted and recrystalized hydroxyapatite and deep extensive micro-cracks. In conclusion, the bonding effectiveness of adhesives to laser-irradiated enamel depends not only on the structural substrate alterations induced by the laser, but also on the characteristics of the adhesive employed.

NeuroImage, 2006

Simultaneous recording of electroencephalogram/functional magnetic resonance images (EEG/fMRI) wa... more Simultaneous recording of electroencephalogram/functional magnetic resonance images (EEG/fMRI) was applied to identify blood oxygenation level-dependent (BOLD) changes associated with spontaneous variations of the alpha rhythm, which is considered the hallmark of the brain resting state. The analysis was focused on inter-subject variability associated with the resting state. Data from 7 normal subjects are presented. Confirming earlier findings, three subjects showed a negative correlation between the BOLD signal and the average power time series within the alpha band (8 -12 Hz) in extensive areas of the occipital, parietal and frontal lobes. In small thalamic areas, the BOLD signal was positively correlated with the alpha power. For subjects 3 and 4, who displayed two different states during the data acquisition time, it was shown that the corresponding correlation patterns were different, thus demonstrating the state dependency of the results. In subject 5, the changes in BOLD were observed mainly in the frontal and temporal lobes. Subject 6 only showed positive correlations, thus contradicting the negative BOLD alpha power cortical correlations that were found in most subjects.

NeuroImage, 2003

The goal of the MEG study was to investigate the influence of tumor treatment on pathological del... more The goal of the MEG study was to investigate the influence of tumor treatment on pathological delta activity (1-4 Hz). The treatment consisted of neurosurgery, and in some of the patients, additional radiotherapy. MEG and MR recordings were made both before and after the treatment in 17 patients. The signal power in the delta frequency band was determined for each recording. The malignant tumors were associated with large tumor volumes. Furthermore, both malignant tumors and tumor volume were associated with high signal powers in the delta band, indicating a correlation of delta power with the severity of the lesions. In all patients with high grade tumors, the delta power was lower after the treatment. The sources underlying the delta signals were estimated with an automatic single dipole analysis method. Estimated sources were projected onto MR scans. Preoperatively 14 clusters of equivalent sources describing focal activity were found in 12 out of 17 patients. Thirteen of these clusters were located near the tumor, and one cluster near an edema border. The locations near tumors are plausible and suggest that in general the source estimation was reliable. After the operation, 13 such clusters were found in 12 patients. Eleven clusters were located near the lesion border and one cluster near the edema border. Furthermore a cluster contralateral to the lesion in the other hemisphere indicated that brain lesions can affect the functioning of more distant brain areas than just the peritumoral brain tissue. Of the 12 patients who had preoperatively peritumoral clusters, 11 patients had postoperatively perilesional sources. In these cases the shift in source locations was in general considerably smaller than the dimension of the preoperative tumors. This finding indicates that similar areas generate the pre-and postoperative delta activity. Furthermore, focal delta sources were found in a case without tumor recurrence, and also in cases that most tumor tissue was removed. These findings suggest that the pathology underlying the slow waves is not the presence of the tumor bulk but the structural damage done by the tumors on the surrounding white/gray matter.

NeuroImage, 2006

Statistical interdependencies between magnetoencephalographic signals recorded over different bra... more Statistical interdependencies between magnetoencephalographic signals recorded over different brain regions may reflect the functional connectivity of the resting-state networks. We investigated topographic characteristics of disturbed resting-state networks in Alzheimer's disease patients in different frequency bands. Whole-head 151channel MEG was recorded in 18 Alzheimer patients (mean age 72.1 years, SD 5.6; 11 males) and 18 healthy controls (mean age 69.1 years, SD 6.8; 7 males) during a no-task eyes-closed resting state. Pair-wise interdependencies of MEG signals were computed in six frequency bands (delta, theta, alpha1, alpha2, beta and gamma) with the synchronization likelihood (a nonlinear measure) and coherence and grouped into long distance (intra-and interhemispheric) and short distance interactions. In the alpha1 and beta band, Alzheimer patients showed a loss of long distance intrahemispheric interactions, with a focus on left fronto-temporal/parietal connections. Functional connectivity was increased in Alzheimer patients locally in the theta band (centro-parietal regions) and the beta and gamma band (occipito-parietal regions). In the Alzheimer group, positive correlations were found between alpha1, alpha2 and beta band synchronization likelihood and MMSE score. Resting-state functional connectivity in Alzheimer's disease is characterized by specific changes of long and short distance interactions in the theta, alpha1, beta and gamma bands. These changes may reflect loss of anatomical connections and/or reduced central cholinergic activity and could underlie part of the cognitive impairment. D

