A Signal Processing Approach to Practical Neurophysiology A Search for Improved Methods in Clinical Routine and Research

Sammanfattning: Signal processing within the neurophysiological field is challenging and requires short processing time and reliable results. In this thesis, three main problems are considered.First, a modified line source model for simulation of muscle action potentials (APs) is presented. It is formulated in continuous-time as a convolution of a muscle-fiber dependent transmembrane current and an electrode dependent weighting (impedance) function. In the discretization of the model, the Nyquist criterion is addressed. By applying anti-aliasing filtering, it is possible to decrease the discretization frequency while retaining the accuracy. Finite length muscle fibers are incorporated in the model through a simple transformation of the weighting function. The presented model is suitable for modeling large motor units.Second, the possibility of discerning the individual AP components of the concentric needle electromyogram (EMG) is explored. Simulated motor unit APs (MUAPs) are prefiltered using Wiener filtering. The mean fiber concentration (MFC) and jitter are estimated from the prefiltered MUAPs. The results indicate that the assessment of the MFC may well benefit from the presented approach and that the jitter may be estimated from the concentric needle EMG with an accuracy comparable with traditional single fiber EMG.Third, automatic, rather than manual, detection and discrimination of recorded C-fiber APs is addressed. The algorithm, detects the Aps reliably using a matched filter. Then, the detected APs are discriminated using multiple hypothesis tracking combined with Kalman filtering which identifies the APs originating from the same C-fiber. To improve the performance, an amplitude estimate is incorporated into the tracking algorithm. Several years of use show that the performance of the algorithm is excellent with minimal need for audit.