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Lubel, E.

Publications and source records attributed to Lubel, E..

5 recordsLinked to original sources

Identification of motor unit discharges from ultrasound images: Analysis of in silico and in vivo experiments

ObjectiveUltrasound (US) images during a muscle contraction can be decoded into individual motor unit (MU) activity, i.e., trains of neural discharges from the spinal cord. However, current decoding algorithms assume a stationary mixing matrix, i.e. equal mechanical twitches at each discharge. This study aimed to investigate the accuracy of these approaches in non-ideal conditions when the mechanical twitches in response to neural discharges vary over time and are partially fused in tetanic contractions. MethodsWe performed an in silico experiment to study the decomposition accuracy for changes in simulation parameters, including the twitch waveforms, spatial territories, and motoneuron-driven activity. Then, we explored the consistency of the in silico findings with an in vivo experiment on the tibialis anterior muscle at varying contraction forces. ResultsA large population of MU spike trains across different excitatory drives, and noise levels could be identified. The identified MUs with varying twitch waveforms resulted in varying amplitudes of the estimated sources correlated with the ground truth twitch amplitudes. The identified spike trains had a wide range of firing rates, and the later recruited MUs with larger twitch amplitudes were easier to identify than those with small amplitudes. Finally, the in silico and in vivo results were consistent, and the method could identify MU spike trains in US images at least up to 40% of the maximal voluntary contraction force. ConclusionThe decoding method was accurate irrespective of the varying twitch-like shapes or the degree of twitch fusion, indicating robustness, important for neural interfacing applications.

bioengineering↗

Accurate Identification of Motoneuron Discharges from Ultrasound Images Across the Full Muscle Cross-Section

ObjectiveNon-invasive identification of motoneuron (MN) activity is commonly done using (EMG). However, surface EMG (sEMG) signals detect only superficial sources, at less than approximately 10-mm depth. Intramuscular EMG can detect deep sources, but it is limited to sources within a few mm of the detection site. Conversely, ultrasound (US) images have high spatial resolution across the whole muscle cross-section. The activity of MNs can be extracted from US images due to the movements that MN activation generates in the innervated muscle fibers. Current US-based decomposition methods can accurately identify the location and average twitch induced by MN activity. However, they cannot accurately detect MN discharge times. MethodsHere, we present a method based on the convolutive blind source separation of US images to estimate MN discharge times with high accuracy. The method was validated across 10 participants using concomitant sEMG decomposition as the ground truth. Results140 unique MN spike trains were identified from US images, with a rate of agreement (RoA) with sEMG decomposition of 87.4 {+/-} 10.3 %. Over 50% of these MN spike trains had a RoA greater than 90%. Furthermore, with US, we identified additional MUs well beyond the sEMG detection volume, at up to >30 mm below the skin. ConclusionThe proposed method can identify discharges of MNs innervating muscle fibers in a large range of depths within the muscle from US images. SignificanceThe proposed methodology can non-invasively interface with the outer layers of the central nervous system innervating muscles across the full cross-section.

bioengineering↗

Spatial decomposition of ultrafast ultrasound images to identify motor unit activity - A validation study using intramuscular and surface EMG

The smallest voluntarily controlled structure of the human body is the motor unit (MU), comprised of a motoneuron and its innervated fibres. MUs have been investigated in neurophysiology research and clinical applications, primarily using electromyographic (EMG) techniques. Nonetheless, EMG (both surface and intramuscular) has a limited detection volume. A recent alternative approach to detect MUs is ultrafast ultrasound (UUS) imaging. The possibility of identifying MU activity from UUS has been shown by blind source separation (BSS) of UUS images. However, this approach has yet to be fully validated for a large population of MUs. Here we validate the BSS method on UUS images using a large population of MUs from eleven participants based on concurrent recordings of either surface or intramuscular EMG from forces up to 30% of the maximum voluntary contraction (MVC) force. We assessed the BSS methods ability to identify MU spike trains from direct comparison with the EMG-derived spike trains as well as twitch areas and temporal profiles from comparison with the spike-triggered-averaged UUS images when using the EMG-derived spikes as triggers. We found a moderate rate of correctly identified spikes (53.0 {+/-} 16.0%) with respect to the EMG-identified firings. However, the MU twitch areas and temporal profiles could still be identified accurately, including at 30% MVC force. These results suggest that the current BSS methods for UUS can accurately identify the location and average twitch of a large pool of MUs in UUS images, providing potential avenues for studying neuromechanics from a large cross-section of the muscle. On the other hand, more advanced methods are needed to address the non-linear summation of velocities for recovering the full spike trains.

bioengineering↗

Non-linearity in motor unit velocity twitch dynamics: Implications for ultrafast ultrasound source separation

Ultrasound (US) muscle image series can be used for peripheral human-machine interfacing based on global features, or even on the decomposition of US images into the contributions of individual motor units (MUs). With respect to state-of-the-art surface electromyography (sEMG), US provides higher spatial resolution and deeper penetration depth. However, the accuracy of current methods for direct US decomposition, even at low forces, is relatively poor. These methods are based on linear mathematical models of the contributions of MUs to US images. Here, we test the hypothesis of linearity by comparing the average velocity twitch profiles of MUs when varying the number of other concomitantly active units. We observe that the velocity twitch profile has a decreasing peak-to-peak amplitude when tracking the same target motor unit at progressively increasing contraction force levels, thus with an increasing number of concomitantly active units. This observation indicates non-linear factors in the generation model. Furthermore, we directly studied the impact of one MU on a neighboring MU, finding that the effect of one source on the other is not symmetrical and may be related to unit size. We conclude that a linear approximation is limiting the decomposition methods to decompose full velocity twitch trains from velocity images, highlighting the need for more advanced models and methods for US decomposition than those currently employed.

bioengineering↗

Concurrent assessment of individual motoneuron discharges and muscle unit displacement velocity in humans by high-density EMG and ultrafast ultrasound

ObjectiveThe study of human neuromechanical control at the motor unit (MU) level has predominantly focussed on electrical activity and force generation, whilst the link between these, the muscle deformation, has not been widely studied. An important example of this is excitation-contraction coupling (E-C coupling) - the process by which electrical excitation is converted into contraction in the muscle fibres. Despite this being a clear marker for progression of certain diseases, it cannot be measured in vivo in natural contractions. To address this, we analyse the kinematics of muscle units in natural contractions. ApproachWe combine high density surface electromyography (HDsEMG) and ultrafast ultrasound (US) recordings of a mildly contracted muscle (tibialis anterior) to measure the deformation of the muscular tissue caused by individual MU twitches (decomposed from the HDsEMG). With a novel analysis on the US images we identified, with high spatio-temporal precision, the velocity maps associated with single muscle unit movements. From the individual MU profiles obtained from the velocity maps the region of movement, the duration of the mechanical twitch, the total and active contraction times, and the activation time (equivalent to E-C coupling) were computed. Main resultsThe E-C coupling was 3.8 {+/-} 3.0 ms (n = 390), providing the first measurement of this value in for single MUs in non-stimulated contractions. Furthermore, the experimental measures provided the first evidence of single muscle unit twisting during voluntary contractions and showed the presence of MUs with territories with multiple distinct split regions across the muscle region. SignificanceWe show that the combined use of HDsEMG and ultrafast US can allow for the study of kinematics of individual MU twitches, including measurement of the excitation-contraction coupling time under natural neural control conditions. These measurements and characterisations open new avenues for study of neuromechanics in healthy and pathological conditions.

bioengineering↗