NeuroImage, 2006

Simultaneous acquisition of EEG and fMRI data enables the investigation of the hemodynamic correl... more Simultaneous acquisition of EEG and fMRI data enables the investigation of the hemodynamic correlates of interictal epileptiform discharges (IEDs) during the resting state in patients with epilepsy. This paper addresses two issues: (1) the semi-automation of IED classification in statistical modelling for fMRI analysis and (2) the improvement of IED detection to increase experimental fMRI efficiency. For patients with multiple IED generators, sensitivity to IED-correlated BOLD signal changes can be improved when the fMRI analysis model distinguishes between IEDs of differing morphology and field. In an attempt to reduce the subjectivity of visual IED classification, we implemented a semi-automated system, based on the spatio-temporal clustering of EEG events. We illustrate the technique's usefulness using EEG -fMRI data from a subject with focal epilepsy in whom 202 IEDs were visually identified and then clustered semi-automatically into four clusters. Each cluster of IEDs was modelled separately for the purpose of fMRI analysis. This revealed IED-correlated BOLD activations in distinct regions corresponding to three different IED categories. In a second step, Signal Space Projection (SSP) was used to project the scalp EEG onto the dipoles corresponding to each IED cluster. This resulted in 123 previously unrecognised IEDs, the inclusion of which, in the General Linear Model (GLM), increased the experimental efficiency as reflected by significant BOLD activations. We have also shown that the detection of extra IEDs is robust in the face of fluctuations in the set of visually detected IEDs. We conclude that automated IED classification can result in more objective fMRI models of IEDs and significantly increased sensitivity. D

Medical Physics, 2002

Positron emission tomography (PET) provides important information on tumor biology, but lacks det... more Positron emission tomography (PET) provides important information on tumor biology, but lacks detailed anatomical information. Our aim in the present study was to develop and validate an automatic registration method for matching PET and CT scans of the head and neck. Three difficulties in achieving this goal are (1) nonrigid motions of the neck can hamper the use of automatic ridged body transformations; (2) emission scans contain too little anatomical information to apply standard image fusion methods; and (3) no objective way exists to quantify the quality of the match results. These problems are solved as follows: accurate and reproducible positioning of the patient was achieved by using a radiotherapy treatment mask. The proposed method makes use of the transmission rather than the emission scan. To obtain sufficient (anatomical) information for matching, two bed positions for the transmission scan were included in the protocol. A mutual information-based algorithm was used as a registration technique. PET and CT data were obtained in seven patients. Each patient had two CT scans and one PET scan. The datasets were used to estimate the consistency by matching PET to CT1, CT1 to CT2, and CT2 to PET using the full circle consistency test. It was found that using our method, consistency could be obtained of 4 mm and 1.3 degrees on average. The PET voxels used for registration were 5.15 mm, so the errors compared quite favorably with the voxel size. Cropping the images (removing the scanner bed from images) did not improve the consistency of the algorithm. The transmission scan, however, could potentially be reduced to a single position using this approach. In conclusion, the represented algorithm and validation technique has several features that are attractive from both theoretical and practical point of view, it is a user-independent, automatic validation technique for matching CT and PET scans of the head and neck, which gives the opportunity to compare different image enhancements.